The broad categories of addiction treatment and care

September 13, 2015

The broad categories of addiction treatment and care: Where does treatment occur?

The broad categories of addiction treatment and care includes among others group counseling which is very good for you and your family too.

The broad categories of addiction treatment and care normally occur in a variety of settings. These categories can be diversified and every individual patient has a choice to settle on any depending on the intensity of their addiction levels. Many people with addictions start their initial treatment at one level like for instance at the crisis services for detoxification and then move through the system until they can function as a productive and independent member of society. These treatment stages are not cast on stone and therefore can be changed according to convenience. Nonetheless when one is through with treatment and has attained the maximum benefits from the treatment experience, he or she can then be discharged says doctor Dalal Akoury (MD) who is a veteran addiction expert of many decades having been of great help to many people across the globe. Doctor Akoury says that it is important to appreciate that each category of care provides a different intensity of treatment provision and so expert’s opinion will be very vital in settling to any of the categories of treatment.

In the recent consolidation of alcohol treatment services and substance abuse treatment services into chemical dependence treatment services has resulted in four broad categories of care. We therefore want to focus our discussion on the four categories of treatment taking into consideration that currently even private licensed practitioners also provide alcohol and substance abuse treatment even though they are not reflected in the four categories. Now let us take a look at the summery of the four categories as follows:

Crisis Services (detoxification and withdrawal)
Inpatient rehabilitation
Residential Services
Outpatient Services

The broad categories of addiction treatment and care: Crisis services (Detoxification and Withdrawal)

According to the professional explanations given by the experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury, chemical dependence crisis services manage the treatment of alcohol or substance withdrawal, as well as acute disorders associated with alcohol or substance use. These services are often provided early in a person’s course of recovery and are relatively short in duration, and to be more specific, the process takes approximately three to five days, although some chemicals may require up to 30 days of managed withdrawal. It is also important to note that when administering crisis services it is most likely to lead to a referral for a continued care in a longer-term treatment setting. Crisis services may include medically managed detoxification in a hospital, medically supervised withdrawal in either an inpatient/residential or outpatient setting and medically monitored withdrawal in community-based settings. Doctor Akoury further says that while services will vary with the patient and the setting, in many instances such services may include:

Medical management of acute intoxication and withdrawal
Assessment
Stabilization of medical and psychiatric problems
Counseling
Pharmacological services
Determination of appropriate long-term care and
Referrals for other services.

The broad categories of addiction treatment and care: Inpatient Rehabilitation

Chemical dependence inpatient rehabilitation services provide intensive management of chemical dependence symptoms and medical management and monitoring of physical or mental complications from chemical dependence to individuals who cannot be effectively served as outpatients and who are not in need of medical detoxification or acute care. These services can be provided in a hospital or freestanding facility. Lengths of stay are usually in the 20-40 day range.

Providers conduct intensive evaluation, treatment and rehabilitation services in a medically supervised 24 hour/day, 7 days/week setting. Chemical dependence inpatient services include the following basic clinical procedures:

Individual and group counseling and activities therapy
Alcohol and substance abuse disease awareness and relapse prevention
Assessment and referral services for patients, families and significant others
HIV education, risk assessment and supportive counseling and referral
Vocational or educational assessment and
Medical and psychiatric evaluation

In addition, patients are given education about, orientation to, and opportunity for participation in, available and relevant self-help groups. These are very fundamental points that you and I must not take for granted by all means. We have since discussed the first tow treatment categories and we are certainly going to proceed with the remaining two in our next article. Therefore I want to encourage you to remain with us on the link and be the first to know of the broad categories of addiction treatment and care so that together we can all find lasting solutions to this scourge.

Finally even as we talk about the broad categories of addiction treatment and care, it is equally important to appreciate that this is not just any other treatment procedure. Many people often fail to realize their treatment objective because of various reasons including denial and ignorance. Doctor Dalal Akoury registers that in dealing with drug addiction, the biggest enemies of successful addiction treatment denial and ignorance are the biggest obstacle which must first be addressed. Many users often refuse to acknowledge that they have a problem which really needs to be fixed for them to live a normal and productive life. Therefore if you or anyone you know falls in this category of people who are struggling with any kind of addiction and are in denial, we want to help you get out of that cocoon so that you can be helped go through the recovery journey effectively. You may want to reach out for doctor Dalal Akoury for professional help. And remember that because of her passion in helping the addicts regain their lives back, doctor Akoury made a decision to create a medical center whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. Besides Dr. Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms and you can reach out for her help on telephone number 843 213 1480 by scheduling for an appointment for the commencement of your recovery journey today.

The broad categories of addiction treatment and care: Where does treatment occur?

The importance of detox before addiction treatment

September 10, 2015

The importance of detox before addiction treatment: The essentials in addiction recovery game plan

The importance of detox before addiction treatment is very crucial as it lays strong foundations for meaningful treatment and total recovery.

For anyone to be considered as an addict to alcohol or any other substance the individual must have had an accumulation of toxic elements in his or her body system. These toxic elements must be eliminated for the body to regain its optimum capacities in discharging the various need of the body. That is why it is very important that we scrutinize the importance of detox before addiction treatment is done and any benefits that can result out of it. Therefore when an individual is addicted to drugs or alcohol or even both, the body develops a physical dependence to the substance which then results into chemical changes that occur within the brain. Experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury (MD) and founder of the same facility reports that, due to these physical and chemical changes that occur as a result of substance abuse, any attempts to terminate consumption by sudden or progressive quitting either through the cold turkey way or otherwise in many instances do often fails and the consequences of such failures can tantamount to significant health risks for the addict and by extension to their loved ones and the society at large. Therefore in order to eliminate or minimize the physical and psychological symptoms that can occur during the withdrawal process in a safe manner, doctor Akoury recommends that it is very important that medical detox is considered as an essential cornerstone of the recovery game plan. Professionally this service is available at the home of addiction solutions (AWAREmed Health and Wellness Resource Center) and up on scheduling for an appointment with the experts at this facility, you will have your case evaluated professionally and the most appropriate treatment administered to you for the most desired result.

The importance of detox before addiction treatment: How medical detoxification came to the forefront

History has it that the importance of detox in regards to the recovery process from addiction came to the forefront and was first administered in the 1970’s with the emergence of the medical model. Previously and before this time (1970’s), the patterns and behaviors associated with addiction were commonly dealt with as a criminal offense and people who were struggling with such kinds of addiction were considered to be of week character a factor that was very discriminative and unfair to both the patient and their loved ones. During that time the practice was that individual addicts were often arrested and held in places like “drunk tanks” and other similar holding places of confinement where there were taken through the withdrawals without any form of medical supervision. Nonetheless and progressively as reality sunk into the society and sense of what addiction really down to the societies, they on a voluntary basis begun embracing and adopting more humane and constructive ways in dealing with individuals who were struggling with all manner of instances of substance abuse issues, and it is at this point that the methods of detoxification started to evolve and therefore we can now begin to discuss authoritatively the purpose of detox and its importance before any addiction treatment.

The importance of detox before addiction treatment: The purpose of detox and its’ importance before treatment

The importance of detox in the treatment process, as stated above, is to help rid the body of the toxins that are the result of either intoxication or dependence on a substance or substances. Another purpose of detoxification, again as stated earlier, is to minimize both the physical and psychological symptoms associated with withdrawal. And according to the Quick Guide for Clinicians booklet created by the Substance Abuse and Mental Health Services Administration (SAMHSA) regarding medical detoxification, detox in of itself is not seen as a sufficient treatment option. The main feature of detox, as noted in this guide, and its’ importance in the recovery picture is that it serves as the start of the intervention process. The detox process needs to take place in a medical facility or other licensed and accredited environment in which the detox services are performed by certified personnel. There are three main components that are very essential and entail the detoxification process. These components are available at AWAREmed Health and Wellness Resource Center and up on scheduling for your appointment with doctor Akoury, they will form the starting point of your recovery treatment process as follows:

Evaluation – consists of testing for the presence of substances in an individual’s bloodstream as well as screening for any co-occurring mental and physical conditions will be done on the patient professionally, and besides that there are also comprehensive assessments of an individual’s medical, psychological and social functioning and situations, all these are tailored at ensuring that your recovery process is procedural, timely and most importantly effective.

Stabilization – detoxification is quite a process and therefore the patient needs to be assisted through the medical, psychological and social processes of withdrawal. This is essentially tailored towards getting them to a state in which they are stable medically and free of substances.

Entry into Treatment – the moment all these are done and the doctor is certified that the patient is now ready for treatment; they are then prepared for the entry into a comprehensive treatment program.

Finally doctor Akoury reiterates that detoxification is not treatment on its own, but it is the starting point of the overall treatment and recovery process. Besides its’ stabilizing effects, it is worth appreciating that the primary importance of detox is to assess the individual across a wide spectrum of factors and establish a treatment game plan that best fits that individual. In the detoxification process, the addict is given the message that recovery from substance abuse is possible and there is hope for recovery. Starting with the detox process, those who are struggling with substance abuse understand that addiction lies within the brain and is not solely the result of weak morals on the part of the addict. Ultimately, the importance of detox is the start of being proactive in regards to treatment where family and other support networks are involved in the treatment process. This is very important and if you or any of your loved ones is struggling with any form of addiction, then you can schedule for an appointment with doctor Dalal Akoury for further professional one on one deliberations and all your concerns will be addressed timely.

The importance of detox before addiction treatment: The essentials in addiction recovery game plan

Are you suffering in silence with addiction

June 8, 2015

Are you suffering in silence with addiction: Areas of great concern in substance abuse?

Are you suffering in silence with addiction? The problem of denial is negatively affecting the success in the treatment of drug addiction therefore helping addicts accept their addiction Problem is for a worthy course

If there is anything that kills people’s self-esteem, it is social stigma. Many people have not appreciated that drug addiction is a health condition like any other that they will rush with to the hospital for medication. Doctor Akoury acknowledges that stigma is a serious problem in the treatment process and can even cause the patient to abscond the treatment program all together. When people that you should lean on for support are the ones piling pressure and blaming you for the situation you are in, overcoming addiction becomes such a burden. It is no wonder that many are concern and are asking openly that are you suffering in silence with addiction? When you are asked this question, you should feel free to respond to it honestly without any element of fear. You never know your honesty on this may be the beginning of your journey to recovery from addiction says doctor Dalal Akoury MD and founder of AWAREmed Health and Wellness Resource Center. Substance abuse can be a thorn in the flesh if not dealt with in good time, our theme question “are you suffering in silence with addiction” should give you the eye opener to seek for help if you are suffering in silence. Doctor Akoury will be of great help for you irrespective of any stigma that may be attached.

As you consider scheduling for an appointment with the experts on that, it is important to note that addiction is a struggle to survive and overcoming it is a journey and not a destination. In this process, physical and mental pressure drives you to use and discourages every effort to free yourself from the scourge. And like we have said, the biggest obstacle is the stigma which the society has placed on addiction. The common view of addiction seems to cast it as a weakness, a lack of willpower or moral fiber as if substance abuse were a choice and not a compulsion. “You could stop at any time if you really wanted to.” This misconception is so common that even most addicts believe it about themselves and no wonder there is too much denial in addiction.

The terror of being banished that results from this stigma is the biggest impediment for many addicts when it comes to seeking for help. This makes recovery more difficult or just plain impossible. Therefore many addicts have believed that if they admit their addiction to anyone or worse still if someone else discovers it they will lose everything. That their family members will disown them, their friends will abandon them, their career will nosedive and that they will fear that they will become a pariah of their communities. There are very many reasons that may bring in fear and it is not just fear for your own reputation that motivates secrecy, the other reasons could be that you might be worried that exposing your addiction will bring shame and hardship to your family as well. Those are some of the reasons that make you even to refuse admitting that you have a problem that needs to be fixed and the vicious circle of denial continues at the expense of treatment.

Are you suffering in silence with addiction: Obstacle of exposing the addiction problem?

From the narratives above it is important to note that in all these you are not the only one hurting by your addiction. This is because even when family members are well informed of their loved one’s substance abuse, they too may want to be protective by keeping quiet about it for the same reasons expressed above. Your family might be unwilling to acknowledge the problem even when it harms you or them directly. They may even accuse themselves for the problems you are going through by apportioning blame to themselves that there is something they did not do right thereby causing them to be defective or deficient as a family. As a result of this the stress and anxiety of living with an addict becomes a part of their daily lives. To cope with these difficulties, they may develop defense mechanisms that allow them to keep functioning. They may choose to avoid bringing the problem into the light. And finally denial and secret keeping will eventually encroach on other aspects of family life as well, where each family member feels isolated and even unable to trust each other. These obstacles can be dealt with professionally at AWAREmed Health and Wellness Resource Center if only you could make an appointment with the experts who are a available round the clock to help you get a better life free from all elements of addiction.

While appreciating all these obstacles and that it is necessary to protect your image and that of the family, avoiding or running away from the problem will only causes more pain for everyone involved. Doctor Akoury says that addiction is not something you can hide from forever. It will not just go away by evading the real issue. Professionally she continues honesty is the best policy when it comes to recovering from addiction. Therefore in response to the question “are you suffering in silence with addiction?” doctor Akoury says that recovery starts at the door of being honest with yourself and admitting that there is a problem. This should then be extended to the other members of the family and very close friends so that the issue of addiction can be discussed openly with primarily to repair the damage that has been caused by denial in the past.

Are you suffering in silence with addiction: Keeping the secrets of addiction?

Over the past two decades, doctor Akoury has helped many addicts recover from their addiction and in the process of administering treatment, she has dealt with the bigger problem of denial. She says that for effective recovery process, the habit of keeping secrets must be broken in order to make a successful and long-lasting recovery. Both the patient and the family members must be open about the problem of substance abuse, when this is done, you will most likely find out that the ridicule and judgment you feared is not as common as you may think. Instead, you will open yourself up to a wide and inclusive community of people in recovery and a vast range of resources to help get you back on your feet and stay there.

Finally dear reader if you are struggling with an addiction to a substance, or even a behavior that you find difficult to avoid, AWAREmed Health and Wellness Resource Center can help. We have more than two decades of experience in the addiction recovery field. On your appointment we will help you break the addiction cycle effectively and immediately and further provide you with the tools you need to prevent relapse in the future.

Are you suffering in silence with addiction: Areas of great concern in substance abuse?

Overcoming the challenges of defeating Alcohol Addiction

May 30, 2015

Overcoming the challenges of defeating Alcohol Addiction: What does my friend have to do to get help?

Overcoming the challenges of defeating Alcohol Addiction will be effective with the embracing of group therapies.

Not long ago we posted an article tailored specifically to inform the public on the best ways they can adopt towards helping an alcoholic recover from alcoholism. In that article we noted that most of our friends are suffering with alcoholism and it became evident that we have to pool together to reduce their suffering. You may want to make reference to that article even as we settle on overcoming the challenges of defeating alcohol addiction. As a concern friend you noticed that your friend is not behaving normally and you suspect that he is struggling with alcohol addiction problem. You are convicted that you need to do something to help and I am encouraged that we have concern people live you. How I wish they were many of them. But anyway experts at AWAREmed Health and Wellness Resource Center are very much supportive of people like you and I would encourage you from the onset that talking to these professional lead by doctor Dalal Akoury who is also the founder of the facility. Meanwhile one of the biggest challenges to overcome in an attempt of defeating alcohol addiction is dealing with the problem of denial. The genesis of all treatment success is acceptance of the problem at hand unfortunately many people are in denial. Therefore if you have a friend you want to help with his or her alcohol addiction problem, you’ve got to start with making them to willingly acknowledge the presence of the problem they have. It is very important that to get better and recover well, your friend has to get some help to stop drinking or using the other drugs he may be using.

Doctor Akoury admits that facing such a problem and asking for help can be a scary thing to do. For the best to come out your friend will have to take an honest look at where drinking or abuse of other drugs has brought him or her. With that evaluation done honestly, the next step would be consent or admitting that it has caused them emotional and maybe physical pain as well. Your friend will have to see that it has robbed him or her of real friends, creativity, happiness, spirit, the respect of others, and even self-respect, and that it keeps your friend from growing up. It is also important to appreciate that one cannot solve the problem of drug addiction by themselves and therefore the help of experienced professionals would be very I deal, like for instance the services of a good counselor will support your friend and direct him or her to the kind of treatment and support groups that are most helpful.

Overcoming the challenges of defeating Alcohol Addiction: Talking to the various Support groups

Like we have mentioned before not individual can single handedly go it alone in overcoming the challenges of defeating alcohol addiction. As a means of helping your friend in this fight, it would be very important that you encourage your friend to talk to other people with drinking and other drug problems particularly those who are now in the recovery process. You could look for those who have passed through programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). These groups are confidential, self-help organizations that offer assistance to anyone who has a drinking or other drug problem and wants to do something about it. AA and NA members are recovering alcoholics and addicts, so they have a special understanding of each other.

Take note that talking with others who have experienced similar problems is an important part of recovery. New members are encouraged to stay away from alcohol or other drugs “one day at a time.” The good news is that there is no fee for membership in these organizations. If your friend is afraid to go to a meeting alone, that is normal and don’t take offence about that instead be supportive and go along with him or her to an “open” meeting. Friends and family members are welcome to attend this type of meeting, and there are meetings in most neighborhoods or communities.

If your friend has a drinking or other drug problem, you may be the only one willing to reach out and help. Your friend may not appreciate your help right away, or he or she may realize it means you really care. Ultimately, it’s up to your friend to get help. It is not your responsibility to make that happen. In fact, you can’t make that happen. All you can do is talk to your friend, show how much you care, and encourage him or her to get help. Your concern and support might be just what is needed to help your friend turn his or her life around. However, if your friend is in serious trouble with alcohol or other drugs, and you have been unable to get your friend to get help on his or her own, you should consider speaking with your friend’s parents or guardian. The potential consequences to your friend’s life can be too severe to do nothing.

You cannot force someone you love to stop abusing alcohol. As much as you may want to, and as hard as it is to watch, you cannot make someone stop drinking. The choice is up to them.
Don’t expect the person to stop drinking and stay sober without help. Your loved one will need treatment, support, and new coping skills to overcome a serious drinking problem.
Recovery is an ongoing process. Recovery is a bumpy road, requiring time and patience. An alcoholic will not magically become a different person once sober. And the problems that led to the alcohol abuse in the first place will have to be faced.

Admitting that there’s a serious problem can be painful for the whole family, not just the alcohol abuser. But don’t be ashamed. You’re not alone. Alcoholism and alcohol abuse affects millions of families, from every social class, race, and culture. But there is help and support available for both you and your loved one and that is why doctor Akoury founded this establishment (AWAREmed Health and Wellness Resource Center) to help you go through all these challenges. And for that reason you can now schedule for an appointment with doctor Akoury for the commencement of your recovery journey.

Overcoming the challenges of defeating Alcohol Addiction: What does my friend have to do to get help?

Sex Addiction Stress, and Stress

May 25, 2015

Stress, Sex And Addiction: Roles Of Corticotrophin Releasing Factor, Oxytocin And Arginine- Vasopressin In Sex Addiction Stress.

Sex Addiction Stress

Stress sensitivity and sex are predictive factors for the development of neuropsychiatric conditions. it has been thought stresses are the sole cause for addiction but this isn’t true since triggers can also cause relapse to drug use. Sex Addiction Stress and stress involve similar pathways.

The development and clinical course of addiction-related disorders do appear to involve neuroadaptations within neurocircuitries that modulate stress responses and are influenced by several neuropeptides. These include corticotropin-releasing factor, the prototypic member of this class, as well as oxytocin and arginine-vasopressin that play important roles in affiliative behaviors. Interestingly, these peptides function to balance emotional behavior, with sexual dimorphism in the oxytocin/arginine-vasopressin systems, a fact that might play an important role in the differential responses of women and men to stressful stimuli and the specific sex-based prevalence of certain addictive disorders.

Stress and Sex Addiction Stress

Stress generally is defined as any stimulus that challenges physiological homeostasis—that is, which alters the balance or equilibrium of the normal physiological state of the organism.

Individuals exposed to chronic stress exhibit a higher propensity to become addicts. Stress-induced relapse is also higher in addicts. In general, there is a higher prevalence of addiction in patients diagnosed with anxiety disorders and depression. Additionally, childhood trauma is associated with increased vulnerability to addiction. Exposure to high peer deviance in childhood and adolescence is among the strongest known risk factors for drug use and drug abuse. Interestingly, a very recent study has found that individuals with increased risks of drug addiction because of parental divorce or genetic liability are more sensitive to the pathogenic effects of peer deviance.

Stress and addiction are interconnected in several ways. For example, stressful life events may predispose individuals to engage in addictive behavior or relapse.

Sex Addiction Stress

Epidemiological studies have observed significant sex- specific differences among patients suffering from addiction and other neuropsychiatric disorders. The onset, severity, clinical course, and treatment response of anxiety disorders also differ significantly in women compared to men. Importantly, the sex bias in neuropsychiatric disorders, including post- traumatic stress disorder (PTSD), remains even after adjusting for the type of trauma, pre-existing psychiatric disorders, and sex differences in reporting. Several studies have found increased prevalence of depression in women. Similar sex differences exist for addictive disorders. For example, more adult males abuse addictive drugs than females across most drug classes, including alcohol, psychostimulants, and narcotics. However, women develop addiction more quickly. There are also critical differences in the way that illicit substances affect the two sexes.

Men and women also show different propensities to relapse, and are differentially affected by triggers for relapse to drug taking, putting women at greater risk for repeated relapses despite the higher prevalence of drug abuse in men. Interestingly, once the addiction cycle resumes, women show longer periods of drug use before their next quit attempt.

The sex differences may also be a result of hormonal and neural differences between men and women in relationship to their response to the addictive behavior.

Corticotropin-releasing factor and Sex addiction Stress.

CRF is a 41-amino acid-containing neuropeptide. CRF orchestrates the stress response by acting at the level of the pituitary to initiate the HPA axis response to stress, as well as centrally to modulate limbic and brain monoamine systems that are important in autonomic and behavioral components of the stress response. CRF causes its effects by stimulation of corticotropin-releasing factor 1 receptor (CRF1R) and CRF2R, and displays an 18-fold greater affinity for CRF1R than CRF2R.

Physiological responses to stress involve the release of CRF from the paraventricular nucleus (PVN) of the hypothalamus, followed by stimulation of ACTH release from the anterior pituitary. ACTH, in turn, stimulates the secretion of cortisol/corticosterone from the adrenal glands. In addition, CRF has an extensive extrahypothalamic influence across the corticostriatal-limbic regions, and plays a critical role in modulating subjective and behavioral stress responses. Central catecholamines, particularly noradrenaline and dopamine, are involved in modulating brain motivational pathways that are important in regulating distress, exerting cognitive and behavioral control, and tempering behavioral and cognitive responses critical for adaptation and homeostasis. The hypothalamic and extrahypothalamic CRF pathways and central catecholamines target brain motivational path- ways to critically affect adaptive and homeostatic processes. CRF dysregulation has been linked to the pathophysiology of mood and anxiety disorders. During stress, release of limbic CRF can modulate monoamine systems that have been implicated in mood and cognition. Although activation of both the HPA axis and central monoaminergic systems by CRF during acute stress is adaptive, the inappropriate or persistent activation of these systems can have adverse consequences leading to psychopathology.

Oxytocin and arginine-vasopressin in Sex addiction Stress

Sex addiction Stress and stress

Cells originating in the PVN have specific pathways that efficiently deliver OXY to other structures in the brain including the amygdala, BNST, septum, hippocampus, and NAc. OXY released by peripheral organs or by the posterior pituitary does not readily cross the blood–brain barrier, with only 1–2% crossing. In disparity, the local expression of OXY receptors is highly variable and explains differences in social attachment within and between species. OXY exerts anxiolytic and anti- depressive effects in various models.

OXY, in collaboration with hormone dopamine, is vital for pairing and bonding in prairie voles. When OXY is infused into the VTA, it increases dopaminergic activity in the NAc, and stimulation of oxytocinergic projections within the VTA increases extracellular DA within the NAc while concurrently inducing penile erection. OXY-induced dopaminergic release within the meso- limbic DA system may impact the attribution of incentive salience to a variety of social stimuli and ultimately influence an organism’s drive towards such objects thus causing addiction.

Sex Addiction Stress is a menace that should be fought by all means that is why we at Integrative Addiction Institute are committed to availing help to addicts and offering training to Health care providers in Integrative Addiction. Call on Dr. Dalal Akoury (MD) today for assistance.

Stress And Sex Addiction Stress: Roles Of Corticotrophin Releasing Factor, Oxytocin And Arginine- Vasopressin In Sex Addiction.

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