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drugrehabscentersblog · 2 months
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ayutherapy · 1 year
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Searching for Acne Treatment Center in California?
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kp777 · 1 year
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By Jackie Fortier
NPR
April 19, 2023
Lost careers. Broken marriages. Dismissed and disbelieved by family and friends.
These are some of the emotional and financial struggles long COVID patients face years after their infection. Physically, they are debilitated and in pain: unable to walk up the stairs, focus on a project, or hold down a job. Facing the end of the federal public health emergency in May, many people experiencing lingering effects of the virus say they feel angry and abandoned by policymakers eager to move on.
"Patients are losing hope," says Shelby Hedgecock, a self-described long COVID survivor from Knoxville, Tennessee, who now advocates for patients like herself. "We feel swept under the rug."
The Centers for Disease Control and Prevention estimated in March that 6% of U.S. adults, or about 16 million, were experiencing long COVID, or ongoing health problems that continue or emerge after a bout of COVID.
Researchers estimate that 1.6% of U.S. adults, or about 4 million, have symptoms that have significantly reduced their ability to carry out day-to-day activities.
While patients are no longer contagious, their health issues can stretch on and affect almost every system in the body. More than 200 symptoms and conditions, including fatigue and depression, are linked to long COVID, says Dr. Linda Geng, who treats patients at Stanford Medicine's Post-Acute COVID-19 Syndrome Clinic.
The severity and duration of long COVID vary. Some people recover in a few weeks, while a smaller number have debilitating and lingering health issues. There is currently no test, treatment, or cure. There's not even an accepted medical definition.
"When you don't have any tests that show that anything's abnormal, it can be quite invalidating and anxiety-provoking," Geng says.
The physical and emotional toll has left some feeling hopeless. A 2022 study of adults in Japan and Sweden found that those with post-COVID conditions were more than twice as likely to develop mental health issues, including depression, anxiety, and post-traumatic stress, as people without them.
"One of my friends committed suicide in May of 2021," Hedgecock says. "She had a mild COVID infection, and she progressively had medical complications continuously pop up, and it just got so bad that she decided to end her life."
In Los Angeles County, where Hedgecock lived when she fell ill, 46% of adults who contracted COVID were fully recovered a month later, but the rest — a majority — reported one or more continuing symptoms, according to a 675-patient study by the University of Southern California's COVID-19 Pandemic Research Center.
Read more.
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By: Jennifer Block
Published: Feb 23, 2023
More children and adolescents are identifying as transgender and are being offered medical treatment, especially in the US—but some providers and European authorities are urging caution because of a lack of strong evidence. Jennifer Block reports
Last October the American Academy of Pediatrics (AAP) gathered inside the Anaheim Convention Center in California for its annual conference. Outside, several dozen people rallied to hear speakers including Abigail Martinez, a mother whose child began hormone treatment at age 16 and died by suicide at age 19. Supporters chanted the teen’s given name, Yaeli; counter protesters chanted, “Protect trans youth!” For viewers on a livestream, the feed was interrupted as the two groups fought for the camera.
The AAP conference is one of many flashpoints in the contentious debate in the United States over if, when, and how children and adolescents with gender dysphoria should be medically or surgically treated. US medical professional groups are aligned in support of “gender affirming care” for gender dysphoria, which may include gonadotrophin releasing hormone analogues (GnRHa) to suppress puberty; oestrogen or testosterone to promote secondary sex characteristics; and surgical removal or augmentation of breasts, genitals, or other physical features. At the same time, however, several European countries have issued guidance to limit medical intervention in minors, prioritising psychological care.
The discourse is polarised in the US. Conservative politicians, pundits, and social media influencers accuse providers of pushing “gender ideology” and even “child abuse,” lobbying for laws banning medical transition for minors. Progressives argue that denying access to care is a transphobic violation of human rights. There’s little dispute within the medical community that children in distress need care, but concerns about the rapid widespread adoption of interventions and calls for rigorous scientific review are coming from across the ideological spectrum.
The surge in treatment of minors
More adolescents with no history of gender dysphoria—predominantly birth registered females—are presenting at gender clinics. A recent analysis of insurance claims by Komodo Health found that nearly 18 000 US minors began taking puberty blockers or hormones from 2017 to 2021, the number rising each year. Surveys aiming to measure prevalence have found that about 2% of high school aged teens identify as “transgender.” These young people are also more likely than their cisgender peers to have concurrent mental health and neurodiverse conditions including depression, anxiety, attention deficit disorders, and autism.6 In the US, although Medicaid coverage varies by state and by treatment, the Biden administration has warned states that not covering care is in violation of federal law prohibiting discrimination. Meanwhile, the number of private clinics that focus on providing hormones and surgeries has grown from just a few a decade ago to more than 100 today.
As the number of young people receiving medical transition treatments rises, so have the voices of those who call themselves “detransitioners” or “retransitioners,” some of whom claim that early treatment caused preventable harm. Large scale, long term research is lacking, and researchers disagree about how to measure the phenomenon, but two recent studies suggest that as many as 20-30% of patients may discontinue hormone treatment within a few years. The World Professional Association for Transgender Health (WPATH) asserts that detransition is “rare.”
Chloe Cole, now aged 18, had a double mastectomy at age 15 and spoke at the AAP rally. “Many of us were young teenagers when we decided, on the direction of medical experts, to pursue irreversible hormone treatments and surgeries,” she read from her tablet at the rally, which had by this time moved indoors to avoid confrontation. “This is not informed consent but a decision forced under extreme duress.”
Scott Hadland, chief of adolescent medicine at Massachusetts General Hospital and Harvard Medical School, dismissed the “handful of cruel protesters” outside the AAP meeting in a tweet that morning. He wrote, “Inside 10 000 pediatricians stand in solidarity for trans & gender diverse kids & their families to receive evidence-based, lifesaving, individualized care.”
Same evidence, divergent recommendations
Three organisations have had a major role in shaping the US’s approach to gender dysphoria care: WPATH, the AAP, and the Endocrine Society (see box). On 15 September 2022 WPATH published the eighth edition of its Standards of Care for the Health of Transgender and Gender Diverse People, with new chapters on children and adolescents and no minimum age requirements for hormonal and surgical treatments. GnRHa treatment, says WPATH, can be initiated to arrest puberty at its earliest stage, known as Tanner stage 2.
The Endocrine Society also supports hormonal and surgical intervention in adolescents who meet criteria in clinical practice guidelines published in 2009 and updated in 2017. And the AAP’s 2018 policy statement, Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents, says that “various interventions may be considered to better align” a young person’s “gender expression with their underlying identity.” Among the components of “gender affirmation” the AAP names social transition, puberty blockers, sex hormones, and surgeries. Other prominent professional organisations, such as the American Medical Association, have issued policy statements in opposition to legislation that would curtail access to medical treatment for minors.
These documents are often cited to suggest that medical treatment is both uncontroversial and backed by rigorous science. “All of those medical societies find such care to be evidence-based and medically necessary,” stated a recent article on transgender healthcare for children published in Scientific American. “Transition related healthcare is not controversial in the medical field,” wrote Gillian Branstetter, a frequent spokesperson on transgender issues currently with the American Civil Liberties Union, in a 2019 guide for reporters. Two physicians and an attorney from Yale recently opined in the Los Angeles Times that “gender-affirming care is standard medical care, supported by major medical organizations . . . Years of study and scientific scrutiny have established safe, evidence-based guidelines for delivery of lifesaving, gender-affirming care.” Rachel Levine, the US assistant secretary for health, told National Public Radio last year regarding such treatment, “There is no argument among medical professionals.”
Internationally, however, governing bodies have come to different conclusions regarding the safety and efficacy of medically treating gender dysphoria. Sweden’s National Board of Health and Welfare, which sets guidelines for care, determined last year that the risks of puberty blockers and treatment with hormones “currently outweigh the possible benefits” for minors. Finland’s Council for Choices in Health Care, a monitoring agency for the country’s public health services, issued similar guidelines, calling for psychosocial support as the first line treatment. (Both countries restrict surgery to adults.)
Medical societies in France, Australia, and New Zealand have also leant away from early medicalisation. And NHS England, which is in the midst of an independent review of gender identity services, recently said that there was “scarce and inconclusive evidence to support clinical decision making” for minors with gender dysphoria and that for most who present before puberty it will be a “transient phase,” requiring clinicians to focus on psychological support and to be “mindful” even of the risks of social transition.
“Don’t call them evidence based”
“The brief history of guidelines is that, going back more than 30 years ago, experts would write articles and so on about what people should do. But formal guidelines as we think of them now were seldom or non-existent,” says Gordon Guyatt, distinguished professor in the Department of Health Research Methods, Evidence, and Impact at McMaster University, Ontario.
That led to the movement towards developing criteria for what makes a “trustworthy guideline,” of which Guyatt was a part. One pillar of this, he told The BMJ, is that they “are based on systematic review of the relevant evidence,” for which there are also now standards, as opposed to a traditional narrative literature review in which “a bunch of experts write whatever they felt like using no particular standards and no particular structure.”
Mark Helfand, professor of medical informatics and clinical epidemiology at Oregon Health and Science University, says, “An evidence based recommendation requires two steps.” First, “an unbiased, thorough, critical systematic review of all the relevant evidence.” Second, “some commitment to link the strength of the recommendations to the quality of the evidence.”
The Endocrine Society commissioned two systematic reviews for its clinical practice guideline, Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: one on the effects of sex steroids on lipids and cardiovascular outcomes, the other on their effects on bone health. To indicate the quality of evidence underpinning its various guidelines, the Endocrine Society employed the GRADE system (grading of recommendations assessment, development, and evaluation) and judged the quality of evidence for all recommendations on adolescents as “low” or “very low.”
Guyatt, who co-developed GRADE, found “serious problems” with the Endocrine Society guidelines, noting that the systematic reviews didn’t look at the effect of the interventions on gender dysphoria itself, arguably “the most important outcome.” He also noted that the Endocrine Society had at times paired strong recommendations—phrased as “we recommend”—with weak evidence. In the adolescent section, the weaker phrasing “we suggest” is used for pubertal hormone suppression when children “first exhibit physical changes of puberty”; however, the stronger phrasing is used to “recommend” GnRHa treatment.
“GRADE discourages strong recommendations with low or very low quality evidence except under very specific circumstances,” Guyatt told The BMJ. Those exceptions are “very few and far between,” and when used in guidance, their rationale should be made explicit, Guyatt said. In an emailed response, the Endocrine Society referenced the GRADE system’s five exceptions, but did not specify which it was applying.
Helfand examined the recently updated WPATH Standards of Care and noted that it “incorporated elements of an evidence based guideline.” For one, WPATH commissioned a team at Johns Hopkins University in Maryland to conduct systematic reviews.3435 However, WPATH’s recommendations lack a grading system to indicate the quality of the evidence—one of several deficiencies. Both Guyatt and Helfand noted that a trustworthy guideline would be transparent about all commissioned systematic reviews: how many were done and what the results were. But Helfand remarked that neither was made clear in the WPATH guidelines and also noted several instances in which the strength of evidence presented to justify a recommendation was “at odds with what their own systematic reviewers found.”
For example, one of the commissioned systematic reviews found that the strength of evidence for the conclusions that hormonal treatment “may improve” quality of life, depression, and anxiety among transgender people was “low,” and it emphasised the need for more research, “especially among adolescents.” The reviewers also concluded that “it was impossible to draw conclusions about the effects of hormone therapy” on death by suicide.
Despite this, WPATH recommends that young people have access to treatments after comprehensive assessment, stating that the “emerging evidence base indicates a general improvement in the lives of transgender adolescents.” And more globally, WPATH asserts, “There is strong evidence demonstrating the benefits in quality of life and well-being of gender-affirming treatments, including endocrine and surgical procedures,” procedures that “are based on decades of clinical experience and research; therefore, they are not considered experimental, cosmetic, or for the mere convenience of a patient. They are safe and effective at reducing gender incongruence and gender dysphoria.”
Those two statements are each followed by more than 20 references, among them the commissioned systematic review. This stood out to Helfand as obscuring which conclusions were based on evidence versus opinion. He says, “It’s a very strange thing to feel that they had to cite some of the studies that would have been in the systematic review or purposefully weren’t included in the review, because that’s what the review is for.”
For minors, WPATH contends that the evidence is so limited that “a systematic review regarding outcomes of treatment in adolescents is not possible.” But Guyatt counters that “systematic reviews are always possible,” even if few or no studies meet the eligibility criteria. If an entity has made a recommendation without one, he says, “they’d be violating standards of trustworthy guidelines.” Jason Rafferty, assistant professor of paediatrics and psychiatry at Brown University, Rhode Island, and lead author of the AAP statement, remarks that the AAP’s process “doesn’t quite fit the definition of systematic review, but it is very comprehensive.”
Sweden conducted systematic reviews in 2015 and 2022 and found the evidence on hormonal treatment in adolescents “insufficient and inconclusive.”24 Its new guidelines note the importance of factoring the possibility that young people will detransition, in which case “gender confirming treatment thus may lead to a deteriorating of health and quality of life (i.e., harm).”
Cochrane, an international organisation that has built its reputation on delivering independent evidence reviews, has yet to publish a systematic review of gender treatments in minors. But The BMJ has learnt that in 2020 Cochrane accepted a proposal to review puberty blockers and that it worked with a team of researchers through 2021 in developing a protocol, but it ultimately rejected it after peer review. A spokesperson for Cochrane told The BMJ that its editors have to consider whether a review “would add value to the existing evidence base,” highlighting the work of the UK’s National Institute for Health and Care Excellence, which looked at puberty blockers and hormones for adolescents in 2021. “That review found the evidence to be inconclusive, and there have been no significant primary studies published since.”
In 2022 the state of Florida’s Agency for Health Care Administration commissioned an overview of systematic reviews looking at outcomes “important to patients” with gender dysphoria, including mental health, quality of life, and complications. Two health research methodologists at McMaster University carried out the work, analysing 61 systematic reviews and concluding that “there is great uncertainty about the effects of puberty blockers, cross-sex hormones, and surgeries in young people.” The body of evidence, they said, was “not sufficient” to support treatment decisions.
Calling a treatment recommendation “evidence based” should mean that a treatment has not just been systematically studied, says Helfand, but that there was also a finding of high quality evidence supporting its use. Weak evidence “doesn’t just mean something esoteric about study design, it means there’s uncertainty about whether the long term benefits outweigh the harms,” Helfand adds.
“Evidence itself never tells you what to do,” says Guyatt. That’s why guidelines must make explicit the values and preferences that underlie the recommendation.
The Endocrine Society acknowledges in its recommendations on early puberty suppression that it is placing “a high value on avoiding an unsatisfactory physical outcome when secondary sex characteristics have become manifest and irreversible, a higher value on psychological well-being, and a lower value on avoiding potential harm.”
WPATH acknowledges that while its latest guidelines are “based upon a more rigorous and methodological evidence-based approach than previous versions,” the evidence “is not only based on the published literature (direct as well as background evidence) but also on consensus-based expert opinion.” In the absence of high quality evidence and the presence of a patient population in need—who are willing to take on more personal risk—consensus based guidelines are not unwarranted, says Helfand. “But don’t call them evidence based.”
An evidence base under construction
In 2015 the US National Institutes of Health awarded a $5.7m (£4.7m; €5.3m) grant to study “the impact of early medical treatment in transgender youth.” The abstract submitted by applicants said that the study was “the first in the US to evaluate longitudinal outcomes of medical treatment for transgender youth and will provide essential evidence-based data on the physiological and psychosocial effects and safety” of current treatments. Researchers are following two groups, one of participants who began receiving GnRHa in early puberty and another group who began cross sex hormone treatment in adolescence. The study doesn’t include a concurrent no-treatment control group.
Robert Garofalo, chief of adolescent medicine at the Lurie Children’s Hospital in Chicago and one of four principal investigators, told a podcast interviewer in May 2022 that the evidence base remained “a challenge . . . it is a discipline where the evidence base is now being assembled” and that “it’s truly lagging behind [clinical practice], I think, in some ways.” That care, he explained, was “being done safely. But only now, I think, are we really beginning to do the type of research where we’re looking at short, medium, and long term outcomes of the care that we are providing in a way that I think hopefully will be either reassuring to institutions and families and patients or also will shed a light on things that we can be doing better.”
While Garofalo was doing the research he served as “contributor” on the AAP’s widely cited 2018 policy statement, which recommends that children and adolescents “have access to comprehensive, gender-affirming, and developmentally appropriate health care,” including puberty blockers, sex hormones, and, on a case-by-case basis, surgeries.
Garofalo said in the May interview, “There is universal support for gender affirming care from every mainstream US based medical society that I can think of: the AMA, the APA, the AAP. I mean, these organisations never agree with one another.” Garofalo declined an interview and did not respond to The BMJ’s requests for comment.
The rush to affirm
Sarah Palmer, a paediatrician in private practice in Indiana, is one of five coauthors of a 2022 resolution submitted to the AAP’s leadership conference asking that it revisit the policy after “a rigorous systematic review of available evidence regarding the safety, efficacy, and risks of childhood social transition, puberty blockers, cross sex hormones and surgery.” In practice, Palmer told The BMJ, clinicians define “gender affirming” care so broadly that “it’s been taken by many people to mean go ahead and do anything that affirms. One of the main things I’ve seen it used for is masculinising chest surgery, also known as mastectomy in teenage patients.” The AAP has told The BMJ that all policy statements are reviewed after five years and so a “revision is under way,” based on its experts’ own “robust evidence review.”
Palmer says, “I’ve seen a quick evolution, from kids with a very rare case of gender dysphoria who were treated with a long course of counselling and exploration before hormones were started,” to treatment progressing “very quickly—even at the first visit to gender clinic—and there’s no psychologist involved anymore.”
Laura Edwards-Leeper, a clinical psychologist who worked with the endocrinologist Norman Spack in Boston and coauthored the WPATH guidelines for adolescents, has observed a similar trend. “More providers do not value the mental health component,” she says, so in some clinics families come in and their child is “pretty much fast tracked to medical intervention.” In a study of teens at Seattle Children’s Hospital’s gender clinic, two thirds were taking hormones within 12 months of the initial visit.
The British paediatrician Hilary Cass, in her interim report of a UK review into services for young people with gender identity issues, noted that some NHS staff reported feeling “under pressure to adopt an unquestioning affirmative approach and that this is at odds with the standard process of clinical assessment and diagnosis that they have been trained to undertake in all other clinical encounters.”
Eli Coleman, lead author of WPATH’s Standards of Care and former director of the Institute for Sexual and Gender Health at the University of Minnesota, told The BMJ that the new guidelines emphasised “careful assessment prior to any of these interventions” by clinicians who have appropriate training and competence to assure that minors have “the emotional and cognitive maturity to understand the risks and benefits.” He adds, “What we know and what we don’t know has to be explained to youth and their parents or caregivers in a balanced way which really details that this is the evidence that we have, that we obviously would like to have more evidence, and that this is a risk-benefit scenario that you have to consider.”
Joshua Safer, director of the Center for Transgender Medicine and Surgery at Mount Sinai Hospital in New York and coauthor of the Endocrine Society guidelines, told The BMJ that assessment is standard practice at the programme he leads. “We start with a mental health evaluation for anybody under the age of 18,” he says. “There’s a lot of talking going on—that’s a substantial element of things.” Safer has heard stories of adolescents leaving a first or second appointment with a prescription in hand but says that these are overblown. “We really do screen these kids pretty well, and the overwhelming majority of kids who get into these programmes do go on to other interventions,” he says.
Without an objective diagnostic test, however, others remain concerned. The demand for services has led to a “perfunctory informed consent process,” wrote two clinicians and a researcher in a recent issue of the Journal of Sex and Marital Therapy, in spite of two key uncertainties: the long term impacts of treatment and whether a young person will persist in their gender identity. And the widespread impression of medical consensus doesn’t help. “Unfortunately, gender specialists are frequently unfamiliar with, or discount the significance of, the research in support of these two concepts,” they wrote. “As a result, the informed consent process rarely adequately discloses this information to patients and their families.”
For Guyatt, claims of certainty represent both the success and failure of the evidence based medicine movement. “Everybody now has to claim to be evidence based” in order to be taken seriously, he says—that’s the success. But people “don’t particularly adhere to the standard of what is evidence based medicine—that’s the failure.” When there’s been a rigorous systematic review of the evidence and the bottom line is that “we don’t know,’” he says, then “anybody who then claims they do know is not being evidence based.”
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Sidebar:
The origins of paediatric gender medicine in the United States
The World Professional Association for Transgender Health (WPATH) began as a US based advocacy group and issued the first edition of the Standards of Care in 1979, when it was serving a small population of mostly adult male-to-female transsexuals. “WPATH became the standard because there was nobody else doing it,” says Erica Anderson, a California based clinical psychologist and former WPATH board member. The professional US organisations that lined up in support “looked heavily to WPATH and the Endocrine Society for their guidance,” she told The BMJ.
The Endocrine Society’s guidance for adolescents grew out of clinicians’ research in the Netherlands in the late 1990s and early 2000s. Peggy Cohen-Kettenis, a Utrecht gender clinic psychologist, collaborated with endocrinologists in Amsterdam, one of whom had experience of prescribing gonadotrophin releasing hormone analogues, relatively new at the time. Back then, gender dysphoric teens had to wait until the age of majority for sex hormones, but the team proposed that earlier intervention could benefit carefully selected minors.
The clinic treated one natal female patient with triptorelin, published a case study and feasibility proposal, and began treating a small number of children at the turn of the millennium. The Dutch Protocol was published in 2006, referring to 54 children whose puberty was being suppressed and reporting preliminary results on the first 21. The researchers received funding from Ferring Pharmaceuticals, the manufacturer of triptorelin.
In 2007 the endocrinologist Norman Spack began using the protocol at Boston Children’s Hospital and joined Cohen-Kettenis and her Dutch colleagues in writing the Endocrine Society’s first clinical practice guideline. When that was published in 2009, puberty had been suppressed in just over 100 gender dysphoric young people.
American Academy of Pediatrics (AAP) committee members began discussing the need for a statement in 2014, four years before publication, says Jason Rafferty, assistant professor of paediatrics and psychiatry at Brown University, Rhode Island, and the statement’s lead author. “The AAP recognised that it had a responsibility to provide some clinical guidance, but more importantly to come out with a statement that said we need research, we need to integrate the principles of gender affirmative care into medical education and into child health,” he says. “What our policy statement is not meant to be is a protocol or guidelines in and of themselves.”
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Claiming it's "evidence-based" doesn't mean it's good evidence.
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Dalton Blaine Bio
We can assume that Nick knows all of this and the other Warblers know most of it. Sebastian knows more than most from the “family friendly texts.”
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Blaine was born to a blueblood, wealthy family in Westerville, OH.  His father (FC Chris Noth) is from a blueblood Ohio lineage, is a Dalton and Harvard alumni, and a CEO of a Fortune 500 company. His mother (FC Catherine Zeta Jones) came from a middle class Welsh family. She was a West End dancer when she met Mr. Anderson in London. 
Blaine’s father is traditional and distant and did not know what to do with Blaine when Blaine came out. Rowena Anderson is warm and open but she struggled when she moved to U.S. as a young bride. As a result, she threw all her energies into motherhood and her misguided, helicopter efforts resulted in their child Cooper Anderson being one of the most spoiled children Westerville has ever seen. 
With Blaine she overcorrected and left him alone too much. Plus by the time Blaine was born Rowena had become swept into an anxiety-driven Westerville high society life. Her younger “oops” child was thankfully so easy going that it was not difficult to believe he was really always as happy as he seemed. Taking the young boy’s word that he was “fine,” Rowena, in her earnestness to be a proper Anderson wife, left Blaine often with nannies and too often, and worse, with Cooper.
Cooper loves his younger Brother but was convinced that his choices for Blaine were the only ones which could be right. His treatment of Blaine was uneven. One minute he was the most fun other brother you could imagine, the next minute he could be cruel. Blaine clung to whatever time his parents and Cooper would give him and focused on excelling in school and extracurricular activities for validation from his family and those at school. 
When Cooper left home for college in California at 18 to seek fame and fortune, eight year old Blaine was left feeling abandoned and deeply lonely at home. These issues from these years would become prominent in unpacking Blaine’s anxiety and depression. 
Naturally extroverted and eager to please, Blaine had made friends easily in school and in sports, but his immigrant mother didn’t think to arrange playdates so when he wasn’t invited to them he mostly spent any spare time finding solace and companionship in music. He read voraciously as well. It was reading online about Broadway performers’ lives that helped him come to to the realization that he was gay at around age 13.  
He enthusiastically came out to Cooper when he was home for Christmas first, then to his mother. Both of these Andersons had been around gay actors and were very supportive, but all three approached Mr. Anderson with trepidation, knowing he had grown up in a traditional right wing family.  Mr. Anderson had clearly been prepped by his wife to deliver an accepting speech to Blaine, so Blaine was stung by what appeared to be a lack of genuine support.
After a traumatizing bullying assault hospitalized him in January of his freshman year, Blaine was sent to Dalton Academy, the boarding school his father had attended. It was indeed a safer environment, with a zero tolerance policy on bullying, but Blaine couldn’t help but wonder if his father was secretly glad to be rid of him around the house. 
Nevertheless Dalton turned out to be a critical step in recovering from the trauma of the  assault. Blaine thrived in the show choir, on the polo team, fencing team and in other clubs. A sweet boy came to campus during his sophomore year. Kurt fell in love with Blaine instantly. Blaine thought of him as a friend for a long time before Kurt sang a song that showed so much soul that Blaine could see the extent of his beauty. He told Kurt how he felt and they were in love in the romance Blaine had always wanted. When Kurt’s family moved him back to public school at McKinley HS, Blaine followed. 
Their relationship became the center of Blaine’s identity, which was okay while Kurt was around and they could focus on his senior year activities and college admissions process. It wasn’t a perfect relationship - looking back, Blaine could see how he was too anxious about doing everything perfectly and Kurt was insecure and envious of Blaine’s “alpha-gay” qualities. 
Blaine’s anxiety was treated with bandaid solutions - spa treatments, movie marathon snuggle fests, sweet sex. Kurt’s issues were harder to address - he was jealous of Blaine when he was cast as Tony in the school’s WSS musical, and of many other similar situations.
An even bigger issue was Sebastian Smythe. Devastatingly handsome, witty and roguishly charming, he seemed to swoop into Blaine’s life out of nowhere. Kurt tried not to show he was threatened but he obviously was. Blaine thought he was harmless, and low-key sunned himself with the attention Sebastian gave him. He also felt Sebastian deserved some support, being one of a still relatively small group of out gays at Dalton. 
They became friends mostly over text even though Kurt didn’t like it. Then, inexplicably, Sebastian went too far in his attempts to one-up Kurt. He planned a prank to ruin Kurt’s clothes that ended in Blaine being hospitalized again. Then he tried to blackmail the glee club - Blaine was so mad at him. His bad behavior finally came to an end when a gay boy in their circles attempted suicide. Sebastian felt he’d played a part and felt badly about it. Blaine was finally able to forgive him and they continued their friendship.
When Kurt went to New York for college, Blaine felt bereft. Later, with a therapist, they would discuss Kurt leaving felt like abandonment. The depression that sank in triggered feelings from his childhood when Cooper left. Then and as Kurt grew increasingly distant as he was swept up into a new life, Blaine was crying himself to sleep. He tried hard to create a happy life after feeling left behind, finding a way to feel closer to the glee club and even winning the class presidency. But nothing had a lasting effect. In a lapse of despair, he ended up cheating on Kurt - a one night stand, something completely unlike him. 
He confessed his terrible mistake to Kurt, apologizing profusely and hoping for forgiveness. Kurt broke up with him. Blaine struggled to move on, trying out for only a small role in the school musical.  It was as if he’d forgotten about Dalton in his cloud of depression. Or maybe it just seemed hopeless to reach out to anyone there after he’d left them for Kurt. Then, they rose from his memories to be remind him they were very real - though only by disappointing him again by stealing McKinley’s the Nationals Trophy. They were up to pranks again and Blaine was tired of it. He was tired of everything. He headed to Dalton with frustration to get the trophy back.
When Blaine arrived to Dalton he felt he was in a dream-state, all the memories of his days there, of freshman and sophomore years, of “Uptown Girl�� and Sebastian taunting him with “I Want You Back.” But then, with a strange miracle of music and performance, they managed to make him smile again, for the first time since his break-up with Kurt. Singing “My Dark Side,” singing lead for the Warblers, seemed to awaken a small light in him that hadn’t been there even when he sang “Beauty School Drop Out.”
All the same, Hunter Clarington frankly scared him. Even the once friendly Sebastian suddenly felt like a bit of an unknown quantity, he was a little too smooth and it made Blaine nervous. Though to be fair, everything made Blaine a little nervous these days. He didn’t trust much in life, especially himself.
Like a child, he turned to Cooper. He called him, hoping he might be able to help. His brother was trying to be better about their relationship, after his visits to McKinley in the spring. Thankfully, this time he was a good listener and Blaine felt better than he had in awhile after their call. 
Cooper actually advised him to go back to Dalton, which had been a safe haven after Blaine’s hospitalization his freshman year. Blaine said he would think about it. It was hard to imagine leaving McKinley after being elected president, leaving glee club when they had momentum and great new voices to win nationals again.  Then suddenly, his decision was made for him. Cooper had mentioned the Dalton visit to their mother on the phone, who then mentioned it to Mr. Anderson that night. His parents appeared in the doorway to his bedroom and told him that they felt a transfer back to Dalton was the best thing. They had (well his mother had, Blaine guessed) been worrying about Blaine since the school year began, and his father felt strongly that there had never been a good reason to transfer to McKinley in the first place. He pointed out that graduating from Dalton would look best to colleges in the admissions process and made it clear that they were not asking, but telling Blaine about the decision.  
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Business Name: Keys to Tranquility
Street Address 1: 400 Ramona Ave
Street Address 2: Suite 207
City: Corona
State: California (CA)
Zip Code: 92879
Country: USA
Business Phone Number: 888-883-7639
Business Email Address: [email protected]
Website: https://keystotranquilityca.com/
Description: Keys To Tranquility, a Corona-based accredited substance abuse treatment center, is available for your recovery. We offer dual-diagnosis treatment with a primary focus in substance abuse. We provide individualized, long-term treatment.
Google My Business CID URL: https://www.google.com/maps?cid=12907882450784244796
Business Hours: Sunday 24/7 Monday 24/7 Tuesday 24/7 Wednesday 24/7 Thursday 24/7 Friday 24/7 Saturday 24/7
Services: Substance Abuse Treatment,Cocaine Addiction Treatment,Opioid Addiction Treatment,Prescription Drug Abuse Treatment,Alcoholism Treatment,Mental Health Services,Depression Treatment,Dual Diagnosis,Personality Disorder Treatment,PTSD Treatment,Sex and Gambling Addiction Treatment,Trauma Treatment,Anxiety Treatment
Keywords: Outpatient Addiction Treatment, Mental Health Treatment, Substance Abuse Treatment, IOP Treatment, Outpatient Treatment
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lavalleyrecovery · 2 years
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Rehabilitation Center Los Angeles
Why a nursing and rehabilitation center?
If you have a senior member of your family or a senior loved one who is struggling with a substance abuse disorder, a nursing and rehabilitation center would be the ideal facility to enroll him or her for their addiction recovery.
According to Sherman Oaks Rehabilitation Center, a nursing and rehabilitation facility is the best option for seniors dealing with substance abuse disorders since, in addition to their addiction issues, they also have challenges related to their elderly age.
Factors to consider when choosing a nursing and rehabilitation center
According to reports from the Rehabilitation Center Los Angeles, dealing with alcohol and drug abuse often carries a lot of stigma, particularly if it concerns senior individuals.
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That could be reason why some Los Angeles rehabilitation centers tend to be cautious about admitting senor people to help them achieve sobriety. A few rehab centers in Los Angeles, California have, however, made the difficult choice to assist senior citizens in achieving sobriety as well as living out their golden years as independently as possible.
Here are some helpful advices to consider while choosing the right nursing and rehabilitation facility for you or your senior loved one:
Accreditation, licensing and certification
The finest help you can give a senior loved one, according to Alcohol Rehab Los Angeles, is to have them treated at a respected rehab facility that also takes care of their nursing requirements.
That is difficult to prove, which is why the rehab suggests speaking with organizations that accredit, license, and certify the rehab centers to make sure the one you choose provides the services you need and has the credentials to prove it.
Accredited and adequately licensed clinical staff
Seniors' bodies are naturally fragile. Addiction to alcohol and drugs makes this worse. Because of this, older addicts and addicts of younger age groups are rarely mixed in rehab centers in Los Angeles, California
Staff at rehab facilities that specialize in assisting elderly patients recover from addiction are typically able to address both the patients' addiction problems and their aging-related concerns.
To be sure, verify the credentials and licensing of the clinical staff members employed by the nursing and rehabilitation facility you select to place your elderly loved one in. If they lack the education and expertise necessary to deliver the highest-quality care as expected, they are not licensed or qualified.
Multidisciplinary treatment and care team
As previously mentioned, the ideal nursing and rehabilitation center will make an effort to offer a recovering addict holistic assistance and care.
To be certain that the treatments offered will address all parts of care your patient needs to successfully recover from their drug and alcohol addiction while having the comfort that they demand based on their age, choose a facility with a multidisciplinary care team.
Evidence-based practice
Choose a nursing and rehabilitation facility with the best available treatment options. This implies that it should rely on procedures supported by scientifically and validated by evidence.
Availability of mental health services
The right nursing and rehabilitation centers should have mental health services. This is so because a lot of people who battle drug and alcohol addiction also deal with co-occurring mental health issues like despair or anxiety. Dual diagnosis is therefore necessary for the proper treatment to be provided.
Treatment outcomes
Choose nursing and rehabilitation facilities that have a track record of treating addiction issues successfully. When comparing the facilities' success statistics, be extremely skeptical of those who make claims of 100% success. Verify all claims about success rates using data gathered through research-based methods or information found in peer-reviewed journals.
Approach to family support
Addiction is generally viewed as a family disease because it affects the entire family. That is why when choosing a nursing and rehabilitation center, you should be cognizant of the fact that besides the addicted individual, the affected family needs to heal and recover too. Choose rehab centers that consider this fact.
Need help with choosing the right nursing and rehabilitation center?
You can be helped to choose the right nursing and rehabilitation center for you or your loved one. All you need to do is to make your inquiry by calling 844-777-5287.
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90363462 · 1 year
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Karen Bass Defeats Rick Caruso, Becomes First Woman Elected as Los Angeles Mayor
Denver Sean
Los Angeles has officially elected a new mayor.
Karen Bass has defeated billionaire Rick Caruso, becoming the first woman to be elected as Mayor of Los Angeles.
The race was called by The Associated Press.
via NYT:
Ms. Bass survived a bruising race against Rick Caruso, a billionaire real estate developer, that had remained too close to call for more than a week after the election. Mr. Caruso had pumped roughly $100 million into his campaign as a law-and-order candidate, hoping to appeal to a frustrated electorate.
Ms. Bass’s election comes at a tumultuous moment in Los Angeles, a city of 4 million people that emerged from the pandemic to a landscape of tent camps, debris, economic anxiety and spiking violence. Although matters have gradually begun to improve and crime rates remain far below the city’s peaks of the 1990s, Los Angeles residents have expressed fury and exhaustion, particularly at the city’s epidemic of homelessness, according to surveys, focus groups and pre-election interviews.
In an interview last year at her hillside home — a ranch house in the Baldwin Vista neighborhood that was burglarized in September by thieves who stole two handguns — Ms. Bass, 69, said that the main reason she ran for mayor was the familiarity of the current civic unease. She said the city’s mood reminded her of the fear-stoked distrust and divisiveness that preceded the 1992 riots.
“That’s what is frightening to me now — the anger,” she said. “And my concern is the direction the anger can move the city in.”
Ms. Bass has said that as mayor she will declare a state of emergency on homelessness and find housing for 17,000 homeless people in her first year. She also has promised to put more police officers on the street, in part by freeing up sworn members to patrol the city rather than handle administrative tasks.
She will bring to the job a long history of coalition-building, dating to the 1980s, when as a physician assistant and emergency room worker she applied for a federal grant to launch a nonprofit to address the crack epidemic that was ravaging the city. The Community Coalition for Substance Abuse Prevention and Treatment — now known simply as the Community Coalition, or CoCo — has since become one of the city’s largest and most influential advocacy groups, working across the city’s vast array of ethnicities.
Ms. Bass said on election night that her very family is a kind of coalition. Married for six years in the 1980s, Ms. Bass and her ex-husband, a Latino, went on after their divorce to jointly raise their daughter with his four children. Ms. Bass’s stepchildren spoke lovingly of her at her campaign kickoff rally.
Her biological daughter and son-in-law died in 2006 in an automobile accident, two years after Ms. Bass first was elected to public office. The tragedy, she has said, made her part of “club that you didn’t ask to be a part of,” and left her with “a choice as to whether to go back to work or hide.”
In a Democratic stronghold so liberal that Senator Bernie Sanders of Vermont received the most Los Angeles votes in the 2020 presidential primary, Ms. Bass will bring a liberal perspective to the nonpartisan office.
As a child during the civil rights movement of the 1960s, she said, she grew up watching demonstrations on the news with her father, a mail carrier, and volunteered to walk precincts for Robert F. Kennedy, who was assassinated not far from where she grew up. In the 1970s, she joined a group of young leftists working on construction projects in Fidel Castro’s Cuba, the Venceremos Brigade.
By California standards, however, she is viewed as more center-left than progressive. As assembly speaker during the 2008 financial crisis, she worked with the governor at the time, Arnold Schwarzenegger, to negotiate billions of dollars in deep cuts to balance the state budget. In Congress, where she has served since 2011 and was chairwoman of the Congressional Black Caucus, she has represented a district that spans affluent West Los Angeles and some of the city’s poorest quarters. She was shortlisted as a running mate by Joseph R. Biden Jr. during his presidential campaign.
She will be the city’s second Black mayor, taking office nearly three decades after Tom Bradley retired as the longest-tenured executive in Los Angeles history. And, as the first woman to be elected to the post, she will join an increasingly female pantheon of local leaders, including the city’s first female city attorney and the county’s powerful, five-member Board of Supervisors, which is dominated by women.
Ms. Bass said in the interview last year that she welcomed the opportunity to work with so many women in powerful positions.
“These are general statements, OK? But women are more collaborative. Women are not as transactional. And I think women focus on different issues,” she said. “I think women tend to lead differently.”
For much of the mayoral campaign, Ms. Bass was the front-runner, with polls showing her to be the best known candidate by far in a crowded primary field. But that changed with the late entrance of Mr. Caruso, a deep-pocketed Brentwood businessman who had developed some of Southern California’s best-known shopping destinations and served on powerful boards overseeing the Los Angeles Police Department and the University of Southern California.
The race was the first mayoral contest since the city’s decision to hold local elections at the same time as the statewide general election, and the first to follow a state law that provides every registered active voter with a mail-in ballot. The two changes dramatically broadened interest in the municipal election, and Mr. Caruso’s spending set records in the city, not only for campaign ads but also for phone banks, precinct walkers and other voter-turnout efforts.
In the final weeks, polls showed the officially nonpartisan race narrowing substantially. Ms. Bass, however, garnered numerous high-profile Democratic political endorsements, including one from former President Barack Obama. She also criticized Mr. Caruso for stances that he argued were only tangentially related to the limited powers of a mayor in the city — his belated switch to the Democratic Party, for instance, and his past contributions to conservative candidates who opposed abortion.
Ms. Bass has said she will look to mend relationships when she enters office in December. The City Council is reeling from a series of scandals, including the leak of an audio recording in which a group of Latino members were caught making disparaging and racist remarks, several of which were directed at African Americans.
Congrats to Karen!
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iccaglobal · 4 days
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Healing Safely: Exploring Nontoxic Cancer Treatment Centers in the US
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The Rise of Nontoxic Cancer Treatment Centers
Nontoxic cancer treatment centers prioritize therapies and interventions that support the body's natural healing mechanisms while minimizing harm to healthy tissues. These centers recognize that cancer is a complex disease influenced by various factors, including genetics, environment, and lifestyle, Nontoxic Cancer Treatment Center In Us and they employ a multidisciplinary approach to address the root causes of cancer and promote overall wellness.
Integrative Oncology: Nontoxic cancer treatment centers often integrate conventional medical therapies with complementary and alternative approaches, such as acupuncture, nutritional therapy, mind-body medicine, and herbal medicine. By combining the best of both conventional and holistic medicine, these centers aim to optimize treatment outcomes and improve quality of life for cancer patients.
Targeted Therapies: Targeted therapies are a key component of nontoxic cancer treatment plans. Unlike traditional chemotherapy, which indiscriminately targets rapidly dividing cells, targeted therapies are designed to specifically target cancer cells while sparing healthy tissues. These therapies may include molecularly targeted drugs, immunotherapy, and hormone therapies, among others.
Nutritional Support: Proper nutrition plays a crucial role in supporting the body's immune system and overall health, especially during cancer treatment. Nontoxic cancer treatment centers often provide personalized nutritional counseling and support services to help patients maintain optimal nutrition throughout their treatment journey. This may include dietary modifications, supplementation, and supportive therapies to address specific nutritional needs and minimize treatment-related side effects.
Detoxification Therapies: Detoxification therapies aim to support the body's natural detoxification pathways and eliminate harmful toxins that may contribute to cancer development and progression. These therapies may include intravenous (IV) vitamin and mineral infusions, Non-Small Cell Lung Cancer Treatment Baja California lymphatic drainage massage, infrared sauna therapy, and colon hydrotherapy, among others. By reducing toxic burden and promoting detoxification, these therapies can support overall health and enhance the body's ability to fight cancer.
Mind-Body Medicine: The mind-body connection plays a significant role in overall health and healing, particularly in the context of cancer. Nontoxic cancer treatment centers often offer mind-body medicine modalities such as meditation, yoga, art therapy, and stress reduction techniques to help patients manage anxiety, depression, and emotional distress associated with cancer diagnosis and treatment. These therapies promote relaxation, resilience, and emotional well-being, empowering patients to actively participate in their healing process.
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treatmentangel · 29 days
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Navigating Rehabilitation A Comprehensive Guide to Rehabs in Sacramento
Rehabilitation centers play a vital role in providing support and treatment for individuals grappling with substance abuse and addiction. In Sacramento, California, a variety of rehab facilities offer diverse programs tailored to meet the unique needs of each individual seeking recovery. From outpatient services to residential programs, the options are abundant, providing hope and healing for those in search of a path to sobriety.
Understanding the Types of Rehabilitation Programs: Rehabilitation programs in Sacramento encompass a range of services designed to address different levels of addiction and individual needs. Outpatient programs offer flexibility, allowing individuals to attend therapy sessions and receive support while maintaining their daily routines. These programs are ideal for those with mild to moderate addiction or those transitioning from residential treatment.
On the other hand, residential or inpatient rehabilitation programs provide a more intensive level of care, offering 24/7 supervision and support in a structured environment. These programs are suitable for individuals with severe addiction or those who require a higher level of medical and psychological intervention.
Tailored Treatment Approaches:
Rehabilitation centers in Sacramento employ various treatment approaches to address the complex nature of addiction. Evidence-based therapies such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing are commonly utilized to help individuals identify triggers, develop coping skills, and modify unhealthy behaviors.
Additionally, holistic approaches including yoga, meditation, art therapy, and equine therapy are incorporated to promote overall well-being and address the underlying issues contributing to addiction. By addressing the physical, emotional, and spiritual aspects of recovery, these holistic approaches enhance the effectiveness of treatment and support long-term sobriety.
Dual Diagnosis Treatment:
Many individuals struggling with addiction also experience co-occurring mental health disorders such as depression, anxiety, or trauma. Dual diagnosis treatment programs in Sacramento are specially designed to address both substance abuse and mental health issues concurrently. By integrating psychiatric care with substance abuse treatment, these programs provide comprehensive support to address the complex needs of individuals with dual diagnoses.
Aftercare and Relapse Prevention:
Recovery from addiction is an ongoing process that extends beyond the duration of formal treatment. Rehabs in Sacramento prioritize aftercare planning to support individuals as they transition back to their communities. This may include continued therapy, support group participation, sober living arrangements, vocational training, and assistance with developing healthy routines and coping strategies.
Furthermore, relapse prevention strategies are emphasized to help individuals recognize triggers, manage cravings, and navigate challenges without returning to substance use. By empowering individuals with the skills and resources necessary to maintain sobriety, rehab programs in Sacramento promote long-lasting recovery.
Finding the Right Rehab:
Choosing the right rehab facility is a crucial step on the journey to recovery. When selecting a rehab in Sacramento, it's essential to consider factors such as the facility's accreditation, treatment approaches, staff credentials, amenities, and aftercare services. Additionally, individuals should assess their own needs and preferences to ensure a good fit with the program's offerings and philosophy.
Rehabilitation centers in Sacramento play a pivotal role in helping individuals overcome addiction and reclaim their lives. With a variety of treatment programs, evidence-based therapies, holistic approaches, and aftercare services, these facilities provide comprehensive support tailored to meet the diverse needs of each individual seeking recovery. By addressing the physical, emotional, and psychological aspects of addiction, rehabs in Sacramento offer hope, healing, and the opportunity for a brighter future.
For more info:-
rehabs in sacramento
San Antonio cocaine addiction rehab centers
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Rejuvenate Your Senses: Aromatherapy Services in California USA
In the bustling state of California, amidst the palm-lined streets and sun-kissed beaches, lies a haven for those seeking relaxation and rejuvenation. Aromatherapy services in California USA offer a holistic approach to well-being, harnessing the power of essential oils to promote physical, mental, and emotional balance. From the vibrant city of Los Angeles to the serene coastal towns, individuals can indulge in a range of aromatherapy services tailored to their needs.
California's diverse landscape provides the perfect backdrop for aromatherapy services, whether one seeks solace in the mountains or tranquility by the ocean. In cities like Los Angeles, where life moves at a fast pace, the demand for holistic therapies such as therapeutic massages is ever-present. Many spas and wellness centers across Los Angeles offer specialized treatments that combine the benefits of aromatherapy with skilled massage techniques to alleviate stress, reduce muscle tension, and promote overall relaxation.
Beyond the urban sprawl, California's wine country and coastal retreats beckon visitors to unwind in luxurious spas nestled amidst vineyards or overlooking the Pacific Ocean. Here, the scent of lavender fields mingles with the salty sea breeze, creating an idyllic setting for aromatherapy sessions aimed at soothing both body and mind. Whether it's a lavender-infused massage or a eucalyptus steam bath, these aromatherapy services transport individuals to a state of blissful relaxation.
Moreover, therapeutic massages in Los Angeles in California USA extend beyond traditional spa settings, with wellness practitioners offering personalized consultations and bespoke blends for at-home use. These experts guide clients in selecting the most suitable essential oils to address specific concerns, whether it's insomnia, anxiety, or fatigue. With a plethora of botanical extracts at their disposal, from calming chamomile to invigorating citrus, individuals can harness the therapeutic benefits of aromatherapy in the comfort of their own homes.
Furthermore, the popularity of aromatherapy services in California USA has spurred the emergence of specialized training programs and certification courses for aspiring practitioners. Whether it's mastering the art of blending essential oils or incorporating aromatherapy into massage therapy practices, professionals have access to comprehensive education and resources to enhance their skills and offer unparalleled experiences to their clients.
In conclusion, aromatherapy services in California USA epitomize the state's commitment to holistic well-being, offering a sanctuary for those seeking to escape the stresses of modern life. Whether in bustling metropolises like Los Angeles or tranquil coastal towns, individuals can immerse themselves in a world of sensory delight, where the therapeutic benefits of essential oils harmonize with expert touch to promote healing and rejuvenation.
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ayutherapy · 1 year
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Natural Solutions for Stress Relief in California.
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Find peaceful, natural stress relief, healthier ways to relax, and an anxiety relief center in California. Ayurveda wellness center can help you restore calm and promote good health. Our products are safe, effective, and free of harmful chemicals. Call us: +1 925-575-8700 For more details: https://ayutherapy.com/contact-ayutherapy-ayurveda-wellness-center/
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Transform Your Life with Comprehensive Luxury Addiction Treatment
Welcome to Leona Valley Recovery Center, a soothing and transformational center specializing in luxury residential addiction treatment. Our center stands among the best residential facilities in California and is well-known for delivering exceptional treatment and assistance to people struggling with addiction and co-occurring mental health conditions.
In this detailed guide, we’ll dig into our unique approach to dual diagnosis therapy, providing light on how we bridge the gap between mental health and addiction recovery. We’ll provide some insight into how our dedication to your well-being is unshakeable, and our luxurious facilities provide a comfortable and tranquil atmosphere during your rehabilitation journey.
Understanding Dual Diagnosis Although unknown for many, dual diagnosis is crucial in addressing both mental health problems and addiction at the same time. Dual diagnosis basically refers to people who are dealing with drug abuse as well as mental health disorders such as depression, anxiety, or bipolar disorder. Sounds complicated right? Because of the complicated interplay between these two disorders, therapy must be thorough and integrative.
We realize the significance of addressing both the addiction and the underlying mental health disorders at Leona Valley Recovery Center to guarantee a comprehensive and long-term recovery. Our skilled staff understands the intricacies of dual diagnosis and is committed to providing individualized treatment suited to each individual’s requirements.   
Luxury Amenities and Holistic Care Everything in our luxurious residential addiction treatment center has been thoughtfully constructed with your comfort and well-being in mind. From the moment you step inside our doors, you’ll be surrounded by a quiet and comfortable environment which plays a favorable role to healing and self-discovery. We have the whole package, starting with spacious and welcoming accommodations, all the way to gourmet meals, and recreational facilities.
However, we believe that true luxury goes beyond physical and luxurious  amenities; we believe the key lies in providing a holistic approach that nurtures body, mind, and spirit. In order to provide the most effective approach our comprehensive treatment programs combine evidence-based therapies with holistic treatments to address all aspects of your being. At  Leona Valley Recovery Center we are dedicated to creating a therapeutic atmosphere that has a meaningful impact in your rehabilitation and allows you to find and develop your inner strength and resilience.
Comprehensive Rehabilitation Programs Our treatment programs at Leona Valley Recovery Center are precisely designed to provide comprehensive and effective care for persons with dual diagnoses. Our interdisciplinary expert team works closely together to build tailored treatment strategies that address both addiction and mental health concerns. So with that in mind, we provide a wide range of evidence-based therapies, such as cognitive-behavioral therapy, dialectical behavior therapy, and motivational interviewing, as well as holistic treatments like yoga, meditation, and art therapy. Our approach is based on the most recent scientific research and best practices in addiction treatment, ensuring you receive the finest possible care.
In addition, we teach coping methods and life skills that are essential for overcoming life’s problems after therapy. As a premier luxury residential addiction treatment facility, we are committed to your long-term success, and as such, we are here to help you every step of the way as you start on this new chapter of your life.
The Support and Community Role The emphasis on developing a supportive community is one of the pillars of our therapeutic philosophy at Leona Valley Recovery Center. Recovery is a difficult path, and fortunately, there is strong evidence that community and group support play a pivotal role. Our sympathetic staff and other peers provide a vital network of support during this transforming journey. Everyone at our team is dedicated to establishing a welcoming and inclusive environment that fosters a sense of safety and trust. We truly recognize the courage required to seek treatment, and we are here to help you every step of the way, ensuring that your road to recovery is as easy and positive as possible.
In this same context, we recognize that each person’s road to recovery is unique, and we value the variety of experiences and stories that our clients bring to our center.  Our group therapy sessions and community activities build a sense of belonging and connection, allowing you to share your experiences and learn from others on the same journey. Our luxurious facilities provide a one-of-a-kind setting conducive to long-term connections and the formation of a supportive network that goes beyond your time in treatment.
Begin Your Healing Process Choosing a luxury residential addiction treatment center, such as Leona Valley Recovery Center, is an important step toward full healing and recovery. Our skilled team, amazing amenities, and holistic approach to care guarantee that you get the support and therapy you need to overcome both mental health and addiction problems, allowing you to develop a strong foundation for the future.
If you or a loved one is dealing with addiction, a mental health issue or would like help to find a starter diagnosis, please contact Leona Valley Recovery Center. We are here to help you every step of the way, starting with offering a safe and supportive atmosphere in which to heal and develop. Today, take the first step toward a happier and healthier tomorrow.
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ayurintegrative · 1 month
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The Benefits of Integrative Medicine: Enhancing Wellness and Preventative Care
In a world where health and well-being are paramount, the landscape of medical care is constantly evolving. Integrative medicine stands at the forefront of this evolution, offering a comprehensive approach that merges conventional and alternative therapies. At its core are integrative doctors who blend traditional medical practices with holistic methods to address the root causes of illness and promote overall wellness.
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Integrative medicine doctor emphasizes a patient-centered approach, recognizing that each individual is unique and requires personalized care. Rather than simply treating symptoms, integrative doctors strive to understand the underlying factors contributing to a patient's health concerns, considering physical, emotional, social, and environmental influences. Integrative doctors take the time to understand each patient's unique needs and tailor treatment plans accordingly. By considering not only physical symptoms but also mental, emotional, spiritual, social and environmental factors, integrative medicine offers a comprehensive approach to healing.
This article explores the invaluable benefits of integrative medicine, shedding light on how it enhances wellness and preventative care. Whether you're seeking an integrative doctor nearby, curious about the principles of integrative medicine in California, or interested in the holistic approach of a medical doctor, this guide will provide valuable insights into this transformative healthcare paradigm.
Integrative medicine, a holistic approach to healthcare, blends conventional and alternative therapies to address the root causes of illness and promote overall well-being. Here are the key benefits of integrative medicine:
Patient-Centered Care: Holistic medical doctors take a personalized approach, considering not just physical symptoms but also emotional, mental, spiritual, social, and environmental factors.
Comprehensive Services: Integrative medicine clinics offer various services, including acupuncture, massage, yoga , herbal medications and supplements, , nutritional and lifestyle counseling, and mind-body treatments .
Preventative Focus: Integrative medicine emphasizes proactive measures to prevent disease and optimize health through healthy lifestyle habits and stress management techniques.
Effective Treatment: Research supports the effectiveness of integrative medicine in managing various health conditions, including chronic pain, autoimmune disorders, anxiety, and depression.
Empowerment: Integrative doctors empower patients to take control of their health by providing personalized wellness plans and tools for self-care.
For those seeking integrative medicine near them, California is home to a thriving community of practitioners. Integrative medicine clinics across the state offer various services, from acupuncture and herbal medicine to nutritional counseling and mind-body therapies.
The holistic approach of integrative medicine extends beyond just treating illness; it emphasizes proactive measures to prevent disease and optimize health. By promoting healthy lifestyle habits, stress management techniques, and personalized wellness plans, integrative doctors empower patients to take control of their health and well-being.
Research has shown that integrative medicine can effectively manage a wide range of health conditions, including  chronic pain, autoimmune disorders,  cancer, metabolic and heart health as well as anxiety and depression. When searching for integrative medicine near you, consider exploring local clinics, hospitals, or wellness centers that offer integrative healthcare services. You can also use online directories or search engines with keywords such as "integrative medicine near me" or "holistic medicine clinics nearby" to find practitioners in your area. Always research the credentials and expertise of any practitioner you consider visiting to ensure they align with your healthcare needs and preferences.
In a Nutshell
Integrative medicine, a holistic approach to healthcare, is gaining recognition for its ability to enhance wellness and provide preventative care. Integrative medicine offers numerous benefits for enhancing wellness and preventative care. Whether seeking relief from a specific health issue or simply looking to optimize your overall well-being, integrative medicine doctors can provide personalized care to help you achieve your health goals. Consider exploring integrative medicine options near you to experience the transformative power of this holistic approach to healthcare.
Let's connectand address your health concerns together. Schedule your complimentary 15-minute phone call with me now to discover how we can enhance your well-being. Click here to book https://bitly.ws/3fS2b.
About The Author: Dr. Malathi is the founder of Ayur Integrative Medicine.  Ayur offers holistic medical services, which are your partner in holistic health, specifically for those diagnosed with cancer and their family members. Supporting your journey through Integrative Oncology and Person-Centered Care, we combine treatments from the Allopathic system along with research-informed treatments from alternate systems like Ayurveda, TCM (traditional Chinese medicine), Naturopathy, Homeopathy etc., as well as treatments from complementary systems of medicine (Clinical Hypnosis, Acupuncture). At Ayur, we understand Western, Eastern and Spiritual medicine.
Stay tuned for more informative articles on integrative medicine, where we delve deeper into the principles, practices, and benefits of this holistic approach to healthcare. Our upcoming articles will provide valuable insights to empower you on your journey to better health.
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Notting Hill AU
"’For June, who loved this garden, from Joseph, who always sat beside her.' …Some people do spend their whole lives together.”
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Blaine’s Bio and Seblaine’s past
Blaine was born to a blueblood, wealthy family in Westerville, OH.  His father (FC Chris Noth) is from a blueblood Ohio lineage, is a Dalton and Harvard alumni, and a CEO of a Fortune 500 company. His mother (FC Catherine Zeta Jones) came from a middle class Welsh family. She was a West End dancer when she met Mr. Anderson in London. Blaine’s father is traditional and distant and did not know what to do with Blaine when Blaine came out. Rowena Anderson is warm and open but she struggled when she moved to U.S. as a young bride. As a result, she threw all her energies into motherhood and her misguided, helicopter efforts resulted in their child Cooper Anderson being one of the most spoiled children Westerville has ever seen. With Blaine she overcorrected and left him alone too much. Plus by the time Blaine was born Rowena had become swept into an anxiety-driven Westerville high society life. Her younger “oops” child was thankfully so easy going that it was not difficult to believe he was really always as happy as he seemed. Taking the young boy’s word that he was “fine,” Rowena, in her earnestness to be a proper Anderson wife, left Blaine often with nannies and too often, and worse, with Cooper.
Cooper loves his younger Brother but was convinced that his choices for Blaine were the only ones which could be right. His treatment of Blaine was uneven. One minute he was the most fun other brother you could imagine, the next minute he could be cruel. Blaine clung to whatever time his parents and Cooper would give him and focused on excelling in school and extracurricular activities for validation from his family and those at school. When Cooper left home for college in California at 18 to seek fame and fortune, eight year old Blaine was left feeling abandoned and deeply lonely at home. These issues from these years would become prominent in unpacking Blaine’s anxiety and depression triggers. Naturally extroverted and eager to please, Blaine had made friends easily in school and in sports, but his immigrant mother didn’t think to arrange playdates so when he wasn’t invited to them he mostly spent any spare time finding solace and companionship in music. He read voraciously as well. It was reading online about Broadway performers’ lives that helped him come to to the realization that he was gay at around age 13.  He enthusiastically came out to Cooper when he was home for Christmas first, then to his mother. Both of these Andersons had been around gay actors and were very supportive, but all three approached Mr. Anderson with trepidation, knowing he had grown up in a traditional right wing family.  Mr. Anderson had clearly been prepped by his wife to deliver an accepting speech to Blaine, so Blaine was stung by what appeared to be a lack of genuine support.
After a traumatizing bullying assault hospitalized him in January of his freshman year, Blaine was sent to Dalton Academy, the boarding school his father had attended. It was indeed a safer environment, with a zero tolerance policy on bullying, but Blaine couldn’t help but wonder if his father was secretly glad to be rid of him around the house. All the same, Dalton turned out to be a critical step in recovering from the trauma of the assault. Blaine thrived in the show choir, on the polo team, fencing team and in other clubs. A sweet boy came to campus during his sophomore year. Kurt fell in love with Blaine instantly. Blaine thought of him as a friend for a long time before Kurt sang a song that showed so much soul that Blaine could see the extent of his beauty. He told Kurt how he felt and they were in love in the romance Blaine had always wanted. When Kurt’s family moved him back to public school at McKinley HS, Blaine followed. Their relationship became the center of Blaine’s identity, which was okay while Kurt was around and they could focus on his senior year activities and college admissions process.
It wasn’t a perfect relationship - looking back, Blaine could see how he was too anxious about doing everything perfectly and Kurt was insecure and envious of Blaine’s “alpha-gay” qualities. Blaine’s anxiety was treated with bandaid solutions - spa treatments, movie marathon snuggle fests, sweet sex. 
Kurt’s issues were harder to address - he was jealous of Blaine when he was cast as Tony in the school’s WSS musical, and of many other similar situations.
An even bigger issue was Sebastian Smythe. Devastatingly handsome, witty and roguishly charming, he seemed to swoop into Blaine’s life out of nowhere. Kurt tried not to show he was threatened but he obviously was. Blaine thought he was harmless, and low-key sunned himself with the attention Sebastian gave him. He also felt Sebastian deserved some support, being one of a still relatively small group of out gays at Dalton. They became friends mostly over text even though Kurt didn’t like it. 
Then, inexplicably, Sebastian went too far in his attempts to one-up Kurt. He planned a prank to ruin Kurt’s clothes that ended in Blaine being hospitalized again. Then he tried to blackmail the glee club - Blaine was so mad at him. His bad behavior finally came to an end when a gay boy in their circles attempted suicide. Sebastian felt he’d played a part and felt badly about it. Blaine was finally able to forgive him and they continued their friendship.
When Kurt went to New York for college, Blaine felt bereft. Later, with a therapist, they would discuss Kurt leaving felt like abandonment. The depression that sank in triggered feelings from his childhood when Cooper left. Then and as Kurt grew increasingly distant as he was swept up into a new life, Blaine was crying himself to sleep.
In a lapse of despair, he ended up cheating on Kurt - a one night stand, something completely unlike him. He confessed this to Kurt, hoping for forgiveness. Kurt broke up with him, but after a year of Kurt’s reticence, they finally reunited. Blaine, who had been nervously hopeful all year, finally had his wishes come true - he had Kurt again and Blaine got into Kurt’s school, NYADA. The fulfillment of those wishes spun Blaine into a frenzy of anxiety. He had to get Kurt to commit to forever. He had to make a grand gesture to lock down their relationship. So Blaine planned an extravagant marriage proposal.
Sebastian and his show choir helped with this, but afterwards Sebastian roared that the engagement was ludicrous at their age. Blaine was shocked and defensive. It was the biggest fight Blaine had ever had in his life - worse than anything with Cooper, Kurt, or anyone else. They ended up blocking each other and never speaking again. It wore on Blaine heavily for months. He missed their old friendship. He was frankly brokenhearted, but too stubborn to make up.
Even with an engagement that was supposed to hold them together, the changes and growth for both Blaine and Kurt sent them in different directions in college, and after graduation they parted ways - for good this time. Brokenhearted yet again, Blaine fled to LA and got an agent through NYADA’s alumni career office. It wasn’t long before he was booking work, a Disney show where he sang every week on camera, guest star roles on procedurals, Netflix teen movies. 
Then the call came. An audition for a DC Comics movie - The Batman reboot movie that was finally going to make room for Dark Wing/Dick Grayson/Robin. Blaine went in, excited and feeling he had nothing to lose. And then, like a dream, he got it, they made the movie and it was a super massive hit that would relaunch the DC film franchise. Blaine suddenly couldn’t go anywhere without wearing a baseball hat. Then there were two sequels, back to back, and the Justice League movie everyone had been wanting for decades.  It was great fun but it also came at a price. 
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The Importance of Early Diagnosis For An Effective Recovery at Rehab Centers California
The brave quest to addiction rehabilitation is filled with difficulties and surprises. The importance of early diagnosis is at the forefront of this quest. Understanding and recognizing the indicators of addiction at the earliest possible stage can substantially affect the direction of a person’s recovery path. At Arision Treatment, one of the leading centers when looking for “rehab centers California”, we believe that early intervention is not simply a step, but a leap toward effective and long-term recovery. It’s about detecting a problem before it worsens and changing direction at the first indication of difficulty.
The Ripple Effect of Early Detection Detecting addiction in its early phases is more than simply an early warning; it is an opportunity to greatly improve treatment efficacy. Early discovery ensures that individuals can obtain the required help before their addiction progresses to a more severe stage, when it becomes more difficult to treat. Statistics and professional opinions continually show the significant influence of early intervention in addiction therapy. For example, research suggests that early intervention can lower the likelihood of and manage the risk for relapse and enhance overall treatment results, laying the groundwork for long-term recovery.
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Arision Treatment’s Diagnostic Approach At Arision Treatment Center, we take a thorough and multi-faceted approach to early diagnosis. When a client walks through our doors, they are subjected to a rigorous examination procedure supervised by our team of trained specialists. This examination considers every aspect and sphere of the individual’s life, including physical health, mental health, and personal history.
Understanding each client’s unique circumstances enables us to build a treatment plan that perfectly suits their needs. This degree of customized attention distinguishes Arision Treatment and is a cornerstone of our therapeutic philosophy.
What Arision PHP and IOP Treat At Arision Treatment, our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) treat a wide range of addiction and mental health issues. Whether it’s alcohol, drugs, anxiety, depression, or other mental health disorders, our staff is prepared to give comprehensive care. The thorough examination at the start of therapy guarantees that each plan is as unique as the people getting it, guaranteeing the most effective treatment for their specific requirements.
Starting with a Customized Approach Arision Treatment offers a variety of therapies and programs to persons in various phases of addiction, particularly those in the early stages. From standard therapy sessions to more creative techniques like art therapy and mindfulness training, every part of our treatment is tailored to our clients’ unique requirements. Personalized treatment plans are not static; they adapt as our clients grow and change, ensuring that the treatment stays effective and relevant throughout their recovery journey.
Why Does Arision Stand Out in California? Arision Treatment is more than simply another name among the “rehab centers California” options. We distinguish ourselves through our dedication to early intervention and individualized treatment. Our holistic approach, cutting-edge facilities, and a staff of caring specialists make us the chosen choice for anyone seeking thorough and compassionate care in their struggle against addiction. We are a pioneer in addiction treatment in California because of our attention to each individual’s journey from the beginning.
Arision also prioritizes constant innovation and learning in our therapeutic procedures. We guarantee that our early intervention tactics are not only successful but also anchored in cutting-edge knowledge by remaining current on the newest research in addiction science and therapy. This dedication to quality and progress sets us apart from other “rehab centers California”. Our clients benefit from a combination of tried-and-true methods and fresh, innovative approaches that, when combined, offer a dynamic and successful therapy environment geared to early-stage recovery.
Transforming Recovery Journeys The importance of starting strong with early diagnosis in addiction treatment cannot be overstated. At Arision Treatment we are dedicated to this idea, offering comprehensive, early-stage therapy that distinguishes us from other rehab centers California alternatives and programs. Our approach is more than just treating addiction; it is about changing lives, one early diagnosis at a time. Arision is ready to help everyone who takes the courageous first steps toward recovery. Get in touch with any member of our team, or visit our website to get started on the journey to recovery.
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