Showing posts with label stressors. Show all posts
Showing posts with label stressors. Show all posts

Monday, 27 August 2012

How Does Stress Affect Your Body?


Stress is a word that is commonly used today but how much do we really know about how it affects our body and our moods?

One simple description of stress is as a state when a person has insufficient resources to meet his or her demands.

  •  Too many demands + too few resources = stress, distress
  • Too few demands + too many resources = boredom, apathy
  • Demands match resources (or match resources at a stretch) = coping, interest
Each person deals with stress differently, depending on the resources available to them and the way they approach the situation. You can put two people in the same situation and they can produce different reactions. One may cope well with the situation where the other might struggle or even collapse emotionally.

A certain level of stress or challenging yourself is needed in life to keep you on your toes. Think how actors get butterflies before they go on stage, the adrenaline in their body begins to pump and they get the buzz for doing their job. This adrenaline helps to keep their performance fresh and exciting. Once the performance has finished the adrenaline levels go back to normal in their body as they relax after the show. This is a normal/healthy level of stress, keeping you driven and motivated to do the task at hand.

The effects on your body can be :
  • Pupils dilate
  • Mouth goes dry
  • Neck and should muscles tense
  • Heart pumps faster
  • Chest pains
  • Palpitations
  • Sweating
  • Leg and arm muscles tense for action
  • Breathing faster and shallow
  • Hyperventilation
It also has hidden effects too:  
  • Brain gets body ready for action
  • Adrenalin released for flight or flight
  • Blood pressure rises
  • Liver releases glucose to produce energy for muscles
  • Digestion slows or ceases completely
  • Sphincters closes or relaxes to empty bowls
  • Cortisol released, this depresses the immune system
These effects are all part of the fight or flight mode. They are helpful in daily life, helping us to be ready to deal with situations. Like when you’re in the car and you hear the screams of an ambulance siren warning you to get out of the way. You start to look for a way to move your car and you realize you are bumper to bumper. You enter the stress zone, inside your body the alert goes out. “Attention all parasympathetic forces, urgent! Adrenalin is beginning to pump through your body, the chemical cortisol has just been released mobilising all internal defences.
Your body is full of adrenaline ready to tackle any situation that comes your way, your senses are heightened, you're“running on adrenaline”. This is the stage that people get in when they perform “superhuman” acts of strength, like a mother lifting a car off of her child.

When the danger finally passes or the perceived threat is over, your brain starts a reverse course of action attempting to bring your body and mind back into balance. This is when you tend to feel your heart pumping and you feel "wow that was an adrenaline rush".

Our bodies are built to deal with this level of stress, it is a vital part of our survival.

The problem comes when we continue to keep our bodies in the heightened state, stress state. Our body/mind can’t differentiate between a real threat and a perceived threat. You can get the same chemical reactions just by thinking about a stressful situation, for example, a bill needing to be paid, going over a situation you experienced – reliving it in your mind or worrying about an upcoming situation; then when it happens it was so much better/easier than you thought, but all that energy you spent worrying about it has had a harmful effect on your body. Our body tries to rebalance but the hormones are still flying around, gradually they begin to have a permanent effect on our health, long term health problems start to develop.

The wonderful thing to read is that you can control this; you can learn what your stressors are and how you can de-stress yourself.  A hypnotherapy, CBT & NLP session can help you by working out a range of mechanisms with Erika which will equip you to deal with stress better for the rest of your life.

Here are a few ways you can start to do this:

  • Write down your personal strengths and support network· Things you are good at and people respect you for; your areas of good experience, etc
  • Family, friends, networks; powerful contacts; resources you can draw on – assets, your standing etc
  • Next, list your personal weaknesses and limitations in your life· Areas where you’re aware that you are not strong, or things that people fairly criticise you for;
  • Lack of resources – where others at your level have access to these resources, or where the absence of resources impacts on your situation
  • Bad situations – where you experience problems with your job or relationships, or where you have a poor living or working environment

Then brainstorm the opportunities available to you:

  • Work through strengths you’ve identified. Ask yourself how you can draw on them to manage stress
  • Work through the weaknesses you’ve identified. These are opportunities for positive change and for development of new skills

Finally, consider real-world practical opportunities open to you if you took advantage of those opportunities, to improve your stress management

  • Look at managing your time and your expectations for the day - are they realistic?
  • For threats, consider consequences of leaving your weaknesses uncovered· Consider damage to relationships, career and happiness that would come from failing to manage stress
  • Use this consideration of the downside as a spur to ensure that you take stress management seriously

These are just a few things you can start doing today. To find out more about how you can manage your stress levels further, finding time in your day and coping mechanisms that you never knew you had, contact Erika and find out how Hypnotherapy, CBT & NLP can help you to take the steps to a more relaxed happy you.

© EKTherapies

Monday, 6 August 2012

What is Fight or Flight Response?


Fight or flight is a natural healthy response within our body to a perceived threat or danger. Thousands of years ago we led very different lives, much more physically challenging and dangerous lives. We didn’t have sharp claws or teeth to protect us from the world around us, and we had to be able to react very quickly to threats around us. In those days there were two simple choices, we could either fight or we could run (flight).

The fight or flight response is one of the most important parts of our make-up and a highly efficient survival response for dangerous times. When we are in fight or flight mode hormones like adrenaline and cortisol are released; these speed up the heart rate, slow down digestion, and shift the blood flow to major muscle groups, giving the body a burst of energy and strength so we can react to the situation at hand. In the times of cavemen the threats were simple and straight forward - a wild animal or a member from an enemy tribe for example - these were very serious and dangerous threats requiring a quick reaction.

Nowadays we still have our fight or flight response; the dangerous situations have changed, but the biggest difference is that we now don’t always release that pent up stress.

Our bodies are built to deal with short times of heightened awareness and stress, it is a vital part of our survival, but the problem comes when we continue to keep our bodies in the heightened state, the stress state.

Our body/mind can’t differentiate between a real threat and a perceived threat. You can get the same chemical reactions just by thinking about a stressful situation, for example, a bill needing to be paid,  going over a situation you experienced – reliving it in your mind, or worrying about an upcoming situation; then when it happens it was so much better/easier than you thought, but all that energy you spent worrying about it has had a harmful effect on your body.

Our body tries to re balance but the hormones are still flying around; gradually they begin to have a permanent effect on our health, long-term health problems start to develop.

The wonderful thing is that you can control this; you can learn what your stressors are and how you can de-stress yourself. A hypnotherapy, CBT & NLP session can help you by working out a range of mechanisms with Erika which will equip you to deal with stress better for the rest of your life.


© EKTherapies

Monday, 23 April 2012

Can we Change our Perspective?



Can we change the way we look at things? Does it really make that big a difference? How come you can feel really low and then a good song comes on the radio and by the end of it you feel all uplifted with a spring in your step? Does what we say to ourselves really affect us that much?

“Whether you think you can or think you can’t you’re right.” Henry Ford

It can be hard to keep a sense of perspective in our lives. We are constantly bombarded with seemingly urgent things, like phone calls, texts, instant messages, emails, tweets etc. It can feel that we live each day in a constant rush against time with an endless list of things to do. We tend to focus on the negative, what we have to do, what we haven’t achieved, rather than focusing on the good in our life. Changing your perspective can be incredibly refreshing, it can help you see the good in life and calmly tackle any challenges that come your way.

“In the middle of difficulty lies opportunity.” Albert Einstein

It sounds almost too easy to be true but if we work with The power of The mind we really can change how we think and consequently how we feel. Hypnotherapy, CBT & NLP can help you to learn the tools to let go of the past or those niggling thoughts and enjoy life. Here are a few simple ways to change your perspective; give one a try today and see how you can feel calmer and more positive.

  • Open your eyes and see the world around you. It can be all too easy to focus inwards, and whilst it is good to look at yourself it is also important to notice the world around you.
  • Ask “Will it matter in five years?” Almost always the answer is that it won’t matter in a week let alone five years. Some moments are life changing but most of what we worry about, with hindsight or clear thinking, is really not worth any stress.
  • Write down how you are feeling. By putting pen to paper you help to clear your mind of all your thoughts and you can start seeing the situation more clearly, understanding where you need to focus your energy in order to change it.
  • Stop and take stock. It is good to strive for goals but it is also just as important to stop and breathe, to enjoy what you have created. When you go home tonight, look around you and smile, say thank you for what you do have in your life.
  • Go for a walk / break state. When you are feeling like everything is getting on top of you or your mind is wearing away, try going for a walk, break the state, change what you are doing. Walking helps you to de-stress and gives you a chance to clear your head and gain a clearer perspective.
  • Be in the moment. Whatever it is you are doing, whether it is housework or sending an email or even walking in the park, be in the moment. Enjoy that moment for what it is. Absorb the world you are in, look around and take it all in for this moment.
  • Ask “why” and keep asking. Next time you are struggling to get a perspective on something ask why you are doing it. Challenge your inner self for the answer. It may be that you are pushing for something that you don’t really want.
  • Have “downtime”. Think about how much time you really give yourself in a day to de-stress. Even if you find just ten minutes in the day give these to yourself to sit and breathe, maybe go for a walk whilst being in the moment, or read a book. Allow yourself this down time.

These are just a few simple suggestions, there are so many more ways that you can change your perspective and how you feel about the life you are living. Even though nothing has changed in your life, if you change your perspective then it can feel like you are living a new happy life.

© EKTherapies

Monday, 19 December 2011

Stress: Can We Look at it in a Different Way?


The more I work with clients the more I realise that so much of how we feel is down to our perspective. We can be sat in a room and nothing can change and yet we can make ourselves feel stressed as we allow our minds to worry about all the things we have to do. With Christmas round the corner a lot of people feel under an extreme amount of pressure and stress, but if we change the way we view things could we feel less stressed? Christmas is meant to be a time to spend with loved ones and have a few well-earned days off.

I came across this description of how to deal with stress and I thought it was worth sharing.

"A young lady confidently walked around the room, explaining stress management to an audience. She raised a glass of water, and everyone knew she was going to ask the ultimate question, 'half empty or half full?'. ...She fooled them all... "How heavy is this glass of water?" she enquired with a smile.
Answers called out ranged from 8 oz.to 20 oz.


She replied, "The absolute weight doesn't matter. It depends on how long I hold it. If I hold it for a minute, that's not a problem. If I hold it for an hour, I'll have an ache in my right arm. If I hold it for a day, you'll have to call an ambulance. In each case it's the same weight, but the longer I hold it, the heavier it becomes."

She continued, "And that's the way it is with stress. If we carry our burdens all the time, sooner or later, as the burden becomes increasingly heavy, we won't be able to carry on."

"As with the glass of water, you have to put it down for a while and rest before holding it again. When we're refreshed, we can carry on with the burden - holding stress longer and better each time practiced.
"So, as early in the evening as you can, put all your burdens down. Don't carry them through the evening and into the night. Pick them up tomorrow.

"Whatever burdens you're carrying now, put them down for a moment. Relax, pick them up later after you've rested. Life is short. Enjoy it, and conquer that stress!"

The power of the mind means that we can create stress from either a perceived threat or a real threat. If we never put down that glass of stress and allow our minds to be free to enjoy the moment we are in, we are never giving our body or mind the chance to unwind. The more we put down the glass of stress and allow our minds to unwind, the lighter the glass will become as it starts to empty, releasing the stress from the day.

It sounds so simple and it can be. I have worked with MDs of companies who seem to be carrying the world on their shoulders and no doubt have stressful jobs; even after one session they begin to see there is a different way, they can feel differently, they can feel calm and enjoy the success of their carriers. You can start helping yourself to manage your stress levels today - with a Hypnotherapy, CBT & NLP session with Erika, you can learn the tools to manage your stress and bring back the feeling of relaxation and happiness in your life. With 2011 nearly at a close it is time to enjoy the festive period and start to put into practice how you want to begin 2012. You don’t have to have a life full of stress and anxiety.

Wherever you are and whatever you are doing over the Christmas period, have a wonderful Christmas.

© EKTherapies

Monday, 28 November 2011

What is Fight or Flight Response?


Fight or flight is a natural healthy response within our body to a perceived threat or danger. Thousands of years ago we led very different lives, much more physically challenging and dangerous lives. We didn’t have sharp claws or teeth to protect us from the world around us, and we had to be able to react very quickly to threats around us. In those days there were two simple choices, we could either fight or we could run (flight).

The fight or flight response is one of the most important parts of our make-up and a highly efficient survival response for dangerous times. When we are in fight or flight mode hormones like adrenaline and cortisol are released; these speed up the heart rate, slow down digestion, and shift the blood flow to major muscle groups, giving the body a burst of energy and strength so we can react to the situation at hand. In the times of cavemen the threats were simple and straight forward - a wild animal or a member from an enemy tribe for example - these were very serious and dangerous threats requiring a quick reaction.

Nowadays we still have our fight or flight response; the dangerous situations have changed, but the biggest difference is that we now don’t always release that pent up stress.

Our bodies are built to deal with short times of heightened awareness and stress, it is a vital part of our survival, but the problem comes when we continue to keep our bodies in the heightened state, the stress state.

Our body/mind can’t differentiate between a real threat and a perceived threat. You can get the same chemical reactions just by thinking about a stressful situation, for example, a bill needing to be paid,  going over a situation you experienced – reliving it in your mind, or worrying about an upcoming situation; then when it happens it was so much better/easier than you thought, but all that energy you spent worrying about it has had a harmful effect on your body.

Our body tries to re balance but the hormones are still flying around; gradually they begin to have a permanent effect on our health, long-term health problems start to develop.

The wonderful thing is that you can control this; you can learn what your stressors are and how you can de-stress yourself. A hypnotherapy, CBT & NLP session can help you by working out a range of mechanisms with Erika which will equip you to deal with stress better for the rest of your life.

© EKTherapies

Monday, 10 October 2011

Stress is the Main Cause of Sickness Absence


According to The Chartered Institute of Personnel and Development (CIPD) stress is now the number one cause of sickness absence at work; it affects even more people then acute illnesses like cancer.

"Tougher workloads, having a“bad” boss and the fear of being made redundant are among the top factors piling the pressure on UK employees.

An increased strain on family life and relationships, largely due to money worries in the current economic climate, is adding to a “vicious circle” of workers’ woes,experts warned.

According to the survey by CIPD and Simplyhealth, two-fifths of employers said stress-related sick days had gone up over the past year.

Half of public sector organisations reported an increase in absence due to stress compared to just a third of manufacturers, with state employers blaming the volume of job cuts, pension changes and pay freezes.

Jill Miller, CIPD adviser,said: “Stress is for the first time the number one cause of long-term sickness absence, highlighting the heightened pressure many people feel under in the workplace as a result of the prolonged economic downturn. Stress is a particular challenge in the public sector where the sheer amount of major change and restructuring would appear to be the root cause.” ( Full article at The Telegraph http://www.telegraph.co.uk/finance/jobs/8806473/Stress-overtakes-cancer-as-main-cause-of-sickness-absence.html )

Stress is a word that has been around a long time and seems to be growing in potency as we hear threats of a double dip recession. The world has always been a stressful place, but with the growth of technology and less time spent with family, friends, nature and just enjoying “down time”, stress is growing and growing. One of the first questions I ask my clients is how much time do you spend de-stressing during the day? This is normally met with a little laugh and a blank expression. Society and ourselves are the best at putting stress into our lives but we can also work to eliminate the stress that we can control.

Hypnotherapy, CBT & NLP can help you to have the tools to manage your stress. You can learn what your stressors are and see if there is a different way that you could manage life and allow your body and mind some time to de-stress. We often say to ourselves we don’t have time for “down time”, but in the same breath if a friend or loved one rang you and needed 10 minutes of your time you would give it to them.

Make time for “downtime”. Understand your stressors and find time in the day for you, which will in the long run make you better at everything you do.

Monday, 19 September 2011

Public Speaking

For many of us the idea of public speaking brings us out in a cold sweat as butterflies start to race around our stomachs. But how come something that we do every day so easily like speaking all of a sudden becomes terrifying? Many of us would like to avoid public speaking entirely but this is not always possible. Making presentations, giving talks, a bestman's speech at a wedding, business meetings, the list of when we may have to confront our fears of public speaking is endless.

There are many reasons why public speaking starts to turn us to jelly. Here are just a few common reasons:

  • Self-consciousness – this could be because of accent, grammar, voice, image, the way we stand, how we perceive ourselves
  • Lack of confidence – often stems from a feeling that others are better speakers than ourselves or that they know more about the topic in question
  • Unfamiliar situation – unless public speaking is something you do regularly the formality of speaking to an audience can cause apprehension
  • Fear of looking foolish – we worry that we might forget what we want to say or stumble over words, even say the wrong thing
  • When you start to panic over public speaking your body goes into fight or flight mode, releasing adrenaline to help you cope with the situation
Public speaking is a perceived threat and although that perception feels all too real to those who suffer from it, the act of public speaking can do us no harm. Public speaking doesn’t have to be stressful, it can even be enjoyable. If you correctly understand the hidden causes of public speaking stress and if you learn a few tricks to calm your body and mind, it will soon become an invigorating and satisfying experience. Hypnotherapy, CBT & NLP can help you to conquer any public speaking anxieties you have by building up your confidence, helping you to remain relaxed and calm. You can learn your body’s unique reactions to stress and anxiety and develop a healthy and positive way of thinking and feeling. You wouldn’t walk into a meeting having not prepared what you want to say, in the same way you need to prepare both body and mind for how you are going to say it, so you walk into the room ready to speak clearly and confidently.

Imagine, instead of public speaking filling you with dread, you can learn to enjoy it, even to look forward to writing and giving a presentation. Take the first step today to conquering your public speaking fears, relaxing in the weeks leading up to it and even enjoying giving the speech as your new found confidence fills the room.

Monday, 12 September 2011

Can a Good Night’s Sleep Make us Look Younger and Slimmer?


We all know that sleep is a vital part of our bodies' health but can a lack of a good nights uninterrupted sleep have a bigger effect on our health then we realise?

This year's Mental Health Awareness Week focussed on sleep as being vital to our ability to stay mentally healthy. Up to one third of us may suffer from insomnia. This can affect mood, energy, concentration levels, our relationships and our ability to function during the day. Sleeping poorly increases the risk of having poor mental health.

“While energetic twenty-somethings might not show any ill-effects of repeated late nights, as we age insufficient rest has a dramatic effect on our looks, too.

Brad Pitt recently admitted that six children means virtually no sleep - and it’s clear from his exhausted appearance that he wasn’t joking. But the ever-glowing J-Lo (below) claims to get at least eight hours a night, which may explain why she appears ten years younger than her real age.

Dr Shahrad Taheri, a consultant endocrinologist at Birmingham Heartlands Hospital has done a series of studies looking at weight and sleep, and studying the metabolic rate. He says: ‘We discovered that people who sleep for significantly less than seven hours a night often end up being obese.’

It also seems that people who sleep for fewer than four hours a night are 73 per cent more likely to gain excess weight, while restricting sleep can lead to cravings for up to 900 extra calories a day.

Recent research discovered that sleep deprivation has a similar hormonal effect to the aging process and may even increase the likelihood of age-related diseases. Eve Van Cauter, the scientist who led the study, says: ‘We suspect sleep loss may not only hasten the onset, but could also increase the severity of ailments such as diabetes, hypertension, obesity and memory loss.’

Other studies have shown that sleep deprivation produces a stress reaction in the body, raising levels of cortisol, the stress hormone, and glucose, which can indicate a higher risk of heart disease and strokes. Interrupted sleep can also affect blood pressure (which usually falls during the night) and leave us vulnerable to colds and flu.

During deep sleep, new skin cells are produced. The reason so many of us feel and look ten years younger after a holiday is because, for once, we’ve had enough sleep.

‘One of the major functions of sleep is to allow the brain to repair itself,’ says professor Jim Horne, director of the Sleep Research Centre at Loughborough University.

‘During deep sleep, the cortex [the largest part of the brain, governing higher function such as thought and action] goes into recovery mode. Without that period of rest, you may wake up irritable, moody, forgetful and unable to focus on tasks.’ ” Click here for full article.

Hypnotherapy, CBT & NLP can help you to understand your stressors and find out why you are struggling to sleep. You will leave the sessions with the tools you need to have a good night’s sleep, waking up feeling refreshed and ready for the day. Our bodies and minds are amazing resourceful things that can put up with a lot of the pressure we put on them, but they need support from us to maintain their health, allowing us to feel full of energy, younger and fitter ready for what life has to offer us.

Monday, 22 August 2011

How Does Stress Affect Your Body?


Stress is a word that is commonly used today but how much do we really know about how it affects our body and our moods?

One simple description of stress is as a state when a person has insufficient resources to meet his or her demands.

  •  Too many demands + too few resources = stress, distress
  • Too few demands + too many resources = boredom, apathy
  • Demands match resources (or match resources at a stretch) = coping, interest
Each person deals with stress differently, depending on the resources available to them and the way they approach the situation. You can put two people in the same situation and they can produce different reactions. One may cope well with the situation where the other might struggle or even collapse emotionally.

A certain level of stress or challenging yourself is needed in life to keep you on your toes. Think how actors get butterflies before they go on stage, the adrenaline in their body begins to pump and they get the buzz for doing their job. This adrenaline helps to keep their performance fresh and exciting. Once the performance has finished the adrenaline levels go back to normal in their body as they relax after the show. This is a normal/healthy level of stress, keeping you driven and motivated to do the task at hand.

The effects on your body can be :
  • Pupils dilate
  • Mouth goes dry
  • Neck and should muscles tense
  • Heart pumps faster
  • Chest pains
  • Palpitations
  • Sweating
  • Leg and arm muscles tense for action
  • Breathing faster and shallow
  • Hyperventilation
It also has hidden effects too:  
  • Brain gets body ready for action
  • Adrenalin released for flight or flight
  • Blood pressure rises
  • Liver releases glucose to produce energy for muscles
  • Digestion slows or ceases completely
  • Sphincters closes or relaxes to empty bowls
  • Cortisol released, this depresses the immune system
These effects are all part of the fight or flight mode. They are helpful in daily life, helping us to be ready to deal with situations. Like when you’re in the car and you hear the screams of an ambulance siren warning you to get out of the way. You start to look for a way to move your car and you realize you are bumper to bumper. You enter the stress zone, inside your body the alert goes out. “Attention all parasympathetic forces, urgent! Adrenalin is beginning to pump through your body, the chemical cortisol has just been released mobilising all internal defences.
Your body is full of adrenaline ready to tackle any situation that comes your way, your senses are heightened, you're“running on adrenaline”. This is the stage that people get in when they perform “superhuman” acts of strength, like a mother lifting a car off of her child.

When the danger finally passes or the perceived threat is over, your brain starts a reverse course of action attempting to bring your body and mind back into balance. This is when you tend to feel your heart pumping and you feel "wow that was an adrenaline rush".

Our bodies are built to deal with this level of stress, it is a vital part of our survival.

The problem comes when we continue to keep our bodies in the heightened state, stress state. Our body/mind can’t differentiate between a real threat and a perceived threat. You can get the same chemical reactions just by thinking about a stressful situation, for example, a bill needing to be paid, going over a situation you experienced – reliving it in your mind or worrying about an upcoming situation; then when it happens it was so much better/easier than you thought, but all that energy you spent worrying about it has had a harmful effect on your body. Our body tries to rebalance but the hormones are still flying around, gradually they begin to have a permanent effect on our health, long term health problems start to develop.

The wonderful thing to read is that you can control this; you can learn what your stressors are and how you can de-stress yourself.  A hypnotherapy, CBT & NLP session can help you by working out a range of mechanisms with Erika which will equip you to deal with stress better for the rest of your life.

Here are a few ways you can start to do this:

  • Write down your personal strengths and support network· Things you are good at and people respect you for; your areas of good experience, etc
  • Family, friends, networks; powerful contacts; resources you can draw on – assets, your standing etc
  • Next, list your personal weaknesses and limitations in your life· Areas where you’re aware that you are not strong, or things that people fairly criticise you for;
  • Lack of resources – where others at your level have access to these resources, or where the absence of resources impacts on your situation
  • Bad situations – where you experience problems with your job or relationships, or where you have a poor living or working environment

Then brainstorm the opportunities available to you:

  • Work through strengths you’ve identified. Ask yourself how you can draw on them to manage stress
  • Work through the weaknesses you’ve identified. These are opportunities for positive change and for development of new skills

Finally, consider real-world practical opportunities open to you if you took advantage of those opportunities, to improve your stress management

  • Look at managing your time and your expectations for the day - are they realistic?
  • For threats, consider consequences of leaving your weaknesses uncovered· Consider damage to relationships, career and happiness that would come from failing to manage stress
  • Use this consideration of the downside as a spur to ensure that you take stress management seriously

These are just a few things you can start doing today. To find out more about how you can manage your stress levels further, finding time in your day and coping mechanisms that you never knew you had, contact Erika and find out how Hypnotherapy, CBT and NLP can help you to take the steps to a more relaxed happy you.

© EKTherapies