Fears Treatment Centers And Rehab Phoenix, Maricopa County, Arizona

Phobias are fears sparked by certain conditions that can interfere with an individual’s coping skills or cause them to keep away altogether. These conditions aren’t normally harmful or scary, however folks with phobias experience strong emotions of anxiety Secure Health once they find themselves in these environments. 1 in 10 individuals will experience phobias sooner or later in their lives. These individuals can be calm and rational more often than not, but discover themselves paralyzed with concern when they are faced with a particular situation.

Dealing with phobia means retraining your mind. Instead of reacting with excessive worry, your mind must be taught to chill out, calm down and behave usually when confronted with the subject of the fear. Retraining the brain this way may sound incredibly tough, but you will not be requested to do it alone. In fact, you may have no less than one therapist strolling alongside you throughout this course of, serving to you to be taught more and develop stronger.

Today in the UK, several airports and airlines host or supply classes, stress aids, and courses to help nervous flyers. For instance, Birmingham, Norwich and Manchester airports have been offering Virgin Atlantic lessons related to flying phobia since 1997. Also, Heathrow, Gatwick and Glasgow airport also hosts a British Airways concern of flying clinic that often holds a number of workshops each year.

Even although you might know that people don’t really watch you very intently, your thoughts might attempt to convince you that everyone you meet and everyone you recognize is secretly judging you and simply ready to pounce on your faults. The web site Mental Health America makes the vital point that social phobia is not Academic Health the identical as shyness. People who’re shy could also be uncomfortable with the idea of talking out in entrance of others, and so they could grow to be nervous in the presence of people they do not know nicely, but individuals with social phobia take this nervousness to an entire new level.

DRGv30.0 Definitions Manual

Background. According to the Colombia National Statistics Administration (2005) in Colombia it’s estimated that 17.3% of the registered population Health Awareness has permanent listening to limitations, of which 24 547 are beneath 10.

Approximately 50,000 people in the U.S. have Usher syndrome, and the number continues to extend with age. A attainable rationalization for that is that congenital deafness or a hearing impairment is usually recognized at first, but the signs of retinitis pigmentosa aren’t recognized until later. However, early analysis is necessary so as to attenuate the far-reaching consequences of this situation and to take preventative measures. With the constant worsening of a listening to impairment, learning sign language is an effective solution to hold enjoying life despite obvious deafness.

In most instances, folks lose their hearing progressively; household members, friends, and lecturers may have seen one thing was improper earlier than they themselves acknowledged the disability. Depending on the severity of listening to loss, the individual may have had to use listening to aids, had a cochlear implant inserted, or realized the right way to lip-read. Centers for Disease Control and Prevention. The Early Hearing Detection and Intervention Program, Atlanta, GA, February 7, 2002.

Conventional Audiometry: In typical audiometry, the kid indicates that he/she will be able to hear a sound by raising a hand or urgent a button. The threshold, or quietest, stage at which the kid can detect sounds at numerous frequencies is measured, permitting Critical Health the kind, diploma, and symmetry of an impairment to be delineated. Conventional audiometry can often be carried out by the time a toddler is three-four years of age.

We provide age-acceptable checks for infants and kids. For infants, we use special physiologic testing that doesn’t require a behavioral response from them. From about 6 months of age and older, behavioral testing can be conducted. The testing course of is protected, painless and quick – normally lower than half-hour. Amanda and Ashley had been recognized with hearing loss via new child screening once they were two days outdated. With the advantage of early treatment, these twin sisters are now succeeding in school. Read their story.

Charcot-Marie-Tooth illness three an inherited neurological dysfunction with delayed onset that may affect the ears in addition to different organs. The listening to loss in this situation is often ANSD (auditory neuropathy spectrum disorder) a neural explanation for listening to loss. Online Mendelian Inheritance in Man (OMIM). The Johns Hopkins University. Waardenburg Syndrome, Type 2A; WS2A. Entry No: 193510. Last Edited 03/15/2010. Available at: Accessed May 19, 2015. State-coordinated programs for youngsters from beginning to age 3 offering audiologic companies in addition to developmental therapies.


Anxiety problems are sometimes linked to despair. It’s necessary that each circumstances are treated simultaneously.

The remedy that is most frequently used for GAD is cognitive behavioral remedy (CBT). CBT is a course of wherein the teenager learns to acknowledge the adverse and maladaptive thought patterns that they are trapped in and changing them with more practical, realistic ones. Exposure methods are used to help the kids confront their fears in a secure and managed surroundings. Research has proven that therapist assisted exposure is an efficient method of treating anxiety and phobias.

There had been insufficient information to have a look at funnel plots for small examine effects (which might be attributable to publication bias) as this is recommended solely when there are at the very Good Health least 10 research. sixty one Using Begg’s check we discovered no proof of publication bias in any of the analyses, apart from withdrawals because of adverse events when we thought of all active therapies (P=0.005).

Breathing techniques can assist you learn to manage your breathing, so you don’t hyperventilate during an anxiousness-producing occasion. This will help to keep you calm. Try sitting down along with your again straight. Then, breathe deeply, inhaling through your nose out of your stomach and attempt to get as much air into your lungs as potential. This will assist carry more oxygen into your body, which will help you feel much less tense, in need of breath, and anxious. Once your lungs are full, slowly exhale through your mouth and repeat as wanted.

Some people expertise withdrawal signs after they cease taking benzodiazepines abruptly instead of tapering off, and anxiousness can return as soon as the treatment is stopped. Potential issues with benzodiazepines have led some physicians to draw Health Safety back from utilizing them, or to make use of them in insufficient doses, even when they are of potential profit to the patient. Alprazolam is a benzodiazepine that is useful for panic dysfunction and GAD. Clonazepam (Klonopin) is used for social phobia and GAD.

Panic attacks are transient episodes of intense anxiety that could be triggered by an surprising or frightening state of affairs or object, or occur spontaneously. Panic assaults are usually related to dizziness, perspiration, hyperventilation or shortness of breath, elevated heart rate or palpitations, feelings of intense dread, fear of dying. There is appreciable variation in the duration and severity of symptoms that happen during panic assaults. Many people who expertise panic assaults endure from vital social and occupational impairment. Biological, social and psychodynamic theories have been superior in makes an attempt to clarify generalized anxiousness and panic assaults.

Some people have been capable of overcome bouts of hysteria by transporting back to a time where issues had been much less complicated. Dig deep into your repertoire of completely satisfied childhood reminiscences to uncover Grandma’s freshly baked chocolate chip cookies or the scent of your favorite meal in the summertime. The nose is a powerful tool that may help reduce your fears and create a extra relaxed sense of self. It can also stop a panic assault in its tracks. The Smell and Taste Treatment and Research Foundation in Chicago suggest using child powder, an odor that appears to strike a chord with many.

L-theanine, an amino acid present in green tea, produces a pronounced feeling of tranquility in as little as quarter-hour. L-theanine is a essential constructing block of the GABA neurotransmitter (pure messenger within the brain) that promotes relaxation and helps maintain your nerves calm. L-theanine additionally stimulates the discharge of dopamine, a neurotransmitter accountable for confidence and a way of well-being.

Osteoarthritis Treatment, Prevention

While accidents can up osteoarthritis threat, daily wear and tear additionally promotes joint degeneration, particularly in the event you’re carrying extra kilos.

Replacement joints typically last 10 to twenty years. You may have one other surgical procedure if the new joint wears out. Surgery isn’t normally essential, but it may help if OA impacts the hips, knees, joints, and the base of the thumbs. Although there isn’t a remedy for osteoarthritis , remedy can significantly enhance your high quality of life. But medication isn’t the primary alternative for therapy of mild or early osteoarthritis: The greatest osteoarthritis therapy entails a mix of making good lifestyle selections, educating yourself about osteoarthritis , and only taking medication when it’s wanted. Yang J, Yang Y, Chen JM, Liu WY, Lin BC. Effect of hypothalamic supraoptic nucleus on acupuncture analgesia within the rat. Brain Res Bull. 2008;seventy five(5):681-6.

I just realized how a lot I’m rambling on…please forgive. I might simply delete the above (and never put up links I’m planning to put up..under) but I think that I’ll leave this ‘as is’ simply in case you or another person studying this may feel it may pertain to them. I know for that especially for myself/others who did Not… get identified sooner in life!..it most definitely ‘could have been’ beneficial/ made some differences in numerous actions, decisions, remedies and many others… in life with the far more lifelike info that’s turning into known and accessible about it at the moment. So I’ll stop the babble haha! and share some hyperlinks.. I hope I’ve not indulged you too much, am genuinely solely wishing to share info/awareness.

Grant Support: Mr. Manheimer and Dr. Berman had been funded by a grant from the National Institutes of Health, National Center for Complementary and Alternative Medicine (R24 AT001293). Drs. Lao and Berman were also funded by a grant from the National Center for Complementary and Alternative Medicine (P01 AT002605-01A1). Hip resurfacing surgical procedure This is most often done in youthful, extra active individuals who have ache and incapacity attributable to a badly damaged hip.

If symptoms of arthritis in your hands or elsewhere are stopping you from collaborating within the bodily actions you used to get pleasure from — and which can be good for you — it could be time to search out new methods to be active. For instance, chances are Patient Health you’ll want to experiment with water actions (that are easier on the joints) corresponding to swimming, or try tai chi, dance, or strolling (which has the additional benefit of being low-cost).

Your health care provider also can discuss to you about numerous choices to alleviate pain. Orthotics, joint stabilizers, ice therapy when indicated, topical analgesics, and over-the-counter or prescription drugs are sometimes used to assist aid pain and stiffness. Ask your rheumatologist concerning the many new and effective remedy options for arthritis and related circumstances. The ACR conditionally recommends in opposition to using chondroitin sulfate or glucosamine for hip osteoarthritis. The ACR has no advice relating to the use of topical NSAIDs, intra-articular hyaluronate injections, duloxetine, or opioid analgesics.

As we grow older our lives change due to all the physique changes that we undergo. Well, think about if you had to fear about all the signs that Osteoarthritis brings. Imagine waking up and experiencing ache, stiffness, and swelling in your joints and going through the day like that. That alone is a motive sufficient for us to need to forestall this situation. One one more Healthcare System reason is the elevated risk of falls. As we grow older our ability to maintain our steadiness decreases in addition to our bones lose their energy. This results in an increased threat of fractures. And once you expertise a fracture when you are dealing with Osteoarthritis you are going to experience an excellent longer interval therapeutic from that fracture.

Signs of an infection: Fever , redness, or joint swelling might indicate joint inflammation or joint infection. A joint infection is a serious problem requiring immediate prognosis and antibiotic remedy. Gout can even have related signs. So by blocking TRPV1 within the joint, Dr Kelly and the pain centre analysis group had been in a position to reverse the ache responses within the osteoarthritis ache model. Transcutaneous electrical nerve stimulation , or TENS, uses a mild electrical current to cut back pain.

Pool Physical Therapy Aide

The average pay for a Physical Therapy Technician is $10.fifty three per hour. Most people with this job move on to other positions after 10 years in this area. A skill in Physical Therapy is associated with excessive pay for this job.

Identify how the proximal relationship of the nervous programs is affected by spinal movement and how this relationship impacts distal movement patterns of pressure of the peripheral nervous system. For the second yr in a row SPEAR is the official Physical Therapy Provider of the 2K Classic benefiting Wounded Warrior Project, because it returns to The World’s Most Famous Arena” Nov. 16 & 17 for 2 days of doubleheader basketball motion!

While i believe my PT is knowledgeable and a nice individual, I do not just like the SPEAR mannequin…I’ve done PT rather a lot throughout my life resulting from many accidents – so have some expertise round PT. They spend very little time on the myofascial launch (the massage) after which do not observe you to make sure you are doing the workouts appropriately… They overbook so that the PT is working with three sufferers at a time – and if it is one they are off writing notes somewhat than paying attention… I tried it… and won’t be continuing.

I even have seen a lot improvement. One of the issues I actually appreciate about Vinny is that he understands how PT workout routines can be really, actually boring, he teaches me new exercises at any time when my physique is prepared for extra challenges (this was not the case with past PTs I’ve seen before, the place the workouts were actually fundamental). Now I even Health Snacks have a repertoire of PT exercises I can choose from for my residence exercise program, and the variability is useful and appreciated! Vinny is driven to constantly improve, and appears to be at all times learning new techniques. I can inform it means a lot to him to see me enhance. It appears like I actually have cool coach in my corner.

I hate these guys when my alarm goes off in the morning, and once I’m foam rolling out the aches, and once I’m sweaty and sore after a exercise…but I love them when I get asked how a lot weight I’ve lost, or if I’ve been understanding, or when I understand that my chronic Immune Health again pain is hurting me less than it has in twenty years. To make an appointment call 883-5611 or go to them at Staff includes: Kameron Ihry Hodem, PT, DPT, MTC, Jenna Bain, PT, DPT and Casey Andrews, PT, DPT, OCS. Jennifer Exner and Kelsey Haugen are workplace assistants.

IBS Agents, Anticholinergics, Antidiarrheals, Tricyclic Antidepressants, Antibiotics, Bulk

The exact reason for IBS is not totally understood. For some, IBS will Emergency Health be aggravated by stress or certain foods and can lead to frequent acute diarrhea.

As IBS is considered a medical situation, it is important to seek the advice of your doctor first for data, recommendation and a diagnosis. Although there is no remedy for IBS, there are things that can assist manage the signs. Hypnotherapy, rest training, a controlled food plan, treatment and cognitive behavioural remedy (CBT) have all been discovered to assist ease symptoms of IBS. Fizzy beverages and carbonated drinks like soda can make you feel gassy. Besides, alcohol additionally proves to be a culprit in aggravating IBS signs in a couple of folks. Some folks expertise IBS after drinking caffeinated espresso, teas, and delicate drinks. Longstreth GF, Thompson WG, Chey Wm D, et al. Functional Bowel Disorders. Gastroenterology. 2006;130:1480-1491.

Based on good medical exams, I have Lyme illness and co-infections which have racked havoc with my entire body together with my entire digestive tract. I also have SIBO, gastroparesis, histamine points, some gut bacteria imbalance, and gluten intolerance. It might be that every one of these issues have come from long-time period Lyme disease and co-infections mixed up with numerous antibiotics after I was younger after which antibiotics for the more recent issues.

IBS can have a significant impact on an individual’s quality of life. Some teas could help manage certain symptoms, however more research is required on the extent of their efficacy. Treatment for IBS typically contains multiple approaches, so some tea sorts may contribute to the easing of a person Health Market‘s signs. Even children aren’t spared from the aftermath of straining—these days, hemorrhoids are becoming commonplace even amongst preschoolers. Just ask any pediatric gastroenterologist. Start at 2000 mg vitamin C and 250 mg magnesium citrate per day. You can improve as much as 6000 mg of vitamin C and one thousand mg of magnesium.

Yoga also offers a massage” to your muscles and organs. Breathing deep into poses, especially any poses that give a twisting motion, stimulates the muscle tissue and organs throughout the digestive tract. These twisting motions may assist get issues transferring along more frequently, so be mild with twisting motions in the event you battle with the diarrhea subtype of IBS. Pimentel M, Park S, Mirocha J. The effect of a nonabsorbable oral antibiotic (rifaximin) on the signs of the irritable bowel syndrome: A randomized trial. Ann Intern Med. 2006, a hundred forty five: 626-628. Forbes A et al. Acupuncture for irritable bowel syndrome: a blinded placebo-controlled trial. World J Gastroenterol 2005; eleven: 4040-4044.

Enemas could also be prescribed by a physician at sure times, corresponding to before a colonoscopy, but an enema should not be used to deal with constipation on a constant foundation. Over time, the persistent use of enemas can damage the muscular tissues in the massive intestine, inflicting irregular function and leading to further issues. Following are a few of the frequent set off foods which needs to be restricted in the food plan if not utterly averted.

The most apparent injury from fiber in enlarged stools are mechanical, associated to its sheer bodily bulk. Fiber is the only commonly consumed nutrient that reaches the big gut undigested and expanded up to five instances (500%) its original weight. On the opposite hand, proteins, carbohydrates, and fats go away behind lower than 5% of undigested solids. With no speedy relief in website, I began to wonder what number of other individuals were additionally suffering from IBS. After doing a little analysis on this disorder, I discovered that I was not alone. Chang FY, Lu CL. Treatment of irritable bowel syndrome utilizing complementary and alternative medication. J Chin Med Assoc. 2009 Jun;seventy two(6):294-300. Review.

Your doctor may ask you to submit a pattern of your stool for laboratory testing, which can reveal the presence of micro organism, parasites, or blood. The results of a stool test may point out elevated levels of proteins, similar to calprotectin or lactoferrin, which may level to an infection or inflammation in the digestive tract. If a stool check detects irritation or blood, a condition apart from IBS could also be causing your signs.

SPEAR Physical Therapy Voted Best Private Practice In The U.S. By APTA

Typically you’ll do job shadowing or volunteering. I just referred to as clinics/hospitals close to the place I lived and I requested Fitness Health if 1) they were hiring and if not, 2) whether they would thoughts me coming in to observe.

The one time on-line coaching and evaluation program is free and consists of 5 training modules. Once the coaching is completed, and assessment is handed with at least 70%, a certificate for 0.2 CEU units becomes available. Ensure operation of bodily remedy gear by finishing preventive upkeep requirements; following manufacturer’s instruction; troubleshooting malfunctions; calling for repairs.

Associate of Science – Occupational Therapy Assistant: Occupational therapists assist patients recover from accidents by helping them engage in varied methods with a particular job or occupation. This could be useful for people who become Health Management disabled and must shift careers or study a brand new skillset to cope with their injuries. Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-staff, and subordinates by phone, in written kind, e-mail, or in particular person.

Helps deal with patients by applying heat packs; paraffin dips; assisting sufferers into whirlpool; helping patients onto train equipment, monitoring movement; monitoring walking time and distance; measuring mobility; performing prescribed exercises and strengthening techniques. Possible employers embrace physical therapy centers, clinics, rehabilitation facilities, hospitals, schools for handicapped children, physician’s places of work and nursing homes. According to the U.S. Bureau of Labor Statistics, eighty one,230 people worked as physical therapy techs as of 2015. From 2014-2024, employment was projected to extend forty one% to around a hundred and ten,seven-hundred (). Clinical experiences /internships at Wieber Physical Therapy are open only to college students in a PT program.

Aleve Pm And High Blood Pressure

Given that people with high blood pressure (hypertension) are way more seemingly than others to die prematurely of coronary heart disease and stroke, you might suppose that low blood strain Dental Health could be a superb factor. However, abnormally low blood pressure, also called hypotension, may cause problems as properly.

A blood pressure reading under a hundred and twenty/80mmHg is taken into account optimal. Readings over a hundred and twenty/80mmHg and up to 139/89mmHg are within the regular to excessive regular vary. As is true with many medical circumstances, genetics and the environment each play necessary roles in the development of the metabolic syndrome. Choose modest amounts of protein (not more than 18% of total daily calories). Fish, skinless poultry, and soy products are one of the best protein sources.

Dr. Josh Axe is on a mission to provide you and your family with the best quality nutrition suggestions and healthy recipes on the planet…Sign up to get VIP access to his eBooks and invaluable weekly well being tips for FREE! You additionally ought to do the whole lot you can on your own to stop being pregnant-induced hypertension, including regular physical exercise and limiting salt intake.

Focus in your other signs. Take an applicable dose of a painkiller equivalent to acetaminophen to ease body aches or a pounding head. Sip sizzling tea with honey or suck on lozenges to appease a sore throat. Counter fatigue with plenty of rest. If you possibly Academic Health can relieve all the things except your clogged-up nose, the congestion may not appear so unhealthy. Omega-three wealthy foods – Consume omega-3 foods like grass-fed beef, wild-caught salmon, chia seeds and flaxseeds to scale back irritation.

15 Effecitve Home Remedies For Irritable Bowel Syndrome (IBS)

The the reason why IBS develops should not clear. It can happen after a bacterial infection or a parasitic infection Health Career (giardiasis) of the intestines. This known as postinfectious IBS. There may also be different triggers, together with stress.

Verspohl EJ, Fujii H, Homma K, Buchwald-Werner S. Testing of Perilla frutescens extract and Vicenin 2 for his or her antispasmodic effect. Phytomedicine. 2013 Mar 15;20(5):427-31. This Real Housewives of Beverly Hills star (and ex-spouse of Kelsey Grammer) was recognized with IBS in 1996, and he or she and her then-husband turned spokespeople for the International Foundation for Functional Gastrointestinal Disorders.

Sometimes, I did not even make it to work. After an accident, mid-commute, I’d should hurry home and clarify why I wouldn’t be in. After two warnings and a last case hearing, I was dismissed – regardless of having a letter of help from my GP. The IBS disappeared literally inside days. She thrives on cooked veggies, soups (particularly miso veg, among the finest NATURAL probiotics), entire grains and pbwf desserts we make. She does best with COOKED foods however we do embody small amounts of uncooked food. I took her off of all animal meals. She saves tons of of dollars a month on medications and dietary supplements.

I labored with this nutritionist for a 12 months and healed my intestine with a low-carb, high-protein weight loss program, some dietary supplements, and loads of rest. It took self-discipline however it wasn’t rocket science, and, most importantly, it worked — miraculously! Full Title: Efficacy and mode of motion of mesalazine within the remedy of diarrhoea-predominant irritable bowel syndrome (IBS-D). In patients Health Risk with persistent diarrhea, if inflammatory bowel illness or microscopic colitis is suspected, a mucosal biopsy ought to be taken. In some cases of IBS, lifestyle adjustments may also help. For example, regular train and improved sleep habits may reduce nervousness and assist relieve bowel signs.


In fact, many individuals find that a GABA complement is the right pure remedy for anxiety Health Analyst – though like some other remedy, it does not work for everybody.

Patients hold track of significant episodes of fear on a Worry Record ( form 1 ) to be accomplished as quickly as attainable during or after each worry episode. The record offers a description of the cues, maximal distress, and signs, ideas, and behaviors. Patients additionally complete a each day temper file at the end of every day to report total or average ranges of tension. At the tip of every day write down on a scale from zero-a hundred: How anxious was I as we speak? (you’ll be able to evaluate your stage of anxiousness with that of yesterday. Example: yesterday I gave myself a 50. Today I am more anxious than yesterday, so I give myself a sixty five).

Physical exercise will definitely not treatment severe anxiousness problems, but will significantly enhance physical leisure and decrease discomfort all through your day. A lot of doctors preach cardio” is the most effective treatment for nervousness, however in my expertise that’s not totally accurate. I suppose the entire cardio solely factor is totally misguided. You should be getting a stability of cardio as well as energy coaching. The strength coaching – if finished correctly and you truly push yourself – ought to take pressure out of your muscle mass.

Log in with your Medical News Today account to create or edit your customized homepage, catch-up in your opinions notifications and set your publication preferences. A 2010 multi-heart, double-blind, randomized study of lavender oil compared to the anti-anxiousness remedy lorazepam discovered that each were efficient in opposition to generalized and persistent anxiousness. Bonus — lavender had no sedative negative effects. The dysfunction develops out of maximum workload from workplace, Kali phosphoricum is the suitable option.

Anyone can get generalized anxiety dysfunction at any age. But it usually starts when you are a baby or teenager. Most people with generalized anxiousness dysfunction have felt nervous or anxious so long as they can bear in mind. Women are twice as probably as males to have the issue. Wright JH, Basco MR, Thase ME. Learning cognitive-habits remedy: an illustrated information. In: Gabbard GO, ed. Core Competencies in Psychotherapy. Arlington, Va.: American Psychiatric Publishing; 2006.

GAD is totally different from normal emotions of anxiousness. It’s widespread to really feel anxious about the issues taking place in your life — similar to your finances — each as soon as in awhile. A one who has GAD may worry uncontrollably about their finances several times per day for months on finish. This can occur even when there is not a motive to worry. The particular person is commonly aware that there is no such thing as a purpose for them to fret.

Certain antidepressants are used to each handle and prevent anxiety problems like GAD. These are called selective serotonin reuptake inhibitors (SSRIs). Similar to benzodiazepine, SSRIs relieve bodily signs to calm anxiety. However, this prescription remedy does this by blocking the reabsorption of serotonin in certain Health Journey nerve cells of the mind. The leftover serotonin that was blocked improves temper in other components of the mind. The most popular SSRIs which can be used to treat GAD embody fluoxetine and paroxetine.

Have a dialogue together with your physician about medicine in case you are suffering from important insomnia, which is ceaselessly related to generalized nervousness dysfunction, or GAD. Distressed by repetitive and excessive fear, people with GAD usually focus on the day’s activities, reminiscent of what was left undone, what went wrong, what must be carried out tomorrow, and the like. People with this condition describe it as a problem turning their thoughts off, they usually often have difficulty falling asleep. Improving sleep has been shown to cut back anxiousness and depressive signs, and it can often be achieved with medication therapy.