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Anxiety Medicine List Information

Anxiety Medicine List.

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Only man clogs his happiness with care destroying what is with thoughts of what may be. By John Dryden Find out about Anxiety Medicine List



symptoms of Anxiety attacks Can Be Eliminated Without Medication or Expensive therapy

If you've have had an anxiety attack you will be all too familiar with the frightening symptoms of anxiety attacks. The following list contains many symptoms.

This is not an exhaustive list nor has anyone ever experienced all of these symptoms in a single anxiety attack episode. I experienced several of them at the same time and it was frightening.

Anxiety attacks typically lasts a few seconds to a few hours but it feels much longer than it really is. The intense feelings can leave you feeling scared and nervous for days, weeks or months wondering when the next episode will happen.

It's impossible to predict how long one will last because every one of us is unique and our responses to it differ one from another.

The good news is the the symptoms of anxiety attacks can end for good without the use of medications.

Here is a list of symptoms. It is not exhaustive nor had anyone ever experienced all of them at one time of over a life time.

§ Feeling of terror, terrified
§ Dizzy spells
§ tightness in your throat or chest. You may feel like you are having a heart attack
§ Lump in the throat sometimes accompanied by a choking sensation
§ Shortness of breath
§ Racing heart with tingling sensations in your hands, feet, or your whole body
§ Hot flushes or chills followed by waves of panic or anxiety
§ Obsessive worries and unwanted thoughts race through your mind
§ Don't feel connected to what is going on around you
§ You have an overwhelming feeling you are losing control
§ Intense feelings of dread, something bad is going to happen to you
§ You have an sudden urgent need to go to the bathroom
§ Blushing or lose of skin color
§ Sweating more than you ordinarily do
§ Shaking visibly or on the inside
§ Nausea
§ Feeling faint or light headed
§ Feel like you are going crazy
§ Tension in the stomach
§ When the attack is over you fear another one will come

These anxiety attack symptoms cannot harm you but they can sure make life miserable. I thought I was having a heart attack but in reality I was experiencing an exaggerated response to a fear producing thought.

The good news is you do not have to put up with these symptoms. You can be in complete control and eliminate these symptoms for good without the use of medications or expensive therapy.

I struggled through on my own and eventually got rid of them but it took much longer than necessary. I wish I had heard about Joe Barry and his struggles with anxiety/panic attacks and the cure that he found which eliminated the symptoms of anxiety attacks permanently. It would have made life a lot easier for me and my family.

Click on a cure for the symptoms of anxiety attacks without medications and begin enjoying life the way it was meant to be enjoyed.

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Will i ever feel the same?

Let me elaborate! From the age of eleven i started smoking marijuana (call it peer pressure or what you will), from there it escalated to amphetamines, ecstacy, cocaine, that not being enough i started to empty my familys medicine cupboards, taking everything from chlorapromazine to kapake to buspar to amptytriptiline (the spelling might not be spot on), the list went on, it reached a climax when my body shut down at the age of about 20 & had to be revived at my local hospital. From then i've seen the errors of my way (i take the occasional drink) but with the damage already done i now suffer from various illnesses which effect my day to day life along with various mental problems depression, anxiety etc. I'm now 25, been going with a girl almost 4yrs, gettin myself qualified to a professional level in PC maintenance/repair, things are on the up but i still feel withdrawn from society, i find it hard to leave the house & i have this overall feeling of dread, will it ever go away?

I just want to congratulate you on realising your mistakes and that you are doing well for yourself after all that you've been through..It seems you've had a very tough life but you must be very strong minded to have got yourself out of it onto the right path..You need to stop thinking negative all the time now, you need to realise that you may not have even been in the position you are in now and that should be appreciated. Talk to your girlfriend about your feelings as much as you can it will help you..and that feeling of dread, is it because you cant let go of the past..In general society nobody is perfect even though they seem..society has created things like drugs, alcohol etc in the first place, and its a great achievement for you to have overcome all this having experienced it..you need to stay strong and firm that you are an important role of society, especially for the millions of young children out there who are experiencing drugs and drink everyday at surprisingly young ages. It will go away when you realise this.







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Powerful yet simple cure for Anxiety And Depression PTSD OCD





Integrative Therapeutics Cortisol Manager, 90-Count Integrative Therapeutics Cortisol Manager, 90-Count
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The Feeling Good Handbook The Feeling Good Handbook
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In this sequel to Feeling Good: The New Mood Therapy, Dr David Burns reveals powerful new techniques and provides step-by-step exercises that help you cope with the full range of everyday problems. Free yourself from fears, phobias, and panic attacks...

When Panic Attacks: The New, Drug-Free Anxiety Therapy That Can Change Your Life When Panic Attacks: The New, Drug-Free Anxiety Therapy That Can Change Your Life
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Are you plagued by fears, phobias, or panic attacks? Do you toss and turn at night with a knot in your stomach, worrying about your job, your family, work, your health, or relationships? Do you suffer from crippling shyness, obsessive doubts, or feelings of insecurity?What you may not realize is that these fears are almost never based on reality...

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Formula 303 pain relieve natural muscle relaxant 90 tablets Formula 303 pain relieve natural muscle relaxant 90 tablets
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Formula 303 is a natural relief for: Muscle spasm & leg cramps Tension Stress Anxiety Jitters Insomnia Back spasm TMJ Fibromyalgia Menstrual cramps Formula 303 is a homeopathic formula Each formula 303 tablet contains: 6 parts valerian root (quad-strength) 1x 3 parts passiflora (quad-strength 1x 1 part magnesium carbonate 1x Directions: Adults & children 12 years of age and older,take as directed by your doctor...


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Anxiety Young Adults Understanding

Anxiety Young Adults.

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How much pain they have cost us the evils which have never happened. By Thomas Jefferson Find out about Anxiety Young Adults



Dealing with General Anxiety and depression

General anxiety and depression very often occur together. Sometimes the anxiety comes alone first and then leads to depression, other times depression leads to anxiety. General anxiety, or "Generalized Anxiety Disorder" as it's called by the medical community, refers to one particular type of anxiety disorder. The symptoms of GAD are numerous, but one common element is the tendency to get overly worried.

According to the National Institute of Mental Health, People who suffer from this are stressed and worried even when there is nothing to realistically worry about. They are usually fatalistic in their outlook on the world, always expecting the worst, "They anticipate disaster and are overly concerned about health issues, money, family problems, or difficulties at work. Sometimes just the thought of getting through the day produces anxiety."(NIMH).

General anxiety and depression can each greatly limit the lives of both the individual suffering from it and the people around her. When the two occur in combination, it can make it difficult to lead a normal life. It is not uncommon to treat both general anxiety and depression with a combination of medication and therapy. In some cases, generalized anxiety disorders are even treated with antidepressants like SSRI's, Tricyclics or MAOI's. All of these antidepressants can be helpful in treating anxiety symptoms, but there are often side effects, and they usually require 4-6 weeks before they fully work.

In addition to anti-depressants, there are specific medicines available to treat anxiety symptoms. These anti-anxiety drugs can often relieve the symptoms of anxiety, but they usually carry a high risk of dependency and many people experience that their tolerance increases with time, and they require higher and higher doses to get the desired calming effect.

In some cases, medication can help stabilize people so they are more receptive to treatment, but they are often not a good long term solution. It is important to know that medication does not cure anxiety or depression, but rather temporarily stabilizes the mood. In addition, studies show that youth and young adults through the age of 24, that are treated with SRI's, have more suicidal thoughts than people in their age group diagnosed with depression but not treated with SSRI's.

In addition to medication, the most common form of treatment for both generalized anxiety disorder and depression is cognitive behavioral therapy. This type of psychotherapy focuses on changing the way you think and behave, believing you're your negative thought patterns and habits are responsible for a lot of anxiety and depression.

As long as the general anxiety and depression is mild to moderate, the person struggling with it can often can function in that he or she can hold a job and perform basic everyday tasks. When the anxiety and depression worsens, basic things like going to work or taking care of one's grocery shopping can become un- manageable tasks.

Managing general anxiety is not always easy, but there's a lot you can do to help yourself. You are not a victim, and there is nothing outside of you threatening to harm you. Whether you take care of yourself, or get professional help with your general anxiety and depression, remember that you are the one in control and at the end of the day; you are the one who has to do the work.

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Social Anxiety in Adolescents and Young Adults Transla
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How long does it takes for the effects of nutrient supplements to start relieving depression?

With different types of nuts and vitamin C supplements, how long (days) will it take before a young adult experiencing depression, social anxiety and stress daily begins to feel relief from these symptoms? Both the nutrients mentioned have effects which may alleviate depression.

Depression can be overcome with vitamins. Vitamin c is good but there are more important ones to look into. The B-vitamins are excellent for depression. They made me feel better but they do take time for your body to get used to them. Maybe 2-3 weeks and you will notice improvements. Vitamin B12 helped me majorly with depression. I take 2mg of methyl-b12 sublingually everyday and I can definetly notice this one making me feel a million times better. Take a b-complex with extra b12 and you will feel alot better. Magnesium is another mineral that helps me alot with anxiety and negative thoughts. As for the fish oils (omega-3) i tried them a while back and all they did was cause me anxiety. I dont find fish oils helpful to me but alot of people disagree so maybe its just for some and not for others. But regardless they are good for your health and would be a bonus to take.







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Indigo Teen Dreams: Guided Relaxation Techniques Designed to Decrease Stress, Anger and Anxiety while Increasing Self-esteem and Self-awareness (Indigo Dreams) Indigo Teen Dreams: Guided Relaxation Techniques Designed to Decrease Stress, Anger and Anxiety while Increasing Self-esteem and Self-awareness (Indigo Dreams)
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Studio: Starz/sphe Release Date: 12/06/2005 Run time: 100 minutes Rating: Ur


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Anxiety Checklists Understanding

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Rule number one is don't sweat the small stuff. Rule number two is it's all small stuff. By Robert Eliot Find out about Anxiety Checklists



Wedding Checklist for 2 weeks before the Wedding (Part 5)

 

The countdown to your great Indian wedding has begun! And, even though your mind might be on overdrive and overwhelming feelings may be taking over your being, this is no cause for worry. These feelings of anxiety are completely normal and are bound to happen to couples who are about to get hitched at some time or the other. Besides, there remain just a few things to check up on to make sure that everything is just perfect! Here's a wedding checklist for things to complete in the last two weeks before your wedding.

 

 

1. Calling all brides to be! It's that time when you finally get to pick up your beautiful wedding gown or lehenga from your wedding dress designer and bring it home! Don't forget, this is your last fitting, so make sure all is fine with your wedding attire. The groom and is groomsmen will also have to do the same.

 

2. Now's the time to call up those guests who haven't yet responded to your wedding invitations. Note down the final guest count too.

3. Co-ordinate with the wedding caterer and adjust the per head count now that you know the approximate number of guests attending your wedding party.

 

4. You may also want to confirm the hotel reservations and transportation for your out-of-town guests. You can do this with the help of your wedding planner.

 

5. Confirm the date of your wedding party rehearsal dinner or lunch with your family and those who you wish you attend.

 

6. If you happen to be leaving for your honeymoon almost immediately after the wedding, it may be a good idea to get a hold of the tickets for the soon-to-be-married couple. Exciting times these are!

 

7. And, don't forget to finish of packing for your honeymoon with your partner. You don't want to be left doing this the day before your wedding!

 

8. Have your partner sit down with you so that you both can start writing down toasts that will be said out aloud at your wedding rehearsal.

 

9. Make any payments that are remaining, be it to the wedding caterers, florists, musicians, photographers etc.

 

10. If you haven't decided on assigned seating for your guests, have a chat with your <a href="http://www.marrymeweddings.in/">wedding planner</a>, and he or she will fix this for you. You will of course have to be present to assign tables and seating to your guests.

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The wedding planning process can be difficult and overwhelming. Marry Me – The <a href="http://www.marrymeweddings.in/">Wedding Planners</a>, located in Mumbai, India can help plan a wedding that best represents your style and personality. Most importantly you are able to enjoy the entire process of planning your wedding, as well as your special day itself.




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I am getting married in 15 weeks and I am panicking...?

that I'm not going to have it planned in time. I'm stressing that much that I've got anxiety. I've got the reception booked but we haven't finalised the menu or anything. We have a venue, a celebrant and a photographer. My mother in law to be is making the dresses including mine. Can anyone give me a checklist of things I need to do?

Congratulations! Having planned and executed my own wedding less than a year ago with virtually no help I understand how overwhelming and intimidating a task this can be - but trust me, it can be done.

The first thing you need to do is take a moment to relax. The wedding is coming, sure, but people tend to put more thought and planning into the wedding itself than into the actual marriage. The ceremony will be here before you know it, and all too soon will become nothing more than a memory, so think about that for just a moment, and gain some perspective.

Having said that, it is, of course, every girl's dream to have a fabulous wedding. There's no denying that there is lots to be done. Here is a really great checklist:

http://www.frugalbride.com/completeweddingchecklist.html

Also, someone had the fantastic idea of creating a virtual wedding planner. It does require registration in order to save your details, but it is free, quick, and very simple to use.

http://ezweddingplanner.com/

Once again, CONGRATULATIONS!! Enjoy your day, and try to remember the most important detail - creating a wonderful marriage! :)







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The Feeling Good Handbook The Feeling Good Handbook
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In this sequel to Feeling Good: The New Mood therapy, Dr David Burns reveals powerful new techniques and provides step-by-step exercises that help you cope with the full range of everyday problems. Free yourself from fears, phobias, and panic attacks...

Healing ADD: The Breakthrough Program That Allows You to See and Heal the 6 Types of ADD Healing ADD: The Breakthrough Program That Allows You to See and Heal the 6 Types of ADD
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Hard, visual data make a compelling case for the existence of attention deficit disorder (ADD) in this pioneering work by Daniel G. Amen, M.D. Using a nuclear medicine technique called "single photon emission computed tomography" (SPECT)--a controversial step, according to some of his peers--Dr...

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Psychologists offer an increasing variety of services to the public. Among these services, psychological assessment of personality and behavior continues to be a central activity. One main reason is that other mental health professionals often do not possess a high level of competence in this area...


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Anxiety Uk Helpline Incredible News

Anxiety Uk Helpline.

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Don't fight with the pillow but lay down your head And kick every worriment out of the bed. By Edmund Vance Cooke Find out about Anxiety Uk Helpline



Compensation Culture? What Compensation Culture?

While the emergence in Britain of a so-called ‘compensation culture’ is routinely decried in the media, the facts do not always appear to fit the description. In fact, the number of people making accident claims, according to a 2004 report by the Citizens Advice Bureau, has fallen since the removal of legal aid and introduction of Conditional Fee Agreements in 2000. Citizens Advice found that the number of people making personal injury claims under the new No Win No Fee agreement was just 31 per cent. Furthermore, it concluded that compensation claims can actually reduce the public burden.

Someone who has suffered an accident or been injured may have lost pay or their jobs as a result of being unwell. They may also have experienced stress, depression or anxiety. Failing to address these problems can increase social exclusion and its resultant costs. A financial award from the person or body responsible can help reduce the public costs of services to them individual affected.

In the UK, around 2.5 million people sustain injuries each year. Often this can result in changes to their lifestyle. Under UK law, the liable party must compensate the injured person. According to Citizens Advice, “seeking compensation for injuries is not a social problem, or the sign of the emergence of a compensation culture, but simply realising a civil and legal right”.

National Accident Helpline is the industry leader in personal injury claims, and our trained staff can advise quickly on whether a claim could be made in a certain situation. For further information call free on 0800 376 0150 or visit www.national-accident-helpline.co.uk.

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Anxiety Uk Helpline <h2>Anxiety Uk Helpline Incredible News</h2>
i recieve disabilty for my daughter,i also now get low rate disability.will this affect my carer's allowance?

i am worried that my carer's allowance will be stopped because i now recieve low rate disabilty. has anyone had the same experiance with this kind of thing,and could you please advise me if they can take my carer's allowance away.my partner works full time,but i cannot work due to several illness's.so the family relys on this money to help us get by. i have been diagnosed with severe depression,panic attacks and social anxiety.have also been diagnosed with chronic pain. even though i have these and other illness's i still look after my autistic daughter,and am up till the early hours of the morning as she also has a sleep dissorder.i do more than 35 hours of full time care in a matter of 3/4 days. can anyone please help me with some kind genuine advice please.have tried ringing the uk helpline but they are closed,and because of my panic and high anxiety levels i am worrying myself sick.can anybody help me with this,monday seems forever away,and its causing a lot of stress.thanks xx

hiya you lol,well i am afraid to say,that you only get more money if you are on the higher rate disability,this happened to me,when my rate was dropped ,so did the tax credit,which sounds stupid,but you know what the government is like.
Then i applied again,and got the higher rate,so payments went up.dont ask me how they work it out,but what i do know ,for definate is,they look up illnesses on the internet,and this is how they rate a persons disability.someone rang me asking me how the fybro affects me,and she was the one who told me.
but if you choose to work 16 hrs a week this would not effect your amount you get.

speak real soon
love me.







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Anxiety Forums Uk.

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I am reminded of the advice of my neighbor. "Never worry about your heart till it stops beating." By E.B. White Find out about Anxiety Forums Uk



Why rearch is vital when having a hair transplant procedure

My story begins with an account of my very poor hair transplant procedures i had with a very famous UK hair clinic.

When i was 22 young and naive i had my first hair transplant at my local ht clinic in West Yorkshire.
In around the year 1997 i came across an advert in a mens magazine for this clinic, and decided after reading this that the place sounded fantastic. It claimed to be state of the art with experienced surgeons from all around the world, they claimed to be leaders in the field of hair restoration and said that they left other clinics behind. Wow i thought ill have to have a consultation because at this point in time i was struggling to cope with my hair loss, i was only 22 and felt like my whole world was coming to an end and that no one could possibly love me with a bald head. So i telephoned them and arranged a consultation.for the following week.

I arrived for my consultation and was shocked to find that this place was not a state of the art clinic but just three rooms at the rear of an NHS doctors surgery. I was shown into a small room and was told to sit down, a gentlemen told me to remove my hat and looked at my hair( which to be honest was thinning a little but looking back it wasn't actually that bad at this stage). It was obvious i was loosing my hair but i still had plenty left, the man said he could help me and said that i was a perfect candidate for a hair transplant he also said that i would soon have a perfect head of hair again.

I was delighted i asked how much this procedure would cost. He replied that because i would need around 1500 grafts throughout my hair to thicken it back up it would be three thousand five hundred pounds. He then said in a rather pushy tone we are very busy so do you want it or what?. I was a bit taken aback by this but the thoughts of a perfect head of hair were ringing in my ear so i agreed. He then said he would need a deposit of one thousand five hundred by the end of the week and said he would book me in for the surgery the following week and i had to pay the balance then.

That was it there was no mention of any side effects, no mention of any risks, no mention of aftercare, no mention of the surgeons competence or qualifications, experience etc and certainly no mention of a hideous scar to the back of my head.

The whole consultation was over in about 5 minutes, and because i was only 22 young and naive i just thought this was normal and i was very excited. When the day of the surgery arrived i was asked straight away as soon as i sat down for the money, the man then counted it in front of me he looked in a terrible mood. As soon as he had finished counting though he looked up and smiled and escorted me into a small room where a young lady washed my hair, i was then told to sit on a chair in another room that looked like a dental surgery.

I was then asked to sign a consent form and was told not to worry, i was then given an injection in my finger to numb my head and was told to relax and that my head would be numb in no time. The surgeon then came in and started to remove hair from the rear of my head to be placed on the top of my head later, this took about five minutes and didn't hurt at all due to the anesthetic.

He then started inserting the grafts into the top of my head and let me tell you this was the worst pain i have ever had in my life. It started out as just an uncomfortable pain, but after an hour or so it was absolutely excruciating i told the Dr it was really painful, but he just laughed and said it wont be long and told me to think about all the hair i would have. I had no choice but to grin and bear it, it was awful and throughout the five hour operation blood just kept on running down my face and neck it was terrifying but he just kept saying don't panic its normal you`ve just got a sensitive scalp.

When the operation was over i was told i had to get up and go sit in a waiting room for a couple of minutes, to my surprise the doctor then said goodbye and went home leaving me on my own with two female assistants. They told me that my stitches would dissolve on their own in a few weeks and gave me some co codamol for the pain, at this point i didn't even know i had any stitches. They also gave me a letter with aftercare instructions on it which was about half a page long and consisted of washing instructions etc. After about 10 minutes they opened the back door and said goodbye leaving me to drive home dis- orientated and 10 minutes after a five hour operation.

Over the next few weeks i struggled with the pain but i was excited and couldn't wait for my new hair to grow. My head looked very sore and was covered in scabs with little hairs popping out. I was told before the surgery that i was paying for 1500 grafts but to be honest i think i only received about 250 and over the next six months this was confirmed as only a small number of hairs appeared on my head, and i might add they looked very unnatural a bit like dolls hair. The most concerning thing though to me was that i suffered something called shock loss which i have now found out is common but i was not forewarned or told anything about this prior to my surgery.

Shock loss is where the rest of your normal original hair becomes shocked by the new transplants that are placed next to them and fall out leaving you with only the transplanted hairs left this is usually only temporary but in my case was permanent. So in effect i had payed three thousand five hundred pounds for 1500 new hairs, received around 250 new hairs and lost hundreds of old hair. So i was much worse off after the surgery than before i even had the operation( and a lot poorer too). I was now in a situation where i could not even go outside without wearing a hat and i had no choice but to get another hair transplant to add some more hair to my head because i only had about 250 hairs on the top of my head and my confidence was shattered so i began to save up for round two.

In the year 2000 god knows why i returned to the clinic for another consultation they then said i need another 1500 grafts, but because i had been before they said it would only cost one thousand five hundred pounds. They also advised me to take finesteride and said they would give me a twelve months supply for nothing in with the price of the surgery, they told me it would stop any further hair loss and gave me enough tablets to last six months and said i had to come back for the rest when i ran out. I contacted them when i did run out and they refused to give me any.

I had my second surgery later that week which was much the same as the first except this one wasn't painful which just proves that the first operations anesthetic wasn't administered correctly.

Over the next few months though i experienced terrible headaches on a daily basis, not at all like the first transplant and these headaches didn't start to ease until around 8 months after the procedure. At the same time as the headaches i had feelings of numbness to the back of my head which took months to ease, but even to this day i still have a numb part at the rear off my head on the right which i'm told is probably nerve damage. The growth rate was much the same as the first op and now after paying for 3000 hairs at a cost of five thousand pounds i have around 500.

From the year 2000 i have suffered from bouts of mental health problems i.e depression anxiety, panic attacks which have been so serious ive been admitted to hospital, ive had bouts of agoraphobia and have been on numerous types of anti depressants which i am still taking to this day all because off the treatment and results of this clinic. I have also go two seven cm's scars to the back of my head which prevent me from shaving my head and look so ugly i have to keep them covered.

After the surgeon got struck off i took a small amount of comfort in the fact that the clinic would be closed.but after reading the hair loss forums on the net i have to my horror found that they are still around and have many dis satisfied patients they sound like they are the same as ever there are loads and loads of posts on from patients that are about how people have been disfigured, and ripped off by the Norton clinic and their surgeons and unscrupulous salesmen .

Please please if you are thinking of going to this clinic BEWARE, ask to meet former patients and ask loads of questions because if they are the same as when i went you could potentially be making the biggest mistake of your life, take heed from someone who knows from first hand experience

Before having a ht do some research and check out the many different surgeons on all the hair forums a good starting point would be www.hairtransplantexperiences forum, and please don't let travel be the deciding factor because the results good or bad will last a lifetime. Have a look at Doctors websites and have a look at all the negative comments on the Internet simply google the hair clinics name and u will find info

The next section describes an appeal that was set up on a hair loss forum called hairtransplantexperiences.com(formally PB hair) to raise money to help fix my horrible predicament the appeal was called Project Bullitnut.

I am a valued member on all forums giving advice, i always try my best to help people make an educated decision regarding transplants, my goal is to prevent people making the same mistakes as i did and to ensure that they wont regret their ht for years to come like i did with my clinic.

PB and BIGMAC bless their hearts decided to help me by starting a REPAIR BULLITNUT campaign.

They did this off their own backs (as they knew how my situation was destroying my life) with the intention of raising money and encouraging hair transplant clinics to get involved. Which fortunately for me happened very quickly as SHAPIRO MEDICAL GROUP offered almost immediately to do my repair surgery pro which i am absolutely over the moon about and unbelievably grateful. As ive already said i regard them as being world class and one of the very best there is so to get this offer is like a dream come true for me.

PB and BIGMAC set up a pay pal account for donations towards the travel expenses etc and i received lots of donations including:-

1. The hotel paying for by fellow forum member TIM UK

2. The flights for my first trip paying for by another forum member called TUBS

3. The meals on the day were also payed for by a member called NERVOUS NELLY

4. The flights for my second trip were also payed for by SPENCER KOBREN the author and radio host of the bald truth www.thebaldtruth.com/

I also received many donations from other members of all the major hair loss forums including JANNA the head technician at SMG who as helped co ordinate this entire project and has been absolutely fantastic and supportive from the beginning.

SO TO ALL THAT AS BEEN INVOLVED IN THIS I WOULD JUST LIKE TO SAY FROM THE BOTTOM OF MY

HEART THANKYOU!!!!!!!!!!!!!

The next part of my incredible story to restore my hair and life details my trip to Shapiro Medical Group in the US

Here's the story of my hair loss repair program with Shapiro medical group in Minnesota

I'm going to go into detail to help all newbies and UK patients thinking of going to America

Firstly I live in the UK in West Yorkshire so I booked my flights from Manchester as this was my nearest large airport. I booked my flights with klm airlines who are partners with north west airlines.

Who fly to America regularly from all UK airports.

The flight cost around £450 return (thanks Tubs)and was a one stop connection in Amsterdam before flying to MSP airport at Minneapolis. The flights themselves were very comfortable and even the connection stop at Amsterdam was very easy to do and straight forward. To be honest this was a major worry for me as id only ever flown to Paris, but trust me it was a piece of cake!! The flight to Amsterdam took fifty minutes then the flight to MSP took 9 and half hrs but this seemed to go pretty quick as there was a great selection of in flight entertainment with TV screens in the head rests.

When I arrived at MSP airport I was picked up by the hotel shuttle bus that JANNA the clinical operations manager at Shapiro Medical Group had very kindly arranged for me as she was aware just how nervous i was of flying and how inexperienced i was, as i'd only ever flown to France before. This was a huge weight off my mind as its terrifying being in a strange country without the added worry of finding your hotel. .

Janna had booked my hotel for me previously in the run up to the surgery as I'm hopeless with anything like that which was very helpful .The hotel she recommended and booked was the country inn and suites at Bloomington and i was very impressed with her recommendation as the hotel was great

When the bus dropped me off at the hotel I simply couldn't believe it, the place was immaculate and the staff were warm and friendly and ever so helpful (which to be honest was a shock as UK hotels are generally poor). The room came equipped with flat screen TV with loads of channels and on demand movies, it had all the essential amenities e.g. hair dryers, kettle iron etc ,and there was even free Wifi Internet access in every room which proved cool as I brought my laptop.

There was also free breakfasts which believe me I took advantage of as they were out of this world lol..

Monday morning i got the shuttle bus from the hotel to take me to SMG and I don't mind admitting I was absolutely terrified after the previous transplants id had. I must of spent most of the night in the lavatory but Janna bless her kept reassuring me as soon as i arrived at SMG which was very nice!!.

As soon as i arrived after meeting Janna i was relaxed as she was a wonderful warm caring person and knew just what to say to put me at ease straight away

She then introduced me to Dr Shapiro he greeted me with a handshake and welcomed me to his clinic, straight away all my fears disappeared because the guy was one of the most kind, warm hearted gentleman I've ever had the pleasure to meet he really took on board my hair loss concerns and was extremely passionate about helping me it was obvious right from the get go this guy was going to do his very best to improve my situation.

Firstly he checked out my donor hair, laxity and recipient site. He then took plenty off photos from all sides, he then uploaded these onto a computer screen so I could see my hair loss from all angles. After this he asked what I hated the most and what I hoped to achieve.

We discussed the options and procedure for around an hour. He was extremely thorough and answered all my questions and concerns and really took on board what I was saying. To me it was blatantly obvious the man had my very best interests at heart, there was absolutely no pressure or rushing to get me into the chair he wanted to get the plan off attack just right before we started.

He then showed me what he thought would be the best plan off attack based on his knowledge and my desires by drawing diagrams on my head and going through the whole process step by step explaining every aspect of the imminent surgery. I was more than happy to go with his suggestions as they were exactly what i was hoping for and matched my goals completely . So we agreed on the approach and I was led into the procedure room where I was introduced to everyone.

This again was a pleasure as every member off his staff greeted me warmly I felt like a VIP and I couldn't possibly have been more comfortable all the techs were very friendly and happy telling jokes and doing their up most to make me feel comfortable. All in all I have to say that Dr's Ron and Paul Shapiro must have had the friendliest work force I've eve come across my whole life.

I was then told to put on a medical gown ready for the procedure whilst doing this their consultant Matt Zupan came in and introduced himself to me and again what a nice guy he was, funny and quick witted and very likable just like the other staff members he asked if I was comfortable and laughed at my forum name Bullitnut .

I was placed in a chair rather like a dentists chair and was given my anesthetic using an extraordinary vibrating machine that was placed on my forehead to numb my scalp. This was a great feeling I never felt any pain whatsoever just the odd scratch like feeling now and again but this was normal and was nothing at all to worry about. I can honestly say hand on heart that the anesthetic was no where near as bad as that administered at a dentist, and i'm a wimp so if it hurt id be the first to complain lol.

I was then placed face down on the chair with my chin on a head rest so Dr Shapiro could remove my strip. This again was completely painless and to be honest I almost fell asleep as I was very comfortable lying there and had foolishly had little sleep the night before due to needless worry. After the strip was removed the techs starting the cutting while I was being sutured up.

Dr Shapiro then told me he had managed to get rid of most of my poor previous scar which was great and I almost started to cry soft sod I am lol. He then started to make the incisions for my new hair with Janna counting everyone out loud so we knew just how many there was. When about 90% of the incisions were made, they used a dye onto my recipient area for them to see the incisions better. They saved around 10% of the grafts to be used for fine tuning at the end. They were also taking estimates of how many grafts were to be expected every half hours or so.

Janna and the other techs then started to plant with Dr Shapiro checking all the time he was very thorough and hardly ever away whilst they were doing this. They planted in a rotation so that each tech didn't become too tired. It was obvious that they had all been there working together for a lot of years as they were like a well oiled machine working in tune with each other it was very impressive to see.

During the surgery I was given Valium to help me relax and offered a choice of Dvd's to watch on a flat screen TV in front of me, the whole experience was so relaxing I almost fell asleep on numerous occasions and had to fight to keep my eyes open at times lol.

I can honestly say though that through out the whole procedure I didn't feel one bit of pain, and I was told that if I did to tell them so they could administer more anesthetic.

The whole thing lasted from 8.00 am until around 5.00pm with a break in the middle for lunch which was a lovely pizza courtesy of NervousNelly,thank you!!.

I was also told that if I ever needed the rest room just to ask and I could go, which I did on a couple of occasions and both times I was escorted by this very caring lovely technician just to make sure I was ok due to the medication ,all in all the level of care shown throughout was simply exceptional. The guys who work at SMG should be very proud of themselves as they do a superb job and really know how to make someone feel welcome and look after them.

Throughout the surgery I was offered drinks periodically which was a nice gesture as you can imagine sat in a chair that long you become restless and a nice drink every now and again alleviated that .

When most of the grafts were placed Dr Shapiro and Janna began to fine tune the hairline with the last lot of grafts to fine tune the work and they really took there time over this to ensure it was just right and as planned from the beginning.

After the surgery was finished Tom one off the techs a really cool guy went through all the post operative instructions and gave me a bag with pain killers and some gauze cloths, graftcyte spray and antibiotic cream he was very thorough with the instructions and made sure I understood properly which was good thanks Tom!!.

I was then given something to eat and drink before I said goodbye to everyone and thanked Dr Shapiro for all the work he had done , Janna then asked if I was happy with the results and i'm not ashamed to admit that even though I'm a man off 34yrs old it brought tears to my eyes when I looked in the mirror.

After the surgery i went back to the hotel on the free shuttle bus which was very handy and the driver was great, the hotel was only minutes away from SMG so the ride only took a short while.

I was told to return the day after surgery for a shampoo so they could instruct me properly on how to do it. The free bus picked me up again the following day and when i arrived Janna introduced me to one of the techs, who was also a hairdresser called Sue. She said she was going to trim my hair after Janna had washed it for me and she did a great job as it looked lots better when the sides were trimmed to match the new grafted hair.

Afterwords Dr Shapiro took some pictures and video footage of my results he asked me if I was happy and I said ecstatic.

The city itself was great to explore and was beautiful and worlds apart from anything we have here in the UK, I was mesmerized by all the tall buildings and how clean the place was, also the people there were so polite and well mannered it was like something from a dream I really took to the city and its definitely a place id visit again.

I realize this has been a long thread but I feel that after the poor surgeries ive had in the past I owe it to everyone out there who has supported me on the forums to tell them just how pleased and thankful I am. Right now I feel like a kid in a candy store and I would like to say a huge heartfelt thank you to Dr Shapiro for all his hard work and dedication in making my dreams come true.

You truly are the greatest man I've ever met in my entire life you were born with a gift and i'm just so glad I got the pleasure of you using it on me, in my humble opinion based on all the research I did before you agreed to do the pro Bono work and my own experience ive had with you, you are definitely the greatest hair transplant surgeon on the planet today and as well as that you have now become a good friend and id like to wish you all the best for the future.

I would also like to thank Janna who is just an incredible lady who has the patients best interest at heart 100% of the time, you went out of your way every day I was in Minnesota to help me and for that I am and always will be eternally grateful you're the best J

SMG ROCK!!!!!!!!

I realize people may possibly think i'm only writing this article and saying good things about SMG as ive had a repair there, but i think its important to emphasize the fact that hand on heart the treatment i received from SMG was absolutely second to none.

They looked after me every single step of this project and were always there to answer any questions i had. Their entire staff bent over backwards to accommodate me and they really were a great bunch of people every single one of them.
They were very professional and extremely caring and it was visible straight away that Dr Ron Shapiro really knew what he was talking about as soon as i spoke with him, i genuinely believe he really is at the very top of the ht game and i would not hesitate one bit to recommend him or Dr Paul to anyone.

Overall i'm walking on air at the moment thanks to everyone who's contributed to this repair project. The fact that guys at SMG and on the hair loss forums some who ive never met before in my life have contributed to me getting my life back means so much to me, i simply cant describe how thankful i am and i really am glad to have found the hair loss forums and come across people like SMG,Spencer,Bigmac,PB, Tim UK, tubs ,nervous Nelly and all the other great folk that have contributed to this.

best wishes to everyone who supported me i'm off to bed now as i'm extremely tired and looking forward to dreaming about using a comb for the first time in eight years lol
I would also like to say a huge thank you to PB and BIGMAC who started this whole project for me. Your the best guys i owe you big time

About the Author

My name is Jay im here to share my hair loss tips, so for great advice regarding your hair loss visit http://www.hairlosstips.co.uk or http://www.hairtransplantexperiences.com




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There is much in the world to make us afraid. There is much more in our faith to make us unafraid. By Frederick W. Cropp Find out about Anxiety Group Therapy



The Value of Group Therapy

Many people don’t like the idea of group therapy, feeling like it some how invades their privacy. However, group therapy can be extremely beneficial, for a variety of reasons, and you can even take part in group therapy through online therapy. In fact, online therapy takes a great deal of the apprehensiveness of group therapy completely out of the picture.

One of the biggest advantages of group therapy is that you are able to hear the feelings and experiences of others and then to either compare them or apply them to your own feelings and experiences. Furthermore, as a person grows individually, they are able to share that growth experience – and technique – with the group so that others may benefit.

Another advantage of group therapy is that it often costs less than individual therapy. Note, however, that often a problem may be better treated with a combination of individual and group therapy.

Group therapy offers additional support. You not only have the support and help of your therapist, but you also have the help and the support of the other members of the group – people who have had personal experience with what you are going through. Furthermore, you will discover that you are not alone in the world when it comes to your particular problem. This, in itself, often helps therapy to progress faster.

As stated, with online therapy, the idea of group therapy becomes more appealing to many people, simply because they are able to maintain their anonymity, while still benefiting from the group, as a whole. Most people who would not consider traditional group counseling are quite open to the idea of online group counseling for this reason.

Online group counseling is available for numerous different types of therapy, including psychotherapy and various support type therapy. Specific types of group therapy include marriage counseling, eating disorders, alcohol and drug counseling, social anxiety, depression, phobias, and much more.

Depending on what you are in therapy for, or what type of therapy is needed, your online therapist may suggest group therapy. Again, with online group therapy, you don’t have to worry about your identity being revealed, making it just as comfortable and safe as individual therapy. Talk to your therapist today to see if group therapy may be something that you will benefit from. It really can be a rewarding experience.

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Jennifer B. Baxt, LMHC, LMFT offers online audio/video counseling as well as works with children, individuals, couples, geriatric patients, depression, bipolor, anxiety and substance abuse.Jennifer B. Baxt, LMHC, LMFT offers online audio/video counseling as well as works with children, individuals, couples, geriatric patients, depression, bipolor, anxiety and substance abuse. Please contact jennifer@completecounselingsolutions.com or http://www.completecounselingsolutions.com for any further information.




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Anxiety Group Therapy <h2>Anxiety Group Therapy Unique Explanation</h2>
My sister has a serious anxiety disorder.. free therapy?

Not group therapy... maybe a christian based group of therapists that volunteer? Something like that.
She frequently catches things on the media/internet and worries about them excessively... applies them to herself with all these "what if" questions. Most recently MJ's death. Before that, buying thorough bred dogs rather than adopting (since she bought one).

She doesn't have the funds and claims her insurance doesn't pay for therapy... how can she get help? She lives near San Fran.

omg. do not try to cure this with diet and sleeping in a tent. She isn't having anxiety because she isn't eating right or because she sleeps inside. Good grief. That person has anxiety, too, clearly.

I do agree that nature is very soothing and helps alot. If she could spend time hiking or something like that, birdwatching, fishing, it would help some.

But it isn't something she is DOING or NOT doing that makes her feel anxious. It's probably brain chemistry.

She needs to tell her physician and see if he or she can prescribe something for the anxiety.

If she wants therapy, maybe she would qualify for Medical, the state insurance. She could look into that. Probably the insurance person at her regular doctor's office could tell her where to start on that.







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The greatest mistake you can make in life is to be continually fearing you will make one. By Elbert Hubbard Find out about Anxiety Group



Anxiety Group Will Help You Greatly

Human Beings cannot live in isolation. We all work together as a group so that we can get the best results. But there are many among us that are the victims of high levels of stress and anxiety and we fail to give our best and work together with others.

Anger also results in conflicts and you are always annoyed. Research has proved that high levels of stress are cause of many diseases and therefore a large part of the population today is suffering from ailments such as hypertension. Increased work load and competition are the main contributors to this. To resolve these issues there are various groups that are coming up and one such group is Anxiety Group. The purpose of these groups is to help individuals who are undergoing such trauma so that they can become better and look up with a positive attitude towards life. There are therapies that help in relaxing your mind and body.

Anxiety group will teach you exercise such as yoga and deep breathing that will help you to relax and stay fit. The therapists will analyze your problem and they will help you to work upon it. You can discuss your problems with them and there is no need to feel shy. The good thing about joining these groups is that you can share your thoughts with others who are undergoing the same pain and it is known that we tend to feel good when we share our feelings with others. The other positive point of these Anxiety Groups is that when the call the sessions and where people share their feelings and emotions and experiences while the therapist try to find out the main cause of the problem of each and every person.  But if you do not want to discuss your problems in a group and rather want to keep it confined then also you need not worry. This is because these groups provide both individual and group counseling.

You all must be informed that people who undergo such stress and anxiety do not want to accept this truth and never want to join such groups. Therefore it is important to stay calm with them and explain them the benefits of joining Anxiety Group. You will certainly experience the change after joining these groups. It will enable you to have a positive attitude towards life and be happy. You will find a solution to all your problems.

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Alen Erwin is an author of spiral2grow, One of the best health care company. He is writing articles on Anxiety Group since long time.




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Anxiety Support Groups/Have you suffered from anxiety?Please give some insight?

Does any body know of an online anxiety support group? My boyfriend has been diagnosed with anxiety sometime last year. It had gone away but has unfortunately came back just yesterday (while driving home from work he had a panic attack)
If you can give me some tips to help control his anxiety and panic attacks and ways for his family and friends to support him and help him that would be GREAT!!!!!
Sometimes i dont know how to help him but just by listening.

I have been struggling with anxiety for years, and this year was finally diagnosed as having Panic Disorder with Agoraphobia. I understand what your boyfriend is going through, it's a terrible disorder. I tried different medications (various antidepressants like Zoloft, Cymbalta, and Lexapro, as well as benzodiazepines like Xanax and Xanax XR) and they worked to some extent, but they don't get at the root cause of anxiety, so as soon as you stop taking them, you start having panic/anxiety symptoms again.

I have been undergoing Cognitive Behavioral therapy (CBT) and it is a Godsend, truly. It was really difficult at first, because the therapy makes you face down your thoughts (cognitive) and actions (behavioral) head-on and identify what is causing your anxiety and how your reactions are actually reinforcing the anxiety instead of making it better. Then you work to change your thoughts and behaviors, and thus eliminate the anxiety. Slowly but surely it works, and I am getting better and better every day without needing any kind of medication. I would recommend CBT to anyone who has panic and anxiety symptoms - it's hard work, but the results are nothing short of life-changing.

Good luck to the both of you!







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Fear is a darkroom where negatives develop. By Usman B. Asif Find out about Speech Anxiety Statistics



Second Language Acquisition

Second language acquisition is the process by which people learn languages in addition to their native language(s). The term second language is used to describe any language whose acquisition starts after early childhood (including what may be the third or subsequent language learned). The language to be learned is often referred to as the "target language" or "L2", compared to the first language, "L1". Second language acquisition may be abbreviated "SLA", or L2A, for "L2 acquisition".

The term "language acquisition" became commonly used after Stephen Krashen contrasted it with formal and non-constructive "learning." Today, most scholars use "language learning" and "language acquisition" interchangeably, unless they are directly addressing Krashen's work. However, "second language acquisition" or "SLA" has become established as the preferred term for this academic discipline.

Though SLA is often viewed as part of applied linguistics, it is typically concerned with the language system and learning processes themselves, whereas applied linguistics may focus more on the experiences of the learner, particularly in the classroom. Additionally, SLA has mostly examined naturalistic acquisition, where learners acquire a language with little formal training or teaching.

Describing learner language

Through the descriptive study of learner language, SLA researchers seek to better understand language learning without recourse to factors outside learner language. Researchers may adopt an interlanguage perspective, exploring learner language as a linguistic system, or they may study how learner language compares to the target language. Research is centered on the question: What are the unique characteristics of learner language? Much of the research has focused on the English language as the L2, because of the huge number of people around the world learning and teaching it.

Error analysis

The field of error analysis in SLA was established in the 1970s by S. P. Corder and colleagues. A widely-available survey can be found in chapter 8 of Brown, 2000. Error analysis was an alternative to contrastive analysis, an approach influenced by behaviorism through which applied linguists sought to use the formal distinctions between the learners' first and second languages to predict errors. Error analysis showed that contrastive analysis was unable to predict a great majority of errors, although its more valuable aspects have been incorporated into the study of language transfer. A key finding of error analysis has been that many learner errors are produced by learners making faulty inferences about the rules of the new language.

Error analysts distinguish between errors, which are systematic, and mistakes, which are not. They often seek to develop a typology of errors. Error can be classified according to basic type: omissive, additive, substitutive or related to word order. They can be classified by how apparent they are: overt errors such as "I angry" are obvious even out of context, whereas covert errors are evident only in context. Closely related to this is the classification according to domain, the breadth of context which the analyst must examine, and extent, the breadth of the utterance which must be changed in order to fix the error. Errors may also be classified according to the level of language: phonological errors, vocabulary or lexical errors, syntactic errors, and so on. They may be assessed according to the degree to which they interfere with communication: global errors make an utterance difficult to understand, while local errors do not. In the above example, "I angry" would be a local error, since the meaning is apparent.

From the beginning, error analysis was beset with methodological problems. In particular, the above typologies are problematic: from linguistic data alone, it is often impossible to reliably determine what kind of error a learner is making. Also, error analysis can deal effectively only with learner production (speaking and writing) and not with learner reception (listening and reading). Furthermore, it cannot control for learner use of communicative strategies such as avoidance, in which learners simply do not use a form with which they are uncomfortable. For these reasons, although error analysis is still used to investigate specific questions in SLA, the quest for an overarching theory of learner errors has largely been abandoned. In the mid-1970s, Corder and others moved on to a more wide-ranging approach to learner language, known as interlanguage.

Error analysis is closely related to the study of error treatment in language teaching. Today, the study of errors is particularly relevant for focus on form teaching methodology.

Interlanguage

Interlanguage scholarship seeks to understand learner language on its own terms, as a natural language with its own consistent set of rules. Interlanguage scholars reject, at least for heuristic purposes, the view of learner language as merely an imperfect version of the target language. Interlanguage is perhaps best viewed as an attitude toward language acquisition, and not a distinct discipline. By the same token, interlanguage work is a vibrant microcosm of linguistics. It is possible to apply an interlanguage perspective to learners' knowledge of L2 sound systems (interlanguage phonology), and language-use norms found among learners (interlanguage pragmatics).

By describing the ways in which learner language conforms to universal linguistic norms, interlanguage research has contributed greatly to our understanding of linguistic universals in SLA. See below, under "linguistic universals".

Developmental patterns

Ellis (1994) distinguished between "order" to refer to the pattern in which different language features are acquired and "sequence" to denote the pattern by which a specific language feature is acquired.

Order of acquisition

Researchers have found a very consistent order in the acquisition of first language structures by children, and this has drawn a great deal of interest from SLA scholars. Considerable effort has been devoted to testing the "identity hypothesis," which asserts that first-language and second-language acquisition conform to the same patterns. This has not been confirmed, probably because second-language learners' cognitive and affective states are so much more advanced. However, orders of acquisition in SLA do often resemble those found in first language acquisition, and may have common neurological causes.

Most learners begin their acquisition process with a "silent period," in which they speak very little if at all. For some this is a period of language shock, in which the learner actively rejects the incomprehensible input of the new language. However, research has shown that many "silent" learners are engaging in private speech (sometimes called "self-talk"). While appearing silent, they are rehearsing important survival phrases and lexical chunks. These memorized phrases are then employed in the subsequent period of formulaic speech. Whether by choice or compulsion, other learners have no silent period and pass directly to formulaic speech. This speech, in which a handful of routines are used to accomplish basic purposes, often shows few departures from L2 morphosyntax. It eventually gives way to a more experimental phase of acquisition, in which the semantics and grammar of the target language are simplified and the learners begin to construct a true interlanguage.

The nature of the transition between formulaic and simplified speech is disputed. Some, including Krashen, have argued that there is no cognitive relationship between the two, and that the transition is abrupt. Thinkers influenced by recent theories of the lexicon have preferred to view even native speaker speech as heavily formulaic, and interpret the transition as a process of gradually developing a broader repertoire of chunks and a deeper understanding of the rules which govern them. Some studies have supported both views, and it is likely that the relationship depends in great part on the learning styles of individual learners.

A flurry of studies took place in the 1970s, examining whether a consistent order of morpheme acquisition could be shown. Most of these studies did show fairly consistent orders of acquisition for selected morphemes. For example, among learners of English the cluster of features including the suffix "-ing," the plural, and the copula were found to consistently precede others such as the article, auxiliary, and third person singular. However, these studies were widely criticized as not paying sufficient attention to overuse of the features (idiosyncratic uses outside what are obligatory contexts in the L2), and sporadic but inconsistent use of the features. More recent scholarship prefers to view the acquisition of each linguistic feature as a gradual and complex process. For that reason most scholarship since the 1980s has focused on the sequence, rather than the order, of feature acquisition.

Sequence of acquisition

A number of studies have looked into the sequence of acquisition of pronouns by learners of various Indo-European languages. These are reviewed by Ellis (1994), pp. 96-99. They show that learners begin by omitting pronouns or using them indiscriminately: for example, using "I" to refer to all agents. Learners then acquire a single pronoun feature, often person, followed by number and eventually by gender. Little evidence of interference from the learner's first language has been found; it appears that learners use pronouns based entirely on their inferences about target language structure.

Studies on the acquisition of word order in German have shown that most learners begin with a word order based on their native language. This indicates that certain aspects of interlanguage syntax are influenced by the learners' first language, although others are not.

Research on the sequence of acquisition of words is exhaustively reviewed by Nation (2001). Kasper and Rose (2002) have thoroughly researched the sequence of acquisition of pragmatic features. In both fields, consistent patterns have emerged and have been the object of considerable theorizing.

Variability

Valid though the interlanguage perspective may be, which views learner language as a language in its own right, this language varies much more than native-speaker language, in an apparently chaotic way. A learner may exhibit very smooth, grammatical language in one context and uninterpretable gibberish in another. Scholars from different traditions have taken opposing views on the importance of this phenomenon. Those who bring a Chomskyan perspective to SLA typically regard variability as nothing more than "performance errors," and not worthy of systematic inquiry. On the other hand, those who approach it from a sociolinguistic or psycholinguistic orientation view variability as a key indicator of how the situation affects learners' language use. Naturally, most research on variability has been done by those who presume it to be meaningful.

Research on variability in learner language distinguishes between "free variation," which takes place even within the same situation, and "systematic variation," which correlates with situational changes. Of course, the line between the two is often subject to dispute.

Free variation, variation without any determinable pattern, is itself highly variable from one learner to another. To some extent it may indicate different learning styles and communicative strategies. Learners that favor high-risk communicative strategies and have an other-directed cognitive style are more likely to show substantial free variation, as they experiment freely with different forms.

Free variation in the use of a language feature is usually taken as a sign that it has not been fully acquired. The learner is still trying to figure out what rules govern the use of alternate forms. This type of variability seems to be most common among beginning learners, and may be entirely absent among the more advanced.

Systematic variation is brought about by changes in the linguistic, psychological, social context. Linguistic factors are usually extremely local. For instance, the pronunciation of a difficult phoneme may depend on whether it is to be found at the beginning or end of a syllable.

Social factors may include a change in register or the familiarity of interlocutors. In accordance with communication accommodation theory, learners may adapt their speech to either converge with, or diverge from, their interlocutor's usage.

The most important psychological factor is usually taken to be planning time. As numerous studies have shown, the more time that learners have to plan, the more regular and complex their production is likely to be. Thus, learners may produce much more target-like forms in a writing task for which they have 30 minutes to plan, than in conversation where they must produce language with almost no planning at all.

Affective factors also play an important role in systematic variation. For example, learners in a stressful situation (such as a formal exam) may exhibit much less target-like forms than they would in a comfortable setting. This clearly interacts with social factors, and attitudes toward the interlocutor and topic also play important roles.

Learner-external factors

The study of learner-external factors in SLA is primarily concerned with the question: How do learners get information about the target language? Study has focused on the effects of different kinds of input, and on the impact of the social context.

Social effects

The process of language learning can be very stressful, and the impact of positive or negative attitudes from the surrounding society can be critical. One aspect that has received particular attention is the relationship of gender roles to language achievement. Studies across numerous cultures have shown that women, on the whole, enjoy an advantage over men. Some have proposed that this is linked to gender roles. Doman (2006) notes in a journal devoted to issues of Cultural affects on SLA, "Questions abound about what defines SLA, how far its borders extend, and what the attributions and contributions of its research are. Thus, there is a great amount of heterogeneity in the entire conceptualization of SLA. Some researchers tend to ignore certain aspects of the field, while others scrutinize those same aspects piece by piece."

Community attitudes toward the language being learned can also have a profound impact on SLA. Where the community has a broadly negative view of the target language and its speakers, or a negative view of its relation to them, learning is typically much more difficult. This finding has been confirmed by research in numerous contexts. A widely-cited example is the difficulty faced by Navajo children in learning English as a second language.

Other common social factors include the attitude of parents toward language study, and the nature of group dynamics in the language classroom.

Early attitudes may strengthen motivation and facility with language in general, particularly with early exposure to the language

Input and intake

Learners' most direct source of information about the target language is the target language itself. When they come into direct contact with the target language, this is referred to as "input." When learners process that language in a way that can contribute to learning, this is referred to as "intake."

Generally speaking, the amount of input learners take in is one of the most important factors affecting their learning. However, it must be at a level that is comprehensible to them. In his Monitor Theory, Krashen advanced the concept that language input should be at the "L+1" level, just beyond what the learner can fully understand; this input is comprehensible, but contains structures that are not yet fully understood. This has been criticized on the basis that there is no clear definition of L+1, and that factors other than structural difficulty (such as interest or presentation) can affect whether input is actually turned into intake. The concept has been quantified, however, in vocabulary acquisition research; Nation (2001) reviews various studies which indicate that about 98% of the words in running text should be previously known in order for extensive reading to be effective.

A great deal of research has taken place on input enhancement, the ways in which input may be altered so as to direct learners' attention to linguistically important areas. Input enhancement might include bold-faced vocabulary words or marginal glosses in a reading text. Research here is closely linked to research on pedagogical effects, and comparably diverse.

Interaction

Long's interaction hypothesis proposes that language acquisition is strongly facilitated by the use of the target language in interaction. In particular, the negotiation of meaning has been shown to contribute greatly to the acquisition of vocabulary (Long, 1990). In a review of the substantial literature on this topic, Nation (2000) relates the value of negotiation to the generative use of words: the use of words in new contexts which stimulate a deeper understanding of their meaning.

In the 1980s, Canadian SLA researcher Merrill Swain advanced the output hypothesis, that meaningful output is as necessary to language learning as meaningful input. However, most studies have shown little if any correlation between learning and quantity of output. Today, most scholars contend that small amounts of meaningful output are important to language learning, but primarily because the experience of producing language leads to more effective processing of input.

Pedagogical effects

The study of the effects of teaching on second language acquisition seeks to systematically measure or evaluate the effectiveness of language teaching practices. Such studies have been undertaken for every level of language, from phonetics to pragmatics, and for almost every current teaching methodology. It is therefore impossible to summarize their findings here. However, some more general issues have been addressed.

Research has indicated that many traditional language-teaching techniques are extremely inefficient. However, today a broad consensus of SLA scholars acknowledge that formal instruction can help in language learning.

Another important issue is the effectiveness of explicit teaching: can language teaching have a constructive effect beyond providing learners with enhanced input? Because explicit instruction must usually take place in the learner's first language, many have argued that it simply starves learners of input and opportunities for practice. Research on this at different levels of language has produced quite different results. Most notably, pronunciation does not show any significant response to explicit teaching. Other traditional areas of explicit teaching, such as grammar and vocabulary, have had decidedly mixed results. The positive effect of explicit instruction at this level seems to be limited to helping students notice important aspects of input. Interestingly, the higher-level aspects of language such as sociopragmatic and discourse competence have shown the most consistently strong effects from explicit instruction. Research has also shown a distinct effect of age on the effectiveness of explicit instruction: the younger learners are, the less benefit they show.

However, research has again and again shown that early exposure to a second language increases a child's capacity to learn language, even their first language.

Learner-internal factors

The study of learner-internal factors in SLA is primarily concerned with the question: How do learners gain competence in the target language? In other words, given effective input and instruction, with what internal resources do learners process this input to produce a rule-governed interlanguage?

The critical period research to date

Main article: Critical Period Hypothesis

How children acquire native language (L1) and the relevance of this to foreign language (L2) learning has long been debated. Although evidence for L2 learning ability declining with age is controversial, a common notion is that children learn L2s easily, whilst older learners rarely achieve fluency. This assumption stems from ‘critical period’ (CP) ideas. A CP was popularised by Eric Lenneberg in 1967 for L1 acquisition, but considerable interest now surrounds age effects on second language acquisition (SLA). SLA theories explain learning processes and suggest causal factors for a possible CP for SLA, mainly attempting to explain apparent differences in language aptitudes of children and adults by distinct learning routes, and clarifying them through psychological mechanisms. Research explores these ideas and hypotheses, but results are varied: some demonstrate pre-pubescent children acquire language easily, and some that older learners have the advantage, whilst others focus on existence of a CP for SLA. Recent studies (e.g. Mayberry and Lock, 2003) have recognised certain aspects of SLA may be affected by age, whilst others remain intact. The objective of this study is to investigate whether capacity for vocabulary acquisition decreases with age.

A review of SLA theories and their explanations for age-related differences is necessary before considering empirical studies. The most reductionist theories are those of Penfield and Roberts (1959) and Lenneberg (1967), which stem from L1 and brain damage studies; children who suffer impairment before puberty typically recover and (re-)develop normal language, whereas adults rarely recover fully, and often do not regain verbal abilities beyond the point reached five months after impairment. Both theories agree that children have a neurological advantage in learning languages, and that puberty correlates with a turning point in ability. They assert that language acquisition occurs primarily, possibly exclusively, during childhood as the brain loses plasticity after a certain age. It then becomes rigid and fixed, and loses the ability for adaptation and reorganisation, rendering language (re-)learning difficult.

Cases of deaf and feral children provide evidence for a biologically determined CP for L1. Feral children are those not exposed to language in infancy/childhood due to being brought up in the wild, in isolation and/or confinement. A classic example is 'Genie', who was deprived of social interaction from birth until discovered aged thirteen (post-pubescent).

Such studies are however problematic; isolation can result in general retardation and emotional disturbances, which may confound conclusions drawn about language abilities. Studies of deaf children learning American Sign Language (ASL) have fewer methodological weaknesses. Newport and Supalla (1987) studied ASL acquisition in deaf children differing in age of exposure; few were exposed to ASL from birth, most of them first learned it at school.

Results showed a linear decline in performance with increasing age of exposure; those exposed to ASL from birth performed best, and ‘late learners’ worst, on all production and comprehension tests. Their study thus provides direct evidence for language learning ability decreasing with age, but it does not add to Lennerberg’s CP hypothesis as even the oldest children, the ‘late learners’, were exposed to ASL by age four, and had therefore not reached puberty, the proposed end of the CP.

Other work has challenged the biological approach; Krashen (1975) reanalysed clinical data used as evidence and concluded cerebral specialisation occurs much earlier than Lenneberg calculated. Therefore, if a CP exists, it does not coincide with lateralisation.

Although it does not describe an optimal age for SLA, the theory implies that younger children can learn languages more easily than older learners, as adults must reactivate principles developed during L1 learning and forge an SLA path: children can learn several languages simultaneously as long as the principles are still active and they are exposed to sufficient language samples (Pinker, 1995).

There are, however, problems with the extrapolation of the UG theory to SLA: L2 learners go through several phases of types of utterance that are not similar to their L1 or the L2 they hear. Other factors include the cognitive maturity of most L2 learners, that they have different motivation for learning the language, and already speak one language fluently.

Other directions of research

Empirical research has attempted to account for variables detailed by SLA theories and provide an insight into L2 learning processes, which can be applied in educational environments. Recent SLA investigations have followed two main directions: one focuses on pairings of L1 and L2 that render L2 acquisition particularly difficult, and the other investigates certain aspects of language that may be maturationally constrained. Flege, Mackay and Piske (2002) looked at bilingual dominance to evaluate two explanations of L2 performance differences between bilinguals and monolingual-L2 speakers, i.e. a maturationally defined CP or interlingual interference.

Flege, Mackay and Piske investigated whether the age at which participants learned English affected dominance in Italian-English bilinguals, and found the early bilinguals were English (L2) dominant and the late bilinguals Italian (L1) dominant. Further analysis showed that dominant Italian bilinguals had detectable foreign accents when speaking English, but early bilinguals (English dominant) had no accents in either language. This suggests that, whilst interlingual interference effects are not inevitable, their emergence, and bilingual dominance, may be related to a CP.

Sebastián-Gallés, Echeverría and Bosch (2005) also studied bilinguals and highlight the importance of early language exposure. They looked at vocabulary processing and representation in Spanish-Catalan bilinguals exposed to both languages simultaneously from birth in comparison to those who had learned L2 later and were either Spanish- or Catalan-dominant. Findings showed ‘from birth bilinguals’ had significantly more difficulty distinguishing Catalan words from non-words differing in specific vowels than Catalan-dominants did (measured by reaction time).

These difficulties are attributed to a phase around age eight months where bilingual infants are insensitive to vowel contrasts, despite the language they hear most. This affects how words are later represented in their lexicons, highlighting this as a decisive period in language acquisition and showing that initial language exposure shapes linguistic processing for life. Sebastián-Gallés et al (2005) also indicate the significance of phonology for L2 learning; they believe learning an L2 once the L1 phonology is already internalised can reduce individuals’ abilities to distinguish new sounds that appear in the L2.

Most studies into age effects on specific aspects of SLA have focused on grammar, with the common conclusion that it is highly constrained by age, more so than semantic functioning. B. Harley (1986) compared attainment of French learners in early and late immersion programs. She reports that after 1000 exposure hours, late learners had better control of French verb systems and syntax. However, comparing early immersion students (average age 6.917 years) with age-matched native speakers identified common problem areas, including third person plurals and polite ‘vous’ forms. This suggests grammar (in L1 or L2) is generally acquired later, possibly because it requires abstract cognition and reasoning (B. Harley, 1986).

B. Harley also measured eventual attainment and found the two age groups made similar mistakes in syntax and lexical selection, often confusing French with the L1. The general conclusion from these investigations is that different aged learners acquire the various aspects of language with varying difficulty. Some variation in grammatical performance is attributed to maturation (discussed in B. Harley, 1986), however, all participants began immersion programs before puberty and so were too young for a strong critical period hypothesis to be directly tested.

Mayberry and Lock (2003) questioned whether age restrains both L1 and L2 acquisition. They examined grammatical abilities of deaf and hearing adults who had their initial linguistic exposure either in early childhood or later. They found that, on L2 grammatical tasks, those who had acquired the verbal or signed L1 early in life showed near-native performance and those who had no early L1 experience (i.e. born deaf and parents did not know sign-language) performed weakly. Mayberry and Lock concluded early L1 exposure is vital for forming life-long learning abilities, regardless of the nature of the exposure (verbal or signed language). This corresponds to Chomsky’s UG theory, which states that whilst language acquisition principles are still active, it is easy to learn a language, and the principles developed through L1 acquisition are vital for learning an L2.

Scherag, Demuth, Rösler, Neville and Röder (2004) also suggest learning some syntactic processing functions and lexical access may be limited by maturation, whereas semantic functions are relatively unaffected by age. They studied the effect of late SLA on speech comprehension by German immigrants to the U.S.A. and American immigrants to Germany. They found that native-English speakers who learned German as adults were disadvantaged on certain grammatical tasks whilst performing at near-native levels on lexical tasks. These findings are consistent with work by Hahne (2001, cited in Scherag et al, 2004).

One study that specifically mentions semantic functions acquisition is that of Weber-Fox and Neville (1996). Their results showed that Chinese-English bilinguals who had been exposed to English after puberty, learned vocabulary to a higher competence level than syntactic aspects of language. They do, however, report that the judgment accuracies in detecting semantic anomalies were altered in subjects who were exposed to English after sixteen years of age, but were affected to a lesser degree than were grammatical aspects of language. It has been speculated (Neville and Bavelier, 2001, and Scherag et al, 2004) that semantic aspects of language are founded on associative learning mechanisms, which allow life-long learning, whereas syntactical aspects are based on computational mechanisms, which can only be constructed during certain age periods. Consequently, it is reasoned, semantic functions are easier to access during comprehension of an L2 and therefore dominate the process: if these are ambiguous, understanding of syntactic information is not facilitated. These suppositions would help explain the results of Scherag et al’s (2004) study.

Some researchers have focused exclusively on practical applications of SLA research. Asher (1972) insists teenagers and adults rarely successfully learn an L2, and attributes this to teaching strategies. He presents an L2 teaching strategy based on infants’ L1 acquisition, which promotes listening as central in language learning: listening precedes, and generates a ‘readiness’ for, speaking, assumptions supported by Carroll (1960). Asher shows that in L2 acquisition, in this case German, listening fluency is achieved in around half the usual time if the teaching is based on L1 acquisition, and that learners taught in this way still develop reading and writing proficiency comparable with those whose training emphasises literacy skills.

Similarly Horwitz (1986) summarises findings of SLA research, and applies to L2 teaching some principles of L2 acquisition honed from a vast body of relevant literature. Like Asher, Horwitz highlights the importance of naturalistic experience in L2, promoting listening and reading practice and stressing involvement in life-like conversations. She explicitly suggests teaching practices based on these principles; ‘[m]uch class time should be devoted to the development of listening and reading abilities’, and ‘[t]eachers should assess student interests and supply appropriate…materials’ (Horwitz, 1986, p.685-686). The ‘audio-lingual’ teaching practices used in the present study are based on principles explicated by Asher and Horwitz; listening featured heavily, closely followed by reading and speaking practice. The vocabulary items taught were deemed relevant for all learners, regardless of age, and, according to Pfeffer (1964), they are among the most commonly used nouns in everyday German language.

Cognitive approaches

A great deal of research and speculation has taken place on the cognitive processes underlying SLA. Ellen Bialystok has modelled the process of acquisition in terms of gaining increasing attentional control over language use. In other words, as the processes of word selection and utterance construction become increasingly automatic, learners' language ability also improves.

Language transfer

Main article: Language transfer

Language transfer typically refers to the learner's trying to apply rules and forms of the first language into the second language. The term can also include the transfer of features from one additional language to another (such as from a second to a third language), although this is less common.

Contrastive analysis, discussed above, sought to predict all learner errors based on language transfer. As subsequent research in error analysis and interlanguage structure showed, this project was flawed: most errors are not due to transfer, but to faulty inferences about the rules of the target language.

Transfer is an important factor in language learning at all levels. Typically learners begin by transferring sounds (phonetic transfer) and meanings (semantic transfer), as well as various rules including word order and pragmatics. As learners progress and gain more experience with the target language, the role of transfer typically diminishes.

In the UG-based framework (see Linguistic universals below), "language transfer" specifically refers to the linguistic parameter settings defined by the language universal. Thus, "language transfer" is defined as the initial state of second language acquisition rather than its developmental stage.

Linguistic universals

Research on universal grammar (UG) has had a significant effect on SLA theory. In particular, scholarship in the interlanguage tradition has sought to show that learner languages conform to UG at all stages of development. A number of studies have supported this claim, although the evolving state of UG theory makes any firm conclusions difficult.

A key question about the relationship of UG and SLA is: is the language acquisition device posited by Chomsky and his followers still accessible to learners of a second language? Research suggests that it becomes inaccessible at a certain age (see Critical Period Hypothesis), and learners increasingly depended on explicit teaching (see pedagogical effects above, and age below). In other words, although all of language is governed by UG, older learners might have great difficulty in gaining access to the target language's underlying rules from positive input alone.

Individual variation

Research on variation between individual learners seeks to address the question: Why do some learners do better than others? A flurry of studies in the 1970s, often labelled the "good language learner studies," sought to identify the distinctive factors of successful learners. Although those studies are now widely regarded as simplistic, they did serve to identify a number of factors affecting language acquisition. More detailed research on many of these specific factors continues today.

Language aptitude

Tests of language aptitude have proven extremely effective in predicting which learners will be successful in learning. However, considerable controversy remains about whether language aptitude is properly regarded as a unitary concept, an organic property of the brain, or as a complex of factors including motivation and short-term memory. Research has generally shown that language aptitude is quite distinct from general aptitude or intelligence, as measured by various tests, and is itself fairly consistently measurable by different tests.

Language aptitude research is often criticized for being irrelevant to the problems of language learners, who must attempt to learn a language regardless of whether they are gifted for the task or not. This claim is reinforced by research findings that aptitude is largely unchangeable. In addition, traditional language aptitude measures such as the Modern Language Aptitude Test strongly favor decontextualized knowledge of the sort used in taking tests, rather than the sort used in conversation. For this reason little research is carried out on aptitude today. However, operators of selective language programs such as the United States Defense Language Institute continue to use language aptitude testing as part of applicant screening.

Age

Main article: Critical Period Hypothesis

It is commonly believed that children are better suited to learn a second language than are adults. However, in general second language research has failed to support the Critical Period Hypothesis in its strong form, which argues that full language acquisition is impossible beyond a certain age.

Strategy use

The effective use of strategies has been shown to be critical to successful language learning, so much so that Canale and Swain (1980) included "strategic competence" among the four components of communicative competence. Research here has also shown significant pedagogical effects. This has given rise to "strategies-based instruction."

Strategies are commonly divided into learning strategies and communicative strategies, although there are other ways of categorizing them. Learning strategies are techniques used to improve learning, such as mnemonics or using a dictionary. Learners (and native speakers) use communicative strategies to get meaning across even when they lack access to the correct language: for example, by using pro-forms like "thing", or non-linguistic means such as mime. Communicative strategies may not have any direct bearing on learning, and some strategies such as avoidance (not using a form with which one is uncomfortable) may actually hinder learning.

Learners from different cultures use strategies in different ways, as a research tradition led by Rebecca Oxford has demonstrated. Related to this are differences in strategy use between male and female learners. Numerous studies have shown that female learners typically use strategies more widely and intensively than males; this may be related to the statistical advantage which female learners enjoy in language learning.

[edit] Affective factors

Affective factors relate to the learner's emotional state and attitude toward the target language. Research on affect in language learning is still strongly influenced by Bloom's taxonomy, which describes the affective levels of receiving, responding, valuing, organization, and self-characterization through one's value system. It has also been informed in recent years by research in neurobiology and neurolinguistics.

Affective Filter Furthermore, researchers believe that language learners all possess an affective filter which affect language acquistion. If a student possesses a high filter they are less likely to engage in language learning because of shyness, concern for grammar or other factors. Students possessing a lower affective filter will be more likely to engage in learning because they are less likely to be impeded by other factors. The affective filter is an important component of second language learning.

Anxiety

Although some continue to propose that a low level of anxiety may be helpful, studies have almost unanimously shown that anxiety damages students' prospects for successful learning. Anxiety is often related to a sense of threat to the learner's ego in the learning situation, for example if a learner fears being ridiculed for a mistake.

Socio-Cultural Factors

Second language acquisition is defined as the learning and adopting of a language that is not your native language. Once you have acquired a foreign language, you have mastered that language.

Second language acquisition may be more difficult for some people due to certain social factors. One highly studied social factor impeding language development is the issue of extraverts versus introverts.

Studies have shown that extraverts (or unreserved and outgoing people) acquire a second language better than introverts (or shy people).

One particular study done by Naiman reflected this point. The subjects were 72 Canadian high school students from grades 8, 10 and 12 who were studying French as a second language.

Naiman gave them all questionnaires to establish their psychological profiles, which also included a French listening test and imitation test. He found that approximately 70% of the students with the higher grades (B or higher) would consider themselves extraverts.

Extraverts will be willing to try to communicate even if they are not sure they will succeed. Two scientists, Kinginger and Farrell, conducted interviews with U.S. students after their study abroad program in France in 2003. They found that many of the students would avoid interaction with the native speakers at all costs, while others jumped at the opportunity to speak the language. Those who avoided interaction were typically quiet, reserved people, (or introverts).

Logically, fear will cause students not to try and advance their skills, especially when they feel they are under pressure. Just the lack of practice will make introverts less likely to fully acquire the second language.

Motivation

Main article: Motivation in second language learning

The role of motivation in SLA has been the subject of extensive scholarship, closely influenced by work in motivational psychology. Motivation is internally complex, and Dörnyei (2001, p. 1) begins his work by stating that "strictly speaking, there is no such thing as motivation." There are many different kinds of motivation; these are often divided into types such as integrative or instrumental, intrinsic or extrinsic. Intrinsic motivation refers to the desire to do something for an internal reward. Most studies have shown it to be substantially more effective in long-term language learning than extrinsic motivation, for an external reward such as high grades or praise. Integrative and instrumental orientations refer to the degree that a language is learned "for its own sake" (integratively) or for instrumental purposes. Studies have not consistently shown either form of motivation to be more effective than the other, and the role of each is probably conditioned by various personality and cultural factors.

Some research has shown that motivation correlates strongly with proficiency, indicating both that successful learners are motivated and that success improves motivation. Thus motivation is not fixed, but is strongly affected by feedback from the environment. Accordingly, the study of motivation in SLA has also examined many of the external factors discussed above, such as the effect of instructional techniques on motivation. An accessible summary of this research can be found in Dörnyei (2001).

In their research on Willingness to communicate, MacIntyre et al (1998) have shown that motivation is not the final construct before learners engage in communication. In fact, learners may be highly motivated yet remain unwilling to communicate.

Concepts of ability

Numerous notions have been used to describe learners' ability in the target language. The first such influential concept was the competence-performance distinction introduced by Chomsky. This distinguishes competence, a person's idealized knowledge of language rules, from performance, the imperfect realization of these rules. Thus, a person may be interrupted and not finish a sentence, but still know how to make a complete sentence. Although this distinction has become fundamental to most work in linguistics today, it has not proven adequate by itself to describe the complex nature of learners' developing ability.

The notion of communicative competence was first raised by Dell Hymes in 1967, reacting against the perceived inadequacy of Chomsky's distinction between linguistic competence, and has proven extremely popular in SLA research. It broadens the notion of the kind of rules that competence can include. Whereas Chomsky treated competence as primarily grammatical, communicative competence embraces all of the forms of knowledge that learners must have in order to communicate effectively.

A closely related concept is proficiency. Proficiency is usually distinguished from competence, which refers to knowledge: "proficiency refers to the learner's ability to use this knowledge in different tasks" (Ellis, 1994, p. 720). Because any test of competence is a task of some sort, it may be argued that all measures of competence are in effect measuring some form of proficiency.

Both proficiency and competence are internally complex; they do not reflect a single attribute, but many different forms of knowledge in complex interrelationship. Research, such as much of that discussed here, requires some unitary concept of ability, but it has been clearly shown that different aspects of language ability progress at vary different rates. For example, Kasper and Rose (2002) review numerous studies of the complex relationship between grammatical and pragmatic proficiency. The measurement of language ability, although necessary for both research and teaching, is inevitably problematic.

References

Canale, M. and M. Swain (1980). Theoretical bases of communicative approaches to second language teaching and testing. Applied Linguistics 1(1): 1-47.

MacIntyre, P.D., Clément, R., Dörnyei, Z., & Noels, K.A. (1998). Conceptualizing willingness to communicate in a L2: A situational model of L2 confidence and affiliation. The Modern Language Journal, 82 (4), 545-562.

Dewaele, J. and Furnham, A. "Personality and Individual Differences." Personality and Speech Production: A Pilot Study of Second Language Learners 28 (2000): 355-365

Naiman, N., Frohlich, M., and Stern, H. "The Good Language Learner: A Report." Ontario Institute for Studies in Education (1975)

About the Author

Bachelor of: English Language Translation and Linguistic Searcher at King Abdulaziz University.




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does anyone know how many times people go to the hospital a year of panic attacks thinking its heart attacks?

i have searched all over for statistics! i have anxiety and am doing a speech on it and we need to start off with a statistic! please help and also include the link :) thank you

I'm not sure there are such statistics available. That sort of thing wouldn't be reported to anyone. I work in a hospital setting and I know that it happens but it isn't something recorded by anyone. I would think the best you could come up with would be a guess. Sorry.







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Other people's opinion of you does not have to become your reality. By Les Brown Find out about Anxiety Ulcerative Colitis



Essential Questions To Ask About Your Colitis Diagnosis

Once you are experiencing symptoms out of the ordinary, the appointment that you need to make with your doctor as soon as possible is very important. The sooner that colitis is diagnosed, the sooner you can start the courses of prescribed medication. You cannot afford to procrastinate here. Colitis can be vicious in its ferocity.

And what will the doctor want to know and what you must advise them of? It should include everything that has happened to you since the first twang of pain or discomfort. It doesn't matter about being embarrassed. Remember, this is a doctor that you are discussing colitis with and they will have seen and heard everything before. Yes, you have to tell them the number of times you are going to the toilet and what form your stools take and if there is any blood then how bloody, but until this information is made available by you there will not be a diagnosis.

The information you give must be thorough because they be relying on it to make the correct diagnosis. And by correct diagnosis, they will evaluate the information that you give so to be sure that it is colitis and not the lesser ailment of inflammatory bowel syndrome or colitis's cousin, Crohn's disease.

You should not be afraid, embarrased or overawed to ask questions of points that you are still unsure about. The proclamation "you have ulcerative colitis" may mean very little to you. In fact, There is a much greater amount of general awareness of the condition amongst the population than just a few years ago and the medical profession, especially your local doctor will be more informed of what a colitis diagnosis is and the ramification of it for you.

Try to illicit from the doctor his opinion of the likely severity of the attack. They may be unwilling to give a specific response but through their seeing an ever increasing caseload of patients they should be able to give some opinion as to what degree of strength this attack will form. If they can't give a definitive answer then reserve the question until you see a hospital consultant who should be able to answer the question once they have had a satisfactory examination of your large colon.

For some, any appointment with a doctor can be an anxious occasion and with the symptoms that colitis brings, this anxiety can be multilpied several times. You must understand that it is not a disease that can just be ignored in the vain hope that it will disappear. The symptoms of colitis can be severe and if left unchecked, they can result in the sufferer being admitted to hospital. Once, diagnosed it is important for the sufferer to gain as much experience from those who have lived with colitis in order to understand how to live with the disease and ease the pain and anxiety it causes.

About the Author

Michael Tasker has survived the worst of colitis since 1994 including ileostomies and a j pouch and can now provide exactly what your doctor or a leaflet can't. You can now source the real everyday practical answers to manage your colitis experience better and regain control of your life from someone who has been through it all. Here is the info your doctor can never fully provide at http://www.thecolitisexperience.com




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I really need help i am very sick?

I dont know what to do i am 24 years old and live in Missouri. I have endometreosis, ulcerative colitis, chrons, and severe anxiety, and no insurance. I have applied for ssi and medicaid and have been denied for both, they told me my only shot at medicaid was to get pregnant, and I cant have children. As I sit here I am scared and in pain, and at a total loss for what to do. I never was depressed before but sometime I think it would be easier just to be dead. I cant work, so I cant afford a doctor, and Ive been to the er a million times and they cant help me, untill i am dying i guess. I feel very lost, and I am very sick and do not know what to do.
I am married and my husband is in jail, and my family is very poor. they won't give me medicaid without disibility benefits or children.
I have even tried all the churches in my area, and talked to me like I was dumb for calling them.
That will take a long time, in the mean time i am getting worse

It sounds like you would qualify for state disability with the diagnosis you listed. Don't walk away from SS after one denial. In some states there are programs that offer free or very inexpensive insurance. In CA, the program is called Healthy families. I am not familiar with Missouri, but you might contact your local health department for information. Hospitals usually have information, as well. Since you have online access, I recommend searching for support groups for people with your same diagnosis. It will be a good start to finding some help.

Your situation is very sad, but you can find help. Keep asking and it will come. There are amazing resources available and varius charitable organizations that will help you. If you were in CA, I would know exactly where to send you. Check the places I stated. It will be a good start. Don't give up!







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It is the little bits of things that fret and worry us; we can dodge a elephant but we can't dodge a fly. By Josh Billings Find out about Anxiety Nursing Diagnosis



Management of Psychological Aspects of Asthma

Asthma is a disease that was for a long time considered to be governed by the malfunctioning of the nervous system. For this reason in the old texts this disease is mentioned as Asthma nervosa. Only when it was completely established that this was not entirely true, this practice was discontinued.

However it is still considered to be a disease that has some connection with the emotional state of the patient. Many patients do show marked changes in their psychological behaviour once they are diagnosed with asthma. Also some studies have established that people with certain temperaments and personality traits are more likely to catch asthma.

The studies by Dr. Bastiaans and Dr. Groen in 1955 and Dr. S. B. Singh in 1977 highlight the personality traits of the people who are most likely to develop asthma. These traits are classified as:

· Excessive egocentric behaviour.

· Marked tendency for dominating behaviour.

· Marked tendency for impatient and impulsive behaviour.

· Reduced capacity for adapting and adjusting to unfavourable circumstances in life.

· High emotional sensitivity.

· Excessive need for love and affection.

· Very stubborn attitude.

· Very strong reactions to rivalry and jealousy.

· Lack of communication with other people.

· Over anxious nature.

· Lack of self confidence.

· Deep rooted dependency.

· High incidence of behavioural problems.

It was also observed that the attitude of parents whose children develop asthma is also to be blamed to a certain degree. Generally it is seen that the attitude of the mother has greater influence than the attitude of the father. As opposed to the popular belief of rejection from the parents, it is seen that the kids who develop asthma have overprotective mothers who encourage very high dependence from the children.

This is done in order to satisfy some hidden emotional desires of dependence and emotional connectivity on the part of the parent. The parents also showed development of superegos and excessive anxieties and transferred these traits to their children subconsciously through faulty parenting practices.

Since the above mentioned inclinations are more or less indicative of clear tendencies there are specific situations of aggravation arising from patients who have been diagnosed with asthma. There are indications that the disease aggravates with anxiety, tension and emotional disturbances the management of asthmatic condition on a psychological level becomes very necessary for the wellbeing of the patients.

The levels of increase of anxiety can itself trigger off another attack. And till the time the patient remains anxious and tense all sorts of medication fail despite best of efforts. So it becomes very necessary for the patients to be given some kind of sedative for his own betterment. But it is also important to take care and administer all the drugs along with anti-asthmatic drugs under constant monitoring by competent doctors.

It is extremely important for the asthma patient to remain calm under all situations and conditions, even during an attack. The body and the mind should both be kept completely relaxed. It is very necessary for the patient to not panic. For this he should have a very objective view of his situation. It is extremely important to educate oneself in order to achieve a state of relaxed mind and body.

For this purpose it is important to read some self-help material as well as have free communication with one’s doctors to have a complete picture of the situation. It is also important to know that it is extremely rare for people to die as a result of an attack. Most attacks can be very well managed if a person is aware of his situation and is well versed with knowledge about tackling an emergency. The adage “knowledge is power” is perhaps most adequately applicable to an asthmatic person’s situation.

It is important to make certain changes in one’s lifestyle in order to avoid an emergency situation.

· Having some discipline in one’s life is extremely necessary.

· It is important to accommodate exercise, morning walks, simplicity in diets, eating well balanced diet, regularising the working and sleeping times.

· Following disciplined habits at workplace so as to avoid piling up of work as this may lead to undue tensions.

· To develop a habit of complete relaxation and avoidance of anger. Most people benefit tremendously by the practice of yoga and meditation.

· The habit of unnecessarily worrying over trivial matters is known to cause aggravation so it should be stopped immediately.

· Prayer is a form of relaxation and most people feel tension free when they pray.

· Complete acceptance of one’s situation is very important. Denial leads to avoidance and finally to anxiety. The focus should not be on “Why me?” but the person must count his blessings and be thankful for the life he has.

· It is extremely important to be in a position to pacify and control an asthmatic child. For this it is important that the nursing adult is completely in control of his emotions and not feel sorry or disturbed. Children sense the anxiety levels of the adults very well and they should not feel that their condition is being bothersome to the adult.

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Learn More About Asthma Cure, Asthma Medication and Asthma Triggers at http://www.yourasthmatreatment.com/ - Asthma Information and Treatment Guide.




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a client with a diagnosis of generalized anxiety disorder wants to stop taking his lorazepam. ?

what should the nurse discuss with the client about discontinuing medication?

Why. Describe the pros and cons of discontinuation. How will your life be different without the drug. Describe the best case and worst case scenarios of discontinuation. Describe how you will cope if the symptoms of your diagnosis reoccur. Who else have you discussed this with and what was his/her response. What does your primary clinician think about your idea.







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