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The Internet is flooded with websites promoting penis enlargement devices, pills, and techniques. Penis enlargement products can range in price from about $30 to over $1000, but are you really getting what you pay for? Pills A product once promoted by a Penthouse Playmate called Longitude proposed that men ingest two of its capsules per day for a larger penis. After one to three weeks, a small increase in penis length and girth was to be expected. During weeks four through eight, the user was to expect a noticeable thickness in the erect and flaccid state. Week nine promised that you will be both thicker and longer (1 inch or more). There was a supposed 30-day money back guarantee for the unsatisfied customer. (I just want to make it clear that this article was written a few years ago and I never tried any of these products. I have updated this article and am bringing this update for continued awareness from an unbiased perspective.) One of the marketing schemes that Longitude used was the fact that all of its ingredients were all natural and completely safe. The ingredients were as follows: Zinc, 300 Yohimbe, Maca, Catuaba, Muira Puama, Oyster Meat, L-Arginine, Oat Straw, Nettle Leaf, Cayenne, Pumpkin Seed, Sarsaparilla, Orchic Substance, Licorice Root, Astragalus, Tribulus, Boron, and Ginseng. After reviewing all of the literature on Longitude's ingredients, I made one conclusion: There was no substantial evidence suggesting that it actually worked. The majority of studies done on each of its ingredients, excluding zinc, arginine, and ginseng, had been conducted on laboratory animals such as rats. In addition, only one or two studies were related to sexual function. It appeared that Longitude worked by stimulating erection, not growth. The company was able to cover this claim easily because the product did what it said it would: increase penis size 1", 2", even 3". Your penis will most likely increase to that size from the flaccid state, especially if stimulated. This was a clever way to market the product because the company never lied to the consumer, only mislead them. Considering that the product took at least 60 days to exert its full effects, the 30-day money back guarantee didn't even make sense. Plus, the fact that you would be monitoring your penis size daily would have most likely lead to results that were not there. In the end, the company was shutdown and penis advertisements on television have become scarce. Penis Pumping Another product marketed to consumers is the Dr. Joel Kaplan vacuum system. The advertisement suggests that it has been FDA approved for penis enlargement. Don't be fooled. The FDA approval is only for its use as an aid to cure erectile dysfunction (not being able to get an erection). This claim has misled consumers thinking that it is proven to increase penis growth. You may experience short-term growth because you are sucking more blood into the penis. However, this may be a risky thing to do. Surgery As of now, the only guaranteed way to increase the size of your penis is through cosmetic surgery, followed by stretching exercises. The downside to this is the risk of damage to the nerves surrounding the area resulting in loss of erectile function; or even worse, an oddly shaped penis. The surgery is quite costly, and is still considered in the experimental stage. Good research has not been conducted in the area of penis enlargement techniques. As of now, there are no supplements that one can take to actually increase penis growth per se. Viagra and Cialis are available for men who lack the ability to achieve and sustain an erection. Most supplements marketed as penis enlargement enhancers use the same principle. The only difference is that they use herbal extracts that have been used in Third World countries for the same thing. The results are not as significant and may pose a threat to health, given the lack of FDA regulation. Aphrodisiacs and stimulants are added to supplements in hopes of increasing libido and producing a harder and firmer erection. Although some products on the market may show short-term benefits in regards to penis enlargement, there is no quick fix to the problem that many men encounter everyday. Research has shown that the average penis size in the flaccid state is 3.9 inches. Erect state averages between five and seven inches. One of the concerns that men have is that the size of their penis in the flaccid state is too small. Showering with other men in the locker room can lead to embarrassment and the feeling of inadequacy. Advertisement of penis enlargement devices will continue to plague the American market. What you must be aware of is the fact that nothing, besides surgery, will permanently increase the size of your penis. Surgery has many dangers associated with it, and the risks far exceed the benefits. Don't waste your money, or risk injuring yourself for something of this magnitude. com enlargment penis penis pump pennis enlargement doctor penis enlargement pill magna rx best enlargment exercise penis guide to penis enlarement free penis enlargment tip penis enlargement pump penis enlargement procedure

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Fat on the abdomen A sisters writes: I am mother of three children. There are layers upon layers of fat on abdomen; the skin is criss-crossed with furrows. Can you suggest anything, which would do away with the fat? The skin over the abdomen is stretched during pregnancy and lack of exercise after childbirth results in accumulation of fat all over the abdomen. Hipbaths and long walks can deal with the condition. Fast walking for five to seven kilometers, hipbaths and a diet of vegetables and fruit can help reduce fat. Goitre How can goiter be cured? Goitre, also known, as bronchocele is a term applied to the swelling on the front of the neck caused by the enlargement of the thyroid gland. It is caused by deficiency of iodine in the diet. It is an endemic disease prevalent in the hill districts of the country. The growth of the thyroid gland is generally unattended by pain but if the goiter becomes large it may cause hoarseness. Too enlarged a goiter interferes with breathing and capacity to swallow. The best way to deal with goiter is to take foods, which contain natural iodine. They are water nut (singhara), lotus reed, stem to the lotus, tuber of the plant cuperus tuberosus and pineapple. In addition, the sufferer from goiter must follow the general principles of nature cure and take a natural diet. Dark circles under the eyes How can one deal with dark circles under the eyes? Dark circles under the eyes may be due to malfunctioning of the liver and constipation. Late nights may also be a contributing factor. Reduce the amount of fats in the food; deal with your constipation first. Take plenty of exercise and spend restful nights. The dark circles will disappear after some time. For more information regarding Natural Home Remedies for Dark Circles Under Eyes, Herbal Remedy visit http://www.natural-homeremedies.com pennis enlargement without pills easy enlargement free penile surgery way penis enlargement pill magna rx top rated penis enlarement pills natural penis enargement do penis enlagement pills really work free penis enargement exercise pnis enlargement procedure penis enlarement result

Contrary to what most people think, it is not heart attacks that cause the most death in this country. It is the disease of the arteries, and the arteries go to all parts of the body. Sally may be affected in her heart. George may be affected in his kidneys. Alice may be affected in her pancreas. Mary may be affected in her joints. Sam may be affected in his eyes, ears, or his penis. Jan may be affected in her brain. It is atherosclerosis, the build up of fat- and cholesterol-containing plaques in blood vessels, that kills the most people in this country. It just hits us in different places in our bodies, and that certainly does not mean that it only affects the one place that shows symptoms. Atherosclerosis affects the entire body, whether we have symptoms or not, whether we know it or not. And how could we have clogging up of the arteries and not know it? There are no nerves that pick up pain in the arteries. In fact, arteries can be as much as 95% blocked, and we still have no warning sign at all. Millions are unaware that their blood vessels somewhere in their bodies are 80% to 90% blocked. It is the occurrence of a major health or life-threatening event that gives people their first clue that something may be amiss inside of their blood vessels. How often have you heard that someone had no symptoms, no warning, felt great, got a recent clean bill of health and then got struck by a major heart attack or stroke? So what is atherosclerosis? As described in the first part of this article, atherosclerosis is when the inner lining of the blood vessels gets damaged and little pimples or plaque form underneath this damaged lining. These pimples are filled with fat and cholesterol, and get inflamed. The lining of the blood vessel gets damaged from radiation, smoking, trans fatty acids, animal protein, fat, and cholesterol, coffee, processed foods, and refined carbohydrates. When these pimples or plaques erupt, the content spurts out. The body controls the damage by quickly clotting the eruption. If the clot gets too big, it actually can block off the blood flow in the tiny artery, causing a stroke, a lung blood clot, or a heart attack. In this country, it has been shown that atherosclerosis can start before we are two years old and, by the time children have reached 10 to 14 years old, their major blood vessels already have fatty streaks—the first visible signs of atherosclerosis. These fatty streaks grow and collect fats and cholesterol, and they only worsen with time—unless you do something about them. Imagine what your blood vessels look like right now! So what are the primary contributors to the plaques that may be building up in your blood vessels: · Cholesterol (all animal products are loaded with cholesterol, including culprits like chicken, fish, milk, eggs, and cheese) · Animal fats · Vegetable fats: all processed oils (including olive oil),trans fats, hydrogenated fats, and fried fats · Animal protein · Refined carbohydrates · Coffee · Smoking · Lack of exercise The most exciting part about atherosclerosis and disease of the blood vessels is that often times it is reversible, even in older people. That means, if you clean up your diet, you can take control of your body, your blood vessels, and ultimately your health and fitness. Load your diet and daily food plan with lots of fresh, whole fruits and vegetables. In fact, shoot for 10 fruits and 10 vegetables a day. Eliminate those foods that contribute to the clogging up of your life-giving blood vessels and the downward spiral of your heart, your health, and your fitness. The rewards for your efforts are priceless: weight loss and weight control, mobility, activities, energy, hope, joy, and purpose. pnis enlargement before and after picture manual penis enargement exercise free exercise tip for penis enargement penis enlargement pill product enlargment free penis pills sample penis enargement excersizes penis enargement device best penis enlargment penis enlarement result

Medical professionals estimate that of over 100 strains of Human Papilloma Virus (HPV) approximately 30 strains of the virus are known to lead to genital warts. Genital warts are classified as a sexually transmitted disease, yet the exchange of bodily fluids during sexual intercourse is not required for the virus to spread. The highly contagious genital warts are transmitted through skin-to-skin contact. The human Papilloma Virus that causes genital warts is transferable through oral sex, and genital HPV strains have been detected in warts that have formed in the mouth and throat. Once infected, it is also possible to spread genital warts to other parts of your body by scratching an infected area and then touching another body part, particularly in the genital area. It is important to wash your hands thoroughly should you accidentally come in contact with the genital warts on your body or come in contact with them during the application of a topical treatment. Vertical transmission is the name given to the transferal of genital warts from mother to baby during childbirth. While it is possible for a mother with genital warts to deliver a baby vaginally without transferal, there are some accounts of infection to the newborn from the mother. Though there is no hard proof that genital warts can be transferred from fomites—objects that carry viral diseases from one person to another—it is still good practice not to deliberately use a towel or other personal item that may have come in contact with genital warts. The effectiveness of your immune system plays a significant roll in the appearance of physical symptoms of genital warts and the degree to which they are present. For some, the physical signs of genital warts may appear in months. For other individuals, the appearance may take years. Human Papilloma Viruses are generally classified into two categories: • High risk strains: those likely to lead to cancer of the cervix, anus, vagina, throat, or penis • Low risk strains: those likely to lead to genital warts The individual strains of the Human Papilloma Virus that have been identified have each been assigned a number for reference purposes. Of the thirty strains identified as sexually transmitted, the following are more prevalent and considered high risk strains: 16, 18, 31, 33, 35, 39, 45, 51, 52, 58 and 69. Oral strains include: 6, 7, 11, 13, 16, and 32. Low risk stains, those which can lead to genital warts, include: 6, 11, 42, and 43. Clinically known as Condylomata Acuminata, genital warts or venereal warts are one of the most prevalent forms of sexually transmitted disease. Annually, approximately 5.5 million new cases of the Genital Human Papilloma Virus are reported. Though 20 million Americans are believed to have genital HPV, less than 4% of those people have been diagnosed or are being treated for the virus. Most people show no physical symptoms and do not know that they have the virus. 90% of all reported cases of genital warts are of the low risk variety, strain number 6 or 11. vimax do penis enlargement pills really work pennis enlargement traction device penis elargement patch best pennis enlargement penis enlargement pills review compare penis enlargement pill pennis enlargement stretcher penile enlargement exercise penis enlarement result

Many people assume they need to consume Alcohol to have Good Sex? For most Americans, consuming alcohol seems to be part of our cultural heritage. We drink at weddings, funerals, birthdays, and pretty much to celebrate anything and everything. We learned from a young age by watching our parents and other adults, that drinking is a sign of maturity. Many people, especially young adolescents, expect that alcohol use will lower tension and anxiety and increase sexual desire and pleasure in life (Seto & Barbaree,1995). About 1 in every 7 adults in the United States meet criteria for alcohol dependency, according to a large NIMH epidemiological study (Grant, 1977). Men are four times more likely than women to be heavy drinkers and are twice as likely to be alcohol abusing or alcohol dependant. Most males and many females find it difficult to imagine not drinking any alcohol at least on weekends and find it almost impossible to think of having sex without previously having a few drinks. These fundamental values appear to be deeply embedded in our culture. Somewhere along the line, we got the message that we need alcohol to have good sex. Does Alcohol Enhance or Hurt our Sexual Performance? I recently heard a stand-up comedian refer to the term, “Whiskey – Dick” when describing his “friends who had drank too much and had difficulties with orgasm even while using Viagra. Shakespeare once said that excessive drinking, “provokes the desire but takes away the performance.” Alcohol reduces inhibitions and gives us a mellow feeling. It makes us more relaxed and more talkative. It can make shy people fe//el confident and bold. These effects can facilitate our sexual desires by developing our social skills. However, these positive effects are only present in the early stage of intoxication i.e. when we’ve consumed 1-2 drinks (assuming you haven’t already developed a tolerance for alcohol). Sexual Impotence On the other hand, alcohol’s negative effects on sexual performance have been widely documented. Men and women who have several drinks may find it very hard to achieve orgasm. Difficulties with achieving orgasm after alcohol consumption can be understood because alcohol dilates small blood vessels all over the body so that there is less engorgement of blood in the sexual organs. This leaves the penis flaccid or only partially erect so that sexual penetration is difficult. Women may find that they have decreased vaginal lubrication making sexual intercourse unpleasant and sometimes painful (Raff, 2006). Impotence is the constant inability of a man to maintain an erection for sexual purposes. It is estimated that impotence affects over 30 million men in the United States (NIHCS, 1992). Masters and Johnson, identified alcohol as a common factor in impotence in their monumental work on human sexual inadequacy. Alcohol damages the central nervous system and destroys brain cells, and if the damage is prolonged enough, it can result in irreversible sexual impotence even while a person is sober. Alcohol is also a factor in loss of sexual control or premature ejaculation. Even a couple of beers before sex can spoil a man's erection and ruin his ejaculatory control. Up to 80 percent of men who drink heavily are believed to have serious sexual side effects, including impotence, sterility, or loss of sexual desire. Heavy drinking over a long period of time can irreversibly destroy testicular cells, leaving men with shrunken testicles. Both sexual drive and sexual capacity can be damaged. Alcohol also suppresses testosterone levels even in social drinkers by suppressing the secretory activity of the Leydig cells (Flatto, 1990). Alcohol and High-Risk Sexual Behaviors A history of heavy alcohol use has been correlated with a lifetime tendency toward high-risk sexual behaviors, including multiple sex partners, unprotected intercourse, sex with high-risk partners (e.g., injection drug users, prostitutes), and the exchange of sex for money or drugs (Windle,M.,1997). There may be many reasons for this association. For example, alcohol can act directly on the brain to reduce inhibitions and diminish risk perception (MacDonald,T.K.,2000). However, expectations about alcohol’s effects may exert a more powerful influence on alcohol-involved sexual behavior. Studies consistently demonstrate that people who strongly believe that alcohol enhances sexual arousal and performance are more likely to practice risky sex after drinking (Cooper,M.L.,2002). Some people report deliberately using alcohol during sexual encounters to provide an excuse for socially unacceptable behavior or to reduce their conscious awareness of risk (Derman,K.H.,1998). According to McKirnan and colleagues (McKiran,D.J.,2001), this practice may be especially common among men who have sex with men. This finding is consistent with the observation that men who drink prior to or during homosexual contact are more likely than heterosexuals to engage in high-risk sexual practices (Avins,A.L.,1994). Alcohol and AIDS People with alcohol use disorders are more likely than the general population to contract HIV (human immunodeficiency virus) - the agent that causes acquired immunodeficiency syndrome (AIDS). Similarly, people with HIV are more likely to abuse alcohol at some time during their lives (Petray,N.M.,1999). Alcohol use is associated with high-risk sexual behaviors and injection drug use, two major modes of HIV transmission. What are signs of problem drinking? The primary signs of problem drinking are: Having health, legal, social, academic or financial problems as a result of drinking. For example, missing class or work because of drinking or hangovers, not be able to have fun or express oneself without drinking, fights or problems with roommates or significant others, spending excessive amounts of money on alcohol, blackouts/passing out, trips to the ER, being defensive when someone mentions your drinking, needing to drink more to achieve the same effects (tolerance), frequently drinking with the primary purpose of getting drunk, and/or repeatedly driving under the influence. These are only guidelines and each case is different. If you're concerned about your drinking or a friend's drinking, get more information! Screening for Alcohol Dependence Screening tools are available to assist counselors and therapists with diagnosing alcohol abuse and dependence such as the SMAST below. Short Michigan Alcoholism Screening Test (MAST) 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? 3. Do you ever feel guilty about your drinking? 4. Do friends or relatives think you are a normal drinker? 5. Are you able to stop drinking when you want to? 6. Have you ever attended a meeting of Alcoholics Anonymous? 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? 8. Have you ever gotten into trouble at work because of drinking? 9. Have you ever neglected your obligations, your family, or your work for two of more days in a row because you were drinking? 10. Have you ever gone to anyone for help about your drinking? 11. Have you ever been in a hospital because of drinking? 12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? 13. Have you ever been arrested, even for a few hours, because of other drunken behavior? Individuals that answer – Yes to three or more questions indicate probable alcoholism, two yes answers indicate probable alcoholism, and fewer than two yes answers indicate that alcoholism is not likely (Selzer, M., Winokur, A. & Van Rooijen, C.; 1975). Note: If after reading the above, you started rationalizing to yourself, “Well, I can stop drinking anytime I want to, but I usually stop when I run out of money.” (As my old graduate professor use to say) STOP BULL-SH#%ting yourself and go see a certified alcohol counselor. Co-morbidity & Alcohol Dependence Alcohol abuse and dependence are among the most destructive of the psychiatric disorders (Volpicelli, 2001). Addictions such as alcohol dependence and other addictions as a rule do not develop in isolation. Over 37 % of alcohol abusers suffer from at least one coexisting addiction and/ or mental disorder (Rovner, 1990). Individuals can shift from one addiction to another or sustain multiple addictions at different times. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994). Poor Prognosis We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions such as alcoholism are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions? New Proposed Diagnosis Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictions and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable. To assist with resolving this problem a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of alcohol and substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences. Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously. New Proposed Theory The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory. Conclusions Considering the wide range of alcohol abuse and sexual behaviors in our world today, one should always take into account an individual’s ethnic, cultural, religious, and social background prior to making any clinical judgments, and it would be wise to not over-pathologize in this area of Dependency. However, since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning - poly-behavioral addiction needs to be identified to effectively treat the complexity of multiple behavioral and substance addictions. Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction? The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. Partnerships and coordination among all service providers, government departments, and health insurance organizations in providing treatment programs are a necessity in addressing the multi-task solution to Alcohol Abuse and Poly-behavioral addictions. I encourage you to support the addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on poly-behavioral addiction. References Avins, A.L.; Woods, W.J.; Lindan, C.P.; et al. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA 271(7):515–518, 1994. Boscarino, J.A.; Avins, A.L.; Woods, W.J.; et al. Alcohol-related risk factors associated with HIV infection among patients entering alcoholism treatment: Implications for prevention. Journal of Studies on Alcohol 56(6):642–653, 1995. Cooper, M.L. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol (Suppl. 14):101–117, 2002. Dermen, K.H.; Cooper, M.L.; and Agocha, V.B. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol 59(1):71–77, 1998. Dermen, K.H., and Cooper, M.L. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology 8(2):198–206, 2000. Fromme, K.; D’Amico, E.; and Katz, E.C. Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol 60(1):54–63, 1999. George, W.H.; Stoner, S.A.; Norris, J.; et al. Alcohol expectancies and sexuality: A self-fulfilling prophecy analysis of dyadic perceptions and behavior. Journal of Studies on Alcohol 61(1):168–176, 2000. Grant, B. F.: Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. J. Stud. Alcoh., 58(5), 464-73., 1977. MacDonald, T.K.; MacDonald, G.; Zanna, M.P.; and Fong, G.T. Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior. Health Psychology 19(3):290–298, 2000. Malow, R.M.; Dévieux, J.G.; Jennings, T.; et al. Substance-abusing adolescents at varying levels of HIV risk: Psychosocial characteristics, drug use, and sexual behavior. Journal of Substance Abuse 13:103–117, 2001. Maslow, C.B.; Friedman, S.R.; Perlis, T.E.; et al. Changes in HIV seroprevalence and related behaviors among male injection drug users who do and do not have sex with men: New York City, 1990–1999. American Journal of Public Health 92(3):382–384, 2002. McKirnan, D.J.; Vanable, P.A.; Ostrow, D.G.; and Hope, B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse 13(1–2):137–154, 2001. Petry, N.M. Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD and AIDS 10(9):561–570, 1999. Purcell, D.W.; Parsons, J.T.; Halkitis, P.N.; et al. Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse 13(1–2):185–200, 2001. Rovner, S.; Dramatic overlap of addiction, mental illness. Washington Post Health, 14-15. 1990. Selzer, M., Winokur, A. & Van Rooijen, C.; A self-administered Short Michigan Alcoholism Screening Test. Journal of Studies on Alcohol, 36, 117-126, 1975. Seto, M. C. & Barbaree, H. E.; The role of alcohol in sexual aggression. Clin. Psych. Rew. 15 (6), 545-66, 1995. Stall, R.; McKusick, L.; Wiley, J.; et al. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly 13(4):359–371, 1986. Volpicelli, J. R.; Alcohol abuse and alcoholism: An overview. J. Clin. Psychiat., 62, 4-10, 2001.