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Doctor insights on: No New Relationships Or Commitments In First Year Of Sobriety

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My counsellor is leaving. new job.I have trauma and unresolved grief. Still in first stage no coping strategies yet. Regret trusting. vulnerable. Help

My counsellor is leaving. new job.I have trauma and unresolved grief. Still in first stage no coping strategies yet. Regret trusting. vulnerable. Help

Find the trust.: It's difficult when a trusted counselor or therapist is no longer able to work with you. That trust, that relationship, that rapport that has developed needs to be transferred to another, starting all over again. You need to find that trust, that rapport with another counselor. And you will. ...Read more

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On a psychological point of view which is more important fr a successful marriage love or an affluent guy with all money..

On a psychological point of view which is more important fr a successful marriage love or an affluent guy with all money..

What's your guess?: Marrying for money will not provide love or emotional connection for either partner -- and at best is more like a business deal. If both people are aware of the relationship's basis then they can agree or not. At worst it exploits someone who may think he's loved personally, when his money is the desired object. Usually this kind of deal backfires, and the woman is misused also. ...Read more

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Cause of unknown depression ? Distancing from social events and from opportunities to get new friendship and socializing with existing ones.

Cause of unknown depression ? Distancing from social events and from opportunities to get new friendship and socializing with existing ones.

Social withdrawal: Hard to say with so little information. There can be many reasons why a person pulls back from social events and socializing. Everything is relative to what is typical and healthy for you vs now. Consider seeing a mental health professional to understand why you're withdrawing or isolating from others. I hope this helps. ...Read more

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Counting on your valuable support in seeking healthy living until the end of life. No questions to ask.

Counting on your valuable support in seeking healthy living until the end of life.

No questions to ask.

What a wonderful: attitude. Our "self talk" is very important. Cognitive psychology and an area of research called psychoneuroimmunology are topics you might enjoy reading about. Continued peace and good health. ...Read more

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Does severe stress in Life for many years in the past and the coming years, shorten life expectancy and cause any complications? No memory of happines

Does severe stress in Life for many years in the past and the coming years, shorten life expectancy and cause any complications? No memory of happines

Probably: This common sense affirmative answer makes all sorts of sense. Too much to list here. It seems automatic to recommend patient CBT therapy to work out an achievable, multi-faceted plan to increase your life management skills patiently. You can learn how to avoid, reduce and manage things better. Meds may help for rough spots, but skills are what you'll benefit more from. Make a happier tomorrow. ...Read more

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In the past months, I've experienced significant loss of interest in pleasurable activities. However, I still do them often & ok. Anhedonia or not?

In the past months, I've experienced significant loss of interest in pleasurable activities. However, I still do them often & ok. Anhedonia or not?

Anhedonia: Anhedonia is a relative concept. If you have decreased pleasure from previously pleasurable activities/ interactions etc - that is anhedonia. It could be relative mild or very significant. Motivation and anhedonia may go hand in hand but are not the same. ...Read more

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I have depressive & manic behavior for over 1 year with passive desire of dying, all the time. I am aware of my moods yet out of control. What to do?

I have depressive & manic behavior for over 1 year with passive desire of dying, all the time. I am aware of my moods yet out of control. What to do?

I don't see therapy : Or psychotropic medications listed under your profile. I would encourage you to work closely with a psychiatrist to gain control of symptoms. Medication is usually required to get good response. You would also likely benefit from cognitive behavioral disorder. Take care. ...Read more

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After 14 years of substance abuse is there in all sincerity a chance I can overcome paranoia as I only feel safe in the bedroom?

After 14 years of substance abuse is there in all sincerity a chance I can overcome paranoia as I only feel safe in the bedroom?

Yes, I believe so: Of course, I don't know you - so, this is not worth as much as if I did - but yes. Just your having the courage and hope to ask is a plus. But you'll need help. First thing is to find a therapist you can trust. It might take more than 1 try - but it is possible. Then work together as hard as you can. Patience and belief will help. This will be as important as any drug you'll take. Best wishes! ...Read more

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Intense feelings of loneliness, depression and abandoned in life. Can you offer some strategies for getting through each day ?

Intense feelings of loneliness, depression and abandoned in life. Can you offer some strategies for getting through each day ?

Are you in therapy?: If not, would very strongly encourage that. Frankly, you will remain depressed, lonely & feeling abandoned unless you make some changes. When was the last time you had a comprehensive physical examination? This can help to assess for underlying medical problems & will allow for medication treatment if indicated. Read & follow guidance of david burn's "the feeling good book.". ...Read more

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Having stressful dreams about not graduating from uni/college because of lack of attendance...Even though in reality completed. What does it mean?

Having stressful dreams about not graduating from uni/college because of lack of attendance...Even though in reality completed. What does it mean?

To analyze a dream: It takes more than just the story line. Dreams are symbolic and the symbolism is different for every individual. To do it justice, you would need to free associate to all parts of the dream and a therapist could then help you interpret what it means for you. There are also different ways to interpret dreams. I enjoy helping people understand their dreams, but would need to work with you do it. ...Read more

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Is there rellation seen between sexual abuse and social problems later in life?

Is there rellation seen between sexual abuse and social problems later in life?

Yes!: Sexual abuse harms all concerned, particularly those molested. Studies clearly show a tendency toward greater promiscuity, earlier sex, and marital problems. This is a serious issue, and you need to talk with a psychiatrist, psychologist, or counselor, particularly those dealing with these issues. ...Read more

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We are thinking that maybe life with chronic UTIs at aged 88 compromises my quality of life. I am considering leaving the next one untreated. How long, approximately, will death occur?

We are thinking that maybe life with chronic UTIs at aged 88 compromises my quality of life. I am considering leaving the next one untreated. How long, approximately, will death occur?

Infection: I think these infections should always be treated and I think that at 88 to leave them untreated could lead to a painful end and the amount of time before the end occurs is indeterminable ...Read more

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Is there a medical term for having lots of energy/most productive and simultaneously in mood/cognition wishing you were dead, cynical, and hopeless?

Is there a medical term for having lots of energy/most productive and simultaneously in mood/cognition wishing you were dead, cynical, and hopeless?

Mixed mood state: That is how a person with bipolar disorder feels when they are in a mixed mood state. During that state they are feeling both high and low at the same time. This is very commonly seen in an outpatient psychiatrists office. ...Read more

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I was a target of my husband's first / recent psychosis and suffered emotional abuse. Do the same themes come back during a relapse? Schizophrenia

I was a target of my husband's first / recent psychosis and suffered emotional abuse.  Do the same themes come back during a relapse? Schizophrenia

Unknowable: This can not be foretold. Even the probability of a relapse is unknowable. I can imagine how hard it is for you (and him) to deal w/ this threat. The best recommendation I can offer is a good support group. I imagine you can ask for referrals from the psychiatric resources in your area. I hope there are good ones. Best wishes for both of you to be safe. ...Read more

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At what age do abusive behaviors are no longer considered part of a "traumatic childhood"?

At what age do abusive behaviors are no longer considered part of a "traumatic childhood"?

Surviving abuse: Thank you for asking this. I myself have been diagnosed late in life with post traumatic stress from a very violent childhood. This history may lead to incredible healing if you are willing to work on why at your age the abuse is still painful. There are numerous resources and groups who can help you heal. But, if you are still hurting that is okay. You are normal. Please ask for help. ...Read more

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Are there any recognised side effects on health of living alone for several years, due prolonged single status ie after a divorce...Ect?Thank

Are there any recognised side effects on health of living alone for several years,  due prolonged single status ie after a divorce...Ect?Thank

Could be: Depending on how much support you have from family and other friends, living alone for several years may lead to loneliness. Loneliness and isolation do have some health effects. They can increase the risks of death by 10% -- also depression, heart disease, osteoporosis, glaucoma, arthritis, and blood clots. http://www.thetimes.co.uk/tto/public/timesappeal/article3615961.ece. ...Read more

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Define long-term cocaine use? With rec use during college & months of nonuse in between what's the liklihood of permanent damage? No use since then.

Define long-term cocaine use? With rec use during college & months of nonuse in between what's the liklihood of permanent damage? No use since then.

Unable to say: I have seen people who used Cocaine for years on an episodic basis have a heart attack after using the same amount they have always used. I have also seen deaths from apparent cardiac arrhythmias under the same kind of circumstances. Also depends on route of administration - snorting, injecting or smoking. You also don't know what its cut with - levamisole has caused deaths in the us. ...Read more

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Is it common after a death of a loved one (spouse) from suicide to continue to have nightmares several months later pop up?

Is it common after a death of a loved one (spouse) from suicide to continue to have nightmares several months later pop up?

GRIEF REACTION: It is a sign of grieving and loss compounded by the traumatic circumstances. Not knowing the details to elaborate, it sounds like a more serious pathological grief reaction with associated ptsd. The nightmares suggest this more complicated situation. Talk to your md and request a referral to a psychiatrist for an evaluation. You need not suffer. I'm sorry for your loss. ...Read more

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I will like to get advise on the best form of contraceptives. I'm in a new relationship; no plans for babies for the next year or two. ?

I  will like to get advise on the best form of contraceptives. I'm in a new relationship; no plans for babies for the next year or  two. ?

LARCs: Long Acting Reversible Contraceptives like the IUD or implantable devices like Nexplanon should be considered. Of course, if options are limited, regular, consistent use of the pill is reasonable too. ...Read more

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After 19 unsuccesful IVF cycles is there any new breakthroughs coming out of the usa or elsewhere. Poor egg quality has been our issue. 34 yo wife.

After 19 unsuccesful IVF cycles is there any new breakthroughs coming out of the usa or elsewhere. Poor egg quality has been our issue. 34 yo wife.

Egg donation is best: There is limited evidence that coenzyme q10 supplements may improve energy metabolism in eggs. As long as your sperm is adequate and your wife does not have major tubal issues, there is still a chance of natural pregnancy, even after failed ivf, and even if she has high fsh levels. After 19 failed ivf cycles (19 attempts or 19 retrievals?) egg donation is the best next step: our preg. Rate is 88%. ...Read more

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Is a person emotionally unavailable to another for a serious relationship during the first year of grieving death of a spouse/ partner?

Is a person emotionally unavailable to another for a serious relationship during the first year of grieving death of a spouse/ partner?

Most probably: In my opinion, depending on the length of marriage and other factors in the grieving process, yes. I would expect most in this situation would not be emotionally available for a serious relationship for at LEAST a year. Hope this helps! ...Read more

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I will like to get advise on the best form of contraceptives. I'm in a new relationship; no plans for babies for the next year or two. ?

LARCs: Long Acting Reversible Contraceptives like the IUD or implantable devices like Nexplanon should be considered. Of course, if options are limited, regular, consistent use of the pill is reasonable too. ...Read more

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I had my tubes clamped a year ago after my fifth child I'm in a new relationship and considering wanting to have my last child. Is this possible?

I had my tubes clamped a year ago after my fifth child I'm in a new relationship and considering wanting to have my last child. Is this possible?

Depends: Reversals are rarely perfect & could set you up for a tubal pregnancy. You could have a fertility center harvest some of your eggs, fertilize them with dad's sperm and implant them in your uterus. This would bypass the blockage. All choices have their expense & work attached ...Read more

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I am a 21 year old female, in a relationship, trying desperately to have kids. This is a first for any woman in myfamily because they are really feritle. I have very irregular periods. I might get them 3 times a year and i always bleed lightly. Will i eve

I am a 21 year old female, in a relationship, trying desperately to have kids. This is a first for any woman in myfamily because they are really feritle. I have very irregular periods. I might get them 3 times a year and i always bleed lightly. Will i eve

When : When a person has cycles as irregular as yours, they are clearly not ovulating. The good news is that usually this problem is easily dealt with. It will require that you see your ob/gyn or an infertility specialist. They will typically do some simple blood tests and perhaps a semen analysis on your partner and a test to check your fallopian tubes. Based on these results they will probably prescribe a pill to help you ovulate. It is unlikely that a birth control pill will return you to regular ovulatory cycles though some doctors might start with that. Once the correct dose is found that will consistently get you to ovulate, the chance of getting pregnant is 15 to 20% per month which is close to what normal is. Hope this helps. Good luck! ...Read more

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"I have a paragard IUD that I have had for over a year, I started a new sexual relationship and this menstrual cycle has been nothing but dead blood a?

"I have a paragard IUD that I have had for over a year, I started a new sexual relationship and this menstrual cycle has been nothing but dead blood a?

Get checked: Paragard has no hormones so it should not affect the menstrual cycle. Any time one starts a new relationship STD testing is always a good idea. Your doctor can check the IUD location at the same visit. If you think you are pregnant then check a home test. ...Read more

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Hello, I have cried almost everyday for three years due to a failed first relationship.And it is affecting me horrendsly. How can i fix it?

Hello, I have cried almost everyday for three years due to a failed first relationship.And it is affecting me horrendsly. How can i fix it?

Positive thinking: I think you should realize that you are very young and you have your whole life ahead of you. The best course of action is to ask yourself to think positively and avoid making negative statements about it. Instead, make positive comments about the future and your future relationships and catch yourself if you ever do the opposite. Good luck. ...Read more

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Went to a urologist 2 years ago. He said i needed to have a relationship for at least 2 years first before anything could be done. ?

Went to a urologist 2 years ago. He said i needed to have a relationship for at least 2 years first before anything could be done. ?

Urology: Member870, your statement is very interesting and i would like to help you with your concern if i can but i don't really know what "a relationship" has to do with urology. If you could share the question that you asked the urologist, i might be able to clarify his response or give you a response of my own. ...Read more

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I'm 18 years old and I want to what's the right age to start seeing a doctor after you have your first sexual relationship.

I'm 18 years old and I want to what's the right age to start seeing a doctor after you have your first sexual relationship.

Now: This involves anatomy that are usually skipped in routine office visits. Now that they are in service they will need periodic maintenance.You need to discuss your activity with your doc and start having pelvic exams.Males can be carriers of STD's for years without knowing it, and you don't want to risk your own fertility or health to a silent exposure. ...Read more

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Diagnosed with hsv1 genital- can symptoms show up several years after first exposed? In long term mutually monogamous relationship currently.

Yes: Unfortunately HSV remains in a person's system for the rest of her/his life and symptoms can occur at varying intervals. A person with no visible lesions can still transmit the virus to one's sexual partner. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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Is therapy for closed head injury patients in the first year imporant?

Is therapy for closed head injury patients in the first year imporant?

Extremely: Most healing occurs in the first 12-18 months. Rehabilitative efforts are most effective during this time as well. ...Read more

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Iam finding it very difficult to get over my 15 years realationship with my ex who i believe a narcissist. He seems so happy with his new girlfriend?

Iam finding it very difficult to get over my 15 years realationship with my ex  who  i believe a narcissist. He seems so happy with his new girlfriend?

Seek help: He might be happy with her, but if he's narcissistic than likely she might not be as happy. All that said, if it wasn't working for you when you were with him, why are you still thinking about him? Whether he is or is not happy, you need to move on and get a life for yourself. It sounds like you are stuck and need help moving on. I would suggest therapy to help. ...Read more

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Very stressful year(s)with my health, finances, relationships... What is the least problematic/symptomatic way of cleansing the psychological clutter?

Very stressful year(s)with my health, finances, relationships... What is the least problematic/symptomatic way of cleansing the psychological clutter?

Counseling: is at the opposite end of the spectrum from therapy. It helps one deal w/developmental phases of life, life stress, etc. You don't need a psychological diagnosis to get help via counseling. It can speed up and smooth out the process as we move through life. Peace and good health. ...Read more

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How many years of sobriety should a recovering alcoholic have before working in a place that sells liquor?

How many years of sobriety should a recovering alcoholic have before working in a place that sells liquor?

No right answer: For some people it is never, and for others it can be immediate. I have known people enter recovery who were working as bartenders, while continuing to work. For most people, the first 3 years are critical at dealing with relapse triggers (like being around alcohol or being around drinking), and i advise my patients to avoid triggers for at least one year when possible. ...Read more

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I had trich 18 months ago and treated it. In a monogamous relationship for over a year. Can it come back after that long? No other partnersbut s/o

Unlikely: If you were treated adequately and you are in a monogamous relationship it should not return. Take care! ...Read more

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Can you suggest how to get closure from a 6 year relationship ending with no answers how can I cope?

Can you suggest how to get closure from a 6 year relationship ending with no answers how can I cope?

Huge loss: I'm sorry for your loss. I would recommend talking through your inevitable multiple and conflicting feelings with a competent psychologist or therapist. One benefit of working through your relationship loss is not only feeling better but making you emotionally available for a new, even better relationship. Best, . ...Read more

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Been trying for a baby for a year now. Both myself and partner have children from pervious relationship nothing seems to be happening?

Been trying for a baby for a year now. Both myself and partner have children from pervious relationship nothing seems to be happening?

Work Up: Sometimes it is just a matter of time, but sometimes something has changed. So it is best to get an evaluation to make sure nothing has changed since either of you had a child - ovulation issues, tubes, eggs, sperm etc. ...Read more

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Is it unhealthy to never fight in a relationship? I've been with my boyfriend for almost a year and we haven't fought. We agree on almost everything.

Is it unhealthy to never fight in a relationship? I've been with my boyfriend for almost a year and we haven't fought. We agree on almost everything.

That can be good : Can't really help here much, this is mostly a medical necessity site, but if you are having trouble because you have an issue because you get along 'too well,' maybe you need to visit a clinical psychologist to talk it out if this troubles you! Discuss it first with your partner to see if he has a problem with this. Don't worry, be happy !! ...Read more

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I have been in a relationship for over a year and we are both to the point where we are bored. What kind of professional should we discuss this with?

I have been in a relationship for over a year and we are both to the point where we are bored. What kind of professional should we discuss this with?

Psychologist/Pastor: Have you talked with each other about where you see each other in one or two years from now? Together? Apart? Neither good or bad. Be open to discuss options candidly with each other. Family/marriage counselors may also be helpful. ...Read more