Treatment of post-traumatic stress disorder and management of premature ejaculation

Dr. Dunning says that friends and family are the best people to confide in, and if not, you should see a specialist as soon as possible.

Sylvia Mendel, a senior advisor at the New York branch of the Center for Mental Health, Disorders and Alcoholics Anonymous, says that organizations like Alcoholics Anonymous and self-help groups can play a positive role.

However, she cautioned that these organizations can only help them with things related to post-traumatic stress disorder (PTSD), such as alcoholism and physical injury, but they are powerless to address PTSD itself.

She said that it's impossible to get the same results as expert treatment from these institutions.

She said, "They have some effect, but they cannot replace treatment."

**Taking Control** Perhaps the most terrifying aspect of trauma is that it makes you completely lose control of your life.

Therefore, taking measures to prevent crises is effective both psychologically and practically.

For example, prepare an earthquake first aid kit, or cover all windows with plywood when a hurricane is coming.

"People tend to feel a sense of control whenever they do something," Dr. Dunning said. "These actions make them less likely to be harmed."

**Making Explanations** Dr. Dunning says that those who recover best from traumatic experiences are often those who like to explain what happened.

She suggested that if you can turn this tragedy into a new beginning or a belief, you will be able to deal more easily with the impact of this tragedy.

John Walsh set a good example for us in this regard: after his son Adam was killed, he poured his grief into a nationwide campaign to protect children's safety.

> **Receive** **Treatment**

Dr. Dunning says that if the aftereffects of trauma are affecting your normal life, you should seek treatment.

You may be reluctant to do this because you're afraid of being seen as "crazy".

Many trauma victims also feel guilty about surviving, which makes them feel even more wrong to seek help for it.

"This is a form of psychological trauma, and you are not responsible for it," she said. "You certainly wouldn't feel guilty for getting treatment for a broken leg, and the same goes for psychological trauma."

Dr. Stuart Clanman, president of the New York chapter of the International Society for the Study of Trauma and Tension, said that mounting evidence suggests that psychological trauma is also a tangible form of harm, and it also alters brainwaves.

While these findings help explain some symptoms of post-traumatic stress disorder, such as excessive startle response and resistance to treatment, this does not mean that these symptoms are incurable.

"People with post-traumatic stress disorder are likely to have some symptoms for life," said Dr. Lawrence Kolb, Professor Emeritus of Neurology at Columbia University in New York. "The most serious symptom is that these symptoms become manageable."

I know that many people live peacefully with post-traumatic stress disorder.

In addition to receiving treatment, anyone who thinks they may have post-traumatic stress disorder can refer to the following suggestions.

**Re-examine your daily routine** You may find that some old habits are comforting because they help you feel calm and orderly again.

These habits should be maintained.

However, some lifestyle habits can trigger memories, and you should change those habits.

Dr. Dunning said, "Most importantly, avoid contact with things that remind you of painful memories from the past."

**Stay Sober** Dr. Kolb says that alcohol and drugs may create a false sense of relief, but they only exacerbate the problem while you remain emotionally unstable.

Tell your doctor, Dr. Kolb, that if you have post-traumatic stress disorder and are about to undergo surgery, you should inform your doctor and anesthesiologist beforehand.

It is known that some anesthetics can cause the trauma to recur.

> **Leakage**

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> ------ **Run a little longer on the road of love**

You're stopped at a red light, and the guy in the Chevrolet next to you is revving his engine and glancing at you every now and then.

Just as you were about to smile at him to show your friendliness, the green light came on.

Suddenly, you feel like you're back in college, racing with someone. Then, with a "whoosh!" you stomp on the gas like you're stepping on a cockroach, speeding away and leaving that freckled kid behind.

One thing must be acknowledged: most men have an urge to be number one.

Be number one in racing, be number one at work, and be number one on the sports field.

Is there anything wrong with that?

There's nothing wrong with that, except when it comes to sex.

At this point, being the champion is the ranking we least want.

But somehow, tens of millions of men have ended up with this result.

"Most men ejaculate a little faster than they think they will," says Dr. Marilyn Falkler, a sexologist at a private clinic in Kohler-Gabbs, Florida.

In my experience over the years, this problem is extremely common among men.

How fast is considered too fast?

Premature ejaculation is essentially a psychological problem. In a broad sense, premature ejaculation refers to the inability to control the timing of the desired sexual climax.

However, there is no precise medical definition for premature ejaculation.

Some experts say that ejaculating less than two minutes after vaginal penetration is considered premature ejaculation.

Some experts also say that ejaculation occurs if the number of thrusts is less than 50.

Several years ago, Dr. William Masters and Dr. Virginia Johnson of the Masters Johnson Institute in St. Louis said that if a man orgasms more than half the time before his sexual partner, he is considered to have premature ejaculation.

If that's not confusing enough, then a report published a few years ago by the renowned sexologist Dr. Alfred Kinsey pointed out that 75% of men ejaculate within two minutes of penetration, so by that calculation, 75% of us have sexual dysfunction.

So who is right and who is wrong? The final conclusion is that whether or not premature ejaculation occurs depends on the feelings of the individual and their sexual partner.

What matters is the enjoyment you and your sexual partner experience, not whether it's measured in hours or milliseconds.

"Remember, the physiological reason we ejaculate is to impregnate a woman," says Dr. Mark Cohen, associate professor of surgery and urology at the University of Florida College of Medicine in Gainesville.

Let's start from the beginning.

Ejaculation occurs in two steps.

The first step is that when your excitement reaches a certain level, muscle contractions begin to mix the sperm with certain secretions.

The resulting mixture is called semen.

The semen was then squeezed into a small cavity located at the base of the urethra.

The second step involves rhythmic contraction of the muscles near the base of the penis, squeezing the semen out of the small sac and through the urethra, usually in several ejaculations.

The entire ejaculation process occurs because physical sexual stimulation arouses sexual desire; in other words, sexual stimulation turns on the corresponding switch in the brain.

During intercourse, the pleasure experienced by the penis is transmitted to the brain via nerves, and the brain sends a signal to the corresponding glands: "Okay, it's time."

Look! He ejaculated.

Although ejaculation may seem like an uncontrollable physical reflex, it is not actually the case; it is also controlled by the mind.

You can control ejaculation and the urge to ejaculate with your mind, just as you can control your breathing when you're jogging.

**Latest Information**

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· Commonality: The vast majority of men are ashamed to admit it.

Some estimates suggest that 20 to 30 million men suffer from premature ejaculation.

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Risk factors: Although certain diseases and medications may cause premature ejaculation, in general, premature ejaculation is caused by psychological reasons rather than physiological reasons.

Anxiety and unease can be both a cause and a symptom of premature ejaculation.

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> • Affected age group: Men of any age can be affected, but a pattern of premature ejaculation usually begins in youth and continues into adulthood.

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Gender differences: Only men experience premature ejaculation.

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·Seeking help: In most cases, you should see a psychologist, because the cause of premature ejaculation is very likely psychological.

If you experience pain during ejaculation, or suspect that it is due to physiological reasons or medication, you should see a urologist.

Some antidepressants can help with premature ejaculation in men. These medications are usually prescribed by a psychiatrist in conjunction with a sex therapist or urologist.

You can also control ejaculation through physiological methods.

Through training, you will find the trigger point for ejaculation-the touch, caress, kiss, etc. that excites you the most, and then you can adjust your sexual intercourse accordingly.

Generally speaking, premature ejaculation is the result of some bad habits and psychological burdens, which you have been carrying since you started having sex.

"Premature ejaculation often stems from a person's first sexual experience, when they are in an environment where they might be caught, so they have to finish quickly," says Dr. Arlene Goldman, director of the Jefferson Sexual Function Center at Thomas Jefferson University in Philadelphia. "Men without sexual experience may not know what is going to happen; they may be excited about the pleasure they are about to experience or have a strong desire for it."