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FACT: We have been taught to value certain kinds of communicating (pleasant and agreeable for women cheap 5 mg rosuvastatin mastercard, tough and dominating for men) - but these are stereotypes which often lead to poor communication order rosuvastatin 20 mg fast delivery. It is very important to communicate what you really want. You have the right to set sexual limits and to communicate them. You have the right to be rude and aggressive in a threatening situation. Some men are afraid that women say yes, but mean no. Women are socialized to believe they should always go along with what men want, in spite of what they want. They may enjoy sexual contact - hugging, foreplay - but do not want to have intercourse. Sometimes the friendship includes sex, sometimes it does not. Here are some reasons you may feel that way and ways to improve your relationships. Common Questions About Relationships, And Some Answers Relationships begin with you, because you are half of any relationship you join. But here are some measures that can:Make an inventory of your best, most attractive qualities and affirm them to yourself often. Seek out new experiences and people; then approach them with openness and curiosity. Close friendships and intimate love relationships both take time to develop. Here are some common-sense approaches which you may find helpful:The best way to meet people is to put yourself in places where there are likely to be other people who share your interests and values: classes, ticket lines at sporting or cultural events, cashier lines at stores and restaurants, and workshops. Check with various organizations for information on groups based on religion, athletics, academics, political/special interests, ethnicity/culture, and service or charity. The best way to avoid "giving yourself up" in a relationship is to develop some assertiveness skills. Learn how to express your feelings, beliefs, opinions, and needs openly and honestly. Here are some guidelines:When stating your feelings, use "I-statements. You have a right to have feelings and to make requests. Offer a reason -- not an excuse -- if you choose, but your feelings are reason enough. But a compromise, by definition, meets the needs of both people as much as possible. Tell your partner directly what you want or need ("I would really like to spend time alone with you tonight"), rather than expecting them to know already ("If you really cared for me, you would know what I want"). Here are some tips for "Fair Fighting":Use assertive language (see above for a reminder). Avoid name calling, or intentionally calling attention to known weaknesses or sensitive issues ("hitting below the belt"). Listen actively - express back to your partner what you understand his/her thoughts and feelings to be. No "gunnysacking" (saving up hurts and hostilities and dumping them on your partner all at once). Express what you enjoy and also what you are not comfortable with. Communicate clearly to your partner/date what your limits are. Both partners have a responsibility in preventing unwanted sexual contact. Men must recognize that no means no, regardless when she says it, and regardless whether you think she is saying "yes" nonverbally. If a person says "no" and is still coerced or forced into having sex, then a rape has occurred. If you feel unsafe, leave the situation immediately - fifty to seventy percent of rapes are perpetrated by an acquaintance of the victim. More recently, the term has been used to refer to any relationship in which one person feels incomplete without the other and thus tries to control him/her.

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Appropriate treatment purchase rosuvastatin 20 mg on-line, however cheap rosuvastatin 10mg on line, can help most people who suffer from depression. Depressive disorders come in different forms, just as is the case with other illnesses such as heart disease. This pamphlet briefly describes three of the most common types of depressive disorders. However, within these types there are variations in the number of symptoms, their severity, and persistence. Major depression is manifested by a combination of symptoms (see symptom list) that interfere with the ability to work, study, sleep, eat, and enjoy once pleasurable activities. Such a disabling episode of depression may occur only once but more commonly occurs several times in a lifetime. A less severe type of depression, dysthymia, involves long-term, chronic symptoms that do not disable, but keep one from functioning well or from feeling good. Many people with dysthymia also experience major depressive episodes at some time in their lives. Another type of depression is bipolar disorder, also called manic-depressive illness. Not nearly as prevalent as other forms of depressive disorders, bipolar disorder is characterized by cycling mood changes: severe highs (mania) and lows (depression). Sometimes the mood switches are dramatic and rapid, but most often they are gradual. When in the depressed cycle, an individual can have any or all of the symptoms of a depressive disorder. When in the manic cycle, the individual may be overactive, overtalkative, and have a great deal of energy. Mania often affects thinking, judgment, and social behavior in ways that cause serious problems and embarrassment. For example, the individual in a manic phase may feel elated, full of grand schemes that might range from unwise business decisions to romantic sprees. Mania, left untreated, may worsen to a psychotic state. Not everyone who is depressed or manic experiences every symptom. Severity of symptoms varies with individuals and also varies over time. Persistent sad, anxious, or "empty" moodFeelings of hopelessness, pessimismFeelings of guilt, worthlessness, helplessnessLoss of interest or pleasure in hobbies and activities that were once enjoyed, including sexDecreased energy, fatigue, being "slowed down"Difficulty concentrating, remembering, making decisionsInsomnia, early-morning awakening, or oversleepingAppetite and/or weight loss or overeating and weight gainThoughts of death or suicide; suicide attemptsRestlessness, irritabilityPersistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic painAbnormal or excessive elationDecreased need for sleepIncreased sexual desireMarkedly increased energyInappropriate social behaviorSome types of depression run in families, suggesting that a biological vulnerability can be inherited. Studies of families in which members of each generation develop bipolar disorder found that those with the illness have a somewhat different genetic makeup than those who do not get ill. However, the reverse is not true: Not everybody with the genetic makeup that causes vulnerability to bipolar disorder will have the illness. Apparently additional factors, possibly stresses at home, work, or school, are involved in its onset. In some families, major depression also seems to occur generation after generation. However, it can also occur in people who have no family history of depression. Whether inherited or not, major depressive disorder is often associated with changes in brain structures or brain function. People who have low self-esteem, who consistently view themselves and the world with pessimism or who are readily overwhelmed by stress, are prone to depression. Whether this represents a psychological predisposition or an early form of the illness is not clear. In recent years, researchers have shown that physical changes in the body can be accompanied by mental changes as well. Also, a serious loss, difficult relationship, financial problem, or any stressful (unwelcome or even desired) change in life patterns can trigger a depressive episode. Very often, a combination of genetic, psychological, and environmental factors is involved in the onset of a depressive disorder. Later episodes of illness typically are precipitated by only mild stresses, or none at all. Women experience depression about twice as often as men. Many hormonal factors may contribute to the increased rate of depression in women particularly such factors as menstrual cycle changes, pregnancy, miscarriage, postpartum period, pre-menopause, and menopause. Many women also face additional stresses such as responsibilities both at work and home, single parenthood, and caring for children and for aging parents. A recent NIMH study showed that in the case of severe premenstrual syndrome (PMS), women with a preexisting vulnerability to PMS experienced relief from mood and physical symptoms when their sex hormones were suppressed. Shortly after the hormones were re-introduced, they again developed symptoms of PMS. Women without a history of PMS reported no effects of the hormonal manipulation.

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For comprehensive information on panic disorder and other forms of anxiety order rosuvastatin 5 mg on line, visit the Anxiety-Panic Community discount 5 mg rosuvastatin overnight delivery. This document contains text of a pamphlet developed for educational purposes and does not necessarily reflect opinion or policy of the American Psychiatric Association. Phobia: A Comprehensive Summary of Modern Treatments. National Phobia Treatment Directory (Second Edition). American Academy of Child and Adolescent PsychiatryAmerican Mental Health Fund 2735 Hartland Road, Suite 335 Merrifield, VA 22081National Alliance for the Mentally IllNational Association of Private Psychiatric Health SystemsNational Community Mental Health Care CouncilNational Institute of Mental Health Division of CommunicationsNational Mental Health AssociationAnxiety Disorders Association of AmericaFull description of Paranoid Personality Disorder (PPD). Definition, signs, symptoms, causes of Paranoid Personality Disorder. Simply put, people with Paranoid Personality Disorder do not trust other people and because of the high degree of distrust, PDD is extremely difficult to treat and usually lasts a lifetime. People with a Paranoid Personality Disorder are usually unable to acknowledge their own negative feelings toward others but do not generally lose touch with reality. They will not confide in people, even if they prove trustworthy, for fear of being exploited or betrayed. They will often misinterpret harmless comments and behavior from others and may build up and harbor unfounded resentment for an unreasonable length of time. Because they suspect that everyone is out to "get them" and/or exploit them, it often leads to hostility and social isolation. People with Paranoid Personality Disorder do not fit in and they do not make good "team players. If they marry or become otherwise attached to someone, the relationship is often characterized by pathological jealousy and attempts to control their partner. They often assume their sexual partner is cheating on them. PDD patients can be confrontational, aggressive and argumentative. It is not unusual for them to sue people they feel have wronged them. In addition, patients with PDD are known for their tendency to become violent. A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or heris preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associatesis reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or herreads hidden demeaning or threatening meanings into benign remarks or eventspersistently bears grudges, i. Note: If criteria are met prior to the onset of Schizophrenia, add "Premorbid," e. Paranoid Personality Disorder may also be a result of negative childhood experiences fostered by a threatening domestic atmosphere. It is prompted by extreme and unfounded parental rage and/or condescending parental influence that cultivate profound child insecurities. For comprehensive information on paranoid personality and other personality disorders, visit the Personality Disorders Community. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Merck Manual, Home Edition for Patients and Caregivers, last revised 2006. Full description of Post-traumatic Stress Disorder (PTSD). Post-traumatic Stress Disorder is a severe reaction to an extremely traumatic event. Over time and with psychological help, some people learn to cope with the aftermath of the event. Sometimes symptoms do not begin until many months or even years after the traumatic event took place. If post-traumatic stress disorder has been present for 3 months or longer, it is considered chronic. PTSD is an anxiety disorder which can affect both children and adults. About 7% of the population will develop PTSD in their lifetime; 5 million adults in the U. Note: In children, this may be expressed instead by disorganized or agitated behaviorThe traumatic event is persistently reexperienced in one (or more) of the following ways:recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed. Note: In children, there may be frightening dreams without recognizable content.