You are currently viewing لماذا لا يزال الناس يمانعون الذهاب للعلاج النفسي؟

لماذا لا يزال الناس يمانعون الذهاب للعلاج النفسي؟

لماذا لا يزال الناس يمانعون الذهاب للعلاج النفسي؟ اعتقادات خاطئة تقف في طريق الحصول على المساعدة

Robert C. Ciampi LCSW

Posted Oct 11, 2020

لقد كتب الكثير في الماضي بخصوص ممانعة الناس الذهاب لتلقي العلاج النفسي، ابتداءً من جعل النفس أقوى، إلى صناعة قناعاتٍ أن مشاكلهم أصغر من أن تقارن بمشاكل الآخرين، وانتهاءً إلى خوفهم من فتح صندوق الفظائع والمشاكل، واقتناعهم أن مجرد الحديث إلى شخصٍ آخر لا يمكن ببساطة في أن يساعدهم. يصبح العلاج خارج الحسبان، حتى تجبر شدة الأعراض والمشاكل صاحبها على الذهاب للعلاج.

إليكم بعض الأفكار الخاطئة التي تقود الناس لتجنب العلاج النفسي. سأسرد لكم الأفكار وبعدها سأختبرها كي أساعد القارئ كي يدرك أن هنالك جانبًا آخر لم يؤخذ في الحسبان في تلك الأفكار.

وصمة العار حول العلاج:

إن الخبر السيء هو أنه لا تزال هنالك وصمة عار تحيط بالمشاكل الذهنية، ولكن الخبر الجيد هو أن عددًا من الرياضيين والموسيقيين والفنانين وغيرهم قد أفصحوا علنا بخصوص تلك المشاكل، وهذا أمر جيد؛ لأنه إذا أفصح شخص مشهور عن معاناته مع مشاكله الذهنية فكذلك نستطيع نحن. لقد حان الوقت كي نقف أمام النظرة القديمة، ونفهم أن صحتنا الذهنية مهمة بالتساوي مع صحتنا الجسدية. أرى أن يتحول مصطلح “العار” إلى “دعم تحمل الفرد للحصول على مساعدةٍ للصحة العقلية”. دعونا نتجاوز القيود القديمة والمحيطة بخصوص خدمات الصحة الذهنية.

خوف الظهور بمظهر الضعف:

إن خوف الظهور بمظهر الضعف هو عائق آخر لحصول المهنيين على خدمات الصحة النفسية عندما يحتاجون لذلك. إذ أن شعور الخجل من اللجوء للعلاج النفسي يبدو على ضباط الشرطة ورجال الإطفاء والممرضات والأطباء والموظفين الاجتماعيين وغيرهم من موظفي الصحة الذهنية، الذين يعملون بشكل مباشر على رعاية غيرهم؛ خوفًا من أن يجعلهم ذلك يبدون بمظهر الضعف. إن هؤلاء المهنيين يعملون لساعاتٍ طويلةٍ تحت الكثير من التوتر، وخوض تجربة الفقدان والأمراض وحتى الوفاة في عملهم اليومي، كما أن البعض منهم يعاني من حياة متوترةٍ داخل البيت كذلك. لا مشكلة لهؤلاء المهنيين الأقوياء أن يلجأوا للعلاج، خاصة الآن، كي يسردوا قصصهم فيما شاهدوه أو سمعوا عنه أو شهدوه خلال ساعات عملهم، فحتى أقوى المهنيين وأكثرهم أمانًا لديهم مشاعرهم التي قد يكبتونها، وبالتالي تفاقم من مشاكل الصحة الذهنية لديهم. إن الأشخاص الأقوياء يمكنهم طلب المساعدة كذلك، كما يمكن لأي شخصٍ آخر.

الخوف من التغيير:

الخوف من التغيير هو أمر صعب للتنفيذ عند الكثير من الناس، فالكثير من الناس يعيشون مع وضعهم غير المريح الذي يعرفونه عوضًا عن محاولتهم التغيير؛ لخوفهم من المجهول. إنه لأمر غريب كيف يستمر أناس عالقين وقلقين ومكتئبين وفي علاقاتٍ فظيعة لوقت طويل. إنهم يعلمون واقعهم السيء جيدًا عوضًا عن أخذ فرصة لإخراج أنفسهم من دائرة مشاعرهم تلك، وسيبقون عالقين بسبب خوفهم من المجهول. يفضل البعض الانتظار حتى يخرجوا من تلك الدائرة ليروا إن كانوا سيكونون أفضل، كما أن البعض في راحةٍ مع شعورهم بعدم السعادة بسبب أنهم يعيشون فترة السوء تلك لفترةٍ طويلة، فتقبلوا مشاعرهم بعدم السعادة كشعور طبيعي. الناس يتجنبون أخذ علاج مثبتٍ علميًا لأنهم يدعون أنهم إذا تحسنوا فلن يعودوا كما عهدوا أنفسهم مسبقًا. لا ينبغي النظر للتغيير على أنه أمر سيء، وهو يعطينا الفرصة كي ننضج. إذا كانت هنالك فرصة لتجعلك أكثر ثقة وأقل حزنًا وقلقًا وأكثر تحكمًا بحياتك فهل ستغتنمها؟؟   

العلاج غالٍ ويتطلب الكثير من الوقت

يتجنب الكثير الحصول على العلاج النفسي بسبب أنهم يقولون أنهم غير قادرين على دفع أجرة المعالج، أو أنهم ليس لديهم الوقت كي يلتزموا بالعلاج. إن الكثير من المعالجين النفسيين يعرضون فيما يسمى ” تكلفة المقياس المتدرج”، مما يعني أن المعالج منفتح على تقليل تكلفة علاجه حتى ينخرط الزبون في العلاج، وهذا يجب مناقشته مع المعالج قبل بدء أول جلسة. الوقت الذي يعطى للعلاج قد يكون عذرًا، لكن متوسط الجلسات تكون لمدة 45 – 50 دقيقة لمرةٍ أو مرتين أسبوعيًا، وأغلب المرضى يجدون وقتًا للحديث مع المعالج عندما يريدون فعلًا. إن الحصول على  العلاج قرار يرجع للشخص وحسب، ولكن هل ينبغي أن تقف عوائق التزام النفس أمام طلب المساعدة؟

مقاومة العائلة اللجوء للعلاج:

بعض الناس يقولون أنهم لا يعتزمون الاتصال بطبيب نفسي لأن والديهم لم يفعلوا ذلك مطلقًا فلماذا يقومون هم بذلك؟؟ هذه المقاومة العابرة للأجيال قد ترجع إلى الأجداد الذين كانوا يرددون هذا الشيء نفسه. لقد أخبر الكثير من الناس بأن لا يتحدثوا للغرباء عن مشاكلهم؛ وإنما يجب أن يبقى ذلك ضمن العائلة فقط، لكن ماذا لو كانت تلك المشاكل بسبب العائلة؟ أين سيتجهون حينها إذن؟ إن هذا التفكير ضيق الأفق يبعد أولئك عن الحصول على المساعدة التي يحتاجون. حتى اللجوء إلى أفراد العائلة بخصوص مشاكل الفرد قد يسبب سوء الفهم، وأن ينبذ بعضهم البعض الآخر، وأن يجعل بعض العلاقات الحميدة علاقات غير ممكنة الإصلاح. حتى تكون مشاكل الفرد أقل سوءًا فيجب الاتصال بطبيب نفسي كي يمكن مناقشتها مع شخصٍ محايد خارج العائلة.

العلاج عمل شاق

إن إحداث التغييرات الشخصية ومعرفة القرارات الصعبة والبحث عن طريق جديد للأمام ليس أمرًا سهلًا دائمًا. إنها تتطلب الكثير من الجهد، ليس فقط أثناء الجلسات بل حتى خارج الجلسات كذلك، وحتى تستفيد من العلاج بأكبر قدر فالجهد المناقش في الجلسات يجب أن يرتبط بالحياة اليومية للفرد، ثم إعادة تقييمها في الجلسة القادمة. كل من يرجو العلاج السريع لمشاكله الاعتيادية والمعقدة سيصاب بخيبة الأمل أثناء مراحل العلاج. إن العمل في مهنة العلاج النفسي تطلب الوقت الطويل لفهم المشكلات وتطبيق المهارات لمساعدة الشخص على أن يوجه حياته بنجاحٍ اكبر. يتطلب العلاج الالتزام لإحداث التغييرات التي ستقود لحياة أكثر هناءً.

أصدقائي هم المرشدون لي:

بعض الأشخاص يقولون أنهم بإمكانهم أن يفصحوا لأصدقائهم عن مشاكلهم، دون الحاجة للطبيب النفسي، وعلى الرغم من أن الصديق المساند قد يكون مصدرًا مريحًا فالأصدقاء ليسوا موضوعيين كالمعالج النفسي. إن الأصدقاء يميلون للوقوف جنب أصدقائهم حتى لو كان صديقهم المحتاج للمساعدة يتخذ قراراتٍ خاطئة تجاه مشاكله. الأصدقاء قد يختلقون الشائعات أيضًا عن أصدقائهم الآخرين، مما يسبب الأذى والعدائية وغياب الثقة بينهم، كما أن الأصدقاء سيظلون يستمعون لنفس المشكلة مرارًا وتكرارًا من دون تقديم أي حل. الأصدقاء بالعموم قد يكونون مساندين وأصحاب مجموعةٍ واحدةٍ عندما تصعب الأمور ولكن لا ينبغي أن يحلوا محل الطبيب النفسي المتخصص.  

هل ستكون محادثاتنا سرية؟

الإفصاح عن المشاكل عند بعض الأشخاص للطبيب النفسي يكون مصدر قلق إن كانت المعلومات ستبقى سريةً أم لا. يمتلك المعالجون النفسيون التزامًا أخلاقيًا بالسرية، فأية ملاحظات أو معلومات موثقة أو مصادر إلكترونية ستكون مرتبطة بالقانون والمعايير الأخلاقية، وبالنسبة للمعالج فعدم التزامه بذلك سيوقعه في خطر الإبلاغ عنه للمجلس (هيئة تعطي التراخيص لممارسة العلاج النفسي) أو سحب الرخصة منه بل وإيقافه عن ممارسة المهنة. الحالة الاستثنائية الوحيدة التي بها يشارك المعالج المعلومات لسلطةٍ أخرى هو أن يكون هنالك شخص ما مصدر خطر لإيذاء شخص آخر ( واجب التحذير )، أو أن يؤذوا أنفسهم أو أن يخططوا لتدمير ملكية شخصٍ ما. كذلك ينطبق الأمر على الإهمال أو استغلال الأطفال أو كبار السن، وفي حالات نادرة قد تستدعى وثائق العلاج عن طريق المحكمة القانونية. بخلاف كل الظروف المدرجة السابقة فإن كل الوثائق المتعلقة بالزبون يجب أن تبقى سرية.

لقد كتب الكثير سلفًا عن الأمثلة السابقة كأسباب لتجنب الناس الذهاب للعلاج. يتجنب بعض الناس الذهاب للإرشاد النفسي حتى لو كان ذهابهم ذاك سيجعل حياتهم وحياة الآخرين أكثر رضىً. بالنسبة للآخرين العالقين بالعوائق السابقة فعليهم سؤال أنفسهم: عندما يكون ألم عدم الذهاب للعلاج أكبر من الخوف من الذهاب نفسه فأي واحدٍ ستختار؟؟

شارك المقالة الآن

This Post Has 193 Comments

  1. live

    I think it is a nice point of view. I most often meet people who rather say what they suppose others want to hear. Good and well written! I will come back to your site for sure!

  2. free

    Simply wish to say the frankness in your article is surprising.

  3. live

    I was referred to this web site by my cousin. I’m not sure who has written this post, but you’ve really identified my problem. You’re wonderful! Thanks!

  4. video

    Nice piece of info! May I reference part of this on my blog if I post a backlink to this webpage? Thx.

  5. top

    You are good writer. Thank you.

  6. tube

    OK, you outline what is a big issue. But, can’t we develop more answers in the private sector?

  7. nigella sativa

    Just wanna admit that this is extremely helpful, Thanks for taking your time to write this.

  8. ladies mini hair trimmer

    I do believe your audience could very well want a good deal more stories like this carry on the excellent hard work.

  9. tollashi

    বাংলা প্রশ্ন উত্তর সাইট তল্লাশি, আজই আপনার সমস্যা নিয়ে প্রশ্ন করুন , অভিজ্ঞ ব্যক্তিগন আপনার প্রশ্নের উত্তর দিয়ে সহযোগিতা করবে । তাছাড়াও অন্যাদের প্রশ্নের উত্তর দিয়ে, জিতে নিন আকর্ষণীয় পুরস্কার । তল্লাশিতে যেকোনো বিষয়ে প্রশ্ন করতে পারেন।।

  10. Scrum vs Agile

    Spot on with this write-up, I actually assume this website needs far more consideration. I will in all probability be once more to learn rather more, thanks for that info.

  11. 10 GBPS RDP

    Great post. Just a heads up – I am running Ubuntu with the beta of Firefox and the navigation of your blog is kind of broken for me.

  12. fifa world cup live

    There is a lot of misunderstanding about these issues today. Your material helps explain things.

  13. Wish I’d thought of this. Am in the field, but I procrastinate alot and haven’t written as much as I’d like. Thanks.

  14. fifa world cup 2022 live

    Can I just say what a relief to seek out someone who actually knows what theyre speaking about on the internet. You positively know find out how to bring a problem to mild and make it important. Extra individuals have to read this and perceive this side of the story. I cant believe youre not more in style because you positively have the gift.

  15. free rdp for mac

    I discovered your weblog site on google and verify just a few of your early posts. Proceed to maintain up the very good operate. I simply further up your RSS feed to my MSN News Reader.

  16. admin rdp for cheap

    This website has lots of really useful stuff on it. Thanks for informing me.

  17. NFT Generator

    Nice blog here! Also your web site loads up very fast! What host are you using? Can I get your affiliate link to your host? I wish my web site loaded up as fast as yours lol

  18. gpu server

    Great post, keep up the good work, I hope you don’t mind but I’ve added on my blog roll.

  19. SEO for WordPress

    I love what you’ve created here, this is definitely one of my favorite sites to visit.

  20. live stream

    Some truly interesting info , well written and broadly user genial .

  21. full movie streaming

    I wanted to check up and let you know how, a great deal I cherished discovering your blog today. I might consider it an honor to work at my office and be able to utilize the tips provided on your blog and also be a part of visitors’ reviews like this. Should a position associated with guest writer become on offer at your end, make sure you let me know.

  22. NFL Live Free

    Great post. I was checking constantly this blog and I’m impressed! Very useful info specifically the last part 🙂 I care for such info much. I was looking for this certain information for a very long time. Thank you and good luck.

  23. Amazing Places

    We absolutely love your blog and find the majority of your post’s to be exactly what I’m looking for. Do you offer guest writers to write content to suit your needs? I wouldn’t mind composing a post or elaborating on a number of the subjects you write about here. Again, awesome weblog!

  24. relaxation sounds

    Our community leaders need to read this, and look at developing some of your recommendations.

  25. mas informacion

    My coder is trying to convince me to move to .net from PHP. I have always disliked the idea because of the expenses. But he’s tryiong none the less. I’ve been using WordPress on numerous websites for about a year and am nervous about switching to another platform. I have heard great things about blogengine.net. Is there a way I can import all my wordpress posts into it? Any help would be really appreciated!

  26. pagina web

    The start of a fast-growing trend?

  27. nuestra empresa

    I had fun reading this post. I want to see more on this subject.. Gives Thanks for writing this nice article.. Anyway, I’m going to subscribe to your rss and I wish you write great articles again soon.

  28. wimbledon mens final 2022

    This is valuable stuff.In my opinion, if all website owners and bloggers developed their content they way you have, the internet will be a lot more useful than ever before.

  29. I had fun reading this post. I want to see more on this subject.. Gives Thanks for writing this nice article.. Anyway, I’m going to subscribe to your rss and I wish you write great articles again soon.

  30. full movie streaming

    Spot on with this write-up, I truly believe this website requirements a lot much more consideration. I’ll probably be once more to read much much more, thanks for that info.

  31. Live and work in Canada

    Greetings! This is my first visit to your blog! We are a collection of volunteers and starting a new initiative in a community in the same niche. Your blog provided us beneficial information. You have done a wonderful job!

  32. 184.168.126.69

    Thanks for sharing the information. I found the information very useful. That’s a awesome story you posted. I will come back to scan some more.

  33. informacion

    Just want to say what a great blog you got here!I’ve been around for quite a lot of time, but finally decided to show my appreciation of your work!

  34. leer mas

    Hey very cool site!! Man .. Beautiful .. Amazing .. I will bookmark your website and take the feeds also…I’m happy to find so many useful information here in the post, we need develop more strategies in this regard, thanks for sharing. . . . . .

  35. informate

    I really believe you will do well in the future I appreciate everything you have added to my knowledge base.

  36. This is an awesome entry. Thank you very much for the supreme post provided! I was looking for this entry for a long time, but I wasn’t able to find a honest source.

  37. Check Out Here

    Hello, I think your blog might be having browser compatibility issues. When I look at your website in Chrome, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other than that, awesome blog!

  38. 25kg parasol bases

    If wings are your thing, Tinker Bell’s sexy Halloween costume design is all grown up.

  39. whipped cream chargers

    This information is very important and you’ll need to know this when you constructor your own photo voltaic panel.

  40. Free RDP Hosting

    Great blog here! Additionally your website rather a lot up very fast! What host are you the usage of? Can I get your associate link for your host? I desire my website loaded up as fast as yours lol

  41. onlymp3

    You have some helpful ideas! Maybe I should consider doing this by myself.

  42. gib vs mcbroom live

    If most people wrote about this subject with the eloquence that you just did, I’m sure people would do much more than just read, they act. Great stuff here. Please keep it up.

  43. nfl streams

    I don’t know if it’s just me or if everybody else experiencing issues with your site. It appears as though some of the written text on your content are running off the screen. Can someone else please provide feedback and let me know if this is happening to them as well? This could be a problem with my web browser because I’ve had this happen before. Appreciate it

  44. all blacks vs wallabies

    OK, you outline what is a big issue. But, can’t we develop more answers in the private sector?

  45. 카지노사이트

    Nice piece of info! May I reference part of this on my blog if I post a backlink to this webpage? Thx.

  46. wallabies vs all blacks

    Are grateful for this blog post, it’s tough to find good information and facts on the internet

  47. No period after clomid

    Etik kurul toplantılarına görüş bildirmek
    üzere davet edilen danışman gizlilik sözleşmesi ve taahhütname belgesini imzalamak zorunda mıdır?
    Evet, danışmanın Türkiye İlaç ve Tıbbi Cihaz Kurumu’nun internet sitesinde yayımlanan gizlilik sözleşmesi ve taahhütname belgesini imzalaması
    zorunludur. 50.

  48. Dubai safari & dhow cruise

    Thank you a lot for sharing this with all folks you actually recognize what you’re speaking about! Bookmarked. Please additionally visit my site =). We can have a hyperlink trade contract among us!

  49. Dawka albenza dla 15-latka

    Planlar, kurar, işletir, ürünleri dağıtır, tüketir, doğayı işler, ondan ürün alır,
    15.00 istatistik programı Croncbach α Testi ile
    yapıldıktan.

  50. world cup 2022

    have already been reading ur blog for a couple of days. really enjoy what you posted. btw i will be doing a report about this topic. do you happen to know any great websites or forums that I can find out more? thanks a lot.

  51. 토토사이트

    I think this is among the so much vital info for me. And i’m happy reading your article. But wanna remark on few common issues, The site style is wonderful, the articles is really excellent : D. Just right job, cheers

  52. Fat Tire Ebike

    However, it is virtually all done with tongues rooted solidly in cheeks, and everyone has absolutely nothing but absolutely love for his or her friendly neighborhood scapegoat. The truth is, he is not just a pushover. He is basically that special variety of person strong enough to take all of that good natured ribbing for exactly what it is.

  53. My coder is trying to convince me to move to .net from PHP. I have always disliked the idea because of the expenses. But he’s tryiong none the less. I’ve been using WordPress on numerous websites for about a year and am nervous about switching to another platform. I have heard great things about blogengine.net. Is there a way I can import all my wordpress posts into it? Any help would be really appreciated!

  54. Reforma de pisos Barcelona

    I just couldnt leave your website before saying that I really enjoyed the useful information you offer to your visitors… Will be back often to check up on new stuff you post!

  55. ProDentim

    ProDentim is great formula for Enhances immunity, Makes gums and teeth stronger & Prevents bleeding in gums.

  56. 안전놀이터

    This is really interesting, You’re a very skilled blogger. I have joined your feed and look forward to seeking more of your fantastic post. Also, I have shared your website in my social networks!

  57. pet wipes

    Great blog here! Also your site loads up very fast! What web host are you using? Can I get your affiliate link to your host? I wish my website loaded up as fast as yours lol

  58. see this page

    I had fun reading this post. I want to see more on this subject.. Gives Thanks for writing this nice article.. Anyway, I’m going to subscribe to your rss and I wish you write great articles again soon.

  59. kanji font generator

    I am lucky that I discovered this website , precisely the right info that I was searching for! .

  60. live free

    Hello. Great job. I did not expect this on a Wednesday. This is a great story. Thanks!

  61. denton independent pharmacy

    What’s Happening i’m new to this, I stumbled upon this I’ve found It positively useful and it has aided me out loads. I hope to contribute & help other users like its aided me. Great job.

  62. Orlando heavy transport

    I think other website proprietors should take this web site as an model, very clean and great user pleasant style and design .

  63. kgh autism madison

    Just wanna admit that this is extremely helpful, Thanks for taking your time to write this.

  64. automotive headliner fabric

    I just couldn’t leave your web site prior to suggesting that I really enjoyed the standard info an individual supply to your guests? Is going to be again continuously in order to inspect new posts

  65. upholstery vinyl

    I like to spend my free time by scaning various internet recourses. Today I came across your site and I found it is as one of the best free resources available! Well done! Keep on this quality!

  66. marine upholstery vinyl

    This is an awesome entry. Thank you very much for the supreme post provided! I was looking for this entry for a long time, but I wasn’t able to find a honest source.

  67. leer mas

    Wow, amazing blog layout! How long have you been blogging for? you made blogging look easy. The overall look of your site is great, as well as the content!

  68. cooe

    This is an awesome entry. Thank you very much for the supreme post provided! I was looking for this entry for a long time, but I wasn’t able to find a honest source.

  69. Denton pharmacy

    thank, I thoroughly enjoyed reading your article. I really appreciate your wonderful knowledge and the time you put into educating the rest of us.

  70. bordados

    Bordados Madrid es la tienda de los bordados, especialistas en todo tipo de personalización mediante bordado e impresión, ya sean forras, sudaderas, toallas, ropa laboral, tanto en el bordado personalizado como, en el bordado industrial.

  71. keyston bros

    fantastic internet site, I could definitely go to your web page once more…acquired some really nice info.

  72. cours de swing

    I like to spend my free time by scaning various internet recourses. Today I came across your site and I found it is as one of the best free resources available! Well done! Keep on this quality!

  73. Substantially, the post is really the best on this laudable topic. I concur with your conclusions and will eagerly watch forward to your future updates.Just saying thanx will not just be enough, for the wonderful lucidity in your writing.

  74. rent a 20 yard dumpster

    Ready2Go Dumpsters is the leading provider in dumpster rentals in south Florida. Our team of professionals offer dumpster rentals for large construction and renovation projects, small businesses, and smaller dumpsters for local residents. If you find that you need a roll-off dumpster, Ready2Go Dumpsters has a variety of options to get rid of your waste responsibly. We’ll help you find the perfect size dumpster rental for your needs, order it, and schedule the delivery. Fill up the dumpster and we’ll take care of the rest.

  75. mortgage loan for seniors

    Are you looking to purchase a new property and need to secure a home loan? Are you thinking about refinancing your property to take cash out or get a better interest rate? Look no further, we’ve got you covered. If you’re looking to renovate your property and/or need repairs, we can take care of that for you as well. We’re your all-in-one real estate concierge. Get everything you need done for your property with Estate Solutions. Contact us for more information now.

  76. buy admin rdp

    you’re in reality a just right webmaster. The web site loading velocity is incredible. It sort of feels that you’re doing any distinctive trick. In addition, The contents are masterpiece. you’ve performed a great process on this topic!

  77. noah aulwes

    We’re developing a conference, and it looks like you would be a great speaker.

  78. pagina web

    Some genuinely choice content on this site, bookmarked .

  79. Leak repair

    Your posts provide a clear, concise description of the issues.

  80. 토토사이트

    I’m partial to blogs and i actually respect your content. The article has actually peaks my interest. I am going to bookmark your site and preserve checking for new information.

  81. neomime

    No significant differences in response were noted between various subgroups stratified by baseline age, body mass index, LUTS severity, serum prostate-specific antigen value, prior О±-blocker use, and prior ED therapy buy cheap generic cialis uk

  82. mas info

    I just couldn’t leave your web site prior to suggesting that I really enjoyed the standard info an individual supply to your guests? Is going to be again continuously in order to inspect new posts

  83. nuestra empresa

    How long have you been in this field? You seem to know a lot more than I do, I’d love to know your sources!

  84. pagina web

    Hello there! I really enjoy reading your blog! If you keep making amazing posts like this I will come back every day to keep reading.

  85. nuestra empresa

    Hello, I think your blog might be having browser compatibility issues. When I look at your website in Chrome, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other than that, awesome blog!

  86. nuestra empresa

    I just couldn’t leave your website before suggesting that I really enjoyed the usual information an individual supply on your visitors? Is gonna be back often in order to investigate cross-check new posts

  87. Vclubshop

    Very often I go to see this blog. It very much is pleasant to me. Thanks the author

  88. empresa

    Good points – – it will make a difference with my parents.

  89. Best American Healthcare University online surgical technician training is far superior to other online Surgical Technician programs because it includes the training, exam review and national certification exams. Register with Confidence and attend a nationally accredited, but affordable program. In just 4 months, you can complete the surgical technician program from the comfort of your home without a loan on your neck. Enroll now at https://www.bestamericanhealthed.com/surgical-technician

  90. Vclub cc shop

    I think that may be an interesting element, it made me assume a bit. Thanks for sparking my considering cap. On occasion I get so much in a rut that I simply really feel like a record.

  91. 토토사이트

    I dont think Ive caught all the angles of this subject the way youve pointed them out. Youre a true star, a rock star man. Youve got so much to say and know so much about the subject that I think you should just teach a class about it

  92. vnhoi

    This is a great blog. Thank you for the very informative post.

  93. PMP Certification

    Amazing! Your site has quite a few comment posts. How did you get all of these bloggers to look at your site I’m envious! I’m still studying all about posting articles on the net. I’m going to view pages on your website to get a better understanding how to attract more people. Thank you!

  94. mas info

    I wrote down your blog in my bookmark. I hope that it somehow did not fall and continues to be a great place for reading texts.

  95. informate

    The clarity in your post is just nice and I can tell you are an expert in the subject matter.

  96. rogers internet plans

    I just couldn’t leave your web site prior to suggesting that I really enjoyed the standard info an individual supply to your guests? Is going to be again continuously in order to inspect new posts

  97. mas info

    I’m impressed, I need to say. Really rarely do I encounter a blog that’s both educational and entertaining, and let me tell you, you have hit the nail on the head.

  98. negocio

    Is it okay to put a portion of this on my weblog if perhaps I post a reference point to this web page?

  99. click aqui

    How do I subscribe to your blog? Thanks for your help.

  100. click aqui

    Some truly nice stuff on this website , I like it.

  101. Have you given any kind of thought at all with converting your current web-site into French? I know a couple of of translaters here that will would certainly help you do it for no cost if you want to get in touch with me personally.

  102. h380

    There is a lot of misunderstanding about these issues today. Your material helps explain things.

  103. It’s the best time to make some plans for the future and it is time to be happy. I’ve read this post and if I could I wish to suggest you some interesting things or tips. Maybe you can write next articles referring to this article. I wish to read even more things about it!

  104. admin rdp

    Great blog right here! You seem to put a significant amount of material on the site rather quickly.

  105. Latitude 5430 i5

    A colleague in the field told me to check out your website.

  106. Sifsbipsy

    Inhibin B in positively correlated with sperm concentration and is, like FSH, thought to be a marker of spermatogenesis and Sertoli cell function 61, 62. buy clomid for men online What s one piece of advice would you give a prospective patient of Mark Nixon at Kaiser Permanente NorCal.

  107. thetechzoom

    Good post. I study something more difficult on different blogs everyday. It’s going to always be stimulating to learn content material from other writers and observe a little bit one thing from their store. I’d prefer to use some with the content material on my blog whether you don’t mind. Natually I’ll give you a link in your web blog. Thanks for sharing.

  108. สเต็ป2

    Very Interesting Information! Thank You For Thi Information!

  109. Shutter Repair London

    Thank you a lot for sharing this with all folks you actually recognize what you’re speaking about! Bookmarked. Please additionally visit my site =). We can have a hyperlink trade contract among us!

  110. live free

    There most be a solution for this problem, some people think there will be now solutions, but i think there wil be one.

  111. reformas baños

    Thank you for this great piece of content. Best Regards

  112. sbobet

    Thank you for the auspicious writeup.

  113. Estassy

    Dht is part of the reason for hair loss but increasing testosterone via Dht, hair loss may be the sacrifice trade-off for doing so. nolvadex

  114. 두팔로우

    Sometimes, the sheer magnitude of the information seems overwhelming.

  115. Porno kategorisi maya patron fuck video. Patron Kıçını patron Sarışın Sekreterini Sikmek.

    Patronum beni ofisine LAN. Irklararası bi evli-Maya Kendrick-Fuck my.

  116. İzmir Escort

    I wish I could craft such articles as this. Thank you very much.

  117. 먹이야뭐야

    I appreciate, cause I found just what I was looking for. You’ve ended my four day long hunt! God Bless you man. Have a great day. Bye -.

  118. À quoi sert l'homme Maca

    Za početak, neke statistike: pokazalo se da se 7 od 10 muškaraca starijih od 35 godina
    povremeno suočava s problemima s impotencijom. To može.

  119. Kerontokan Bulu Anjing dan Alergi Umumnya alergi anjing disebabkan karena dander anjing bukan bulu rontok mereka.
    Dander adalah kulit mati yang jatuh dari tubuh anjing kemudian menumpuk di sekitar rumah dan terbawa melalui udara ke hidung dan mata
    anda. Semua anjing menghasilkan dander, namun beberapa jenis anjing menghasilkan hanya
    sedikit.

  120. sbobet

    Awesome post. It’s so good to see someone taking the time to share this information

  121. azure remote desktop client

    I have been curious about these trends, and you have really helped me. I have just told a few of my friends about this on FaceBook and they love your content just as much as I do.

  122. construccion

    Hi, do have a e-newsletter? In the event you don’t definately should get on that piece…this web site is pure gold!

  123. best website agency

    Pretty nice post. I just stumbled upon your weblog and wanted to say that I’ve really enjoyed surfing around your blog posts. After all I’ll be subscribing in your feed and I am hoping you write again very soon!

  124. nuestra empresa

    I dont think I’ve read anything like this before. So good to find somebody with some original thoughts on this subject. cheers for starting this up. This blog is something that is needed on the web, someone with a little originality.

  125. fachadas ciudad

    Hi, I just hopped over to your web-site through StumbleUpon. Not somthing I might typically browse, but I liked your views none the less. Thanks for making something worthy of reading through.

  126. Beast Full Movie Online

    I’ve thought about posting something about this before. Good job! Can I use part of your post in my blog?

  127. 노팔로우줘요

    With internet full of dupe articles it is nice to find original content like yours thank you so very much.

  128. mycreditfocus.com

    There is a lot of misunderstanding about these issues today. Your material helps explain things.

  129. fontanero 24

    The sketch is tasteful, your authored material stylish.

  130. informacion empresa

    I am glad to be a visitor of this thoroughgoing web blog ! , regards for this rare information! .

  131. instalaciones fontaneria

    Hello.This article was extremely interesting, particularly since I was searching for thoughts on this subject last couple of days.

  132. fus

    Jackpot Mobile Casino bonus program includes no deposit bonus, welcome offer, and regular promotions in the form of deposit promotions. The minimum deposit at Jackpot Mobile Casino is £10. This is also the amount required to unlock the new player bonus. Jackpot Mobile Casino was released in 2015 and has established itself as the home of epic mobile slots and fantastic bonuses. They have made sure their mobile site, is a cut above the rest and offers only the best games and bonuses to their mobile players. Their mobile site can be accessed through their app, which can be found on the Google Play Store and the Apple Store. Jackpot Mobile Casino has made sure that they have a variety of excellent mobile games to suit every player’s needs. You can expect to find only the best mobile games from the best developers in the business. So you will find plenty of epic slots from the likes of NetEnt, Yggdrasil Gaming, Microgaming, Nektan and Big Time Gaming. Some of our favourites include Elf and Safety, Gunslinger’s Gold, Medusa II, Cave Raiders, Magic Touch, and Shamrock ‘n’ Roll. https://tysonethw875320.bloguetechno.com/btc-casino-online-47082956 The creators of the Reel Island Casino have seen the importance of building up a mobile version for the website. Players can access the website from their smartphone or tablet web browser. All the games available in the desktop version are available for the touch-based interface, the only difference being the simplified design menu. The Reel Island free spins offer looks and feels more attractive than some other deals you may get from the competitors. Wagering requirements are quite reasonable and adjusted to players from all experience levels. Although some other casinos allow their players to use free spins on practically all games from the portfolio, Reel Island has decided to limit its promotion to the new and rewarding titles only. This certainly cannot be considered as a bad deal, so you won’t regret if open a new account here and try to get the most of this interesting offer.

  133. deepthroat kusma Pornosu izle

    Zerrin egeliler Türk büyük yarrak super mario haydar. Bakışlarında bana acıyan bir ifade vardı, ben de.
    erkek arkadaşını aldatan bile, arkasını bana.

  134. murat gündüz

    This is my first time i visit here. I found so many helpful stuff in your website especially its discussion. From the tons of responses on your posts, I guess I am not the only one having all the enjoyment here! keep up the excellent work

  135. Below are most exciting videos with xnxx xnxx porno video hd xnxx sex izle ibsexy in 4k.

    Only with us you can see wild sex where the plot has xnxx xnxx porno video hd
    xnxx sex izle ibsexy. Moreover, you have the choice in what quality to watch your favorite porn video, because all our videos are presented in different quality: 240p, 480p, 720p.

  136. Barbarian Full Stream

    Excellent read, I just passed this onto a colleague who was doing a little research on that. And he actually bought me lunch because I found it for him smile So let me rephrase that.|

  137. My coder is trying to convince me to move to .net from PHP. I have always disliked the idea because of the expenses. But he’s tryiong none the less. I’ve been using WordPress on numerous websites for about a year and am nervous about switching to another platform. I have heard great things about blogengine.net. Is there a way I can import all my wordpress posts into it? Any help would be really appreciated!

  138. Qnap

    I’m partial to blogs and i actually respect your content. The article has actually peaks my interest. I am going to bookmark your site and preserve checking for new information.

  139. seat belt repair

    I’ve been surfing online more than 3 hours today, yet I never found any interesting article like yours. It’s pretty worth enough for me. In my view, if all web owners and bloggers made good content as you did, the net will be much more useful than ever before.

  140. cerrajero online

    Sometimes, the sheer magnitude of the information seems overwhelming.

  141. oficina empresa cerrajeros

    My brother suggested I might like this web site. He was entirely right. This post actually made my day. You can not imagine simply how much time I had spent for this info! Thanks!

  142. create facebook ads

    Hello.This article was extremely interesting, particularly since I was searching for thoughts on this subject last couple of days.

  143. contacto

    Our local network of agencies has found your research so helpful.

  144. Gifts For Girlfriend

    Are grateful for this blog post, it’s tough to find good information and facts on the internet

  145. oficina

    I don’t normally comment on blogs.. But nice post! I just bookmarked your site

اترك تعليقاً