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While in-person professionals are ideal, telecommunication interpreter services (telephone or video) are the standard alternative when face-to-face translation is unavailable

This approach has been widely adopted in clinical practice for AR and has demonstrated favorable treatment outcomes [121]

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Mental exhaustion becomes pronounced when cognitive tasks have to be performed for longer time periods with no breaks (cognitive loading). and : In addition to the fatigue itself, the patient with mental fatigue often suffers from loudness and light sensitivity, irritability, affect lability, stress intolerance, and headaches The researchers University of Gothenburg home page also describes over-exertion leading to a state of mental deadlock : Intense mental activity with high glutamate signalling can lead to astrocytes swelling, especially if their glutamate uptake capacity is impaired