Identifying the Signs of Abuse
Because steroid and supplement abuse often hides behind the socially acceptable goal of fitness, recognizing the signs can be challenging. Users may be secretive, defensive, or genuinely unaware that their use has crossed the line into addiction. However, there are often physical, behavioral, and psychological changes that can indicate a problem. Early detection is key – noticing these signs and seeking help sooner rather than later can prevent serious health consequences and make recovery more manageable. Here are some common signs and symptoms to look out for: **Physical Signs:** * **Rapid Muscle Gain:** Unusually fast increases in muscle size and strength that seem disproportionate to diet and training efforts. * **Severe Acne:** Particularly on the back, shoulders, and chest (‘bacne’). * **Bloated Appearance:** Water retention can cause a puffy look, especially in the face and neck. * **Skin Changes:** Oily skin, stretch marks (striae) due to rapid muscle growth. * **Hair Loss:** Accelerated male-pattern baldness in men. Women might experience hair thinning on the scalp but increased body or facial hair. * **Voice Deepening:** Noticeable in women using androgenic steroids. * **Gynecomastia (Men):** Development of breast tissue due to hormonal imbalances caused by steroid use. * **Testicular Atrophy (Men):** Shrinking of the testicles. * **Menstrual Irregularities (Women):** Changes in or cessation of periods. * **Needle Marks:** If injecting steroids, look for injection sites, usually on the buttocks, thighs, or shoulders. * **Frequent Illnesses:** Steroid use can sometimes suppress the immune system. * **Jaundice:** Yellowing of the skin or eyes, indicating potential liver damage. * **Complaints of Tendon/Ligament Pain:** Muscles may grow faster than supporting connective tissues can adapt. **Behavioral and Psychological Signs:** * **Increased Aggression & Irritability:** Sudden mood swings, disproportionate anger (‘roid rage’), impatience, confrontational behavior. * **Obsession with Appearance:** Constant focus on body image, muscle size, weight, and diet. Excessive time spent looking in the mirror or taking progress photos. * **Obsession with Working Out:** Spending excessive hours in the gym, becoming distressed if a workout is missed, prioritizing gym time over work, family, or social obligations. * **Changes in Eating Habits:** Rigid dieting, meticulous tracking of macros, possibly binge eating cycles. * **Increased Secrecy & Defensiveness:** Hiding substance use, lying about dosages, becoming angry or evasive when questioned about their physique or habits. * **Withdrawal from Social Activities:** Isolating oneself to focus on training and diet, or perhaps due to mood changes or paranoia. * **Drastic Changes in Energy Levels:** Periods of high energy and productivity followed by crashes or fatigue. * **Sleep Disturbances:** Insomnia or difficulty sleeping. * **Impaired Judgment & Risk-Taking:** Making impulsive decisions, engaging in risky behaviors. * **Signs of Depression or Anxiety:** Especially when cycling off steroids or experiencing negative side effects. * **Paranoia or Delusions:** In more severe cases or with prolonged high-dose use. * **Possession of Steroids/Supplements:** Finding vials, pills, needles, or large quantities of supplements. Frequent deliveries of unmarked packages. * **Financial Strain:** Spending significant amounts of money on substances. It’s important to remember that some of these signs, in isolation, might not indicate abuse. However, a pattern or combination of several symptoms, especially marked changes from previous behavior, should raise concern. For example, a corporate professional who was previously balanced might suddenly become hyper-focused on the gym, exhibit unusual mood swings, and show rapid physical changes. They might start missing work deadlines because of training schedules or become defensive when asked about their new physique. If you recognize these signs in yourself or a loved one, it’s crucial not to ignore them. **Early detection** makes a significant difference. Addressing the issue before it leads to severe health complications or deeply ingrained addictive behaviors improves the chances of a successful recovery. Don’t wait for things to get worse. Reaching out for professional help is a sign of strength. If these signs resonate with you, please
Contact Us at Asana Recovery. Our team can provide a confidential assessment and guide you towards the appropriate support and treatment, such as our specialized
Drug Addiction Treatment programs.
Treatment Options at Asana Recovery
Recognizing that steroid or supplement abuse is a problem is the courageous first step. The next is seeking help. At Asana Recovery, located conveniently in Orange County, California, we offer a range of evidence-based treatment programs designed to address the unique challenges of substance abuse, including those related to performance-enhancing drugs and problematic supplement use, often seen in high-pressure environments like the corporate world. We provide compassionate, confidential, and effective care tailored to your individual needs. Our approach understands that addiction is complex, often involving underlying psychological factors like stress, body image issues, or co-occurring mental health conditions. We focus on healing the whole person, not just stopping the substance use. Here are some of the key treatment options available: **
Intensive Outpatient Programs (IOP):** For many corporate professionals, taking extended time off work for residential treatment isn’t feasible. Our **Intensive Outpatient Programs (IOP)** offer a flexible yet structured solution. IOP allows clients to receive comprehensive treatment for several hours a day, multiple days a week, while still living at home and maintaining work or family commitments. This level of care includes therapy sessions (individual and group), education about addiction and coping skills, and support for relapse prevention. It’s an excellent option for those who have a stable home environment and need robust treatment that fits into their busy lives. We also offer a
Virtual IOP option, providing accessibility and convenience for those who cannot attend in person. Check out the details of our
Outpatient Services. **
Cognitive Behavioral Therapy (CBT):** A cornerstone of modern addiction treatment, **Cognitive Behavioral Therapy (CBT)** is highly effective for addressing the thought patterns and behaviors underlying steroid and supplement abuse. CBT helps individuals identify the triggers and irrational beliefs that fuel their substance use – such as the belief that they need a certain physique to be successful or that they can’t cope with stress without substances. Therapists work with clients to challenge these negative thoughts and develop healthier coping strategies. CBT equips individuals with practical skills to manage cravings, deal with stressful situations, and change behaviors related to body image obsession and compulsive exercise. We also utilize therapies like
Dialectical Behavior Therapy (DBT) for Addiction, which focuses on emotional regulation, distress tolerance, and interpersonal effectiveness. **
Medication-Assisted Treatment (MAT):** While often associated with opioid or alcohol addiction, **Medication-Assisted Treatment (MAT)** can play a role in recovery from steroid abuse, particularly in managing withdrawal symptoms or addressing co-occurring substance use. Steroid withdrawal can involve severe depression, fatigue, and cravings. Certain medications, under careful medical supervision, can help stabilize mood and reduce discomfort, making it easier to engage in therapy. If an individual is also struggling with other substances like opioids (sometimes used for workout injuries) or alcohol, MAT can be critical. Our medical team assesses each client to determine if MAT is appropriate. For those needing initial stabilization, our
Medically-Assisted Detox program provides a safe and supervised environment to manage withdrawal. **
Couples Treatment:** Addiction doesn’t just affect the individual; it profoundly impacts relationships. Steroid and supplement abuse can lead to mood swings, secrecy, broken trust, and emotional distance, straining partnerships. Our **Couples Treatment** program provides a space for both partners to heal and rebuild their relationship. Therapy focuses on improving communication, setting healthy boundaries, understanding addiction’s impact on the relationship dynamics, and developing strategies for mutual support during recovery. Involving a partner can significantly strengthen the recovery process and create a more supportive home environment. **Other Specialized Services:** Many individuals struggling with steroid or supplement abuse also face underlying mental health issues like depression, anxiety, or body dysmorphic disorder. Our
Dual Diagnosis Treatment program addresses both the substance use disorder and any co-occurring mental health conditions simultaneously, which is crucial for lasting recovery. We offer comprehensive
Mental Health Outpatient Treatment as part of our continuum of care. For those needing a higher level of care initially, we provide
Residential Treatment and
Partial Hospitalization Programs (PHP). We even understand the importance of furry companions in recovery, offering a
Pet-Friendly Rehab environment. Making the decision to seek help is significant. At **Asana Recovery**, we strive to make the process as smooth as possible. You can easily check if your insurance plan covers treatment through our confidential online
Insurance Verification form. We also offer guidance on
Private Pay and Payment Options if needed. Choosing **private care** at Asana Recovery means receiving personalized attention, evidence-based therapies, and compassionate support tailored to the unique needs of individuals overcoming steroid and supplement abuse. Take the first step towards reclaiming your health and well-being –
Contact Us today.
The Role of Support Systems
Overcoming any addiction, including steroid and supplement abuse, is rarely a journey taken alone. While professional treatment provides the essential tools and therapies, a strong support system – comprising family, friends, and peers – provides the encouragement, understanding, and accountability needed for lasting recovery. For corporate gym-goers dealing with this specific challenge, support systems are vital in navigating the pressures and triggers associated with their environment. The **importance of family and friends** cannot be overstated. Loved ones are often the first to notice changes or express concern. Their support can be a powerful motivator for seeking help and staying committed to recovery. However, it’s crucial for this support to be healthy and informed. Family members and friends can help by: * **Educating Themselves:** Learning about steroid and supplement abuse, its effects, and the recovery process helps them understand what their loved one is going through. This reduces stigma and fosters empathy. * **Offering Unconditional Support:** Letting the individual know they are loved and supported, regardless of past behaviors. Avoid blame or judgment. * **Encouraging Treatment:** Gently urging professional help and supporting participation in therapy and support groups. * **Setting Healthy Boundaries:** Support doesn’t mean enabling. Loved ones need to establish clear boundaries to protect their own well-being and avoid inadvertently facilitating substance use (e.g., providing money that could be used for substances, making excuses for behavior). * **Participating in Family Therapy:** If appropriate, engaging in family or
Couples Treatment can heal relationships, improve communication, and create a unified front in supporting recovery. * **Celebrating Milestones:** Acknowledging progress and celebrating successes, no matter how small, reinforces positive change. * **Being Patient:** Recovery is a long-term process with potential setbacks. Patience and understanding are crucial. Beyond immediate family and friends, **support groups** play a critical role. Connecting with others who have faced similar struggles provides a unique sense of community and understanding. Peer support groups, whether general addiction recovery groups (like 12-step programs) or potentially more specialized groups if available, offer: * **Shared Experience:** Hearing stories from others who understand the specific pressures, cravings, and challenges related to performance-enhancing substance abuse can reduce feelings of isolation. * **Practical Advice:** Peers often share coping strategies and insights that have worked for them. * **Accountability:** Regularly attending meetings provides structure and a sense of responsibility to the group and oneself. * **Hope:** Seeing others succeed in recovery provides tangible proof that change is possible. * **A Safe Space:** Groups offer a confidential environment to share struggles and successes without judgment. **Building a supportive environment** is an active process. For the person in recovery, this means: * **Being Honest:** Opening up to trusted individuals about their struggles and their recovery plan. * **Identifying Healthy Connections:** Spending time with people who support their sobriety and well-being, and distancing themselves from those who encourage substance use or trigger unhealthy behaviors (e.g., certain gym buddies who still use). * **Communicating Needs:** Clearly stating what kind of support they find helpful and setting boundaries around unhelpful interactions. * **Utilizing Professional Support:** Continuing with therapy (like
Cognitive Behavioral Therapy (CBT)) and potentially
Outpatient Services provides ongoing guidance. * **Finding Healthy Outlets:** Replacing the time and energy spent on substance use and obsessive training with positive activities and hobbies, possibly involving supportive friends or family. For loved ones wanting to build a supportive environment: * **Listen Actively:** Pay attention without interrupting or offering unsolicited advice. Sometimes, just being heard is the most helpful thing. * **Focus on Health, Not Just Appearance:** Shift conversations away from physique and towards overall well-being, celebrating efforts towards balanced health rather than extreme fitness goals. * **Encourage Healthy Habits:** Participate in healthy activities together, like walks, cooking nutritious meals, or pursuing shared hobbies unrelated to intense fitness. * **Respect Boundaries:** Understand that the person in recovery needs space and autonomy in their journey. * **Seek Support for Themselves:** Dealing with a loved one’s addiction is stressful. Family support groups or individual counseling can be very beneficial for caregivers. Recovery is strengthened when individuals feel understood, accepted, and encouraged by those around them. At Asana Recovery, we integrate family involvement and emphasize the importance of building robust support networks as part of our comprehensive treatment approach. If you’re unsure how to support a loved one or need support yourself, please
Contact Us. We can provide resources and guidance.
Preventing Relapse: Staying Strong in Recovery
Achieving sobriety from steroid and supplement abuse is a monumental accomplishment, but the journey doesn’t end when active treatment concludes. Recovery is an ongoing process, and preventing relapse is crucial for long-term health and well-being. For corporate gym-goers, specific triggers related to work stress, gym environments, and body image pressures require dedicated strategies to navigate successfully. Relapse prevention starts with understanding triggers – the people, places, feelings, or situations that can spark cravings or thoughts of returning to substance use. Common triggers for those recovering from steroid/supplement abuse might include: * **High Work Stress:** Deadlines, demanding projects, workplace conflicts. * **Gym Environment:** Seeing extremely muscular individuals, encountering old workout partners who still use, feeling pressure to perform. * **Body Image Concerns:** Negative self-talk about appearance, comparing oneself to others, feeling dissatisfied with natural fitness progress. * **Social Events:** Situations where alcohol or other substances are present, or where appearance feels scrutinized. * **Negative Emotions:** Boredom, loneliness, anxiety, depression, frustration. * **Positive Emotions:** Feeling overly confident or celebrating, which can sometimes lead to letting one’s guard down. * **Advertisements/Social Media:** Exposure to marketing for supplements or idealized physiques. Once triggers are identified, **strategies to prevent relapse** can be developed. These often involve a combination of behavioral changes, coping skills, and ongoing support: 1. **Develop Healthy Coping Mechanisms:** Replace substance use with positive ways to manage stress and difficult emotions. This could include mindfulness meditation, deep breathing exercises, yoga, spending time in nature, engaging in hobbies, or talking to a trusted friend or therapist. 2. **Modify the Gym Routine (If Necessary):** Some may need to change gyms to avoid triggers, find a workout buddy who supports their recovery, focus on health markers other than size (like cardiovascular fitness or flexibility), or find alternative forms of physical activity they enjoy. 3. **Challenge Unhealthy Thought Patterns:** Continue using skills learned in therapies like
Cognitive Behavioral Therapy (CBT) to recognize and reframe negative thoughts about body image, self-worth, or the perceived need for substances. 4. **Build a Strong Support Network:** Regularly connect with supportive family, friends, and peers in recovery groups. Don’t hesitate to reach out when feeling vulnerable. 5. **Practice Self-Care:** Prioritize adequate sleep, balanced nutrition, and relaxation. Physical and mental exhaustion can increase vulnerability to relapse. 6. **Create an Emergency Plan:** Know who to call or what steps to take if strong cravings arise or a lapse (a brief return to use) occurs. A lapse doesn’t have to become a full relapse if addressed quickly. 7. **Set Realistic Goals:** Recovery involves gradual progress. Setting achievable goals for fitness, career, and personal life helps build confidence without creating overwhelming pressure. **Ongoing therapy and support** are vital components of relapse prevention. Addiction is often a chronic condition, and staying connected to professional help provides accountability and reinforcement of coping skills. This might involve: * **Continuing Individual Therapy:** Regularly checking in with a therapist to process challenges, reinforce recovery skills, and address any emerging issues. * **Attending Support Group Meetings:** Maintaining connection with peers provides ongoing encouragement and shared experience. * **Utilizing Aftercare Programs:** Participating in structured aftercare offered by treatment centers like Asana Recovery, which might include alumni groups or continued check-ins. Our
Outpatient Services and
Virtual IOP can serve as effective step-down or ongoing support options. * **Considering MAT Maintenance (If Applicable):** For those benefiting from
Medication-Assisted Treatment (MAT), continuing medication under medical supervision might be part of the long-term relapse prevention plan. **Maintaining a healthy lifestyle** goes hand-in-hand with relapse prevention. This isn’t about achieving an extreme physique but about nourishing the body and mind in sustainable ways: * **Balanced Nutrition:** Fueling the body with whole foods supports physical and mental health, stabilizing energy levels and mood. Avoid restrictive or obsessive dieting patterns. * **Regular, Moderate Exercise:** Focus on enjoyable physical activity for health benefits rather than solely for appearance or extreme performance. * **Sufficient Sleep:** Aim for 7-9 hours of quality sleep per night, as sleep deprivation impacts mood, judgment, and cravings. * **Stress Management Techniques:** Regularly practice chosen coping skills like mindfulness or deep breathing. * **Meaningful Activities:** Engage in hobbies, volunteering, or spending quality time with loved ones to foster a sense of purpose and connection beyond work and fitness. Preventing relapse requires vigilance, commitment, and the willingness to seek help when needed. It’s about building a fulfilling life where substances are no longer seen as necessary for success, confidence, or coping. At Asana Recovery, we are committed to supporting our clients long after they complete their initial treatment program, offering resources and ongoing care options to help maintain lasting recovery. If you’re concerned about relapse or need to strengthen your recovery plan,
Contact Us to discuss how we can support your journey. You can also explore options like verifying your insurance again easily through our
Insurance Verification tool.
How to Get Help: Taking the Next Step
Understanding the risks, recognizing the signs, and knowing that effective treatment exists are important steps. But the most crucial step is reaching out for help. If you or someone you care about is struggling with steroid or supplement abuse, particularly within the demanding context of corporate life and gym culture, Asana Recovery is here to provide expert, compassionate, and confidential **private care**. Making that first contact can feel daunting, but it’s the beginning of reclaiming control and building a healthier future. We encourage you to **contact Asana Recovery** today. Our dedicated team is ready to listen without judgment, answer your questions, and guide you through the process of getting help. Whether you’re just exploring options, ready to start treatment, or concerned about a loved one, we offer: * **Confidential Assessments:** We provide thorough, private evaluations to understand your specific situation, challenges, and needs. This helps us recommend the most appropriate level of care and treatment plan. * **Information on Programs:** We can explain our various programs in detail – from
Medically-Assisted Detox and
Residential Treatment to flexible
Intensive Outpatient Programs (IOP) and
Virtual IOP – helping you choose what best fits your life and recovery goals. * **Guidance for Families:** We offer support and resources for family members navigating a loved one’s addiction, including information on
Couples Treatment. Concerns about the cost of treatment are common and understandable. We aim to make high-quality care accessible. You can easily and confidentially **verify your insurance coverage** for treatment at Asana Recovery using our simple online
Insurance Verification form. Just provide some basic information, and our team will promptly check your benefits and explain your coverage options. We work with many major insurance providers. If insurance isn’t an option or doesn’t cover the full cost, we can also discuss
Private Pay and Payment Options to find a workable solution. Don’t let financial worries prevent you from seeking the help you deserve. Why seek professional help for steroid and supplement abuse? * **Expertise:** Addiction is a complex condition affecting the brain and behavior. Professionals trained in addiction medicine and therapy understand the nuances of steroid/supplement abuse, withdrawal management, and underlying psychological issues (like body dysmorphia or anxiety) that often accompany it. * **Structured Support:** Treatment programs provide a structured environment with evidence-based therapies like
Cognitive Behavioral Therapy (CBT) and
Dialectical Behavior Therapy (DBT) for Addiction, group support, and medical supervision (
MAT if needed) that are difficult to replicate on your own. * **Safe Space:** Treatment offers a confidential, non-judgmental space to explore the root causes of addiction, process difficult emotions, and develop coping strategies without fear of stigma. * **Addressing Co-occurring Issues:** Professionals can identify and treat underlying mental health conditions (
Dual Diagnosis Treatment) that may contribute to substance abuse, which is critical for lasting recovery. Our
Mental Health Outpatient Treatment services are integral to this. * **Relapse Prevention Planning:** Treatment programs focus heavily on developing skills and strategies to prevent relapse and maintain long-term recovery. Taking the step to get help for steroid or supplement abuse is an investment in your health, your relationships, your career, and your future. It’s a sign of strength, not weakness. The cycle of **corporate gym addiction** and substance abuse can be broken. Recovery is possible, and a fulfilling life free from the grip of these substances awaits. **Ready to start?** * **Call Us:** Reach out directly to speak with an admissions specialist. * **
Contact Us Online:** Fill out our secure contact form, and we’ll get back to you promptly. * **Verify Insurance:** Use our quick
Insurance Verification tool to check your benefits. Don’t let another day go by under the shadow of steroid or supplement abuse. Contact **Asana Recovery** now and take the first step towards healing and rediscovery.
Conclusion: Reclaiming Health Beyond the Hype
The pursuit of peak physical condition, especially within the demanding culture of the corporate world, can sometimes lead individuals down a dangerous path of **steroid abuse** and **supplement abuse**. What starts as a desire for an edge, a better physique, or a way to cope with stress can quickly escalate into a hidden addiction with severe physical and psychological consequences. This **corporate gym addiction** is an often-overlooked reality, masked by a veneer of health and discipline, but its impact on individuals, families, and workplaces is profound. Throughout this discussion, we’ve explored the nature of these substances, the reasons why high-achieving professionals might turn to them, the devastating long-term health risks, and the tell-tale signs that indicate a problem. We’ve highlighted how pressures related to body image and performance, sometimes amplified by workplace culture, contribute to this issue. Most importantly, we want to emphasize that help is available, and recovery is achievable. **Asana Recovery** offers specialized, compassionate care designed to address the unique challenges of steroid and supplement abuse. Through programs like our flexible **Intensive Outpatient Programs (IOP)**, evidence-based therapies such as **Cognitive Behavioral Therapy (CBT)**, medically supported options like **Medication-Assisted Treatment (MAT)** when appropriate, and relationship-focused care like **Couples therapy**, we provide the tools and support needed to break free from addiction. Building strong support systems and developing robust relapse prevention strategies are key components of the lasting recovery journey we facilitate. Ignoring the signs or delaying action only allows the problem to deepen, potentially leading to irreversible health damage and further strain on personal and professional life. Recognizing the issue and seeking **private care** is a courageous step towards reclaiming one’s health, well-being, and future. If you or someone you know is struggling with steroid or supplement abuse, don’t wait. Take action today. Learn more about our programs, use our confidential
Verify Insurance tool, explore
Private Pay and Payment Options, and reach out to our team. Let Asana Recovery be your partner in building a life defined by genuine health and strength, free from the dangers of substance abuse. Your path to recovery starts with a single step –
Contact Us now.
Frequently Asked Questions (FAQs)
What are the signs of steroid and supplement abuse?
Signs can be physical, behavioral, and psychological. Physical signs include rapid muscle gain, severe acne (especially on the back/shoulders), oily skin, hair loss (men) or growth (women), mood swings (‘roid rage’), aggression, irritability, changes in libido, and in some cases, jaundice or injection marks. Behavioral signs include obsession with working out and appearance, secrecy about substance use, defensiveness, withdrawing from social activities, and significant changes in energy levels or eating habits. Psychological signs can include depression, anxiety, paranoia, impaired judgment, and body image issues. A combination of these signs warrants concern.
How can Asana Recovery help with steroid abuse?
Asana Recovery offers comprehensive treatment tailored to individuals struggling with steroid abuse. Our approach includes evidence-based therapies like
Cognitive Behavioral Therapy (CBT) to address underlying thought patterns and behaviors related to body image and substance use. We provide various levels of care, including flexible
Intensive Outpatient Programs (IOP) suitable for professionals. We may utilize
Medication-Assisted Treatment (MAT) to manage withdrawal symptoms like depression or cravings, and offer
Dual Diagnosis Treatment for co-occurring mental health conditions. Support systems and relapse prevention planning are integral parts of our programs.
What treatment options are available for supplement addiction?
Treatment for problematic supplement use or addiction often mirrors approaches used for other substance use disorders, focusing on the psychological and behavioral aspects. At Asana Recovery, this typically involves therapies like
Cognitive Behavioral Therapy (CBT) and potentially
Dialectical Behavior Therapy (DBT) for Addiction to understand triggers, manage cravings, address body image issues, and develop healthier coping mechanisms. Depending on the severity and individual needs, treatment might occur in an
Intensive Outpatient Program (IOP) or other levels of care. Education about the risks of unregulated supplements and building healthy lifestyle habits are also key components. If specific supplements caused significant withdrawal or health issues,
Medically-Assisted Detox might be considered initially.
How does couples therapy aid in recovery?
Addiction significantly impacts relationships, causing issues like mistrust, communication breakdown, and emotional distance.
Couples Therapy at Asana Recovery helps both partners navigate the challenges of recovery together. It provides a safe space to address relationship issues stemming from the addiction, improve communication skills, rebuild trust, establish healthy boundaries, and learn how to support each other effectively. Involving a partner can strengthen the individual’s commitment to recovery and foster a more supportive home environment, which is crucial for long-term success.
How can I verify my insurance for treatment at Asana Recovery?
Verifying your insurance coverage for treatment at Asana Recovery is simple and confidential. You can use our secure online
Insurance Verification form available on our website. Just fill in the required details about your insurance plan, and our admissions team will quickly check your benefits and contact you to explain your coverage options for our programs. You can also call us directly, and we’ll be happy to assist you with the verification process over the phone. We also provide information on
Private Pay and Payment Options if needed.