Especially difficult is survived by ...

Especially hard it is experienced by men older than 45 years, as the slightest mistake can lead one to believe about wilting and unrecoverable loss of previous skills. In addition, they tend to compare with those, what level of desire, arousal and sexual activity was in their youth - in the period of physiological hypersexuality. The fact that older men need more foreplay to achieve and maintain an erection, of course, and justified. Important sensitivity and support partner. After 50 years, men must be a regular sex life. It is desirable to avoid interruption of more than 2-3 months. Otherwise, the law of nature that are not claimed, subject to regression and to restore the old form will be harder. But statistics show that 3% of men over age 60, able to repeat sexual intercourse, without resorting to drugs stimulants. At any age, emotional intimacy, trust, mutual respect and culture of sexual relations is the key to a happy partnership. To do this, it is important to cultivate the ability to listen to a partner, take it for what it is, to strive for positive change, especially in himself, not being afraid to experiment. Gavrilov YK MC "Kars Tel :977-08-97

Generalized anxiety disorder and anxiety symptoms in primary care

EG Starostin There has been increased interest in medical specialties somatic to mental disorders [1,4]. Among them special place is occupied by generalized anxiety disorder (GAD) [63]. Its main manifestation is a chronic anxiety. Anxiety - is an emotional experience in which a person is experiencing discomfort from the uncertainty perspective. Evolutionary significance of anxiety is to mobilize the body in extreme situations. A certain level of anxiety is necessary for normal life and human productivity. Normal anxiety helps to adapt to different situations, it grows in conditions of high subjective importance of choice, external threat, with a lack of information and time. Pathological anxiety, although triggered by external circumstances may be due to the internal psychological and physiological causes. She is out of proportion to the real threat or not connected with it, and most importantly - is not adequate to the importance of the situation and dramatically reduces the productivity and adaptability of [69]. Clinical manifestations of pathological anxiety are varied and can be paroxysmal or permanent nature, manifesting itself as mental as well - or even primarily - somatic symptoms. The latter is particularly important in general practice. The concept of somatic symptoms, anxiety equivalents offered Freud: he noted that such physical symptoms as disorders of cardiac activity, vascular spasm, respiratory disorders, diarrhea, tremors, seizures, sweating, hunger, paresthesias, and others accompany the anxiety attack as it Replacement or as a "masked" state of alarm.