Cutting yourself is something many people would never think of doing, and yet for others, self-injury in the form of cutting may be something they do on a regular basis. Cutting is also known as one type of self-harm, self-injury or self-mutilation. People may cut themselves to use the physical pain to relieve emotional pain they are feeling but can't handle.

One study found that of college students who self-injure, over 33% self-harmed by cutting.¹ It is more common for females to cut themselves than for males.

What is Cutting?

The self-injury cutting is done any time you purposefully break the skin and make it bleed. Cutting might be done with a knife, razor blade or broken glass. The cuts do not have to be deep to be considered self-mutilation. Cutting is often done on the hands, wrists, arms, thighs, and stomach.

People will typically lie about the signs of cutting or cover them up. For example, a person might blame scratches or cuts on a cat. Self-harm cuts are also often hidden by clothing. This can be seen when someone insists on wearing long-sleeves or pants even in very hot weather. (If you're cutting yourself, find out how to explain self-harm scars to others.)

Cutting Yourself. Why?

The reasons people self-mutilate by cutting vary, but it is often to relieve emotional pain and, paradoxically, numbness. (More on why people self-injure.)

When a person is overwhelmed with a painful emotion, sometimes they don't know how to handle it; this is when a person may self-injure, cut. These strong emotions may be linked to intense pressure, school or relationship problems, anxiety or situations the person feels they can't change. The physical pain of self-mutilating, cutting, is like a release valve to relieve the emotional pain. Someone may see the releasing of blood similar to releasing the strong feelings they have inside.

Others self-harm by cutting because they feel numb and the pain of self-harm allows them to feel something. Some even report that cutting provides an energy rush, although this is uncommon.

Cutting also allows a person to express pain when they don't know any other way to express it. The visible self-mutilation from the cutting becomes a sign of the pain and a form of communication.

People may also self-injure by cutting because:²

• They wish to control their body and mind
• They wish to distract themselves from other problems
• They wish to purify themselves
• They feel the need to reenact a trauma in an attempt to resolve it
• They wish to protect others from emotional pain

Information on how to stop cutting yourself is here.

Self-Harm By Cutting as a Sign of Psychiatric Disorder

Cutting may also be a sign of an underlying psychiatric disorder. While many people engage in self-injury cutting due to life-stressors, others do it because they have an undiagnosed mental health disorder. A person who self-harms by cutting may have:

• Depression
• Bipolar disorder
• Borderline personality disorder
• A psychotic disorder
• A substance use disorder

No matter the reasons behind cutting yourself, effective cutting help and treatment for cutting is available. While self-injury self-help methods can be used, self-injury cutters should seek professional help in tackling this problem. 

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The effects of self-harm, also known as self-injury and self-mutilation, are varied and are both physical and psychological. While the physical effects of self-injury might be obvious and harmful, the psychological effects of self-mutilation are no less damaging. People are often devastatingly tormented by both their self-harming behaviors and their desire to self-harm.

The effects of self-injury are not all bad though, and this is why some people continue to self-mutilate. Some of the positive effects of self-harm might be:¹

• Expression of difficult feelings
• Communicating that you need help
• Release of pain and tension
• A sense of control
• Distraction from overwhelming, painful emotions or circumstances
• Feeling alive or feeling something rather than feeling numb

The positive effects of self-harm, though, are temporary and are outweighed by the physical and psychological damage caused by self-mutilation.

Physical Effects of Self-Harm

The physical effects of self-harm can be minor, such as a scratch or small bruise or, in rare cases, life-threatening. No matter how severe though, all physical effects of self-injury indicate the unmanageable pain the person is in and the severity of the injury does not indicate the severity of the pain. Most people who self-mutilate do so more than once, so any physical effect of self-mutilation seen may indicate a worrisome behavioral pattern. (Here are the signs of self-injury, self-mutilation.)

Some of the physical effects of self-harm and signs of self-injury include:²

• Wounds or scars (Explaining Self-Harm Scars to Others)
• Infection
• Nerve damage
• Broken bones
• Hair loss or bald spots
• Injury caused by overdose or poisoning

Psychological Effects of Self-Injury

Just because you can't see the harmful psychological effects of self-mutilation doesn't mean they aren't happening. Not only do strong emotions tend to drive people to self-harm, the self-harm itself, in turn, may cause strong emotional reactions. And, unfortunately, self-harm is a temporary measure that not only creates problems but also doesn't solve the problems that drove the person to self-harm in the first place.

Some of the psychological effects of self-injury include:

• Irritability
• A desire to be alone in order to self-harm or to hide the evidence of self-harm. This often leads to feelings of loneliness.
• Shame and guilt at having self-harmed
• The stress and difficulty of having to lie to those around you about the self-injury
• Using self-injury to deal with any emotional stress instead of building positive coping techniques
• An overwhelming desire to self-injure to the point where it feels like you can no longer control the behavior
• Low self-esteem and self-hatred
• Depression

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Getting self-injury help is often the first step in stopping self-harm. Professional self-harm help and self-injury support groups can make all the difference in conquering self-harm (also known as self-injury and self-mutilation).

If you're currently in a crisis, feel suicidal and need help right now, call the National Suicide Prevention Lifeline in the United States at 1-800-273-8255 or go to your local emergency room. Comprehensive suicide information here.

There are different types of self-mutilation help:

• Professional help for self-harm
• Self-help for self-harm behaviors
• Support groups for self-harm

Professional Self-Injury Help

There are many places a person can go for professional self-injury help. One place to start is in a doctor's office. A doctor can often refer you to a person or organization that specializes in self-harm help. Often a referral to a psychotherapist is given for self-mutilation help.

A nationally-recognized self-harm help program is S.A.F.E. (Self-Abuse Finally Ends) Alternatives. This is a treatment approach, professional network and educational resource base devoted to helping people stop self-mutilation. On the S.A.F.E. Alternatives website you can find:

• Treatment programs http://www.selfinjury.com/referrals/programs/
• Information on finding a therapist http://www.selfinjury.com/referrals/find/
• Therapist referrals http://www.selfinjury.com/referrals/therapists/
• Informational resources

Contact S.A.F.E. Alternatives:

• The S.A.F.E. Alternatives website http://www.selfinjury.com/
• Toll-free information line: 1-800-DON'T-CUT (366-8288)

A toll-free national hotline is also available specifically for youths under the age of 25. Boys Town is a support service for both males and females. They take calls from both the United States and Canada on self-harm and other mental health issues: Contact Boys Town:

• Boys Town website: http://www.boystown.org/
• Toll-free 24-hour helpline: 1-800-448-3000

Self-Help for Self-Mutilation

There is a lot of self-help available for self-mutilation. Websites, self-harm books and more are available to help you stop self-harm. One advantage of self-help resources is that they can be used at your own pace and can also be used in conjunction with professional self-harm help.

Some books on self-injury help include:1

• Conterio, K., Lader, W., Ph.D. & Bloom, J. (1998). Bodily Harm: The Breakthrough Healing Program for Self-injurers, New York: Hyperion.
• Hollander, Michael (2008). Helping Teens Who Cut
• Hyman, J., (1999). Women Living With Self-Injury. Philadelphia: Temple University Press.
• Kreisman, J., Straus, H. (2010). I Hate You - Don't Leave Me, Los Angeles: The BodyPress.
• Nakhla, F., & Jackson, G. (1993) Picking Up The Pieces. New Haven: Yale University Press.
• Redheffer, J. & Brecht, S. (2005). Beyond the Razor's Edge, Illinois: Virgin Ink Press.
• Sutton, J (2005). Healing the Hurt Within. Oxford, IRE, U.K: How To Books.
• Walsh, B. (2005) Treating Self-injury: A Practical Guide. N.Y. Guilford Press.

Some websites on self-harm help include:

• Self-Inury.net– includes many resources.
• Scar-Tissue.net – Includes personal experiences of self-harm, resources.
• Psyke.org – self-injury support and information.

Self-Injury Support Groups

Self-injury support groups can be found in-person through mental health organizations and can also be found online. It's important to develop a network of self-harm supports in an effort to get better. These are the people and places you can go to in the event that you're feeling a strong urge to self-harm.

Some online self-mutilation support groups include:

• RecoverYourLife.com – this is one of the biggest self-harm support communities online. It supports people dealing with self-harm and other mental health issues. http://www.recoveryourlife.com/
• ReachOut.com – this self-harm support forum is specifically for people aged 14-25. Forums are available for self-injury support as well as other youth issues. http://us.reachout.com/forums/forumdisplay.php?14-Self-Harm
• Self-Injury.net – forums are available for self-mutilation support as well as other resources. http://gabrielle.self-injury.net/
• Scar-Tissue.net – includes self-injury support groups both for people with first-hand knowledge of self-harm and for those who support them. http://www.scar-tissue.net/message.html

We have specific information on cutting help and treatment here.

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Pro self-injury websites represent the dark side of the Internet. These websites provide visitors with different ways to self-harm and ideas about how to hurt themselves and keep their activities hidden from parents and friends. Some pro self-harm sites offer information about how to successfully commit suicide (self-harm and suicide).

Speaking Out Against Sites with Pro Self Injury Agenda

The following video features a young man who regularly visited and engaged with others on a pro self-injury website. He talks about the secretive theme of these sites and how those who ran the web page claimed they cared about teens and others who wanted to purposely injure themselves. But rather than helping their members and visitors find self-injury help and support, they actually gave them new ideas on how to commit suicide, sending them deeper into depression and a culture of self-harm.

Some websites with a pro self-injury or pro self-mutilation agenda also promote eating disorders like anorexia and bulimia. Many refer to these as pro-ana and pro-mia sites, but devotees call them thinspiration or thinspo blogs. Subscribers and members to these sites learn self-starvation and purging techniques. Some photo-based thinspo websites display ghoulish photographs of their members, many displaying a starting, current, and ultimate goal weight above or below the images.

Pro self-harm websites actively distribute information and techniques that encourages readers to engage in activities that could result in permanent damage to health and wellbeing, or result in death.

Pro Self Harm Sites Target Vulnerable

The dangerous and disturbing agenda of these and other Internet havens for pro self-injury has not gone unnoticed. The executives in charge of the popular blogging platform, Tumblr, took a stand against blogs that are pro self-harm in February 2012 by banning websites on Tumblr that offer information promoting self-injury and suicide. The ban sparked a fervent debate and Tumblr backed off from the initial wording of the declaration, but has ultimately stood by their new content policies. Since then, other popular social media platforms, such as Pinterest and Instagram, have followed suit.

Sites with pro self-injury and pro self-harm agendas target vulnerable people, like teens and young adults, but their reach extends far beyond the self-injurer him- or herself. When a person suffers irreparable physical or mental damage as a result of following the advice on these sites, the harm extends outward in a concentric fashion affecting parents, siblings, extended family, friends, and even strangers. The truth is - the sooner a person gets treatment for self-injury, the better chance they have for a long-lasting recovery.

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Self-injury statistics show that this disturbing phenomenon is a real and present danger to vulnerable people worldwide, especially in developed countries, such as the U.S. and those in western Europe. Frequently, untreated depression and other mental health challenges create an environment of despair that leads people to cope with these challenges in unhealthy ways. Check out these self-mutilation statistics:

• Each year, 1 in 5 females and 1 in 7 males engage in self-injury
• 90 percent of people who engage in self-harm begin during their teen or pre-adolescent years
• Nearly 50 percent of those who engage in self-injury activities have been sexually abused
• Females comprise 60 percent of those who engage in self-injurious behavior
• About 50 percent of those who engage in self-mutilation begin around age 14 and carry on into their 20s
• Many of those who self injure report learning how to do so from friends or pro self-injury websites
• Approximately two million cases are reported annually in the U.S.

While these self-harm statistics are from reliable sources, truly accurate information about rates and trends of self-mutilation are difficult to come by because the majority of participants conceal their activities. Their behavior may never come to the attention of medical professionals or other social services.

Self Injury Facts – What You Should Know

Knowing the self-injury facts can help you better understand the underlying origins of this behavior and the techniques of self-harm. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM IV-TR) lists self-injurious behavior as a symptom of borderline personality disorder, but recent research indicates that it also occurs with other mental health disorders, including:

• Eating disorders
• Depression
• Anxiety disorders
• Substance abuse
• Conduct and oppositional disorders

The phenomenon has become more visible in society in recent years. Recent data and self-injury statistics show the following behaviors are common among people who engage in self-harm:

• Cutting
• Burning
• Interfering with wound healing (picking or reopening wounds)
• Punching or hitting oneself or other objects
• Inserting objects into the skin
• Purposely bruising or breaking one's bones
• Certain forms of hair pulling

Experts term these behaviors as non-suicidal self-injury, but suicide also qualifies as a form of self-harm – one that is, of course, devastating to those left behind.

Self Mutilation Facts – Responding to Self Injurious People

There are so many myths about self-injury, that's why it's important to know about self-mutilation facts when responding to people who engage in this type of behavior. People self injure to cope with internal emotions, stop bad feelings, relieve emotional numbness, punish themselves, obtain a sense of belonging, get attention, and many other reasons. Read through these guidelines about approaching someone who engages in self-injury:

• Remain calm and caring
• Accept him or her even if you disagree with the behavior
• Know that this represents a way of dealing with emotional pain
• Listen with compassion
• Avoid panic and overreaction
• Do not show shock or revulsion at what they've done
• Do not use threats in an attempt to stop the behavior
• Do not allow him or her to recount the self-injury experience in detail as it may trigger another session
• Do get appropriate help for him or her from a qualified mental health professional

The best way to help is to stay informed about self-injury statistics and facts. The more you know about the causes of self-injury, motivations, and appropriate responses, the more effective you'll be when dealing with someone who engages in this activity.

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PTSD treatments that have been scientifically validated can be very helpful in reducing and/or alleviating the symptoms of posttraumatic stress disorder (PTSD). PTSD therapy and PTSD medications are effective treatments for those experiencing this severe anxiety disorder, developed after a traumatic event. For PTSD treatment, these techniques are usually combined for the best outcome.

Because many psychiatric illnesses commonly occur alongside posttraumatic stress disorder, they may also need treatment. Many people with PTSD also have issues with substance abuse (drug addiction information); in these cases, substance abuse should be treated before the PTSD. In the cases where depression occurs with posttraumatic stress disorder, PTSD treatment should be the priority, as PTSD has a different biology and response than depression.¹

Posttraumatic stress disorder can occur at any age and can be caused by any event or situation the person perceives as traumatic. About 7% - 10% of Americans will experience posttraumatic stress disorder (PTSD) at some point in their lives, even as children (PTSD in Children: Symptoms, Causes, Effects, Treatments).

PTSD Therapy

Several types of PTSD Therapy are used in the treatment of PTSD. The two primary PTSD therapies are:

• Cognitive behavioral therapy (CBT) 
• Eye movement desensitization and reprocessing (EMDR)

Cognitive behavioral therapy (CBT) for PTSD focuses on recognizing thought patterns and then ascertaining and addressing faulty patterns. For example, faulty thought patterns may be causing the individual to inaccurately assess the danger of a situation and thus react to a level of danger that isn't present. CBT is often used in conjunction with exposure therapy where the person with PTSD is gradually exposed to the feared situation in a safe way. Over time, exposure therapy for posttraumatic stress disorder allows the person to withstand and adjust to the feared stimuli.²

EMDR therapy for posttraumatic stress disorder (PTSD) is a technique that combines exposure and other therapeutic approaches with a series of guided eye movements. This PTSD therapy is designed to stimulate the brain's information-processing mechanisms in an effort to reprocess the traumatic memories so they can be integrated into the psyche without the associated anxiety.

Other therapy techniques used in PTSD treatment include:

• Family therapy
• Play therapy
• Art therapy
• Relaxation exercises
• Hypnosis
• PTSD Support Groups
• Individual talk therapy – particularly for those with trauma from abuse or from childhood
• Anxiety management

PTSD Medications

Posttraumatic stress disorder (PTSD) medications can often be used to alleviate the physical symptoms of PTSD enough so that PTSD therapy has a chance to work. Several types of PTSD medications are available, although not all are Food and Drug Administration (FDA)-approved in the treatment of post-traumatic stress disorder.

Medications for PTSD include:

• Antidepressants – several types of antidepressants are prescribed for PTSD. Selective serotonin reuptake inhibitors (SSRIs) are the primary type. SSRIs have been shown to help the symptoms associated with re-experiencing of trauma, avoidance of trauma cues and over-awareness of possible dangers (hyperarousal). Both sertraline (Zoloft) and paroxetine (Paxil) are FDA-approved antidepressant PTSD medications
• Benzodiazepines – tranquilizers most frequently prescribed for the short-term management of anxiety symptoms. This type of PTSD medication may relieve irritability, sleep disturbances and hyperarousal symptoms. Examples include lorazepam (Ativan) and diazepam (Valium).
• Beta-blockers – may help with symptoms associated with hyperarousal. Propranolol (Inderal, Betachron E-R) is one such drug.
• Anticonvulsants – anti-seizure medications also prescribed for bipolar disorder. No anticonvulsants are FDA-approved for PTSD treatment; however, those who experience impulsivity or involuntary mood swings (emotional lability) may be prescribed medications such as carbamazepine (Tegretol, Tegretol XR) or lamotrigine (Lamictal).
• Atypical antipsychotics – these medications may help those with symptoms around re-experiencing the trauma (flashbacks) or those who have not responded to other treatment. No antipsychotic is FDA-approved in the treatment of PTSD but drugs like risperidone (Risperdal) or olanzapine (Zyprexa) may be prescribed.

Novel pilot studies also suggest that Prazosin (Minipress, an alpha-1 receptor agonist) or Clonidine (Catapres, Catapres-TTS, Duraclon, an antiadrenergic agent) may also be helpful in treating posttraumatic stress disorder (PTSD).

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If you have been through a trauma, you might ask yourself, "Do I have PTSD?" This post-traumatic stress disorder (PTSD) test ¹ is designed to help indicate the presence of posttraumatic stress disorder symptoms.

Post-Traumatic Stress Disorder Test Instructions

Consider each of the following PTSD test questions carefully. Answer yes or no to each question and review the scoring instructions at the end of the test.

Post-Traumatic Stress Disorder (PTSD) Test

Are you troubled by the following?

You have experienced or witnessed a life-threatening event that caused intense fear, helplessness, or horror.

Yes No

Do you re-experience the event in at least one of the following ways?

Repeated, distressing memories, or dreams

Yes No

Acting or feeling as if the event were happening again (flashbacks or a sense of reliving it)

Yes No

Intense physical and/or emotional distress when you are exposed to things that remind you of the event

Yes No

Do reminders of the event affect you in at least three of the following ways?

Avoiding thoughts, feelings, or conversations about it

Yes No

Avoiding activities and places or people who remind you of it

Yes No

Blanking on important parts of it

Yes No

Losing interest in significant activities of your life

Yes No

Feeling detached from other people

Yes No

Feeling your range of emotions is restricted

Yes No

Sensing that your future has shrunk (for example, you don't expect to have a career, marriage, children, or normal life span)

Yes No

Are you troubled by at least two of the following?

Problems sleeping

Yes No

Irritability or outbursts of anger

Yes No

Problems concentrating

Yes No

Feeling "on guard"

Yes No

An exaggerated startle response

Yes No

Having more than one illness at the same time can make it difficult to diagnose and treat the different conditions. Depression and substance abuse are among the conditions that occasionally complicate PTSD and other anxiety disorders.

Have you experienced changes in sleeping or eating habits?

Yes No

More days than not, do you feel...

Sad or depressed?

Yes No

Disinterested in life?

Yes No

Worthless or guilty?

Yes No

During the last year, has the use of alcohol or drugs...

Resulted in your failure to fulfill responsibilities with work, school, or family?

Yes No

Placed you in a dangerous situation, such as driving a car under the influence?

Yes No

Gotten you arrested?

Yes No

Continued despite causing problems for you or your loved ones?

Yes No

Scoring the Post-Traumatic Stress Disorder (PTSD) Test

Each yes on the above PTSD test indicates a greater likelihood of the presence of post-traumatic stress disorder. If you have answered yes to 13 or more questions, a clinical assessment for PTSD by a doctor or mental health professional is suggested. Print out this post-traumatic stress disorder test, along with your answers, and discuss them with a doctor. Keep in mind, there are effective treatments for PTSD. Seeing a doctor is the first step in getting well.

If you answered yes to less than 13, but are concerned about post-traumatic stress disorder or any other mental illness, take this PTSD test along with your answers and discuss it with your doctor.

No one can diagnose PTSD, or any other mental illness, except a licensed professional like your family doctor, a psychiatrist or a clinical psychologist.

See Also:

• Posttraumatic Stress Disorder Symptoms
• What Is PTSD?
• I Need Mental Help: Where to Find Mental Health Help
• PTSD Treatments: PTSD Therapy, PTSD Medications Can Help

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Pay Attention to Cues When You Are Getting to Know Someone

• Emotionally abuses you (insults, belittling comments, ignoring you, acting sulky or angry when you initiate an action or idea).
• Tells you who you may be friends with, how you should dress, or tries to control other elements of your life or relationship.
• Talks negatively about women in general.
• Gets jealous when there is no reason.
• Drinks heavily, uses drugs, or tries to get you drunk.
• Berates you for not wanting to get drunk, get high, have sex, or go with him to an isolated or personal place.
• Refuses to let you share any of the expenses of a date and gets angry when you offer to pay.
• Is physically violent to you or others, even if it's "just" grabbing and pushing to get his way.
• Acts in an intimidating way toward you by invading your "personal space" (sits too close, speaks as if he knows you much better than he does, touches you when you tell him not to).
• Is unable to handle sexual and emotional frustrations without becoming angry.
• Does not view you as an equal--because he's older or sees himself as smarter or socially superior.
• Thinks poorly of himself and guards his masculinity by acting tough.
• Goes through extreme highs and lows, is kind one minute and cruel the next.
• Is angry and threatening to the extent that you have changed your life so as not to anger him.

• What is GHB?
• Street names of GHB
• How is GHB taken?
• Effects of GHB
• Dangers of GHB
• Is GHB addicitve?

What is GHB?

• Gamma Hydroxybutyrate (GHB) is a central nervous system depressant.
• Most of the GHB used today is a "homemade" mix of various chemical ingredients, including solvents.
• GHB was once sold in health food stores as a performance enhancer for body builders because it was believed to stimulate the production of human growth hormone.
• It can also be used as a date rape drug.

Street Names

• "Grievous Bodily Harm" and "Liquid Ecstasy"

How is it taken?

• GHB is available in liquid and powder forms.
• It is odorless and tasteless.

What are the effects of GHB?

• GHB produces a euphoric and sedative effect.

What are the dangers of GHB?

• Drowsiness.
• Dizziness.
• Nausea.
• Unconsciousness.
• Seizures.
• Severe respiratory depression.
• Coma.
• Overdose of GHB can occur quickly and can be fatal.
• Because much of GHB is homemade, there are significant differences in potency, purity and concentration. The same amount taken from two separate batches can have very different effects.
• Because it is colorless and tasteless, it can be easily slipped into a drink.
• Possession of GHB is illegal in the United States except under FDA-approved, physician-supervised protocols.

Is it addictive?

It is not considered an addictive drug like cocaine, heroin or alcohol because it does not produce the same compulsive drug-seeking behavior. However, like addictive drugs, GHB produces greater tolerance in some users who take the drug repeatedly. These users must take higher doses to achieve the same results as they have had in the past. This could be an extremely dangerous practice because of the unpredictability of the drug effect on an individual.

Whether you intend to have sex in the bedroom, on the living room floor or on the dining room table, preparing the room in advance can enhance the experience. Psychosexual therapist Paula Hall looks at the best ways to set the scene and help you relax.

Preparation

• Put the heating on at least an hour before so you'll be warm enough when you get naked.
• Make sure you won't be disturbed. Switch off the phone and lock the door.

The look

Take a moment to think about the look of the room. Do a quick tidy-up if you want and definitely make sure there are no unfinished jobs that could catch your eye. Spying a huge pile of ironing tends to kill the mood.

A quick tip is to invest in a satin throw to set the scene wherever and whenever you want to make love.

Think about the lighting, too. Tinted light bulbs can change the mood of the room, or alternatively, nothing beats candles for a touch of romance.

The sound What do you want to hear while you're making love? Would you like background music? What mood would you like to create?

Whether you choose energetic and pumping tunes or something a little more relaxing and ambient, beware of distracting lyrics. And make sure it's quiet enough so you can still hear your partner.

The smell

There are a number of ways you can create atmosphere with scents. You could burn incense sticks or light a scented candle. Whichever you choose, try them out beforehand. Some of them are really pungent!

An oil burner can be a good investment as there's a huge range of essential oils for different moods. Ylang-ylang is generally considered one of the most sensual. Alternatively, just spray your favorite scent around the room (but be sparing).

Now all you have to do is slip into something sensuous and polish up your Sensual touching techniques.

Related Information:

• Finding time for sex
• Make a Date