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Peck: Perhaps a mild case but when there is emotional pain buy alesse 0.18mg low price birth control 8 minutes late, medications are necessary alesse 0.18 mg lowest price birth control uterus. Peck: Yes order 0.18 mg alesse free shipping birth control kills, but after an understanding of the patient occurs buy 0.18mg alesse amex birth control pills 4 periods. Is it unusual to have a hard time finding a medication that works for you? For some reason, at least in my practice, side-effects in OCD patients have not been a serious problem. Perhaps the relief from Anafranil hides the side-effects. David: For a more detailed look at the various OCD medications, their effects and side-effects, you can for our medications chart. LexuskelA: I would like to ask a question about medications for OCD that do NOT involve side effects of throwing up or nausea. I have a HUGE fear of throwing up and I have decided to go on medications. Peck: Of the SSRI medications, Celexa appears to have the least side effects, next would be Luvox and then Serzone. The true classic type of obsessions and compulsions are not that common. At least 25% of people who are obsessional, do not have any compulsions. David: Are there factors, such as smoking, drinking, stress, etc. Peck: OCD was first thought of as a type of anxiety problem. In later years, it was believed to be somehow connected with depression. And then stress, drink and smoking, I believe, affect anxiety levels and hence OCD. I believe too, that many problems such as OCD, can be environmental. Living with someone with OCD can become the theme of the family. How can friends and family members help OCD sufferers, or is it really something they have to handle on their own? Peck: If you trust your family or loved one, then they can help by gently encouraging you to not be as intense, to remind you that you are showing signs of OCD. David: And also, please explain what is the difference between obsessions and compulsions? Peck: An obsession is a thought and a compulsion is an act. I think compulsions are easier to work with in therapy. The compulsions may be more understandable than the obsessions. Peck: I believe obsessions and compulsions can be diminished, and with medication, in some people, they can almost disappear or at least make life more comfortable. Peck: I have not heard of medications decreasing concentration. Concentration itself can be obsessional and so, if the drug works, you may not be as intense and thus concentrate less. Is it possible for the OCD to go away without the medications? If there has been successful therapy to understand the illness and its causes, then it may not return. Peck, where there is a "complete recovery;" where none of the OCD symptoms return? Peck: In recent years, OCD has been considered a brain chemical problem. I am still of the old school and believe it is a mechanism for the person to hide a deeper feeling such as anger or even rage. I have a patient who yesterday returned with panic and anger about her mother and an abusive brother who is on heroin. The rage is frightening her but no complaint of obsessions--at least not yesterday. Peck: Paxil has the most sexual side-effects of the SSRI medications. There have been suggestions of adding other medications to help. Not taking it that day is a possibility or cutting back the dose or taking it after sex. Paxil should not be stopped for too long because there can be a discontinuation syndrome. What can I do to help him understand that he needs his OCD medication? Perhaps the obsessions can keep a person preoccupied. For a more detailed look at the various OCD medications, their effects and side-effects, you can visit our medications chart. OCD is caused by some change in brain chemistry--perhaps with serotonin and norepinephrine. The SSRI medications affect serotonin so they may possibly increase obsessions. I had a lawyer for a patient who was depressed and placed on Prozac. Songs began to float through his mind, even in the courtroom, to the point that he could not concentrate. Suicidal thoughts can occur after SSRI introduction, almost itself as an obsessional thought pattern. Sylvie: Are petite mal seizures or any other brain disorders the cause of OCD? I have this, and also what I call "compulsive creativity" although, after 7 years of nonstop driven creativity, I am better now. Peck: I am not certain about Petit mal, but I do believe that brain disorders may be one cause of OCD. My best friend in Medical School became a radiologist--a great one. Because of his his Obsessive-Compulsive Disorder qualities, I would want him to read my x-ray. We B 100: I do some weird things such as when I do my homework, I have to write or type it in 4 different colors and always the same order, red, purple, blue, green.

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This dangerous advice can result in devastating mental health consequences for those who survive rape generic alesse 0.18mg free shipping birth control missed pill. By taking this first step generic alesse 0.18mg on line birth control generic, your experience can become a badge of courage instead of a living Hell 0.18 mg alesse sale birth control pills good for hair. Your story can act as a tool that helps other victims ??? rape survivors who feel alone 0.18 mg alesse with mastercard birth control pills recall, frightened, angry, and depressed ??? see that they can heal and reclaim their lives from the specter of sexual assault. Talk to a therapist or counselor about publicly sharing your rape story. Faces of Survivors: Voices Reclaimed ??? A photo essay of rape survivors that celebrates the healing process and strength of survivors. Take Back the Night ??? A safe place for victims of sexual violence to take a stand and break the silence. Speaking out about a rape experience can empower victims by slowly breaking down the psychological hold it has on their lives. Rape survivors can transform their traumatic experiences into tools for helping others break the silence and gain freedom. Law enforcement and others usually refer to women raping women as "lesbian rape" even though one or both parties involved might not consider their sexual orientation as lesbian. Women raped by other females report perpetrators forcing digit (finger) masturbation, digital penetration, and stimulation of clitoris and vulva using the tongue or inserting foreign devices, such as vibrators or phallic-like objects, into the vagina or anus. Women raped by a female perpetrator often exist in silence. Much like man on woman sexual assault, same-sex rape can occur between intimate partners, acquaintances, or on a date. Also similar to male-female rape, same-sex perpetrators of date or acquaintance rape frequently use drugs to incapacitate victims and have sex with them. Aside from the obvious same-sex aspect, the crime of women raping women includes a few key differences from the typical man on woman sexual assault. One unique difference is that the sexual assault may result from bias and amount to a hate crime committed against someone perceived as gay or lesbian. Even so, survivors of woman on woman rape face most of the same difficulties of other rape victims. Rape is never the fault of the victim, regardless of sexual orientation or circumstances. Learning about rape prevention represents something women can do to proactively protect themselves against a potential assault. Keep in mind that even when you take all the precautions necessary to protect yourself and stay safe, you still may not prevent rape. Victims never bear any of the responsibility for sexual assault; the perpetrator bears all responsibility and criminal guilt. Women can learn about rape prevention and use this knowledge to help them stay safe in many situations where sexual assault could occur. Reduce risk in social situations ??? Go to parties and social events with a group of friends and stay with the group. This leaves a potential rapist an opportunity to slip a date rape drug in it. Take it with you to go to the ladies room or anywhere else, even for a short time. Do not accept drinks from a stranger or someone you just met. But think about it, would-be sexual predators can use these tools to find you as well. Turn off the location feature of these mobile apps on your cell phone before going out. Despite your best efforts to prevent rape, you still need to know what to do when being raped. Alternatively, a stranger could break into your home or grab you on the street. You need to know what to do to try to get out of these situations -- just in case:State clearly and unequivocally that you do not want to engage in sex of any kind with the person. Remember you do not have any obligation to participate in any activity that makes you feel uncomfortable. Arrange a special code word with a close friend or family member that you can say if talking on the phone to them to indicate that you are in a dangerous situation and need help. Make up an excuse as to why you need to leave or that you are having your period, or even that you have a sexually transmitted disease. Look for an escape route or way to get out of the room. Call attention to yourself by screaming or making a scene and yell for help. If someone actually attacks you, scratch him with your fingernails and pull his hair, bite, and kick - do anything to make him let go even for a second and then run. Do not wash your hands or do anything to destroy or contaminate any physical evidence you may have on your body (i. As a last resort, try to humanize yourself in the eyes of your attacker. Try to make the attacker see you as a person rather than objectify you. If your attacker is armed with a gun or knife, the above tactics may not work effectively. Any act of aggression may cause him to become more violent and angry. However, a last resort, violent attack may represent your only hope of escaping rape. If you choose to physically attack an armed aggressor, your action must be unexpected, sudden, and intensely painful. Target his most vulnerable spots, such as testicles, eye sockets, instep, or windpipe with a lethal intention. Perhaps the two most important rape prevention tips you can remember are: trust your intuition and gut feelings and remain fully aware of your surroundings when alone, and in social settings with friends, at all times. Persistent myths about rape perpetuate the stigma of rape for victims and empower perpetrators. Cruel comments and insensitive reactions to news of a rape give false credibility to people believing things like: women enjoy being raped; women liked being raped; and she was raped and enjoyed it. In order to eliminate the stigma of rape and actually promote healing for rape victims, people must learn the facts and reject myths about rape. Read some of the most common myths about rape and facts refuting the misconceptions below:Myth: Lust and the need for sexual gratification controls rapists behaviorsFact: Rape is never about sex or desire, but is completely motivated by a need for dominance, power, and control. Myth: Women frequently falsely accuse innocent men of rape. Fact: False reports comprise 2 percent or less of reported incidents of rape.