The Patriarch when I was a teenager instructed us to pray and fast in preparation and asked that our parents pray and fast also.
Our current Stake Patriarch asks that all those who will come fast and pray, and continue fasting through the blessing. He encourages all family members to be present. I really enjoyed participating in the patriarchal blessings for my children.
Mostly Patriarchal blessings will reaffirm that your Heavenly Father loves you. Other things are specific to each person and become deeply personal. Dont' be apprehensive. Remember you have a Father in Heaven who loves you.
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