One of the fortunate—and sometimes unfortunate—aspects of human biology is that we contain within us the physiology for extraordinary pleasures.  When we are psychologically in balance, our capacity to derive enjoyment from our senses and our bodies, whether through eating or exercise or sex, enriches our lives immeasurably.  But when we face underlying turmoil or pain or unhappiness, we can use our inborn capacities for pleasure as shields against thinking and feeling our emotions—literally harnessing our brain chemical messengers and neurotransmitters like infusions of drugs.
 
Sexual addiction is one of the dark roads men and women travel in order to avoid their feelings and the complexities of their life stories.  They turn to sex to “drug” themselves and relieve deeper feelings of anxiety or depression or boredom or loneliness.  In doing so they not only deprive themselves of journeying toward a true understanding of the roots of their negative feelings, they cause a lot of collateral damage.  That damage can include shattered families, a loss of respect in the community, legal problems, financial problems and health problems.
 
Sexual addiction is also unique in that it can now be “fed” 24/7 through the Internet, which provides countless graphic images and videos that are the equivalent of a constant infusion of alcohol or heroin.  Gambling addicts at least have the rate-limiting step of their own finances as a potential brake on their dependency.  Drug addicts have to procure their substances.  But sex addicts can mainline their drug through magazines, the Web, escort services and relationships built only around physical satisfaction.
 
For these reasons, it can take a long time for sex addicts to come to terms with the fact that their addiction is harming them or others.  Most sex addicts aren’t arrested with prostitutes in hotel rooms; they’re wasting good years in one emotionally anonymous relationship after another, or wasting hours and hours on the Internet, or wasting the potential for true closeness with their children because they are driven to divorce by their needs or distracted by recruiting their next lover.  What are the signs and symptoms of sexual addiction?  Here are some to consider:

– Underlying anxiety or depression when the activity related to sex is resisted.

– A need for exposure to sexually stimulating material or relationships that overshadows the need for real emotional, interpersonal connections. A need for exposure to sexually stimulating material or relationships that overshadows the need for real emotional, interpersonal connections.

– A preoccupation with sexual fulfillment or fantasies that interferes with daily life, one’s employment or one’s marriage.

If you or someone you love has any of these symptoms, a psychiatrist or psychologist is a good place to turn for help. Remember, the fact that we have the anatomy and physiology for pleasure of many kinds means that we are, as human beings, also at risk for redirecting those healthy pleasures into pathology.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement including www.livingthetruth.com. Dr. Ablow can be emailed at info@keithablow.com.

I recently read an article about a cancer patient who chose to use herbal remedies over a surgical procedure that could quite possibly have saved her life. Leslee Flasch was barely 50 years old when doctors told her she would need surgery for her rectal cancer that would leave her wearing a colostomy bag for the rest of her life. She had tried other conventional therapies, but refused surgery and turned to herbal supplements she had researched on the Internet. Her condition worsened and she eventually died.

This story is just the latest in what seems to be a growing trend of alternative treatments breaking into mainstream medicine — and in some cases, replacing it. In fact, a recent report even suggests that 60 percent of cancer patients try herbal remedies — and sometimes, the consequences are deadly.

Leslee Flasch’s story has prompted some questions about colorectal cancer and about the treatment of cancers with alternative therapies, so I sat down to answer some of them here. 

1. What is the difference between colon cancer and rectal cancer?
Colon and rectal cancers are actually very similar — but the difference lies in what part of the large intestine the cancer affects. The colon and rectum make up a long, muscular tube that most people know as the large intestine. The first part of the large intestine is the colon and at the end of it is the rectum.

Cancers in the colon and rectum usually grow slowly and may start as benign polyps. These polyps are found during a colonoscopy, and early removal of polyps may prevent it from becoming cancer. Over 95 percent of colon and rectal cancers start in the cells that line the inside of the large intestine.

Cancer of the colon and/or rectum is the third leading cause of cancer in men and the fourth leading cause of cancer in women worldwide.

 
2. Who is at risk for colorectal cancer?
There are several risk factors for developing cancer of the colon and/or rectum including:

• Age — people aged 50 and over should be screened, with frequency depending on medical history;
• Medical history — a personal history of polyps or colorectal cancer increases your risk;
• Family history — a family history of colon cancer also raises your risk of developing the disease;
• Inherited syndromes — certain syndromes such as Familial Adenosis Polyposis (FAP) also increase your chances of developing colorectal cancer;
• Ethnicity — Studies have shown higher incidence of colorectal cancer in African-Americans and Ashkenazi Jews;
• Diet & lifestyle — diets high in red meat and overcooked foods, smoking, obesity, heavy alcohol consumption are all risk factors;
• Overall health — underlying conditions like type 2 diabetes can increase your chances of developing colon and/or rectal cancer.

 
3. What is the treatment and survival rate for rectal cancer?
Surgery is usually the most common treatment for stages I, II and III rectal cancer — although radiation and chemotherapy will often be given before surgery to try and shrink the tumor and kill off cancerous cells in affected tissue.

There are several types of surgery for rectal cancer. Stage IV rectal cancer is treated primarily with chemotherapy and palliative surgery, if necessary. Palliative surgery provides a treatment that will relieve a problem (such as a bowel obstruction) but does not lead to a cure.  In the case of obstruction, a colostomy surgery would be performed.

4. What does it mean to have a permanent colostomy bag?
Colostomy is a surgical procedure that brings a portion of the large intestine (colon) through the abdominal wall. Waste (stools) moving through the colon drain into a bag that is attached to the abdomen. It is done when the cancer is removed from the rectum or to bypass an obstruction caused by colon cancer. 
 
Contrary to people’s perception, having a colostomy bag is hygienic and can be very discreet because the bag can be well-hidden under clothing.
 
For some patients suffering from rectal cancer, colostomy surgery may be part of a curative treatment, while for others, it may be relief for an incurable situation. But either way — patients who are candidates for this procedure often see significant improvements in their quality of life.

5. What would Leslee Flasch’s quality of life have been like if she had sought conventional treatment?
There’s still a lot we don’t know about this particular case. But I can say that If her cancer was caught in the in the early stages, the chances of her being cured would have been very good.  Colorectal cancer is almost always treatable if caught early.  She may not have required a colostomy if the cancer was treated in the very early stages when it was still small in size. 

Even in stage II and III, she could have been treated with surgery and chemotherapy and had an excellent prognosis. If she had agreed to a colostomy, she would have been able to return to her normal activities and lifestyle — and nobody would even be aware of the bag. 

In general, when treated at an early stage, most colorectal cancer patients survive at least 5 years. If the disease does not come back during this time, they are considered cured. Stages I, II, III are considered potentially curable.  Once the cancer spreads to other areas of the body (stage IV), the 5-year survival rate drops, and most cases are not curable.

6. What do you think about this trend of patients trying to treat themselves with herbal remedies?
I think that including alternative treatments with conventional medicine can be very beneficial to patients as long as it’s under the guidance of a medical doctor who supports this course of treatment and monitors a patient’s progress and overall health. I certainly don’t think that alternative treatments should replace conventional therapy and patients need to be careful because there are a lot of scams out there that may or may not be harmful, and can take a financial toll.

7. What are some of the reasons a person might seek alternative treatment?
One of the most effective uses of alternative medicine in cancer patients is to alleviate pain associated medical treatment. For example, acupuncture has been proven to help with pain and other negative side effects like nausea brought on by chemotherapy or surgery. Certain types of relaxation therapy can relieve anxiety associated with a course of conventional treatment. And there are some natural herbs that aid in calming nausea or vomiting — which are often side effects of chemotherapy.

So for patients who want to use alternative medicine to alleviate negative side effects of medical treatment or to enhance the healing effects of conventional therapy — physician-monitored alternative treatments can help. But again, there is no evidence to support alternative therapies being used in place of conventional medicine — whereas we have a wealth of evidence supporting the effects of chemotherapy, radiation and surgery in the treatment of cancer.

8. What advice do you have for people thinking of skipping out on medical treatment and trying alternative therapies for cancer?
Often when people are initially diagnosed with cancer, they often don’t feel sick (especially if the cancer is caught early) so a lot of times, the thought of going through medical treatment seems beyond the realm of comprehension.

There are no regulations for alternative treatments, and in most cases, no proof they work. If doctors give a medication and patients have severe negative side effects — that medication is studied and pulled from the market. But with a lot of these herbal remedies, there is no proof that these treatments work. Each patient is different and each situation is different. So what a patient really needs to consider when they talk to their doctor about their diagnosis, is how much they really want to risk.

It comes down to what your current treatment options are, and their effect on your quality — and ultimately quantity — of life.

Leslee Flasch is a perfect example of someone whose quality and quantity of life could have been extended by conventional therapy.

Dr. Cynara Coomer is an assistant professor of surgery specializing in breast health and breast cancer surgery at Mount Sinai Medical Center in New York City. She is a FOX News Health contributor providing medical expertise on a variety of topics in cancer research with a focus on women’s health, breast diseases and tips for healthy breasts at any age.

Almost 25 million Americans have some sort of flying-related fear, from nerves and anxiety to full-on aviophobia.

And now, recent news of what we now know was the tragic demise of Air France Flight 447 on Sunday night over the Atlantic Ocean has awakened a fear in many people who might not usually dwell on it.

I’m sure, to some extent, most of us feel some level of anxiety or vulnerability as our flight turns the final corner on the runway before accelerating and finally taking off. For some people, it’s nothing a sedative or a pre-flight cocktail can’t quell.

But for those people with a real fear of flying, just the thought of that pivotal moment in their trip can be enough to bring on the sweaty palms and racing heart. And for some, that fear is enough to keep them permanently grounded.

Now, we all know that probability-wise, the risks associated with driving a car are significantly higher than those associated with air travel — with research showing that the latter has actually gotten safer over the last couple of decades.

In fact, statistically speaking, the lifetime odds of dying in an air travel accident are 1-in-20,000 compared with 1-in-100 for an auto accident. And according to the NTSB, highway fatalities account for more than 94 percent of all transportation deaths — airplanes included.

But even though we understand that logically and statistically speaking, our chances of getting in a car accident are much greater than anything happening when we fly, it’s often the fact that we relinquish all control over our own well-being — for however long it takes us to get from point A to point B — to the pilot and his crew.

And for people prone to anxiety or obsessive compulsive disorders, this loss of control and the vulnerability we feel can become overwhelming, triggering a panic attack or worse. So it’s important for people suffering from these disorders to make sure they always carry their medication with them while they are traveling.

Other common phobias that can contribute to a fear of flying include claustrophobia (fear of enclosed spaces) and acrophobia (fear of heights).

Fortunately, today there are places to get help with your fears. Support groups and therapy are two options that have been around for a long time. But more recently, airlines have started to offer classes with flight simulators to help would-be passengers confront their anxieties and become more comfortable with the experience.

So while it may seem like there has been a lot of aviation incidents between the news coverage of the “Miracle on the Hudson” in January, and the fatal crash involving Continental Connection Flight 3407 in Clarence, NY just a month later — considering the fact that there are more than 87,000 flights in the skies over the U.S. on any given day — flying is still one of the safest way to travel.

Perhaps what leaves so many people feeling unsettled and fearful after this most recent accident is the mystery behind it. After a horrible tragedy, part of the healing process is to come to terms with what happened and try to make sense of it all. But as the days pass and the world looks on as investigators try to piece together the clues, it seems in the end, there will be more questions than answers as to the final moments of Flight 447.

Everyone can remember their first day at a new school; the nerves that undoubtedly built as you entered a strange building, stared at a sea of unfamiliar faces, and struggled to establish new friendships. Your child will surely face these same fears as she enters her new school, but fortunately there are things you can do to ease her stress and facilitate a smooth transition.

There are many reasons for a change in schools. Some parents are unhappy with their child’s placement and seek a new experience more in sync with his needs. Some simply graduate and move on to the next school in their district. With job losses still climbing in the U.S., some families are relocating to a new city for job opportunities and a fresh start.

While it’s best to transfer schools at the start of a new academic year, when everyone else is learning the new routines as well, some moves cannot be avoided and must take place mid-year. If the change is scheduled for the fall, you can still start preparing your child now. These tips will help you whenever the move is scheduled.

• Be clear about why your child is changing schools. Ensure her that she did nothing wrong and that the move is meant to bring her more positive experiences. Give her warning about when the change will take place. Marking it on the calendar gives a clear visual for the timeline of the transition.
• Fill out all necessary paperwork in a timely fashion. Being called down to the office is an embarrassing moment for a child and keeping these distractions to a minimum will help him focus on his work. Completing health forms are especially important because many schools mandate all medical forms be complete in order to participate in any physical activity. Your child could be isolated and unable to participate in gym class, causing more stress.
• Contact the Parent-Teacher Association (PTA). Become an active member and use this opportunity to network with other parents. This gives you a chance to get to know the families you will be spending time with and will lessen your apprehension when your child asks for a playdate at a new friend’s house. It also shows you are excited to join the school’s community.
• Visit the school while it is in session and also at least once in the summer. Your child will have the chance to meet teachers, students, and other staff when they are present. Visiting in the summer gives your child time to “wander” around and learn her way without the stress of a crowd.
• Write a story together. Make your child the main character and have him generate ideas for the plot. Pose the question: “What type of things do you think might happen on the first day at your new school?” You can discuss situations that may cause anxiety and the appropriate way to handle them. This type of role-playing prepares your child for new interactions and gives him a script to fall back on. Always end the story on a positive note, for example, “James was so happy to meet children who like basketball, just like him!”
• Make sure your child has closure at her old school. Have a going-away party with her friends to celebrate the big move. Give her an address book so she can write down her friends’ contact information and have the option of keeping in touch once the move has happened.

As always, keep an open line of communication between you and your child as the transition begins. Ask questions like “Tell me your favorite thing about your new school” or “What is one thing you miss about your old school?” Talking about the change helps your child make it through the transition successfully.

Also, check with the school social worker and see if they have a “buddy” system for new students. Having a buddy show them around the first few days helps your child feel comfortable and she won’t have to worry about having someone to sit with at lunch.

If you see your child is still having a hard time adjusting four to six weeks into the new school experience, touch base with the school guidance counselor. Establishing a connection with an adult in school gives your child a place to share his anxieties or concerns during the day. The guidance counselor may be able to facilitate some productive interactions between peers in your child’s class, as well as work with the staff in the school to support your child

Stay positive! Show your child that you are making an effort to adjust to the new school routine as well and help her see this is an exciting journey for the whole family!

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

The tragedies are coming one after another.  In Binghamton, NY, Jiverly Voong kills13 at the American Civic Association.  In Pittsburgh, Richard Poplawski guns down three police officers.  In Graham, Washington, James Harrison kills his five children and then shoots himself.  All told, 57 people have died in multiple killings in the last month alone. 

What’s behind the carnage?  Could our troubled economy, with rampant job loss and the specter of home foreclosure weighing on our collective psyche, be pushing people over the edge?  Or is the answer to be found in the minds of a small number of people who have been quietly gathering rage and losing control for many months or years.

I think the answer is both.

Mass murderers have one thing in common:  They have lost the capacity for empathy.  They no longer see others as fully human, so they don’t worry over causing them to suffer.  They no longer see the life stories of others as sacred, so they don’t worry over bringing them to a violent end.  I believe this chasm of inhumanity opens because mass murderers have stopped valuing their own lives.  They are dehumanized to the extent that depression or paranoia or rage — or all three combined — have displaced everything else inside them—including love, whether for themselves or for others.

The road to becoming a murderer may have its roots in childhood, when abuse and neglect begin to make a child shut down his or her emotions, in order to stop feeling so much pain.  That dark psychological process can cast a long shadow, preventing the future killer from resonating with the pain of others.  Unrestrained by empathy, it leaves that person freer, in a terrible way, to be violent. 

It might well be the case that those who shut down emotionally and begin storing paranoia and rage inside them have less “hearty” or resilient nervous systems.  Maybe they have lower levels of serotonin than others among us who would preserve our humanity in the face of equally traumatic events.  Maybe they have absolutely no one who is obviously proud of them or shows concern for them or at least shares kind words with them.  Maybe they are unlucky enough to have head injuries that erode their capacity to control their emotions and leave them with shorter fuses.

But while the roots of the paranoia and rage that fuel mass killings may run bone deep, today’s stresses can set ablaze the deepest cauldrons of emotion.  We have among us many, many people who are on the edge psychologically.  They do not have reservoirs of self-esteem to carry them through job losses that make them feel like failures — as workers or fathers or husbands.  They cannot draw on stores of optimism to believe that things will turn out alright in the end, because things were not alright for them, often from the very beginning.  They may already be suffering with depression that can, in some of its forms, lead not only to anxiety and irritability, but also to paranoia and thoughts that life is not worth living.  Perhaps they have already turned to bankrupt strategies to keep their emotions at bay, including alcohol or illicit drugs, substances that lower self-control and are involved in the majority of violent crimes.

These are the people who are at risk to become the next Jiverly Voong, Richard Poplawski or James Harrison.  They are a job loss, a divorce or a repossession away from utter hopelessness that can tap their underlying stores of self-hatred and hatred for others and lead them to project it outside themselves, in an explosion of violence. 

There are many such people in the world.  They are victims of life events beyond their control who then victimize others, exponentially.  Psychological arithmetic is sometimes cruel:  The suffering of one person can multiply itself into the suffering of many.

This economy and these times are dangerous potential triggers.  Anyone who says otherwise should sit with me in my office and listen to some of the good and decent people, many from fine families, many with histories of great success, with wonderful potential futures, who can’t see any future for themselves, anymore. 

Anyone who says otherwise should listen to these “lucky” people, now down on their luck, who irrationally see themselves as permanent failures — not just economically, but personally.  Then imagine if you were the product of trauma, with only the most fragile sense of self, thinking the world was already against you.  Imagine how a pink slip hits you then.  Imagine if it comes with news that your wife is leaving you or cheating on you — with a real man.  Imagine if you stop thinking you’re a man at all, not even a human being, that everyone is laughing at you, that you’re powerless and forgotten and destined for nothing but emptiness.  Imagine trying to contain all that. 

Some people don’t.  Instead of containing it and processing it, they project it.  Economic chaos makes that outcome more likely.  The sooner we stop denying that fact, the sooner we can begin putting in place the needed resources to reach out in a real way to those who think — wrongly — that they are beyond help, and prevent the deaths we can.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s website at livingthetruth.com or e-mail him at info@keithablow.com.

According to William and Janis Mohat, their son Eric, a 17-year-old, was bullied to death at Mentor High School in Mentor, Ohio.  On March 29, 2007 Mohat shot himself after relentless harassment and intimidation that included being pushed, shoved and hit ― not to mention being humiliated by being called a fag, a queer and a homo.  Eric had never shown any interest in homosexuality at all.

Click here to read the full story on FOXNews.com
 
The Mohats are suing their school district, alleging that one of Eric’s teachers — Thomas M. Horvath — saw the bullying and did nothing to stop it.  Two other students committed suicide the same year Eric did.  His parents say bullying was a factor in their deaths, too.  And another parent, named Dan Hughes, reportedly withdrew his son Brandon from the school after he was picked on, non-stop.
 
The Mohats aren’t after cash.  They want to force the school system to put a comprehensive and effective anti-bullying program in place.  I think they should be after both.  I also think they should urge local authorities to press criminal harassment (and possibly wrongful death) charges against Eric’s bullies.
 
Bullying is an old problem that repeated and dogged litigation may be the only way to solve.  The litigation may have to be as relentless as the bullying itself. 
 
Schools have, for decades, either utterly ignored or done far too little to fix the bullying that takes place in their schoolyards and classrooms, cafeterias, restrooms and hallways.  Too little is done to prevent bullying, and bullies aren’t sufficiently disciplined.  Eric Mohat’s assailants, for instance, should have been identified, punished and, if they persisted, suspended from school.  Period.  The same goes for bullies in any other school district, in any other community.
 
As a psychiatrist who has treated bullies and their victims, I believe that early detection of aggressive kids and vulnerable kids, with preventive strategies targeted toward each can be effective.  But reaching deep into the souls of bullies to find out what shattered their empathy and turned them into child predators (yes, predators) can take a fair amount of time.  So when bullies are identified, the first order of business has to be to stop their emotional and physical abusiveness—through discipline, containment, suspension or expulsion.  The healing work of identifying and addressing the roots of their violence can then begin.
 
Eric Mohat allegedly lost his life to bullying.  Indeed, researchers have identified a connection between bullying and suicide.   What’s more, the U.S. Centers for Disease Control estimates that every day in this country160,000 children stay home from school because they fear bullies.
 
In my psychiatry practice, I have met adolescents, young adults and adults who bear the scars.  Bullying can cause lasting low self-esteem, persistent anxiety and major depression.  It can warp personality structure, either spawning a tendency toward irritability and violence in victims, or a tendency toward isolation and passivity. 
 
The word needs to go out loud and clear, not only from William and Janis Mohat, but from school administrators and the law enforcement community, that bullying will be seen as any other form of assault.  That means that child bullies get sent home from school and started in therapy, adolescent bullies get suspended from school or expelled (and started in therapy) and teenage bullies get their therapy, along with being suspended, expelled and/or referred to the juvenile justice system.  
 
It’s really that simple.  I hope that that any school system, school administrator or teacher who ignores bullying is sued and has to dig very deep into their pockets to pay a very significant judgment.  No amount will ever compensate victims and their families — certainly not those who lose sons or daughters to suicide.  But using litigation (or the threat of it) to shape social policy may be the fastest route to keeping our kids safe at school.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s website at livingthetruth.com or e-mail him at info@keithablow.com.

This morning as I was leaving the house to come to work at FOX, my 12-year-old son asked me a question that stopped me dead in my tracks.

“Hey dad, is America in a depression?” he said.

And I said “No, why do you ask?”

“Because I hear everybody talking about the economy and all this trouble that I don’t understand,” he said.

“What do you know about the Great Depression of the 1920s,” I asked.

“Well,” he said, “I know there was no money and I think people were jumping out of buildings in New York.”

I tried to reassure him that things were okay and that nobody was jumping out of windows…yet.

But as I left, I started thinking about our conversation, and I asked myself: Why do innocent people suffer? How is all this anxiety and stress over the current economic crisis going to be remembered by the next generation in America?

Yes, every mental health professional will tell us that there are multiple studies that correlate severe financial debt and depression – even suicide.

I remember reading a recent report of two college student that killed themselves after being overwhelmed by credit card debt.

In India, an estimated 150,000 debt-ridden farmers have committed suicide since 1997.

Yes, we all know that suicide is not the solution, but again I asked myself, why do innocent people suffer?

And as I stopped to ponder the answer to my burning question, I began to evaluate some of the things that many of us have forgotten – the things that are truly important.

Love and respect for ourselves and others – that’s what’s important. You can’t buy happiness. The integrity of our lives and the way we love and respect the people we are so fortunate to have in them is far more important than any economic indicator on Wall Street.

So I thought long and hard, and I decided to tell my son the biblical story of Job – a story I think many people should read in these times of financial crisis.

Job was a happy man, a wealthy man who lived a prosperous life filled with family and good fortune. But one day, Job was tested by God. He was stripped of his fortune, his family and his health. Job began to complain of God’s indifference, he wondered why God did not punish the wicked instead of him. But after all of his analysis, he understood that what was important to God was the love that should never be questioned — the love that he has for his children. And, in the end, Job’s prosperity was restored.

Why do innocent people suffer? Because perhaps they forget that love, compassion and respect settles all debt.

With the recent announcement that vice presidential candidate Sarah Palin’s 17-year-old daughter, Bristol is five months pregnant, there has been a lot of media attention and speculation about her condition.

Politics aside, I am deeply concerned about the potential effects that this unwarranted publicity will have on this young girl. We must remember that there are many high-risk aspects associated with teen pregnancy. Statistically, we know that pregnant teens have high rates of low-birth weight infants, as well as premature deliveries.

One factor that concerns me particularly is the level of unnecessary stress that this young woman is facing due to her mother’s campaign for vice president. It has been clearly documented that stress has been linked to fatigue in pregnant women, as well as anxiety, loss of appetite and sleeplessness.

Another factor that has been identified as a result of stress during pregnancy is the potential for an increased amount of corticotropin-releasing hormone, or CRH, which has been directly linked with premature labor and increased blood pressure.

It is important for all of us to remember that pregnancy is a special time for a mother-to-be — no matter what her age or circumstances may be — and it involves the lives of two people, one of whom is in the most vulnerable stage of life and deserves our respect and support.

Hurricane Gustav’s 110-mile-an-hour winds, punishing sheets of rain and funnel clouds would test the psyche of any city, but the fact that this hurricane is assaulting New Orleans means it carries the potential for deep and long-lasting psychological trauma to residents there.

The mental health impact of Hurricane Katrina in 2005 was enormous. The Substance Abuse and Mental Health Administration estimated that 500,000 people required counseling. According to one study, 31.2 percent of those who lived through it came to suffer a disorder of anxiety or mood or both. More than 16 percent fell victim to post-traumatic stress disorder (PTSD), a condition that can include not only distressing and intrusive memories and dreams, but also a sense that one is actually reliving the catastrophe. This puts Katrina in the same league as life events like serving in combat or being the victim of a rape. Studies of those who have lived through those traumas have revealed a rate of PTSD between 10 and 30 percent.

It’s particularly important, as well, that PTSD commonly causes changes in body physiology—including blood pressure and heart rate—when victims are exposed to stresses resembling the initial trauma. Body and mind are both affected.

The evacuation of New Orleans and the arrival of Gustav, with levees being tested again, means that millions of Americans are being traumatized—having to wonder and worry about their own safety, the well-being of their loved ones and what the storm will do to their property and finances. But it also means that a substantial percentage of them are being re-traumatized, compounding the psychological risks.

For an untold number of residents of New Orleans in 2005, Katrina wasn’t, of course, the only painful chapter in their life stories. That hurricane itself carried the potential to reawaken unresolved feelings of vulnerability and loss from years, even decades, before. Now, we have Gustav.

This layering of traumas, one storm after another, makes leadership in today’s crisis critical. It is inevitable that those who have fled New Orleans—including children and adolescents old enough to have survived both disasters—will look for signs that there is strong leadership in place, a plan for them and resources they can use as they return to their brave and battered city. Those resources will necessarily include mental health counselors, social workers, psychologists and psychiatrists. Residents of New Orleans should call upon their skills early on, with the certain knowledge that doing so for oneself or one’s loved ones is a sign of strength, not weakness, and a critical step on the road back home.

Stress may actually play a role in whether or not your allergies will be tolerable or very bad! Researchers from Ohio State University Medical Center reported “stress and anxiety make a big difference” in terms of how we respond when allergies attack. 

The study evaluated the link between the severity of allergy symptoms and how much stress a person has.  Those allergy sufferers, who were much stressed, were four times more likely to test positive for allergies!
Remember, greater amounts of anxiety are physically linked to an increased production of “stress hormones.”

 Dr. Ronald Glaser, a researcher from Ohio State University, thought these chemicals released when stressed may be to blame for delayed allergic reactions.

As we approach the height of the summer and early fall allergy season, the message is to try and reduce excess stress. You can also learn anti-anxiety and coping strategies to improve your emotional well-being – and your allergies!

Dr. Clifford W. Bassett is an assistant clinical professor of medicine at the Long Island College Hospital and on the faculty of NYU School of Medicine.  He is the current vice chair for public education committee of the American Academy of Allergy, Asthma and Immunology.  No information in this blog is intended as medical advice to any reader or intended to diagnose or treat any medical condition.