Younger men are turning to testosterone therapy in hopes of boosting mood and muscles. But there are risks of harm.
I have thought for quite awhile that testosterone replacement would become part of standard healthcare for men over 50 (post andropause: declining testosterone levels in men equal to menopause for women), stated matter-of-factly here. However, young men using it for mood elevation is a new development. And certainly not recommended.
“Historically, testosterone therapy was thought to increase the risk of prostate cancer and heart attack. Recent clinical trials have provided strong evidence against this. Yet most of the safety studies on TRT have been conducted on older men whose testosterone levels have declined. Younger men, particularly those under 30, have not been widely included.
The side-effects and potential long-term health risks for older men can be quite different from those faced by younger men. This means that the effects of TRT use in young men are still uncertain and until longer-term safety studies are performed, many dangers may not yet be known.”
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5 Common Mistakes Therapists Make with Estranged Parents,
Joshua Coleman, Ph.D.
1) Blaming the parent. While it’s potentially forgivable that the general populace doesn’t yet know that a decent and dedicated parent can become estranged, there’s no excuse for a therapist failing to know that. Many therapists, without evidence, assume that the parent is the primary cause of an estrangement and as a result, perpetuate feelings of shame and guilt.2) Not helping the parent acknowledge the legitimate complaints of the adult child. Some therapists believe that it’s their job to support the parent no matter how problematic their behavior. In doing so, they fail to challenge the parent’s behavior that either led to the estrangement or continues to perpetuate it.3) Giving bad advice. It’s not uncommon for therapists to encourage estranged parents to be overly assertive or confrontive with their estranged adult children. This advice imagines that the parent has more power and influence than they commonly do once an estrangement is in place. Therapists with this orientation fail to recognize that being more assertive and confrontive with an estranged adult child typically worsens, rather than betters the parent’s situation. It causes the adult child to feel hurt or misunderstood and to further their resolve to keep their distance.4) Failing to understand the power of a letter of amends to the estranged adult child. The road to a potential reconciliation almost always starts with the parent’s acknowledgment of their past mistakes, however small. Therapists who don’t help their clients find the kernel of truth in the estranged child’s complaints miss a critical and often necessary opportunity for repair.5) Being too reassuring. It’s common that not only friends but therapists are overly reassuring about the chance for a future reconciliation: “They’ll be back;” “They’ll remember all that you’ve done for them;” “It’s just a phase.” While sometimes those predictions are accurate, no one knows for sure if or when an estrangement will end. False reassurance is no assurance at all. Better to help the client practice radical acceptance and self-compassion.
1) Blaming the parent. While it’s potentially forgivable that the general populace doesn’t yet know that a decent and dedicated parent can become estranged, there’s no excuse for a therapist failing to know that. Many therapists, without evidence, assume that the parent is the primary cause of an estrangement and as a result, perpetuate feelings of shame and guilt.
2) Not helping the parent acknowledge the legitimate complaints of the adult child. Some therapists believe that it’s their job to support the parent no matter how problematic their behavior. In doing so, they fail to challenge the parent’s behavior that either led to the estrangement or continues to perpetuate it.
3) Giving bad advice. It’s not uncommon for therapists to encourage estranged parents to be overly assertive or confrontive with their estranged adult children. This advice imagines that the parent has more power and influence than they commonly do once an estrangement is in place. Therapists with this orientation fail to recognize that being more assertive and confrontive with an estranged adult child typically worsens, rather than betters the parent’s situation. It causes the adult child to feel hurt or misunderstood and to further their resolve to keep their distance.
4) Failing to understand the power of a letter of amends to the estranged adult child. The road to a potential reconciliation almost always starts with the parent’s acknowledgment of their past mistakes, however small. Therapists who don’t help their clients find the kernel of truth in the estranged child’s complaints miss a critical and often necessary opportunity for repair.
5) Being too reassuring. It’s common that not only friends but therapists are overly reassuring about the chance for a future reconciliation: “They’ll be back;” “They’ll remember all that you’ve done for them;” “It’s just a phase.” While sometimes those predictions are accurate, no one knows for sure if or when an estrangement will end. False reassurance is no assurance at all. Better to help the client practice radical acceptance and self-compassion.
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