Do not fall for my provocations ...

The main thing - to get rid of psychological dependence. A this is a long process. for a month, and even for years. - Helen A., but there are cases when a person smokes occasionally life "grass" or sniffing cocaine, but does not become an addict. - Yes, these cases are. But this is cases. The majority, especially younger ones, having tried cannabis, for example, moving quickly to cocaine, and eventually - on hard drugs. We have the most widespread and, alas, is available - heroin. Intermittent use it within 1 - 4 months leads to stable addiction. - Can you handle yourself with your vice? "- and such cases are. But then again, they only prove the rule: no expertise and long-term rehabilitation program, sooner or later the drug will still prevail. So if you have a family disaster struck do not hesitate to call and tune into a prolonged struggle. Lyudmila Mazurova

Message from the parents of a child

MESSAGE TO PARENTS FROM difficult child. My dear parents, do not indulge me, you do the port. I know very well that not necessarily give me all that I ask. I just feel you. Do not be afraid to be firm with me. I prefer this approach. This will allow me to easily determine their location. Do not be not consistent. It knocks me up and makes harder to try to all cases, leave the last word. Do not rely on the use of force in a relationship with me. It is tame to me that should be considered only with force. I voice to respond more readily to your initiative. Do not make promises that you can not do, it can shake my faith in you. Do not fall for my provocations when I say or do anything just to simply frustrate you. Otherwise, I will try to achieve more "victories." Do not worry too much when I say "I hate you. "In fact, it is not. I just want you to feel sorry for what I did. Do not make me feel younger than I am actually. I played on you for it, becoming a" crybaby "and "whiner." Do not do for me and for me that I was able to do for himself, otherwise I have a habit to use you as a servant. Do not pay attention to my "bad habits" It spoils me. I do not get better in the presence of strangers. I will pay much more attention to your comments, if you tell me everything is calm eye to eye. Do not try to discuss my behavior in the midst of conflict. According to some objective reasons, my hearing is dulled at this time, and my desire to act with you at the same time lost. It will be fine if you take certain steps later. Do not try to read my instructions and notations. You'll be amazed at how perfectly I understand what is good and what is bad. Do not make me feel that my transgressions always irreparable. I have to learn, having made a mistake, do not feel that I did not pass on that. Do not carp at me and do not nag at me.

But you must remember that drug addiction ...

If you want to help a person get rid of drug addiction, try to find him some more fun. If we are talking about a teenager, give him what he needs. First of all, his attention and care. Try to live in his interest, no matter how stupid and insignificant they may seem to you. And be sure to consult a specialist. - Remove dirty linen in public? - Is what tells Maria Ivanovna, the most important fate and ultimately the life of loved ones. Call any phone confidence. In our example: (095) 280-61-01. We give free advice, do not put on the account and do not require that you call their name and so on. But you must remember that drug addiction - is not a whim, is a disease. And get rid of the drug itself may, unfortunately, the unit, but the majority need a doctor. And not alone. - Well, someone decided to call you and tell you that a husband or wife - a drug addict. You can not cure, do not even talk to them. - Can not, of course. But we, along with his wife, for example, be able, if not immediately then over time find a way to persuade her husband to call itself. By the way, a drug addict in the family counseling, as a rule, require all family members. - Recently in a newspaper advertising thrown at the mailbox, I read the announcement: "Anonymous rid of drug addiction in one session." - Brad. You can come with a dropper, to arrest one session a little break-up, but do not cure addiction. - How to find out who is a charlatan, but who does not? - In particular, for this our association and opened a telephone hotline. We do not have their own clinics, and we can be objective. - How do you follow, we suggest consulting one or another facility? - The degree of dependence, patient's age, his financial position, agree or disagree on the long-term treatment. It can be anonymous, or, shall we say, open, paid or free. Free help is available in all narcological and government centers and clinics. In Moscow, for example, back in the 17 th and 19 th substance abuse hospitals, the Center for Addictions, where part of the cure for free, while others anonymously and paid. In the free course of treatment, unfortunately, lower returns: after leaving the hospital more than a year keeps one person out of twenty. After the toll rates, I do not take into account, of course, the charlatans of Medicine, the annual remission occurs in 30% of patients. - Why the difference? - At the state substance abuse clinics and hospitals the same problems that all medical institutions - poor funding, and hence the lack of good medicine and specialists. In private clinics it is possible with all patients to work individually. Everyone involved and psychiatrists and psychologists, and neurologists and pharmacologists, and if necessary, the specialists of "Narcotics Anonymous. In the public hospital so-called break-up, depending on the severity, shoot for 10 - 30 days. In an expensive private toll can cleanse the body of the day or two. But to win a physical dependence, whether quickly or slowly, over a very large sum of money or not - it does not mean cure.

Vacuum massaging

To my ideal of a beautiful figure, you can approach for a course or two vacuum massage. According to the doctor-therapist of the Moscow Medical Center, "Adaptation" Denis Reutov, this method is quite effective. More energetic than a typical power massage, exposure is carried out on special equipment - vacuum bell Lockard. The essence of the method goes back to the familiar medical banks. So, imagine that you are more concerned about: a small chest or reservoir in the abdomen and thighs. In the second case, a strong lymph and blood flow triggered by local heating during the procedure. For the body is a great impetus to the work, whereas subcutaneous fat is just a ruin. After all, she is 90 percent of the liquid and simply melts, dissolves at a high temperature exposure. But not all - the residual liquid goes into the intercellular space, and it should be clear already by other methods. However, a start - and quite effective: for two courses marked decrease in the waist and stomach at 10 cm, hips - to 7 cm is not a record, and practice. However, quite often there are individual reactions that are difficult to predict. For example, do not be afraid of some swelling at the beginning of the course - this is normal, acceptable response: and where to get expelled from the body fluids? Do not panic is also due to hematoma - bruise beneath the superficial layer of skin. On their education, incidentally, founded the ancient technique of massage of power - then it was assumed that blood is collected in bruises, harmful. It was removed, and notched the skin. Today this method has replaced the vacuum-massage, which plays the role of starting mechanism in the fight against cellulite. And of course, do not forget about nutrition and active lifestyle - without venturing a course vacuum massage is meaningless. The first two weeks after the course is to avoid bananas and grapes, smoked-salt drink no more than 1.5 liters of fluid, not later than 21 hours, and have to stop altogether in 19 hours. But the vacuum massage not only removes the unwanted tissue, he builds them where we need them. With increasing impact of the bust is not in itself the mammary gland - her massage of any kind is contraindicated, and the tissue around it. And here a vacuum can not do - to consolidate his action, you can add douche and a special massage. Then success is assured: for the course (10 - 12 sessions on average) increases bust by 1 - 2 rooms. Effect is quite stable, since the blood flow stimulates the muscle fibers, and they in turn help the growth of new ones. No hematomas should not be afraid - the impact is fairly soft, but a visit to mammologist required. By the way, it helps not only the girls who dream of volumes of superstars, but also the moms that have finished breastfeeding and want to tweak some form of a bust. Lydia Osokin

And if it has visited the needle virus carrier ...

Do not defeat this evil, without creating a youth oriented, and if you like fashion on a healthy lifestyle, we can not stop and the spread of HIV infections. - Young people in heroin dope come into promiscuity? - Not necessarily. You can become infected, and using someone else's needle. - If you have enough money for a drug, can not afford disposable syringe? - An alcoholic will never spend money on vodka, but often skimp on the snacks. It was the same among drug addicts. However, infected with hepatitis or AIDS can and using disposable syringes. Typically, the drugs consumed in the group in the company. Everyone, say, a syringe, but they are gaining their dose of the most common spoons. And if it has visited the needle virus carrier, which its tip is used, the disease is assured, and all the rest. - Drug users are not aware or not aware of this danger? - Among youth who used drugs, but later abandoned them, quite a large percentage of those who gave up just because of fear of contracting hepatitis or AIDS. But know, or rather, they realize the danger, usually only having got to the clinic. After all the propaganda in universities, schools, mass media is very weak. - The welfare of the family is to guarantee that the wife (husband) or children do not fall into trafficking networks? - Spiritual well-being - yes. Material - no. Addiction hit all sectors of society. Among drug users about an equal number of rich and poor, representatives of higher and lower layers. Use drugs, and children of political and cultural elite, and the children of employees and workers. And the children - the family idols, which do not know how to set for themselves inhibitions and children with Cinderella, which, in contrast, is known only to the prohibitions and trying to get rid of the constant pressure of parents somewhere on the side. - What to do if you suspect that a family member began to use drugs? - Do not panic at first and watch their loved ones. Watch quietly, without insulting and humiliating them. Alerted to the unusual pallor, dilated or constricted pupils, red or bleary eyes, slow and disconnected speech, loss of appetite, or, conversely, excessive appetite, chronic cough, loss of coordination of movements. Indifference to everything, memory loss, insomnia, causeless mendacity, untidiness, missing money and valuables, the transition from cigarettes to cigarettes and other unexpected changes in habits, character and behavior are also a signal of distress. Of obvious symptoms, apparently we are not talking. Them, I think everyone knows: the traces of injections, sedatives or tranquilizers packs, vials, spoons. - And if the suspicions were confirmed? - Scream, threaten, insult useless. Moreover, it is dangerous. The result can be obtained directly opposite to the expected. In fact, you force someone close to renounce pleasure. And instead of offering the scandals and accusations. - Pleasure something lasts for five minutes, and then raving and breaking. - Drug users about it, "then" know better than you, but they, unlike you know and the pleasure.

As a rule, such families are reluctant ...

In January 2005, at the Center for Prevention and Control of AIDS and infectious diseases (on the basis of branch Hepatology Center), with support from the International Research and Exchanges Board IREX is equipped with a chamber "Mother and Child". Its funding is from the budget, IREX provides financial support to establish a database of risk groups and ensure that beneficiaries of social packages. The House of Mother and Child "This is a relatively new form of work, not only with a young mother, but also other family members, c, in which the child is at risk of perinatal transmission of HIV or with confirmed HIV infection. What are the advantages of the specially equipped rooms? Conversation can be conducted in a relaxed, almost homely atmosphere, over a cup of tea. The situation has to communicate more trust in which all the family found out the circumstances and characteristics of the relationship. As a rule, such families are reluctant to admit to his house social and health workers, here they come to the whole family to pass ultrasound and other tests, a blood test. Here is one recent example. Two months of the child to a regular survey brought his grandmother. Accompanied by her (his mother) the child's father. While they were together, all questions answered smoothly: "Yes, we all was well ... we all look after a child relations are good ... ...." When dad was away for medical procedures (he is HIV +, is registered), grandmother honestly told me that her son was in no way implies their own health, working as a loader for 12 hours a day, his wife does not work, but the house is not the case, comes later, clearly agitated, most likely, she takes drugs among themselves their attitudes are terrible, her husband beats. Grandma is not without reason, worried about the fate of his grandson, who, if she dies, will be no use to anyone ... All of these circumstances could hardly open in a different situation on the stand taking up, a limited place and time. In this family were sent to support long-term social worker and psychologist. Mom arranged for cutting and sewing courses, began to treat drug addiction. The next scheduled scan family came in full force, without my grandmother. The child first HIV test showed a negative result, and this fact is very happy parents. Mother normal state (it is still HIV-positive, but not HIV-infected patients). But his father - a serious condition. A conversation with the mother was based on the understanding of the real facts: it alone - the mainstay of the family and the child, by whom and how it will grow, depends only on her. This is a very difficult job, it requires a large impact, constant attention. But if you organize the treatment of his father, social and psychological support for mothers, including instilling a sense of motherhood, if you perform real-time targeted assistance - this family will be saved, a child becomes an orphan. This, in fact, directed prevention program of social orphanhood. Author: Aza Rakhmanov Source: "AIDS, Sex, Health - Journal www.aidsjournal.ru

Drugs come

How to protect yourself, your loved ones, and most importantly, children from drugs, says MD, director of medical programs and projects, chief medical officer, "the Russian narkolinii" International Association against Drug Abuse and Drug Trafficking Elena Jaskiewicz. - Society must first deal with drug addiction.

The third stage of the program ...

The second phase of the Programme of prevention of child abandonment - work directly with women who have deliberately kept the pregnancy. They are working obstetricians, social workers and psychologists at the Center for the Prevention and Fight against AIDS and infectious diseases. Social services help to solve the issues of housing and employment, child's place in the nursery. Socio-psychological assistance aims to provide women the skills of motherhood, wean from bad habits. If necessary, drug-addicted women are sent to rehabilitation centers. The third stage of the program is carried out directly in the maternity ward of City Hospital for Infectious Diseases. SP Botkin. Women who have taken the record at the gynecologist AIDS Center, receive long-term support - before and after childbirth. To minimize the risk of transmitting HIV to your baby, you need not only to chemotherapy, the mother must give up breastfeeding a newborn. Therefore, all HIV-infected mothers receive free infant formula for feeding baby, as well as so-called "social package". In order to prevent possible abandonment is very important to preserve the biological mother - for this and is working on preparing women to normal life, for that after his discharge from the maternity ward wards women with babies are sent to the AIDS Center, where they continue to oversee the physicians, psychologists and social workers. So you are working programs on the general scheme. But there are various options, the worst of them, when women at risk are not screened and do not know that you are infected with HIV. Often this is due to the psychological factor: the idea that sick, they do not want to confirm the "verdict". Is not it better when, after learning the diagnosis, the women are hidden and do not apply to hospitals. Not surveyed during pregnancy, not who got registered in the antenatal clinic women are sent to labor in observational hospital (in St. Petersburg is a maternity home № № 15 and 16). If the "rapid test» (rapid test) shows that the lying-in woman is infected, she conducted an accelerated chemoprophylaxis to avoid infecting the child. In these hospitals a very high percentage of child abandonment. These women, who, having given birth, just go away - the most serious risk group. Some of them come to the hospital as early as attempts, when it is impossible to even accelerated chemoprophylaxis. Most often they give false addresses, and it is impossible to find in order to formalize the rejection of the child (without the child can not give up for adoption). "Refusal" children sent to orphanages or, at best, be returned to their biological families. In each case it is necessary to carry out an individual approach: sometimes it's better that the woman gave up her child rather than trying to awaken her maternal instinct (we are talking about severe cases of drug addiction and alcoholism, and full social inadequacy). In this case the staff of the Programme - to find a guardian for the child, it's better if they become family baby.

Often they get to the hospital ...

However, all other possibilities are opened up, when one can look at this problem as a disease of the whole family. When it is obvious that the whole family is sick and, therefore, the problem is we all have mothers, wives and children. Their problems are more socially acceptable, but this does not become less onerous. It turns out to help a man to help his friends solve their problems and then, as in the communicating vessels, there will be balancing the state of family psychological system, restore balance, align and roll family boat will float. That's why the only solution for codependent women - to work on yourself, change your behavior. And then everything falls into place. Those who asked for help (in our case is a woman) in order and the problem and help to her, only to help solve their problems, deal with them. The woman is understood that the dependence of men on alcohol is his problem and the problem of women in something else. In the process of psychotherapy to figure out what the problem and address them. Here's how to help him and myself. After that, any man wants to get rid of this addiction and to live in sobriety, or the woman would no longer important to his state and she can rebuild their lives without him, since he is not interested in a harmonious relationship. Psychotherapist Medical-Psychological Center individuality Golubev Mikhail V.

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Program prevention of abandonment of children born to infected mothers

What is the main problem with these women? In their social unsuitability, izgoystva own experiences, which pushes them over and over again "to the winds." Ex-prisoners often face the panel on the route, offering sex services to truck drivers. They often have no permanent place of residence, and it is easier to live on the highways, transplanting from one machine to another. These women get off drugs in prison, returned to the marginalized community and once again start using drugs, earning them sexual services. Not only that, they mostly do not reach the AIDS center, they begin to spread HIV. They already do not care about, including their own health - they only care about drugs. Often they have an unplanned pregnancy occurs, about which they know when it's too late to have an abortion. Often they get to the hospital, knowing that their child will be left there. So all these women should be under constant supervision, they should receive free condoms, syringes and vouchers to be examined by different specialists. Working within the framework of gynecologists not only examine these patients, but also give talks about how to protect, guide to the artificial termination of pregnancy (at the center of AIDS this medical surgery is performed free of charge). This is done in order to implement the program because unplanned pregnancy - is a direct path to the future orphan abandoned children.