Three Techniques of Neurolinguistic Programming in Therapy of Anxious Sexual Failure Expectation Syndrome

Review Article | DOI: https://doi.org/10.31579/2637-8892/349

Three Techniques of Neurolinguistic Programming in Therapy of Anxious Sexual Failure Expectation Syndrome

  • Garnik S. Kocharyan

Educational and Scientific Institute of Postgraduate Education of Kharkiv National Medical University, Ukraine.

*Corresponding Author: Garnik S. Kocharyan, Educational and Scientific Institute of Postgraduate Education of Kharkiv National Medical University, Ukraine.

Citation: Garnik S. Kocharyan, (2025), Three Techniques of Neurolinguistic Programming in Therapy of Anxious Sexual Failure Expectation Syndrome, Psychology and Mental Health Care, 9(8): DOI:10.31579/2637-8892/349

Copyright: © 2025, Garnik S. Kocharyan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 01 November 2025 | Accepted: 14 November 2025 | Published: 20 November 2025

Keywords: anxious sexual failure expectation syndrome; neurolinguistic programming; “technique of correction of behavioural programmes”; “compulsion blowout technique”; “swish technique”.

Abstract

Anxious sexual failure expectation syndrome (ASFES) is one of the most frequently diagnosed and universal sexopathological syndromes in males, who seek sexological advice. It was examined in detail in the second half of 1980s – beginning of 1990s. The western literature names ASFES “fear of sexual failure”; it is also termed as “performance anxiety”. ASFES belongs to codes F40.1 and F42 in ICD-10, and to codes 6B04 and 6B20 in ICD-11. Anxiety / fear of inability to perform a sexual intercourse or of an impairment in the ability for its proper performance are essentials of this syndrome. These are maximally expressed in the situation of intimacy that, as a rule, results in an impairment of sexual functions because of their disautomatization. ASFES can exist in two kinds: in the form of an anxious apprehension of sexual failure, characterized by compulsive thoughts about a possible sexual failure and hypercontrol of penile tension (if the apprehension concerns anticipated erectile disorders), as well as in the form of fear of sexual failure, characterized by a more expressed representativeness of the emotional component and accompanied with considerable autonomic disorders. A high frequency of ASFES and its universal character have resulted in development of different psychotherapeutic techniques for patients with the above pathology as well as in adaptation and use of already available methods for elimination of ASFES. This article presents 3 techniques of neurolinguistic programming (NLP) used by the author for therapy of ASFES. The first technique, which displayed its high effectiveness, was developed by us and called the “technique of correction of behavioural programmes” (TCBP). Its benefits should include: 1) rapid therapeutic effect; 2) short duration of a session (the procedure takes from 5 to 10 minutes, and its therapeutic component proper lasting 3-5 minutes); 3) absence of necessity to create any special conditions (for example, sensory deprivation); 4) possibility to assess severity of the patient’s state and prognosticate effectiveness of the used psychotherapeutic interventions; 5) absence of any complications. Its execution involves, in particular, using of the method of anchor (anchoring), which is basic for a number of NLP techniques. TCBP is realized by two stages. The goal of the first stage is to diagnose stability of pathological programmes and reveal the ability to rehabilitate or form normal behavioural sexual stereotypes (generally, it is referred to the precoital period and the coitus itself). Simultaneously, work is done for destruction of the old stereotype and rehabilitation or formation of the new one. At the second stage we assess intensity of the positive changes, which result from performance of the procedure, thereby making it possible to prognosticate the time of appearance of therapeutic results. The article describes the procedure technique in detail. The “compulsion blowout” technique (CBT) (also known in literature as the “obsession explosion” method), approbated and adapted by us, has proved to be good in ASFES cases difficult for treatment. This is an example of the threshold technique (a balloon cannot be filled with air infinitely, because finally it will blow out; a wire cannot be bent and unbent infinitely, because it will break). Such an elimination of ASFES may result from expressed amplification of the inner voice during modelling of the prelude, this voice reflecting anxiety / fear of a possible failure. The article describes on specific examples our use of two variants of CBT: “multiple ratchet method” and “one-time enhancement of submodality” (in this case, audio) that proved to be rather effective. The therapy of psychogenic sexual disorders can also employ the “swish technique”, which is characterized as very fruitful and producing a powerful effect. We have modified this technique and used it, in particular, for therapy of ASFES in men. The idea consists in the fact that by way of a certain technology the initial picture on the screen of a male, who is not confident about his sexual abilities, is finally replaced (“swished”) with the picture of the same male, who is entirely confident in his potency. This technique is described in detail. Summing up, it should be emphasized that the use of the three above mentioned psychotherapeutic techniques significantly increases effectiveness of treatment of patients with ASFES.

Introduction

Anxious sexual failure expectation syndrome (ASFES) is one of the most frequently diagnosed and universal sexopathological syndromes in males, who seek sexological advice. It was examined in detail in the second half of 1980s – beginning of 1990s [1; 2]. ASFES is known in the western literature as “fear of sexual failure”. This is also termed as “performance anxiety”. ASFES belongs to codes F40.1 and F42 in ICD-10, and to codes 6B04 and 6B20 in ICD-11. Anxiety / fear of inability to perform a sexual intercourse or of an impairment in the ability for its proper performance are essentials of this syndrome. These are maximally expressed in the situation of intimacy that, as a rule, results in an impairment of sexual functions because of their disautomatization. ASFES can exist in two kinds: in the form of an anxious apprehension of sexual failure, characterized by compulsive thoughts about a possible sexual failure and hypercontrol of penile tension (if the apprehension concerns anticipated erection disorders), as well as in the form of fear of sexual failure, characterized by a more expressed representation of the emotional component of obsession and accompanied with severe autonomic disorders, which have been described by us [3]. A high frequency of ASFES and its universal character have resulted in development of different psychotherapeutic techniques for patients with the above pathology as well as in adaptation and use of already available methods and techniques for elimination of ASFES [4].

Technique of correction of behavioural programmes

We [1; 2; 5] developed a highly effective method of treatment, which should be referred to neurolinguistic programming (NLP). This was called the “technique of correction of behavioural programmes” (TCBP) and was used mainly in males with ASFES. Its benefits should include: 1) rapid therapeutic effect; 2) short duration of a session (the procedure takes from 5 to 10 minutes, and its therapeutic component proper lasting 3-5 minutes); 3) absence of necessity to create any special conditions (for example, sensory deprivation); 4) possibility to assess severity of the patient’s state and prognosticate effectiveness of the used psychotherapeutic interventions; 5) absence of any complications. In order to understand the effect of this method we should note that its performance uses the method of anchor, which is basic for a number of NLP techniques. The anchor is a certain stimulus (kinesthetic, audio, visual, etc.), which in the process of psychotherapy is associated with a certain emotional experience. After it has happened the stimulus itself can cause emotional experience linked to it. So, for example, if we ask the patient to recall some emotional experience and the feelings, which are associated with it and appear in a psycho-traumatic situation, while we simultaneously touch his right upper arm, later only one such touching will be able to evoke the above emotional experience and these feelings. This fact to the same extent concerns an effect of touching the left upper arm that before was associated with the feeling of self-confidence, which developed in certain conditions, the latter being reproduced with help of imagination. The process of using of a stimulus is called “anchoring”. Alongside with touching a certain part of body (application of a kinesthetic anchor) the following things can serve as the above stimulus: a certain phrase, a change in the tone or volume of voice, some visual stimulus (for example, an expression of someone’s face, with whom the person communicates), smell, etc. TCBP is realized by two stages. The goal of the first stage is to diagnose stability of pathological programmes and reveal the ability to rehabilitate or form normal behavioural sexual stereotypes (generally, it is referred to the precoital period and the coitus itself). Simultaneously, work is done for destruction of the old stereotype and rehabilitation or formation of the new one. At the second stage we assess intensity of the positive changes, which result from performance of the procedure, thereby making it possible to prognosticate the time of appearance of therapeutic results. The technology of procedure (both at the first and second stages the patient and the therapist sit or stand opposite each other) is as follows.

Stage one. The physician grasps with his left hand the wrist on the patient’s right hand and asks him to imagine an unsuccessful intercourse as clearly as possible. After visualization a suggestion is made that now the image of an unsuccessful intercourse will lose its brightness, later begin to twinkle, and at last disappear completely. At the same time the physician asks the patient not to be passive, but to try retaining the above image to the best of his abilities. Simultaneously it is suggested that the more the patient tries to retain it the less he will succeed, because his organism (memory, psyche, nervous system) does not need this pathological programme and the organism will be getting rid of it. Therefore, the physician concludes, the image of a low-quality or unsuccessful intercourse will be completely erased. Such an order of expected changes in the image (lower brightness → twinkling → disappearance) is supposed on the basis that it is this order which most frequently occurs during performance of the above actions. It should be emphasized that in order not to lose the patient’s confidence if the suggestion is not realized, that happens rarely, or is partial we recommend including words such as “…and it may also happen that…” in the suggestion formula. After that we name desirable changes. It is reasonable to follow this principle of construction of suggestions during the whole therapeutic session. When pronouncing the suggestion it is necessary to put the semantic emphasis just on the words following the above introductory phrase. As a rule, the above described suggestions results in the changes, which were promised for the patient, but he tried to resist them retaining the image of a low-quality or even unsuccessful intercourse. Only very seldom the final result consists in twinkling of the faded image or its dullness. After successful elimination of the image we instruct the patient how to recover it.  The patient tries to reproduce the erased image three times. Before each of such attempts we make a suggestion that the more persistently he tries to do it the less he will succeed, and it may happen that the image will never appear at all, since the pathological programme is not necessary for his organism. Usually it does occur in reality. Less often the image appears in a significantly duller kind or twinkling of this faded representation is observed. Very rare cases demonstrate complete recovery of its brightness. Then the physician grasps with his right hand the wrist on the patient’s left arm and asks him to imagine his last coitus with a woman that had the normal course. Here it may concern coitus both with his present female partner and with another one, if he has never had a full-value intercourse with his present female partner. If brightness of the image, which has appeared, is not sufficient it should be suggestively amplified. We make the same thing in case of an insufficient brightness of visual reproduction of a low-quality or unsuccessful intercourse in the initial period of the first stage. As soon as the patient achieves a good brightness of visual presentation the following suggestions are made. We note that now he will try to get rid of this image, and the more he works for it the less he will succeed, because his organism (memory, psyche, nervous system) needs the normal (“healthy”) programme. It is suggested that the image will be persistent, firm and it may happen that despite the patient’s efforts this image will not disappear. An attempt to eliminate the image is made three times. As a rule, in reality the image does not disappear, its brightness either remaining like before or, in rarer cases, slightly decreasing.  If full sexual intercourse was observed only with previous partners, and none with the current one, before attempting to eliminate the image, one should imaginatively replace the previous partner with a current one with whom normal sexual intercourse has never occurred. It is advisable to precede the elimination of this new image with several sessions to strengthen the new program ("... the program, like a tree, takes deep roots, strengthens, and becomes robust," etc.). This type of psychotherapy is technically somewhat more difficult than the previous one and requires a greater number of treatment sessions. Even more difficult are the cases, when the patient has never made any full-value coitus during his life or, even more, his sexual practice has only real or even imagined attempts. In these cases we ask the patient to construct a visual image of the full-value intercourse with the woman whom he dates. Like in the previous option, it is not reasonable to commit to elimination of coitus with the normal course at once. This fragile programme, which is in the process of formation, should be first strengthened suggestively during several sessions, and only after that we should try to eliminate the image. The first stage of work in each of the above options finishes with suggestion that on the threshold of and during intimacy the patient will be absolutely calm and and confident in himself. Subsequent suggestions are aimed at programming of coitus with the normal course. We suggest the patient that his intercourses will proceed in the same way like the imagined ones. The procedure is as follows. The physician tells the patient that from now before and during intimacy he will be absolutely calm and confident in his sexual abilities, like it is now in his optic representation. In exactly the same way, individual functional characteristics of the copulatory cycle and the sensations that arise during sexual intercourse are played out. 

Stage two aims at determination of effectiveness of the therapeutic procedure and, consequently, a possibility to prognosticate improvement, recovery and their terms. Here we resort to using kinesthetic anchors combined with a request to see a coitus image, which appears now. At first the physician grasps with his left hand the wrist on the patient’s right arm and asks him what image of sexual intercourse he sees. Usually, with a good response to therapeutic effects, an image of full sexual intercourse arises. Then the physician grasps simultaneously with his hands the patient’s right and left wrists and asks again, what image of sexual intercourse appears now. Very often the patient sees again a good intercourse. In conclusion, the physician grasps the patient’s left wrist with his right hand and once again repeats his question. As a rule, the patient answers again that an image of a full-value sexual intimacy has appeared. At this point the therapeutic session is over. It should be emphasized that we can say about specific prognostic favourableness in those cases when complete or expressed realization of suggestive influences is observed. Selection of patients for carrying on this method of treatment should exclude those persons, who experience difficulties with directed visualization of images and plots as a result of different causes. This is revealed as early as in the very beginning of use of TCBP. The characterized way of treatment must not be used in patients with mental deficiency either, who are unable to understand and, consequently, implement the doctor’s instructions when carrying out the described psychotherapeutic interventions. It should be noted that our use of TCBP in patients with ASFES revealed its high effectiveness. In conclusion, it should be emphasized that TBCP contains great potential for creative use and can be applied to the treatment of various disorders that require the creation or restoration of normal programs of any behavioral acts. behavioural acts. 

“Compulsion blowout” technique

The “compulsion blowout” technique (CBT) (also known in literature as the “obsession explosion” method), approbated and adapted by us, has proved to be good in ASFES cases difficult for treatment [6] and, like TCBP, belongs to the arsenal of therapeutic techniques of NLP [7]. It should be noted that in some cases anxious expectation of sexual failure is rather resistant to psychotherapeutic interventions. Very seldom it is not eliminated even with the absence of sexual dysfunctions. It may be caused, for example, by the presence of the psychasthenic characterological radical, especially when its expression achieves the level of the corresponding personality disorder (psychopathy). Sometimes, as our clinical practice shows, after a sharp weakening of the phobic component of ASFES sexual dysfunction (usually in such cases we are talking about erectile dysfunction) does not disappear, as it is determined by the presence of obsessive hypercontrol of penile tension caused by the persisting expressed ideational component of the examined pathology. So, in cases of an insufficient effectiveness of curability of the patients it is possible to use CBT. This is an example of “the threshold technique where you take a very strong response and enhance it instead of trying to weaken or eliminate it. You enhance it so swiftly and so quickly that in the certain point it crosses the threshold and “bursts”. This resembles very much filling of a balloon with air. Until some moment every exhalation breath makes the balloon larger. But if you go on filling the balloon with air, it will eventually it will burst.” Inability to bend and unbend a wire infinitely, because it will finally break, is another example [7]. As it is known in the overwhelming number of cases any innovations have their prehistory. In this connection we should mention a so-called technique of flooding from means of the behavioural arsenal, which before was called “implosive therapy”. Stampfl, who developed this method, suggested that a multiple presentation of unpleasant scenes should lead to decreasing their “anxiety potential” through extinction (T. G. Stampfl, D. J. Lewis, 1968).  He states that the essence of the strategy of implosive therapy consists in the idea to stimulate the patients to face their nightmares and “bring these nightmares to confusion” [8]. Let us provide two examples, when we achieved a therapeutic effect as a result of using CBT in patients with ASFES. In the first case we employed the “multiple ratchet method”, in the second one it was “one-time enhancement of submodality” (in this case, audio). 

Multiple ratchet method

Male patient G., aged 20. Diagnosis: anxious sexual failure expectation syndrome, selective variant. On presentation he complained that when he established a sexual relationship with a woman, at first he felt fear . At that time it came in upon his mind that “my penis will not erect” again and nothing will be achieved with the woman again, after that he began to control the tension of the penis by sensation (“with the brain”) and with the help of the eyes (visually). If his erection was expressed less than by 100%, he started to think: “Why did I live well with my wife, but face problems with other women?”, and while attempting to have an intercourse “it (penis) falls down completely”.In connection with the presented complaints we carried out intensive psychotherapy that resulted in sharply expressed weakening of the phobic component of ASFES, but hypercontrol of penile tension was preserved to the full extent. Then we decided to employ CBT. We found that penile tension control increases with the increase in the volume of the internal voice that predicts failure during intimacy and is obsessive in nature (“I tried to distract myself, but nothing works”). The talk before the “compulsion blowout” technique was built in the following way: “Every thought in its intensity can exist only up to a certain limit. If this border is crossed, the obsession will disappear”. In this connection we provided an example with a balloon, which during its filling with air can enlarge only to a certain limit; when the latter is achieved the balloon inevitably bursts. We also pointed out that with an amplification of the voice some stage may develop unpleasant sensations. But in order to achieve positive results he must endure (go through) these sensations and not beat a retreat halfway (usually in such cases we provide metaphoric examples from appropriate fairy tales).The session itself was performed in the following way.

Cycle one: “Sit down, hear your inner voice and imagine that it has increased, or imagine what would be if it increased”. The patient heard his inner voice and imagined that its volume was continuously increasing. When the voice became louder, it gave rise to appearance and later (up to a possible maximum limit) amplification of tinnitus. Then we suggested to the patient that he should return the previous volume of his inner voice. He managed to do that. But the tinnitus persisted, though it became weaker.

Cycle two. We suggested the sound be amplified again. As a result, it achieved the same intensity like in the first time, but the accompanying tinnitus was weaker. Later we followed the way of amplification of his inner voice. Now it became a bit louder, the tinnitus becoming more intensive (more intensive than during the first cycle). The patient noted that he could not increase the volume of his inner voice any more. Then we suggested again that he should return to the initial level of the voice. Now the tinnitus did not disappear, but decreased its expressiveness down to the level observed in the end of the first cycle.

Cycle three. We made for amplification of the patient’s inner voice again. When its intensity achieved the extent, which was during the second cycle, we tried to increase it still more. As a result this intensity achieved a high level. The accompanying tinnitus was as loud as in the second time. Then we returned again to the previous sound of the patient’s inner voice, and again a weak tinnitus remained.

Cycle four. When we began to increase the volume of his inner voice for the fourth time, the tinnitus achieved the same level as during the third cycle, but the volume of his inner voice did not. Nevertheless after all the above volume was achieved and later we succeeded in achieving even its larger amplification. The patient pointed out that he heard a very loud voice (!). At that time we suggested that he should hear such a strong sound, which he had never heard before (“fantastically strong, strikingly strong, stupendously strong”). “Ascend the slope of the mountain towards its summit. When you win the summit you will see a shocking sight and pass into another reality, the reality of a healthy person”. He already heard such a strong sound, which he had never heard before (!). We asked him to remain at the achieved height during some time. But the patient announced: he felt that he would not be able to remain on that level. Then we suggested that he should return to the initial volume of his inner voice and have a rest. When he did so, the accompanying tinnitus was still present, but it was weaker than in the end of the previous cycle.

Cycle five. After a very short (1-2 minutes) rest (the patient was tired) we suggested that he should mount an decisive attack. Before that we said: “You should mobilize all abilities of your organism, all strength of your fantasy in order to hear such a strong sound, which you have never heard before. Have patience to hear an unbelievably loud sound for passing into another reality, "the reality of a burst balloon" because it is impossible to amplify any sound infinitely much the same as to fill a balloon with air infinitely. Keep being more persistent in trying to hear a still louder and louder sound”. The patient pointed out that the tinnitus had become stronger than it was the time before (!). We carried on motivation for “overcoming”, which would help him to get to the mountain summit to his health. His inner voice became still stronger (!). We suggested keeping it on the same level (“maybe, the quantity will transform into quality”). But the patient could not increase the intensity of his inner voice any more. Then we suggested that he should return to the previous volume of that voice. In the end of the characterized cycle the patient observed that the tinnitus was absent, but he felt some pressure in the frontal part of his head. Then we suggested that the patient should open his eyes. After 1-2 minutes we asked the patient to imagine himself in the circumstances of intimacy. He pointed out that his inner voice inclined him to hypercontrol less than before. As a result we drew a conclusion that some positive effect was achieved.

Cycle six. We mounted another “assault” with renewed energy. This time the same volume of his inner voice was achieved as in the 5th time, but the tinnitus was weak. Before the above volume was achieved we motivated the patient to mobilize himself completely for amplification of the volume. When we returned to the initial level of sound volume, the patient did not complain of both tinnitus and sensation of pressure in his head. After the end of this cycle we checked the effectiveness of our therapy. The patient pointed out that when he imagined intimacy any hypercontrol of his penile tension was absent as itself, and only making special efforts he began to control his erection. We drew a conclusion about achievement of a good result that was confirmed during sexual encounters. Analyzing this case we should emphasize that even though the volume of our patient’s inner voice did achieve the level, which he had never come across in his real life (he heard such a loud sound, which he had never heard before), still during the session he did not feel any a clear breakthrough. However, a positive effect could be predicted based on the patient's responses to follow-up questions asked after the fifth and sixth cycles. This was confirmed by the treatment results, which indicated the patient's recovery. In this connection we should provide the following statement, which explains what happens in such cases. It is emphasized that many people do not observe when they cross the threshold, particularly if the response must become very intensive, before it blows out. However, if one waits a little so that the kinesthetic system had enough time to settle down again, it is possible to find out that no more coercion is present [7].

One-time enhancement of submodality

Male patient T., aged 39. Diagnosis: anxious sexual failure expectation syndrome. Due to a disorder of erection he could not perform a sexual intercourse. He was going to get married. After our intensive psychotherapy the phobic component of ASFES was actually eliminated, but compulsory fixation on the tension of his penis persisted that resulted in cessation of perception of his woman during the prelude. Fixation of attention on his penis was caused by his inner voice, which was doubtful about success of intimacy. The patient himself characterized his problem as follows: “When erection develops, my brain, in a way, is automatically disconnected from the woman and my inner voice seems to ask whether the erection will be stronger or not, and if now I begin to insert my penis will it lose its erection? Sometimes it happens that at first my control over erection is absent and then my penis is inserted, but immediately my inner voice begins to compare sensations from caresses of, suppose, her breasts with sensations caused by my inserted penis. Then an idea that the erection may be lost presents itself, and finally it really happens”. We decided to use the compulsion “blowout” technique.

Technique. We suggested that the patient should imagine the preliminary period and hear his inner voice. We pointed out that the above action led to hypercontrol of his penile tension. We asked him to reduce the volume of his inner voice that resulted in decreased fixation on the tension of his penis. At first, however, he did not gain an understanding of our instruction: he struggled to understand how his inner voice could have any volume. Then we followed a different way and began to say (when the patient closed his eyes) that he was in the preliminary period and his inner voice sounded not clearly, vaguely and remotely. The result was that the patient stopped fixing attention on his penis and concentrated completely on the woman. Then we suggested that he should return the voice to its initial volume. After that we said that the voice volume was increasing. At first the patient failed to follow that instruction. He observed that then his inner voice sounded weaker than during intimacy and weaker than in the initial stage of performance of the described technique. The voice sounded on the brink of disappearance. Then we suggested again that he should hear his inner voice with its usual volume – which he usually heard during the preliminary period. He failed to do it again. Then we said that we would wait until it happened and it was not his voice that should control him, but he himself should control his voice. Later the patient heard his inner voice with its usual volume. Then we suggested that he should increase it. However he failed to do that. Then we aimed him to imagine that his inner voice sounded louder, and this step made it possible to amplify the voice. The patient imagined that his inner voice sounded stronger, and it increased his control of penile tension. Then we asked him to imagine that the voice sounded still louder (in order to make the performance of this instruction easy for him we described a rheostat, with whose help the light in the cinema/theatre hall becomes still brighter and brighter after the end of showing/performance). To prevent or reduce the patient's escape from inner reality during the technique, we asked them to signal with the index finger of their right hand that the volume of their inner voice was increasing (raising this finger when the volume reached its maximum). The client followed this instruction. After the end of the technique performance the patient said that alongside with amplification of the voice volume he felt that different unpleasant sensations in his organism became stronger, but when he achieved the upper volume threshold, both his inner voice and all unpleasant sensations that accompanied its amplification disappeared. Then we asked the patient in detail what happened to him during amplification of the voice volume. His answer was as follows: “The voice was strengthening. There was some pressure in the upper part of my head, unpleasant sensations in the region of my throat, and contraction of my cheek muscles. Then a moment of something like a physical relief came, and later the voice (its sound) was gone at once”. Making more specific what he felt during his crossing of the “threshold” the patient noted: “When I crossed the barrier, the voice disappeared, I felt a kind of emptiness”. Then we checked the effectiveness of our therapy. With this purpose we suggested that the patient should imagine himself in the situation of intimacy. But he failed to do it and did not hear his inner voice. Then we asked him to imagine caresses and kisses. Now he succeeded, but he never managed to hear his inner voice. Though before, during imagination of intimacy, he had always heard his inner voice, which reflected his lack of self-confidence. Then once again we asked the patient to imagine himself in intimate circumstances, but the voice did not sound again. We drew a conclusion about a good therapeutic effect. One month after the described therapeutic session we communicated with the patient by telephone. He said that after the performed session his sexual function was completely normalized (he regularly had sexual relations with the woman whom he married after the end of our treatment). In this case, unlike the previous one, during our performance of the characterized technique the patient felt absolutely clearly, when he crossed the “threshold” and entered a new reality – the reality of a healthy person (“…a moment of something like a physical relief came, and later the voice was gone at once”).Therefore the provided examples of using CBT demonstrate its high effectiveness in treatment of therapeutically resistant forms of ASFES.

Swish technique

The therapy of psychogenic sexual disorders can also employ the swish technique from the NLP arsenal. This procedure is regarded to be rather effective. Richard Bandler [9] characterizes this technique as very fruitful and producing a powerful effect. According to him, this technique programs the brain to move in a new direction. We have modified this technique and used it, in particular, for therapy of ASFES in males [10]. The procedure of its performance is as follows: 

1. At first we ask the patient to recall or imagine some man, who has hundred-percent sexual potency and is entirely confident about his sexual abilities.

2. After that we ask the patient to close his eyes and imagine a picture on the screen, when he is in the preliminary period of intimacy, but with obsessive thoughts that he will not be able to perform coitus. The picture should be bright, contrast and sharp. If it is not so and the picture is dull, we say that there is a booth operator here, who works for a good image on the screen (good brightness, contrast, sharpness). 

3. When it has been achieved, we ask the patient to see at this picture a dark spot somewhere on his body. After he has seen it we say that this is a mouth of the bottle, at whose bottom there is a sharply reduced in size, highly potent man confident about his sexual abilities. Then the image of this man begins to enlarge and gradually occupies 1/8, 1/4, 1/3, 1/2 of the bottle. Further enlargement of this image is accompanied with the following instruction: “Now you begin to see that his arms become similar to your arms, his legs become similar to your legs, his body becomes similar to your body, and his face becomes similar to your face”. 

4. In accordance with our instruction, the continuing enlargement of the above image (up to 3/4 of the bottle and more) results in the fact that the patient already sees himself, but preserves absolute inner confidence about his potency and sexual abilities present in the model male. In this state the formed image achieves the bottle mouth. 

5. Having achieved the mouth of bottle, this image washes off the previous image of a lacking self-confidence patient, who is in the circumstances of intimacy, from the screen. If this picture is not bright, contrast and clear, we work for making it high-quality with help of the “booth operator”, though usually it is like this from the very beginning. Then by counting to 5 we achieve strengthening and fixation of this healthy programme of sexual functioning. Usually the “sway” is carried out 5 times. 

Conclusion

ASFES is the most universal sexopathological syndrome in males. There are a great number of psychotherapeutic methods and techniques for its elimination. The three techniques, presented in the article, include the one developed by us, and belong to NLP; these increase effectiveness of treatment of patients with the above pathology and can be used for curing ASFES cases, which are difficult to treat.

References

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Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.

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Anthony Kodzo-Grey Venyo

Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.

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Pedro Marques Gomes

Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.

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Bernard Terkimbi Utoo

This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.

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Prof Sherif W Mansour

Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.

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Hao Jiang

As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.

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Dr Shiming Tang

Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.

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Raed Mualem

International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.

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Andreas Filippaios

Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.

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Dr Suramya Dhamija

Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

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Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

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Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

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Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

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Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

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Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

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Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

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Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

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S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

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Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

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George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

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Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

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Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

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Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

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Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

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Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

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Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

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Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

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Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

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Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

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Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

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Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

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Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

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Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

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Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

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Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

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Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

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Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

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Dr Elvira Farina

Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.

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Dr Oleg Golyanovski

Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.

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Dr Farahnaz Fallahian

Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.

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Dr Victor Olagundoye

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD

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Dr Eric S Nussbaum

Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.

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Hala Al Shaikh

Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.

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Dr Rakhi Mishra

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.

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Dr Walter F Riesen

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.

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Dr Jelle Lettinga

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora

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Dariusz Ziora

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.

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Dr Ravi Shrivastava

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.

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Dr Aline Tollet

Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.

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Dr Chiara Giuseppina Beccaluva

Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti

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Dr Claudio Ligresti

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.

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Dr Matteo Bonori

I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.

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Edouard Kujawski

Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell

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Dr Andriy Sinelnyk

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.

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Dr Meng-JouLe

Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed

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Mahmoud Kamal Moustafa Ahmed

Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.

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Dr Elena Salvatore

Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal

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Christoph Maurer

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.

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Baciulescu Laura

Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.

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Dr Mamoun Magzoub