گفت‌و‌گو با سینا توکلی معاون آموزش، توانبخشی و سلامت خانواده انجمن اتیسم ایران، درباره خدمات سلامت روان ویژه والدین دارای فرزند طیف اتیسم
- ضرورت بهداشت و سلامت روان در والدین دارای فرزند طیف اتیسم چیست؟
استرس بخشی از والد بودن است و طبیعی است که بیشتر والدین استرس را تجربۀ استرس کنند؛ اما برای والدین کودکان با اختلال طیف اتیسم، استرس معمولاً به یک بخش غیرقابل انکار روزانه تبدیل می‌شود. نتایج پژوهش‌های اخیر حاکی از آن است که داشتن یک فرزند با اختلال طیف اتیسم، سلامت روان والدین را به‌طور منفی تحت تأثیر قرار می‌دهد. زمانی که والدین برای اولین بار متوجه وجود اختلال در فرزندشان می‌شوند، احساسات متفاوتی را تجربه میکنند. بهت زدگی، سرخوردگی، نگرانی، تردید و اندوه متداول‌ترین احساسات دوران دریافت تشخیص اتیسم فرزند هستند. والدیـن کـودکان بـا نیازهـای ویـژه نسـبتبـه والدیـن کـودکان عـادی، نگرش‌های ناکارآمد، افـکار خودآینـد و هیجانـی منفـی بیشتری دارنـد. همچنین رشد عاطفـی ناکافی، دشـواری در سازمان‌دهی رفتـار و هیجـان و تجربـه هیجانـی منفـی از ویژگی‌های افرادی اسـت کـه از کودکی بـا نیازهــــای ویــژه مراقبت میکنند. والدین بایسـتی بـا ایـن واقعیـت کنـار بیاینـد كـه كودكشـان شـرایطی دارد كـه او را تـا پایـان عمـر درگیـر می‌كنـد. بررسی‌ها نشـان می‌دهند کـه والدیـن کـودکان بـا اختلال طیـف اتیسـم بیـش از والدیـن کـودکان بـا اختلال‌های روان‌شناختی دیگـر، در معـرض فشـارهای روانـی ناشـی از داشـتن کـودک ناتـوان قـرار دارنـد. همچنین، مادران کودکانی که علائم شدیدتری از اختلال طیف اتیسم دارند، سطوح بالاتری از استرس، اضطراب و افسردگی را نسبتبه پدران گزارش میکنند. هنگامی که مادر و پدر در چنین شرایطی قرار میگیرند، جدا از حمایت‌های عاطفی، نیازمند همراهی یک متخصص در مسیر پرپیچ‌وخم اتیسم هستند.
- واحد سلامت روان انجمن اتیسم ایران چه زمانی راه‌اندازی شد و چه خدماتی به والدین دارای فرزند طیف اتیسم می‌دهد؟
در سال 1402 با توجه به نیازسنجی صورت گرفته و لزوم رسیدگی به سلامت روان خانواده‌ها، واحد سلامت روان با هدف ارتقای سلامت و بهداشت روان خانواده‌های دارای فرزند با اختلال طیف اتیسم در انجمن اتیسم ایران ایجاد گردید. در پی آغاز به کار این واحد، خدمات ویزیت دوره‌های روان‌پزشک و مشاوره‌های روانشناسی ویژه والدین به دیگر خدمات انجمن اتیسم ایران اضافه شدند.
- هزینه این خدمات برای خانواده‌ها چگونه است ؟
خدمات سلامت روان با حمایت نوددرصدی خیرین (مبلغ 50 هزار تومان فرانشیز در سال 1403 برای هر جلسه) به خانواده ارائه می‌شود.
- ارائه خدمت بعد از اعلام خانواده در چه بازه زمانی اجرا میگردد؟
این خدمات پس از اعلام نیاز خانواده به انجمن اتیسم ایران، ظرف مدت یک هفته تا 10 روز به خانواده ارائه خواهد شد.
- هر خانواده چند نوبت در سال می‌تواند از این خدمات استفاده کند؟
هر یک از اعضای خانواده می‌تواند بهصورت فصلی (بازه‌های زمانی سه ماهه) از خدمات روانپزشکی استفاده کند. خدمات مشاوره و روان درمانی نیز در قالب 12-8 جلسه به خانواده‌ها ارائه میگردد.
- آیا تمامی اعضای یک خانواده می‌توانند از این خدمات استفاده کنند؟
تمامی اعضای خانواده (والدین، خواهرها و برادرها) که بالای 18 سال باشند می‌توانند از این خدمات استفاده کنند.
- خدمات چگونه و به چه صورتی ارائه می‌شود؟
خدمات سلامت روان طبق شرایط و درخواست خانواده، بهصورت آنلاین و یا حضوری ارائه می‌شود.
- آیا این خدمات فقط مختص ساکنین تهران است؟
خیر، اعضای خانوادۀ تمامی اعضای انجمن اتیسم ایران در تهران و سایر شهرها می‌توانند از این خدمت استفاده کنند.
- آیا این خدمات فقط برای اعضای انجمن قابل‌ارائه است؟
بله، این خدمت فقط به اعضای خانواده‌های مددجویان عضو انجمن اتیسم ایران ارائه می‌شود.
66 دیدگاه
As the fetus grows, the elevated blood move and hormonal changes
can cause the external genitalia to turn out to be swollen and more sensitive.
Additionally, the vaginal walls may turn into softer and more elastic in preparation for childbirth.
Understanding how to increase clitoral sensitivity is a big step toward higher sexual well being and
satisfaction.
However, particular person results might range,
and it’s essential to consult with a healthcare provider to observe
progress and make changes accordingly. Remember that
clitoral adjustments are only one aspect of transitioning, and it
could be very important prioritize private satisfaction and well-being all through the
method. The timing of clitoral modifications varies among individuals, and it’s influenced by a number of elements, together with the
dosage of testosterone, the length of hormone therapy, and particular person genetics.
Some people could experience clitoral development within the first
few months of starting testosterone therapy, whereas others might require more time.
Whereas an enlarged clitoris could trigger some
discomfort or self-consciousness for individuals, it isn’t necessarily
a adverse end result.
This surgical procedure elevates the erectile tissue of the clitoris, which then allows the
clitoral hood to supply higher protection of the clitoris itself leading to a much less uncovered clitoris.
The elevation may also help these girls who’ve a sagging or drooping clitoris.
Systemic treatment with T additionally confirmed an improvement in the FSFI pain rating,
which was statistically significant in the T group,
while solely approaching statistical significance in the T + E group.
This might be ascribable to the final enchancment in all the opposite sexual domains,
including, for instance, lubrication. However, T may additionally
exert its optimistic results on pain sensitivity through a direct
modulation of nociceptive mechanisms, as already demonstrated in a number of preclinical studies [57,fifty eight,59,60].
Enhancing your clitoris can considerably enhance your sexual
experiences by increasing sensations. If you want maximum bottom
development in your clitoris, you may must take testosterone for as
much as three years to get the most effective results.
If you are taking higher doses of hormones, you’ll probably have larger probabilities of success,
acquiring an impressive-size clitoris. A licensed healthcare worker will allow you to get the best medicine,
counseling, and aftercare therapy. Pumping involves sucking the clitoris
to extend its measurement, especially during intercourse.
Due To This Fact, it could be very important consult with a healthcare provider to determine the most effective plan of action for your particular wants and objectives.
Nonetheless, it is essential to note that HRT carries potential risks and unwanted effects and must be rigorously considered underneath
the guidance of a healthcare professional. General favorable quality of life
and good psychological health have been reported in CAH sufferers (63–65).
A research of forty five CAH girls revealed top quality of life
similar to age- and education-matched controls (64).
Feminizing genitoplasty (clitoroplasty + vaginoplasty) is often undertaken in the first 12 months of life for
youngsters with low and midlevel confluences of the urogenital sinus.
The advantage of performing both procedures concurrently
is that the widespread urogenital sinus can be
utilized for a host of reconstructive purposes (20).
If vaginoplasty isn’t undertaken simultaneously, one ought to all the time
use the sinus tissue to create a extra female-like vulva.
In current years, the subject of ladies bodybuilder clits has gained consideration within the fitness neighborhood.
This phenomenon refers to the mental enhancement drugs, vagyonor.hu,
of the clitoris as a outcome of elevated testosterone ranges
from intense coaching. Pre-metoidioplasty is performed
to create a neophallus that resembles a really small male penis.
Usually, the encircling skin of the clitoris is removed and released
to create the impression of extra length.Pre-meta genital
masculinization is the primary portion of a metoidioplasty.
AIS prevents male genitals from growing as they should and virtually at all times leads to infertility (it’s tough or inconceivable to father children) during adulthood.
As testosterone in your blood increases, it suppresses
the production of gonadotropin-releasing hormone, which helps preserve normal
ranges of testosterone. Healthcare providers
use synthetic testosterone to deal with and manage
varied medical situations. Typically, the clitoral hood pulls again, and the
exterior bud becomes engorged, making it extra visible.
As a results of the blood circulate, the glans may turn out to be a deeper pink or purple color.
These symptoms or issues are ephemeral, they only occurthe first time
you obtain the therapy.
Many transgender individuals who endure hormone therapy contemplate clitoromegaly a desirable impact because it aligns more
closely with their gender identification. In summary, there are alternative strategies and coverings that some ladies might think about to increase clitoral size.
Nevertheless, it is necessary to approach these
methods with caution, seek the advice of with a healthcare skilled,
and recognize that the size of the clitoris has no bearing on sexual pleasure or satisfaction.
All of this tissue can turn into engorged or erect in response to
sexual arousal or stimulation. People of all genders and genitalia can get erections, not simply people with penises!
So, to help you turn into extra cliterate, we put collectively
this article on clitoral erections.
Stay linked to every thing trans — from gender-affirming care to FTM and MTF
transitions, trans tradition, occasions, and extra — by signing up for our publication.
Scientists recorded the body weight and waist and hip circumference of each participant firstly of the study,
after 12 weeks, and 12 months after the study’s conclusion. As Soon As dismissed as a uncommon condition affecting older men, low T (testosterone deficiency) is now
understood as a a lot more widespread concern. Thanks to a mixture of modern stress, environmental exposures,
and plain old growing older, extra males are hitting their 40s and
50s feeling like shadows of themselves — and a lot of don’t even know why.
When discontinuing TRT, it’s better to gradually taper doses over a number of weeks or longer.
This strategy helps minimize the shock to your system and manage symptoms.
Medical providers often use a combination of treatments to assist the different
areas of the HPTA axis affected by unfavorable
feedback.
Moreover, some people might select to resume TRT if their testosterone ranges remain low regardless of efforts
to revive natural production. Testosterone Substitute Therapy
(TRT) is a typical therapy for individuals with low testosterone levels.
It entails supplementing the physique with exogenous testosterone to restore hormone ranges to a standard
range. However, a common concern among individuals contemplating TRT is whether
or not their physique will fully stop producing testosterone by itself or if there might be a reduction in pure manufacturing.
Testosterone in any form is a strong substance, which
is why its excessive loss can cut back each your high quality
of well being and your quality of life. Correct medical treatment of Low
T additionally requires ongoing blood testing to
ensure that your hormone levels don’t become excessively excessive, as a end result of that
may instantly cause critical health problems, too. Normally,
once you start testosterone remedy, you may
be on testosterone injections for no less than six months.
In this article, we will attempt to highlight, tackle and answer these questions as simply
as potential. Incorporating cardiovascular workouts and weight coaching into
your routine may have a positive influence
on Testosterone manufacturing. Regular exercise has been proven to help keep larger Testosterone
levels over time. To restart Testosterone manufacturing, it’s necessary to take a complete approach.
To transition easily, you’ll want to restart
your HPTA axis beneath the guidance of a knowledgeable provider.
Not doing so can result in more severe low Testosterone signs as
your physique loses its only supply of Testosterone.
For males who do not desire to protect fertility
testicular dimension can me maintained whereas undergoing TRT with 1,500 IU
of HCG given weekly. You might have lots of respect for this physician but
I certain don’t based mostly solely on what you simply
informed me. You don’t have any diagnoses primarily based on TT alone so telling you to jump on TRT is borderline malpractice.
Kinda pleased I found a doc open minded
about TRT however notice too possibly a bit reckless.
Guess I’m struggling as a outcome of I kinda wanna try it even excited a
bit but additionally kinda want to wait a number of years.
Men naturally have the next libido in the morning and on the flip side women have a higher libido at
evening, nature’s little joke on us men.
Testosterone is a key driver of muscle improvement and
fat metabolism. When testosterone levels are low, it becomes harder to build and preserve muscle mass,
and fat loss can slow down dramatically. This can result in elevated physique
fats, especially across the belly area, and a lack of muscle tone, each of
which can affect confidence and vanity.
This may end up in an additional lower in natural testosterone manufacturing, even after discontinuing TRT.
However, research on the long-term results of TRT on testicular atrophy is
restricted and conflicting, with some research suggesting significant atrophy and others reporting
minimal to no modifications. More research is required to fully understand
the potential consequences of long-term TRT
on testicular perform. The degree of pure testosterone suppression varies amongst individuals and depends on elements such as dosage, duration of TRT, and individual responsiveness
to exogenous hormones.
Abruptly stopping TRT can lead to the sudden return of signs like fatigue,
despair, weight gain, and low libido. A gradual discount in dosage, mixed with life-style modifications, could help
ease the transition and mitigate signs. One of the popular advantages of
testosterone remedy is its impression on developing muscle mass and body composition in males.
Testosterone supplementation promotes the expansion of
lean muscle, improves power, and reduces physique fat share.
One Other potential negative effect of stopping testosterone treatment abruptly is
the reemergence of pre-existing situations. Testosterone remedy is usually
prescribed for situations similar to hypogonadism, which might trigger a range of symptoms,
together with fatigue, decreased libido, and mood disturbances.
When testosterone therapy is discontinued abruptly, these signs might return or worsen, inflicting vital discomfort for the person.
On the other hand, a sudden testosterone withdrawal after extended remedy is a shock to your
endocrine system and can lead supplements Close to steroids (http://www.google.co.Ls) a mixture of psychological and physical signs.
Stopping testosterone remedy may be applicable in certain situations, like planning a household or if side effects turn out
to be concerning. Nevertheless, stopping abruptly or with out
medical steering can result in adverse results, including the return of low testosterone
symptoms. It’s designed to maintain regular testosterone levels, and its results are
gradual and cumulative.
Navigating the choice to both begin or conclude testosterone therapy
is a deeply private one, fraught with considerations
unique to every individual’s health journey. Right Here at Finest TRT, we perceive the intricacies of such a pivotal selection. Selecting to stop Testosterone Replacement Therapy (TRT) can have numerous effects on your body, and these results can differ significantly from person to person.
However, in our expertise, these results are typical when combining
HGH and insulin collectively. Stacking on this means can significantly improve a consumer’s
results, compared to HGH-only cycles. We do not find testosterone appropriate for ladies due to its androgenic nature, which causes high incidents of masculinization. When used in drugs to
treat intrauterine progress retardation, dosages of 1-3
IU per day are typically administered. Medical research and
our own exams present that HGH stimulates progesterone ranges through luteal steroidogenesis (8),
thus probably causing gynecomastia in an analogous approach to Deca Durabolin. One bodybuilder took HGH for 10 years repeatedly and
reported an increase in foot hypertrophy, going from measurement
12 to 15 (6). This distended effect is indicative
of excessive levels of visceral fats.
Its major objective is to restart pure testosterone manufacturing, stabilize hormone ranges, and preserve the hard-earned features made through
the cycle. Analysis by Kraemer et al., Medication & Science in Sports & Train shows
that high-intensity resistance training coupled with structured
development optimizes muscle mass and power positive aspects.
This synergy not only leads to higher muscle dimension and power positive aspects but also supports higher workout efficiency and restoration throughout the whole cycle.
Dianabol works by enhancing protein synthesis and nitrogen retention in muscle tissue, two important
processes that promote speedy progress and recovery.
Nonetheless, most ladies will find that Anavar is more well-tolerated in relation to
controlling the side effects. For girls who want to use Winstrol,
the oral form solely is really helpful, and doses must be kept very low to
keep away from virilization. The larger the dosage goes, though, the
extra chance of girls experiencing adverse results from Anavar’s androgenic
exercise. These androgenic effects are steroids bad for you (https://nerdgaming.science/wiki/Masteron_Drostanolone_An_Overview)
known as virilization, or the attainment of masculine options, and can embody a noticeable deepening of the voice and growth
of physique and facial hair. This makes it a fast-acting steroid, which is
to be expected for an oral steroid. It also means you’ll likely want to break up your
daily dosage into two administrations to maintain optimal blood levels.
If you’re just beginning out, I would wait several months and then think about a cycle of Annihilate.
This will be more than enough to help with gaining lean muscle mass.
Now, these are thought-about to be one of the best authorized steroids stacks on the market.
I was capable of achieve a considerable amount of muscle in a brief period.
Rebirth can be a best-selling legal steroid various by
Big Nutrition. It mimics the effects of anabolics by lowering estrogen and
growing test levels.
Nonetheless, they received’t offer the same fast muscle gains
that anabolic steroids may provide. Authorized steroid options supply spectacular strength positive aspects and
muscle mass without risking your health or hormone ranges.
Legal steroid alternate options are created to imitate the consequences of anabolic steroids, with out
the negative side effects.
Issues like treating hormone related problems in males, such as delayed puberty, or
for shortly regaining muscle loss as a outcome of certain diseases.
Sometimes, when I’ve cut prior to now with out supplements,
I’d lose some power and even some dimension.
However on the CrazyBulk Chopping Stack, my energy truly held
steady or even improved slightly in some lifts. For instance, my deadlift stayed the same
(which was a win, because normally I get weaker when cutting), and my pull-ups elevated since I was lighter.
HGH will enhance and construct upon the results of steroids, helping
you to get much more out of a cycle. By taking GHRH in its pharmaceutical
form, you get a more even and regular launch of HGH.
This contrasts with the spike in HGH that may occur when taking pure exogenous progress hormone.
Certain, it took about seven to 10 days from the time I started supplementing with
Enhance to begin to see his over outcomes. However shortly after that
week or so was over issues actually started to speed up.
You won’t have to fret about this supplement screwing up any of your different “stacks”.
You won’t have to fret about it canceling out the advantages of the rest
that you are taking, both.
All of those stacks would require a post-cycle remedy protocol afterward.
A commonplace PCT is Clomid at 100mg every day, starting two weeks after your final dose.
Clomid can then be decreased to 50mg every day for the following ten days.