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Ask the Mental Health Expert Archives 2001-2004

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Week of January 14, 2002

    Question: I get very nervous driving on the freeway now, especially on curved roads. When I drive through the curves I feel like my car is going to flip over and turn upside down. I've been driving this same freeway for about 11 years. I haven't had any accidents. I commute 25 miles one way. I didn't have this problem before. It started about 2 years ago and is now getting worse. My doctor gave me clonazepam 0.5 mg to take one a day. It helps me calm down when I'm driving on the freeway but I'm still very nervous. I don't have any problems at home or at work. Freeway driving is the only problem in my life bothering me almost all the time.    Dr. Pies' Answer

    Question: It may be well documented that very positive therapeutic relationships can result in a patient acting out a diagnosis to please the therapist. How can a therapist or patient differentiate between purely pathological behavior and pathological behavior that is shaped by the patient's natural desire to be what the therapist thinks the patient is? What can a therapist do to avoid training patients to act out according to the therapist's beliefs about the patients' illness?    Dr. Pies' Answer

    Question: How would you deal with patients who are fearful of bioterrorism? This seems to be a growing concern...    Dr. Pies' Answer