Sunday, October 25, 2026

Development with EIQ and QOL By Keith Torkelson MS, BS

 

Contents

  • Requirements
  • In House > EIQ > Metadata >
  • Emotional Intelligence Quiz - Donna Earl Training (9 Items)
  • Emotional IQ & Behavior Screener Score 9 Items
  • Interpretation - Scoring (Total Score) – 20260917-TH our score = 38.5
  • Internal Customer Service I.Q. Quiz - Donna Earl Training (10 Item)
  • Factors affecting quality of life
  • What are the 10 indicators of quality of life?
  • Aside - Wales Derived QOL Assessment
  • Tangent - Relating QOL to Health Technology
  • Emotional Life Quality Factors: These include
  • Aspects of Approval
  • Social Life Quality Factors - These include
  • Aside – Volunteer Work – RVS
  • For the Kids
  • What Life Quality Factors Are Present?
  • Disability the positive effect on the individual
  • Disability The Negative Effect On The Individual
  • Activity – Draft a PowerPoint for Emotional Intelligence – Givens
  • Aside - FYI - Articles & Quizzes - Donna Earl Training


Feature Photo
Online Support - Sabina
20200608-M: Sabina first contacts us using Messenger
The association was brief yet we learned a good deal about our EIQ and online dating.







Emotional Intelligence Quiz - Donna Earl Training (9 Items)

http://www.donnaearltraining.com/articles-quizzes/emotional-intelligence-quiz/

Emotional Intelligence Quiz - Evaluate your Emotional Intelligence (EI) by rating yourself on behavioral habits. Quiz prepared by Donna Earl.

 

Emotional Intelligence Quiz - Handout

Below are the behavioral habits of emotional intelligence. As you read these, rate yourself on each habit. Is this a habit or behavior which you practice:



Emotional IQ & Behavior Screener Score 9 Items

Scored by and for Keith “Buster” Torkelson, MS



Interpretation - Scoring (Total Score) – 20260917-TH our score = 38.5

40-45: High level of emotional maturity, awareness and control. You have a positive and inspiring impact on others.

35-39: Higher than average level of emotional intelligence. Concentrate on self-awareness and control, and developing increased empathy for others.

27-34: You have a base line awareness of what emotional intelligence is. Be alert for opportunities to increase levels of self-awareness and empathy toward others, and to refine responses.

9-26: Now that you’re of aware of emotional intelligence, monitor your emotions and their impact on you and others. Notice how your behavior impacts others and get feedback on how to modify behavior which has negative affect.

For strategies to increase emotional intelligence, see articles Developing Emotional Intelligence and Coaching Emotional Intelligence.

 

FYIs

Developing Emotional Intelligence

https://www.donnaearltraining.com/articles-quizzes/developing-emotional-intelligence/

Leaders Can Coach Emotional Intelligence in the Team

https://www.donnaearltraining.com/articles-quizzes/how-leaders-coach-emotional-intelligence-in-the-team/


Internal Customer Service I.Q. Quiz - Donna Earl Training (10 Item)

http://www.donnaearltraining.com/articles-quizzes/internal-customer-service-i-q-quiz/

Internal Customer Service I.Q. Quiz - Evaluate your Internal Customer Service I.Q. by completing this quiz prepared by Donna Earl. ... Donna Earl is an international specialist in Customer Service, Management Skills and Emotional Intelligence. Donna can be contacted by phone at 415.929.8110.

 

Internal Customer Service I.Q. Quiz

What is your organization’s Internal Customer Service I.Q.?

 

Organizations with high Internal Customer Service I.Q. demonstrate the following advantages.

 

Assess Your Organization

Score the following statements from a low score of 1 Never to high score of 10 Always.



Interpretation - What does your score mean?

75-100: High functioning organization which operates cost efficiently, with high morale, and highly communicative and proactive employees.

65-75: Above average, however your organization could improve communication, collaboration and productivity with targeted educational modules.

45-65: Average organizational functioning which needs retooling to sustain a motivated workforce, and collaborative work habits and culture.

30-45: A score in this range indicates a lack of focus on internal processes, communication and employee cooperation. To promote a better workplace and improve workflow, a concentrated retooling and training should be considered.

Up to 30: Neither productivity nor productive employees will last without retooling and focused retraining.

Contact us with your organization’s score, and we’ll provide an interpretation and suggestions.

 

See our workshop Internal Customer Service Savvy.

https://www.donnaearltraining.com/services/internal-customer-service/

 

Activity - Rate Your Housing Program and Resources – Individual Level
20261025-SU: 5 Star Equivalents (Living Solo)

 

Factors affecting quality of life

What are the five factors of quality of life?

AI Overview

The five essential elements of well-being and quality of life, according to widely recognized psychological and sociological research like the Gallup Well-Being Model, are career, social, financial, physical, and community well-being. 

The Five Key Factors

Career Well-Being: 

Liking what you do every day and feeling a sense of daily purpose or engagement in your work.

Social Well-Being: 

Having strong, loving relationships and meaningful support from friends and family.

Financial Well-Being: 

Effectively managing your economic life and reducing monetary stress to secure stability.

Physical Well-Being:

Possessing good health and adequate daily energy to complete tasks and enjoy life.

Community Well-Being: 

Feeling a sense of safety, connection, and pride in the local area or neighborhood where you live. 

What are the 10 indicators of quality of life?

AI Overview

Quality of life is measured using ten widely recognized indicators that evaluate both material living standards and overall well-being. 

European Commission

The 10 Key Indicators

Health and Life Expectancy: 

Measures physical well-being, infant mortality rates, and overall access to medical care.

Education and Literacy: 

Evaluates school enrollment, years of schooling, and adult literacy rates.

Income and Wealth: 

Looks at gross domestic product (GDP) per capita and household disposable income.

Employment and Working Conditions: 

Assesses job availability, unemployment rates, and workplace safety.

Housing Quality: 

Considers the standard of living, shelter adequacy, and access to basic amenities.

Environment and Nature: 

Tracks clean air and drinking water, pollution levels, and green spaces.

Safety and Security: 

Examines crime rates, legal protections, and physical security.

Public Services and Infrastructure: 

Measures access to public transportation, electricity, and sanitation.

Social Relationships and Community: 

Looks at family ties, social support networks, and cultural cohesion.

Political and Social Stability: 

Evaluates governance, personal freedoms, and civic participation. 

 

Aside - Wales Derived QOL Assessment

While there is no single proprietary tool formally named the "Wales Derived QOL Assessment," the phrase typically refers to one of three prominent health, mental wellbeing, or socio-economic quality of life (QoL) metrics adapted specifically for use within the population of Wales.

Depending on your specific focus area, you are likely looking for one of the following:

1. The All-Wales Mental Health Core Data Set Framework

Managed by NHS Wales, this framework mandates a standardized set of routine outcome measures to monitor a patient's self-reported quality of life and therapeutic progress. The core tools derived and selected for this national framework include:

CORE-10 (Clinical Outcomes in Routine Evaluation):

A brief 10-item questionnaire measuring psychological distress and general wellbeing.

WSAS (Work and Social Adjustment Scale):

A 5-item scale assessing how an individual's mental health impacts their functional ability to manage daily life, relationships, and work.

ITQ (International Trauma Questionnaire):

An 18-item tool focusing on trauma and PTSD-related well-being.

GBO (Goal-Based Outcomes):

A 3-item tool used to track personal goals set directly by the individual.

2. The Welsh Version of the EQ-5D

In health economics and clinical research, general health-related quality of life is heavily measured using the EQ-5D instrument. Researchers have validated a specific Welsh language translation and demographic profile of the EQ-5D. This adaptation evaluates quality of life across five key domains:

  • Mobility
  • Self-care
  • Usual activities
  • Pain/discomfort
  • Anxiety/depression

It includes the EQ-VAS, a visual analogue scale where patients rate their overall health status from 0 to 100.


Tangent - Relating QOL to Health Technology

Health technology directly measures and improves Health-Related Quality of Life (HRQoL) by bridging traditional clinical metrics with daily human experiences. Tools like wearable devices, smartphone apps, and digital surveys collect real-time data on physical, mental, and social well-being.

Core Connections

Patient-Reported Outcomes (PROs):

Digital platforms capture direct feedback from patients on pain, mood, and daily function between clinical visits.

Passive Tracking:

Wearables and the Internet of Health Things (IoHT) continuously monitor activity levels, sleep, and vital signs to infer quality of life trends.

Value-Based Care:

Health systems use QoL analytics alongside Social Determinants of Health (SDoH) to design personalized, equitable treatment plans.

Health Technology Assessment (HTA):

Regulators incorporate quality-adjusted life years (QALYs) and utility values from digital QoL tools to decide on drug and device approvals.




FYI – II - Would you like to focus on a specific health condition (such as cancer or rare diseases) or explore a particular technology (like wearables or AI-driven analytics)?


Emotional Life Quality Factors: These include

  • Privacy
  • Dignity
  • Approval
  • Psychological security
  • Autonomy

 Privacy

All individuals have a right to privacy. This means they should be allowed opportunities to be unobserved or undisturbed as they wish. This could be at times when they may be embarrassed (e.g. dressing/undressing, receiving treatment of a personal nature, bathing), if they wish to speak to someone confidentially or if they just want some time to themselves away from others.

Lack of privacy may make a person feel devalued.

Dignity

Treating people with respect can provide dignity. By not demeaning an individual in any way, we can ensure their self-esteem remains positive.  Dignity can be provided in all care settings. Individuals should be addressed as they wish to be addressed. Some may prefer to be called by their Christian name while other may prefer to be addressed more formally, e.g. Mrs/Mr. Care workers should not use nicknames or be too familiar (e.g. calling everyone ‘love’).  Respecting someone’s dignity involves asking for compliance (not giving orders) and observing an individual’s wishes.  This can also relate to physical aspects: e.g. drawing the curtains around a bed in hospital when changing clothes, dressing wounds or giving a bed bath, so that the patient is not embarrassed in any way.

Approval

Approval means showing affection or praise for someone’s actions. This helps individuals maintain a positive self-esteem and a feeling of achievement and value for their actions.

 

How do you show someone you approve?

Showing someone you approve of them or their actions combines clear verbal cues, positive body language, and supportive actions.

Verbal Expressions

Give specific praise: Point out the exact thing you like instead of giving a generic compliment (e.g., saying, "You handled that problem with the client very calmly," instead of just "Good job").

Express pride or validation:

Use direct statements like "I am proud of how hard you worked on this" or "I completely support your decision".

Say thank you with meaning:

Acknowledge the effort behind what the person did and how it helped or inspired you.

Non-Verbal Cues

Maintain eye contact:

Look directly at the person when they are speaking or presenting an idea to show you are focused and engaged.

Use open body language:

Nod, smile, or lean in slightly during a conversation to signal agreement and warmth.

Offer physical reassurance:

A warm handshake, a pat on the back, or an encouraging hug can reinforce approval depending on the relationship.

Supportive Actions

Back up their ideas:

Stand by the person's plan in a group setting or amplify their voice when they share a goal.

Show up and follow through:

Be reliable, arrive on time, or help shoulder a task to prove you value their time and effort.

Celebrate the win:

Mark their success with a small gesture, such as grabbing coffee together or sending a congratulatory note.

Can you give examples of how approval can be shown?

Model Answer

Others, including children, may be given rewards such as stickers for good work/behavior. In all settings: verbal praise/thanks/encouragement/a smile or a nod of the head.

 

Aspects of Approval

Approval can be shown through clear verbal cues, written consent, digital confirmations, and non-verbal body language.

Verbal and Written Examples

Verbal statements:

Saying "I agree," "Go ahead," or "Looks good to me."

Formal voting:

Raising a hand or saying "aye" during a meeting.

Written sign-offs:

Signing a physical contract or adding a signature block to a document.

Email or chat replies:

Responding with "Approved," "Confirmed," or a thumbs-up emoji.

Digital and Automated Examples

System buttons:

Clicking an "Approve" button inside software like Microsoft Teams Approvals.

Status updates:

Changing a ticket or task status from "Pending" to "Approved" in a database.

Automated logs:

Recording a timestamp and the approver's name in an audit trail.

Non-Verbal Gestures

Head nodding:

Tilting the head up and down to show agreement.

Smiling or thumbs up: Using simple, positive physical gestures to signal a green light.


Psychological security

We use the term “psychological security” when individuals are not afraid or anxious about any aspect of their life. Individuals experience times of worry or stress – such as worrying about treatment they may receive, family or financial problems - which may make them feel insecure.  Reassurance and effective communication can help allay fears.

Actions to improve psychological security may include.

In the nursery

Arranging introductory visits to help with separation anxiety

In hospitals/residential care

Locking doors so individuals know they are safe.

 

Autonomy

Autonomy refers to a person’s ability to have control over their own life and the opportunity to make decisions without coercion from others. Autonomy is difficult to achieve in many care settings as individuals receive a lot of care from others.  However, people can become more autonomous if they are encouraged to assert themselves and gain confidence.

Nursery

Children are encouraged to go to the toilet by themselves, get their own coats and put them on to go out to play.

Hospital

Patients are allowed to make decisions about their treatment, when and how they wish to dress.

Residential Care

Residents could be allowed to make tea for themselves or others when they wish to.

 

Social Life Quality Factors - These include

  • Social contact
  • Social support

 

Social contact

This means opportunities to be with other people. Without social contact individuals may become isolated and this can lead to depression. Social contact can be provided by belonging to a range of social groups, depending on age, abilities and interests.

For example, social contact can be achieved

In the nursery:

By playing with other children

In hospital

By talking with others on the ward, receiving visits from friends and family

In residential care

By chatting in the day room, WRVS visitors

 

Aside – Volunteer Work – RVS

The WRVS (Women’s Royal Voluntary Service), known today as the Royal Voluntary Service (RVS), provides essential support services for both hospital patients and their visitors across the UK.

The Royal Voluntary Service is a major British charity that supports older people, vulnerable individuals, and the NHS across England, Scotland, Wales, and Northern Ireland.

History and Evolution1938:

Founded as the Women’s Voluntary Services for Air Raid Precautions (WVS) by Stella Isaacs, Marchioness of Reading, to recruit women for civil defense and air raid support.

World War II:

Grew to over one million volunteers, managing civilian evacuation (1.5 million people), mobile canteens during the Blitz, clothing distribution ("Bundles for Britain"), and salvage collection.

1966:

Granted the "Royal" title by Queen Elizabeth II, becoming the Women’s Royal Voluntary Service (WRVS).

2004:

Officially shortened its name to WRVS to modernize the identity.

2013:

Dropped the word "Women" to rebrand as the Royal Voluntary Service, formally opening membership and roles to men.

Modern Services

Community Support:

Delivers Meals on Wheels, Good Neighbours companionship, and community transport for medical appointments.

Hospital Services:

Operates volunteer-run shops, cafƩs, and trolley services in hospitals.

Emergency Response:

Assists local authorities and emergency services during natural disasters and major incidents (such as floods and major UK accidents).

NHS & Digital Aid:

Coordinates volunteer networks for the NHS, including pandemic support and home-from-hospital recovery programs.


Social support

Social support differs from social contact as it is more personal. Individuals receive social support from people they trust, usually family or friends.  Social support provides individuals with emotional security as they can discuss problems and get the help they need to solve them.  They may need physical support, i.e. help with a practical activity, or psychological support, e.g. having someone to talk to who knows and understands them.

For the Kids

Activity - Reception class

The children in the reception class at school are all given the opportunity to visit the class with their parents before they actually start full-time school. They are able to meet the teacher and other children who will be starting school at the same time. In the classroom there are a range of activities for the children, such as water play, sand play, a house corner, and puzzles. In addition to the teacher there is a nursery nurse and a classroom assistant to help out with the children. The facilities in the school include a canteen (which provides healthy school lunches), an outdoor play area, a sports hall and separate toilets for boys and girls (with small toilets and low hand basins).

What Life Quality Factors Are Present?

Quality of life encompasses a broad combination of physical, emotional, social, and environmental factors that shape an individual's overall well-being and life satisfaction. According to major frameworks like the World Health Organization and population health studies, the core factors present in assessing quality of life include:

Physical and Mental Health:

Encompasses functional mobility, perceived vitality, freedom from chronic pain, and emotional well-being. Long-term findings, such as the Harvard Study of Adult Development, show that strong relationships and emotional satisfaction are among the strongest predictors of lifelong health and happiness.

Social Connections:

Involves family support, community belonging, and meaningful interpersonal relationships. Global surveys indicate that family and close ties serve as a primary source of life fulfillment across diverse cultures.

Financial and Material Security:

Includes personal income, employment stability, housing quality, and purchasing power for basic necessities and comforts.

Environment and Safety:

Covers clean air and water, neighborhood safety, access to reliable transportation, and freedom from environmental hazards.

Personal Development and Autonomy:

Involves educational access, career satisfaction, and control or independence in daily decision-making.

 

Activity - Disability - Think about it

Video clip: Identify the life quality factors present in the video.
https://www.youtube.com/watch?v=yYNjXRVFnTc
Using the post-it notes provided under the headings: physical, intellectual, emotional and social   consider:                              

 

Disability the positive effect on the individual

Experiencing a disability can foster deep personal growth, build unique problem-solving skills, and drive profound resilience in an individual.

Personal Growth and Strengths

Resilience:

Facing daily physical or social barriers often builds high emotional and mental toughness.

Problem-Solving:

Adapting to a world designed for non-disabled people turns individuals into creative, innovative thinkers.

Self-Awareness:

Navigating challenges often brings a deep sense of personal agency, self-acceptance, and emotional strength.

Social and Leadership Benefits

Empathy:

Lived experience with a disability can cultivate profound compassion for the diverse experiences of others.

Leadership Value:

Unique perspectives make individuals strong, inclusive leaders who value teamwork and accessibility.

Community Connection:

Engaging with support networks often leads to meaningful relationships and a strong sense of belonging.


Disability The Negative Effect On The Individual

Disabilities can create profound negative effects on an individual, stemming from both physical limitations and external societal barriers.

Mental and Emotional Health

Chronic Distress: According to the Centers for Disease Control and Prevention (CDC), adults with disabilities experience frequent mental distress nearly five times as often as those without disabilities.

Depression and Anxiety:

Stigma, isolation, and ongoing physical pain significantly raise the risk of developing anxiety and depression.

Loss of Identity:

Acquiring a later-in-life impairment can trigger grief, an identity crisis, and a diminished sense of self-worth.

Social and Environmental Barriers

Social Isolation:

Inaccessible public spaces, poorly designed transportation, and negative public attitudes often lead to loneliness and exclusion.

Ableism and Stigma:

Prejudiced attitudes or infantilizing behaviors from others undermine an individual's autonomy and social relationships.

Economic and Healthcare Inequities

Financial Hardship:

Lower employment rates contribute to higher rates of poverty and financial instability for disabled individuals.

Healthcare Disparities:

Many face inadequate medical services, physical barriers in clinics, and providers who lack proper training on accommodating patients with disabilities.

 

Activity – Draft a PowerPoint for Emotional Intelligence - Givens

You can find free downloadable presentation decks and slide templates on Slidesgo Emotional Intelligence Templates or browse structured outlines on SlideEgg Emotional Intelligence PPT.

Core Definition

Emotional Intelligence (EI or EQ): The ability to recognize, understand, and manage your own emotions, as well as influence and understand the emotions of others.

Distinction from IQ: While IQ is relatively fixed, EQ is a flexible skill set that can be developed and strengthened over a lifetime.

Daniel Goleman's 4 Main Components

Self-Awareness: Knowing your inner states, preferences, resources, and intuitions in the moment.

Self-Management (Self-Regulation):

Controlling disruptive impulses, adapting to change, and maintaining honesty and transparency.

Social Awareness:

Showing empathy, organizational awareness, and service orientation toward others.

Relationship Management: Developing others, handling conflict constructively, and building teamwork and leadership effectiveness.

Key Slide Topics to Include in Your PPT

Introduction: Defining EQ vs. IQ and why it matters in modern workplaces.

The Emotional Competence Framework:

Breaking down personal vs. social competencies.

Workplace Impact:

How high EQ drives better leadership, lower burnout, and stronger communication.

Actionable Strategies:

Daily practices like active listening, pausing before reacting, and emotional labeling.

 

If you'd like, let me know:

What is the target audience for your presentation (e.g., students, corporate team, medical staff)?


Aside - FYI - Articles & Quizzes - Donna Earl Training

http://www.donnaearltraining.com/articles-quizzes/

Articles & Quizzes by Donna Earl, international specialist in Customer Service, Management Skills and Emotional Intelligence.

Articles & Quizzes - Donna Earl has written the following articles on Customer Service, Customer Service Management, Management and Emotional Intelligence. Please contact us at email@DonnaEarlTraining.com for permission to use or reprint any article, or to quote Donna.

Articles: [Links]

 

Quizzes: [Links]

Customer Service Skills Quiz




Thursday, October 22, 2026

Psychotropic Driven Sex Therapy By & For Keith Torkelson MS, BS VHealthMan

  

Contents

  • Requirements & Feature Photo
  • Work Done - Link up Front - Featuring Ruth – Content Warning
  • Waited Years & Graduations
  • Sitting on your partners back intimately – Between Lovemaking
  • Dedication and Memorial
  • Charting 20180519-SA – Updated 20261020-TU:
  • Objective - Ravinder P Singh, MD
  • Photo Selection - Ruth Ligero Tera (RLT)
  • 20180519-SA - Interpreting the Error Rates: Updated 20261020-TU:
  • Boundary Assignment
  • 20180519-SA - Sign Off (Avey, 2018) – Updated: 20261020-TU:
  • Signature – Evolution
  • Get Rolling on the Assignment (Avey, 2018) – Last Update: 20261020-TU:
  • Pharmacological Agents Causing Sexual Dysfunction
  • Psychotropic Inventory – Problematic Medications – Context of Sex Cycles
  • 20180519-SA on Discontinued Brands – Drugs in Development
  • Steps in Pre-planning - Team Tera (RLT)
  • Steps in Face-to-face Encounter with ST – A HRE
  • Session Follow up Activities (ST)
  • Rate Your (Sex) Therapist - Vitals Standard Elements - For Year = 2004
  • Rate your Therapist - Compare In-formal and Formal Therapists (QGM)
  • 20180518-F Table – Zoloft - Less serious side effects may include
  • Walk Down Memory Lane & Does Zoloft cause impotency?
  • Pro-Factors for Hands-on Sex Therapy (ST)
  • Worries and Issues 7 Item (Qualitative) – Stressors
  • Donovan’s Promises about Sex (10 Item) (Qualitative)
  • Content - A Healthy Sex Life
  • 20180519-SA-Testosterone Slavery
  • FYI – Stigma - Around Self Sex
  • Transactions of Intimacy 12 Items
  • Jordan Gray – 7 Item Wants in a Relationship Screener
  • 20180518-F: Other Wants for MSOE (12-Item)
  • Does Sex Therapy Work?
  • Boundaries and Sex Therapy
  • FYI - Anticholinergic Activity Drugs (Medications)
  • Double Sex Dysfunction Stress and Medication
  • Zoloft (and to a greater extent Paxil)
  • Feature - Profile Zoloft (Sertraline HCL) (2004)
  • Donovan Promises of Sex Benefits
  • Erectile Dysfunction Sex Therapy: How It Works, Insurance, and More
  • Satisfaction with your history around Sex
  • Satisfied & And in the End - Does Sex Therapy Work? [YES]




Work Done - Link Up Front - Featuring Ruth – Content Warning
Saturday, May 19, 2018 – R-Rated due to suggestiveness
Ravinder P Singh MD – Assignment – Retroactive 2012 – Boundaries – By Keith E Torkelson
https://healthman2059.blogspot.com/2018/05/ravinder-p-singh-md-assignment.html

Feature – Photo - Not Our Therapist



Promotion - Brittany Steffen Certified Sex Therapist

https://www.steffencounselingservices.com/brittany-steffen/

My name is Brittany Steffen, and I am the owner and founder of Steffen Counseling Services. I graduated from Seattle Pacific University’s marriage and family therapy graduate program in 2012, and have worked as a therapist in the Seattle area for the past 10 plus years. In 2018 I began the process to become an AASECT Certified Sex Therapist, to meet the expanding demand for sex therapy. 


Waited Years

I use my annual Christmas Gift from my sister (CDB) for deep tissue massages.  Unfortunately she passed away in 2025.  As of 2023 I hadn’t seen my Most Significant Other Ever (MSOE), Joan, since the summer of 2016.  Since 2018 for me she has been missing in action (MIA).  Joan had a habit of “Ghosting” me immediately after we spent the weekend together.  When we were apart for a month or more we call these off periods our Windows of Separation (WOS).  For us during the WOS the momentum in our relationship would cease.  Combine her Ghosting with medication that causes impotence we often found it difficult to perform.  During circa 2004 we had several changes in medication many causing impotence.  At one point working with a referral from our friend Charles A. we linked with “Ruth” a sex therapist.  In two sessions she helped us get our confidence back. We call Ruth Doctor Ruth even though she did not hold a PhD or an MD. Overall our association was a success.  Ruth practiced in Baja California or BC.  Our Sex Therapy Value Quick Score for Ruth is 5.0 star equivalents (SEs) of 5.0 stars maximum.    With SEs higher scores are favorable.  Ruth worked on a sliding scale. We find that as of 2026 we have ED and much less interest in Sex.  We still would prefer some intimacy like “Making Out”.  It is hard for a female to get close to us because of our “Force Field” which in the past before 1995 made/makes us untouchable.

 

Note—Publication 20180519-SAT = 2 years after in person with Joan

Associated with > In House > Metadata > PHR_Xeno_4.0.1_Medication_History_17121101_Develop V2018

 

Graduations

We will not replace Joan.  If we do fall for another gal it would be New Love.  For me Joan and I had True Love.  Joan would say we were together twenty (20) years.  I take into consideration the time lost during our WOS and deduct the time from our twenty (20) years.  A social worker, Samantha Santos told us that we would never have an intimate relationship with another female.

 

Sitting on your partners back intimately – Between Lovemaking

In practice we called it Joan’s Experimental Method or JEM. We would each sit on each other’s backs.  We usually did it in a park (outdoors) under a tree.

Sitting on a partner's back intimately can mean a few different physical and emotional dynamics, ranging from relaxing counter-pressure stretches to close physical connection.

Physical and Emotional Aspects

The-Supporter or Relief Dynamic:

One partner lies face down on a bed or floor while the other sits or perches gently on their lower or mid-back, often to provide counter-pressure, stretch out tension, or practice partner-assisted decompression.

Playful or Grounded Closeness:

Sitting closely on someone who is lying down or resting creates a sense of weight, safety, and physical presence. It strips away distance and puts physical trust into the contact.

Vulnerability and Trust:

Being on top of or draped across a partner's back requires balance and quiet communication. It relies on mutual comfort so neither person strains a muscle or feels restricted.

 

Pirated Photo




Dedication and Memorial

We Dedicate this Paper

We dedicate this paper to Joan MZ and Alexis Payne.

 

In Memory Of

Dorothy Stratten (Dorothy Ruth Hoogstraten (February 28, 1960 – August 14, 1980)


20180519-SA – Updated 20261020-TU:

This report is submitted for partial credit about an assignment Dr. Ravinder P Singh offered up to us back in 2012.  The subject for this report is Keith Torkelson a patient of Dr. Singh’s on at least two occasions starting 2006.  As of 2022 Dr. Singh is a 2.5 Star (Objective) or average doctor.  We think of her as a 4.0 or better doctor.  This report chronicles Keith Torkelson managing (coping with) medication associated impotence.  We chart his experiences with Ruth Ligero Tera (RLT) a sex therapist.  Keith gives RTL a score of 5.0 Stars for her help with recovering his confidence and libido.  The model medication we address here is the psychotropic Zoloft.  Keith’s Most Significant Other Ever (MSOE) is Joan MZ.  Joan had a higher frequency sex cycle than did Keith.  We include a section on Rate Your Therapist (RYT).  The encounters with RLT have had a lasting effect on Keith’s confidence in the face of aging. Keith is now as of 2026 67 years old.  For us the investment of time and money with RLT was worth it.

 

Objective - Ravinder P Singh, MD
Associated with >
08_Rate_Your_RPS_Singh_Vitals_19061301_Working V2026
Link
https://healthman2059.blogspot.com/2026/09/just-say-no-with-focus-on-dr-rpss.html
Corrected: 20261021-W:






FYI - Objective up Front (OUF) – Rate Your Doctor (Ravinder P Singh MD)
Doctor Singh’s Ratings do not change much – Last Reviewed: 20180518-F:




20180519-SAT Interpreting the Error Rates: Updated 20261020-TU:

It is very likely that GOD is near perfect.  For Dr. Singh (RPS): What professional behaviors lead to poor ratings such as those 21 clients awarded her?  One element that goes into poor ratings is mistakes.  Some medical mistakes are minor whereas others are major and even life threatening.  Back in 2012 (Episode 2012), we suffered catastrophic losses.  It is likely that Dr. Singh contributed.  We had thought her to be one of our best Behavioral Health Doctors until we began profiling her.  By omission we gather RPS would say: I perfect!  You just felt her perfection when she was with you each day for five minutes.  You just know she is and has appropriately served at least half of her clients.  Remember she is the one that started us on the best medication ever, CloZAPine.  Dr. Bum Soo Lee MD a colleague finds RPS as unremarkable.  She has much work to do to get her objective ratings (2.5) up to let us say 4.0 or greater of 5.0 Stars.  As of 2026 we think RPS has retired therefore it is unlikely for her to reach the 4.0 benchmark.  If we could find anything Online in her favor we would be the first to share it with our inner-world circle via our Blogs.  Her 51% success rate implies a 49% error rate, at least from the client perspective.  This is just a notion due to the fact that the majority of her clients did not go online and rate her.  In addition, the same clients might rate her across multiple platforms.

 

In House > Metadata >
15_MDOC_Profile_16040501_Singh V2018
Query data = “ravinder p singh…”

Boundary Assignment

Associated With > In House > Metadata > 04_SCR_Singh_Assignment_17092701_Boundry_Evidence



Actual Scan of Medical Records Dated: 20120425 – Doctor Singh in Charge

20180519-SAT Sign Off (Avey, 2018) – Updated: 20261020-TU:

Doctor Singh (RPS) was a bit miffed when we went into the hospital in 2012 because she had the impression that last fix (2006-2007) was lifelong.  Sample to compare the writing (Future paper will address the relationship between writing and health).  Note: Dr. Singh’s support-staff fill out as much of forms as permissible.  We have to assume that at least the signature is authentic.  We here at MSG do not retain any writing analysts.  So I, Avey IC, have to try my best.  Can you see how hurried that signature looks for signing off.  That signature is part of her job.  It reflects Dr. Singh’s character as well as motor function.  It gets her the big bucks ($200,000 plus per year).  Would you RPS her perform surgery on say your eyeball?  How is it a signature?  One’s signature reflects that inner workings of one’s mind.  Buster AKA Keith has had to re-make his signature several times.  One culprit was taking Lithium, which induced Lithium Tremors.  Enough said OK: Would you let her drill your teeth? (Avey, 2018). Incidentally, we were taken off Lithium this year (2026) and our writing has improved because our tremors are waning.


Signature - Evolution




20180519-SA

Get Rolling on the Assignment (Avey, 2018) – Last Update: 20261020-TU:

What it takes to get focused on the matter at hand.  We have the impression that we will help improve our boundaries up by discussing Sex Therapy (ST).  Our Most Significant Other Ever (MSOE) is Joan (1998-2018).  In any given year Joan and Keith were apart for up to half the year.  Due to Joan’s problems with dementia we have been apart the longest time ever or 10 years!  Joan had a different Sexual Response Cycle (SRC) than Buster.  If you have not already gathered this paper is about Keith “Buster” Torkelson, MS, BS.  Joan desired (needed) sex more frequently than Buster.  We have a written testimony that Joan wrote about sex and sexuality.  We still are too proper to share it.  Joan was insatiable or hard to satisfy over the course of a week.  Combine SRC issues & separations with Drug (medication) Induced Impotence (DII) and in enters the need to retain a Sex Therapist.  Oh! Who are we – we “B” MSG or Mentalation Solutions’ Group.

 

20180519-SA
Pharmacological Agents Causing Sexual Dysfunction - Taylor & Francis Online (1977)
[Link broken and thus removed]
By RT Segraves

“Reports of pharmacological agents affecting the human sexual response cycle are critically reviewed. Because of the paucity of adequately designed studies, few definitive statements can be made about pharmacological effects on human sexual functioning. Tentative evidence suggests that drugs with side effects of adrenergic blockade are associated with ejaculatory disturbances. Impotence appears to be associated with drugs possessing significant anticholinergic activity. Drug induced impotence and retarded ejaculation could both also be related to central dopamine blockade.”


Psychotropic Inventory – Problematic Medications – Context of Sex Cycles
Defining the Problem - Anticholinergic Activity Drugs




FYI – Reference
Anticholinergic and Antispasmodic Drugs
https://www.medicinenet.com/anticholinergics-antispasmodics-oral/article.htm

20180519-SA on Discontinued Brands – Drugs in Development

Updated: 20261020-TU:

We do not have the resources to flesh about the discontinued brands.  Just let it be known one of them Navane is on our list of the five (5) worst medications of all time.  See if Pfizer the manufacturer had discontinued Navane earlier we would have been spared the suffering associated with Navane.  The generic is still available in the US.  Think about this: Why are we developing new drugs.  If the current medications (psychotropics) in the arsenal were effective and work well: Why fix them?  OK! Let it be said that some of the medications above we personally associate with Drug Induced Impotence (DII).  Back circa 2004, Dr. Dobos (Kaiser) said that it was unusual for a male our age to lose his “Sex Drive” or Libido.  Later we will address Zoloft a bit.  Let’s us get on with how Buster coped with this presenting problem.  Enter Ruth Ligero Tera (RLT - Sex Therapist in private practice.


Steps in Pre-planning - Team Tera (RLT)
Failure Session – Success Session
Ruth Ligero Tera (RLT - Private Sex Therapist)
Steps in Pre-planning - Team Tera – Last Reviewed: 20180518-F:
Updated: 20261020-TU:



Details Not Important

It is easy to fill in the blanks.  We were so debilitated (moribund) that our first session resulted in a sub-standard performance.  This was corrected and overcome with the follow up.

Steps in Face-to-face Encounter with ST – A HRE

Session Activities & Elements
A Health Related Engagement (HRE): Generate: 20180519-SAT:
Last Updated: 20261020-TU:
HRE = Health Related Engagement



Session Follow up Activities (ST) - 2004
Generated: 20180518-F:




CloZAPine

We have never had to retain a sex therapist since Dr. Singh put us on CloZAPine back in 2006.

 

Rate Your (Sex) Therapist - Vitals Standard Elements - For Year = 2004
Vitals Method - Date Scored 20180515-TU:
Indications of Satisfaction: Actual Data from 2 Encounters Date of Service
Buster rates association with RTL: Last Reviewed: 20261020-TU:




Dates of Service (2004)

The dates of service may be adjusted when and if we fish the records out of our archives.

Subject Profile (Brief)

This report discusses the Lived Experiences of Keith Torkelson (AKA Buster).  The presenting problems were impotence most likely caused by a combination of stress and ingestion of psychotropic medications.  We call this chemical impotence and stress impotence.

 

Rate your Therapist - Compare In-formal and Formal Therapists (QGM)
Quick Grade Method (QGM) – Date Scored: 20180518-F
GPA = Grade Point Average | QGM = Quick Grade Method
Cohort GPA



Drill Down on a Medication – Zoloft

For our purposes we are skipping serious side effects for which you are advised to call your doctor.  What follows is a representative list of less serious side effects.  It is intriguing that sex problems are not considered serious. We feel that sex problems are core concerns after: Sleep, Peace and Harmony.

 

20180518-F Table – Zoloft - Less serious side effects may include



FYI – “This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

 

Zoloft (Sertraline HCL) Patient Information: Side Effects and Drug
FYI - Reference
https://www.rxlist.com/zoloft-drug/patient-images-side-effects.htm

Walk Down Memory Lane

Every time we address a side effect list our thinking remembers how many psychotropic experiments we have agreed to and paid for.  The Zoloft experiment was one of the less costly trials.  We provided proof it was interfering with work, school, intimacy, etc. very quickly.  As a result we were taken off Zoloft.  Note Paxil also cause impotence.  We were on Paxil for a term.

Aside - Paxil

Yes, Paxil (paroxetine) can cause impotence or erectile dysfunction, along with a reduced sex drive and delayed ejaculation or trouble reaching orgasm. Among selective serotonin reuptake inhibitors (SSRIs), Paxil is frequently cited as having one of the highest rates of sexual side effects, affecting roughly 30% to 70% of people who take it.

 

Does Zoloft cause impotency?

Yes, Zoloft (sertraline) can cause erectile dysfunction (ED) and other sexual side effects.

How Zoloft Affects Sexual Function

Brain chemistry shift:

Zoloft is a selective serotonin reuptake inhibitor (SSRI). Raising serotonin levels can lower dopamine and norepinephrine, which are key chemicals for sexual desire and physical arousal.

Common sexual side effects:

Besides ED, Zoloft can cause a lower sex drive (libido), delayed or absent ejaculation, and difficulty reaching orgasm.

Risk comparison:

While sexual side effects are common across all SSRIs, Zoloft generally carries a lower risk of ED than stronger SSRIs like paroxetine (Paxil), according to the Mayo Clinic.

What You Should Do

Talk to your doctor:

Never stop taking Zoloft abruptly. Stopping suddenly can cause "SSRI discontinuation syndrome," which brings symptoms like dizziness, nausea, and severe mood rebounds.

Explore solutions:

A healthcare provider can help you manage the side effects by:

Adjusting your dosage

Prescribing an ED medication like sildenafil (Viagra) or tadalafil (Cialis) alongside Zoloft. Switching you to a different antidepressant with a lower risk of sexual side effects, such as bupropion (Wellbutrin).


Pro-Factors for Hands-on Sex Therapy (ST)
Date Scored: 20180518-F:
Updated: 20261021-W:




Tangent – To Kill a Couple of Birds


Scored 20180519-SA (Retro) Table – Con-Factors – Complications
Worries and Issues 7 Item (Qualitative) - Stressors
The Complications with Hands’ On Sex Therapy
ST=Sex Therapy | ED=Erectile Dysfunction
Updated: 20261021-W:




Scored 20180519-SA:
Donovan’s Promises about Sex (10 Item) (Qualitative)
By and For Buster and Joan
AMSOE=About Most Significant Other Ever | DHEA= Dehydroepiandrosterone | RT = Real Time




FAQs

Have we had a healthy sex life?

Are we having a healthy sex life?

 

Content - A Healthy Sex Life

A healthy sex life is defined primarily by mutual satisfaction, emotional intimacy, and open communication between partners, rather than by a specific number or frequency.

Key Characteristics of a Healthy Sex Life

No Pressure on Frequency:

According to the International Society for Sexual Medicine, "normal" frequency is simply whatever works and satisfies both partners. While many couples average about once a week, rates vary widely based on age, life stages, and stress levels.

Open Communication:

Partners feel safe discussing their desires, boundaries, and turn-ons without fear of judgment.

Absence of Pain:

Healthy sex should not cause physical pain or distress.

Mutual Pleasure:

It is never one-sided; both partners feel cared for and considered, though not every single encounter has to end in an orgasm.

Connection beyond the Bedroom:

Intimacy includes non-sexual touch like cuddling, kissing, holding hands, and emotional support.

Flexibility:

Partners adapt to changes over time—such as aging, busy schedules, or lower libidos—by communicating or intentionally scheduling time for each other.

Common Health Benefits

A fulfilling sex life contributes to overall wellness by:

Lowering blood pressure and protecting heart health

Reducing stress, anxiety, and depression

Improving sleep quality and immune function

When to Seek Help

If sexual dissatisfaction, a mismatch in sex drive, pain, or low libido creates persistent distress in your relationship, consider consulting a healthcare provider, OB-GYN, or a certified sex therapist.

20180519-SA-Testosterone Slavery

Back in 1989 we worked as a lab associate for Hospital Pathologist Central Laboratory.  It was routine procedure for the staff to run tests on themselves in the due course of a week.  Our associates predicted that we would have elevated testosterone based on our pattern balding.  They ran it and they were correct.  For us testosterone is not only cyclical it is highly detectable at elevated levels.  Elevated testosterone can be uncomfortable.  We think it can even impair your judgment.  We haven’t detected this uncomfortable feeling since we turned 53 in 2012.  It looks like we traded performance for comfort.

In House > Metadata >





FYI - Sex Therapy - 7 fascinating facts about female masturbation
Rachel Grumman Bender - Sat, May 21, 2022, 4:07 AM
https://www.yahoo.com/lifestyle/fascinating-facts-about-female-masturbation-110722717.html

 

FYI – Stigma - Around Self Sex

The stigma surrounding self-sex, often colloquially referred to as "choking the chicken" (male) or "spanking the monkey," is a deeply rooted cultural taboo. Despite being a common, natural, and often healthy sexual behavior, masturbation is frequently associated with shame, guilt, and secrecy. This stigma is maintained by a combination of historical, religious, and societal factors, even though modern sexology generally considers it beneficial.



Transactions of Intimacy 12 Items
WFIHS=With Females in Hospital Setting | WMSOE=With Most Significant Other Ever
Date Scored: 20180518-F: Last Reviewed: 20180518-F:




FYI - Reference

Sexual satisfaction, quality of life and the transaction of intimacy in hospital patients’ accounts of their (hetero) sexual relationships Gavin Daker-White and Jenny Donovan (2002 - 25 Pages)

[Link Broken]

Sociology of Health & Illness Vol. 24 No. 1 2002 ISSN 0141–9889, pp. 89–113

 

Aside - 20180519-SAT Hospital Patients - Sex

We have been in the Behavioral Health Ward (BHW) on more than one occasion.  When we talk with females about sex on the ward many report they had sex while in lock down.  For example some of the females report at least one intimate experience in Norwalk (Metropolitan) State Hospital.  Our male colleagues are either keeping secrets or never had sex while locked down.  You know how there are reports of professionals such as teachers having sex with those they help.  We feel there may be a chance for Staff Involvement in lockdown.  There was this (pseudo-fictional) TV show called Women in Prison.  It was an: “American television sitcom created by Katherine Green which aired on Fox from October 11, 1987 to February 20, 1988”.  One of the imprisoned females hooked up regularly with the male maintenance worker.  They usually did it in a crawlspace in the ceiling that was only accessible with a ladder.  The other women in “the block” kept their secret.

 

FYI - 7 Things Men Want In A Relationship - The Good Men Project (Jordan Gray, Sep 2, 2014)

https://goodmenproject.com/featured-content/7-things-men-want-in-a-relationship-jgc/

Jordan Gray – 7 Item Wants in a Relationship Screener

MSOE = Most Significant Other Ever (1998-2018)

Last Reviewed: 20161021-W:



The Best Medicine (***)

Keith (Buster) had physical touch issues with our older brother (Born 1949).  On a routine basis our older brother physically hurt our sister (Born 1955) and us.  Keith’s traumatic response to his behavior most likely contributed to Keith’s gradually becoming an Untouchable.  In 1995 Jodi Rombotis successfully addressed our un-touchable nature.  She said kiss me! And kiss did we ever!

 

FAQs

Why not just have more of good thing?

Do men need to have sex with their intimate partners?


20180518-F: Other Wants for MSOE (12-Item)
20261020-TU: Updated




FYI – Sex Therapy for Erectile Dysfunction: How It Works, Insurance, and More

https://www.webmd.com/erectile-dysfunction/guide/sex-therapy-erectile-dysfunction

 

Does Sex Therapy Work?

“Sex therapy is most effective when a man's sexual partner is willing to be part of the treatment. Studies have shown that for men with stress-related ED, having the partner involved in the therapy resolves the problem 50%-70% of the time. When the man must go through counseling alone, the results are somewhat lower.”




Boundaries and Sex Therapy

Sexual boundaries define personal limits for physical touch, comfort, and intimacy, while sex therapy provides a structured, non-judgmental environment to navigate these limits, improve communication, and resolve relationship ruts.

Types of Sexual Boundaries

Physical Touch and Anatomy:

Limits regarding specific body parts, kissing styles, or types of contact.

Clothing and Visibility:

Preferences around remaining dressed, lighting, or partial undress during intimacy.

Activities and Intensity:

Comfort levels with varying practices, novel experiences, or specialized dynamics (such as BDSM).

Health and Safety:

Agreements regarding sexual health, STI testing, and contraception.

Privacy:

Rules about sharing intimate details or experiences outside the relationship.

Tools Used in Sex Therapy to Explore Boundaries

The Traffic Light System:

Partners independently rate sexual activities as Green (definitely try), Yellow (might try / curious), or Red (definitely not try) before comparing lists without judgment.

The "Three T's" Framework:

Discussions are guided by Trust (believing in each other's self-knowledge), Turf (choosing safe, calm, private settings), and Tone (maintaining curiosity instead of criticism).

Structured Check-ins:

Couples practice active consent, learning how to pause, pivot, or withdraw consent at any stage of an encounter.

Professional Boundaries in Sex Therapy

No Physical Touch:

Certified sex and relationship therapists maintain a strict no-touch policy during clinical work.

Clinical Purpose Only:

Sessions focus strictly on education, psychological processing, and relational or behavioral homework; therapists do not request or view explicit imagery or engage in personal/social contact outside the office.

Explicit Frames:

Therapists establish clear professional boundaries from the very first session so clients feel safe discussing vulnerable topics

 
FYI - Anticholinergic Activity Drugs (Medications)

Anticholinergic and Antispasmodic Drugs

https://www.medicinenet.com/anticholinergics-antispasmodics-oral/article.htm#what_are_the_side_effects_of_anticholinergic_and_antispasmodic_drugs

 

Anticholinergic Drugs and Impotence

Anticholinergic drugs can contribute to or worsen impotence (erectile dysfunction).

How Anticholinergics Cause Impotence

Blocking Acetylcholine:

Acetylcholine is a chemical messenger in the nervous system that helps trigger the parasympathetic responses necessary for an erection. Anticholinergic drugs block these receptors, disrupting the nerve signals and smooth muscle relaxation required to achieve and maintain an erection.

Reduced Secretions & Blood Flow:

These medications frequently cause generalized drying effects (such as dry mouth or decreased lubricating fluids), which can impair local autonomic responses and reduce proper blood flow to the erectile tissue.

High-Risk Classification:

Epidemiological data suggest that anticholinergic medications carry a significantly elevated statistical risk for erectile dysfunction compared to many other drug classes.


Double Sex Dysfunction Stress and Medication

Sexual dysfunction linked to stress and medication is a common issue affecting libido, arousal, and orgasm.

How Stress Affects Sexual Function

Hormonal Response:

High stress raises cortisol and adrenaline levels, which suppresses testosterone and interferes with the body's natural arousal response.

Psychological Interruption: Anxiety, fatigue, and racing thoughts make it difficult to focus on or enjoy physical intimacy.

Medications Commonly Linked to Sexual Dysfunction

Antidepressants:

SSRIs (such as fluoxetine, sertraline, and paroxetine) and SNRIs are major contributors, affecting 30% to 70% of users by elevating serotonin and lowering dopamine. Lower-risk alternatives include bupropion or mirtazapine.

Blood Pressure and Heart Medications:

Older beta-blockers (like metoprolol and propranolol) and diuretics can reduce blood flow and lower desire.

Other Agents:

Antipsychotics, benzodiazepines, and opioids can also impair sexual performance.

Management and Next Steps

Do Not Stop Meds Abruptly:

Stopping psychiatric or blood pressure medications suddenly can trigger severe withdrawal or rebound symptoms. Always consult your prescribing doctor or pharmacist first.

Discuss Alternatives:

A healthcare provider may adjust your dosage, time your medication around sexual activity, switch you to a medication with a lower risk profile (such as bupropion or ARBs like losartan), or add a targeted treatment like a PDE5 inhibitor (sildenafil or tadalafil).

Lifestyle and Therapy:

Reducing stress through exercise, deep breathing, or counseling can help address the psychological and physical overlap


Location near ST Ruth’s Offices – Can’t remember exact address
Av Constitución, Zona Nte., 22000 Tijuana, B.C., Mexico
 
Note: 20180519-SA - List - Books on Sexuality
List – Book or Magazines on Sexuality




Case of “Star 80” in Playboy – Fantasy 1979
Why Dorothy Stratten [SPELLED]?
She just seemed so perfect and attractive – Ended in a story that made me cry.




Homework - Movies on Sexuality

For the hands off sex therapist they might recommend for homework watching movies on sexuality.  We thought that Surrender in Paradise (content warning) was nice.  We detected fantasies up the yin-yang in that movie.

 

FYI – 20261020-TU—The 25 Best Movies About Sexuality of All Time - IMDb

https://www.imdb.com/list/ls020220974/

The 25 Best Movies About Sexuality of All Time. By Malthe Tuxen | Updated – 3 years ago

 


Zoloft (and to a greater extent Paxil)

Note > 20180519-SA > Metadata >
Minded_Med_Zoloft
 
“Side effects of: _____________…”
Suggested fill in = Zoloft

 

Zoloft (Sertraline HCL) Patient Information: Side Effects and Drug

https://www.rxlist.com/zoloft-drug/patient-images-side-effects.htm

 

FYI - What are the possible side effects of sertraline (Zoloft)?

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

 

Zoloft - Involve Your Doctor

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.


Feature - Profile Zoloft (Sertraline HCL) (2004)

Patient Information: Side Effects and Drug
https://www.rxlist.com/zoloft-drug/patient-images-side-effects.htm
Call your doctor at once if you have a serious side effect such as:

 

One’s we didn’t experience

 

  • Breathing that stops
  • Confusion
  • Diarrhea
  • Fainting
  • Fast or uneven heartbeats (Unknown)
  • Fever
  • Headache
  • High fever
  • Loss of appetite
  • Memory problems
  • Nausea
  • Overactive reflexes
  • Seizure
  • Shallow breathing
  • Sweating
  • Trouble concentrating
  • Vomiting

 

One’s we did experience

 

  • Agitation
  • Feeling like you might pass out
  • Feeling unsteady
  • Hallucinations
  • Impotence
  • Loss of coordination
  • Loss of Libido
  • Tremors
  • Very stiff (rigid) muscles
  • Weakness

 


Donovan Promises of Sex Benefits

20071109 - A healthy sex life: 10 reasons to make love
20261020-Link Check Fails
http://blog-ilmukita.blogspot.com/2008/12/healthy-sex-life-10-reasons-to-make.html

A healthy sex life: 10 reasons to make love by Deb Donovan…estrogen level, protect her heart and keep her vaginal tissues more supple," states Donahey. Live discussions on the Women's Health Questions message board.

Evidence points to the many health benefits of an active sex life. Sex Made Easy, an article published in Men's Health Magazine, gives 10 healthy reasons to hop into bed -- a reminder that making love is good for both body and soul.

 

Exercise

"Sexual activity is a form of physical exercise," according to Dr. Michael Cirigliano of the University of Pennsylvania School of Medicine. Making love three times a week burns around 7,500 calories in a year—the equivalent of jogging 75 miles.

Heavy Breathing

A night of love can raise the amount of oxygen in cells, helping to keep organs and tissues functioning at their peak.

Strong Bones and Muscles

"Any kind of physical exercise is going to increase testosterone," states Dr. Karen Donahey, director of the Sex and Marital Therapy Program at Chicago's Northwestern University Medical Center. Testosterone is believed to help keep men's bones and muscles strong.

Lowered Cholesterol

Making love regularly can lower levels of the body's total cholesterol slightly, while positively changing the ratio of good-to-bad cholesterol.

Pain Relief

Sex can lower levels of "arthritic pain, whiplash pain and headache pain," according to Dr. Beverly Whipple, president-elect of the American Association of Sex Educators, Counselors and Therapists. Hormones that are released during sexual excitement and orgasm can elevate pain thresholds.

DHEA

Without Supplements. DHEA (dehydroepiandrosterone), a popular supplemental hormone, is released naturally during lovemaking. "Just before orgasm and ejaculation," Crenshaw says, "DHEA spikes to levels three to five times higher than usual."

Prostate Protection

Researchers say prostate trouble may arise or be worsened by fluid buildup within the gland. Regular ejaculation will help wash out those fluids. Be cautious when suddenly changing frequency -- sudden changes may also trigger prostate problems.

Stress Relief

"Sex can be a very effective way of reducing stress levels," Donahey told Men's Health.

Love Will Keep Us Together

Crenshaw says affectionate touch will increase levels of oxytocin—the "bonding hormone."

Oxytocin is a desire-enhancing chemical secreted by the pituitary. Regular oxytocin release may help encourage frequent lovemaking.

Hormones

Naturally, "Regular lovemaking can increase a woman's estrogen level, protect her heart and keep her vaginal tissues more supple," states Donahey.

 

SOURCE: Men's Health (November 1997, p. 104-108)
Article Created: December, 1998
Last Reviewed: January 30, 2001


Erectile Dysfunction Sex Therapy: How It Works, Insurance, and More

https://www.webmd.com/erectile-dysfunction/guide/sex-therapy-erectile-dysfunction

Sex Therapy for Erectile Dysfunction: Sex therapy is a short-term form of counseling, generally involving five to 20 sessions with a sex therapist. A typical session may be one hour every week or every other week.

 

Assignment List

During the session, the counselor will give the patient "assignments" to do at home, such as:

  • Make up with significant other
  • Take ED helper med PRN
  • Return within the month
  • Reading books about sexuality
  • Touching exercises that are designed to take away the pressure to perform during sex
  • Practicing better sexual communication skills
  • Write a paper on sexuality
  • Publish a paper on sexuality

Best Treatment Option

Sex therapy may be useful for treating erectile dysfunction if a man is able to have a normal erection during sleep, the results of his physical exam and blood tests are normal, and he is generally in good health. Sex therapy may also be helpful when erectile dysfunction is caused by stress resulting from work worries, financial worries, relationship conflicts, and poor sexual communication. In these cases, sex therapy may be the best treatment option.

Satisfaction with your history around Sex

Satisfaction with sexual history depends on personal values, emotional safety, and how partners communicate about the past. While moderate experience can signal social desirability or skill, excessive focus on numbers often triggers insecurity, judgment, or detachment rather than true intimacy.

Key Factors in Sexual History

The "Number" Trap:

Statistical queries or counts rarely reveal emotional compatibility or relationship health.

Experience vs. Intimacy:

Technical skill gained from past partners can enhance pleasure, but overly polished routines may feel mechanical or impersonal.

Safety and Curiosity:

Healthy discussions focus on mutual respect, emotional safety, and understanding each other's present needs instead of keeping score.

Constructive Communication

Ask Open Questions:

Explore favorite moments, initial attractions, and shared feelings rather than interrogating past acts.

Focus on the Present: Emphasize who your partner is today and how you build trust together, as detailed by the The Overwhelmed Brain.

Avoid Judgment:

Recognize that attaching harsh meanings to a partner's background often reflects personal insecurities rather than objective reality.

 

This video explores the psychological and social perspectives behind how people view and evaluate a partner's sexual history:

 

Why MEN CARE about a WOMAN'S SEXUAL HISTORY (Video of 3:27 Minutes)

https://www.youtube.com/watch?v=3McH9u9s7u8

 

Satisfied

The window of our most activity began in 1972 when a neighbor female took our “V”.  We consider 2016 the end of our sex life.  To sum it up we are satisfied with our face-to-face sex life.

 

And in the End - Does Sex Therapy Work?

Sex therapy is most effective when a man's sexual partner is willing to be part of the treatment. Studies have shown that for men with stress-related ED, having the partner involved in the therapy resolves the problem 50%-70% of the time. When the man must go through counseling alone, the results are somewhat lower.