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Protect Your Employees From Substance Abuse Addiction

July 17, 2014

Employee Substance Abuse Addiction

Substance AbuseMost substance related addictions are attributed with substances which are very expensive to purchase. For instance, cocaine could be very expensive for many people to be able to have a sustained purchase and consumption of the substance which will eventually lead to its addiction. This limits many people from being able to access such substances and consequently likelihood of fewer cases of the substance addiction.

However, opportunities for access of such drugs open in variety of ways. One of the ways through which the substance can be accessible or available to a person is through employment which empowers the terms of ability to purchase the substances using the money earned as remuneration.

Other than that, there is what could be considered a strong opportunity for such people to access the drug substance; from the place of work where they use the drug substance, could be for a different purpose. For instance, an employee of a given hospital may know a given drug which is supposed to be used in the hospital for medical purposes e.g. Opioids drugs, and then uses the drug for purposes other than medical ones. This will actually be considered a drug abuse and continued usage of such drugs may result into addiction.

How can employee substance abuse be spotted?

Most of addiction symptoms from drug will be observable and thus for an employee who has worked in a given firm for some time it becomes very easy to spot him/her.

How?

  • Appearance of the employee – this one of the common things you will likely observe. The general dressing of the employee may drastically become inappropriate, incoherent speech, poor hygiene just to mention a few.
  • Performance at work – this will be observed based on the previous performance of the employee. An employee, who used to be very productive, begins to produce low quality work, low output, poor decision making, increase in sick permissions, and inactiveness in work among many other indicators.
  • Inter-personal relationship – in this case, the way the employee used to relate with the other employees at place of work changes abruptly. Some of these changes could depict themselves in the forms of: – poor listening skills, the employee becomes over-confident, accusative, uncooperative among other issues.
  • Moody – the employee may become moody towards everyone around. This may lead the person look irritable, depressed, suspicious, withdrawn or excessively talkative behavior that changes after breaks. This could be explained that during these breaks there are things that the employee is doing.
  • The employee may become a regular absentee. This in most of cases will be absenteeism without permission from authorities.
  • Another possible observation could be frequent disappearances from work place
  • The employee who used to be reliable becomes drastically un-reliable in activities and keeping time.
  • The employee may look confused, low in memory and have difficulties in recalling details and instructions given earlier.
  • Tasks which are obvious and straight forward takes the employee extra ordinary time to be done or sometimes fails to be done completely.
  • The employee will rarely admit to errors committed and will even argue with authorities.
  • The employee may begin to isolate him/herself from the other employees. This will be more noticeable for an employee who previously used to be social and courteous.

Substance AbuseIt is though very important to bear in mind that, sometimes the indicators mentioned above may not sufficiently indicate what we think of them. For example, a person’s isolation of oneself from the other staffs could be as a result of conflict between the employees which makes one feel guilt or factors such as family issues. Therefore, before you conclude that a given employee is a drug addict, a thorough investigation needs to be done to establish sufficient grounds for the claims. This can be achieved through identifying as many indicators as possible.

What should you do as an employer in such a case?

  • Pattern formation – since we are saying one sign of addiction may not be sufficient to make any conclusion from, try to assemble evidence by noticing patterns in which these behaviors are recurring. Draw patterns of as many of these signs as possible.
  • Record keeping on employee’s activities – as a manager, you should not diagnose personal problems but you must ensure that the production standards of your firm are met. These targets will be difficult to meet if you have a member or several of your staff who is an addict. Therefore, keep record of the employee’s progress as far as work place turn ups and productivity is concerned. If you notice that the addicted person is affecting the productivity of the firm, go to the next step immediately.
  • Hold a discussion – here you are required to sit down with the employee privately. You should ensure that there are no other employees around and in every part of the discussion, confidentiality is ensured. The agenda of this meeting should be to discuss the performance of the employee but not to accuse the employee of addiction. Ensure that you remain calm and without getting emotional.
  • Listen to the employee and respond accordingly – here you should give the employee a chance to explain the behavior. This is time for you to know what actually the problem is. Be keen to identify whether it is addiction or other factors. If the employee has nothing to explain and continues to deny the problem, but the production doesn’t improve, you will have reasons to reprimand or terminate.
  • Agree on the way forward – you will need to encourage the employee to get help but remember you are not the one to counsel the employee or prescribe action. However, you can direct the employee to professionals like AWAREmed for help. In the event that the employee accepts to go and seek help, document it well.
  • Unfit to serve – if the employee’s addiction had gone beyond points bearable by the firm, consider dismissing the employee on the same grounds. Ensure that professionalism is kept in the process.

Employee Substance Abuse Addiction

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Overweight and Obesity

July 16, 2014

Overweight and Obesity – Treatment Available

Obesity

Obesity is a medical condition giving people sleepless nights. Good feeding habit can help you get your weight problem solved.

Overweight can be life threatening if measures are not taken timely to bring it to manageable levels. This can be done successfully in various ways which may include setting goals and making lifestyle changes, such as eating fewer calories and being physically active. Other treatment methods available are medicines and weight-loss surgery normally for people who may feel that lifestyle changes aren’t enough.

Overweight and Obesity – Set Realistic Goals

Setting realistic weight-loss goals is an important first step to losing weight. The choice of goals may not be standard with everybody like the one for adult may not be the same with that of the children and so let us segment them in that order of adults and children.

Overweight and Obesity – Goals for Adults

  • An adult should try losing between 5 to 10 percent of their current weight over 6 months. This will lower their risk for coronary heart disease (CHD) and other conditions.
  • The best way to lose weight is gradual. A weight loss of 1 to 2 pounds a week is practical, safe, and will help you keep off the weight. It will also give you the time to make new, healthy lifestyle changes.
  • In the event that you’ve lost say 10 percent of your body weight and have consistently maintain it off for 6 months if after this progress you are still overweight or obese then you may want to consider further weight loss.

Overweight and Obesity – Goals for Children and Teens

  • Parent should take the lead role in this and keep monitoring the progress. Therefore if your child is overweight or has high risk of being overweight or obesity, then the goal is to maintain their current weight and to focus on eating healthy and being physically active. To help young ones the whole family should make effort to embrace positive lifestyle changes.
  • If your child is overweight or obese and has a health complication related to overweight or obesity, your doctor may refer you to a pediatric obesity treatment center for further examinations and treatment.
Overweight and Obesity – Lifestyle Changes

Lifestyle changes can help you and your family achieves long-term weight-loss success. Example of lifestyle changes include:

  • Focusing on balancing energy received in the body (calories from food and drinks) with energy the body gives out (physical activity)
  • Following a healthy eating plan
  • Learning how to embrace healthy lifestyle habits

Over time, these changes will become a routine in your everyday life which is very good for weight loss.

Overweight and Obesity – Calories

By reducing the rate of calories intake (i.e. energy in) will be very helpful in weight loss. It is important to note that for an adult to lose 1 to 2 pounds a week they should reduce their calories intake by 500-1000 calories a day.

  • In general, having 1,000 to 1,200 calories a day will help most women lose weight safely while for men it will be 1200 to 1600 calories a day to be effective in proper weight loss. This calorie range for men is also suitable for women who weigh 165 pounds or more or who exercise routinely.

These calorie levels are a guide and may need to be adjusted. If you eat 1,600 calories a day but don’t lose weight, then you may want to cut back to 1,200 calories. If you’re hungry on either diet, then you may want to add 100 to 200 calories a day.

Low-calorie diets with less than 800 calories a day shouldn’t be used unless your doctor is monitoring your progress. However for overweight children and teens, it’s important to sluggish the rates of weight gain. Nonetheless reduced-calorie diets aren’t advised unless advised by a health care provider.

Overweight and Obesity – Healthy Eating Plan

A healthy eating plan supplies your body with the essential nutrients it needs every day ensuring enough calories for good health, but not so many that may cause weight gain.

A healthy eating plan is low in saturated fat, trans fat, cholesterol, sodium (salt), and added sugar. Following a healthy eating plan will lower your risk for heart disease and other conditions.

Healthy foods include:

  • Fat-free and low-fat dairy products, such as low-fat yogurt, cheese, and milk.
  • Protein foods like lean meat, fish, and poultry without skin, beans, and peas.
  • Whole-grain foods, such as whole-wheat bread, oatmeal, and brown rice. Other grain foods include pasta, cereal, bagels, bread, tortillas, couscous, and crackers.
  • Fruits, which can be fresh, canned, frozen, or dried.
  • Vegetables, which can be fresh, canned (without salt), frozen, or dried.

Canola and olive oils, soft margarines made from these oils, are heart healthy. However they should be used in smaller units because they’re rich in calories.

You also consider adding unsalted nuts, like walnuts and almonds in your diet provided that you limit the amount you eat (nuts also are high in calories).

Overweight and Obesity – Foods to limit

Foods that are high in saturated and trans fats and cholesterol raises blood cholesterol levels and also may be rich in calories. Fats and cholesterol raise your risk for heart disease, so they should be limited, saturated fat is found mainly in:

  • Fatty cuts of meat, such as ground beef, sausage, and processed meats like bologna, hot dogs, and deli meats.
  • Poultry meat without the skin
  • High-fat dairy products like whole-milk cheeses, whole milk, cream, butter, and ice cream
  • Lard, coconut, and palm oils, which are found in many processed foods

Trans fat is found mainly in:

  • Foods with partly hydrogenated oils like many hard margarines and shortening
  • Baked products and snack foods like crackers, cookies, doughnuts, and breads
  • Foods fried in hydrogenated shortening like French fries and chicken

Cholesterol mainly is found in:

  • Egg yolks
  • Organ meats like the liver
  • Whole milk or whole-milk products like butter, cream, and cheese

Avoiding foods and drinks containing added sugars, like high-fructose corn syrup, is very necessary. Added sugars will give you extra calories without nutrients like vitamins and minerals. They (added sugars) are found in many desserts, canned fruit packed in syrup, fruit drinks, and no diet drinks.

Overweight and Obesity – Portion size

A portion is the quantity of food you choose to eat for a meal or snack. It’s different from a serving, which is a measured amount of food and is noted on the Nutrition Facts label on food packages.

Anyone who has eaten out lately is likely to notice how big the portions are. Reducing on the portion size is a good way to eat fewer calories and balance your energy IN.

Finally what you eat and how you eat can be the cause of your weight problem and this could be complicated if you don’t know that the food you eat is really the reasons for your problem and so doctor Akoury who is the founder of AWAREmed Health and Wellness Resource Center is committed to helping people globally in all matters of weight gain and obesity in the most natural way and putting emphasis on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE.

Overweight and Obesity – Treatment Available

 

 

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Motherhood and Obesity

July 15, 2014

Motherhood and Obesity- Emotional worries of a pregnant woman

Obesity

Obesity has serious effect on motherhood and especially during pregnancy. If you are obese you may need prenatal care if you intend to become pregnant in future.

Life has a lot to offer in a family setup. Each family member will be pulling together to contribute positively into the well-being of the family unit. While we appreciate the efforts made by each family member, there are certain times when mothers find themselves playing double roles in the family. These are the times when each member of the family is physically, emotionally, economically and spiritually getting ready to receiving a new member of the family. When everyone is waiting mothers who bear the greatest burden go through experiences that no one can contemplate narrating if you are not a mother. I am talking of the emotional worry that goes on in the minds of our mothers when carrying and nursing pregnancy.

Because of the magnitude of what women go through psychologically we are going to discuss some of their worries and we are going to zero into those expectant women who are also suffering from obesity and are really struggling with their weight gain problem. What do these ladies go through in this state of pregnancy? Certainly these ladies have many questions and we are going to answer some of their concerns as we progress in this article.

Will I need specialized care during pregnancy?

All pregnant women will certainly be attended to regularly by their health care providers however if you are an obese and pregnant your health care provider will take very keen and close observation on you and depending on your condition they may make the following recommendations for you:

Early testing for gestational diabetes – if in the opinion of your doctor you stand a greater risk of gestational diabetes he may order for a screening test called the glucose challenge this test is normally done between 24 and 28 weeks of pregnancy however the doctor may recommend this test a little bit earlier in your pregnancy — maybe even at your first prenatal visit and if your test results are normal, you’ll likely repeat the same screening test between 24 and 28 week of pregnancy. It must be noted that this recommendations by the doctor will be applicable for pregnant obese women.

Delayed fetal ultrasound – the emergence of technology has introduced fetal ultrasound a technique that uses high-frequency sound waves to produce images of the baby in your uterus. Basically fetal ultrasound is conducted between week 18 and 20 of pregnancy to assess the baby’s growth and development. Because this technology uses ultrasound waves don’t easily penetrate abdominal fat tissue, being obese during pregnancy will mean that there will be lots of fat tissues around the abdomen which will create interference or hindrance with the effectiveness of fetal ultrasound. This will mean that ultrasound results might be more detailed if the test is done a few weeks later, such as between weeks 20 and 22 of pregnancy.

Fetal echocardiography – your health care provider might recommend a fetal ultrasound that provides a detailed picture of your baby’s heart (fetal echocardiography) between weeks 20 and 22 of pregnancy. This test is used to rule out or confirm a congenital heart defect.

Frequent prenatal visits – as your pregnancy progresses, your health care provider might recommend more frequent prenatal visits to monitor your health and your baby’s health. Regular fetal ultrasounds might be recommended as well. The information from the ultrasounds report may be helpful and your health care provider can use this to evaluate your baby’s growth and plan for your delivery.

What steps can I take to promote a healthy pregnancy?

This the best question one can ask because it is very necessary that proper care is taken during pregnancy for the common good of both the child and the mother. All efforts must be made to ensure that the impact of obesity is significantly reduced. While appreciating that this can be difficult the following examples can be taken as precautionary measures:

Schedule a preconception appointment – Pregnancy does not come accidentally and so it can be planed for way ahead before it happen. If you’re obese and you’re considering getting pregnant, it is important that this become a serious agenda in your plans for the future by talking to your doctor who will advise on the best possible ways to take. Your doctor may advise a daily prenatal vitamin and where necessary refer you to other medical professionals like a registered dietitian or an obesity specialist who will help you make changes in your lifestyle and reach a healthy weight before pregnancy.

Seek regular prenatal care – As part of your plans for pregnancy prenatal visits can help your health care provider to make close observation on your health and that of your baby. It is important that you make full discloser to your health care provider any medical conditions you might have had in the past or currently such as diabetes, high blood pressure or sleep apnea etc. and discuss on what you can do to manage them.

Eat a healthy diet – Obesity is mainly as a result of poor eating habits this would require that you work very closely with your health care provider or a registered dietitian to maintain a healthy diet and avoid excessive weight gain. It is important to note that during pregnancy the body will need lots of folic acid, calcium, iron and other essential nutrients. A daily prenatal vitamin can help fill any gaps. Find out from your health care provider if you have special nutritional needs due to certain health condition like diabetes.

Be physically active – Consult your health care provider about safe ways to stay physically active during your pregnancy.

Avoid risky substances – It is very necessary that you do not indulge in substance abuse and if you are already using any substances you will need to seek help from an addiction expert to help you quit and also consult if there is need to use other medications or supplements before commencement.

We care for you greatly as mothers and hopeful mothers and that is why we write to inform you in the simplest way you can understand. Our care does not end at writing because we know that you will need further professional care dear reader for any need relating to weight gain or obesity we want to welcome you at AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care who is also the founder of the facility. It will be our pleasure to help you get well naturally focusing on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE. It pleases us seeing that you are getting well and having your life back under the programs conducted at this facility come and never this facility.

Motherhood and Obesity- Emotional worries of a pregnant woman  

 

 

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Pregnancy and obesity

July 15, 2014

Pregnancy and obesity-The risks involved

Obesity

Don’t let obesity or weight gain ruin your joy of motherhood. Seek help from obesity expert when pregnant and enjoy motherhood.

Weight is a very significant component in human life because there is the recommended weight considered to be healthy. If ones weight is not within the break even line then such individual has a medical problem and should seek medical attention immediately. Our mothers when pregnant will always add some weight due to the unborn baby growing inside their wombs. This is what I will call necessary weight gain because there is a baby involve, in fact the additional weight should be that of the unborn baby but if this goes beyond the recommended higher limit then there is a problem. This is the problem we want to discuss to give some insight on how to cope and respond when you find yourself in similar situation as a woman. Dear reader I do not intend to address women only but it is equally important for men to be equipped with this information to give a helping hand in the family if faced with the problem of weight gain during pregnancy.

Therefore being over-weight or obese during pregnancy may have health complications to the mother and to the unborn baby’s development in the womb and even on delivery and after delivery. Because of the magnitude involved it is important that we get to know the health complications arising out of weight gain and how to positively respond to them during and after pregnancy. For a start it is important that you are aware of what may be considered to be obese

What’s considered obese?

First of all what is obesity? It is a condition where the body accumulates too much fat that the body does not need. This is normally determined by a formula based on ones height and weight also known as body mass index (BMI). Below is a guide on what is considered normal or a pointer to obese.

Body Mass Index                     Weight status

a)    Below 18.5                     Underweight

b)   18.5 – 24.9                     Normal

c)    25 – 29.9                        Overweight

d)   30 – 39.9                        Obese

e)    40 and above                  Extreme obesity

Could obesity affect my ability to get pregnant?

This condition can harm a woman’s fertility by preventing normal ovulation thereby necessitating the use of vitro fertilization (IVF) to complete the process. IVF is a common practice in which the sperm fertilizes the egg outside the body and doctors implant it into the woman’s uterus in hopes of a successful pregnancy. Answering the question being obese can affect pregnancy and as a woman’s BMI rises, so does the risk of unsuccessful IVF.

Effects of obesity during pregnancy

It is only healthy that pregnant women watch out their weight closely as possible to avoid being obese because obesity increases pregnancy complications risk greatly. Some of these risks may include:

  • Gestational diabetes – obese women stand great chance of suffering from diabetes that develops in the course of pregnancy which is commonly known as gestational diabetes than those with normal weight.
  • Preeclampsia – obese women has increased risk of developing high blood pressure and protein in the urine after 20 weeks of pregnancy (preeclampsia).
  • Infection – obese women has increased risk of urinary tract infections. Obesity also increases the risk of postpartum infection, whether the baby is delivered normally or by C-section.
  • Thrombosis – obese women has increased risk of a serious condition in which a blood clot forms inside a blood vessel (thrombosis).
  • Overdue pregnancy – obesity increases the risk of prolonged pregnancy wand goes beyond the expected due date.
  • Labor problems – labor induction is more common with obese women. This may also inhibit the use of certain types of pain medication like an epidural block.
  • C-section – obesity during pregnancy increases the likelihood of elective and emergency C-sections. It also increases the risk of C-section complications like delayed healing and wound infections. Women who are obese are also less likely to have a successful vaginal delivery after a C-section (VBAC).
  • Pregnancy loss – obesity increases the risk of miscarriage and stillbirth.
Effects of obesity to the unborn child

There are various health complications to the unborn baby when the mother is suffering from obesity, these may include:

  • Macrosomia – obese women has high potential of bringing forth babies who are who are obese are at increased risk of delivering an infant who is considerably larger than average (Macrosomia) and has more body fat than normal. Studies have established that as birth weight increases, so does the risk of childhood obesity.
  • Chronic conditions – being obese during pregnancy might subject your baby to the danger of developing heart disease or diabetes as they grow up into being adult.

The recommended weight gain during pregnancy

This is not possible expressly as each individual would gain differently depending on their health BMI, pre-pregnancy weight, their health and that of their unborn children. It is therefore important that pregnant mothers consult regularly with their health care provider to give direction on what’s best in each case and also to consistently monitor their weight though out the pregnancy period. You may want to consider the following general guidelines for pregnancy weight gain and obesity:

  • Single pregnancy – if you’re obese and carrying one baby, the recommended weight gain should be about 11-20 pounds that is approximately 5 to 9 kilograms.
  • Multiple pregnancies – if you’re obese and carrying twins or multiples, the recommended weight gain should be about 25-42 pounds which is approximately 11-19 kilograms.

In conclusion obesity is a medical condition and being obese during pregnancy may increase the risk of health complications for both of you (the mother and the baby). To reduce your nervousness, you will need to work very closely with your health care provider who will help you avoid excessive weight gain, manage any medical conditions, and monitor your baby’s growth and development. Talking of health care provider it is necessary that you seek for the experts and not just anybody for that matter. It is your life and that of the unborn child we are talking about here and that is why doctor Dalal Akoury founded AWAREmed Health and Wellness Resource Center to help you get the assurance of good health even when you are obese. Under the care of Doctor Akoury your condition will be turn around into great joy by administering treatment while focusing on Neuroendocrine Restoration (NER) ensuring total reinstatement of normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE.

Pregnancy and obesity-The risks involved

 

 

 

 

 

 

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SEX ADDICTION

July 11, 2014

What’s SEX ADDICTION?

sex addictionWhat is sex addiction? One might ask. Sex addiction is a habitual sexual thoughts and actions which is better described as a progressive intimacy disorder. It’s an impact that progresses as the disorder increase. Usually the victim of addiction intensifies the behavior to get the same result. Addiction varies with each and every addict. Mostly the behavior will not progress beyond things like pornography, internet sex services or just masturbation. Other addictions will involve illicit activities such as rape, obscene calls and even child molestations. Most sexual addiction will however not end in sex offenses and not all people who rape or molest sexually are addicts either. Slightly above 50 percent of people accused or convicted of sexual offenses are sex addicts.

Sexual addiction has also been described as an engagement in persistent and escalating ways of sexual behavior mostly carried out despite increasing negative repercussion to one’s self or to other people. In short, this is an activity that they will engage in not caring whether they will face health risks, being neglected by family and community. They will not even care if they are arrested or not. The issue is not the same with child molestation as this is usually rated as a sexual addiction. Over 70 percent of people who engage in the act of child molestation are sex addicts and it’s always so brutal that serving a jail term is the only way to keep the society safe and free from them.

Society is slowly coming to terms with the fact that people who commit this sexual offenses are not looking for sexual gratification but they are doing it rather for some kind of attention that is always related to power and control. Some even do it for revenge or to convey anger towards a certain towards a certain situation they had faced earlier in life or are facing in their current lives. Not long ago, research showed different reasons for sex addiction. This were related to an awareness of brain changes or brain reward that was associated with sexual behavior that led to an understanding that there is also a prevailing sexual drive that motivates the sex offenses.

Sex addiction is described in the diagnostic and statistical manual of psychiatric disorders in volume four and in the category of sexual disorders as a certain agony over a sample of frequent with lovers who are experienced b the personage only as things to be used. Sexual addiction also involves searching for many partners and masturbation among others. Unlike eating, sexual activity is considered to be necessary for human survival and happiness though some people completely abstain or are celibate. Some will choose to abstain from sexual activities due to different kinds of reason like religion and culture but for a completely healthy human being without these boundaries, it’s completely normal to have feelings for sex. In most cases, lack of interest can mean a very big problem or even a mental disorder.

            Symptoms of sexual addiction

Sexual addiction diagnosis has been described as a disorder where a criteria based on chemical dependency was used. The symptoms mostly include:

–          Too much thought of sex till it affects ones other activities even they really want to stop. For instance, if you love football, your minds starts deviating towards sex more.

–          Sleeping with more than one partners have also been attributed to sex addiction.

–          Watching too much pornography or spending most of one’s time in activities that involve or relate to sex.

If you find yourself battling with the above symptoms then you may be heading for sexual addiction. If you feel like your world mostly revolves around thinking about sex even when you are not supposed to then you are probably an addict that definitely requires treatment fast.

            Treating sexual addictions

Thereare several programs available for people who are looking for help for sex addiction. There is sierra Tucson in Arizona in the United States of America among others. These programs have the same approach and strategy towards sex addiction and they have proven effects in treating chemical dependency but first, did you know that sexual addiction is the most common addiction compared to other addictions? And what are the questions that one should ask themselves when looking for a good program for sex addiction treatment. Well for starters you should ask if there are groups that deal with these issues. If there is any then it’s the place for you to look for your treatment.

You should also ask yourself whether the program is based on a 12 step philosophy and if it’s ok to attend the meetings while on treatment. It’s always not easy for a sexual addict to know between a healthy and a not so healthy sexual acts. These programs will usually encourage abstinence in the early stages of treatment. Residential treatment maybe also be required for a few weeks to protect the addict from sexual exposure and relapse. It is also important to know that in order for one to heal quickly, one has to get rid of the guilt and the stresses associated with this kind of addiction

 

What’s SEX ADDICTION?

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