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I would say that you have every reason to have panic attacks what with all the stress you've SM

Posted By: MissouriMT on 2006-10-14
In Reply to: Normal anxiety??? - Lisa

been under.  I take Effexor XR for my painic attacks and atenolol to help control my BP and it keeps my heart rate down.  The combination works wonderfully, although I wonder if I've become a little too dependent on it as I sometimes get a little anxious at the thought of being without my Effexor.


I would have periodic episodes of anxiousness going all the way back to my teenage years, but I would always work through it myself.  Then a year ago, in the midst of marital trouble and feeling alone as I lived two states away from friends and family, I started having what I now know to be gallbladder pain while I was at work.  In my mind, I knew I wasn't having a heart attack, the pain was in my right rib cage and radiated around to my right scapula.  But I couldn't seem to convince my body.  My heart started racing, my mind was racing.  I felt dizzy and short of breath.  I went to the employee health nurse who took my BP and it was sky high.  She immediately rushed me to the ER which freaked me out even further.


Long story short, I was having a full blown panic attack and I hope that I never experience anything like that again.  I ended up crying for three weeks straight, was afraid be left alone, was afraid to leave my house, couldn't eat, couldn't sleep, would pace the house with my heart racing, not able to calm myself down.


I saw three different doctors before I found a female doctor who listened to me and told me she knew exactly what I was talking about because her daughter had panick attacks too.  She started me on Effexor and set me up with a therapist who taught me breathing techniques and meditation techniques to help calm myself when I feel anxious.  One technique, as simple as it sounds, is something I practice almost daily which is deep breathing:  in through your nose and out through your mouth and as you exhale allow your body to relax starting from the shoulders down.  It seems silly, but it really works.  I noticed that I clenched my jaw a lot and so that is were I focus my mind when I'm trying to relax.  I focus on the tension in my jaw and start relaxing from there down.


Exercise is another great technique for relieving anxiety and stress.  All the experts say that, and it's true.  Just getting outside and walking can clear the mind.


Well, I've rambled on and on.  Sorry about that.  Let me just add one more thing, if you decide to try medication, my advice would be to be patient.  Sometimes it takes a few different trials of medication before you find the one that fits.  My doctor explained to me that panick attacks are caused by an overactive fight or flight response in the brain and so SSRI antidepressants like Zoloft or Celexa won't do the trick.  You have to have a NRI (norepinephrine reuptake inhibitor) to calm the response.


I'm not saying you need medicine, but I am saying that you may want to get a handle on it now so you don't have to go through what I did.  I can't even explain how horrible it feels to have your mind spinning of control.  I felt like I was genuinely losing my mind. 


Well, anyway I feel for you and I wish you well.




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Panic Attacks
I have had panic attacks since I was 38 and am now going to be 55. It started with a lot of stress in my life.. work, my sister committed suicide. I went like this for about 8 months before anyone would listen to me. I bought self-help books and i KNEW i had a panic disorder. Went to several therapists, psychiatrists. They wouldn't listen to me.. They asked me a million questions. Finally a friend at work suggested her Internal Medicine physician. I walked in to his office, told him I have a panic disorder. He said you don't look nervous. I said I am having a panic attack as we are3 speaking. I would have 4-5 panic attacks a day every day. I told him I had seen therapists, psychiatrists, etc. He said are you going to keep seeing the psychiatrist. I said NO.. because the first one i went to said " So tell me about your crazy family". That was it for me. I was shocked. So the Internal Medicine doctor put me on medication and my whole life changed.. I felt so much better, was able to cope, etc. Medicine is not for everyone but my panic attacks had blown so out of proportion that I finally became depressed because I could not function even though I went to work every day and many days having to leave work. I am still on medicine and feel great. The Internal Medicien doctor helped me more than the others. He listened to me and said " okay we are going to get you the right medicine and he told me that I needed to be patient. I have changed medicines now with the new one of Paxil and I am sooo much better. I am thankful for the day I walked into his office.
Boy, if stress is the trigger, I'm surprised I'm not one big blister. Stress is my middle name
and MT-ing is my game..
I've never had cable, never seen the reason to pay to watch TV nm
x
DOG ATTACKS

I think that pit bulls are sweet puppies (my son had one once and she was a dumpling little puppy) and I loved her, but when she got older I started to see the potential for disaster.  We lived in a regular neighborhood with lots of children and even though we were with her (the pit bull) all the time and never left her out I started fearing that if she did get out and attacked somone that I could never live with myself.  They are SO strong and have incredible jaw strength.  We found her a home in a neighboring state where she lived on a ranch (she loved it) where there were no children.  She lived there all her days and never harmed anyone, but I know she could have if the circumstances were right.  I have to say that our family has had a near-tragedy involving a dog that we raised from a puppy, cared for him, loved him, and when he was one year old he suddenly, without provocation of any kind, attacked a child (our grandchild) in our yard.  He had been around this same child every day for his whole life and his relationship with the child was very good. This was witnessed by several adults and it is only by the grace of God that my husband was able to save his life.  The dog jumped on him from behind and took him down on the ground and proceeded to bite and rip at his face and head.  He was in surgery for hours and fortunately he has healed and his scars are few.  Amazingly, he still loves dogs.  My husband said it took everything he had to force this dog off the child and that he had never seen anything like it in his life.  This dog was a German shepard, not a pit bull, but still very strong and powerful.  I think the point is that all dogs have the potential to harm humans, but some dogs are capable of killing if the circumstances are just right.   We don't know why ours did this, but we were humbled and frightened by this experience.  We had believed that we "knew" the dog and that he was "safe."  I believe that those powerful dogs are best kept away from busy neighborhoods, homes and buildings where there are children and never, ever will I believe that any baby or small child should be allowed to be in close proximity to one of them.  Any dog at any time could "turn" and become vicious if the circumstances are right.  We still have dogs, but we changed to border collies and Shih-Tzus.  I hope that the child that was attacked is doing well.  Your post brought back memories and I had to reply.  It was therapeutic for me (sometimes I still dream about our dog attacking our grandchild) and a good ad for Shih-Tzus and border collies!   


These are the only attacks that you
hear about, not just because this is the only breed that attacks. Pitbulls are just so exploited, and half the time when they say it is a pitbull attack it isn't even a purebred pitbull. I don't care what breed that I hear attacks, that doesn't make me believe that it is the whole breed. It use to be Chow Chows a few years ago, and I have owned two of them and never had a problem. Just sad how people play into whatever they hear on the news.
Anyone know anything about heart attacks?
A friend recently broke a date with me without letting me know and is saying his father had a heart attack on Saturday and almost died.  Said he had a panic attack and couldn't let me know what was going on. He has never been close to his dad at all and hasn't seen him in several years.  Was happy as a clam the next day after having a panic attack the day before.  Now today, Monday, a day and a half later, says his dad is out of the hospital and back at home and did not have anything done, no angioplasty, no stents, nothing.  Is this possible?
Have a question about heart attacks..

My husband had sharp shooting pains running down his left arm last night for just a couple of minutes.  He asked if he was having a heart attack and I told him that was a symptom and i'd take him to the ER but he said he didn't want to go.  That stopped and then a little while later he said he wasn't feeling well and went to sleep.  Was that a symptom of a heart attack?  If the pain subsided, is it likely to come back again - and with a vengeance or could it have been something else?  He says he's never had that before.  Said he didn't hit his elbow or pinch a nerve or do anything to cause it.  When it happened we were driving down the road when he started vigorously rubbing his arm.


Those pit bull attacks are ashame...sm
I don't know why these dogs attacked. I don't know if these dogs were provoked or what. It is hard for me to imagine a dog just attacking for no reason. I can't imagine my dog ever doing that. I know other people who have pits as pets and they have never had a problem with attacks. I think every good owner should know their dog inside and out and know their little quirks. Now I could see a pit bull attacking an owner who was sometimes mean to them or mistreated them in some way. I could see them getting enough and attacking. A lot of times I think that is really behind attacks and we don't know that. Still a dog never should kill a human. When you own a pit you have to have the utmost respect for the fact they could kill an animal or human if they wanted. They are physically capable but most are not emotionally capable.
My dad had a couple different pits and I have learned my great grandfather had pits for many years. He would only have one at a time. He took his pit hunting hogs and the pit would hold the hog and my great grandfather would put a rag over the dogs nostrils to cause him to have to let go of the hog and he would do whatever it was he then did with the hog. I didn't ask details. But what I am saying here is this was an man who was in close interaction with a pit and was right there when they attacked hogs and he intervened and had to pull them away from the hog by cutting off breathing from the dog so he would let go. He was never attacked or bitten. My dad said that was never an issue. The dogs knew he was the master and they never got out of line. If these were as unstable as some are made out to be and some may be but if they were really that unstable they could have attacked and killed this man. But he never had to worry about this. All of his pits loved and respected him as their owner. Now one deciding factor could be he never mistreated his dog. Never ever. He always treated them good. I think this may be why his dogs never showed him anything but kindness. Again there are some dogs (pits and others) who are unstable. They are just flat out mean and would do anything. But not all dogs are like this. My husband often says when people say aren't you worried CJ could hurt you one day. He says no I KNOW in my heart with everything in me this dog would die before he would hurt one of us. This pit is the most loving affectionate dog I have had the joy to own. Don't ask me how I know.. You would have to know CJ.
Why these attacks? I find YOU 'interesting!...sm
sm
I concur. He may be experiencing anxiety attacks, which would
most definitely cause profuse sweating.  As already stated by others, probably the best "medicine" he can receive is TLC provided by you.
Don't panic.
How is it invested? All 401K's have various investment options. Is some or all of it in stocks? In guaranteed income funds? In a money market? You should NOT take it out of the 401K. The 401K is just a basket that holds investments, and you are penalized heavily if you take it out of the 401K before retirement age. You can move around your investments within the 401K, though, which may or may not be a good idea. I would tend to hang tight for now.
How about the feeling of panic as you
are about to turn left across traffic and get on an on ramp? I always suddenly panic and wonder if I'm about to meet traffic coming off because I'm trying to go up an off ramp.
A panic attack
can present as a heart attack, with the same initial symptoms of shortness of breath, chest pain, clammy and sweaty, irregular or rapid heart rate, etc. The first thing done at the hospital would be stat blood work and an EKG.  Depending upon what these showed, then an MRI with or without contrast would be done.  A mandatory 24 hour stay is required for all chest pain admissions. I've been working in a cardiopulmonary dept. as a respiratory care practitioner for 6 years and have seen this many many times.  So if it makes you feel any better, he could be telling the truth about this. 
And Kim has a panic disorder and is agoraphobic.
It's no secret she has a bunch of mental disoders. As I said, the poor kid. Can't win.
I would have hit that panic button if she said pregnant!
This is exactly what is happening all over the states, people in a panic, not me - I told her just to check with her physician next week. If it is not a mysterious box or package being found and a panic about that, it is this or something else, all the time. I was actually relieved to hear what she said!
Before you push the panic button sm
This is a recession, quite possibly the mother of all recessions. It may turn into a depression, but it will run a very distant second to the Great Depression, IF it does.

Pre the GP (Great Depression) you several things going on that are NOT true today. We had come out of WWI not that long before. It had been a very bloody war, the first war with mechanized destruction. What the Doughboys witnessed was for them what we saw on 09/11...unimaginable death and destruction. It changed how they viewed America.

When these boys came home from the war, they came back to the farm, by and large. We were an agrarian country and with the exception of east coast, there were hardly any factory jobs and most people worked the land. Plenty of places all over the country people worked on "shares" and they were not all in the deep south and they were not all black. There was not nearly the land/home ownership that there is today. Most of these dirt farmers lived in poverty and barely scraped by enough to eat twice a day. When the great Dust Bowl came through Oklahoma, it took the enormous clouds of dust eastward and dumped it into the Atlantic Ocean. This was a man-made disaster and the story of the Joads in the Grapes of Wrath centers on the Dust Bowl and the farming habits of families, like the Joads caused them problems. It was their fault that the top soil blew across FDR's desk in the Oval Office.

There was no infrastructure to speak of, in those days. There were roadways, but not the spider web of paved roads there are today. Goods were carried on the rails, not over the roads. You didn't have Walmart or Kroger. You had the store "in town" and the Sears-Roebuck catalog. If you couldn't find it there or could not afford it you either cobbled something together or did without. You can look the Coal Miner's Daughter about being so low-down dirt poor it is unbelievable. That movie is quite cleaned up and Hollywood presentable. You could look at the sparse surroundings of the ranch house in Broke Back Mountain where Ennis goes after Jack dies, and while the time frame is more modern, the very plain, only the very basics of life appear in that ranch house. They are both a bit sanitized, but reasonably realistic.

Today, Americans live extraordinarily different lives than we did 80 years ago. Most people have a vehicle. Most people have more than a dirt floor shack to live in. We, have thanks to the Great Depression and FDR's recovery plan, electricity, roads, water, sewage and other sanitation. We take these things for granted, but we should not. The GP did bring some food shortages, not because of the depression, but because of the lack of infrastructure combined with people on the move to find work to subsist. The food shortages you are thinking of came with WWII and rationing...another problem secondary to lack of infrastructure and subsistence farming where there was not enough food produced to meet the need.

If you are going to stock up on food, let be for more common sense reasons. If you put your money in the bank, you will make 2% or 3% return on $500. If you put that same amount into nonperishable food (think canned goods), you make a better return on an investment. You don't earn 2% or 3%, but you can end up leveraging against future price increases that will meet and exceed what interest you make from a bank, which is nothing right now. You will need food whether you buy it now or buy it later. Squirreling away extra under the bed or whatever place you can find room, is a wise investment...financially and in peace of mind.
Right, but dont panic. Thousands die from flu every
nm
Daughter called, said don’t panic but you know that TB case?

Daughter and husband divorved last year and the guy from Atlanta being treated was the SIL divorce lawyer in October of last year. As she met this guy she was telling me this morning no really close contact (being in a room is close enough for me though), no outward signs of illness on his part.  I did not freak, rather told her to call her doctor. My former SIL has sickle cell disease and he is in the hospital with a flare as we speak. SIL recognized the guy on television, told the personnel at the hospital and now, you guessed it, he is in quarantine. It is really a small world, isnt it?


Remember Me? Caught Between Pride and Panic?

Well, my daughter has been accepted at her #1 college choice, and we're going to the Accepted Students day this weekend. 


In her Creative Writing class in school, they were assigned the task of summing up their Senior year in six words and then to illustrate it. What she came up with blew her father and me away!  I hope those of you who have had children leave home will get an inkling of the emotional impact this had on us. Suffice it to say, there was not a dry eye in the house!  See below.


Be careful if you have a tendency to anxiety/panic. Wellbutrin
people who suffer with anxiety/panic.
Stress when is enough enough?

Wanted to gab to get some feedback.  Right now, it seems like everywhere this MT turns there's stress.  DH going through final hearing for child support his ex won't pay for years, she threatening to take the kids away so he has to pay child support, etc.  I just switched jobs within the last year, and although I am doing well the one I chose, it has been really stressful trying different MTSOs out to find the right one, or the fairest one. Top it off, my 2nd computer in 6 months just died today and my lovebird cage just fell down from the ceiling wrecking the living room, the cage, and scaring me and the birds half to death.  Last week, when my son went for visitation, he wanted to stay home and not go with his dad, he screamed so loud the police chased his dad down in the car, and they came here to make sure he was not a kidnapper. I am not kidding! Look, I am not looking for pity.  It just seems that as I sit here and write this to you (who I don't even know), that since I work at home transcribing 6 days a week, am fully involved with my son at home and step kids all the time (no life outside the house to speak of anymore) I am absolutely at a ridiculous point of stress.  Any happy coping suggestions in response to this sad situation other than, go to the "mental health board," or "get a life..." etc. Thanks in advance for your kind comments. Just a sister MT trying to cope with job and home and trying to find advice from anyone who has "been there." Thanks.
 


STRESS
I am so sorry to hear about your friend (coworker). I cry with you. I hope and pray that you can find someone at your facility that will see what is happening and help you make changes!!!

Why can't anyone realize that the stress we face is great?

God Bless You and your other coworkers!!


christmas stress . . .
Due to the high stress nature of my husband's and my parents, we no longer tell them about the children's school events ( I know, sounds horrible, doesn't it?).  My husband's father, whom we see three times a year, and has absolutely NO relationship with our children, called the school and found out when their concert was.   He and his wife showed up last night, sat in front of us, he said two words to my husband (his son) all night long.    When we got home last night and wanted to decorate the tree, my husband blew a gasket.  He cannot handle it.  It bothered him SO much that his dad showed up that he screamed and yelled at us until my daughter and I were in tears and my sons wanted him to leave.  My daughter, lying in bed crying while I tucked her in said "we do this every year, mom".    In order to get a grip on the kind of relationship my husband and his father have I would have to go on and on.  basically, he adopted my husband when he married my husband's mother years ago.  They split up the year we got married.  My husband tried very, very unsuccessfully to maintain a relationship with him over the years and finally came to a point where he gave up.  We have awkward moments and conversation when we are together.  We have nothing in common, they don't really care about the kids, because they are not there to actually spend time with them and get to know them.  We prayed for my husband last night, and my daughter asked me if something happened in his childhood.  How do I get my husband to deal with this so we don't have to go through this every year?????
My solution to your stress
just BEAT HIM. LOL. J/K of course.

I would be upset too. Look for another company to go through. Unreal.
you are in posttraumatic stress right now--sm
go to the ER. Have someone drive you, if you feel you may leave the car running again. They will be sympathetic and guide you as to what is appropriate care for you. I feel your pain! My children's father took his own life on Father's Day two years ago and a cousin of mine took his own life less than a month later. I know the feeling, believe me. You will get better though, trust me. good luck to you and keep us all informed. you need compassionate friends right now, too. {{hugs}}
stress causes it too, my child has it....

and is also on metformin which causes more problems....has been to the GI doc who is really not much help....in this case, stress causes it...child doesn't drink....26 y/o.....


hope you feel better.....google IBS - you'll learn how to cope/deal....


stress, work, stress, work, stress, work
X
What do you do for stress relief?

I am having a tough time blowing off steam lately and looking for some stress relief ideas...some for in the moment and some for just routine daily/weekly life stress. 


I am pregnant so moods are crazy and I am just having difficulty letting go of even the smallest of things.  Looking for some pointers, ideas, suggestions. 


My garden tub used to do the trick but now that I work until late at night and have a child home from school for the summer, it is difficult to find the time for that or mani/pedis which I also used to enjoy.


 


stress reduction
My ex-hub wrote some papers while he was doing his PhD in psychology on stress reduction. I typed his papers both before and after we were divorced. It made sense to me. One of the things he said that you work all week to make a paycheck to pay your bills. He said you have to consider yourself "a bill out of your paycheck that needs to be paid" just like any other bill that you owe. You need to pay a bill owed to yourself for hard work in the form of whatever you can afford out of each paycheck no matter what the amount that you may deem to afford meaning a new outfit, pedicure, meal out, movie, whatever makes you relaxed and feel happy. Set an amount aside even if it is just $20-$25. It gives you something to looks forward to. We have been divorced for 15 years, but I still remember this and still do this. It makes me feel good because I know I have to pay this bill to myself and it makes me feel good.
I wouldn't stress.
I had my baby natural childbirth. It really wasn't so bad. By the time it gets to where you can't stand it anymore, it's time to push. When you push through a contraction, you don't feel pain anymore just pressure. During labor I just kept thinking, this time tomorrow I will be holding my baby.

While I was pregnant, friends and family delighted in telling me their horror stories about childbirth. Don't listen to them. Everyone's experience is different. I figured if it was that bad everyone would only do it once, right?

I did take my sister's advice though. She's an RN on L&D and she said the nurses are there to help you, don't get mean and nasty with them or they will go away and only come back when they have to.

My friend had an epidural and suffered from severe headaches for months afterwards. I've heard of women having back problems, leg problems with them. I don't think I would ever advise anyone to get an epidural.
Yes, definitely a stress point in a marriage....sm

As for taking charge, I think we have to as they simply wont.  I mean someone does need to be "in charge" so to speak...it is their place to be "head" of the house, but most dont take that place, they dont want that place, the responsibility that it brings.


I often think of the fact that if I died while my children are young they would have to live with my sister....seriously.  He would not be able to take care of them, and not talking just financial, he literally would not be able to take care of them.  It is sad to feel like that about it.  Just how it is. 


You're not weird. Maybe you can stress that you'd like it to be just old
s
They are big-time stress reliever!
I play what my brother calls 'girly' games - Final Fantasy, tetris, etc. I also have a couple murder mystery-type games, but I have to watch playing them when I'm home alone because I'll scare myself! I know it's pathetic but some of those games have things that jump out at you! I guess that's why I stick to the 'girly' games! LOL
Anybody have stress bother them and then get sick?

Ever since I have been stressed over a certain situation in transcription, and my family's budget I have become extremely tired and it is really hard to get my line count. Every day as the pressure builds regarding this my line count gets lower, no matter how hard I try.  Anybody in this situation or ever been, I'd appreciate advice.  I am trying stress busters, exercising, reading books, taking time to go outside, but nothing is working.


Every time I sit down to type, I just get more and more worried and I can't produce! It is like my heart is going on strike against the position I have because there are problems with the situation and it makes my money situation even worse.  My husband is very understanding but this has got to stop. I want to feel good about my job again and my production.  If you say get another job, I understand about that, but what about until the other job starts, what do I do? Arrrggggg. I know life is no picnic but it could at least provide piece of mind so I can do my job! Thanks in advance for any and every suggestion or advice. It will be well appreciated


If she's such a good kid, why stress her more by making her pay
for car/gas/insurance? I think that making good grades and having extracurricular school activities are enough. If she has to work also then something might slip, probably her grades. My girls, now 30 and 33, did theater, choir, drill team and we took care of the car. They did not turn out to be slackers. Maybe taking her siblings to school and running errands is enough of a payment.
Believe it or not, my favorite stress reliever is
SEX.  Seriously. 
Anyone on Lexapro for stress and anxiety?

Do you like it? Is it working for you?


Stress - thanks all for yesterday - got the Bach and the multi-Bs (sm)

Still stressing but feeling much better today.  Didn't get out until 8 pm last night to make my purchases and still had a rough night, but this morning I am much calmer.  Thanks to everyone who had any comments or suggestrions - I really needed you guys yesterday and appreciate you being there!


Emotional upset and stress. Such as reading MT
x
I'm one of the few Grinches here who agrees with you. Enough w/the stress & extra calories in the
s
I agree. Hand him the headphones to have a listen. And stress how
s
I think finances and stress ALL play a huge part in this. nm
n
Definitely stress. Cops said once that Xmas eve with alcohol & money
s
Stress to vet office this is urgent or call emerg. vet.
x
Get some B-stress vitamins, Bach Rescue Remedy spray (sm)
Valerian Root to help you sleep. If all else fails ask the doc for something temporary for stress. I have been so stressed out before I couldn't stand it. Best wishes to you! I hope things get better soon. Take a day off!! A mental health day! Be lazy, take a hot bath, take a long walk.
I have had several, unfortunately. Is there a reason they did
an ultrasound at 7 weeks and again at 10 weeks? Mine were later attributed to the genetics of my husband's connective tissue disorder, but we were unaware of his diagnosis during that time. However, I am curious as to why they would be following you so closely with ultrasounds at this point in your pregnancy. (((hugs)))
Reason
The reason I asked is because our 3 year-old neighbor girl walks around with hers all the time.  Drives me nuts.  Like you said, cannot understand them when they talk.  I figure if potty trained can get rid of that too.  Of course they like to brag about what a big girl she is now, but........
Ok, the reason why I ask, of course, is
the medication you possibly might have been taking but back to the drawing board. I took synthroid since the late 80s and my hairs, yes hairs, about 2 of them left was worrying the crap outta me. Read here and then other places Synthroid was known for causing the hair loss. By the way, it does not get better. Mine had gotten to the point of my wearing wigs and thinking about hair replacement but since overall, hair replacement not an ideal plan for me. I went to endo physician, told him not taking the medicine any more and asked for Armour. The hair is growing back and I am a happy girl. I at 1 time had the real lush hair so the falling out really did not get better until I changed the medicine. Oh, BTW, for the person whose hair comes out more after shampooing, mine did exactly the same, could run my hand through it and it came out in gobs. I feel your pain because I was there also.
No reason given so far...

I think she didn't think AJ could ever be a Tony...provide for her in the way Carm is provided for...just a guess. Love that show, absolutely the best writing and acting bar none! When that goes, so does my HBO, but I do like Big Love too!


the reason they
are taking it this far is because it is a drug-resistant form of TB.

I don't think they are quarantining each and every one of his clients are they? But yeah, if a person has TB and they are noncompliant with taking the medication they can actually be locked up for the period of time that they need to take the medication. Its a serious thing.
One reason might be that
girls are starting earlier, and the younger they are, the more likely mom's help will be treasured. What girl wants to be caught at school unprepared? Also, lines of communication need to be open because back when I was in school, there was no time allowed for bathroom breaks longer than about 30 seconds, so this can cause real management problems if you know what I mean.