Category Archives for Stress

Boosting Immunity for “Back to School”

“An ounce of prevention is worth a pound of cure” – Benjamin Franklin

Whether you have children in school, homeschooling, or you’re kid free, it’s that time of year where the back to school germs flying around can affect us all. Grocery stores, libraries, and other public places all have the potential to spread germs. As we move into fall and temperatures drop with less sunlight exposure, our bodies could use a little immune boost.

While most public places take measures to reduce the spread of illness, with sanitization and public hand sanitizers, the best defense against germs is a strong immune system. Its common for colds and flus during winter months and we may not be able to prevent all illness, but a little preventative measures can go a long way. Diet, exercise, and adequate sleep all support strong immunity. boostingimmunity

First and foremost, a healthy diet is essential to boosting immunity. Highly processed foods, dyes, artificial sweeteners, and chemical preservatives are all things to steer clear of. Quick and easy may be convenient, but its best to avoid these things to prevent sickness. A balanced diet with whole foods will provide nutrients the body needs to fight off infection and function at its best. boostingimmunity

Unhealthy foods can cause inflammation in the body, making it harder to fight infection. Here are some foods to support a healthy body and mind:

  • Colorful fruits and vegetables
  • Organic leafy greens
  • Nuts and seeds
  • Wild-caught fish
  • Organic eggs
  • Grass-fed beef/organic poultry

Essential oils are an excellent option to boost immunity, promote restful sleep, and help calm the mind. Therapeutic grade oils provide the best results. Lavender and chamomile can be used to support a good nights rest. Sleep is essential for immunity and overall wellness. Here are essential oils to keep on hand during cold and flu season:

  • Eucalyptus – eucalyptus is an uplifting oil that promotes mental clarity and support the respiratory system.
  • Lavender – lavender promotes restful sleep and has been shown to reduce depression and anxiety
  • Peppermint – peppermint is excellent for mental clarity and opening up the airways. Its great to have on hand for sinus congestion and colds.
  • Lemon – lemon oil helps supports immunity, and promotes nutrient absorption.
  • Thieves – thieves is a blend of clove, cinnamon, lemon, eucalyptus, and rosemary from Young Living Essentail Oils. It can be rubbed on the bottoms of feet to boost immunity and diffused into the air to reduce airborne germs.

If you’re interested in support with meal planning or would like a customized oil blend to boost immunity and support your overall wellness, contact us today for your personal blend!

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

Laura Stewart Makin Wellness Nutrition Pittsburgh

Laura Stewart B.A., CHN

Mental Health and Nutrition

 

“I haven’t had an anxiety attack in months. I’m completely off my antidepressants, which I 100 percent attribute to diet and lifestyle changes.” – Jane Green

We love hearing stories like these, where behavior changes are made to improve diet and lifestyle and positive results are clearly seen. While everyone is different and there is no one size fits all approach, research has shown the many benefits of diet and lifestyle changes for mental health. mental health

Fueling the body with nutrient dense foods supports enzyme function and serotonin levels (the happy hormone). Reduction of sugar intake improves mood and energy, while an abundance of sugar has been found to decrease a protein called brain-derived neurotrophic factor (BDNF), which is connected to anxiety and depression. Consider one study showing the benefits of reducing sugar intake.

In 2017 a study showed those who ate 67 or more grams of sugar (17 teaspoons) had more anxiety and depression. Those who had less than 40 grams of sugar (10 teaspoons) exhibited less anxiety and depression. Reducing sugar in the diet can be difficult at first with symptoms of headaches, feeling tired, and flu-like symptoms. It’s the body’s way of detoxing.

Nutritional counseling can be a great addition to traditional therapy such as cognitive behavioral therapy. Diet and lifestyle is an important part of self-care and self-love, which is key in cognitive behavioral therapy (CBT). We are all worthy of self-care and incorporating tasty, nutritious foods is a great self-care habit to form.

Increasing healthy habits and reducing unhealthy ones can seem difficult at first, and does take a bit of discipline and behavior change. If you are interested in professional support in making positive changes to support your mental wellness, contact us today for a free consultation! mental health

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

Anxiety & Medical Marijuana

“Our anxiety does not come from thinking about the future, but from wanting to control it.” – Kahlil Gibran

As human beings, it is natural to feel anxious when leaving our comfort zones. Pushing through our anxiety though, is what helps us to grow as individuals. Finding effective tools to manage anxiety, including preventative measures, is key to reaching our full potentials. When worry seems to take over day to day living, this may be a sign of an anxiety disorder. Read more about anxiety disorders here. While prescriptions medications are often used to treat anxiety disorders, they do not come without side effects. Holistic therapy and other natural treatment options are a safe alternative to prescription medications. anxiety

Health secretary Rachel Levine approved Turetts and anxiety as qualifying conditions for medical marijuana as of July 20th. Included anxiety conditions are generalized anxiety disorder, post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD), separation anxiety, social anxiety, agoraphobia, and other phobias.

Medical marijuana is not recommended to treat children, adolescents, or pregnant women with anxiety disorders due to brain and fetus development. Long-term overuse of medical marijuana can cause issues with cognition and memory loss, and the risk of psychological dependency. For best results, it is recommended to incorporate traditional or alternative therapies, and lifestyle changes during medical marijuana treatment. anxiety

Research has shown positive results with medical marijuana being used to decrease and manage anxiety, since the body’s endocannabinoid system appears to play an important role in response to stress and anxiety.

A study conducted by Washington State University showed a decrease in stress, anxiety, and depression with the use of medical marijuana. Both men and women reported a decrease in all three symptoms. Women reported higher reduction in anxiety.

According to the Alcohol and Drug Abuse Institute, THC, the main active ingredient of cannabis, “appears to decrease anxiety at lower doses an increase anxiety at higher doses.” Individual responses differ and there are a variety of factors to take into consideration when treating anxiety with medical marijuana. THC in combination with CBD oil can enhance benefits and reduce unwanted effects, including psychoactive affects of THC. The best approach is to start at a low dose, and monitor your bodies response. anxiety

Talking with your physician and a trained therapist can provide the needed support when deciding the right treatment for you. Makin Wellness is happy in supporting you through a natural, holistic approach to wellness, including cognitive behavioral therapy, nutritional counseling, aromatherapy, and other natural treatment options. Contact us today for a free 15-minute consultation!

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

 

Summer Wellness ~ Walking into Wellness

“All truly great thoughts are conceived by walking.” – Friedrich Nietzsche walking

Imagine yourself stepping outside and literally walking into wellness, with a clear mind, less stress, and an overall feeling of well-being. Fresh air and nature provides a calming effect, while daily walking has shown to be a safe, gentle exercise to lose weight, clear the mind, among many other physical and mental benefits.

If the gym is not your thing, don’t despair. Consistent walking in combination with healthy eating has shown to be highly effective for weight loss, and lower risk for things like heart disease and Type 2 diabetes. Walking 30 minutes per day 5 times a week has shown to lower cardiovascular disease due to improved blood circulation. And the American Diabetes Association noted the benefits of walking to lower blood sugar levels, and lower risk for diabetes. walking

Mental benefits of walking include reduced anxiety and depression. Walking provides increased blood flow to the brain, helping the brains nerve cells to grow and work more efficiently. With improved mood and a calming effect to the nerves, this provides improved functioning of various body systems. A brisk walk produces some amount of sweat, releasing cortisol (the stress hormone). As stress is reduced, mental clarity and creativity is enhanced. Memory and concentration is also improved.

Physical benefits of walking include lower blood pressure, improved digestion, reduced joint pain and inflammation, and improved blood circulation. You can also lose weight by walking farther, faster, and more frequently. Interval walking has shown to be highly effective for weight loss. For example, walking for 15 minutes, and then increasing your speed for 2 m

inutes, helps raise the heartbeat and burn calories.

If you find yourself feeling overwhelmed, try taking a short daily walk. Find a walking partner to help boost your mood and motivation. Learn more about walking for better health here!

Makin Wellness is happy to provide a personalized wellness plan including meal planning, a walking program, aromatherapy, and other natural techniques for overall wellness. Contact us today for your free 15-minute consultation!

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

 

Summer Wellness ~ Digital Detoxing

Technology may easily become addictive for young and old alike. Social media, games, texting, email, and endless apps to choose from can have you plugged in morning til’ night. Devices connect us to friends and family and can be quite entertaining, but we want to be sure we’re in control of our engagement, or it could end up controlling the majority of our time. If you feel your devices are taking over, a little digital detoxing may be in order. digital detoxing

A few studies have linked overuse of electronics to insomnia and poor sleep quality, since blue light supresses melatonin, which is a hormone produced by the body to promote sound sleep. Theres also evidence that children overly connected to devices are becoming less empathetic. b Lack of engagement in real life situations results in impatience, due to having instant gratification with the touch of a finger. Face to face conversation offers an exchange that can’t be replicated through technology.

Summer is the perfect opportunity to practice digital detoxing. Spending less time on devices helps reduce stress, promoting a more mindful approach by giving time and attention, and being present with those around you. A few simple ways to do this are – turning off notifications, keeping devices away from the dinner table (otherwise known as phone stacking), setting a timer when using your devices, and keeping devices turned off or out of the bedroom to ensure to optimize sleep. 

One study observed people who went on a digital detox. The observations made by neuroscientists, psychologists, and philosophers were quite encouraging. Participants had improved eye contact, and better posture, opening up their energy and engagement. Who doesn’t want positive energy?! Improved memory was also shown after being without electronic devices, since they could be more present and better able to store and process information. Another observation was participants had new perspective on life. Instead of wasting time on devices and using them as a crutch, they were able to think freely and evaluate their own life without distraction.

Why not try a digital detox this summer? It’s the perfect time of year to get outdoors and enjoy the warm weather, while spending time being present with friends and family. Perhaps you may find yourself happier, finding new perspective, and connecting with others face to face! digital detoxing

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

Laura Stewart, B.A., CHN

10 Summer Essential Oils to Work into Your Summer Routine

There are a variety of benefits and ways to use essential oils to support summer wellness. Calming the mind, cooling the body, and soothing the skin after long hours in the sun, are just a few ways essential oils can be used to support the mind and body. summer

Therapeutic grade oils provide the best benefit and can be used in the form of diffusing, inhaling, or applying topically. The skin is our biggest organ, therefore applying topically can have a vast range of benefits internally. Citrus oils, like lemon, need to be used sparingly in summer since they are photosensitive – meaning they can lead to sun damage when applied topically.

Inhaling and diffusing essential oils helps to purify the air, providing healing effects to the mind and body. Oils like eucalyptus can be diffused into the air to support lung health.

Here are 10 essential oils you can easily work into your summer routine: summer

Lemon

Lemon citrus oils are loaded with antioxidants, can be used as a antiseptic, antidepressant, and diuretic. Lemon oil can also be used to reduce cellulite when diluted with a carrier oil.

Grapefruit

Grapefruit helps to balance mood, heal wounds, relieve water retention, and support liver function. Adding a few drops of therapeutic grade oil like Young Living Essential Oils, to your water can provide various benefits to the mind and body.

Lavender

Lavender can be used as an anti-anxiety, sleep aid, and antibacterial for wounds and burns. It can be used topically for bee stings, insect bites, dry skin, and eczema.

Patchouli

Patchouli can be used to boost mood and confidence and to support dry or cracked skin. One drop is all that’s needed with this highly concentrated oil.

Peppermint

Applying peppermint oil can provide sinus support, reduce fevers, and provide a cooling effect after a workout or long hours in the heat.

Geranium

This oil helps to release toxins through sweat ducts, helps support the liver, and reduces cellulite. It also helps balance female hormones, and reduces menstrual pain.

Frankincense

Frankincense is known as the king of oils, creating a grounding effect, and providing support for skin and immunity. Using this oil with lavender can support the skin after spending a lot of time in the sun.

Tea tree

Tea tree can be used as a bug repellent. It can also be used as an antiseptic, and to provide relief after a bee sting.

Palmarosa

Palmarosa gives a cooling effect, is antibacterial, anti-inflammatory, and has cellular regenerative properties. It can be used with peppermint to cool down or patchouli to reduce redness.

Cypress

Cypress is anti-inflammatory, supports digestion, sinus congestion, and provides relief for sore muscles. If you live an active lifestyle, cypress is one oil to keep on hand!

Makin Wellness uses therapeutic grade essential oils to provide support for overall wellness, offering custom made essential oil blends. Contact us today to purchase essential oils to support your wellness and feel your best this summer! summer

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

 

Overcoming Oxidative Stress

Given the amount of psychological and physiological stress to which many of us are exposed, it’s no shock that dis-ease runs so rampant in our population. What is often puzzling, however, is from where exactly these conditions emerge and what we can do to combat them without combing every part of our lifestyle and environment. One process that can explain both is oxidative stress, the imbalance between free radicals and antioxidants. Since it is dependent on these two forces, it has the potential to be both degenerative and restorative. Understanding of this process provides insight both into the danger of excessive free radicals in the body as well as to the healing powers of antioxidants. oxidative stress

 

Oxidative stress refers to the overabundance of free radicals, unchecked by antioxidant levels. The danger of this imbalance is that free radicals are highly reactive molecules. Because they have an unpaired valence electron, they travel the body searching for an electron with which to pair. However, they often achieve this stability by pairing with an element in an already stable compound, leaving that compound as a free radical itself. This process is called oxidation – free radicals oxidize compounds in the body. It is the same process by which metal rusts and becomes brittle and by which fruit browns and loses nutritional value.

 

Free radicals are produced naturally by the body through functions like breathing and digestion and even serve a constructive role when in balance, acting as a part of the immune system. However, they are also produced by exposure to radiation, pollutants, medications & antibiotics, overtraining, emotional & physical stress, and dietary factors (like oxidized fats, processed sugar, pesticides, herbicides, and additives). When unchecked, free radicals will damage DNA, cell membranes, lipids, and enzymes. By this process, oxidative stress leads to an array of diseases such as diabetes, atherosclerosis, inflammation, high blood pressure, heart disease, neurodegenerative disease, cancer, and aging.

 

The hero of the story is the antioxidant. Antioxidants donate electrons to free radicals, stabilizing them and terminating this otherwise lengthy and exhausting process. Some antioxidants are produced by the body, but there is a large dietary burden to consume plants that produce antioxidants of their own. Of highest importance are vitamins A, C, and E, as well as beta-carotene, selenium, zinc, and more. These are plentiful in the following sources, some combination of which is absolutely necessary for human vitality:

  • berries
  • grapes & red wine
  • citrus fruits
  • dark leafy greens
  • broccoli, carrots, tomatoes, and all brightly colored fruits and vegetables
  • olives
  • fish (primarily cold-water fatty fish) and nuts
  • green and white tea
  • cocoa
  • ginger, turmeric, cinnamon, oregano, rosemary
  • onion, garlic

 

For those of you that feel constant fatigue and poor recovery, it may be as simple as this: you may not have enough warriors fighting for you! Nourish these antioxidant warriors with lifestyle choices like eating high-antioxidant foods, exercising (without overdoing it), watching out for exposure to harmful chemicals (and, if you can’t, following a protocol like the heavy metal detox), and getting plenty of sleep. So treat yourself to some red wine, chocolate, and a summer nap and listen to the balance it brings.

 

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

 

Alex Brooks, Psychology Intern

Makin Wellness

Summer 2019 Wellness Trends

Summer is a season full of energy, abundant activity, and of course, increased heat! In reaction to heat, the body may sweat to maintain normal body temperature. Staying hydrated and protecting yourself from too much sun exposure is necessary in preventing irritability, sunburn, or more serious conditions like heat exhaustion. summer

Whole foods like cucumber, celery, and pineapple help keep the body hydrated with their natural water content. Summer foods such as watermelon, tomatoes, bell peppers, and papaya help to naturally protect the skin from UV-rays. Celery juice is the latest trend to stay hydrated, improve liver function, reduce free radicals, and increase energy!

Nourishing the gut with a proper balance of protein, fiber, and carbohydrates is vital to immune health, weight, and disease prevention. Improving gut health is still a trend in 2019, and rightfully so. Gut health is essential to balancing hormones in charge of mood, hunger, sleep, and stress. Simple ways to boost gut health include cutting back on highly processed foods, eating nutrient dense whole foods, and prioritizing stress reducing techniques.

Eliminating inflammatory foods like gluten and dairy has also been a large trend in 2019. This comes as no surprise with inflammation being the root cause of many chronic conditions. Incorporating anti-inflammatory foods can help to reduce inflammation and reduce risk of disease. Popular foods like fresh ginger, turmeric, walnuts, spinach, and kale all help to reduce inflammation. Staying hydrated, reducing stress, and regular physical activity are others important ways to reduce symptoms of inflammation.

Camel milk is another wellness trend with its ability to improve cholesterol, lower blood sugar, and decrease insulin resistance. Camel’s milk has shown to be beneficial in reducing free-radicals and works as an anti-inflammatory.

IV drops are also gaining popularity in wellness routines. Nutrients are better absorbed as they’re delivered intravenously since they bypass the body’s digestive system. IV infusions aid in boosting immunity, improving digestion, muscle recovery, and enhancing your skin’s glow. Vitamins, minerals, and amino acids can quickly get into the bloodstream through IV at increased levels. This on-the-go treatment has been used by functional MD pioneer Frank Lipman for nearly 20 years, and is becoming more popular as a quick fix.

Being mindful our bodies needs is essential to wellness. No one else can tell you how you’re feeling. Being in tune with your body and listening to your intuition will help you to be more aware of your bodies unique needs. Mindful, or intuitive eating is simple eating when you’re hungry, and stopping when you’re full. This ensures you’re getting what you need, and avoids emotional eating. Mindful practices help promote sustainable wellness and longevity.

Summertime is the perfect season to detox and incorporate other natural approaches to wellness, helping your body function at its best. To receive support with a holistic approach to reach your summer wellness goals, contact us today at Makin Wellness to speak with our Holistic Nutritionist and receive a free consultation! summer

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assisted treatment and relationship counseling.

Laura Stewart, B.A., CHN

Holistic Treatment for “Summertime Blues”

“Keep your eyes lifted high upon the sun–and you’ll see the best light in everyone.” – Tess Guinery

Summertime is full of outdoor activities, spending time with friends, cookouts, and more. Planning a weekend getaway or other summer events may be on your bucket list. While many find this season to be an exciting time of year, others may find themselves dreading the change of pace. Large crowds, extra socialization, and pressure to have that “summer body” may leave some feeling discouraged with unmet expectations of how things “should be.”

Seasonal Affective Disorder (SAD) is common in the fall and winter months, but may also present itself in summer months. Anxiety about events in large crowds, or depression over unmet expectations may result from increase in activity during the summer. Medication is often prescribed for depression and anxiety, yet natural, holistic treatment options are also available! holistic treatment

Focus on Your Diet

Low levels of serotonin can increase the chance of developing depression. While antidepressants may normalize serotonin levels, simple diet change can help to increase serotonin levels. Avoiding excess caffeine and sugar is essential. Eating foods with protein, healthy fats, fiber, and greens work to improve mood, energy, and overall wellness.

Soak up the SUN!

Spending 15-30 minutes in the sun each day is the best way to get vitamin D, helping to boost mood and immunity. Remind yourself that it is good for your health if you find yourself struggling to get motivated. Grab an all natural sunscreen, sunhat, and spend a little time outdoors each day. Doctors are even treating depressed patients with a light box, or good ol’ natural sunlight.

Get Moving

Taking time to stretch in the morning is a great way to start your day. Deep breathing while stretching has shown to reduce anxiety, anger, and depression. Exercise releases endorphines, also known as “feel-good chemicals” which act as a natural antidepressant.

If you are interested in support with holistic treatment options, Makin Wellness offers a natural, holistic approach incorporating individualized, customizable therapy, nutritional counseling, aromatherapy and other holistic treatment options. Contact us today for a free consultation and start your wellness journey today! holistic treatment

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assited treatment and relationship counseling.

Communication & Positive Mindset

“The art of communication is the language of leadership.” – James Humes

A positive mindset is beneficial for daily living, both at home and in the workplace. Positive mindset is more likely to bring positive outcomes, improve mental health, and overall wellness.

Communicating with a positive mindset fosters healthier relationships, builds stronger bonds, and provides greater success in the workplace and beyond. Good communication skills may come more natural to some, yet is more challenging for others. With a little time and practice, positive communication skills can be learned!positive mindset

How can positive communication be built?

Disconnection between intent of the speaker and reception of the listener may cause miscommunication and misunderstanding, leaving both parties feeling frustrated and unheard. How can we bridge the gap? Consider these simple tips for positive communication:

  • Listen & Give Mindful Responses – Listening carefully with an open mind will help you understand more clearly what the other person is trying to convey, allowing you to give a more mindful response. Asking well thought out questions shows concern for the other person, while avoiding misunderstandings.
  • Be Mindful of Your Body Language – Nonverbal cues are often noticed before any words are said. Being mindful of posture and facial expressions will help convey your message in the way you desire.
  • Offer Positive, Alternative Solutions – Use positive language, offering helpful solutions. Instead of saying, “This can’t get done without ABC..” say something like “If we can get ABC done, then….”
  • Provide Active/Constructive Responses – Instead of saying “That sounds complicated, are you sure that’s going to work?”…..say something like, “That’s interesting. How do you perceive the outcome of that situation?” – Showing interest in the other persons point of view, without being too forceful, helps both parties think more clearly and arrive at various alternative solutions.

Communication is an art that may take time and practice. It is well worth the effort though, enabling stronger bonds to be built. Good communication creates a more peaceful environment both at home and in the workplace. By communicating with a positive mindset, tasks can get done more efficiently, reducing miscommunications and misunderstandings.

positive mindset
If you would like support in being a more positive, mindful communicator, call now to receive a free 15 minute consultation!

About Makin Wellness

Founded in 2017 , Makin Wellness is Pittsburgh’s premier therapy & coaching centers located in Downtown Pittsburgh and Downtown New Kensington. The company’s mission is to help people heal and become happy again.  Makin Wellness specializes in depression, anxiety, addiction, trauma, medical marijuana assited treatment and relationship counseling.

 

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