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I had been taking pills of all sorts and Maalox for year—more years than I’d like to admit proven geriforte 100 mg. I was unable to eat a meal without the immediate need to take some kind of stomach medication or another buy cheap geriforte 100 mg on line. By applying your theory and realizing how much the subconscious mind controls our everyday living 100mg geriforte visa, my stomach problems have completely gone away discount 100 mg geriforte visa. It is my judgment that only 10 percent of the population would understand that man’s experience purchase geriforte 100 mg on-line. From a theoretical point of view there are some interesting implications suggested by this equivalence principle. As far as the group of disorders I have listed is concerned, it deviates from Franz Alexander’s hypothesis that specific disorders have particular psychological significance. In his classic book he discussed the psychodynamics he thought responsible for gastrointestinal, respiratory and cardiovascular problems. Experience with TMS 144 Healing Back Pain and these related conditions suggests that there may be a common denominator, anxiety perhaps, that can bring on any one of these disorders. In that case, some other emotion, anger for example, may be the primary one that may in turn induce anxiety, which then brings on the symptom. Personally, I have experienced gastric hyperacidity, colitis, migraine headache, palpitations and a variety of musculoskeletal symptoms typical of TMS and know that they were all the result of repressed anger. Once having learned the trick, I could usually identify the reason for the anger—and often turn off the symptom. It is interesting to note that most of the disorders listed above are mediated through the autonomic nervous system. As far as we know hay fever is not but represents malfunction in the immune system. I shall return to this later when we discuss the new field of psychoneuroimmunology (see “The Current State of the Art of Mind-Body Medicine”). The Physical Disorder as a Defense Against Repressed Emotions This has been discussed in chapter 2 on psychology, and it will be only briefly reiterated here that the purpose of the physical symptomatology, whether it is musculoskeletal, gastrointestinal or genitourinary, is to distract attention, which is a mechanism for allowing the individual to avoid feeling or dealing with the undesirable emotions, whatever they may be. One must make a sharp distinction, however, between a decision made in the subconscious and one which the person would consciously make. As pointed out earlier in the book, TMS patients cope only too well in reality; it is their unconscious minds that are cowardly. The best evidence of the validity of this concept is the fact that patients are able to stop Mind and Body 145 the process simply by learning about it. As mentioned in chapter 4 on treatment, many people have reported resolution of their back pain syndromes after reading my first book, making it quite clear that they were “cured” by the acquired information. Freud and his students recognized that hysterical symptoms sometimes took the form of pain. Over the years I have seen a number of patients with severe manifestations of TMS, so severe that they were usually bedridden. In addition to having the classic findings of TMS, that is, pain on pressure over certain muscles and involvement of nerves like the sciatic, these patients often had pain in strange locations and of a bizarre quality. Hysterical symptoms involve the sensorimotor system instead of the autonomic, which is what distinguishes them from gastrointestinal symptoms, for example, and suggests that they have a different psychological cause. It is my view that both TMS and its equivalents and so-called hysterical pain stem from the same source psychologically but that the magnitude of the emotional problem may determine which symptoms the brain chooses. Allan Walters delivered a presidential address to the eleventh annual meeting of the Canadian Neurological Society titled “Psychogenic Regional Pain Alias Hysterical Pain. Walters’s contention that the designation of hysterical pain was not accurate, since in his experience a large variety of mental 146 Healing Back Pain and nervous states could induce the kind of pain usually identified as hysterical, and not just hysteria. I have seen either the pain of TMS, which includes muscle, nerve, tendon or ligament pain, or psychogenic regional pain in patients with anxiety states of varying degrees of severity as well as in patients with schizophrenia and manicdepressive conditions. It appears that the brain will choose from a large repertoire of painful and nonpainful disorders when it needs to defend against painful or undesirable feelings. I would further hypothesize that in addition to varying degrees of severity of the emotional disorder (for example, mild, moderate or severe anxiety), individuals repress these feelings to different levels.

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Angie and Mark had agreed that Angie would stay home for at least six months following the birth of their child purchase 100 mg geriforte visa, Amy generic 100 mg geriforte amex. However generic geriforte 100 mg with visa, when Mark an- nounced that he was extending his own parental leave by several weeks buy cheap geriforte 100mg on-line, without pay buy cheap geriforte 100 mg line, to share fully in this important family event, Angie became ag- itated and fearful. Her own father had never heard of parental leave and left all child raising to her mother. Money, or the lack of it, was always an issue in her home, and the family had to make sacrifices to survive on her father’s modest income. Mark’s decision to take leave without pay and be a hands-on dad aroused fearful memories in Angie of financial hardship and concerns regarding her adequacy as a parent, since she believed Mark now looked to her as the expert in matters of childcare. Their constant bickering and Angie’s anxiety brought them into counseling, lamenting the loss of close- ness at what they had hoped would be the "happiest time of their lives. In Angie’s case, her new responsibilities aroused old memories and fears of financial instability. She was also burdened by the unfounded belief that Mark expected her to be the expert. When the expectations of each partner were explored in therapy, Angie shared her assumption that Mark was looking to her for childcare exper- tise. She also shared her discomfort with having Mark at home after the ini- tial settling in period, since it would soon become obvious to him how little she really knew about caring for their newborn. Mark, on the other hand, looked forward to his time at home as an opportunity to bond with their child and learn with his wife how to be parents. Initially, neither Angie nor Mark was able to directly verbalize fears and insecurities to each other. They learned basic communication skills, and with the help of their therapist, each was able to express and acknowledge in- securities about their new roles. They recognized that neither was the expert and developed a plan to participate together in infant-care classes immedi- ately, and parenting classes as their child developed. They were encouraged to expand their circle of friends to include other couples with infants and young children. They learned problem-solving skills to help them resolve parenting and relationship issues as they arose. Some additional time in therapy was used to explore Angie’s unresolved fears around the couple’s finances. The couple was instructed to prepare an annual household budget together, giving them a clear picture of their fi- nancial needs and resources, and to make whatever adjustments were nec- essary to live within their means. This exercise concretized their financial picture and made them partners in finding solutions. Having specific knowledge of their family finances and actively participating in developing a budget and brainstorming necessary changes alleviated Angie’s fear of the unknown, a significant factor in her childhood experience of financial hardship. Finally, the couple was instructed to prioritize their relationship by planning a weekly date night. To eliminate the financial burden of such an assignment, they were instructed to be creative beyond the typical movie night or dinner out and spend no more than five dollars. This added an element of fun and creativity and encouraged dates such as walks along the beach and picnics in the park. Marriage partners bring individual skills into the marriage and develop couple skills that impact their ability to parent effectively. On an individual level, one’s ability to be flexible, to adapt to change, assume new responsi- bilities, and defer personal satisfaction to attend to another are all qualities that bode well for the new parent. Couples acquire a style and identity in the early days before children that characterizes their relationship. Those who have bonded too tightly Couples with Young Children 47 may have difficulty expanding to include a child, and those so loosely con- nected may find it challenging to reorganize around a new member. Rigidly structured relationships with clearly defined roles are especially challenged when a new baby arrives, but among the most important skills couples bring to the childbearing years is their ability to problem solve. When a new baby enters the family circle, there is a decided shift in at- tention from the spouse to the newborn. Although having positive feelings toward their child, anger and resentment may simultaneously be directed at their partner. Fatigue from many sleepless nights, insecurity in handling the numerous childcare tasks, unmet expectations, and the loss of the undivided attention from one’s spouse all contribute to the confusion and turmoil young parents experience. The ground rules have changed, and although old patterns of relating are not always accessible, new pat- terns have not yet been clearly established (Wolfson & DeLuca, 1981).

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Accord- 7 ing to Henri Broch safe 100mg geriforte, the mapping of meridian lines by radioactive tracer 60 Needles and Pains is not a real proof but rather real baloney effective 100mg geriforte. Many experiments have been conducted in an effort to prove the clinical value of acupuncture buy geriforte 100mg amex. Some have compared real acupuncture with placebo acupuncture (that is discount geriforte 100 mg, applied to areas that are not recog- nized acupuncture points) 100mg geriforte for sale. In one example, non-acupuncture points were "stimulated" with a non-working laser, or one without a needle, in a fake acupuncture ses- sion on a zone that is not visible to the patient (his back, for example). Acupunc- ture without a needle or laser is as effective as real acupuncture — in some cases, even more effective. Osteopathy and Chiropractics Vertebral and articular manipulation must be the oldest physical form of medical care and it probably has come to us, over the centuries, the least changed since its origins several millenniums past. Tradition- ally the responsibility of bonesetters, it was part of ordinary people’s life as well as that of the kings. The history of medicine — unless the tale is apocryphal — tells us that the Greek physician Galen (129 – c. Diagnosing what we would call today a cervical- brachialite with paralysis of the last two fingers, Galen noticed that one of the neck vertebra was displaced; he re-set it and restored to Pausanias the physiological integrity of his cervical joints and the use of his fingers. Thus, "bone-setting" was added to the bag of tricks used by those with the "gift" of healing throughout the centuries. W ith their bare hands, these practitioners can perform their miracles on the farmer as well as his wife, a horse or a cow. Manipulation of the joints and vertebrae, strictly speaking, has made great strides in the United States since 1830. Engineer, doctor, believer and practitioner, Andrew Taylor Still had suffered crippling migraines since childhood. After being relieved by the local boneset- ters, especially one Robert Joy, he was convinced of the effectiveness of the manipulation that had been practiced on his person. In parallel, he was disillusioned with the medicine of his era, which had been unable to save two of his children (who died in a meningitis epidemic). W ith his deep-seated religious beliefs, he spent several years preaching while seeking more effective techniques to mitigate the shortcomings of con- temporary medicine. W hile he was studying a skeleton, an idea came to him: that the essential con- dition for an organ to function correctly is that its mechanical relations should be in equilibrium with the structures surrounding it and that the various organs and apparatuses of the human body must be in har- mony. For an organ or an apparatus to function correctly, it must be under no con- straint, of any kind. Andrew Still then stated the basic axiom of oste- opathy: "structure governs function". He also wrote the secondary laws that hold that equilibrium is related entirely to innervation, vascularization and the mechanical equilibrium of the organs. The osteopath’s job is thus to identify the imbalance and restore the organ to its initial state of balance. W ith his hands, he looks for the signs of imbalance and cures it through local manipulation. After some successful tests on his close friends and family, he set out on a real adventure by codifying the techniques of what he would come to call osteopathy. Osteopathy took off, fu- eled by the charisma of its founder and the simplicity of the technique (not to mention its low cost). Osteopathy was quickly recognized throughout the United States and osteopaths acquired the same rights in the U. At the same time, David Daniel Palmer (1845-1913) was founding the chiropractic school of Davenport, Iowa. But he was quickly sup- planted by his own son, Bartlett Josua (whose wife made the first glass- plate radiographs of the spinal column). Palmer would be reha- bilitated by his grandson, who, understanding how to do business "American-style", developed chiropractics as a mixture of osteopathy, certain rules of hygiene, a bit of philosophy and a strong dose of reli- gious esotericism. Littlejohn, founded the British School of Osteopathy, which then made inroads in continental Europe.

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