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Anxiety and Stress Management

Anxiety and panic disorders affect an estimated 2.4 million Americans. Dr. Patricia Farrell shares information and advice about stress management and anxiety; its causes, symptoms, diagnosis, and effective treatments

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Thursday, January 25, 2007

WebMD Preview
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As a former magazine editor, I appreciate graphic design and the new design of the WebMD website really has what I would expect: clean design, good use of color and text and an easy-to-navigate feature layout.

I know that I've been to websites that presented a challenge in terms of trying to find what I needed. This has happened on sites that are supposed to be very computer graphics savvy, but the wish wasn't fulfilled in the layout. Obviously, a lot of thought went into this new website layout and it shows.

Join me in a big round of applause to all those who worked so hard to make our WebMD experience that much more pleasurable. They've married the best design with the best content and it's a winner.


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Posted by: Pat_Farrell_PhD at 4:59 PM

Friday, January 19, 2007

When Rights Collide
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We live in a society where many of us have come to believe that we have a right to know quite a lot about a great many things. Unfortunately, this seems to have gone a bit over the line where it applies to the rights of children to be kept safe from emotional harm. I am referring, of course, to the recent case of the two boys who were abducted in Missouri. One of the boys was held by his captor for four years and it is this boy whose welfare concerns me the most. Not that the younger boy who was held for days rather than years doesn't concern me, but Shawn, the older boy, has been hit by the media spotlight much more vividly.

Traumatic events in our lives have, by the very nature of the emotion associated with them and the flashbacks, a way of reinforcing themselves. Anyone who has experienced anything like PTSD (Post Traumatic Stress Disorder) knows that only too well. So, I know that both boys must be carefully and cautiously helped to get their lives back together. It is the constant insistence, on the part of some media, that the public wants to know all the lurid details of the captivity, that causes me great concern.

The public may want to know but the public does not have a right to know just as the children have a right to not provide details and to keep this private. Asking "the questions that are on everyone's mind" does not make this right or any less abusive. These children have been subjected to something no one should experience, neither adult nor child. Framing inappropriate, invasive questioning with the phrase that "the public wants to know" does nothing to absolve the questioner from anything here.

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Posted by: Pat_Farrell_PhD at 3:32 PM

Wednesday, January 17, 2007

The New "Child" dogs
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Have you noticed the change at airports and in city streets where people are bringing their dogs with them more and more? The dogs, too, have taken on a whole new reality in some peoples' lives and whether you agree with it or not, these dogs are becoming child substitutes.

A dog can be a great source of comfort and when you can bring it wherever you go, tucked neatly into an oversized handbag, you can always keep that comfort at hand. The American Kennel Club tells us that these dogs are actually bred to want to be near their owners and to love and be loved.

I recently talked to a woman who was staying over a friend's home during the holidays and had a revelation of sorts. While sitting in the kitchen eating her breakfast, she had a minor shock as down the stairs from the bedrooms came a little Yorkie wearing its pajamas. Yes, this dog has outfits, jewelry, nail polish and gets its hair combed while waiting for planes. The thought of this tiny dog in pajamas brings a smile to my face.

When the kids leave home, couples are opting not to have that empty nest. Instead, they've brought in one of the miniature breeds of dogs to fill the void in their home and their hearts and it works well for them. We know that petting an animal can lower blood pressure, decrease stress and help generally calm someone down.

So, be prepared because the next time you are sitting at an airport you are going to see more dogs. They don't have to ride in baggage and they don't have to have a seat bought for them. On a recent trip, I saw five owners board my flight with their dogs in tow and all of them behaved as though travel were the norm.

No, I didn't see any outfits, but they did have bows in their hair and one woman whiled the time away combing her dog's large fluffy ears. I think it was the Papillon breed.

How do you pamper your pooches? Post a comment and tell me about your dogs. I'm going to be talking about this on Good Morning America this Saturday morning, so be sure to tune in.

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Posted by: Pat_Farrell_PhD at 2:02 PM

Tuesday, January 16, 2007

A Boy Named Ben and Another Named Shawn
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I appeared on CNN's "Anderson Cooper 360" last night and the topic touches all of us--abducted children.

Two boys, one a teen and the other several years younger, were abducted by someone who everyone thought was a quiet, responsible employee who worked two jobs. There was no reason to believe anything about him. He kept to himself, worked at the same job for 25 years and never had a problem outside of a traffic ticket. The one mistake he made in this bizarre case was that he took a sick day on the day Ben Ownby went missing. Of course, there was also the fact that two police officers found his behavior odd when they spoke to him on an unrelated matter. The rest is history.

Looking for one boy, the authorities found two and the first boy, Shawn Hornbeck, had been missing for four years. Everyone asked themselves how this could have happened. How could a boy be missing in plain sight of the community?

Some people are speculating that it's an example of Stockholm Syndrome, but that's trying to fit this neatly into a simple answer. In the first place, the people in the Syndrome case were adult bank customers held for several days in the bank and, in the second, it just doesn't happen that victims of kidnapping identify with their captors. A study of 1200 kidnapped persons by the FBI found that 92% did not exhibit the features of the Syndrome. Experts, in fact, find it to be a rare, rather than a common phenomena.

Now that the boys are safe, there is much to be mended in their lives as they are woven into the fabric of their lives, lives that have a rent in them. The process will take time and one thing I, as a psychologist, do not want the media exploring is what these kids went through during the captivity. This is a highly personal matter and not one for public discussion or knowledge. It's going to be difficult enough for them in their families, their communities and at school.

The one question that many may be asking is why this man, with one boy sitting in his apartment, would abduct another. For some individuals like this man, it has to do with preference for children between a particular age range and the older boy may have "aged out" for him. I've seen it in families where incest was prevalent. When the abused child reached 15, the age of puberty, the abuser selected a younger child to take this child place. During the year or two prior to reaching 15, the child would be told that the only way to protect their younger sibling was to comply with the wishes of the abuser.

Why did this boy stay? Probably for the same reason abused women say in abusive relationships--they lose their will to escape or they fear that they will be killed. I can only think it was similar for this young man.

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Posted by: Pat_Farrell_PhD at 12:32 PM

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