What is the ADHD test like:

What is the ADHD test like:

The ADHD test typically involves a combination of self-report questionnaires, interviews, and sometimes cognitive or behavioral assessments.

Since ADHD is a clinical diagnosis, there’s no single definitive test, but the process usually includes:

Clinical Interview — A psychologist, psychiatrist, or doctor asks about symptoms, medical history, childhood behavior, and daily functioning.

Questionnaires & Rating Scales — Tools like the Adult ADHD Self-Report Scale (ASRS) or Conners Rating Scales help assess attention, impulsivity, and hyperactivity.

Observations & Reports — Teachers, parents, or partners may provide input on behaviors in different settings.

Neuropsychological Tests — Some assessments measure attention, working memory, and executive function, but these are not always necessary.

For adults, the process focuses on persistent symptoms from childhood into adulthood that affect work, relationships, or daily tasks.

Shervan K Shahhian

Shervan K Shahhian

Shervan K Shahhian

Shervan K Shahhian

Internal family system (IFS), what is it:

Internal Family Systems (IFS) is a therapeutic approach developed by Dr. Richard Schwartz in the 1980s. It is a form of psychotherapy that…

Shervan K Shahhian

Shervan K Shahhian

Religious Abuse vs Religious Trauma:

negative experiences within a religious…

Jun 28, 2024

Shervan K Shahhian

May 15, 2023

Foteini Ntelopoulou

Foteini Ntelopoulo

Understanding Environmental triggers to Trauma and Stress:

Understanding Environmental triggers to Trauma and Stress:

Environmental triggers to trauma and stress are external factors that can evoke distressing emotions, memories, or physiological responses in an individual. These triggers can vary widely depending on a person’s past experiences, sensitivities, and coping mechanisms.

Here are some key categories of environmental triggers:

1. Sensory Triggers

  • Sounds — Loud noises, alarms, shouting, or sounds associated with a traumatic event (e.g., gunfire, explosions, car accidents).
  • Visual Cues — Certain images, places, or people that resemble past trauma (e.g., a hospital setting for someone who experienced a medical emergency).
  • Smells — Scents linked to distressing memories, such as smoke, alcohol, or perfumes.
  • Touch — Unwanted physical contact, textures, or sensations reminiscent of past trauma.
  • Tastes — Foods or drinks associated with a traumatic experience.

2. Social and Relational Triggers

  • Conflict and Arguments — Verbal fights, criticism, or rejection can reactivate old wounds.
  • Abandonment or Isolation — Being left out, ignored, or feeling unloved.
  • Authority Figures — Certain individuals (bosses, teachers, or police) may remind someone of past oppression or trauma.
  • Lack of Control — Feeling powerless in social situations or relationships.

3. Physical and Environmental Settings

  • Crowded Spaces — Malls, concerts, or packed public transport can be overwhelming.
  • Confined Spaces — Elevators, small rooms, or being trapped can trigger panic or anxiety.
  • Natural Disasters — Thunderstorms, earthquakes, or wildfires can evoke past trauma.
  • Medical Environments — Hospitals, clinics, or the sight of medical instruments may trigger distress.

4. Emotional and Psychological Triggers

  • Anniversaries — Specific dates related to past trauma (e.g., the anniversary of a loved one’s death).
  • Feeling Judged or Invalidated — Dismissal of emotions can lead to stress.
  • Failure or Perceived Incompetence — Situations where a person feels they are not good enough.
  • Loss of Control or Uncertainty — Feeling overwhelmed by an unpredictable situation.

5. Societal and Cultural Triggers

  • News and Media — Stories about violence, injustice, or discrimination can be distressing.
  • Discrimination and Prejudice — Racism, sexism, or other biases can trigger stress responses.
  • Political and Social Turmoil — War, protests, or instability can evoke fear and anxiety.

Coping with Environmental Triggers

  1. Identify Triggers — Keep track of situations that cause distress.
  2. Develop Grounding Techniques — Use deep breathing, mindfulness, or sensory grounding (e.g., focusing on an object).
  3. Create Safe Spaces — Avoid known triggers when possible and establish calming environments.
  4. Seek Support — Talking to trusted friends, family, or professionals can help process triggers.
  5. Practice Self-Regulation — Engage in activities like meditation, journaling, or physical exercise to reduce stress responses.

Shervan K Shahhian

Shervan K Shahhian

The importance of building a strong therapeutic relationship:


The importance of building a strong therapeutic relationship:


Building a strong therapeutic relationship is the foundation of effective therapy. It fosters trust, emotional safety, and collaboration between the therapist and the client, enabling meaningful progress in healing and personal growth. Here’s why it’s crucial:

  1. Trust & Safety
    Clients need to feel safe to open up about their deepest emotions and struggles. A strong therapeutic alliance helps create a non-judgmental space where they can be vulnerable.
  2. Enhances Treatment Effectiveness
    Research consistently shows that the quality of the therapist-client relationship is one of the strongest predictors of successful therapy outcomes, often more than the specific therapeutic techniques used.
  3. Encourages Openness & Honesty
    When clients trust their therapist, they are more likely to share their true thoughts and feelings, which allows for deeper exploration and resolution of issues.
  4. Provides Emotional Support & Validation
    Many clients may not have a strong support system outside of therapy. A therapist who listens, understands, and validates their experiences can be incredibly healing.
  5. Motivates Clients to Engage in the Process
    A strong relationship makes clients feel valued and understood, increasing their willingness to participate in therapy and implement changes in their lives.
  6. Helps Navigate Resistance & Challenges
    Therapy can bring up difficult emotions or require behavioral changes. A good therapeutic alliance helps clients push through discomfort, knowing they have support.
  7. Fosters Long-Term Personal Growth
    A strong therapeutic relationship models healthy interpersonal dynamics, helping clients improve their relationships outside of therapy as well.
    How to Build a Strong Therapeutic Relationship
    Empathy & Active Listening – Understanding the client’s emotions and perspectives without judgment.
    Consistency & Reliability – Being a dependable presence that clients can trust.
    Authenticity & Warmth – Genuine engagement fosters connection and rapport.
    Collaboration – Working together on goals rather than imposing solutions.
    Respect for Autonomy – Recognizing and honoring the client’s agency in their healing journey. Shervan K Shahhian

How to reclaim control over Behavioral and Substance Addiction:

How to reclaim control over Behavioral and Substance Addiction:

Reclaiming control over behavioral and substance addiction is a deeply personal journey that requires a combination of self-awareness, professional help, and lifestyle changes.

Here are several key strategies that can help guide this process:

  1. Acknowledge the Issue
    Acceptance: The first step is acknowledging that you are struggling with addiction. Denial can be a powerful force, but facing the reality of the situation is essential to starting the recovery process.

2. Seek Professional Help
Therapists and Counselors: Working with a therapist or counselor who specializes in addiction can provide valuable tools for understanding the root causes and triggers of your behavior.
Rehabilitation Programs: Inpatient or outpatient rehab programs can offer structured support in overcoming substance addiction.
Support Groups: Groups like Alcoholics Anonymous (AA), Narcotics Anonymous (NA), or other peer support groups can provide a sense of community and accountability.

3. Identify Triggers and Patterns
Self-Reflection: Take time to identify the situations, emotions, or people that trigger your addictive behaviors. Keeping a journal can help.
Mindfulness: Practicing mindfulness can help you stay present in moments of temptation and prevent impulsive behavior.

4. Develop Healthy Coping Mechanisms
Exercise and Nutrition: Regular physical activity and a healthy diet can significantly improve your mental health and help manage cravings.
Relaxation Techniques: Meditation, deep breathing, yoga, and other stress-relief practices can be helpful in managing the anxiety that often accompanies addiction.

5. Set Realistic Goals and Boundaries
Small Steps: Set achievable short-term goals and gradually build up your strength in overcoming the addiction.
Boundaries: It’s important to set boundaries with people or situations that may encourage your addictive behaviors.

6. Create a Strong Support System
Friends and Family: Reach out to loved ones who can provide emotional support and encouragement.
Mentors or Sponsors: If you are involved in a 12-step program, having a sponsor or mentor can help guide you through tough moments.

7. Focus on Long-Term Recovery, Not Just Abstinence
Growth Mindset: Recovery is not just about quitting the addictive behavior but also about building a new, fulfilling life.
New Activities and Passions: Engage in activities that bring you joy and fulfillment, whether that’s a new hobby, career goal, or volunteer work.

8. Use Cognitive Behavioral Therapy (CBT)
CBT Techniques: This therapeutic approach can help you challenge negative thought patterns that contribute to addictive behaviors and replace them with healthier coping strategies.

9. Stay Committed
Patience: Recovery is a long-term commitment, and there may be setbacks along the way. Celebrate small victories and keep pushing forward.
Self-Compassion: Be kind to yourself and understand that failure doesn’t define you. Learn from mistakes and keep trying.

Shervan K Shahhian

Understanding Environmental triggers to Trauma and Stress:

Understanding Environmental triggers to Trauma and Stress:

Environmental triggers to trauma and stress are external factors that can evoke distressing emotions, memories, or physiological responses in an individual. These triggers can vary widely depending on a person’s past experiences, sensitivities, and coping mechanisms.

Here are some key categories of environmental triggers:

1. Sensory Triggers

  • Sounds — Loud noises, alarms, shouting, or sounds associated with a traumatic event (e.g., gunfire, explosions, car accidents).
  • Visual Cues — Certain images, places, or people that resemble past trauma (e.g., a hospital setting for someone who experienced a medical emergency).
  • Smells — Scents linked to distressing memories, such as smoke, alcohol, or perfumes.
  • Touch — Unwanted physical contact, textures, or sensations reminiscent of past trauma.
  • Tastes — Foods or drinks associated with a traumatic experience.

2. Social and Relational Triggers

  • Conflict and Arguments — Verbal fights, criticism, or rejection can reactivate old wounds.
  • Abandonment or Isolation — Being left out, ignored, or feeling unloved.
  • Authority Figures — Certain individuals (bosses, teachers, or police) may remind someone of past oppression or trauma.
  • Lack of Control — Feeling powerless in social situations or relationships.

3. Physical and Environmental Settings

  • Crowded Spaces — Malls, concerts, or packed public transport can be overwhelming.
  • Confined Spaces — Elevators, small rooms, or being trapped can trigger panic or anxiety.
  • Natural Disasters — Thunderstorms, earthquakes, or wildfires can evoke past trauma.
  • Medical Environments — Hospitals, clinics, or the sight of medical instruments may trigger distress.

4. Emotional and Psychological Triggers

  • Anniversaries — Specific dates related to past trauma (e.g., the anniversary of a loved one’s death).
  • Feeling Judged or Invalidated — Dismissal of emotions can lead to stress.
  • Failure or Perceived Incompetence — Situations where a person feels they are not good enough.
  • Loss of Control or Uncertainty — Feeling overwhelmed by an unpredictable situation.

5. Societal and Cultural Triggers

  • News and Media — Stories about violence, injustice, or discrimination can be distressing.
  • Discrimination and Prejudice — Racism, sexism, or other biases can trigger stress responses.
  • Political and Social Turmoil — War, protests, or instability can evoke fear and anxiety.

Coping with Environmental Triggers

  1. Identify Triggers — Keep track of situations that cause distress.
  2. Develop Grounding Techniques — Use deep breathing, mindfulness, or sensory grounding (e.g., focusing on an object).
  3. Create Safe Spaces — Avoid known triggers when possible and establish calming environments.
  4. Seek Support — Talking to trusted friends, family, or professionals can help process triggers.
  5. Practice Self-Regulation — Engage in activities like meditation, journaling, or physical exercise to reduce stress responses.

Shervan K Shahhian

Mental preoccupation and/or obsession with using and Abusing Substances:

Mental preoccupation and/or obsession with using and Abusing Substances:

Mental preoccupation and obsession with using and abusing substances often stem from a combination of psychological, emotional, and sometimes physical factors. When someone is mentally preoccupied with substances, their thoughts may revolve around when they can use them next, how to obtain them, and how to justify their use. This can be a cycle of cravings and negative reinforcement that worsens over time.

There are several reasons why someone might develop this kind of obsession:

Escape from Reality: Substance use can often serve as a way to numb painful emotions or experiences. When people are mentally overwhelmed or dealing with trauma, they may turn to substances to temporarily escape or dull those feelings.

Habitual and Physiological Dependency: With continued use, the body can develop a tolerance, meaning the person has to consume more of the substance to achieve the same effect. This can lead to compulsive use and obsession as the person is physically dependent on it.

Dopamine and Reward System: Substances often trigger the brain’s reward system, releasing dopamine (the “feel-good” neurotransmitter). Over time, the brain can become reliant on this artificially induced feeling, making it harder to stop using the substance without experiencing withdrawal symptoms.

Psychological Factors: Some individuals may have underlying mental health conditions like anxiety, depression, or ADHD that make them more susceptible to using substances as a coping mechanism. This can lead to an obsession with the relief that substances provide.

Social and Environmental Influences: Peer pressure, environmental stressors, or a history of substance use in a person’s family or social circle can increase the risk of developing an obsession with substances.

Recovery from substance abuse often involves addressing both the mental obsession and the physical addiction. Therapy, support groups, and sometimes medication can help people break the cycle of preoccupation and obsession with substance use. If this is something you’re concerned about, seeking professional support is crucial.

Shervan K Shahhian

Schema Therapy, how does it work:

Schema Therapy, how does it work:

Schema Therapy is an integrative form of psychotherapy that combines elements of cognitive-behavioral therapy (CBT), psychodynamic therapy, attachment theory, and Gestalt therapy to address deep-rooted patterns of thinking, feeling, and behaving known as schemas (or early maladaptive schemas). It was developed by Jeffrey Young primarily to treat personality disorders, chronic depression, and other long-standing emotional difficulties.

How Schema Therapy Works:

Identifying Maladaptive Schemas

  • Schemas are deeply ingrained patterns of beliefs and behaviors that develop in childhood or adolescence due to unmet emotional needs.
  • Examples include abandonment, mistrust, emotional deprivation, failure, unrelenting standards, and more.

Understanding Schema Modes

  • Schema modes are momentary emotional states and coping responses triggered by schemas.
  • Common modes include the Vulnerable ChildAngry ChildDetached Protector, and Punitive Parent.
  • Therapy aims to weaken maladaptive modes and strengthen the Healthy Adult mode.

Healing Core Emotional Wounds

  • The therapist uses experiential techniques (e.g., imagery rescripting, chair work) to help the client reprocess painful memories and experiences.
  • This helps rewrite negative beliefs developed in early life.

Cognitive Restructuring

  • Clients learn to challenge and change self-defeating beliefs tied to schemas using cognitive techniques.
  • This involves recognizing irrational thoughts and replacing them with healthier perspectives.

Behavioral Pattern Change

  • Clients work on breaking unhealthy coping mechanisms (e.g., avoidance, overcompensation) and developing healthier behaviors.
  • Role-playing and real-life assignments help reinforce new patterns.

Therapeutic Relationship (Limited Reparenting)

  • The therapist provides a corrective emotional experience by acting as a nurturing, supportive figure.
  • This allows the client to experience unmet childhood needs in a safe therapeutic environment.

Who Benefits from Schema Therapy?

Schema Therapy is particularly effective for:

  • Personality disorders (e.g., Borderline Personality DisorderNarcissistic Personality Disorder)
  • Chronic depression and anxiety
  • Relationship difficulties and attachment issues
  • Childhood trauma survivors
  • People who struggle with self-sabotage and emotional dysregulation
  • Shervan K Shahhian

Symbolism in Mental Health:

Symbolism in Mental Health:

Symbolism plays a vital role in understanding and communicating mental health concepts. It can represent emotions, experiences, struggles, and growth in ways that transcend words.

Here’s an exploration of symbolism in mental health:

1. Common Symbols in Mental Health

  • Semicolon (;): Represents hope and continuation. Originating from Project Semicolon, it symbolizes choosing to continue life instead of ending it, akin to how a semicolon continues a sentence.
  • Butterfly: Associated with transformation and recovery, reflecting the journey from struggle (caterpillar stage) to strength and beauty (butterfly).
  • Lotus Flower: Represents resilience and growth, as it thrives in muddy water, symbolizing rising above challenges.
  • Tree of Life: Signifies growth, grounding, and interconnectedness, mirroring mental health’s complexities and relationships.

2. Color Symbolism

  • Green: Linked to balance and healing, often associated with mental health awareness.
  • Blue: Represents calmness and stability but can also signify sadness, aligning with the duality of mental health experiences.
  • Yellow: A symbol of hope, optimism, and joy, often used to combat feelings of depression or anxiety.

3. Cultural and Artistic Representations

  • Masks: Often used to symbolize hiding one’s true feelings, reflecting the stigma surrounding mental health.
  • Labyrinth: A metaphor for the journey of self-discovery, healing, and navigating the complexities of the mind.
  • Broken Objects (e.g., Kintsugi): The Japanese art of repairing broken pottery with gold reflects the idea that imperfections and scars add value and beauty, paralleling mental health recovery.

4. Symbolism in Therapy

  • Dream Symbols: In psychotherapy, recurring symbols in dreams can help uncover subconscious feelings and conflicts.
  • Art Therapy: Clients use symbolic drawings or sculptures to express emotions and experiences that might be difficult to articulate verbally.

5. Symbolism in Media and Literature

  • Mirrors: Often used to explore identity and self-perception in mental health narratives.
  • Storms and Weather: Represent inner turmoil, depression, or anxiety.
  • Light and Darkness: Common motifs to depict hope, despair, and the transition between them.

Why Symbolism Matters in Mental Health

Symbols provide a non-verbal way to communicate complex emotions and experiences. They foster understanding, reduce stigma, and help individuals connect with their feelings. Furthermore, they serve as powerful reminders of resilience and hope.

Shervan K Shahhian

Trauma Counseling:

Trauma Counseling:

Trauma counseling is a specialized form of therapy designed to help individuals process and heal from traumatic experiences. It provides a safe space for people to explore their emotions, understand the impact of trauma on their lives, and develop coping strategies to regain control and well-being.

Key Aspects of Trauma Counseling:

Safety and Trust:

  • Establishing a secure, non-judgmental environment is crucial. The counselor ensures that the client feels heard and supported.

Understanding Trauma:

  • Trauma can result from a variety of experiences, including abuse, accidents, natural disasters, loss, or witnessing violence.
  • Symptoms might include flashbacks, anxiety, depression, nightmares, or emotional numbness.

Types of Approaches:

  • Cognitive-Behavioral Therapy (CBT): Helps clients reframe negative thoughts associated with trauma.
  • Eye Movement Desensitization and Reprocessing (EMDR): A structured approach to process and resolve traumatic memories.
  • Somatic Therapy: Focuses on body awareness and how trauma manifests physically.
  • Narrative Therapy: Encourages clients to re-author their trauma story.

Coping Mechanisms:

  • Therapists teach grounding techniques, mindfulness, relaxation methods, and self-care practices to help manage symptoms.

Long-Term Recovery:

  • Trauma counseling often involves exploring how the traumatic event affects relationships, identity, and daily functioning.
  • The goal is to integrate the experience into one’s life without it defining them.

When to Seek Trauma Counseling:

  • Difficulty managing emotions related to a past event.
  • Intrusive memories or avoidance behaviors.
  • Struggles with relationships or daily activities due to the trauma.
  • Persistent feelings of fear, guilt, or shame.

Here’s how I can assist you with trauma counseling:

1. Finding Resources

  • Counseling Services:
  • locate licensed trauma counselors or therapy centers in your area.
  • search for local providers or online therapy options?
  • Support Groups:
  • Community or virtual groups provide peer support for shared experiences.

2. Understanding Therapy Options

  • Are you curious about a specific approach, like CBT, EMDR, or somatic therapy?
  • If you’re unsure which therapy might suit you, search based on your common preferences and/or needs.

3. Self-Help Tools

  • Resources for managing trauma symptoms, such as mindfulness apps, books, or exercises.
  • Techniques to use between therapy sessions to maintain stability and progress.

4. Preparing for Counseling

  • Tips on what to expect in a trauma counseling session:
  • Questions to ask a therapist to ensure a good fit.

Shervan K Shahhian

Person-Centered Therapy:

Dr. Carl Rogers is known as one of thee greatest psychologist of the 20th century. Dr. Carl Rogers was a humanist thinker and believed that people are generally good.

Dr. Rogers also said that people are fundamentally good, or a need to fulfill their human potential and become the best that they can be.

Dr. Rogers called his technique non-directive therapy at the beginning. His aim was to be as non-directive as possible, he saw that psycho-therapists guide their clients even in some way. He also saw that clients mostly look to their therapists for some type of advice or direction.

What is Client-Centered Therapy:

Finally, the Dr. Rogers technique came to be known as Rogerian, client-centered therapy or person-centered therapy.

Dr. Rogers used the term client rather than patient. He thought that the term patient implied that the person is sick and seeking a cure from a therapist.

Dr. Rogers used the term client instead of patient, he emphasized the importance of the person in seeking help, controlling their future, and overcoming their problems. This self-direction is a important part in client-centered therapy.

Like psychoanalyst Dr. Freud , Dr. Rogers thought that the therapeutic interaction could find insights and lasting changes in clients. While Dr. Freud focused on giving interpretations of what he thought were the unconscious problems that led to a patients troubles, Dr. Rogers believed that the therapist should stay non-directive.

This is to say, the psycho-therapist should not direct the client, should not give judgments on the client’s feelings, and should not give suggestions or alternatives. Instead, the client should play an equal part in the therapeutic sessions.

How Does Client-Centered Therapy Works:

Psychology professionals who utilize this technique strive to create a therapeutic environment that is relaxing, empathic, and non-judgmental. 2 of these key elements of client-centered therapy are:

It’s non-directive. Therapists let clients lead the talk and do not try to direct the client in a certain direction.

It emphasizes unconditional positive regard. Therapists is completely accepting and supportive of their clients without judgment.

Three Key Qualities of Client-Centered Therapists:

What Is Genuineness?

The therapist needs to speak of his or her feelings honestly. By showing this behavior, the therapist can help show the client and to also help the client develop this important skill.

What Is Unconditional Positive Regard?

The therapist must understand the client for who they really are and show support and care for them no matter what the client is experiencing in their life. Dr. Rogers believed that humans often develop issues because they are used to only getting conditional help; being accepted only if the person conforms to certain expectations.

By creating an environment of unconditional positive regard, the client is able to speak his or her true feelings without fear of being turned down.

Dr. Rogers also explained: “Unconditional positive regard means that when the therapist is experiencing a positive, acceptant attitude toward whatever the client is at that moment, therapeutic movement or change is more likely. It involves the therapist’s willingness for the client to be whatever feeling is going on at that moment — confusion, resentment, fear, anger, courage, love, or pride…The therapist prizes the client in a total rather than a conditional way.”

What Is Empathetic Understanding?

The therapist needs to be reflective, meaning: acting as a mirror of the client’s thought and feelings. The goal of this technique is to allow the client to gain an open understanding of their own inner feelings, emotions and perceptions.

By showing these 3 characteristics, therapists can assist clients grow psychologically, become self-aware, and change his or her behavior by self-direction. In this type of therapeutic relationship, a client feels safe and free from judgment. Dr. Rogers believed that this type of environment allows clients to make a healthier view of the world and a less cloudy view of one self.

What Is Self-Concept:

Self-concept also an important part in person-centered therapy.

Dr. Rogers believed that self-concept as an organized set of beliefs and ideas about the self. The self-concept play an important role in determining not only how people see themselves, but also how they view and interact with the world around them.

Sometimes self-concept lines up well with reality, which Rogers referred to as congruence. In other cases, self-perceptions are sometimes unrealistic or not in tune with what exists in the real world. Rogers believed that all people distort reality to some degree, but when self-concept is in conflict with reality, incongruence can result.

For example, a young boy might perceive himself as a strong athlete, despite the fact that his actual performance on the field reveals that he is not particularly skilled and could use extra practice.

Through the process of person-centered therapy, Rogers believed that people could learn to adjust their self-concept in order to achieve congruence and a more realistic view of themselves and the world. For example, imagine a young woman who views herself as uninteresting and a poor conversationalist despite the fact that other people find her fascinating and quite engaging.

Because her self-perceptions are not congruent with reality, she may experience poor self-esteem as a result. The client-centered approach focuses on providing unconditional positive regard, empathy, and genuine support in order to help the client reach a more congruent view of herself

Role in Today’s Culture:

Actor Bob Newhart portrayed a therapist who utilized client-centered therapy on “The Bob Newhart Show” which aired from 1972 to 1978.

How Effective Is Client-Centered Therapy?

Several large-scale studies have shown that the three qualities that Rogers emphasized, genuineness, unconditional positive regard, and empathetic understanding, are all beneficial. However, some studies have suggested that these factors alone are not necessarily enough to promote lasting change in clients.4

One evaluation that looked at the effectiveness of person-centered therapy suggested that this approach was effective for individuals experiencing common mental health problems such as depression and anxiety, and may even be helpful to those experiencing more moderate to severe symptoms.

Shervan K Shahhian