Sophie, in her mid-50s, came to see me because her menopausal symptoms were out of control. She had fibroids, and had heard that estrogen often caused fibroids to increase in size, so she hadn’t wanted to take hormone replacement therapy. But she was having a rough time of it without supplemental hormones, so we discussed [...]
Another popular self-poisoning game evolves from the Judeo-Christian philosophy that we are all born in sin and can only hope and pray for redemption. There is an infinite variety of patterns to this particular game, all of which consist of the central attitude that misery, misfortune, and unhappiness are permanent when they occur and the [...]
The first phase (aura) of a migraine attack is vasoconstriction of the intracranial circulation. To prevent any possibility of damage to the brain due to cerebral ischemia, the attack should be aborted before this phase but, once the first symptoms appear, vasoconstriction has already started. Occasionally people may get (prodromal) feelings the day before warning [...]