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Prostate cancer is a complex heterogeneous disease that acts differently in different men. Therefore, treatment varies amongst individuals. A wide array of treatments exists for prostate cancer, which includes surgery, radiation, hormone deprivation therapy, chemotherapy, dietary changes and the use of various herbal supplements. A patient may undergo hormonal therapy to reduce the level of testosterone in the body. Drugs that reduce testosterone production by the testicles like Luteinizing Hormone-Releasing Hormone (LH-RH) agonists are administered. The effect is not immediate and occurs 2-4 weeks after initiation of the therapy. Orchiectomy or castration is a surgical procedure that completely removes the testicles. It produces an immediate and permanent reduction in testosterone. Another alternative hormonal treatment is the use of hormone-blocking drugs, called antiandrogens. Antiandrogens like flutamide and nilutamide block the body’s ability to use androgens, such as testosterone. Surgeons may use different techniques to remove the prostate. Surgical removal of the entire prostate gland is called radical prostatectomy. Radical prostatectomy is usually performed to remove early-stage prostate cancer that has not yet spread to other parts of the body. Side effects after radical prostatectomy for prostate cancer include incontinence and impotence. Cryosurgery, in which liquid nitrogen is used to freeze and kill prostate cancer cells is a common procedure. During cryosurgery, a warming catheter is inserted through the penis and this protects the urethra. Radiation therapy involves the use of high-energy x-rays or subatomic particles to kill cancer cells. The rays may either be beamed from a machine or emitted by radioactive seeds implanted in the prostate. Chemotherapy is also used to destroy cancer cells. Drugs are introduced into the body via the blood stream. The drugs work by destroying those cells that divide or grow rapidly. The most common side effects of chemotherapy are tiredness, nausea and hair loss. Watchful waiting also known as “observation” is an option that physicians may use. The patients receive no active treatment unless symptoms appear. They may be asked to schedule regular medical checkups and report any new symptoms to the doctor immediately. According to the American Cancer Society, the five-year relative survival rate for patients where cancer is detected while still in the local and regional stage is almost 100%. do penis enlarement pills work vimax buy penis enlargement pills herbal natural penis enlargment cheap penile enlargement pills top penis enargement pills penis enargement pic before and after best penile enlargment surgery cheap penis elargement

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Many natural supplements sold to boost male libido, simply don’t work and are sold without any medical substantiation whatsoever. The good news however is, that some do, you just need to pick the right ones and here we are going to give you the best one of all, which has been medically proven to increase male libido. Male Libido first things first Male libido does not work in isolation from the rest of your body. A whole host of inputs are present that go into making you feel in the mood. Your moods and your diet all affect your libido. Big passion killers include: Tiredness, stress, depression, a poor diet, alcohol, smoking and drugs. If you suffer from any of the above then you need to make sure that you improve your diet, get some exercise (a great stress booster) and cut down on drugs cigarettes and alcohol. What is L- Arginine? L-Arginine is a non essential amino acid and is necessary for normal functioning of the pituitary gland. The production of L-Arginine decreases with age and many experts believe this is responsible for many degenerative processes that are related to aging. Research shows it plays role in maintaining wellbeing and particularly male sexual health. Why it is so important In 1988 researchers discovered that L-arginine's wide-ranging health benefits were due primarily to its role as a precursor to nitric oxide. L-arginine stimulates the release of nitric oxide from the walls of blood vessels, improving circulation. L-arginine is a particularly important amino acid for overall circulatory health and is sold as natural supplement for sexual health. L-arginine has been proven to help increase blood flow to the penis, much like Viagra does, and the difference is it does it naturally. How an erection occurs. Nitric oxide is produced in response to messages from the brain; which triggers the release of nitric acid, which causes the smooth muscles of the spongy tissues inside the penis to relax, the tissue then fills with blood and an erection occurs. L-arginine is so effective because it helps with the release of nitric oxide. Low levels of L-Arginine can lead therefore to decreased libido. Medical proof A study published in 1994 showed an 80% improvement in the erectile function of men given 2.8 grams of argentine a day after a two weeks period Combining L-Argentine with other herbs has also shown impressive results. Combining L-Argentine with the tree bark Pycnogenol has seen over a 90% increase in male libido in recent studies. Other great products for male libido There are other natural supplements that can be taken to increase male libido and two that are very popular are Ginseng and Gingko Bilbao Ginseng Korean Ginseng has been used in China as a sexual tonic for over 7000 years. Korean ginseng in particular is taken for its ability to boost energy and sex drive. It also helps you adapt to physical or emotional stress and fatigue and helps improve blood flow Gingko Bilbao Is used to improve blood flow around the body including to the genitals and also functions as an anti-oxidant in the body. Ginkgo has long been thought to heal male impotence, and is a standard herbal remedy prescribed in China and is now popular worldwide. A combination of the above four natural supplements will help increase male libido As we have said already, healthy sex drive depends on all round well being, as well as the realize of nitric oxide to create an erection. The above four supplements all help with blood circulation and the realize of nitric oxide and this is why they are the best natural supplements for increasing male sex drive. penis enlargement pill review penile enlargement technique pennis enlargement surgery photo permanent penis enlagement penis enhancement tool do penis enlarement pills work pennis enlargement cream cheap penis enlagement vimax natural penis enlargement pills

Drug Uses Levitra is an oral therapy for the treatment of erectile dysfunction. How Taken Levitra comes as a tablet to take by mouth. It should be taken as needed about 1 hour before sexual activity. Some form of sexual stimulation is needed for an erection to occur with Levitra. Levitra should not be taken more than once a day. Levitra can be taken with or without food. Warnings/Precautions Before taking Levitra, tell your doctor if you currently have or have ever had a heart attack, stroke, irregular heartbeats, angina (chest pain), or congestive heart failure; have high or low blood pressure; have a personal or family history of a rare heart condition known as prolongation of the QT interval (long QT syndrome); have liver problems; have kidney problems; have ever had blood problems, including sickle cell anemia, multiple myeloma, or leukemia; have a bleeding or blood clotting disorder; have a stomach ulcer; a family history of degenerative eye disease (e.g., retinitis pigmentosa); or have a physical deformity of the penis such as Peyronie's disease. You may not be able to take Levitra, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although Levitra is not indicated for use by women, it is in the FDA pregnancy category B. This means that Levitra is not expected to be harmful to an unborn baby. Levitra should not be taken by women. It is not known whether Levitra passes into breast milk. Levitra should not be taken by women. If you are over 65 years of age, you may be more likely to experience side effects from Levitra. Your doctor may prescribe a lower dose of the medication. Missed Dose Levitra is used as needed, so you are not likely to miss a dose. Possible Side Effects The most common side effects with Levitra are: -Headaches -Flushing -Stuffy or runny nose Levitra may uncommonly cause: An erection that will not go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis including the inability to have erections. Vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green. These are not all the side effects of Levitra. For more information, ask your doctor or pharmacist. Storage Store at 25�C (77�F); excursions permitted to 15-30�C (59-86�F). Keep Levitra and all medicines out of the reach of children. Overdose Seek emergency medical attention if an overdose is suspected. Symptoms of a Levitra overdose are not known, but are likely to include chest pain, back pain, dizziness, an irregular heartbeat, abnormal vision, and swelling of the ankles or legs. More Information Do not take Levitra if you: -Take any form of medication known as "nitrates" (type of medicine used to relieve chest pain that can occur as a result of heart disease). Taking Levitra in combination with nitrates may result in serious side effects. -Take medicines called "alpha-blockers" (sometimes prescribed for prostate problems or high blood pressure). Taking Levitra with alpha-blockers may drop your blood pressure to an unsafe level. -Your doctor determines that sexual activity poses a health risk for you. You have a known sensitivity or allergy to any component of Levitra. The use of Levitra offers no protection against sexually transmitted diseases. Counseling of patients about protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), should be considered. Disclaimer This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information. best penis enlarement surgery best enlargement exercise penile enlagement forum free matter penis size safe pnis enlargement free penis enhancement technique penis enlargement result penis enlagement pills product vimax customer service vimax natural penis enlargement pills

United Kingdom DVD Region In UK, the DVDs and DVD players that are manufactured and sold are coded for Region 2, since UK falls in the Region 2 code. These local DVD players are able to play only the DVDs that have the region code 2 marked on them. However, regionfree or code free DVD players will be capable of playing back a DVD from anywhere in the world. It is perfectly legitimate to own and use a region free DVD player in the UK; however it should not be misused for illegal activities. United Kingdom's Video and TV Format The video and television format used widely in UK is PAL standard, however, in certain products, NTSC standard is also available. The Pal and NTSC standards are incompatible and are limited to playing only the same format discs. This problem is overcome by using a regionfree DVD player in the UK that has the provision for switching between PAL and NTSC, as per the disc requirement. Electricity Facts for the UK The electricity supply in UK is 220-240 volts and all the local appliances are designed to run at this voltage. However, an American make of DVD player would normally not be able to operate in this voltage, since it is designed for 110 volts. To overcome the differences in voltage supplies for different parts of the world, some of the regionfree DVD players have the dual voltage feature, which enables the customer to use his DVD player anywhere in the world. A Variety of Features for UK Codefree DVD Players Most of the regionfree DVD players in the UK come with some great standard features, some of which include language choice, which makes it possible to select video scenes, menus, audio tracks and subtitle tracks automatically. Special effects for playback can be used for the functions called freeze, slow, step, scan and fast. The parental lock facility can enable parents to restrict the access of their children to play back certain discs. Programmability, random and repeat play, and digital audio output are other great features. They can also recognize DTS Digital Surround audio tracks. Also available are the wall mountable DVD players that can be good space savers around the house, and the portable DVD players that can be taken along in a car. Advanced Features of Code Free DVD Players Some of the more expensive code free DVD players in the UK have certain enhanced features, such as playback for video CDs and super video CDs, MP3 CDs, MP3 DVDs, laser discs, CDVs, and picture and photo CDs. They can also play back video files in unique formats like MPEG-4 and DivX. These DVD players can give a better picture quality through the component video output and progressive scan component output (YUV or RGB). They also have multi lingual on-screen display feature, reverse single-frame stepping and reverse play at normal speed. They can provide a perfect digital picture quality using SDI, DVI, or HDMI digital video outputs. They have a 6-channel analog output using MLP, Dolby digital or DTS. The advanced models also have a Digital Zoom feature that gives a 2 × or 4 × enlargement of part of the picture. There is a wide choice of brands available, and the information about the models and their pricing can be obtained from the Internet easily. Web sites are springing up everywhere that offer a lot of information related to types of codefree DVD players and their features, rates, and availability. The commonly available brands include Toshiba, Samsung, Sony, Panasonic, Pioneer, Philips, Nissan, Yamada, Denon, and several others. The price range of code free DVD players in the United Kingdom varies widely according to the choice of features in each brand. To state broadly, one can buy a DVD player from around $90 to $800 based on one’s choice and requirement. No matter where you live, you're sure to find the regionfree DVD player that's right for you. natural penis elargement and lengthening penis enargement surgeries penis enlargment excersizes penile enlargement photo cheap pnis enlargement pills penis enargement herb herbal natural penis enlargment enhancement manhattan penis vimax natural penis enlargement pills

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. 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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.