Mind Therapy Ni

كل عام و انت و بخير ، الله يعيد عليكم بكل الي تتمنوه.
LOVE is the best gift 💝 you can give this Christmas. Show how powerful you are by Lighting up your and your beloved ones’s heart ❤️. Have a wonderful Christmas and new year’s holidays 🎄💝❤️💫🙏👍💥💫🌟🎉🎅🥳🤩🤶.

اعزائي المتابعين بعتذر منكن لغيابي هي الفترة لظروف خاصة و انشاالله بنرجع نستأنف برنامج المباشر كل يوم الجمعة انشاالله بالأيام الجاية بإذن الله.

Mind Mapping Techniques:

ONE OF THE BEST THINGS THAT YOU CAN DO IN YOUR LIFE IS TO TAKE PEN AND PAPER TO BE ABLE TO CATCH THE THOUGHTS, BELIVES, IDEAS AND INFORMATIONS AND PUT THEM DOWN IN PAPER, captured this idea and write them down in the paper so you can see them in the future, so you can put them and keep them in a journal.
It’s highly recommended for you to keep a journal and whatever you do on your day-by-day basis to keep in a journal and you highlighted every day, catch the beliefs and ideas and thoughts they are there.
what is going to happen? is that you are going to accumulate the amount of knowledge, the thoughts and idea that nobody is going to help you with more than yourself, it’s also going to help you to review your life through those papers and journals you keep, it a prove for you that shows you how you’re grown up, how are you mature, sometimes you don’t notice that the amount of improvement, changes you’ve made in your life because you are so close to your thoughts and you don’t give a space for them to grow up or to notice them, so write them down in a paper that’s give you the chance to observe them to see them and to be able to notice them, so it’s going to be hard for you to see how much you are growing ,it’s going to give you the idea of what type of thoughts and beliefs and goals you have in the past, how much you come far with it and you begin to see the evolution of those thoughts and beliefs, also it’s going to give you the value of life force living, it is a gift to give to your children, it’s going to help you to give the experience that you had in the past to your children, give you the understanding and the meaning of how you were in some times in the past when you have children, get to understand the same stage and time they are growing, it’s also helping you to learn lessons from it and how many mistakes you have done in your life and how much you learn from it, teach you also how to share the feelings because there is a lot of times that you have ideas and you don’t know how to share it, how to contribute it, how to convey it to others, so keeping a journal, keeping the records of your thoughts, beliefs, ideas and information you have in your mind is going to help you to teach you how to contribute moment, thoughts and beliefs to people, it’s going to help you to raise the awareness and insight of your emotions and feelings in those times that you are not aware of your mental state, your emotion state, your feelings State, you can be mad or sad and you’re not aware of that, you can be suffer and you cannot be aware of that, you can be happy and you’re not aware of that, so that is going to be your way how to learn the way to experience your feelings and be able to share it with people around you it’s also teach you how to deal with your feelings your mental and emotional state that you are in Mind Mapping is useful technique that support learning improves in the information recording shows how different facts and ideas are related and enhance creative problem-solving.
Mind mapping is best known as a brainstorming exercise you start with central topic surrounded by a bubble then expand your ideas by adding additional bubbles that are each connected together which lines to create relationships but mind mapping is useful for much more than just brainstorming.
Mind mapping is one of the simplest and most effective users for mind maps is to use them to create summarise for books audiobooks or any other sort of multimedia courses the process of writing down the main point of the book also helps solidify your own understanding of it. So instead of making decisions on based of false information it’s going to help you to process to understand to be able to feedback to this thoughts and believes in a way that is more clear and get more insightful, this technique would teach you how to get it out, and once you get it out you’ll realise that was it wrong or right?, when you get starts was right or wrong, so this is happened when you are really clear when you get it out when you write it down when you see it and not to sit and make the clarity of the meaning of your information is that you brain is restoring in your mind.
Helping you to note the quality of the relationships is related to the quality of communication and the quality of your life, entire life related to the quality of your relationships and how you communicate with the value of yourself is the quality of how you communicate with yourself. For example, how you feel is not based on the environment or the reality, the states of your feelings or how you feel it is based on the quality of the communication you have with yourself for example when you ask yourself questions when I am going to have money or when I am going to get a good relationship when I am going to get a good job or when you are worrying or catastrophising the future.
All people who are suffering, they are suffering because of the way they are looking at the environment and not because of the reality is, we can find a lot of people may have everything, money, luxury, fashion, children, wives or husband, everything from a lot of people’s point of you, but they are still suffering they don’t feel happiness, why? is because from their point of view, from their own perspectives what they are getting is not enough, and what they did they shouldn’t do it ….. et, so most people are suffering because they are very much focusing on themselves, they cannot get out of themselves, they are always focusing on themselves, implementing “Me” every think about “Me” that’s what make them suffer because they will never ever get satisfaction or that fulfilment in themselves. So instead of focusing on “Do more” “share more” “how am i going to contribute to do more” “how to do a better job for others” “how to help others better” or “improving customer services” or “better communication with people” “helping other people” “improving relationship with other people like family, partners, friends, colleague…et.
So, people are suffering because they are very much worrying about the future, how s the scar collapse disaster is going to happen future is dark suffering can be worrying can be very stressful can be frustrated can be anger.
So, people can and stop suffering by not focusing on themselves but focusing on other aspects of life like you partner, you work, your relationships, your colleague’s other people and humanity in general, that way you can end the suffer because the nature of the human mind is to comparing things, your brain is not designed to make you happy, your brain design to make you survive and to be survive is too worried about things, about future about others.
So, Mind Mapping is a diagram used to represent words and ideas linked to and arranged read around a central keyword of idea, it’s used to generate, visualise, structure, classify ideas, as an aid in study, organising, problem-solving and decision-making.

Bouchra Yassin
Clinical Psychologist

و ككل جمعة؛ حابين نشوف اكثر ناس متحمس اليوم للايف المسا، خلوا لي بالتعليقات شو هي اسئلتكم و شو هي المواضيع يلي حابين نحكي فيها.👍🙏🙂🌟💥👏🙌👌💫🤞🏾

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Bouchra Yassin - Clinical Psychologist - My Therapist Online I am an experienced Clinical Psychologist with more than 10 years of experience working within the Community sectors in both clinical and research posts; I a...

S*x therapy techniques:

A relationship takes time and effort, takes connection and learning a language that your partner talks, if you love your partner on your own way it may not translate for him so what you need to do? is to learn the language that can be translated for your partner which makes you feel loved, makes you feel cared for, so love your partner that way.
At any stage you find yourself be able to do so you will see the changes that happened in your relationship. The following techniques and guidance may help you to get into that stage:

1. 1- Connection between your feelings, closeness, trust, romance, those are very important and for a woman in particular, you need to start to realise what connect you with your partner is how you define intimacy in your relationship.
2. 2- S*x is only a small part of a fulfilling in a relationship, in fact chemistry is the one that connected any relationship.
3. 3- S*x is a key for lasting relationship and when you have any problems or difficulties in your bedroom you don’t want to brush it under the carpet, the s*xual problems create life problems.
4. 4- You need to know women in particular don’t reach or**sm necessarily every time like men, the intensity of reaching or**sm between men and women is various, men find it far easier, than women to reach or**sm, women are different in this matter because of the physiology of their organ, a blended or**sm is a combination of cl****al and va**na or**sm it is usually the most pleasurable or**sm for a woman and it’s more intense. Unfortunately, a lot of women do fake an or**sm and this is lead to a lot of problems such as sits up early in your relationship and eventually you come to deny it.
5. 5- Have a positive frame to talk about your s*xuality and your s*xual function with your partner outside of your bedroom in a positive way, you can always talk to your partner and tell him/her how much you like that or show him/her the touched that you like or dislike.
6. 6- The first thing that you ever need to learn is how to love your body and that’s your body is a gift to have the best ever intimacy connection and s*xual pleasure, furthermore, you are the one who select and choose with who you give it to.
7. 7- Learning practice how to focus to restore your s*xual connection with your partner and that means when you start to touch each other’s body for some time everywhere in a sensual way, here when you start to receive the pleasure, just focus on the sensation and how good it may make you feel good, this is what we call it the pleasure communication between love and touch.
8. 8- Be able to connect to yourself in order to be able to connect with your partner and that means you need to be honest by talking about all the stories that you are telling yourself about your partner your brain is your main s*xual drive, about your insecurities, your judgemental statements and beliefs towards yourself and your partner, that can help you to build up the trust in your relationship.
9. 9- Discover your love language between you and your partner, for example when he/she says or do things, we knew him/her wants to be touched or have a physical affirmation needs or when he/she bought you flowers or give you a gift so that is a love language, the way he/she expressed her/his needs for your love.
10. 10- Have a quality time into the s*x that you are having together, when you understand that you want to do the best and to do more for your partner for his/her will be in, when you get to understand that’s the place you are in is to give more without conditions, because in this moment you are sharing something very valuable and powerful between you and if you are not able to feel good about giving, you will not be able to feel good in your relationship.
11. 11- When you come to a relationship you need to realise that your partner is not part of your past, a lot of people live their past experiences into their current relationship, this can destroy your relationship when you start to compare your partner with your exes or when you have unrealistic expectations, so when you doing this, know that you are doing nothing but exercising anxiety, insecurities and create unnecessarily stressor for yourself such as financial security or could be something else.
12. 12- Self-image is very important: start to love your body and feel it more than you love or feel your ge****ls, this is more likely to have your s*xual satisfaction more than anything else, I have noticed that a lot of people for different reasons don’t like their bodies or feel embarrassed in front of their partners.
13. 13- Be aware of any previous negative relationships can have a negative impact on your current relationship, expecting s*x to happen spontaneously it’s helps to have more pleasure and satisfaction than have a planned s*x, try not to have time for any limitation or restrictions but all you need to do is to start enjoying your s*x life with your partner as if it’s just not going to happen.
14. 14- Don’t tell your partner about your past experiences as this is not going to help you to enjoy a positive s*xual relationship with your partner, feeling shame, guilt or as if you are owing something to him/her going to keep your mind preoccupied with these intrusive negative thoughts, whenever you are having s*x with him/her.
15. 15- No communication means lack of information, subsequently, lack of positive s*xual relationship; a lot of couples don’t address the issue out of stigma or their own perspectives about s*x or for other reasons.
16. 16- Although an active s*x life is good in your relationship but the frequency of s*xual activities needs to be rational and realistic, that means Don’t expect to have everything going perfect every time, have ups and downs, physical social emotional conditions that may affect your s*xual or**sm, you just have to accept that there’s nothing can be worked perfectly all the time.
17. 17- Men and women need to notice the difference between them in relation to reach or**sm, usually Women takes longer than men.
18. 18- Low of libido can be caused by chronic stress which can make you feel not having s*x. When he/she not putting the pressure on each other, this is support sensuality and loving, caring and connecting with each other by kissing that is will get you turned on as a result.
19. 19- Sharing s*xual fantasies doesn’t always include acting them out. To share your s*xual fantasies with your partner, is one of the best ways that have positive improvement in progress in your s*xual life because it had something special in relation to that and increasing the intimacy between you, this one need level of trust and feeling safe and secure to bring those things up, this happened when you don’t feel judged by your partner and feel free to express them. The advantage of sharing your fantasies with your partner is helps you to feel free, feel good and to let it out. But if you don’t feel those recommendations, it’s better to keep your fantasies to yourself.
20. 20- And finally, you have to know how your body works and feel comfortable about it you have to take your pleasure into your own perspectives if you want to get pleasure in your s*x life you have to know how your body works and feel comfortable with it.

Bouchra Yassin
Clinical Psychologist

يسعد مساكن متابعين خارج و داخل بريطانيا رح نطلع لايف بعد شوي بنحكي و نجاوب ع استفساراتكم الخاصة بالصحة النفسية.
موضوع اليوم هو " كيف يمكن ان تحقق اهدافك بالحياة" فيكن تتركوا اي استفسارات بالتعليقات هلا قبل ما نطلع 🙏👍💫💥✅👏🌟🤞🏾😊

Trauma processing techniques:
The triggers of traumatic memories can cause your brain to remain in a stage of hypervigilance suppressing your memory and block it . your brain also stores the visual images of the traumatic incidents and evidence it’s not stored as a story but it’s taught us thoughts feelings and emotions that we are experienced at the trauma moment was occurring your trauma memory store in your brain of visual images, smells, sounds and tastes or touch but now instead of open up about your trauma history because you think it will benefit someone else or because you feel that you owe it to someone it is possible now to learn how to cope with the anxiety and stress and other symptoms that come up from your traumatic memory the following technique is a Seve effective evidence-based for people who struggle with traumatic memories and want help. There is lots of good evidence based techniques for processing intrusive traumatic memories such as relieving with updating exposure which include three steps of trauma processing.

Preparation: choose the right time and the right place, make yourself comfortable, have privacy in a quiet room for example. Sit your traumatic event and assist target memory before you start to process the memory to adaptive dissolution, you need keep your eyes closed, criss-cross your hands over your shoulders as if you are holding yourself, practice a deep breathing exercise. Identify traumatic incident as a target for this technique.
Think of safe or calm pleace.
During the first stage you need to focus on the memory by visualise it associated with your feelings thoughts and physical sense observe your physical response thinking of the incidents and a positive ignition by identify any somatic distress or disturbance.
Close this phase if you need to close or you feel that you are not feeling save this technique is to provide you safety and insure you with that.
Have a scale of 1 to 7 where are you field is completely true or false, One feels completely false and seven feels totally true.
General can be any time between 60 to 90 minutes and you can take breaks in between.
Because of the need of stability of emotions in this techniques you must not use this technique to process trauma if you are actively abusively using alcohol or drugs or something that makes you feel less or to give you the sense of insecurity.
Ideally use this technique for a single traumatic events such an assault s*xual physical or emotional abuse.
This technique is going to help you to dig deep down and the roots of your pain.

1- Step one: stability when you notice your ongoing needs for discharge this negative feelings and that’s when you take time to accept what happened and learn to live with it bye find out what exactly happened and be involved with your life as a survivor therefore process and your trauma can help you make sense of your experience of pain because when you’ve been traumatised your brain hold an implicit memory of traumatic events in there in your brain and body your traumatic memory is often expressed in symptoms of post-traumatic stress disorder like nightmares flashbacks startle response and disassociative behaviours so developing healthy habits like having a good sleep routine comfort yourself physically by relaxing having mindfulness program as a routine on a daily basis turn reduce a lot of symptoms of stress and anxiety at your brain and body hold through having a deeper connection between your mind and body through the meditation physical exercise and mindfulness exercise, having a social positive relationships and get outside also can be a good positive habits that your brain and body needs to heal from the trauma and to be lead your brain grows in the Healthy way.

2-Step number two: Allow yourself to remember and grief about the traumatic events or incidents in this state you may experience symptoms like anxiety or symptoms of depression fear or sense of helplessness you may also experience some physical feelings or interpersonal situation you may also notice some other objects like places voices noises colours names smells or any other things similar.
At this stage you may also have reaction to the trauma like feeling exhausted confused disassociated physical arousal.

Step three: restoring relationships and that when you get to the stage of shifting all those negative feelings to a positive ones.
👍🙏💥💫🌟🤞🏾✅💪👏

يسعداوقاتكن جميعا بكل الخير، حابين نطلع لايف؟🤔 يالي عندوا استفسارات للصحة النفسية او حابين تحكوا عن موضوع معين🤗اتركوا لي اياها بالتعليقات 💫🌟✅💥👍😊

كيف تتخطى الماضي المؤلم من أجل الخير:

* تقر بأن ملف
يحتاج الإنسان إلى عرض تقديمي أساسي حول البقاء على قيد الحياة وهي احتياجاتك النفسية الأساسية التي تتلقاها من أشخاص آخرين مثل والديك أو شريكك. لذلك أنت بحاجة إلى تلقي هذه الاحتياجات واختبار أذهاننا لنسيان الماضي والبدء في عيش حياة مليئة بالمزيد من الفرح والحرية.

* قم بتشغيل التخلي عن الماضي عن طريق مسامحة شخص ما إما شخصيًا أو في قلبك ليس لأنه يستحق ذلك أو لأنك أفضل ولكن هذا سيساعدك على التخلي عن الغضب وأن تكون في حالة سلمية تستحقها.

* حاول تحديد ما يعيقك عن طريق سؤال نفسك "ما هي الأسباب التي يجب أن أتجاوزها؟ كيف ستتغير حياتي عندما أتعلم الانتقال من الماضي.

* الشعور بالهدف من خلال تحديد أي هدف يخدم دافعك العاطفي ويساعدك على الحفاظ على تركيزك وثباتك.

* حدد عواطفك في الوقت الحالي لمساعدتك على التخلص من مشاعرك السلبية العالقة والسيطرة على مشاعرك.

* اختراقات في الحياة من خلال تعلم الاستراتيجيات وتطوير وتحسين وتمكين عقلك وإطعام عقلك بمعرفة جديدة كل يوم من خلال امتلاك هذه العادة.

* ابحث عن الأشخاص الإيجابيين الذين يجعلونك تشعر بتحسن وقادر على تلبية احتياجاتك الأساسية لما تستحقه وتجعلك تشعر أنك في حالة الذروة.

* تأمل؛ من خلال ممارسة تمارين التنفس العميق والامتنان كل يوم. وإدراك ما حدث لك في الماضي هو ما جعل الشخص الذي أنت عليه الآن قويًا وقويًا يمكنه التعامل معه والتغلب عليه.

* تعلم كيف تشعر بالحب مع نفسك من خلال التركيز والتركيز على نفسك وحب الذات واحترام الذات لتكون لديك القدرة على تحويل السلبيات إلى إيجابيات وتحويل تركيزك.

* خلق الحياة التي تستحقها من خلال ممارسة قانون التمايز ، من خلال الاعتراف بأنك فريد ومميز ، فأنت الوحيد والمختلف عن العالم بأسره.

* لكي تكون على دراية باللحظة الحالية ، تذكر مشاهدة جدولك الزمني وربط نفسك بوقتك الحالي بالوقت الحالي الذي يهم. ألم الحاضر الماضي ، اللوم والشعور بالذنب. المستقبل موجود فقط في خيالك للتنبؤ بأسوأ السيناريوهات ، وبفعلك ذلك فأنت لا تمارس أي شيء سوى التوتر والقلق. الاعتقاد الوحيد الذي يحدث الآن هو الشيء الحقيقي وليس أقوى من اللحظة الحالية ، وهذا سيساعد نفسك على تحرير نفسك من ألم الماضي والمستقبل المجهد.

* العمل وخلق علاقات صحية تستحقها من خلال تطوير ما تحتاجه لمعرفة وتعلم معنى العلاقات الصحية السعيدة من خلال التركيز والتعلم لتمكين عقلك وموعد حياتك بشكل يومي.

* ممارسة قانون الجاذبية من خلال تركيز طاقتك على الكلمة هو ما تستحقه الكلمة الإيجابية ومن أحاطت به.

* وأخيرًا يتم إعطاء سر الحياة. أهم الاحتياجات الأساسية التي لدينا هي المشاركة عندما تكون سعيدًا ، تحتاج إلى مشاركتها عندما تكون حزينًا تحتاج إلى مشاركتها ، وأهم لحظة بالنسبة لك هي مشاركة سعادتك وهذا يحدث من خلال منح الآخرين الشعور بأنك لديك رد الجميل ، وأذكرك بأنك صنعت من أجل والتركيز على احتياجات الآخرين لديك طريقة لتمكينك من القيام بأكثر مما كنت تعتقد أنه ممكن لأنك مررت بما مروا به وتشعر بالفوائد على الفور عندما إيجاد حلول مبتكرة لمشاكلهم.

أتمنى أن تجد هذا مفيدًا 👍🙏😊🌟💪✅💥💫

بشرى ياسين
علم النفس السريري

HOW TO GET OVER YOUR PAINFUL PAST FOR GOOD:

* acknowledge that your
human being needs it’s your for fundamental presentation about survival which are your essential psychological needs that you receive them from other people like your parents or your partner. So you need to receive these needs and experiencing our mind to forget the past and start living a life full of more joy and freedom.

* Turn on letting go of the past by forgiving someone either in person or in your heart not because he deserve it or you are a better on but that’s would help you let go of anger and be in a peaceful state that you deserve.

* try to identify what’s holding you back by asking yourself “ what are the reasons that I must move beyond this? How my life would change when I learn to move on from the past.

* sense of purpose by establishing any goal which will serve your emotional drive and would help you to stay focused and consistent.

* identity your emotions at the present moment to help you to get out from your stuck negative emotions and take charge of your emotions.

* breakthroughs in life by learning strategies, developing, improving and empowering your mind and feeding your mind with new knowledge every single day by having this as a habit.

* find positive people who make you feel better and able to meet your essential needs of what you deserve and make you feel you are in a peak state.

* Meditation; by practicing deep breathing exercise, gratitude every day. And realise what happened to you in the past is what made the person you are now, strong, powerful who can handle and get over it.

* learn how to feel in love with yourself by concentrating and focusing on yourself, self love and self respect to have the ability to turn negativities into positives and shift your focus.

* creating the life that you deserve by practicing the law of Differentiation, by acknowledging that you are unique and special you are the one and only and your different then the whole wide world.

* to be mindful of the present moment remember to watch your timeline and link yourself to your present time the present time that matters. Past present pain, blame and guilt. The future only exist in your imagination to predict the worst scenarios, and by doing that you are not exercising anything but stress and anxiety. The only think that it’s happening right now is the real thing and nothing more powerful than the present moment so that is going to help yourself to free yourself from the past pain and stressful future.

* work and create a healthy relationships that you deserve by develop that you need to know and learn the meaning of a healthy happy relationships by focusing and learning empowering your mind and your sol on a daily basis.

* practising law of attraction by focusing your energy into the word is what you deserve the positive word and who you surrounded yourself with.

* and finally the secret of living is given. The most essential needs that we have is sharing when you are happy, you need to share when you are sad you need to share and the most important moment for you is to share your happiness and that is happening by giving other people the feeling that you have giving back, remind you that you are made for and focusing on the needs of others have a way of empowering you to do more than you thought possible because you’ve been through what they have been through and you feel the benefits immediately when you find creative solutions to their problems.

I hope you find this helpful 👍🙏😊🌟💪✅💥💫

BOUCHRA YASSIN
CLINICAL PSYCHOLOGIST

HOW TO GET OVER YOUR PAINFUL PAST FOR GOOD:
* acknowledge that your
human being needs it’s your for fundamental presentation about survival which are your essential psychological needs that you receive them from other people like your parents or your partner. So you need to receive these needs and experiencing our mind to forget the past and start living a life full of more joy and freedom.

* Turn on letting go of the past by forgiving someone either in person or in your heart not because he deserve it or you are a better on but that’s would help you let go of anger and be in a peaceful state that you deserve.

* try to identify what’s holding you back by asking yourself “ what are the reasons that I must move beyond this? How my life would change when I learn to move on from the past.

* sense of purpose by establishing any goal which will serve your emotional drive and would help you to stay focused and consistent.

* identity your emotions at the present moment to help you to get out from your stuck negative emotions and take charge of your emotions.

* breakthroughs in life by learning strategies, developing, improving and empowering your mind and feeding your mind with new knowledge every single day by having this as a habit.

* find positive people who make you feel better and able to meet your essential needs of what you deserve and make you feel you are in a peak state.

* Meditation; by practicing deep breathing exercise, gratitude every day. And realise what happened to you in the past is what made the person you are now, strong, powerful who can handle and get over it.

* learn how to feel in love with yourself by concentrating and focusing on yourself, self love and self respect to have the ability to turn negativities into positives and shift your focus.

* creating the life that you deserve by practicing the law of Differentiation, by acknowledging that you are unique and special you are the one and only and your different then the whole wide world.

* to be mindful of the present moment remember to watch your timeline and link yourself to your present time the present time that matters. Past present pain, blame and guilt. The future only exist in your imagination to predict the worst scenarios, and by doing that you are not exercising anything but stress and anxiety. The only think that it’s happening right now is the real thing and nothing more powerful than the present moment so that is going to help yourself to free yourself from the past pain and stressful future.

* work and create a healthy relationships that you deserve by develop that you need to know and learn the meaning of a healthy happy relationships by focusing and learning empowering your mind and your sol on a daily basis.

* practising law of attraction by focusing your energy into the word is what you deserve the positive word and who you surrounded yourself with.

* and finally the secret of living is given. The most essential needs that we have is sharing when you are happy, you need to share when you are sad you need to share and the most important moment for you is to share your happiness and that is happening by giving other people the feeling that you have giving back, remind you that you are made for and focusing on the needs of others have a way of empowering you to do more than you thought possible because you’ve been through what they have been through and you feel the benefits immediately when you find creative solutions to their problems.

I hope you find this helpful 👍🙏😊🌟💪✅💥💫

Mind Therapy Ni Welcome to MindtherapyNI, MTNI is an independent psychological Clinic.
- Bouchra Yassin
- Clinical P