Creative Doctor Next Door

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29/12/2025

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29/12/2025

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29/12/2025

MANAGEMENT OF SSRI-RELATED SEXUAL DYSFUNCTION.

(SSRI is a class of Anti-depressant medication.)
Sexual side effects are a frequent complication of selective serotonin reuptake inhibitors (SSRIs). Management should be individualized, balancing mental health stability with s*xual well-being, and may involve counseling, medication adjustments, or adjunctive therapies.
1. Psychological and Behavioral Approaches
Open discussion of s*xual concerns is essential. A structured framework such as the PLISSIT model can be helpful:
Permission — Encourage patients to talk freely about s*xual difficulties.
Limited information — Explain that SSRIs commonly affect desire, arousal, and or**sm.
Specific suggestions — Recommend practical strategies such as longer foreplay, use of lubricants or s*xual aids, or scheduling intimacy at times of higher energy.
Intensive therapy — Refer for s*x therapy or psychological support when difficulties persist or affect relationships.
Patients should be reassured that improvement often occurs gradually over weeks or months.
2. Medication-Based Strategies
a. Dose adjustment or switching
Reducing the SSRI dose may relieve s*xual symptoms while preserving antidepressant benefits.
Changing to an antidepressant with fewer s*xual side effects — particularly bupropion or mirtazapine — frequently leads to improvement in libido, arousal, and or**smic function.
b. Add-on (augmentation) treatments
Bupropion can be added to counteract SSRI-related loss of s*xual interest and arousal through its dopaminergic and noradrenergic effects.
Buspirone may help improve delayed or absent or**sm by modulating serotonin receptors.
PDE-5 inhibitors (such as sildenafil or tadalafil) can be used off-label to improve ge***al blood flow, erectile response, and s*xual confidence.
3. Complementary and Emerging Options
Saffron extract has shown promise as an add-on treatment. Small controlled trials suggest that it may improve erectile function, lubrication, arousal, and in*******se satisfaction when taken alongside SSRIs.
It is generally well tolerated, but may occasionally cause mild gastrointestinal upset, dizziness, or allergic reactions.
4. Monitoring and Safety
Sexual function and mood should be reviewed regularly when changing antidepressant therapy.
SSRIs should never be stopped suddenly; any dose change or discontinuation should be done gradually under medical supervision.
When using supplements or off-label medications, clinicians should monitor for side effects and possible drug interactions.
5. Future Directions
Research is exploring whether certain neurophysiological tests may predict who is more likely to develop s*xual side effects on SSRIs, but such tools are not yet part of routine clinical practice.
Summary
SSRI-induced s*xual dysfunction is common but manageable. A combination of patient education, supportive counseling, careful adjustment of antidepressant therapy, and targeted pharmacologic or complementary treatments can significantly improve s*xual health without compromising mental health outcomes.

29/12/2025

NAF AIRSTRIKES FLATTENED BANDITS' ENCLAVES, KILL DOZENS IN ZAMFARA.

The Nigerian Air Force (NAF) conducted precision airstrikes in Zamfara, destroying key bandit enclaves and neutralizing dozens of criminal elements.... Read full story in the comments

AIRSTRIKES ON TERROR CAMPS IN NIGERIA EXPOSE THE WEST'S SILENCE ON CHRISTIAN PERSECUTION.In a world where violence again...
29/12/2025

AIRSTRIKES ON TERROR CAMPS IN NIGERIA EXPOSE THE WEST'S SILENCE ON CHRISTIAN PERSECUTION.In a world where violence against Christian communities is often ignored or minimised, recent airstrikes on terrorist camps in northern Nigeria have sparked a sharp contrast between decisive action and diplomatic hesitation.
On Christmas Day 2025, the United States carried out targeted military operations against extremist groups operating in Nigeria’s Sokoto region — groups accused of mass killings, kidnappings, and destruction of Christian communities. The strikes were presented as a response to escalating attacks on civilians, particularly religious minorities who have suffered repeated assaults.
While the operation drew attention and controversy, what stood out even more was the reaction — or lack of it — from many Western governments.
A Pattern of Silence and Hesitation
Across much of Europe and the Commonwealth, official responses were limited to cautious statements, expressions of “concern,” or no comment at all. Critics argue that this pattern reflects a deeper unwillingness among Western leaders to confront religiously motivated violence directly.
Rather than clearly naming extremist ideology or addressing the targeted nature of the attacks, many governments have preferred to frame the crisis in vague political or economic terms. This approach, according to observers, avoids controversy but does little to protect those under immediate threat.
Nigeria’s Christian Crisis
Nigeria has become one of the most dangerous places in the world for Christians. Armed extremist groups and radicalised militias have attacked churches, villages, and families, leaving thousands dead or displaced.
Human rights organisations and faith-based monitors have consistently ranked Nigeria among the countries with the highest number of religiously motivated killings. Entire communities have been uprooted, children abducted, and places of worship destroyed — often with little international outrage.

HOW YOUNG ADULTS CAN STAY FINANCIALLY STRONG IN TIMES OF INFLATION.As the cost of living continues to rise and economic ...
29/12/2025

HOW YOUNG ADULTS CAN STAY FINANCIALLY STRONG IN TIMES OF INFLATION.

As the cost of living continues to rise and economic conditions become more uncertain, many young adults are beginning to realise that managing money is no longer something to postpone. It has become an essential life skill.
Daily expenses like food, transport, rent and utilities now take up a much larger share of income than before. This leaves little room for mistakes, impulsive spending or financial emergencies. Without a clear plan, even a small disruption — such as job loss, illness or unexpected bills — can quickly turn into serious financial stress.
That is why early financial discipline is one of the strongest tools young adults can develop today.
1. Develop self-control with spending
Learning to delay gratification is one of the most powerful financial habits. Just because you can buy something immediately does not mean you should. Waiting, saving and planning before purchasing helps prevent debt from piling up over time.
Relying too much on credit may feel convenient in the short term, but it often leads to long-term financial pressure. Whenever possible, it is wiser to save first and spend later.
2. Take responsibility for your money
No one will care about your finances more than you do. Relying blindly on others — whether friends, family or so-called financial “experts” — can lead to poor decisions if their advice is uninformed or biased.
Educating yourself about basic personal finance gives you control and confidence. Once you understand how money works, you are less likely to be manipulated, misled or caught off guard.
3. Know exactly where your money goes
Many people struggle financially not because they earn too little, but because they do not track what they spend.
Creating a simple budget helps you see patterns, identify waste, and make smarter choices. Small daily expenses can quietly drain large amounts of money over time. Awareness is the first step to improvement.
4. Build an emergency savings fund
Setting aside even a small amount of money regularly can make a huge difference during unexpected situations.
An emergency fund acts as a financial safety net. It protects you from needing to borrow at high interest rates or falling into crisis when something goes wrong. Treat savings as a fixed expense — not an optional leftover.
5. Start planning for the long term early
The earlier you start saving for the future, the easier it becomes. Small amounts invested consistently over time can grow into significant financial security later in life.
Long-term planning is not about becoming rich quickly — it is about protecting your future self from hardship.
6. Understand taxes and take-home income
Knowing how taxes affect your salary helps you plan realistically. Your gross income is not what you actually receive. Understanding deductions allows you to set proper expectations and avoid financial surprises.
7. Protect your health and your income
Your ability to earn is one of your most valuable assets. Medical emergencies or prolonged illness can wipe out years of savings.
Health insurance and income protection may feel unnecessary when you are young, but they become critical during unforeseen events. Financial stability and physical well-being are closely linked.
8. Financial discipline builds resilience
In uncertain economies, those who manage their finances well are better equipped to handle shocks, recover from setbacks, and seize opportunities when they arise.
Strong financial habits do not just provide security — they create freedom, independence and peace of mind.
Conclusion
Financial planning is no longer something to think about “someday.” It is a present-day necessity.
Young adults who learn to save, control debt, track spending and plan ahead are not just protecting themselves — they are building the foundation for a more stable, confident and empowered future.

. Workforce Challenges: Doctors Leaving HealthcareIn the UK, foreign-trained doctors are reportedly leaving the NHS due ...
29/12/2025

. Workforce Challenges: Doctors Leaving Healthcare
In the UK, foreign-trained doctors are reportedly leaving the NHS due to hostile rhetoric and workplace challenges — a sign of how social issues clash with public health capacity. Workforce shortages affect patient care everywhere when not addressed. �

Breakthroughs & AI in Clinical Care (Conference Highlights)At recent major medical conferences, experts highlighted risi...
29/12/2025

Breakthroughs & AI in Clinical Care (Conference Highlights)
At recent major medical conferences, experts highlighted rising focus areas: vector-borne disease updates, diabetes, obesity, cardiac health, and how AI integrates into modern practice. These conversations shape tomorrow’s standards. �

AI and Machine Learning in HealthcareArtificial Intelligence continues to transform healthcare — from faster, more accur...
29/12/2025

AI and Machine Learning in Healthcare
Artificial Intelligence continues to transform healthcare — from faster, more accurate diagnostics to smarter clinical decision-support systems and robot-assisted treatments. AI is also being discussed at global health summits as both a revolution and a challenge. �

AIHealth

Mental Health Is a Global PriorityMore than 1 billion people worldwide live with mental health conditions, and health sy...
29/12/2025

Mental Health Is a Global Priority
More than 1 billion people worldwide live with mental health conditions, and health systems are struggling to meet demand for services. Mental health initiatives now need urgent scale-up, from expanded counseling services to community support programs. �

MentalHealthMatters

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Creative Doctor Next Door

28/12/2025

Many people are struggling silently because they think their pain is “not serious enough.”
But emotional pain doesn’t need to be extreme before it deserves care.
If something is heavy inside you, it’s allowed to matter.
💬 What stops people from asking for mental health help in your opinion?
👇 Let’s talk in the comments — and follow for gentle, practical mental health guidance.

28/12/2025

Depression is not a life sentence.

The brain can heal.
Feelings can change.
Energy can return.
With the right support, habits, conversations, and sometimes professional help — people recover every day.
If you’re struggling, please know: this state is not your final state.
💬 What gives you a little hope lately?
🔁 Share this to remind someone that healing is possible.

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