Sex Toys:Not Too taboo

Sex Toys: Not Too Taboo

Usually I write my blogs and record my vids right off the top of my head with basically zero preparation required. Today’s topic is a little outside my usual scope, but I’m man enough to admit that I did some research- and believe me when I tell you that there is a freaking metric ton of info on sex toys out there! As a physician, I’ve seen more than my fair share of kink and way-out-there sex practices in hospital ER’s all over this great country, but I found that toys these days go from “wow…now that sounds interesting” to “they want you to put that there?” to “dammit, why the hell didn’t I think of that??” Some of it is totally blush-worthy, but set aside your hang-ups and preconceived notions, open your minds, and get ready to get really up close and personal here, people! And fair warning: prepare for plenty of innuendo and double entendre – and any time you read something and think to yourself ‘oh wow, did Dr. Agresti realize what he wrote there, what that word choice kinda sounds like in a blog about sex?’ The answer is yes and yes…I did and I do. So I hope you like it and share it.

Sex toys are clearly no longer the taboo subject of generations past, as ever increasing numbers of men and women, cis and trans, L, G, B, and Q, individually, and in couples and fill-in-the-blank-somes, are incorporating toys into their sex lives. As a result, it’s no surprise that the sex toy business is banging. Not a shock if you recall my wildly popular orgasm blog and some of the not-so-fun facts I had to reveal: 

-10% to 15% of all women are anorgasmic, meaning they cannot or do not orgasm…like at all. Bummer days people.

-75% of women will never (Hey, you hear that? Never…ever…ever…ver…ver…err…errr) reach orgasm from straight up intercourse alone, without a toy. Like wow people. 

-Captain Obvious says that means that only 25% of women will reach orgasm from vanilla sexual intercourse alone, ie without a toy.

-Only 29% of women regularly reach orgasm with their partner, while 75% of men will always reach orgasm with their partner (“yeah, or a hole in the wall” as added by someone who will remain nameless that’s giving me the stink eye at this very moment because for some reason she thinks that when I’m typing on my laptop I somehow magically become blind to everything else.) Anyway, the moral of this story is that women are far more likely to orgasm when they’re all by themselves than when they’re with a partner. Ouch people.

So…why should you care, you ask? Well, numero uno is that you might have a vagina. Duh. And if you’re an owner of said vagina, you are statistically much more likely to be among that 75% that can’t orgasm from vanilla intercourse, or the 71% that don’t orgasm with your partner at all! Or you could even be both. Or, maybe you have a penis, but you care about someone that has a vagina…like you really care, to the point where you want to have sex with them and please them…both at the same time I mean. This would be good intel then, no? Because then you could even introduce a sex toy (surprise, honey!) and explain that you got it just because you’re so concerned that she may be a member of the “no orgasm club.” But don’t call it that- use big words and quote the statistics in an effort to make yourself sound smart- they’ll appreciate that. Oh, and because you’re a giver. Throw that one in there too. No… really, in all seriousness, emotional intimacy and pleasure from physical intimacy are truly very important parts of a love relationship. And emotional intimacy is at its best when everybody involved derives pleasure from engaging in physical intimacy. To simplify: make your partner’s orgasm at least as important as yours. They’ll be much more inclined to like you and give you more opportunities to make their orgasm at least as important as yours… it’s a positive feedback loop.

There are a lot of myths surrounding sex toys, and one of the most ridiculous is that they’re unnatural and unhealthy. In reality, that couldn’t be farther from the truth. Sex is one of the most natural things a body does; it’s a gross comparison, but sex is right up there with peeing and pooping. Anything that promotes sex and pleasure is absolutely natural and completely healthy! In fact, people who abstain tend to have more instances of anxiety and depression. Facts people. Women that use sex toys report greatly increased levels of sexual desire, much more frequent orgasms, far greater sexual satisfaction, and happer, better, and more complete intimate relationships. I can’t find a negative in any of that. 

Why are sex toy sales on the rise?

While they were once seen as depraved and belonging to a certain line of work, these days they are totally socially acceptable. Now there are even more sex toy parties than Tupperware parties, and women enthusiastically compare notes about the latest sex toys in their collection. The hype surrounding the film Fifty Shades of Grey has played a part in this, along with the fact that today’s women are no longer ashamed about satisfying themselves. On the contrary, self-assured modern women are open about their sexuality, and this includes the fact that they don’t necessarily need a man to be sexually satisfied. That said, couples are also incorporating sex toys into their activities at an ever increasing rate. In particular, couples in long-term relationships are using sex toys to spice up their love lives, allowing them to explore new sexual experiences together. I’ll be talking all about this in part three of this sex toy series, and you don’t want to miss it- it is hot stuff people!

But before we get that deep, today I’m going to start with the basics on sex toys: what they are, how they started, and what they’re all about. Then next week in part two, I’ll talk about who’s using sex toys and what you should consider if you decide to join them. As I said before, part three will be about partner toys and ways to spice up long-term relationships. And at the end, I’m going to paste some links to articles and sites where you can find more information about different types of toys, how to choose a first toy, and where you can find and purchase any and every toy you could ever want. Look, if you’re into playing fingerpuppet five-on-one or downstairs DJ and it works for you, I certainly have no objections your honor, but some new toys could put a new smile on your face; so keep reading my blogs and if anything strikes your fancy… be adventurous and go for it!

What are sex toys?

As if you don’t know… Sex toys, aka adult toys, aka “marital aids”… all are terms for objects that people use to have more pleasure during partner sex or masturbation. Sometimes sex toys can also have medical uses, as in cases of sexual dysfunction, although that seems to be something of a point of contention. There are many different types of sex toys, and people use them for any of many different reasons, but the general idea and end goal is basically the same for everyone across the board: to get off. I’m pretty sure that’s the technical term.

Here’s a quick overview of some of the most common categories of sex toys:

Vibrators

AKA vibes or buzzers

AKA “personal massagers” (yeah…riiiight) 

-Objects that vibrate or buzz to stimulate internal and/ or external genitals.

-Most commonly used on the clitoris and/ or other parts of the vulva and vagina, especially the G-spot.

-Can also stimulate the penis, scrotum, testicles, nipples, anus, and the male P-spot. 

-Come in endless shapes and sizes, waterproof or not, for inside the body and/ or out, and for all genders.

Dildos

-Objects that go inside a vagina, anus, or mouth. 

-Come in many shapes and sizes, but they’re often shaped similarly to a penis. 

-Some look realistic, others more abstract.

-Can be slightly curved to help stimulate G-spot or prostate,  the P-spot.

-Can be made out of lots of different materials: silicone, rubber, plastic, metal, or

glass (freaking yikes – not for butterfingers!)

-Dildo Fun Fact #1: Ever wonder where the term dildo came from? Constantly, right? Let’s get in the Wayback Machine to find out!

-Turns out, like so many words, dildo is thought to be a bastardization of terms taken from other languages.

-IMO, the winner is diletto, taken from the Italian which means ‘a woman’s delight.’ This seems a very likely place where the word we know and love today got its start, however there are a couple of other contenders. 

-My next personal choice would be dill-doll, which is the ye olde English translation for the old Norse word ‘dilla,’ a verb meaning ‘to soothe.’ So literally, a dill-doll would be a soothing doll, as in…a penis! Of course! Or an intimidating giant rubbery effigy of one, anyway. 

-Dildo Fun fact #2: Did you know that there’s an actual place called Dildo? I heard that’s where Waldo was… Waldo in Dildo. But seriously, there’s a town in the maritime province of Canada called Dildo, and Dildo Island is located just offshore don’tcha know. The tourism marketing folks there are fighting one hell of an uphill battle. Check out these tags that I came up with: 

‘Dildo~ The Weather is Here…Wish You Were Beautiful!’ 

‘Come to Dildo…See the Sights!’ 

‘The Isle of Dildo…Get On It!’

Anal Toys

-Captain Obvious says these are toys made specifically to stimulate the anus. 

-Includes plugs (aka butt plugs), anal beads, prostate massagers, and wide base/ flared dildos. Yeah people…pay special attention to that wide base/ flared part- if you don’t, these suckers are prone to take an accidental detour waaay up the hershey highway, and then you’ve got to go to an ER to have it pulled out, and that’s not embarassing at all. I’ve seen this all up-close-and-personal-like more times in the ER than my poor brain can block people.

-You must use lube to use anal toys (especially anal toys) safely. An overarching theme on these toy sites is basically this: lube is cheap, so use lots and lots of lube when you play with toys.

Sleeves

-AKA masturbation sleeves

-AKA penis sleeves 

-AKA strokers

-Soft tubes designed to put the penis into.

-Come in all shapes and sizes, and with different textures on the inside for more sensation. 

-Some feature vibration or suction. 

-These are cool because there are strokers specially designed for a larger clitoris or smaller penis, particularly for intersex or trans people.

Penis Rings

AKA cock rings 

AKA erectile dysfunction rings

AKA constriction rings  

-Shockingly, these are rings that go around your scrotum and/ or penis (must be prior to arousal people!)

-Work by slowing the blood flow out of the penis once it’s erect, thereby increasing sensation and/ or making the erection harder and longer-lasting. 

-The safest penis rings are made from soft, flexible materials that can be easily removed in case of emergency: silicone, rubber, or leather with snaps for the biker set. 

-Some penis rings have little vibrators on them to stimulate the wearer and/ or their partner during intercourse. 

-Penis rings restrict blood flow, so don’t wear one for longer than 10 to 30 minutes, and take it off right away if it becomes even slightly painful: kind of defeats the purpose. 

-Talk to a nurse or doctor before using penis rings if you have a bleeding disorder or are on blood-thinning medicine. See, just the fact that they mention that leads me to believe that there could be blood shed associated with using this toy…so for me, this is a pass and a no freaking way, people!

Pumps

AKA penis pumps

AKA vacuum pumps

AKA vacuum erection pumps

-Vacuum-like devices that use a hand or battery-powered pump to create suction around the penis, clitoris, vulva, or nipples. -Pumps drive blood flow to the area, which helps increase sensitivity and sensation. -Penis pumps can help you get an erection, but they won’t make your penis permanently bigger. Sorry people.

-Some pumps are designed to help treat erectile dysfunction, genital arousal disorder, and orgasm disorder. 

-For more information about these pumps, contact a nurse or doctor. You can also go to your local Planned Parenthood health center. -Most of the pumps you buy in sex stores or adult shops are not medical devices, they’re just meant to enhance pleasure during sex and masturbation. 

-Make sure to follow the instructions on the packaging, and don’t pump for longer than the instructions dictate.

-Once again, talk to your doctor before using a pump if you have a blood disorder, or are on blood-thinning medication.

Ben Wa Balls

AKA Kegel balls

AKA Kegel trainers 

AKA Vagina balls

AKA Orgasm balls

-I’m sure you’ll all be shocked to learn this first part: that these are round objects; but maybe a little more surprised by the second part: that they’re designed to be inserted inside the vagina, and definitely shocked by the last part: some women keep them in for an entire day. Like on purpose. Whoa people. Don’t mind me, I’ll just be crying in the fetal position over in the corner. 

-They can assist in exercises that tone and strengthen the Kegel muscles. 

-Kegel balls are usually weighted so that the vagina must be squeezed to keep them inside the body, strengthening the pelvic floor muscles. 

-You don’t need these balls to do Kegel exercises, and not everyone uses them for that purpose; many women just like the way they feel inside the vagina.

-Fun Ben Wa Balls fact: female prisoners could use these to enlarge their “God purse,” which is what they call their vaginal cavities, especially when they hide illegal items from cops and/ or smuggle contraband into jails and prisons. Wonder if a female inmate came up with them… after all, necessity is the mother of invention.

-Some are hollow with smaller balls inside that roll and bounce when you move, making a jiggling sensation. And probably a jingling noise too, right? Can you imagine that? I’ll do it for you: you’re a man in an elevator, you’ve just pushed the button for eleven, and just as the doors are about to close, you hear the familiar sound of jingle bells getting louder as you see a woman is running to catch the elevator, and as she jumps inside at the last second and lands in her spot, there’s one final loud jingle as she smiles and says “five please,” then silence. Internal thoughts as you push five: Hmmm, those were bells. Like jingle bells? Huh. But kind of… quiet-ish… almost muffled (? you ponder this as you clean your right ear with a pinky finger). Funny, it’s May, not December. I don’t see any bells tied to her stilettos. Odd. Well, maybe she’s one of those people that keep that holiday spirit all year long. Freaks. Ugh so annoying! Or, she’s got ’em in that purse. It’s really small; didn’t see that on her other shoulder before. That’s it. They’re in that purse. Gotta be. Mystery solved. Good job. 

Meanwhile, her internal thoughts after you pushed five: Sheese…this ass monkey moron heard my bell balls. Ha! He’s trying to figure it out right now…I can see the gears working overtime in his pea brain. Can practically smell the burning as he’s inspecting me. No moron, they’re not tied to my Manolo’s…what am I, four? Doesn’t he- oh, he just saw my purse. Yep, he thinks I’ve got them in there. Oh yeah, he thinks he’s got it all figured out…he looks so proud of himself. Little does he know this silly little purse won’t even hold my bell balls! But my God purse does…juuust fine. Later loser.

Right after his mental pat on the back, the elevator stops, the door opens, and she’s gone… jingle all the way.

Harnesses

-AKA straps 

-AKA strap-ons

-These are garment systems that hold a packer, dildo, or other sex toy against the body. 

-Some can be worn like underwear or jock straps, while others can go around other parts of the body, such as the thigh.

People still have a hard time talking about sex and orgasm, but make no mistake: these are integral components of life, and even the ancients knew it. The desire for a good, satisfying, old-fashioned orgasm is timeless. Our ancestors, while they were making hair combs out of bone and forming and firing clay pots, they didn’t neglect their sexual needs… quite the opposite actually. Need proof? To date, the oldest dildo recovered is a big curved stone phallus found in Germany. How old was it? 28,000 years old people!

Turns out, historical men (and women, maybe even more so) were light-years ahead of us in the pleasure department; we have proof positive of this, thanks to their inventions, all of which are still used today. Here are the backstories on some of the most recognized sex toys and paraphernalia that’s still out there in one form or another. 

Blow-up Dolls

-Invented in 1904

-“Lady substitutes” are recorded as far back as the seventeenth century, when French sailors devised the Dame de Voyage: a collection of curvaceous rags (say whaaat?) that could only ever resemble a woman to a very homesick and horny Frenchman. But it wasn’t until some time after vulcanized rubber was patented that the more familiar model came about, which was in 1904. Boy, that must’ve been a Goodyear… and a good year! At that time, they marketed them as  “inflatable dolls for discerning gentlemen.” Would’ve been a hell of a lot easier than marketing tourism to Dildo.

-Less than four years later, German sexologist Iwan Bloch was marvelling over mass-manufactured versions that could ‘imitate ejaculation’ for sale in Parisian catalogues. Rating super creepy was a firm that offered a custom doll resembling “Any actual person, living or dead,” which has to be the single most disturbing tagline in the history of marketing and advertising. Except maybe of course for ‘The Isle of Dildo…Get On It!’ 

-Now they make those “real life girls” which are waaay too (sur)real for me, but devotees talk to them, eat with them, and live with them like they’re real humans. Some medical show I saw followed these men that preferred these dolls, and one guy had four of them, and he actually detailed conversations between himself and the “girls,” including arguments between them about how they would get jealous when he chose to “spend time” with someone other than them. And I’ll never forget when they filmed him opening a door with a smile and saying something like “Yeah, the girls hate to be put in the closet,” and the camera focuses on the closet and there are his three other girls all sprawled out haphazardly. Here he was explaining how he loved each of them, combed and styled their hair, shopped for hot outfits for them, and here they were, all crumpled up in some dingy little closet, waiting for their next date with him or whatever. It was patently ridiculous while absolutely hilarious! There was a movie on this same storyline, I think it was called Lars and the Real Girl. I’m sure you could find it if you were so motivated. 

Butt Plugs

-Invented in 1892

-An English dude named Frank E. Young was a man with a vision, and that vision evidently involved things being inserted up other people’s rectums. Because that happens everyday, right? 

-Developed in 1892, but not marketed until the turn of the century, his ‘Rectal Dilator’ was a terrifying 4 1/2-inches of pain, designed to go not just where the sun don’t shine, but where the sun can’t, and won’t ever, shine. At the time, it was billed as a cure for piles, a gussied-up term for hemorrhoids. 

-The devices were hawked to doctors and even advertised in respected journals. And people might well have gone on believing they were medical devices too, were it not for the ridiculously suggestive instruction manual included with each order. 

-For forty years, these Victorian butt plugs managed to jump the pond to be sold all across the US of A, before they fell afoul of the 1938 Federal Food, Drugs, and Cosmetics Act, which banned them for “false advertising.” Given that it looks like it does, I don’t see how that’s possible, but we are talking about our federal government here. 

Vibrators

-Invented in 1869

-That date is the officially accepted one, but legend has it that Cleopatra actually developed the first version of a vibrator. She was said to keep a jar of live bees on her bedside table, and when she was needing some personal attention, she had her servants fill a hollowed-out gourd with them. She then pressed that against her lower Mesopotamia, using the angry vibrations emanating through the gourd to pleasure herself.  

-She had to stimulate her own self after all four of her husbands died… I guess a girl’s gotta do what a girl’s gotta do. And evidently she did, quite regularly.

-Back to the Victorian vibrators of 1869… this period was a different time… a time when “robots” were steam-powered and doctors treated hysterical women by masturbating them to climax. Of course. I also covered this in my orgasm blog.

-Female hysteria was supposedly a genuine illness, and its treatment involved a qualified medical professional rubbing the female patient’s private parts until orgasm was achieved. Because nothing about this practice could be logical, doctors often complained of boredom and pain-in-the-wrist, probably the very first cases of repetitive motion injury. 

-One of said qualified medical professionals, George Taylor, came to the rescue and invented the first steam-powered vibrator. Because what could possibly go wrong with that… a metal device powered by steam… which is hella hot people!

-Although (shock of shocks) that version failed to catch on, J. Granville’s 1880 ‘electrochemical’ design really did, much to the delight of housewives everywhere, as they went bonkers for them. 

-Even Good Housekeeping magazine started running monthly reviews of these marvelous wonders. So what happened? Well, society accepted the ‘massager’ as long as devotees could tell themselves that it was a medical device, rather than a sexual aid. Yeah, riiight…whatever gets ‘ya through the night people. 

-Now, I should note something I learned while doing research for this blog: that supposedly, while this practice of medical professionals using a vibrator to bring women to climax was common, it was not done for a female hysteria diagnosis, as there supposedly was no such animal. So there ‘ya go, now ‘ya know.

-After these vibrators made their debut in the earliest porn films, husbands soon realized what their wives were up to all the time, and they put a stop to it. Of course they did! Because as every man of that era knew, the last thing you wanted was a sexually satisfied wife… total bullshit. 

-Trust me people, I’m a doctor: a partner that’s satisfied in every aspect of life is actually the thing you should want more than anything else in the history of things in the whole wide world. If you’re wondering why, (re-)read my orgasm blog. 

Condoms

-Depends on whose history books you read, but the accepted invention date was around 1560-ish.

-Going by a strictly modern definition, the first reliable record of condom use doesn’t appear until 1564.

-Regardless, in Japan and China, ‘condoms’ made from various animal membranes were in use before the 15th century. I use ‘quotes’ because there’s really no telling what they were called.

-Japan favored tortoiseshell, but then later thin leather, to make them. In China they were made out of oiled paper or lamb intestines. Neither differed much from condoms in later centuries that were made out of linen or animal intestine.

-They were typically one-size-fits-all – sorry “Magnum” men – and they had to be dipped in water before use to make them pliable. Hmmm… pleasure fit.

-In the 16th century, condoms were used primarily to prevent STD’s like syphilis, as it was typically fatal. So whatever they called them, they may have saved some lives. That is until…  Duhn Dun Duuuhhhnnn!!!

-The discovery of spermatozoa in the 17th century changed everything forevermore. -The Church became outraged over the use of any barrier that could impede the progress of men’s little swimmers as they attempted to reach and fertilize a golden egg. 

-As a result, by the 18th century, the condom’s reputation amongst medical professionals had been firmly cemented as a tool for philanderers, prostitutes, and the immoral.

-Despite this condom condemnation, they actually proved to be quite popular among the upper and middle classes of the day. The beleaguered working classes finally gained access to them after the vulcanization of rubber, round about 1839… another Goodyear and good year. And also what undoubtedly led to the ubiquitous term recognized ’round the world… ‘rubbers.’

Penis (Cock) Rings

-Invented in China in about 1200 A.D.

-These have undergone few changes or innovations in their history. If it ain’t broke…

-Evidently, being ancient Chinese nobility was not an easy job. Not only did you have to put up with assassination plots and Mongol invaders, you were also expected to service your wife, mistresses, and concubines… all on a regular basis. 

-While it sounds like fun and games, there was an urgent reason behind it: if you didn’t produce an heir, you could be pretty sure some obscure prince was going to step up to take his shot at a coup. 

-In stressful circumstances, performing can become… well… difficult, people!

-But have no fear – penis rings are here! -First made from the upper and lower eyelid rings of a goat, with the eyelashes still attached (freaking ouch!) it helped the wearer get on with the business of impregnation for hours on end, even if he was secretly crying on the inside. And I’ll bet he was.

-While primarily made for purposes of sexual enhancement, they were later made from carved ivory and jade to also be worn for aesthetic adornment. No matter how pretty it is, I betcha they still hurt like hell.

-For a brief period inspired by sexual repression, these rings were also designed specifically for the purpose of preventingerections and sexual exploits by inflicting pain with constriction or spikes. 

-This is interesting, because it really demonstrates the clear link between pleasure and pain, even waaay back in dynastic China… tres 50 Shades. Interesting though it may be, I’ll take a hard pass on the pain part of that equation, thank you very much people. Debbie and I have no Christian and Anastasia tendencies at all.

-In reality, the basic form and function of these rings have remained quite unchanged, though they are now made in softer, less painful materials and in adjustable models as well. 

Geisha Balls

-AKAs: Ben Wa Balls, Burmese Balls

-Origins are uncertain and incomplete

-What we know: they appeared in the Orient sometime around A.D. 500 and were originally used to pleasure men. 

-Women soon (somehow) caught on to the benefits (?) of the device, and the balls went supernova. 

-Recorded across most Asian cultures, Geisha Balls were the “Rabbit” of their day: a toy that could heighten pleasure during sex, or simply facilitate some good old-fashioned self-pleasure.

Penis Enlargement

-Popularized in Third Century A.D.

-The Kamasutra was many things: a manual for living, a treatise on sex, and likely the earliest recorded scam. Why? I’m glad you asked: because in it, they describe a method for making a penis larger. How? I’m glad you asked: by catching wasps, and- stingers and all- rubbing them all over the penis, being very careful not to crush and kill them before they angrily sting the entire shaft and head of the penis. Or, some people say you could also simply grasp each wasp and apply its stinger to the skin of the penis- and then repeat that action until you’ve managed to cover it completely. Does it work? I’m glad you asked: technically, yes… but the enlargement you get would only be courtesy of the swelling caused by the poison stinger, and I’m quite sure that using the penis for intercourse in that condition would be painful as hell, certainly sufficient enough to prevent you from doing so. In reality, the efficacy of this “treatment” in making the penis larger is questionable at best, and lethal at worst, if that’s how one discovers they happen to have a severe anaphylactic reaction to wasp stings, and would be very temporary in any case… So it would only work about as well as the tub o’ enlargement cream that Junior High boys buy online after sneaking dad’s credit card. 

-There is an alternative of sorts, to increase the girth of a penis. What is it? I’m glad you asked: Apadravyas. What the hell are those? I’m glad you asked: apadravyas are a type of deep penis shaft piercing. *Warning: cross your legs, penis people!* These piercings pass through the penile shaft at certain specific points and apparently function to make the penis feel larger as it enters the vagina – or so devotees claim. 

-These girth piercings come in other forms based on where they are placed through the shaft.

-In addition to apadravyas, other forms of these piercings are called ‘deeply placed ampallangs’ and ‘reverse shaft Prince Alberts.’ Well hell, that clears it right up… not!

-These deep penis shaft piercings are fairly rare piercings due to (helll-ooo!!) their associated pain, difficulty, bleeding, and long healing times. 

-Common placement is directly behind the head of the penis, but they can be placed farther back if the (completely batshit crazy) man so desires.

-In the interest of research (heh heh) I had to ask Debbie if she would have intercourse with a dude with an apadravyas. I can’t describe the look she gave me, because words just can’t go there, and I can’t tell you exactly what she said… but it sounded a lot like “what the muck is a applegravys and what does it have to do with mucking some dude?!” After I enlightened her, I repeated my question: “…so would you have intercourse with a dude with an apadravyas?” I can’t tell you what she said, because she didn’t say anything… she just set her face in an ‘ewww, what the hell stinks?’ expression and shivered… an impressive, full body-length shiver, starting from the blonde hairs on the very top of her pretty head and carrying down to the very tips of her perfectly manicured pink toenails. After this shiver response, she started to turn and walk away, but then turned back to add “Just to be clear… I would never (word that sounds like muck) a dude with an applegravys in his (word that sounds like lick) – not even after a tetanus shot! I love my wife, so it’s my duty to keep her on her toes, however I find it fit to do so. That’s how I see it anyway… can I get an amen?! Anyway, so it was for her own good that I asked (read: yelled after her as she left) in my very best Austin Powers voice “…so you’re saying it really turns you on, huh baby?” And what did I get for all of my concern? A Debbie triple: an eye roll-tongue tisk-whut-everrr! As you can imagine, it’s a classic at my house. 

‘Lube

-Sometime and somewhere – evidently, actually everywhere in Ancient Greece.

-Given their reputed penchant for orifices that don’t naturally lubricate, it should come as no surprise that the Greeks were into lube. 

-While no record exists of its earliest use, we do know that by 350 B.C., olive oil was big business… and it wasn’t just for salads, o-kaaay? 

-Aristotle makes a passing reference to this olive oil love in his History of the Animals, implying that smoother sex was best because it made pregnancy less likely. Suurre…

-Two centuries later, physician Soranus echoed Aristotle’s views on olive oil as lube. Seriously?! A Greek dude named Sore-anusthat’s into olive oil lube? Duh! This has got to be a joke. Albeit a hilarious one!

-Sore-anus’ friends- Herodotus, Plutarch, and Ovid- evidently agreed wholeheartedly, and all maintained that Athens got its name because the goddess Athena herself gifted its founders with an olive tree… that’s how much they loved olive oil.

-Greeks were clearly keen on material innovations. In an effort to upgrade from hard (not to mention dangerous and so very uncomfortable) materials like stone, dried tar, and wood, the Greeks developed olisbokollikes- these were essentially dildos baked out of bread. They basically made breadsticks, people. Breadstick dildos…a whole new take on “food porn.” 

-I don’t know why, but whenever I think about Greeks, I automatically think Romans, so I don’t want to leave them out… the Romans were innovators as well during this time. They’re actually known for creating the double-ended dildo, which was regularly used between partners and friends, but was also even used during certain public ceremonies. Roman exhibitionists… that’s amore, people!

….And speaking of dildos

-Archaeologists discovered an eight inch stone behemoth in Germany, dated at 28,000 years old, people!

-The dildo may well be humanity’s most durable invention, as only fire, weapons, clothing, and beads appear to have been around longer. 

-Evidently, archaeologists find dildos on digs all the time: it’s almost as if people in the prehistoric era found sex to be a natural and enjoyable thing that they didn’t have to be ashamed of. No shame in their game people. 

…And speaking of no shame: Pornography

-Years ago, archaeologists uncovered a decidedly pervy prehistoric statue carved from a mammoth tusk. Who knew that archeology could be so titillating?

-It was basically a female torso with… hmmm- how to put this… ‘exaggerated’ sexual parts on top and bottom. 

-It was a toy- a sex toy- and it was also functional pornography! A two-fer people!

-The exact age of it is uncertain, but the best guess places it at over 35,000 years old. 

-That means it may even pre-date religion. That’s big, people. 

-Obviously, the history of religion is essentially educated guesswork, so lots of eggheads argue about it, but if you assume it’s true- that this pervy porno sex toy pre-dates religion- can you understand the implication of that?

-In case you can’t, I’ll help you out: that would mean that before humans bothered with their ‘trivial’ thoughts on the meaning and creation of life, they had already figured out all the things that turned them on and got them off, and were producing toys and paraphernalia to make it easier and more gratifying to do so. Talk about priorities, people. 

Clearly, human beings have been exploring sexuality since the dawn of time, and as it turns out, sex toys and sex paraphernalia have been around for just as long. The above glimpse at their design histories offers a strange and often hilarious look at humans’ constant quest for innovation and better…. connection, let’s say. 

Okay people, this blog has been a long one, but you hung in there (hahaha I’m on a roll here!!) and I like to reward good behavior. So, speaking of hilarious, I found a page from a UK-based global sex toy company called Lovehoney (Lovehoney.co.uk) where they sell stuff that might blow your mind…but the following will sooner bust your gut: it’s their list of the 101 funniest Lovehoney site searches (look for occasional commentary from me, MGA people!)

101 Funniest Searches on our Sex Toy Site

https://www.lovehoney.com/blog/2018/03/08/101-funny-sex-toys-searches-lovehoney/

Quoted from Lovehoney page:

There have been 6.9 million unique searches on Lovehoney.co.uk in the year to date. Most of the words that are typed into the search box at the top of our site are pretty straightforward: cock rings, vibrators, and all the other types of sex toys we sell. And when customers type in a phrase, we try to present them with the product or page they’re looking for. Simple. But!!! Some of the searches are not quite what you’d expect…

“Anal cockroach”???

Ummm… Sorry, no page for that!

Or any of the below, which are just 101 of the funniest, weirdest, and ‘whoops you’re on the wrong website’ searches we’ve found!

Typos and epic auto-correct fails…

1. make your duck longer

2. election enhancer (MGA: we’ll all need this come November people!)

3. cockfosters extension

4. pension extender (MGA: where can I sign up for this?)

5. masterbakers for male

6. master storyteller sleeves

7. prostate lasagne (MGA: not what your Italian grandma serves for Sunday supper, thank you God) 

8. blowtorch stroker

9. extra quiet clitoris

10. quiet rabbi

11. g spotify

12. large g snot rabbit

13. vibe eating butt plug

14. king clock dildo

15. breaded dildo (MGA: ditto last comment)

16. jelly bilbaos

17. rubber dodos (MGA: and scientists claim they went extinct)

18. nipped pasty

19. nipple gardening cream

20. or gasman creams

21. pies for woman to get horny (MGA: we need to introduce this lady to Mr. 5 ^)

22. parents ribbed and dotted

23. bondage ape (MGA: our ASPCA would never allow those here)

24. lego restraints (MGA: I remember looking for that set. People really snapped ’em up at Christmas time!)

25. clint clamp

26. sexist enhancer (MGA: ‘Ah-hem, I’m afraid I couldn’t purchase these again for you, Mr. President’)

27. £3 sex tits (MGA: that’s only $3.75 USD…can’t be very BIGsex tits)

Somebody’s got the sex toy blues…

28. argue dildo

29. be warned balls

30. begging set

31. bitterly kiss

32. bleak lace lingerie

33. blue worthless knickers

34. fifty shades of greed

35. cock extinction

36. fleshlight insults

37. handcoffins

38. hate based lubricant

39. male sick vibrator

40. male wasterbators (MGA: masturbating stoner guys)

41. vaginal fighting cream

42. ben war balls

43. very berating pants

44. misery bundle

45. pensive sleeve

46. performance kills

47. remorse egg

48. repent rabbit

49. undead wear

50. ruthless panties

51. sorry panties

52. worthless dispenser panties

We do NOT sell these…

53. bishop vibrator

54. barman vibrator

55. cricket vibe

56. turnip vibrator (MGA: for the very strict vegan)

57. parsnip vibrator (MGA: okay, somebody clearly thinks they’re a comedian. I make the jokes here, people!)

58. vibrators with noodles

59. bike saddle dildo

60. pogo stick dildo

61. glasses with testicals snaped to them

62. Darth vader condom

63. extra sting condoms

64. pickled onion condoms

65. chicken tikka masala condoms (MGA: it’s past somebody’s dinnertime)

66. lovehoney wine

67. extra wine vibrator

68. make-up sperm coconut

69. paperami lube

70. Love twiglets

71. family guy sex doll

72. Japanese dancing pants

73. loyal pyjamas

74. machine guns

Going somewhere? You’re on the wrong site… (MGA: if I had captioned this, it would’ve been: “Sorry – we’re all about coming, not going…”)

75. gloucestershire bus timetables

76. london to whitehaven train times

77. meeting point in bangkok airport

78. walking trails in east falmouth

79. bike rack inside caravan

80. staying in a hotel in alton towers

81. is drinking allowed on coaches

82. parrot sale in india

83. North Korea (MGA: there’s a Kim dynasty joke in there somewhere)

Nope, we’re not a grocery store…

84. andrex supreme quilted toilet roll tissue paper

85. fairy non bio pods sensitive skin washing capsules

86. gaviscon double action mint tablets

87. roasted cauliflower with parmesan cheese

88. serrano ham

89. Ragu

90. Absinthe

Just plain weird…

91. Peter from gravesend – timewaster

92. hide your drink in bra

93. mild penis

94. mild vagina

95. outpouring vegan

96. room of priests

97. scrotal parachute (MGA: I know they stretch as we age, but wow…that’s gotta be impressive)

98. the loo of love (MGA: must’ve missed that position in the Kamasutra)

99. Wednesday

100. Dave

And finally this person, who clearly knows exactly what they want…

101. a silicone butt plug for beginer one my wife can leave in her ass n get on with housework shaped without risk of it falling out

(MGA: alert the media people… I’m speechless!!)

   _______________________________

That’s some of the history and background on sex toys. In the next couple of weeks, I’ll be covering more interesting details and specifics on sex toys that you won’t want to miss, so be sure to come on back for more, people. 

I hope you really enjoyed this blog and maybe even found it to be slightly more titillating than the usual fare. If so, please feel free to spread the love and share it with family and friends…. and lovers of course! And be sure to check out my YouTube channel with all of my videos, and I’d appreciate it if you would like, subscribe, leave comments, and share those vids! As always, my book Tales from the Couch has more fabulously educational topics and patient stories, and is available in office and on Amazon. 

Thank you and be well people!

MGA

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Mental Health Benefits of Dogs

Mental Health Benefits of Pets

The bond between humans and animals is a powerful one, so much so that there have been numerous books written and movies made centering on the relationships between them. Dogs were the first animals domesticated and kept as pets, as much as 45,000 years ago.Regardless of when pet ownership got started, our long attachment to these animals is still going strong. Americans own some 78 million dogs, 85 million cats, 14 million birds, 12 million small mammals, and 9 million reptiles, according to pet industry statistics. 

Studies have scientifically explored the benefits of the human-animal bond, and a positive correlation between pets and mental health is undeniable. According to a recent poll, 95% of pet owners consider their pet a member of the family. Children, adolescents, adults, and seniors all find joy in their pets, so it follows that pets and mental health go hand in hand.

Pets provide companionship, ease loneliness, bring us joy, and give us unconditional love. They also help decrease depression, anxiety, and stress. While the word “pet” usually conjers up thoughts of dogs and cats, a pet doesn’t necessarily have to be a dog or a cat. Even watching fish in an aquarium has been shown to reduce muscle tension and lower pulse rate. A pet can be a horse, parrot, turtle, rabbit, skunk, lizard, chicken, snake…whatever you love and take care of.

Pets have evolved to become acutely attuned to humans. Dogs, for example, are about as intelligent as a two-year-old human child. Some more doggie fun facts: They are able to understand about 150 human words and most are even capable of following a count of five. They understand spatial relationships and are able to use them to navigate obstacles quickly. Although they can’t see the same color spectrum we can, they can see black, white, blue, and yellow; they can’t see red and green- those just look gray to them. A dog’s smell is like 10 million times better than yours. Dogs can sense if you’re going to have a seizure, they know if your blood sugar is low, and some say they can even sniff out cancer. While they understand many of our words, dogs are even better at interpreting our tone of voice, body language, and gestures. And like any good human friend, a loyal dog will look into your eyes to gauge your emotional state and try to understand what you’re thinking and feeling (and to use their special psychic powers to get you to give them treats and throw their ball, of course). I think dogs have psychic powers. My dog Beluga used to use her psychic powers to get me to do stuff all the time.  

Pets, especially dogs and cats, can reduce stress, anxiety, and depression, ease loneliness, encourage exercise and playfulness, and even improve cardiovascular health. Caring for an animal can help children grow up feeling more secure and being more active. Pets also provide good companionship for older adults. Perhaps most importantly, a pet can add real joy and unconditional love to your life.

Early researchers had discovered physical evidence of the mental health benefits of having pets. They found that pets could fulfill the human need for touch, so when hugging or stroking a pet, the human subject’s blood pressure went down, their heart rate slowed, their breathing became more regular, and their muscle tension relaxed. All of these physical changes are signs of reduced stress, which is indicative of a positive psychological impact. 

Since then, scientists have learned much more about the connection between pets and mental health. As a result, animal-assisted therapy programs have become an important part of mental health treatment. But, by owning a pet, you can experience pet therapy benefits every day in your own home. Below are several ways in which pets support good mental health and how pets are beneficial to people with mental health issues.

Interacting with Pets Lowers Stress and Decreases Anxiety:

Just the sensory act of stroking a pet lowers blood pressure, which reduces stress. Petting and playing with animals also reduces levels of the stress hormone cortisol while stimulating endorphin production and release of the happy hormones serotonin and dopamine, which calm and relax the nervous system. It also increases the production of oxytocin, another chemical that naturally reduces stress. Having the companionship of an animal can offer comfort, help ease anxiety, and build self-confidence for people anxious about going out into the world.

Pets Make Us Feel Needed:

The act of caretaking has mental health benefits. Caring for another living thing gives us a sense of purpose and meaning, so people feel more needed and wanted when they have a pet to care for. This is true even when the pets don’t interact very much with their caregivers. In a very interesting 2016 study about pets and mental health, elderly people were given five crickets in a cage to care for. Researchers monitored their mood over eight weeks and compared them to a control group that was not caring for crickets or other pets. They found that participants that were given the crickets became less depressed after eight weeks than those in the control group, so researchers concluded that caring for living creatures produced the mental health benefits they saw. Simply put, doing things for the good of others reduces depression and loneliness.

Pets Increase Well-Being:

Pet owners lives are enriched and generally better in several areas. They have better self-esteem, they are more physically fit, they are less lonely, they are more conscientious and less preoccupied, they are more extroverted, and they are less fearful. Put simply, pet owners are happier, healthier, and better adjusted than non-owners.

Pets Provide Companionship:

Companionship can help prevent illness and even add years to your life, while isolation and loneliness can trigger symptoms of depression. Caring for a live animal can help you shift your focus away from your problems, especially if you live alone. Most dog and cat owners talk to their pets, and some even use them as a sounding board to work through their troubles. And nothing beats loneliness like coming home to a wagging tail or a purring cat.

Cats and Dogs Are Great Examples:  Because pets live in the moment- not worrying about what happened yesterday or what might happen tomorrow- they can help you appreciate life’s simple joys and help you to be more mindful. Mindfulness is a psychological technique, the process of bringing one’s attention to the present moment. This can help distract you from what might be bothering you and help remind you to try to be more carefree and playful. In people diagnosed with mental illnesses like depression, schizophrenia, bipolar disorder, or post-traumatic stress disorder, pets can be among the most supportive connections they have. They provide a unique form of validation through unconditional support, which they may not have in other relationships.   Patients report that pets help them manage their illness, navigate everyday life, and give them a strong sense of identity, self-worth, and meaning. Caring for a pet gave owners a feeling of being in control as well as a sense of security and routine. Most said that their pets helped them manage their emotions and distract them from their symptoms like hearing voices, habitual rumination, and even suicidal thoughts, because they felt needed by their pet.

Pets Help Us Build Healthy Habits:
Pets need to be taken care of every day, and as a result, they help us build healthy habits and routines and add structure to the day. Many pets, especially dogs, require a regular feeding and exercise schedule. Having a consistent routine keeps an animal balanced and calm, and it’s good for people too. No matter your mood, one plaintive look from your pet and you’ll have to get out of bed to care for them. Caring for a pet can help you adopt healthy lifestyle changes, which play an important role in easing symptoms of depression, anxiety, stress, bipolar disorder, and PTSD. Some examples of these healthy lifestyle changes include:
Physical activity: Dog owners need to take their pets for walks, runs, and/ or hikes regularly, and owners receive the benefits of that exercise. Studies show that dog owners are more likely to meet recommended daily exercise requirements.
Time in nature: Walking a dog or riding a horse gets us outside, so we experience the many mental health benefits of being outdoors.
Getting up in the morning: Dogs and cats need to be fed on a regular schedule. As a result, pet owners need to get up and take care of them, no matter what mood they are in. So in this way, pets give people a reason to get up and start the day.
Pet care leads to self-care: Caring for a dog, horse, or cat reminds us that we must take care of ourselves as well.

Pets Support Social Connection: Pets can be a great social lubricant for their owners, helping to start and maintain new friendships. Pets are able to counteract social isolation and promote social connection by relieving social anxiety, because they provide a common topic to talk about. For example, walking a dog or playing in a dog park often leads to conversations with other dog owners. As a result, dog owners tend to be more socially connected and less isolated. This improves the owners’ mental health, because people who have more social relationships and friendships tend to be mentally healthier. The benefits of having social connections include better self-esteem, lower rates of anxiety and depression, a happier, more optimistic outlook, stronger emotional regulation skills, improved cognitive functioning, and having more empathy and feelings of trust toward others.

Pets Give Us Unconditional Love:
This one is best of all! Dogs and cats and pets of all kinds love their owners no matter what. That’s unconditional love. Pets don’t care how your presentation went, how you did on a test, or if you sold a house. Pets don’t judge you based on what you look like, if you are popular, or if you’re super athletic. They’re simply happy to see you, and they want to spend time with you, no matter what! This kind of unconditional love is good for mental health. It stimulates the brain to release dopamine, the chemical involved in sensing pleasure.

To summarize, the link between pets and mental health is clear. So if you don’t have a pet, think about getting one. For a dog or cat, go to a shelter or humane society and adopt somebody, take them home and make them a member of the family. Or maybe talk to a doctor about finding an emotional support animal. Either way, it’ll do you good and you’ll feel good for it. 

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Obesity:What Causes it and How to Combat it

We’re nearly six weeks into the new year, and this is right about the time that most people toss their new year’s resolutions out the window. Many of them had resolved to lose weight: surveys have shown that, of the people who make new year’s resolutions, an average of 45% of them resolve to lose weight and get in better shape. So that means that nearly half of resolution-makers are overweight at least. That number seems high, but given that obesity has reached epidemic status, I guess it’s not that surprising. 

Obesity is broadly defined as the state of being well above one’s normal weight. Obesity often results from taking in more calories than are burned by exercise and normal daily activities, aka ‘eating too much and moving too little.’ A person has traditionally been considered to be obese if they are more than 20% over their ideal weight. That ideal weight must take into account the person’s height, age, sex, and build. Obesity has been more precisely defined by the National Institutes of Health (NIH) by utilizing a person’s BMI, body mass index. The BMI is a key index for relating body weight to height, and it is formulaic. The imperial BMI formula is weight (in pounds) multiplied by 703, then divided by height (in inches²). If you don’t feel like dealing with the math, you can google a BMI calculator. Having a BMI of 30 and above is considered obesity. Over 70 million adults (35 million men and 35 million women) in the U.S. are obese, while 99 million (45 million women and 54 million men) are overweight and at risk for becoming obese.

What are the causes of obesity? Obesity can be complex, going beyond eating too much and moving too little. Following are some other factors that cause or contribute to obesity.   

Genetics

Obesity has a strong genetic component. Genetic predisposition means that children of obese parents are much more likely to become obese than are children of lean parents. Genetics also affect the rate at which the body uses energy (burns calories) when at rest, which is called the basal metabolic rate. People with higher basal metabolic rates naturally burn more calories than other people, so they are less likely to gain weight. The opposite is also true: people with lower basal metabolic rates burn fewer calories, so they are more likely to gain weight. But these facts don’t mean that obesity is completely predetermined, that there’s no way to change it. What you eat can have a major effect on which genes are expressed and which are not. This is demonstrated when people of non-industrialized societies come to the U.S., begin a western diet, and then rapidly become obese. Obviously, their genes didn’t change, but their diet did; that changed the signals they sent to their genes, which then changed the expression of the genes. Changing the expression of the genes resulted in obesity. The bottom line is that genetics do play a key role in determining susceptibility to gaining weight and obesity, but that is only one factor of many; it is not all genetically predetermined. 

Diet: What and How You Eat

Obviously, eating an unhealthy diet is a major contributing factor in obesity. Overeating at meals and snacking throughout the day can also lead to obesity. An unhealthy diet would be high in complex carbohydrates, bad fats, and sugar, and low in fresh fruits, vegetables, and high protein lean meats. There are social factors that affect diet and therefore weight. If you spend a lot of time with overweight friends and family who eat too much of an unhealthy diet, the odds are that you’ll be overweight as well. Economic factors also play a role in obesity. If you can only afford cheap, ready-made packaged foods or fast foods from the dollar menu, you are much more likely to be obese. Economics may force you to eat a diet high in complex carbs like pastas, breads, potatoes and rice just to fill yourself up, because that is all you can afford. That type of diet greatly increases the risk of obesity. Unfortunately, eating unhealthy foods and overeating are easy in our culture today. Many things influence eating behavior, including time with family and friends, the low cost of unhealthy but filling foods, and the access to and expense of healthy foods.  

Lifestyle

If you have a lifestyle that centers on eating and/ or drinking, this can contribute to excess weight. A chef, bartender, or baker, something that requires tasting various dishes and trying new recipes for example. Also, someone who travels a lot for their job so always eats at restaurants, which are notorious for hidden calories and fat; they are more likely to be overweight and at risk for obesity. A sedentary lifestyle, where there is little to no activity or exercise is a huge contributing factor in being overweight or obese. Our modern conveniences- elevators, cars, remote controls- have cut activity out of our lives. The problem is that the less you move, the less active you are, the more likely you are to be obese. Being active helps you stay fit. And when you’re fit, you burn more calories, even when you’re resting, so you’re less likely to be overweight or at risk for obesity. 

Medical Conditions

There are a host of medical issues that can cause or contribute to significant weight gain. Some examples are hypothyroidism, diabetes, Cushing syndrome, polycystic ovarian syndrome (PCOS), menopause, depression, and endocrine dysfunction. Some medical issues don’t cause weight gain in and of themselves, but make weight gain more likely because they limit the person’s activity. Some examples would include conditions like osteoarthritis, uncontrolled rheumatoid arthritis, and chronic pain syndromes.

Medications

The list of medications that can cause weight gain is a long one. Everyday medications like corticosteroids (Prednisone, Celestone), diphenhydramine (Benadryl), hormone replacements/ birth control, and even insulin are among the culprits. Sometimes it’s not the drug itself causing weight gain, it’s a side-effect from the drug. Some drugs stimulate your appetite, and as a result, you eat more. Others may affect how your body absorbs and stores glucose, which can lead to fat deposits in your body. Some cause calories to be burned more slowly by altering your body’s metabolism. Others cause shortness of breath and fatigue, making it difficult to exercise, while some drugs cause you to retain water, which adds weight but not necessarily fat. Some medications don’t cause you to gain weight outright, they just make it more difficult to lose excess weight you may already carry. A lot of psychiatric medicines cause weight gain. The worst offenders generally include mirtazapine (Remeron), paroxetine (Paxil), risperidone (Risperdal), aripiprazole (Abilify), and quetiapine (Seroquel). With the exception of Wellbutrin, essentially all classes of psychiatric meds can be associated with serious weight gain. As a psychiatrist, I have to prescribe meds that may cause an unwanted side effect like weight gain. I have to weigh the cost to benefit with each patient. Unfortunately, I have patients who are trapped; they must take certain medicines to remain stable, so they have to severely alter their food intake and diet every day of their lives in an effort to avoid weight gain if possible. That’s the cost to benefit ratio- they pay the cost of a severe diet in order to get the benefit of being stable psychologically.   

Why should you care about your weight? What health issues does being overweight cause? The answer is many. Obesity leads to type 2 diabetes. It causes high blood pressure, which can cause strokes. Obesity can increase cholesterol levels and cause coronary artery disease, which is where deposits line the blood vessels that feed the heart and partially or totally block them, so the heart does not get adequate blood supply; this results in a heart attack, aka a “coronary” and this can easily be fatal. Being overweight puts excess weight on the human body, and this commonly causes osteoarthritis of major joints like the knees, the hips, and the ankles. All parts of the body are stressed and strained because they are not designed to carry around that much weight, and this limits the range of motion, mobility, and ability to walk. Obesity increases the risk of cancer to several organs and body parts: the breast, colon, gallbladder, pancreas, kidney, prostate, uterus, cervix, endometrium, and ovaries.  Another common medical issue from being overweight is sleep apnea. All the weight on the chest and throat causes you to temporarily stop breathing when sleeping, until you finally noisily gasp for air. Sleep apnea is serious, and very disturbing for anyone that you share your bed with. Obesity causes a fatty liver, which then leads to liver disease and the potential to cause the liver to shut down. Obesity can cause gallstones as well as kidney disease, which can cause your kidneys to stop functioning. Obesity can also cause fertility problems in both men and women. As a psychiatrist, I get obese patients referred to me because obesity can directly cause, or indirectly lead to, various syndromes and other issues, including chronic pain syndromes, depression syndromes, isolation syndromes, social problems, self esteem issues, and difficulty dating. People who develop obesity, especially when it is the result of something beyond their control, like from a medical issue such as hypothyroidism, have all sorts of social interaction issues and work problems, and I can treat them and help walk them through it with psychotherapy. 

We defined obesity, discussed the risk factors and what can cause it, and then the issues it can cause. Now let’s discuss how we can lose weight and prevent obesity.  

Food Diary

To offset weight gain or to help work off excess weight, consider keeping a food diary tracking what you eat and when you eat. Becoming a mindful and aware eater is a great first step to managing weight. 

Eat Slowly

Another factor which helps with weight loss is eating slowly. It takes some time for your stomach to tell your brain that you’ve had enough to eat. If you mindlessly shovel huge amounts of food into your mouth, you’ll miss your cue and overeat, and that obvi will cause you to put on weight and increase the risk of obesity. Eating slowly also has the added benefit of reducing the chances of having indigestion. 

Get Physical

Become more active whenever possible. Instead of meeting someone for coffee or a movie, meet them at a park, beach, or green space and go for a walk. Ideally, you want aerobic activity; that means getting your heart rate up, when it’s harder to breathe. Aerobic activities mean constant motion, like running, biking, swimming, soccer, basketball, anything where you’re moving constantly. Constant activity is aerobic activity, and daily aerobic activity will raise your basal metabolic rate and you’ll burn more calories, even when you’re at rest.  

Resist It

Resistance training is good for targeting fatty areas on the body. Resistance training involves moving a specific muscle against resistance, either using your own body weight or using standard weights. Other activities like lifting weights, doing push-ups, and doing squats are good for reducing body fat. 

READ LABELS! 

…and make sure you understand them. If you don’t understand them, do some research, get a library book on nutrition, ask a friend if they understand, or ask your doctor what the values all mean and how much of the various components should be included in a healthy balanced diet or when dieting in an effort to lose weight. Pay close attention to calorie count, fat grams, protein grams, sugar grams, and carbohydrate count. Just because something says “light” doesn’t mean it should be included in your diet. So many people are ignorant about nutrition information on food packaging. Be sure to know what those values mean and how much you should have of each every day.

Know the Fats

Trans fats- Bad fats!

Historically, trans fats are an evil on par with Satan himself, to be avoided at all costs. The worst type of dietary fat, trans fat is a byproduct of the industrial process of hydrogenation, which turns healthy oils into solids to prevent them from becoming rancid. Eating foods rich in trans fats increases the amount of harmful LDL cholesterol in the bloodstream while reducing the amount of beneficial HDL cholesterol. Trans fats create inflammation, which is linked to heart disease, stroke, diabetes, and other chronic conditions. They contribute to insulin resistance, which increases the risk of developing type 2 diabetes. Even small amounts of trans fats can harm health: for every 2% of calories from trans fat consumed daily, the risk of heart disease rises by 23%. Mind blowing. Though they have no known health benefits, trans fats were found in most pre-packaged garbage foods and were the main component in margarine type spreads. I say ‘were’ because recent science found there is no safe level of consumption of trans fats, and as a result, trans fats have been officially banned in the United States and several other countries.

Monounsaturated fat- Good fats!
Evidence has shown that consuming monounsaturated fats has several health benefits, including reducing general inflammation in the body. Studies have also shown that a high intake of monounsaturated fats can reduce triglycerides, decrease the risk of heart disease, and lower bad LDL blood cholesterol while increasing good HDL cholesterol. A diet with moderate-to-high amounts of monounsaturated fats can also help with weight loss, as long as you aren’t eating more calories than you’re burning. These fats are liquid at room temperature. Good sources of monounsaturated fat include avocados, almonds, cashews, peanuts, cooking oils made from plants or seeds like canola, olive, peanut, soybean, rice bran, sesame, and high oleic safflower and sunflower oils.

Polyunsaturated fat- Good fats! 

The two types of polyunsaturated fats (omega-3 and omega-6) are essential fats, meaning they’re required for normal bodily functions, but your body can’t make them, so you must get them from food. 

Omega-3 fats are a type of polyunsaturated fat that, like other dietary polyunsaturated fats, can help to reduce your risk of heart disease. Omega-3s can lower heart rate and improve heart rhythm, decrease the risk of clotting, lower triglycerides, reduce blood pressure, improve blood vessel function and delay the build-up of plaque in coronary arteries.

Omega-6 is a polyunsaturated fat that lowers bad LDL cholesterol. Eating foods with unsaturated fat, including omega-6, instead of foods high in saturated fats helps to get the right balance for your blood cholesterol (ie lower bad LDL and increase good HDL). Sources of polyunsaturated fats include oily fish (like salmon, mackerel, sardines), tahini (a sesame seed spread),
linseed (flaxseed) and chia seeds,
soybean, sunflower, safflower, and canola oil, margarine spreads made from those oils, pine nuts, walnuts, and Brazil nuts.

Follow these easy ideas for getting the balance of blood cholesterol (LDL and HDL) right.

– Go nuts! Nuts are an important part of a heart-healthy eating pattern. They’re a good source of healthier fats, and regular consumption of nuts is linked to lower levels of bad (LDL) and total blood cholesterol. So, include a handful (30g) every day! Add them to salads, yogurt, or your morning cereal. Choose unsalted, dry roasted or raw varieties.

– Go fish! Include fish or seafood in your family meals 2 – 3 times a week. Fish are great sources of the good omega-3 fats. If you don’t eat fish, you can take an omega-3 supplement.

– Use healthier oils! Choose a healthier oil for cooking. For salad dressings and low temperature cooking, choose olive, peanut, canola, safflower, sunflower, avocado or sesame oils. For high temperature cooking, especially frying, choose olive oil or high oleic canola oil, as they are more stable at high temperatures. Store oils away from direct light and heat and don’t ever re-use oils that have been heated before.

Eating polyunsaturated fats in place of saturated fats or highly refined carbohydrates reduces blood pressure, raises good HDL cholesterol, reduces harmful LDL cholesterol, lowers triglycerides, and may even help prevent lethal heart rhythms.

Saturated fat- OK in strict moderation

Saturated fats are common in the American diet, and they are solid at room temperature- think along the lines of cooled bacon grease. Common sources of saturated fat include red meat, whole milk and other whole-milk dairy foods, cheese, coconut oil, and many commercially prepared baked goods and other foods. A diet rich in saturated fats can drive up total cholesterol and tip the balance toward more harmful LDL cholesterol, which can prompt heart disease from blockages formed in arteries in the heart and elsewhere in the body. For that reason, most nutrition experts recommend limiting saturated fat to under 10% of calories a day. Replacing excess saturated fat with polyunsaturated fats like vegetable oils or high-fiber carbohydrates is the best bet for reducing the risk of heart disease. 

Diet Do’s

– Eat plenty of fiber. Fiber fights belly fat. When ingested, fiber goes into your system, binds to and then forms a sort of gel with the food, which slows down the absorption of food in the gut.  

– Eat a high-protein diet. Eggs are eggsellent…high in protein and low in fat. Avoid red meat. All meats should be lean and high in protein, like chicken or turkey. Nuts are also good for a protein snack.

– Eat fish, as often as 2-3 times per week for good omega-3’s. As discussed above, oily fish like salmon, mackerel, and sardines are high in omega-3’s which are good for the brain, help to decrease weight, and have numerous other health benefits. If you don’t eat fish, take a good omega-3 supplement.

– Drink green tea; there are reports that it helps with weight loss, and it’s generally just good for you.    

Diet Don’ts

– Don’t eat sugary foods or anything with sugar in it: sodas, candies, cakes, cookies, doughnuts; those are the main culprits. It’s a major bummer, but to avoid weight gain in your life, much less to try to lose weight if you’re already overweight, you must avoid sugar like the plague. Wah wah wah… 

– Cut out the carbs! To lose weight or just to avoid putting weight on, anything with white flour must go, so say syonara to pasta and most breads. You have to cut way down on starches, if you’re allowed them at all, so there goes rice and potatoes. And while most people consider corn a vegetable, you must count it as a starch when dieting. 

– Get on the wagon! If you drink alcohol, you won’t lose weight and keep it off. Won’t happen. When you consume booze of any sort- beer, wine, liquor- the alcohol is immediately converted to sugar, and if you’ve forgotten, see Diet Don’t 1 above. There’s no point in restricting calories, fats, etc by following a diet and also drinking alcohol at the same time, even a small amount.  

Go to Bed!

Sleep is critical if you want to lose weight, so aim to sleep at least 7-8 hours each night. If you do not get proper sleep, it will be very difficult (if not impossible) to lose weight, and you will likely gain weight. This is all thanks to brain chemistry and hormones, which get all fouled up with sleep deprivation. 

Stress Less!

You have to reduce stress if you want to lose weight. When you are stressed, your body produces the stress hormone cortisol, and cortisol increases appetite and increases belly fat by selectively placing fat deposits around the stomach and middle of the body.  

A Fast Fast

We’ve always been told that starving ourselves will not result in weight loss, and that it will even result in weight gain because the body goes into ‘starvation mode.’ Well, there are some recent studies out there that conclude that intermittent fasting, 24 hours without eating, once or twice a week, actually helps with weight loss. Very interesting. 

So that’s all about obesity: what causes it, what it causes, and how to combat it. We are a fat society, and the number of cases of obesity goes up every day. It’s disturbing because it’s essentially a preventable issue. 

For more information and interesting stories on other diagnoses, check out my book, Tales from the Couch, available in my office and on

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Let’s Talk About Ambien

Ambien, generic name zolpidem, is the most commonly prescribed sleep aid, accounting for 85% of prescribed sleeping pills. It also ranks in the top 15 on the list of most frequently prescribed drugs in the country. Its popularity is clearly due to its efficacy. Zolpidem works as a hypnotic drug, meaning that it induces a state of unconsciousness, similar to what occurs during natural sleep. How does it do that? Zolpidem affects chemical messengers in the brain called neurotransmitters, specifically a neurotransmitter called GABA. By affecting GABA, it calms the activity of specific parts of the brain. One of the areas in the brain that is affected is the hippocampus. Along with other regions of the brain, the hippocampus is important in the formation of memory. Because of this hippocampal involvement, 

zolpidem can cause memory loss, especially at higher doses, an effect colloquially referred to as “Ambien Amnesia.” If you take it and do not go to bed immediately as recommended, this is more likely to occur. When you get right in bed after taking it, a loss of memory is inconsequential…it doesn’t matter if you can’t remember lying awake for a few minutes before falling asleep. But there are many reports of people taking it and remaining awake and out of bed, and they commonly experience an inability to recall subsequent events shortly after taking it. Because of its effects on memory, there is some concern that zolpidem could affect long-term memory and contribute to the development of dementia or Alzheimer’s disease, though there has been no research to prove or disprove these possible associations. Zolpidem comes with a host of known side effects that range from weird and wacky to illegal and downright dangerous behaviors. Included are hallucinations, decreased awareness, disinhibition, and changes in behavior. Very serious problems may occur when someone who has taken zolpidem gets up during the night. They may exhibit very complex sleep-related behaviors while under the influence of zolpidem. These might include relatively innocuous sleeptalking, sleepwalking, sleep cleaning and sleep eating, to more disturbing behaviors like sleep cooking and sleep sex, to potentially deadly sleep driving. While in a confused state, a person on zolpidem may act in a way that is different from their normal waking behavior. This can lead to legal consequences, such as driving under the influence (DUI) or potentially even sexual assault charges stemming from disinhibited sexually charged behavior. 

I have a long time patient named Deanna that takes zolpidem and regularly sleepwalks, also known as somnambulation for the Scrabble set. It happens that she has been a sleepwalker ever since she had the ability to walk, so being on the zolpidem now makes her nocturnal activities and behaviors really way out there. Just flipping back through her chart, I see she mentions: taking apart electronics and trying to put them back together with no success. Dumping all of her shoes out of their boxes onto her closet floor. Taking all of her clothes off their hangers and throwing them over her dining room chairs. Gathering all sorts of disparate items together, evidently whatever catches her eye at the time, and putting them in her oven. She said she learned that particular lesson the hard way. This one is whacked. She started “painting” a wall in her house….with a purple sharpie. She showed me a picture of that. She once found several pages of her stationery scrawled in words she knew she didn’t consciously write in a letter to someone, she didn’t know who. She brought that in. She said she would evidently clean in her sleep; she put shower gel all over the tile in her shower and “put things away” in odd places they didn’t belong in. She also sleep eats. Cereal, bread, ice cream, whatever she sees that looks good I guess. She regularly wakes up to a mess in the kitchen and destruction in the house. It used to really freak her out to see the evidence of activities she didn’t remember, but now she just feels unsettled as she surveys the damage from her night time escapades. But since it hasn’t ever been anything dangerous and because zolpidem works well for her, she doesn’t want to change it. 

How is it that a person on zolpidem can achieve these complex behaviors while unconscious and asleep? It’s because the parts of the brain that control movement still function, but inhibition, consciousness, and the ability to create memory is turned off. Because of this, the person is disinhibited, and that can lead to unintentional actions and behaviors as discussed above.

Beyond zolpidem’s effects on memory, awareness, and behavior, there may be additional issues associated with its use. Some other common side effects include:

– “Hangover” or carry-over sedation,               especially in women

– Headaches

– Loss of appetite
– Impaired vision
– Slow breathing rates
– Muscle cramps
– Allergic reactions
– Memory loss
– Inability to concentrate
– Disorientation
– Emotional blunting
– Depression and/or suicidal thoughts
– Anxiety
– Nightmares
– Sedation
– Confusion
– Dizziness
– Delirium

– Aggression
– Back pain
– Diarrhea or constipation

– Sinusitis (sinus infection)
– Pharyngitis (sore throat)
– Dry mouth
– Flu-like symptoms
– Seizures

– Breathing difficulties
– Palpitations (irregular heartbeat)
– Rash
– Rebound insomnia

Any of these side effects could be bothersome and may interfere with the continued use of the medication. Sometimes the benefits of zolpidem outweigh the risks and/or side effects. If a symptom is particularly bothersome, discuss this with your prescribing doctor to see if an alternative treatment may be a better option for you.

If you take zolpidem, use it exactly as prescribed and get in bed immediately after taking it. It’s best to allow yourself at least 7 to 8 hours of sleep to help ensure avoidance of morning hangover effects. Keeping a regular sleep-wake schedule will also help. Taking zolpidem with other drugs that depress the central nervous system such as alcohol, opioid pain medications, or tranquilizers intensifies the sedative effects of zolpidem and increases the risk of overdose as a result of respiratory depression. Zolpidem is an abusable drug. Individuals who take it for non-medical reasons or at more than prescribed doses are at risk of experiencing intensification of adverse side effects, including the following:

– Excessive sedation
– Confusion and disorientation
– Lack of motor coordination
– Slow response times
– Delayed reflex reactions
– Dizziness
– Hallucinations
– Impaired judgment
– Aggression
– Seizures

– Withdrawl

Men and women don’t metabolize zolpidem in the same way. Women metabolize it much more slowly, so they often wake up with a zolpidem hang over and feel cloudy in the morning. So an important note for women taking zolpidem is to be extra cautious about allowing at least 8 hours of sleep after taking it and to take lower doses of it due to the potential effects on morning function, especially driving. 

Actor Roseanne Barr had probably taken a little too much when she “Ambien tweeted” a racist statement comparing an Obama aid to an ape. She admitted that she had taken zolpidem shortly before the 2am tweet that caused her eponymous show to be cancelled. Elon Musk, Mr. Tesla, can feel her pain. He shocked investors when he tweeted he was considering taking Tesla private at $420 a share and that funding was secured. He said he sometimes takes zolpidem because it’s either that or no sleep. Good thing he has people to protect him from himself when he’s in a zolpidem daze.

Zolpidem can be a safe and effective medication to treat insomnia, but if it affects your memory or causes sleep behaviors or other adverse side effects, you should probably consider alternative treatments for your insomnia. Hello Roseanne and Elon…that means you!!

I talk more about drugs for sleep like zolpidem and a host of other psychoactive drugs in my book, Tales from the Couch, available on Amazon.com.

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How To Sleep Better At Night

Slumber, shuteye, repose, siesta, snooze…Sometimes we have a love-hate relationship with it…we love it when it’s good and curse it when it’s bad, but we all need it. Whatever you call it, one complaint I hear from patients day in and day out is that they have difficulty sleeping. It’s so prevalent that I want to discuss how to  get better sleep. In my 30 years of practice, I’ve compiled a list of 14 things in no specific order that you can do that should have you snoozing at night night in no time. 

Rule 1: Bright light during the day.  Your body has to have bright light during the day; sunshine is best, but even sitting in a bright room, like by a window, is helpful. Bright light tells your brain that it is day time, time to be awake. Darkness or the absence of bright light tells the brain it is night time, time to sleep. If you’re in a dark room all day, you probably won’t sleep well at night. So remember, in the day time, bright light is right. 

Rule 2: Limit blue light. What is blue light? Blue light is what is emitted from your computer, laptop, and smartphone. The more blue light you are exposed to, especially at night, the more disruption you’ll have in sleep, as it disrupts circadian rhythm. Lots of people climb into bed with their cell phone or iPad, and that’s the worst thing to do. You should avoid looking at bright screens beginning two to three hours before bed. There are apps you can install on your phone that filter out the blue light. There’s also something called “F. Lux” that you can put on your computer or iPad which will block out the blue light. You never hear about it, but blue light exposure, especially at night, is a major factor in hindering sleep. 

Rule 3: Captain Obvious here with a newsflash. Caffeine will keep you up at night. Don’t think you’re going to have coffee or tea after dinner or before bed and expect to sleep. And if you’re drinking sodas, coffee, or iced tea all day, it’ll still disrupt your sleep. I tell patients to limit caffeine consumption to under 250 – 300mg a day. As a guide, an 8oz cup of coffee has about 100mg caffeine, the same amount of tea has 24mg, a 12oz can of soda has 34mg, and those gnarly energy shots have 200mg of caffeine! I strongly advise against consuming caffeine after lunch if you plan on a bedtime between 10pm and midnight.  

Rule 4: No naps! Boo! Hiss! Why is it that as kids, just the word nap sent us into a tizzy tantrum, but as adults we love naps? If anyone has an answer, please let me know. Anyway, as satisfying as it is, napping disrupts your sleep-wake cycle, temporarily resetting it to where you’re not likely to be able to go to bed between 10pm and midnight. Bummer. 

Rule 5: Melatonin. I recommend 2 to 4mg of melatonin at bedtime; it really seems to help a lot of my patients. I do find that some patients get daytime hangover from it though, so you’ll have to see where you fall on that one. But it’s definitely worth a shot if you’re suffering from insomnia. 

Rule 6: Get up at the same time every day, and go to bed at the same time every day. Yeah, it’s kind of a drag not sleeping in on weekends, but a sleep routine can make a big difference in your relationship with Mr. Sandman. You can’t regulate when you’ll fall asleep, but you can regulate when you wake up. So set your alarm and get up at the same time every day, no matter how tired you are. Don’t nap and go to sleep between 10pm and midnight, and you should fall asleep. If sleep still eludes you, stick to the same plan, and you should surely sleep the second night. You can’t decide when you’ll fall asleep at night, but you can regulate your sleep-wake cycle by deciding when you wake up. Stick to setting your alarm for the same time every day, and hopefully your brain will get the idea. 

Rule 7: I recommend taking a glycine or magnesium supplement at night as well as L-theanine and lavender. They don’t make lavender teas, pillow sprays, lotions, and sachets for nothing. I have heard from people that swear by lavender as part of their wind down routine before bed. You can find these supplements on Amazon.com. Shameless plug: handily enough, you can also find my book, Tales from the Couch for sale there too. Check it out. 

Rule 8: This is the Mac Daddy, numero uno, absolute, not-to-be-broken rule. Alcohol. If you consume alcohol before sleep, you will not sleep. Why? As the body metabolizes the alcohol, it goes into a withdrawl-like reaction and disrupts sleep. I know what you’re thinking. You’re thinking that a little nightcap helps you sleep. Wrong. Some people will tell you differently, but trust me…alcohol and sleep do not play well together. 

Rule 9: A comfortable bedroom. Your bedroom should be an oasis of calm serenity. There should be no office or desk in the bedroom. It should be uncluttered. Anything not conducive to sleep should be out. Make sure it’s dark and quiet at bedtime. The weight of multiple blankets can help sleep. You can even purchase weighted blankets expressly for this purpose. The weight is comforting and relaxing to the body. 

Rule 10: This sort of goes hand in hand with #9 above. Try a low temperature in the bedroom. I personally make sure my bedroom is at 70 degrees. The blankets from rule number 9 come into play here too. There’s something very comforting about burrowing under fluffy blankets to go to sleep. I mean, they’re called comforters for a good reason. 

Rule 10: No eating late at night. People seem to mostly make terrible food choices at night, all in the name of snacks…chips, candies, baked goods. Sugary foods are especially bad. When you eat, the body goes into digestive mode, not sleep mode; it is very interfering to sleep. Sugars especially are no bueno. Evening or night snacking is one of the worst things you can do If you want to sleep.  

Rule 11: Relax and clear your mind. There’s an older pop song that has a lyric, Free your mind and the rest will follow. It’s true. We all have problems and stresses throughout the day, and they seem to pop up when your head hits the pillow. You have to come to some resolution on how you’re going to handle the problems in your life and put them to bed so that you can put the rest of you to bed.  

Rule 12: Spend money on a comfortable quality mattress. You’re going to spend a third of your life in your bed. Just suck it up and spend the money on the mattress. Don’t cheap out. Another place to spend money is on good linens. Few things are as inviting as a comfortable mattress covered in minimum 1,000 thread count all-cotton sheets. If you’ve never had nice linens, try them.You can pick them up on a white sale or online. You can thank me later. 

Rule 13: No exercising late at night.  When you exercise late at night, you raise blood pressure and heart rate, which will hype up the body, which is the antithesis of what you want when it’s time to sleep.  

Rule 14: No liquids prior to sleeping. No rocket science here. If you put liquids in, you’re going to need to get liquids out. In other words, you’re going to have to get up in the middle of the night to pee. And you’re probably going to stub your toe. Not good. 

This is my handy dandy guide on the do’s and don’ts when it comes to sleep. Anything is better than counting sheep. I don’t know who came up with that, but I would like to inform them that I have never in 30 years heard of it working. I’ve never before wanted people to fall asleep as a result of reading something I wrote, so this is a first! I hope you’ve learned some things here that will put you out like a light.

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What Ever Happened To Dating

Whatever happened to dating? I’m part of a lot of talk on this particular topic. Day in and day out, patients tell me about their trials and tribulations in the dating world, and the dialog has definitely changed over the years. So, as an unofficial-official expert, I want to talk about dating. There are discrepancies as to who hit on the idea first, but computer-assisted dating sites came into play as personal computers gained popularity in homes everywhere. Remember the Tom Hanks movie You’ve Got Mail? That romanticized the idea of online dating and spawned sites like Match in the early 2000’s. The advent of Facebook kept people checking for “friends” as a hobby, linking people all over creation. However and whomever launched what doesn’t matter much anymore, dating sites and dating apps are here to stay. The list goes on and on and on, and now sites and apps are getting more specific. They target groups: SilverSingles, OurTime, JDate, BlackPeopleMeet, and Farmers Match…if you can be grouped into a subset, you will be. So what’s the impact of dating sites and apps? They’ve changed the game. If you listen to your grandparents tell their love story, it often includes a meeting of eyes, maybe across a crowded bar or restaurant, hence love at ‘first sight.” Now, if you manage to find love, it may be more like at “first site” or “first swipe.” 

Whole movies are made of dating in the modern world. The process of meeting someone has now moved away from social contact, which is sort of oxymoronic in the age of ‘social’ media. The old rules don’t apply anymore. It used to be that to get a date, you got all gussied up to go out and attract a date. Now you can sit home on your couch in your boxers or fat pants and dangle an electronic lure to attract someone. Sadly, romance is now largely a thing of the past, replaced by an electronic algorithm. You have to be a wordsmith to get a date, not a romantic. Pickup lines aren’t spontaneous. Now someone trolling an app for a date can use a line that it took them a month to come up with, and they can use it over and over until the payoff, the date. Social media can also be very manipulative as well. When my patients tell me about failed dates arranged through social media, one of the most popular reasons they give me is that the person didn’t look like their picture. Blah blah blah… I hear that ALL the time. My only reply is usually “Duh!!! It took that guy / girl three hours to take that picture!” I marvel at how they’re shocked by not getting what they were expecting! And these sites and apps are too easy. Going out to attract a date used to require a little effort and forthought. Where am I going? What should I wear? How’s my hair? Is my breath okay? On sites and apps, it doesn’t matter. They’re a numbers game. Send a line out to enough people and you’re bound to hit on a date at some point. And what happens on that date? Social media has stripped away the art of conversation. It’s been reduced to memes, a series of easily textable phrases and lines. Those aren’t conducive toward building the foundation of a relationship. And there can be a darker side to the use of these sites and apps. Some people believe that participation on these dating sites and apps is essentially implied consent or positive acceptance of sexual advances. If you met someone In the real world, not all advances are welcome. The same is true with participation on an app or site. But the flip side of that coin are the apps where advanves are welcome. There are an increasing number of mobile apps that will let you know when a person of like mind is in the vicinity. Of like mind on these apps usually means down to hook up, which has inherant risks in and of itself. These transactional apps seeking sexual relations really take the human touch out of the whole equation. They’re all about the easy hookup, people as commodities. Phone on, date out. Social media has really changed the idea of participating with one’s community. Now you see young people with no interests beyond their phones. What’s going on in their electronic world takes precedent over what’s happening right in front of them. I discuss this at length in my book, Tales from the Couch. People miss so much of what’s going on around them because they’re buried in their phones. Human interaction goes by the wayside. Another consequence of social media is the downfall of commitment. With more relationships being non-committal, I’ve seen marriage rates among my patients go down. When I ask people about that, they essentially tell me that they’re not into commitment because why should they be? Why settle down and buy one cow when you can have all the milk from all the cows on the internet for free? 

Some of these issues can be troubling. I especially wonder what happens to the people who don’t have profiles posted everywhere, who don’t want to swipe right or left to get dates and find companionship. Are they doomed to forever be single? Will they miss out on their happily ever after? Maybe.They may need to bite the bullet and throw a line into the electronic world of dating. For all it’s foibles and downfalls, social media doesn’t seem to be going anywhere anytime soon. Good, bad, or indifferent, that’s dating today. For more on the world of social media, check out my book Tales from the Couch, available on Amazon.com.

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Material Possessions

Dr. Mark Agresti discusses how material possessions can affect our health negatively.

Dr. Mark Agresti, West Palm Beach Drug & Alcohol Detox Specialist, Psychiatrist

Call (561) 842-9550 or email: info@206.189.200.158 Dr. Agresti today to get psychiatric help today.

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How to Live a Healthier Life

You have to think it before you can do it, so living a healthy life starts out as  a psychological issue. That is why I’m giving you some general rules to keep in mind. If you remember to keep it simple, you will change your behavior and live healthier.

1.  Don’t smoke cigarettes or use tobacco products. The latest research tells us that even second-hand smoke — being around someone who is smoking — is dangerous. When polycyclic-aromatic hydrocarbon, a substance in tobacco — is burned, it changes your DNA, causing cancer-forming agents within 20 minutes of taking it. That’s the latest research and follows 20 years of earlier research showing that smoking cigarettes, as well as being around others when they are smoking, affects us immediately and is dangerous to our system.  Clearly, this is the one thing you can do if you want to live a healthier life. Don’t smoke.

2. Exercise. I don’t care what you do, but  do it every day. Everyone needs to exercise. Make the time to do it. Get up in the morning and do something —  it doesn’t matter what. New studies show that the amount of exercise we need is much more than we thought — about six hours of fairly rigorous activity a week. From an evolutionary standpoint, it makes sense. We are animals and animals spend all day in movement looking for food and trying to survive. We need a lot of exercise to stay healthy, much more than the average American does. Studies that look at cultures where the people live long lives show that heavy physical activity is one of the key components in addition to being born with good genes. (more…)

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