There are a lot of ways that you can become afraid of flying. You might experience strong turbulence during a flight, or experience what you consider to be a "close call". You might have a panic attack on a plane, and thereafter fear having another one if you fly again. You might find that the continuing media emphasis on "scary flying stories" leads you to become afraid. You might experience a stressful period in your life during which flying becomes progressively more difficult for you. You might experience a traumatic event (unrelated to flying) shortly before a flight, which leads you to become afraid on the flight. Many people have developed a fear of flying in response to the 9/11 terrorism.

There are a lot of ways that people become afraid. But one way that people don't become afraid is this: they don't set out to discover the most dangerous activities they engage in, and then avoid those. No! A phobia is not a logical process. You become afraid for one reason or another, and then come to believe that your fear means that flying is too dangerous, even though virtually everyone regularly engages in activities which are much more dangerous than flying. Maybe you avoid flying altogether, or maybe you continue to fly with fear, but in some way you resist and struggle against your fear, and that is precisely what maintains it!


There are basically two kinds of fears people experience about flying: fears of crashing and dying; and claustrophobic fears of being "trapped" in the airplane once the door is shut. Some people experience only one type, in a pure form, and some experience a mixture, but in both types of fears the essential element is an overemphasis on control.

Safety statistics show, and I think probably everyone is aware of this, that flying is much safer than driving. Yet a fearful flyer who drives tends to assume that, because he/she is "at the wheel" (and therefore "in control") that he/she will be able to avoid any accidents, or be better prepared to deal with any that may arise; will be more likely to arrive on time; will be better able to get help in the event of a medical emergency, and so on.

Even people whose fears are purely claustrophobic will strive for this sense of control. I once worked with a client who was claustrophobic, in elevators and airplanes. On our first occasion to leave my office and go to practice with elevators, we took his car - because, naturally, he wanted to drive! And he had the tiniest car I had ever seen! I mentioned to him how ironic it was, that a claustrophobic person should have such a tiny, cramped car. He replied, "It's OK as long as I'm at the wheel!"

Fearful flyers thus try to feel better by trying to feel "in control" of various aspects of the flight experience. Since the flight is really not under their control, this striving for control makes them more afraid, not less.

What do they do? Fearful flyers I have worked with have tried to feel "in control" of the situation by doing such things as:

monitoring the weather channel during the days before a flight insisting on flying on certain types of aircraft which they regard as more safe

asking to see pictures of the pilot's children (on the theory that if he/she has children, that's more motivation to live!)

avoiding conversation during takeoffs and landings so they can "monitor" the procedures

wearing "lucky" clothes, avoiding "unlucky" days and flight numbers, and engaging in a variety of rituals

pretending they are not on a plane, or forcing themselves to think about something else

playing loud music on their headphones, in order to prevent themselves from thinking about the flight

tensing up their body

holding the armrest in a death grip

refusing to move from their seat during the flight trying hard to appear unafraid

sedating themselves with alcohol and/or tranquilizers and a variety of other activities, most of which maintain and increase a person's anxiety level, rather than decrease it.


A fearful flyer generally needs an entirely new strategy for tackling this problem, because the solutions a fearful flyer usually tries tend to make the fear worse, not better. It's a case of "the harder I try, the worse it gets". (If you want to learn more about this paradoxical aspect of anxiety.

In general, this means you need to get better at accepting the role of a passenger. A passenger is a person who presents himself/herself at the gate and turns over the responsiblity of flying to those who are trained and paid to do the job; who makes no effort to control that which he cannot control; and whose only job during the flight is to wait, while allowing himself/herself to be as comfortable as possible. As a passenger, you are literally "baggage that breathes"! As a passenger, you need to know how to accept and work with your emotions and fears, rather than resist them.


In my work with fearful flyers, I see people who haven't flown for twenty years, or even longer; and I see people who fly more than a hundred thousand miles a year, because their work demands it. They're all afraid, frustrated, and skeptical when they come to me. The ones who haven't flown for a long time often can't even imagine ever getting on a plane. The ones who are still flying wonder why all that flying doesn't help them become less afraid, and despair of ever feeling better. I can tell you, however, that the great majority of these people make an excellent recovery and resume flying in relative comfort.

At the Anxiety Treatment Center, we offer classes for fearful flyers several times each year. In this program, we teach people a general strategy for being a passenger, and many specific coping techniques. We teach people ways to cope with their anticipatory anxiety in the days and weeks ahead of a flight, as well as the anxiety they experience during the flight.

We also meet with a pilot, who answers the group's questions about safety, how flying works, what all those noises mean, and so on. We then fly together on a regularly scheduled commercial flight to a city about one hour away. We use this flight, and the return trip, as an opportunity for people to practice the skills they have learned in the class.
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Payday loans are very convenient. You can easily apply for one online in just a few minutes or at your local payday loan store - which may go by one of many names. While still easy to get, you will want to have the necessary information handy to make the process go much smoother. Here is what you need to know about the application process.

If you go to apply at the local payday loan center, you will need to have all of your information with you, because you must fill out the application there in the store. Filling it out online, of course, gives you greater convenience - and more time to find the information - if you need it.

The first piece of information that you will need will be about your job. They will want to know the name and address of your place of employment, as well as the name and phone number of your employer, or supervisor. The main thing will be how long you have worked there. It will be necessary to have been employed at the same place for at least three months in order to be qualified for a payday loan.

Next, you will need to state just how much income you make each month. There needs to be a minimum of $1,000, and some lenders will require as much as $1,500 each month. Some will accept the amount of $800 per month if you are on a fixed income. In some cases, you will need to fax some copies of your recent paystubs, and possibly bank account statements.

Then, you will want to have some information about your checking account handy. In order for them to send you the money, they will want to put it right into your checking account. This, of course, verifies that the account is real, and that they can get their money out of it when the loan is due.

Most payday loan lenders will check your information with a data bank for lenders that is called Teletrack. It is a clearinghouse for lenders that records loan applications, payment record for loans, etc. When they run their checks, they will also know how many applications you have in at any given time, as well as how many payday loans you currently have outstanding. Generally, you can have a maximum of three out at the same time - depending on your repayment record. Because of Teletrack, however, you will only want to fill out one application at a time.

After you apply, there usually will be a phone call, so they can talk to you for any other information or questions that need to be answered. One approved, then you can expect to find your money in the account within 24 hours - but many lenders can give you your payday loan in less than one hour now.

It is a real good idea to shop around some and check into the interest rates and how long you have until the loan needs to be paid back. Don't expect much on your first payday loan - possibly up to $400. Also, watch for Web sites that may not be secure. You will be giving some serious personal information online. If you are not sure - contact them through an email first.

Joe Kenny writes for Rebuild.org, offering payday loans, or for UK residents loans with some great interest rates. Visit today: http://www.rebuild.org
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When considering how to choose a medical billing specialist, you must consider the skills and abilities of a good one. If you know what you are looking for, making the right decision as to which billing specialist to use becomes fairly obvious. Take a look at what a medical billing specialist should be familiar with and what they have to do so that you can choose the right medical transcriptions

First of all when considering how to choose a medical billing specialist, you should make sure you find one that understands medical transcription. Medical transcription is the transferring of medical information from audio recordings to either paper or electronic format. Your billing specialist should be aware of this because of the information contained in the transcripts. The transferred data becomes an electronic medical record, which just shows how much everything the billing specialist works with is interconnected.

The job of medical transcription is usually outsourced to a third party company or done through the use of medical transcription software. Each part of the process, though, must be overseen by someone with training to do the transcription so as to catch all potential errors.

Secondly, you want your medical billing specialist to be familiar with the various medical codes. Additionally, he or she should know about governing record keeping, billing, and certification. This allows the billing specialist to be familiar with the important standards that control how a medical billing specialist actually performs his or her job. Knowing how the codes function and what they say is crucial to being a good and an effective medical billing specialist.

When you look at how to choose a medical billing specialist, you should also make sure he or she is familiar with electronic medical records (EMR). The information in such records is coded and means that a billing specialist must be able to decipher the information in order to make sure billing is done correctly. Additionally, the specialist must be trained due to the fact that all EMR’s must be managed, backed up, and stored with great care so that everything is kept secure. The information is very sensitive.

In an age of software and computers, it is vital that your medical billing specialist knows how to use medical practice software. The software is made to allow a database of EMR’s to go along with access to medical codes with which your billing specialist should also be familiar. The software helps practices to cut their IT expenses by only forcing them to pay monthly secure hosting for the system. Medical billing specialists are some of the people authorized to use the programs to get information via computers or PDA’s off the server.

Deciding how to choose a medical billing specialist is not easy. You must have an understanding of what all a good billing specialist knows and understands. The information above helps you get a feel for what you should look for when choosing your medical billing specialist.

Kathryn Whittaker has an interest in Health related topics. To access more information on medical billing and coding or on medical billing services, please click on the links.
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