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Hi Houston, Okay, something's definitely going on, right? My gut is to start with your family physician, because you have some physical symptoms. While it seems anxiety is a likely problem here, your doctor will hopefully know your history and can help you decide if you need some medical tests or some therapy. Without knowing more, that's all I can say at this point. Best of luck.

What you are describing sounds like it may be a form of dissociation. Dissociation is our mind's way of disconnecting us from aspects of our experience in an attempt to protect us in overwhelming situations. It also sounds like you are noticing anxiety in certain situations. In working with a competent therapist, you may be able to gain insight into these experiences, learn skills for coping with anxiety and reconnecting with yourself, and alleviate these symptoms over time.

Hello,I am wondering if you might be experiencing some form of dissociation. People who dissociate might feel like the world around them is unreal and unfamiliar, or that they are not really in their bodies and that they are observing themselves from outside of their bodies. Dissociation can also mean that there are parts of you that have "split off" and sometimes parts are can feel like they are at odds with each other or are locked in conflict. Sometimes dissociation happens after someone experiences a trauma. Therapy can help you to understand what is going on and help you to integrate your experiences and ultimately heal.I am a therapist in Houston who specializes in dissociation. On my website I have information specific to dissociation that might be helpful to you. Sarah

Hello, and thank you for your question. You may be right, your physical symptoms of getting sick to your stomach may very well be your nerves or anxiety. That is totally normal and understandable given your circumstances. Another thing that is not unusual is that you feel better when you sit and rock. That is actually a fairly common way that many people comfort themselves in times of high stress. If you are concerned that there is an actual physical illness causing these symptoms, you may want to visit your primary care provider. They may tell you that they don't see anything physically wrong with you, and at that point you may want to visit a counselor about the symptoms and your relationship experience. A visit with a counselor may be a good idea either way. I work as a counselor in primary care, and I promise you that many people have very real physical symptoms when they have gone through abuse. Unexplainable stomach and headaches are very common. Sometimes, with counseling, those physical symptoms actually stop. Be well, and I hope you feel better soon.Robin J. Landwehr, DBH, LPCC, NCC

I don't know how old you are, but in Pennsylvania, if you are over 14, you can have therapy without your parents' consent. If you are young enough to use their insurance, that could be complicated, but depending on the state, there may be ways to work around that as well. If transportation is a problem, call a local mental health agency and see if they can connect you with assistance.In the meantime, try searching for a phone helpline in the county where you live. They may be able to help you figure out where you can get help.Another idea is that if you are in school, your guidance counselor may be able to provide links to where you can go for help. He or she may also be able to give you more specific ideas to help with your panic attacks.I know you said your mom refuses to offer help, which included seeing a doctor, but I wonder if she trusts the doctors that is your primary care physician (also called a family doctor) who you see when you have a minor medical ailment that may need medication. That doctor may be able to help you as well.Some of the information here may be helpful to you because it explains some of what anxiety is and there are some quizzes there that may give you information to discuss with a doctor or therapist when you get connected with one. http://www.webmd.com/anxiety-panic/guide/mental-health-anxiety-disorders This may give you other information to speak with your mom about. Remember that I'm not asking you to actually diagnose yourself with one of these things, but just offering some basic information that may help you be able to talk about what is going on.If you are having a panic attack or having a moment of anxiety, try focusing on different things in the room around you. It may help to shift your focus briefly outside of what you are feeling and that may lessen the feeling a bit. Also remember that sometimes anxiety leads to more anxiety about having a panic attack in the future. Remember that they usually and after a few minutes.It would also be helpful for you to keep track of what leads up to your anxiety.Best wishes to you and keep trying until you get connected to someone.

How old are you?Are you old enough in your State to have therapy without your mother's consent?Your mom's attitude toward you may be one significant reason on why you feels so much tension in the first place.Don't let her opinions and beliefs get in the way of what you know about yourself.Are you in school and does that school have a guidance counselor?Would you talk with that person about your difficult getting your mom to retain helping services for you?Keep looking for local resources which will support you either directly or indirectly by advocating for your right to receive mental health care.

Do you think you're abusing xanax?It is a highly addictive drug so maybe one reason you feel compelled to take more is bc you already are addicted.Drugs don't do anything helpful in solving life's problems. Once the effect wears off, the stressful situation is once again waiting for you to address it.Think over your reason for not directly asking your psychologist about upping your dose.Also, do you ever talk about your life problems with this psychologist or only your need for drugs? The more gradual path to a better life is to not need drugs in the first place. This consists of your willingness to face the matters that are creating such terrible feelings inside you.

Staying on the lower dose may give you more room to learn strategies for coping with your anxiety. Medications are so helpful, and needed at times, but it's also important to have a variety of tools you use to manage your responses to stress. If you are not already seeing a therapist, consider finding one who can help you learn some effective strategies, like replacing self-defeating thoughts with ones that work better for you, or mindfulness, relaxation, or other tools to keep your anxiety in the manageable range!

In general, Xanax is very short-acting. You mentioned that you are afraid that your medical provider will take you off of the Xanax and put you on something else. If the Xanax is not working well for you, I wonder if something else may work better. What is your reasoning there? Also, sometimes there are medications that you can take in addition to Xanax.In addition to talking with your medical provider about changing the medication, try to track your levels of anxiety on a scale of 1 to 10 throughout the day so you can get a pattern of what is happening. Also consider writing down what is happening before you have anxiety attacks. This may help your medical provider know what medication may be helpful to you or what changes could be made.As far as how to discuss this with your medical provider, I would suggest mentioning the symptom changes you are having (anxiety attacks that are not helped with 0.5mg of Xanax) and ask what they would suggest that might help. If your medical provider suggests taking you off of the Xanax, I would recommend talking about the reasons why you would prefer to stay on the Xanax and what your concerns are about coming off of it. You could also ask whether anything could be combined with Xanax.There are also many other anxiety medications. I have seen lots of people that take more than one medication to lessen anxiety that they are having.I would also consider talking with a therapist (unless the person who is prescribing a medication is also doing therapy with you). Getting more information about your anxiety and how it is affecting you may be greatly helpful to you.

Hello, and thank you for your question. While counselors work closely with medical providers, and sometimes have discussions about medications with people, we rarely make recommendations about how much or what type of medication a person should be taking. This is because prescribing and advising on medication is out of our scope of practice. The only exception would be if a counselor is also a physician, nurse practitioner, physician's assistant, etc. Having said that, I certainly understand that anxiety is a real serious problem that many folks struggle with. If you are currently not in therapy to help you with these panic attacks, you should consider it. Medications can be helpful for anxiety, and medications like Xanax may help for immediate relief, but they do nothing to deal with the root of anxiety and may not help with anxiety long-term. Therapists who have experience in exposure therapies would be good people to start with. Exposure therapy has good outcomes for people with anxiety disorders and panic attacks. If you are interested in speaking with your provider about the Xanax, I think explaining it the way you did on here is just fine. The provider will then decide if they feel comfortable increasing your medication. Please remember that medical providers are not trying to give people a hard time. Medications like Xanax really are highly addictive. The more you take, the more you may feel you need. The more often you may feel you need to use it. Depending on the frequency and amount of use, some people suffer serious withdrawal symptoms when they do not take the medication. It is a good idea to talk to medical provider about all of those things so that you can partner on right course of action to manage this anxiety. I certainly hope that you get some relief.... I know anxiety is awful.Robin J. Landwehr, DBH, LPC, NCC

I would suggest possibly talking with a physician about all the different types of protection. They may be able to help you to know about all of the options that are available.It sounds like your partner is open to understanding your concerns. Perhaps until you have the chance to speak with someone about the effectiveness of different contraception and forms of protection, are either of you open to other forms of engaging in sexual intimacy (without penetration, but with use of vibrators, toys designed for sexual interactions, etc.)?

I am wondering who is telling you that sex is dangerous. Is this medical advice, or is this someone’s opinion trying to scare you from having sex? And if so, how old are you? Is it ok to have sex, do you want to have sex? It sounds like you want to make your partner happy, and that you are taking care of protecting yourself and your partner, but maybe you are forgetting to consider what do you really want. Having sexual relations is a very personal decision; you and your partner have to consent. It is also important to talk about the possible consequences and being responsible for them as well. But sex should be something that you enjoy, not that you should be fearful of. A therapist can help you to process those negative thoughts and feelings that may impair you from enjoying your sexual life. ¿Cómo puedo superar mi miedo de un embarazo no deseado y poder tener sexo otra vez?Estoy aterrorizado de tener sexo porque me han dicho una y otra vez que el sexo es peligroso, inclusive cuando yo y mi pareja usamos dos métodos de protección. Mi pareja no está contenta y simplemente quiere más sexo, y honestamente, yo quiero darle lo que ella quiere.Me pregunto quién te está diciendo que el sexo es peligroso. ¿Esto es aviso medico, o es alguien intentando asustarte para que no tengas relaciones? ¿Y si es así, que edad tienes? ¿Es apropiado que tengas sexo a tu edad? ¿Quieres tener sexo? Me parece que estas enfocado en hacer feliz a tu pareja, y te estás protegiendo y protegiéndola, pero tal vez están olvidando analizar que tu quieres realmente. Recuerda que tener una relación sexual es una decisión personal, en la que tú y tu pareja deben de estar de acuerdo. También es importante hablar de las posibles consecuencias de tener relaciones, como un embarazo, y discutir sus opciones e intenciones, si eso ocurriera. Ya que han tenido comunicación al respecto, el sexo debe ser algo que disfruten, no que temen. Un terapista te puede ayudar a procesar esos pensamientos negativos y los sentimientos que te pudieran impedir disfrutar de tu vida sexual.

Maybe you'll feel less fear by understanding that whoever told you sex was dangerous, was wrong.If this message came from your upbringing, then it may a deeply embedded belief.Since the belief itself instructs to avoid risk, and overturning this belief requires taking the risk to believe the logic that reasonable safe sex measures are adequate protection, give yourself time to absorb this new understanding.Talk w your partner about your psychological difficulty bc their patience will help you.

Alot of our choices have to do with what we have been taught and partly our fear of trusting ourselves to do what is right. There is so much more going on within you than you realize. We can help you bring it to the surface. Please contact us when you can and in whatever way you can to discuss what's going on with you.

When we feel overwhelmed by life situations, it is important to understand where the feeling is coming from. Once we understand the source, it is important to normalize the situations that got us there and find balance in our lives.First, car accidents are common, and since they are accidents they are not a reflection of us. When we have an accident we feel anxious, worried, and may have some trauma after the accidents. If you have been experiencing anxiety since the car accident, talk to your doctor or therapist about it. Second, a lot of people fail classes, tasks, deadlines, etc. but they don’t give up on their goal. We have to remember that failing is part of the learning process, and having the courage to try again is what gives us determination and character. Remind yourself what motivated you to leave your job, and the courage and determination that took to do so, then channel that energy back into school. Third, when we have problems in our relationships, is helpful to look for ways to improve communication, discuss our concerns and how we want to resolve them, but it may be that the relationship needs to end if there isn’t enough interest in one of the parts or if there’s verbal or emotional abuse. Consider talking to your boyfriend and set some boundaries regarding appropriate communication.At all times: focus on being kind to yourself and improving your self-esteem: increase self-care activities, do more things that you enjoy, meditate in what gives you peace and make an effort to have more of that in your life. At the end, you are the one in control of your life, and you determine who you become.¿Qué puedo hacer cuando siento que mi vida está fuera de control?Estuve en un accidente de auto, y fue pérdida total. Deje mi trabajo de 9 años para completar un grado a tiempo completo. Falle una clase, y mi novio piensa que soy estúpida, el quiere dejarme. No tengo a donde ir y siento que lo estoy perdiendo todo.Cuando nos sentimos agobiados es importante reconocer donde estamos parados y entender de donde vienen esas emociones. Ya que entendemos la fuente de agobio, es importante normalizar las situaciones que lo causaron, y volver a encontrar el balance en nuestra vida.Primero, los accidentes de auto son comunes, y por ser accidentes no son un reflejo de nosotros o nuestras destrezas. Cuando experimentamos accidentes no s sentimos ansiosos, preocupados, y puede que experimentemos algún trauma. Si sientes ansiedad, extrema preocupación habla con tu doctor o terapista al respecto. Segundo, muchas personas fallan clases, tareas, fechas de entrega, pero no se rinden. Tenemos que recordar que fallar es parte del proceso de aprendizaje, y tener el valor de intentarlo de nuevo, es lo que nos da determinación y carácter. Recuerda que te impulsó a dejar tu trabajo y canaliza esa energía en la escuela. Tercero, cuando tenemos problemas en las relaciones, es importante comunicar nuestras preocupaciones y diferencias, pero puede ser que la relación termine si no hay interés mutuo o si hay algún tipo de abuso. Considera hablar con tu novio y establecer límites respecto a la comunicación apropiada.En todo momento: enfócate en cuidarte a ti misma y mejorar tu autoestima, aumenta las actividades que te ayudan a sentirte bien, medita sobre lo que te paz y pasa más tiempo practicando esas actividades.

Being able to know you feel anxiety and write about it, is the first step to addressing and handling it!Generally, anxiety is deep fear of not being able to handle what comes up in life. Somehow the person was insufficiently nurtured and so felt insecure when very young.Usually the person had to fend on at least a psychological and emotional level for themselves before reaching an age when doing so would have been reasonable.Their inner feeling of overwhelmed from when very young, hasn't faced the reality that the grown person is now capable, even if this takes some practice. Try asking yourself what you are afraid of and theorize how you would handle these situations as a grown person.Also, sometimes anxiety comes from feeling lonely. This loneliness is reminiscent of the loneliness that the grown person now, felt when being left to take care of situations as a child which were too difficult and complex for any child to address.

Does anyone notice that you get sick and cry on track meet days?Have you told anyone?From what you write, as much as you would like to please your school and dad, something within you doesn't quite want to fully follow through.Step one in life always is to know what you want and what your limits are. It already is difficult to avoid listening to your body.Try understanding what is difficult in telling your father that you'd like doing as he wishes, only are not able to do so because you are emotionally and physically distraught on the days you have track.After finishing the season for this year with your school's track team, then expect to concentrate on taking care of your own need to not do track.Hopefully your father will understand and care about your problem. If he does not and track is more important than your well being, then you have a different problem entirely.

It sounds like you are no longer committed to track emotionally. It can be hard to talk to your dad about this, but he may think you love track and may not know you are getting so upset the days of meets. An idea would be to first write a letter to your dad to see what feelings come out and then preparing to speak with him. I think he will appreciate your honesty and maybe this conversation will bring you relief and also time to find something you really will enjoy.

Change can be uncomfortable, but sometimes those uncomfortable moments are the opportunity for us to be the person we feel we really are. It sounds like you like to spend the time in your head anticipating the worst, why not be in the present and encourage yourself that you can talk to people and it will be okay. By telling yourself it will not be okay, or that it will go wrong you are hurting your confidence to do what you want. Give yourself some credit for being awesome and tell yourself you can build new friendships...it may be the motivation you need to move past this fear.

It sounds like you are feeling pretty overwhelmed with worry about being continuously monitored, with no privacy even in your own mind, and as if people are constantly saying things about you in whispers on in the media. It's hard to say from a post online what is at the root of this experience, but you may be able to get insight into that, as well as develop ways of coping with the distress of feeling this way, with the help of a good therapist. There is no pill or technique that can guarantee that this experience will go away, though it might, however, there are things that you can do so that you can understand it better and so that it does not have such an impact on your ability to lead a satisfy life.

Thinking about what others think of us is a natural tendency. Human beings are social creatures and rely on feedback from the outside world of people, places, and things to let us know more about ourselves. We also have an inner voice, dialogue, conscience, etc. that helps us to determine the path for us. Often, when someone is worried about the external feedback, and focuses on this as the sole source of information, it can create a dependency that can become problematic. Balance is key to so many things in life. Your own voice is powerful and has strength to provide you the enjoyment you seek. Don't discount it and rely only on the voices of others.

you can learn lots of skills/techniques to feel more confident in what you need to do that will decrease your anxious response for sure! :) And you can also learn how to work with your personality that may not like the attention. You may find that "talking" to others through the internet is more comfortable and you are great at it, or that you love one on one talking but aren't really made for group talking. There is a place in this world for you either way! Public speaking skills can be practiced in speech class, or toastmaster group, they will give you practice in a safe environment where the cool kids or cutest boy aren't ready to laugh at you. What topics are you interested in and what groups can you do a little speaking up? Maybe in your small group at church try and raise you hand to share your opinion, or maybe your Girl Scout troop? Look around for a peer and one adult who you like to hear speak out, ask them to share with you 2 things that help them feel comfortable speaking in public. Check out some Ted Talks and see how they share in groups. Social anxiety is a difficult concern and picking apart what is your awesome personality and what needs skill building and mindfulness/anxiety help are important steps. Good luck!

Since anxiety usually about anticipating a bad result, or fear of being judged negatively, as though having failed some sort of test, consider what would give you the feeling of anticipating a good result from talking to an audience?Maybe, for example, if you prepared and rehearsed your talk more than what you typically would, you'd feel more secure in speaking in front of an audience.Once you sort through your particular reason as to the source of your discomfort, it may feel more manageable.Yes, social anxiety can change. You may naturally prefer smaller groups than an audience.And, it is possible to decrease anxiety in what may always be somewhat uncomfortable for you.

Hello, and thank you for your question. Sleep problems, including insomnia and even the nightmares that you are writing about, are really common for people and so many people suffer from them. Here are a few things to consider or to try: 1. Have you changed or started taking any new medication lately? Medications can certainly affect your sleep and some can even cause vivid or frightening dreams. If you are taking a new medication, talk to your provider about the nightmares, this may be the cause. 2. Stress can certainly increase our difficulty with sleep and can also begin to affect our dream states. The dreams may not make much sense, but then again even good dreams don't always make much sense. Ask yourself, do I have any new or renewed stressors in my life? Work, school, relationships, health.... all of these areas and many more are places where stress can hide out. If this is the case, talk with your provider or consider seeing a counselor who may be able to help. 3. Something to consider is that once we start to have anxiety or stress about something, we can begin to obsess about it. My guess is that going to bed for sleep is no longer a pleasant thing for you. Your stress and fear of what may happen when you sleep could start way before you actually go to bed. This could increase your chances of having another bad dream. Try relaxation techniques before going to bed. If you have YouTube, you can pull up "Guided Meditation for Sleep" exercises to help you relax. There are many different ones to choose from. You may also want to try deep breathing.4. There are self-help ideas for managing bad nightmares. If you Google search "Nightmare Rescripting" or "Nightmare Exposure" you may find some ideas and instructions on how to manage dreams. I hope these ideas help. Be well... Robin J. Landwehr, DBH, LPC, NCC

Have you spoken to him about your fears? Perhaps you can explain this feeling to him and let him know what might lead to feeling more secure. Also, it is important to trust your intuition! Perhaps there are good reasons to feel concerned. It may not be paranoia - it may be based in reality!

Paranoid is a mental disorder word. That is a strong word I think to use in this situation. Honestly the bottom like is either you don't trust him for some reason or you are insecure with yourself. Which is it? Do some soul searching to help you figure which one it is. Work on either discussing why you don't trust him and work on building that trust ....or why you feel you are not good enough and work on that.

Hello! Thank you for your question. There are few things that people find more personal than their sexual relationships. When we feel connected to our partner, sex can be best thing since sliced bread. However, if we feel disconnected in some way, sex can feel degrading and even painful. I don’t know the specifics about your relationship or how comfortable you are in talking to your boyfriend, but this is one of those situations where communicating your fears is a good idea. The only exception to that would be if you believe he is actually a threat to you in some way. If you believe that, then you should do whatever you think is safe. It sounds like there is a part of you that is already afraid of him, and if that is the case then remaining safe is your top priority. Assuming you are able to share with him your feelings, telling him what you are and are not interested in sexually is very appropriate and sexually healthy. Sex is something that is supposed to be enjoyable for all parties. All parties should feel respected and able to say “no” to absolutely anything they are not comfortable with. I call the respectful agreement between sexual partners, “sex trust.” Sex Trust means your partner respects your boundaries. It means they won’t degrade you sexually with hurtful words, forced sex, or forcing or coercing sex in ways someone is not interested in having. Your personal safety and mental well-being is what is most important. Now, if there is a part of you that is curious about BDSM and may be interested in participating in it, there are many websites that you can explore to learn information. I will warn you, some websites and articles are better or worse than others, but you may at least feel more informed. Many people engage in BDSM and have happy relationships, but again, it completely depends on what each person in the relationship wants. It is also important to know that BDSM is not just one thing and people practice it differently based on comfort. If it is something you are uncomfortable with, then you shouldn’t feel obligated to do it. I hope this was helpful. Be well. Robin J. Landwehr, DBH, LPC, NCC

This is a very common question in my practice. Panic attacks typically emerge from an underlying issue (ex. Depression, low self-esteem, fears). To decrease your anxiety symptoms it’s recommended to seek treatment with a therapist who specializes in working with anxiety disorders and most importantly one with whom you feel comfortable with.In my practice I educate clients about their anxiety and discuss building a framework with helpful tools for decreasing anxiety:1. Starting a daily mindfulness practice. For example: listening to guided meditation; engaging in deep breathing exercises; yoga practice; or other positive calming activities.2. Understand your negative and positive thoughts. Many times we tend to focus on the potential for bad things to happen. Increase positive self-talk when feeling down or when anxious. For example: "I don't need to worry, I am calm and relaxed". 3. Exposure to fearful or anxious situations. This can be accomplished under the care of a mental health professional. Many times we shy away from things that make us feel uncomfortable or insecure. This may led to an increase in isolating behaviors resulting in difficulty in performing things we were once able to do. For example: leaving the house; presenting in front of others; going to social events; and having conversations with people. However, the more we expose ourselves and practice the use of our positive coping skills (ex. deep breathing) the chances of anxiety will decrease. I hope this was helpful. Keep in mind, a therapist can help with guiding you through self relaxation and improvement.

The other two post answers to your question are very good and I don't feel the need to repeat what has already been said quite well, but I will offer one other option I have been able to utilize quite successfully with those dealing with panic attacks. Chain analysis is a fantastic way for your to map out the situation starting with the prompting event, the chain of events ((links) that lead up to the behavior - in this case a panic attack, and then what the consequences were. See the illustration below:This is very useful in that it lays everything out for you to see so that it becomes possible to alter one of the links leading up to the unwanted behavior (panic attack), allows you to come up with strategies for similar situations (prompting events) and allows you to understand how you are reinforcing the behavior when it does occur (consequences). Finally - it would also allow you to identify any particular vulnerabilities, such as not enough sleep, poor nutrition, trauma history or having a cold the time it occurred. Working with someone who utilizes a behavioral approach, such as DBT or behavioral analysis, you can find solutions that replace one of the links and therefore breaks the chain of events.

Anxiety is simply your system communicating to you that you are in danger. The issue that I see in most of my clients is that they try to reason with this anxiety. You do not reason with sensory states in the body. If your system tells your in danger (your stomache feels like it is knots, your heart is beating out of your chest,) validate by just being present with it. Take your breath to it. Breath in and out of that space. Say ok, I am in danger. I always tell my clients, "a crying baby wants to be held, not told to shut up." Listen to your system, validate it like you do a child and see what happens.

The are two ways that such anxiety can be dealt with. One is an attempt to replace maladaptive thinking by examining the distorted thinking and resetting the fight-or-flight response with more reasonable, accurate ones. As an example "I'm scared of spiders." But if you change the thinking from being scared to "I'm bigger than the spider," it allows the mind to reach a calmer state of mind. Mindfulness-based therapy can also help focus on the bodily sensations that arise when you feel anxious. Instead of avoiding or withdrawing from these feelings, remain present and fully experience the symptoms of anxiety. Instead of avoiding distressing thoughts, open up to them in an effort to realize and acknowledge that they are not literally true.Although it may seem counter-intuitive, fully realizing the experience of anxiety enables the release of over identification with negative thoughts. You can practice responding to disruptive thoughts, and letting these thoughts go.By remaining present in the body, you'll learn that the anxiety being experienced is merely a reaction to perceived threats. By positively responding to threatening events instead of being reactive you can overcome an erroneous fight-or-flight response.

Based on the information provided, this is an issue with boundaries. Sounds like your uncle goes to your mom and possibly your mother takes the issues to you. I do not like to assume so I will direct you to information regarding families dealing with enmeshment and triangulation. Enmeshment is the concept of diffused boundaries in families and other personal relationships. Triangulation is two individuals relaying information to a third party what cannot be said directly to each other. From someone who has dealt with both these issues on a personal level, being informed about family dynamics is beneficial and can help you develop healthy boundaries for yourself within your family structure. You may need assistance with developing healthy boundaries. Although it is possible, it is not easy to change the way you have been operating for any extended amount of time. Hope this help!

When you're upset about something, the first question you can ask yourself is "Whose problem is this?" It is amazing how many problems will disappear right at that point, because you realize the problem isn't even yours. You can't fix everything in your family. You are starting a new family of your own, and it's time to create a protective bubble around your family unit that keeps other people's issues away. I tell myself "Not my pig, not my farm, not my problem." When you stop trying to take care of other people's problems, they are more likely to step up and deal with it themselves. :)

Basically, your response is the fight, flight or freeze reaction which is hard wired into the human nervous system, specifically, the autonomic nervous system (called the autonomic response). This system is responsible for regulating the heart, digestion, respiratory rate as well as other aspects which match the symptoms you describe. It is largely an unconscious function, but with training it can be managed such as a public speaking course in which you prepare and even have some exposure to smaller experiences to help you prepare and cope for larger presentations. One of the greatest applications of addressing this response is the NASA program which exposes the astronauts to situations they will encounter while in space which will trigger the response so that when it does happen (not if but when) that they are able to move through the challenge with success. You can learn more about his by going to TED Talks “What I learned about going blind in space” It is a truly inspiring look at what you are experiencing as well as how to deal with it. With that being said, finding a program like a Dale Carnegie Public Speaking program can help. Working with a counselor who can help you utilize visualization of an upcoming speech has been shown to help and you can always talk to your doctor to see what options might be available there as well. Good luck!

As you do it more, it should get better or at less with less anxiety. Anxiety is normal for most when speaking in public. I hear this from even the best of facilitators who have been doing it for years. I even experienced that when I first became a counselor and had to lead classes. I asked myself why were I so anxious? I admit at that time I didn't have confidence in myself. The more I prepared and practiced, the more my confidence level increased. Yours will too...

There is no scientifically established formula for understanding dreams, that I know about, however, many people get a great deal of value from exploring what their dreams mean. It is believed by many that our dreams contain metaphors that represent meaningful patterns in our lives and relationships and if we pay attention to them we can learn important things about ourselves. One thing you might try, to see if you can get more insight into the dream and possibly begin remembering things, is to take note of whatever you do remember, any details about your experience, such as when do you wake up from the dream, how do you feel, both emotionally and physically, what are you thinking about when you wake up, is there any pattern in terms of what happens to you in your waking life around the time you have this dream... If you can keep a journal or a recording device to speak into by your bed, you can try to record whatever you do remember and notice as soon as you wake up. People seem to have more difficulty remembering dreams, the more time they let go by before attempting to record the dream, or if you go back to sleep before recording what you remember.

I would suggest that you look up the word codependency and it's characteristics. See if you relate to those characteristics. I have a feeling you have suffered some form of loss in your life that you have not dealt with properly. For some reason you are depending on your boyfriend to fill that loss. Considering working with a counseling to work through your emotions and resolve any lingering issues.

Sounds like you are struggling with your own negative thoughts. As you stated, everything was great then you started having low self-esteem thoughts and thinking. What is contributing to these negative thoughts? His actions or your past experiences with unhealthy relationships would be my question..

Individual and/or group therapy can be a powerful antidote for social anxiety. Often in therapy, the things that tend to get in the way of our securing satisfying and lasting personal relationships will appear in some way in the therapy relationship and a competent therapist will be able to help you work through this anxiety, in a sensitive way, and eventually encourage you to seek out the personal relationships that you want. In group therapy, you have an opportunity to have a relationship not only with the therapist, but several other people who are all in the group in order to give and receive mutual support to one another.

Given the description you have posted here, it may be time to find someone to work with. First and foremost, look into working with someone who specializes in working with individuals with challenges surrounding drinking. This would need to be assessed first since if it has been ongoing, it may be making the situation worse and given the time it has been utilized as a coping mechanism, there is reason to believe that the structure of your brain may have been effected as has been demonstrated by current neurological research. There are however, ways to address this. As for coping mechanisms, the person you work with should also look at offering you alternatives such as the skills found within the Dialectic Behavior Therapy model (DBT) which has several useful tools to help address the underlying anxiety and difficulty managing emotional regulation. Mindfulness, another component of DBT should also prove to be useful in both becoming aware of your state of mind and emotional state to allow you to make different choices which has been supported by a growing body of evidence. There are also other tools designed to help repair damaged relationships. Well worth looking into.Seeking help is never easy and it is only human to be hesitant given some of the cultural views of working with therapist. This is a difficult place to be in and one that is not easy to move out of, but sitting on it is not going to help it go away. Think of it this way, if you broke your arm, would you just wrap it up and hope for the best? or seek out a professional to help you set the break and teach you how to mend the wound. The same applies here. Think of it as first aid for the mind.

Sorry hearing about the big amount of stress which you are feeling at this time.Since a lot of your stress is directed to uncertainty of whether your wife is happy being with you, would you consider continuing the conversation with her about your understanding of her answer to you?Your observation that she says one thing and behaves in a different way, is meaningful.Bringing your point to her attention would at the very least demonstrate her interest in showing and explaining her viewpoint about you.Basically, you'd be expecting her to care about you and how she handles herself with this question, may clarify what you're trying to find out.The good news about your relationship with alcohol, is that you realize you're overdoing it.From what you write, the emotional pain and helplessness you feel currently, seem too much to know about all at once.One possibility is to accept your feelings of hurt and insecurity. This is the first step of working with them. If they start feeling overwhelming, then maybe too, you can distract yourself for a while from the intensity by engaging in an activity that is not self-harming.After all, you are the most important person in your life, so keep yourself safe and healthy!

I think you have identified something important here. It's not unusual to experience feelings that don't seem to match up with what your rational mind recognizes. In this case, it sounds like a part of you recognizes that the people around you do not find you "annoying and bothersome." Despite knowing that people like you, it seems that there's still a part of you that feels like you're a bother.Finding a local counselor who can work with you to process those feelings might be just the help you need.

"Where you put your attention is where you will go". I forget who said this first, but it's very powerful. If all you think about and talk about is how annoying you think you might be, that will get annoying. Your intense self reflection is lovely; it will help you monitor yourself so that you're not affecting others negatively, but your alarm is going off too easily here and you risk having the opposite effect.You don't have to be perfect. She's with you, so she probably likes you as you are. She seems to put far less emphasis on your possibly annoying traits. We all have faults and if that's what we focus on, that's all we will see. My hunch is that your most annoying trait might be your negative self-talk. How ironic is that?There's another irony here...your goal is to be a better partner...but when you are self-critical, your focus is on you, not her. Every moment that fear grabs ahold of you is a moment that you're not being present in the actual relationship; you're gazing at your imagined faults. Fear steals your ability to focus on your loving partner. Maybe take a moment to image how she sees you...all of you. Put yourself in her shoes to see the entire you...how are you loving...thoughtful...a good partner? Confidence is a very attractive quality!

I'm glad to hear you have friends and that your friends say they like you.Trust your own sense of who you are which tells you that something feels uneasy within yourself.Is the friend who says you're "just fine", very familiar with who you are?"Friend" is a broad category.She may not know you as fully as you know yourself.Basically, it is possible to be "fine" and have some inner stress.Follow your own thoughts and observations to more fully learn about yourself in ways your friend may not notice or be aware.

Interesting: How much of your issue is your own self-judging and how much of your perception is real?There are many ways to stop judging and self-judging using Cognitive Theory (CBT). You could find a (CBT) counselor/ therapist to help you reduce your judgments. In addition, I've written extensively about this in my book, LIVING YES, A HANDBOOK FOR BEING HUMAN (www.LivingYes.org). I recommend you visit the webpage and pick up a copy.As to your own perception: You seem okay being who you are, and your girlfriend agrees. Instead, you appear to be upset by your own guess at what others may be thinking. That's a trap that stresses a lot of folks out. Consider this: Many happy people don't mind what others think of them. And consider this: Many heroic characters in literature and movies are unlikeable. ("Colombo" is annoying and bothersome, but we love him. So is Johnny's Depp's Jack Sparrow and many of the roles played by George Clooney, Sandra Bullock, and Jack Nicholson.) Would it be okay with you to be an "antihero" in your own life? If you don't want to be an antihero, you have the power to be the person you want. Your behaviors and thoughts are completely under your control. What other people think of you is not under your control. You are completely in the driver's seat here. The choices are all yours. Enjoy who you are, and use your will power to make yourself who you want to be! ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)

Paranoid people don't realize they are paranoid. They believe their actions to be reasonable responses to potential threats.From what you write, you are aware that your actions may be understood as extreme.Instead of trying to fit your behavior into a negative psychological category, try seeing each of the behaviors you list here, as your own uniqueness.This way you will become more tolerant of what very well be your natural tendencies.If you are someone who needs a lot of time in quiet, then not liking loud noises doesn't make you paranoid, it is simply the way of who you are.One possible way of feeling better is if you would accept the answers you've developed so far for yourself. They may be a little unusual compared to what we consider mainstream. From what you describe, you already are dealing with what you call "paranoia".

It sounds like a couple of things are going on here; you are noticing yourself feeling judged by the people around you and that you are avoiding social activities and in addition to this you have intrusive thoughts that you are being judged, even when alone. It sounds like these thoughts are pretty distressing and you are wondering what is happening to you. Many people who come to therapy experience intrusive and distressing thoughts of various kinds, which often influence their behavior in ways that they may not like, such as leading them to isolate. In therapy, you may be able to gain insight into the nature of your distress as well as learn ways to cope and eventually alleviate this distress so that you can have satisfaction and security in your life and relationships.

Hi Meriden, it's natural that after a serious scare like that you would have some anxiety and fear. This fear is helpful to some extent, because it will assist you in taking care of yourself and not taking unnecessary risks with your health. You can say "thanks very much" to fear for trying to protect you, and then you can take steps to reduce it. Right now, fear is working overtime and stealing your quality of life. You can work to put it into perspective.I invite you to imagine that your job is to convince fear that you don't need it screaming in your ear constantly in order to be as safe as you can be. Imagine that fear is in front of you. It's saying "hey, you need me! If I wasn't keeping you alert, you would be very ill". Fear doesn't trust you to take care of yourself. What is the evidence you are caring for yourself and doing everything you can to prevent a recurrence? What is the evidence that this won't likely happen again (it was specifically connected to the stress of labour, right?). What is the evidence from your doctor that this is unlikely to recur? What is the evidence that you are healing? What is the evidence that you are very aware of the danger and will respond quickly if there is a recurrence? What is the evidence that worrying about it will hurt you, not help you? How many hours of your life do you want to hand over to fear?Fear is trying to keep you safe, but you can turn the volume down by talking to yourself about all these things. I wish you well.

Since you wrote that you noticed a change in your throwing away urge when you changed with which parent you lived, would you feel that throwing away things is connected to wanting to be done with certain areas of influence with either parent?Play in your mind with the metaphor of "throwing away" and whatever associations you feel toward this. Are you feeling alarmed or freed, by throwing away things? I'm only suggesting these, not telling you that they apply necessarily.Anxiety comes up when people feel helpless to manage a meaningful part of their lives. So pay attention whether your stuff represents difficult scenarios or phases of your growing up years. Possibly you are trying to rid yourself of painful feelings which were part of your early years' relationship with either parent.Basically, sounds as though you are trying to establish a clearer sense of who you are and the throwing away part is a means of discovering who you are, once all the clutter is released.

Keller, it sounds like you're living this relationship in your mind, instead of in the real world. You can get answers to your questions by talking to him...getting to know him will answer all the curiosities you have. You're asking the questions in your head instead of being in the friendship. So what is it that gets in the way of actually asking the questions and getting to know him? Fear of rejection? Fear of something else? If you have fear that keeps you from having fulfilling friendships, I recommend a therapist to help you work through that. I wish you well. :)

How is your boyfriend responding to your discomfort around him?Has he told you that he's noticed changes in you?The good news about a relationship is that you can talk about matters with the other person. Doing so can only help clarify feelings and what either of you expect from the relationship. Given that the two of you recently moved in together, it is natural for new dynamics, feelings and expectations to arise. It just adds to the reasonableness of talking with each other about how living together feels to each of you.Psychiatrists earn their living by diagnosing people and telling them to take pills. Very often, just being told the person has a "condition" makes them feel fragile and less capable than they actually are.Anxiety and panic attacks do mean that there is a great deal of emotion and situation needing to be addressed.It is the normal sign of having to address many or deep matters. Be patient and give yourself time to learn the details of your relationship and whatever the career particulars are that are bothering you. You're apparently self-aware since you're the one describing your own problematic situations. Keep the label of being "disordered", aside. Psychiatry labels do more good for psychiatrists than they do for people who are trying to live their lives.

Hi New Jersey,You talk about two very big changes in your life that have happened lately; the diagnosis/anxiety, and the moving in together. That's a lot!I love how you recognise that you been 'questioning everything'. I think anxiety's got its toe in the door and it's pushing you around, wanting some power over you. Fear and anxiety try to convince us that we need protection and that it's best to either pull away or fight. But letting anxiety control how you see your relationship isn't the answer here. I think you know that already.You must have moved in with him for a reason, and it's appropriate now to simply trust that, to ask him for some patience, and to focus on learning to manage the anxiety rather than questioning this decision to move in. Fear is getting in the way of you trusting yourself and your decision. You can figure the anxiety piece out while living with your boyfriend.When you're in a bit of a crisis is not the right time to make a major change. I suggest you use a therapist who works with cognitive behavioural therapy to learn to manage the anxiety, and then the relationship will likely seem more clear.

Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wanting to know what the rules are, and all you have to do is show her clearly where the lines are. I'll give you some tips.First, remind yourself that it's her job to learn what the rules are, and where her power is. Don't be so surprised when she wants it her way. If we go through our days being ready and prepared for these beautiful creatures to have minds of their own, we're less caught off guard when it happens. Avoid situations that invite power struggles. Any time you tell your daughter "do this now", you set up a power struggle. The good thing is that she's young enough you can pick her up; now is the time to teach her that mom's (or dad's) word means something. So, if you say "let's get you dressed", then be prepared to pick her up right away and show her that when you say something will happen, you can make it happen. And I'm talking about gently picking her up here...not roughly. Pick your battles; only give instructions when you have the power to make it happen.Give her choices, so she can see her power. Instead of opening her drawer and asking what she wants to wear, give her two choices. Here's an example...she's on the ipad and you say ipad time is over. She says "no". You can say "ipad time is over. If you put it down, you can play later. If I have to take it away, you don't play it later." The choice is hers. Then follow through."When...then" statements are really helpful. Your child asks for something. Instead of saying no, try "as soon as the toys are picked up, we can have a snack". You're simply a pleasant parent who wants the same thing they do...but they have to earn it. Staying calm yourself is the key, because then at least you will feel in control of yourself, which is the ultimate goal. Use self-talk to calm yourself. Remind yourself her behaviour is normal and healthy. Breathe through a moment in which you would have reacted, and it will be over by the time the breath is done. You can give yourself time to think before you make parenting decisions. Time is a useful tool not enough parents use. Good luck!

That's a good question. I would say learn to pick your battles. What types of behavior/situations can you let go of? If you allow yourself to worry about the various areas in life that you cannot control, you will find yourself stressed out and unable to manage everything. Know that toddlerhood comes with lots of "no's," tantrums, non-compliance, and a growing need for independence. When your toddler does something that you don't approve of, remain calm, explain to him/her the appropriate way to act, and model it for him/her. Remember to give your toddler praise when he/she does something good or acceptable. Be consistent and follow through with your instructions. Finally, know that you are not alone. Parenting comes with its set of challenges but all you can do is your very best. Good luck to you!

Trust that you are a good mother and that you love your child.Trust and love are their own authority and come from a different inner place than the urge to be obeyed.Trust and love are effective guidance and usually feel happier and lighter too!

I'm sorry for your suffering.There are therapy programs which help people to gradually feel more at ease so that daily living does not feel so frightening.Once you feel stronger and more secure from such a behavioral program, you'll be able to sleep more peacefully and leave the house whenever necessary to do your regular life.Then, you will be able to open and clear the deep emotional hurt that always occurs from being violated by a trusted friend.Sending good wishes in your work!

Hi Winters, I'm so glad you wrote, because I think there are a lot of young women experiencing the exact same thing. You feel self-loathing for both being a virgin, and for being sexually active. Young women have always gotten crazy mixed messages about what they're supposed to be. They feel pressure to be pure, and they also feel pressure to be the vixen and please men sexually. But you can't be both, so you can't ever win if you buy into all that horse manure (excuse my language). This current hook-up culture puts added pressure on girls to expect nothing more than random sexual encounters that leave you feeling empty and used; perhaps desirable in that moment but mostly worthless. The stupid part is that research tells us that young men are also impacted negatively by this cultural norm that values sex and not relationship; they feel guilt, and loneliness. I urge you to talk to other girls and women about your feelings. My hope and prayer is that they will echo my words here.Your value and power cannot ever be found in whether a man wants you, whether you turn his eye, or how he treats you. Your sexuality is a beautiful part of who you are, and it is to be celebrated. I love that you want to celebrate it with someone who cares. Who you are is so very much more than your sexuality. You sound like you have a lot of things going for you. Try to see all of those things when you think of yourself.There are many more virgins out there, and many are afraid, like you, that they don't fit in. We are all different, and you don't have to be anything but who you want to be; who you are. You don't have to have any kind of sex until you're ready, and that makes you brave and smart, not weird.You're tall and beautiful, and guys may be intimidated by that. It may take time for you to meet the right guy, but he's out there. The question is: How do you want to spend your time until he crosses your path? I hope you talk to someone soon and find out that your feelings are normal. I wish you the best.

I think that every person who has been single for any extended period of time has felt the same worries - myself included. Since relationships are so important to us we fear not having them and being single. It is similar to fearing that we won't ever get a good job when we have been out of work for awhile or fearing that we won't be healthy when we have been sick. We fear these things because they are so important - not because these fears are realistic or true! There is immense pressure put on young single people from peers and media to conform to ideas of what is normal and to meet expectations in terms of sexual experience, dating, etc. While some people may judge an adult who is a virgin - others will respect your choices and feel even more attracted to you because of your choices. Experimenting with sex, so long as you are being safe and respectful is also completely okay and normal. Since expectations vary and we can't be happy if we are always comparing ourselves to other people, we need to ultimately trust that being who we are and building a loving relationship with ourselves is the key to meeting someone who will cherish us for all the ways that we are special and unique, virgin or not. When we are able to really accept ourselves and trust in our loveableness (not a real word but you get what I mean!) then meeting someone special is simply a matter of time and effort - putting ourselves out in the world in situations where we are likely to meet other single people looking for relationships. When you are most afraid of being alone - remember that this fear is simply a reminder of how much you value relationships. Use that passion about wanting relationships to build the best relationship you can with yourself and then one day soon some lucky person will stumble into your life and benefit immensely from your passion and your ability to be authentically who you are rather than pretending to be "normal" or whatever that is anyway. Hope this helps!

It is very hard to want a loving relationship, and either see or imagine all around you, the great times other couples are having. Extra hard is that other people's comments may start giving you the sense that you are letting them down to not have a relationship!All the fantasies that develop from viewing Facebook photos and imagining everyone or most people in ideal relationships, just augments any frustration of not being part of this group.Your post sounds like you're being true to yourself and honoring who you are really, by developing clear standards of what you'd expect from a relationship.For the longterm, whatever develops in your relationship life, you will always be able to look back and know you had self-integrity. By being your natural self, you're being attractive. Probably very unlikely that a young woman who would like a relationship, will never have one.Maybe the young men in your school are not yet emotionally mature enough to know how to see and appreciate you.Even though it may be hard, have patience with bringing in someone who is good for you. And, continue your keen insight of yourself because it is guiding you to be the best in all areas of living.Sending good luck in all areas!

I think one of the first questions that springs to mind for me is, "what's the rush?" Just because other people in your circle have had experiences that you are still warming up to does not mean that there's something wrong or something to be ashamed of. If anything, I want to commend you on the self-respect you have in wanting to wait and share this most intimate of experiences with someone that will feel the same way about it. One of the most common distortions in our thinking is when we try to directly compare ourselves to others; while these people and even those in your family share a level of closeness to you they are not exactly like you - they don't see or feel things in the exact same way as you nor do they share the exact same perspective. It's important to be making choices for you and for your own desires and life goals. Once you stop comparing your happiness, you may find that you are already experiencing it and allow more of your guard to fall down.

One of the greatest ways that we can promote ourselves s by learning how to assert ourselves. Despite what most people think of when they hear the word assertive, assertive communication is one of the best ways to manage interpersonal conflict as well as maintain personal boundaries. Once we become comfortable with acknowledging our boundaries, there is usually a follow-up whereby we realize that we have the right to those boundaries. In effect, assertiveness communication becomes it's own self-motivating force in managing positive self-esteem. You may want to invest in a workbook that can help you to develop these skills on your own, or work directly with a therapist to develop them in a safe situation. One of the Workbooks that I have found to be very helpful is, "The Assertiveness Workbook: How to Express your Ideas and Stand Up for Yourself at Work and in Relationships" by Randy J Paterson.

Hi there. I have to commend you on reaching out to get some answers on why you are feeling the way that you are feeling. A lot of people secretly go about their lives every day feeling this way because they are too afraid of what the answer might be.First off, what stressors do you have in your life right now? Financial, relationship and unemployment are all common stressors for people. They can often make it difficult for us to sleep at night due to the constant racing thoughts and wonders of how you will deal with it all. Secondly, do you have a history of depression or does depression run in your family? Some of the symptoms listed here in this question (i.e. trouble sleeping, constant fatigue, too much sleep, anger & anxiety) are all common symptoms of depression. Often times, these symptoms can be overlooked and mistaken for "just being tired." Furthermore, it's important to ask yourself, if you are feeling worthless, problems with concentration and recurrent thoughts of death. If you are having these symptoms, please seek help IMMEDIATELY. Lastly, considering your stated symptoms I would recommend reaching out to your Doctor for further consult. It's always better to be safe and the earlier you catch the symptoms the faster you will get to feeling better! do Some helpful tips for the your Doctor would be to monitor your sleep habits (i.e. how much or little are you sleeping), make a list of your triggers for your anger outbursts as well as your triggers for your anxiety attacks. I hope this was helpful and the best of luck to you.

It sounds as if you may be experiencing a bout of anxiety and/or depression. Sleeping difficulties, irritability and anxiety attacks all are correlated with these mood disorders. And it’s actually quite common for someone to deal encounter this during their lifetime. Also, keep in mind that just because you are experiencing this now does not mean that you will be dealing with it the rest of your life. Many times, it can be a single episode and if treatment is received, you can help prevent any recurrent episodes.However, you may want to first talk with your primary physician to rule out any medical issues that could be causing these problems. There may be a reason for the sudden onset of these symptoms that can be addressed quickly. On the other hand, if it is determined that you are experiencing anxiety and/or depression without a medical reason, there are two methods that are very helpful in your treatment:#1 Talk therapy with a certified therapistHe/She will be able to address the concerns you’re experiencing and discovering if there is an underlying issue that may be causing it.#2 MedicationThere are many medications that can assist you with the feelings that you are experiencing. Your doctor will be able to help you find the right one that works for you. If one doesn’t work, keep trying. There are many different options to address your specific needs.Also, a combination of these two options is extremely beneficial!Thank you for your question. I sincerely hope that you feel better soon!

It sounds like you are noticing yourself becoming overwhelmed with anxiety, feeling more irritable, and struggling to sleep consistently. There are many possibilities, in regards to what may be contributing to these things you are noticing, and a competent therapist may be able to help. In therapy, you may be able to gain insight into these experiences as well as develop strategies for coping with and eventually alleviating anxiety, irritability, and inconsistent sleep.

It sounds like you have some insight into the cycle that you describe with your current relationship and at the same time you are still feeling stuck. It also sounds like the distressing feelings that you experience, when you imagine what will happen for you and your current partner, are pretty overwhelming. A competent therapist may be able to help you work through these difficult thoughts and feelings and find a resolution to this cycle that will feel right to you.

Sounds like your panic is less about loosing the relationship you are in (which by the way doesn't sound like it's meeting YOUR need for connection) and more about being alone. Being with him is serving you, even if the relationship is less than ideal, from being alone. Being alone can be scary. You'd have to face yourself. You'd have to learn to love and care for and cherish yourself. All important skills and tasks in maturing and growing up, but scary none the less. What if...What if you gave yourself permission to be in a relationship with YOU?

If you are noticing that anxiety tends to be triggered around interactions with others, then you may have social anxiety. Working with a therapist, you may be able to gain insight into the nature of the anxiety, develop tools for coping with it, and take steps that may alleviate it over time, so that you can enjoy your interactions with others. If you are short on money, there still may be options for you to be able to see a therapist. Check with your insurance provider about your behavioral health coverage. If you have medicaid/apple care, there are some private practice therapists who accept this form of insurance, as well as community clinics which do. If you are not insured, some therapists and clinics will work on a sliding fee scale, and accept either low fee or may even work with you pro-bono (for free).

Hi Kansas, I feel strongly that the help of a professional therapist is important here. Feelings are never wrong, but it can help to understand where they come from and talk to someone who can teach you healthy ways to cope. Self-harm is not the answer to managing those emotions you feel in your stomach. Although I'm glad you said something here, a professional would need to spend some time with you and get a deep understanding of your life in order to help you sort all these reactions out effectively. I hope you reach out to someone soon.

Sorry to hear of your situation.Possibly you are overlooking that your own Self is someone worth talking to as well.None of us are ever really alone because we are always with ourselves.Self-talk is a major part of what guides our decisions and how we make sense of relationships and situations. Even after telling people the stories or activities, hearing their comments, it is always within ourselves that we decide if the way we were received by these others, the comments we heard back, feel right and accurate to our lives.I hope the feeling of a hole in your stomach would decrease by enjoying your Self. I am guessing that hurting yourself makes the stomach hole feel less bad because the physical pain you create in yourself distracts you from feeling it.Enjoying your Self by talking kindly, loving, and having inner dialogue may very well decrease the feeling of a hole, altogether.Sending lots of good luck!

While anxiety can come about for many reasons, trauma is definitely one of the factors that makes anxiety a possibility both immediately following a traumatic event and later in life. When we have experienced such scary violations of our bodies - we may experience residual effects of fear for many years to come. This is normal, natural and in many ways helpful - at least initially. This fear is in some way a sign that your body/mind is taking good care of you - trying to keep you on your toes in order to protect you from anything terrible happening to you again. However, as it sounds like you know, anxiety feels awful and there are certainly ways of learning to reduce anxiety. In order to get the tools you need to manage anxiety and also understand where it comes from and how it works in your life, I would encourage you to seek professional help and check out anxiety resources online.

Hi. Even though (thankfully) your parents responded well to you telling them, and you received treatment, it's possible, and very normal for sexual abuse trauma to affect you in different ways as you age and develop. Please see a therapist, who can help you find the root of the anxiety.

It's not unusual for traumatic experiences that happened when we were younger to stay with us when we get older. Traumatic experiences can become embedded in our bodies, as well as in our emotions. If the issue doesn't get a chance to get resolved within, then external action doesn't necessarily take care of the problem. Seek out a qualified trauma therapist so you can start to deal with the issues you're grappling with.

Would you feel more secure in conversations if instead of talking soon after meeting someone or entering a social situation, you simply listened attentively to the other people?This way you'd have a more secure idea of what topics the group likes talking about and whether you like talking about these topics as well.Maybe you simply are in groups or situations in which you don't care for the people or focus.Start by trusting your own evaluation of your true interest in being among the groups in which you are.Maybe you simply need new and different groups.

Overwhelming fear, social anxiety and depression are especially painful because they make behaving constructively a challenge. But there are also lots of examples of folks who have successfully worked their way through this. So there is hope! In addition to the suggestion to visit your doctor (who may prescribe a medication to help you relax), there are many social service agencies who provide free counseling or take medicaid. A good CBT therapist will help you look at your thinking so that you may see how you are distorting your thoughts. Behavior is also important. Despite how you may feel: it is helpful to go out, to do things that relax you (maybe a yoga class or a meditation class?). Exercise. Diet. Eat well. Think back on the things that you used to do that helped in the past, and force yourself to do these things again. I know that this seems hard, but it beats the alternative, doesn't it? Of course, I recommend you pick up a copy of my book, Living Yes, which will help you look at these and other ideas to help you out. I hope you get unstuck soon! ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)

A good first step would be to make an appointment with your primary care provider & discuss your concerns. They would have resources available to help in your particular situation.

Thank you for reaching out! That is a great question! As an American, I can truly say that I spend way too much time on the go! It is a proven fact that Americans live in a fast paced environment compared to Europe! I often ask myself, what if I only had one day left on this Earth? What would I do? Well, that is an easy question. I would spend it with my family! Easier said than done when we are living in a tomorrow kind of World, right? Its hard to focus on the now when we are so consumed in what tomorrow shall bring.Time management is a very important factor when learning to "live life to the fullest"! In fact, this is a required course in undergraduate college now. Everyone manages their time differently and it is up to you to decide how you would like to do this. Personally, for myself I like to keep a calendar with a to-do list. I always place my most important tasks at the top of the list. That way, if I do not get through the list, I am not stressing over the little things. When planning your day, it is important you schedule work, eat and play. A much as it is hard not to work after getting off work, it must be done. There is discipline involved in this process. If you have trouble with this, then maybe seeking out some accountability such as including a coworker to make sure you do not bring work home once your shift is over or your spouse/partner reminding you that this is a time for play and not work.These are just some ideas that I am throwing out there. Again, everyone has their own style on time management. I hope this was helpful for you. Please don't hesitate to reach out for anything further!

I'm sorry to hear that you are unable to get through to your parents. It sounds like you are experiencing a great deal of anxiety that needs to be addressed by a professional (despite the fact that you are unable to at the moment). I would recommend talking with another adult such as a school counselor that can offer you support in this area. Perhaps they can work with you on your anxiety issues and schedule a meeting with your parents so that he/she may help mediate the conversation with them.If you are unable to reach out to a school counselor maybe you can try a member of the family such as an aunt or an uncle that feels comfortable addressing the issue with your parents. Sometimes it helps hearing it from a third party before the situations is taken seriously enough.Good luck!

I’m sorry to hear that you are currently experiencing panic attacks. I hope that the medication you have been prescribed has provided you with some relief. Unfortunately, I don’t feel that moving in with your girlfriend would alleviate your anxiety. Although you may feel very anxious about leaving her, your body is reacting to this stressful event in your life in an unhealthy manner. You may be able to render this particular situation but it’s likely that you may experience another panic attack when an additional stressful event arises. Therefore, it is essential that you address the reason for why you are experiencing panic attacks in the first place followed by practicing coping mechanisms in the case that one would arise in the future.Talk therapy has shown to be effective with those affected by anxiety along with breathing exercises and yoga. A trained therapist will be able to assist you in finding the right stress reducing method so that you can reduce the chance of another attack occurring.I wish you the best of luck! It sounds like you are very happy in your relationship and I hope you are able to reduce your anxiety so that you are able to enjoy one another.

You didn't say what or how many medications you've tried. Certain anxiety medications can make you feel nauseous, but I haven't heard of any that cause mouth blisters, so there may be some other underlying medical issue there. I would definitely talk to your primary care physician and whoever has prescribed the medication as well as a neurologist if you've suffered a severe head injury. There are so many medications available for anxiety or insomnia or even depression that there may be others with lesser side effects.But beyond that, have you tried any other treatments such as deep breathing or meditation? Meditation can be very effective, but it takes practice and you don't have to sit cross-legged for hours chanting "Ohm" to meditate. It's about focusing on your breath, rather than all the thoughts that are racing through your head. And when they do take your mind off your breath, simply refocus (and refocus and refocus). Like I said, it takes practice, so don't give up. You can find many sites offering different ways to meditate, so look around and see what works best for you. Like medication, you just have to find the one that works best and that might take some experimentation.I hope this helps and best of luck to you.

Watching children go through challenges in their lives is difficult. On a very basic level, There exists a primal need to protect them from harm. The hard part for parents is letting them feel those challenges and working through them as they get older. At some point, there is a moment that occurs when the role as a parent shifts. Children no longer need the basics (food, shelter. water, safety) as much as when they were toddlers, but rather, their needs shift to wanting more support, encouragement, advice, and room to make mistakes. This is where the ability to communicate with them, letting them direct the sails to gather the wind needed to move, is so important. Keep the lines of communication open and be available to give feedback when they ask for it.

Oh dear - this is becoming all too common. I suggest you have some conversations with your girl to figure out where she is getting the "information" that she builds anxiety around. I see teens who have heard teachers, parents, coaches, etc push the "highly selective colleges" idea on kids way too much. Teens in particular are prone to black and white thinking, leading them to see one poor test performance, one off day, one not-great assignment as the make-or-break task on the path to successful adulthood. If that's the case with your daughter, she needs you to help modulate both the incoming information (there are nearly 5000 colleges in the US - she will get into one of them!) as well as her reaction to that information.As well, you and any other adults that are involved in parenting her need to discern fact from fiction. The recent scandal around celebrities "buying" their kids into college is an indicator of how far off track we, as a culture, have gotten in terms of education. A college education is certainly important, but we have allowed the marketing push to create so much stress and upset for our kids (and ourselves as parents) that they are actually less prepared to leave home and really engage in higher education than ever.You may want to include a therapist in these conversations if you get stuck, but start with a parent-child conversation. Help her figure out what is going on - if it is the "I have to get it right or I will have no future", calmly walk her through all the evidence that says that's just not true. As well, let her know that being anxious now is NOT preparing her for a bright adulthood - it's preparing her for an anxious future. She needs help figuring out how to balance her effort to attend to real and reasonable expectations, not over-inflated fear-based actions.

Sometimes stress helps us become motivated and thrive to do better however, if your daughter is stressing to the point that she is crying and freaking out then that would be concerning. Helping your daughter with relaxation techniques like deep breathing or guided imagery would be a good start. Also, reminding your daughter that you see her doing so well in school and that most importantly you are there for her. I would also make an appointment to see a mental health therapist they can have more ideas on ways to de-stress.

The most important action you can take here is validating her feelings and staying calm when she is crying and "freaking out". It's equally important to do some self exploration regarding your own thoughts, feelings, and behaviors towards making mistakes and how you respond to your mistakes. When she is calm, ask her what a mistake means to her. Giving her examples of different kinds of mistakes and listening to her responses will give you an idea of how extreme her thoughts are. Taking this opportunity to share with her your own struggles with perfectionism or some other area would help her feel more at ease. Reminding her that she is enough just as she is would be helpful as well. Encouraging her self care routine will help develop a greater sense of balance regarding her priorities. The practice of mindfulness will be helpful in self awareness. Creating a plan on what to do when the early signs of "freaking out" surface will strengthen her coping skills. Your fears as a parent are completely understandable and this definitely needs to be addressed. Your daughter cannot bring about change on her own and will need the family to work towards this change as well. A therapist that specializes in anxiety/perfectionism would be a great resource. They may also help you all have a greater understanding of what the root of this need for perfection is and how it plays a role in the family. I suggest one or two sessions without your daughter would be helpful to develop a course of action. I hope this was helpful. It takes a lot of courage to seek help and guidance, I'm glad you posted.

I hear your concern that your daughter might break under the pressure and stress that she is dealing with. It is a good thing that your high achieving daughter is calling out for help and that you are listening. The education system is wrought with social and emotional problems, and there is a disproportionate emphasis on test taking, scores and achievement in school. It sounds like your daughter would benefit from some social and emotional education and learning to understand how her feelings are impacting her thoughts and behaviors. I'd like to also assure you that crying and freaking out is a normal part of growing up. Depending on your daughter's age, it is likely that she is going through a growth spurt and she may be feeling her feelings in a unique way to her too. If this is the first time you are having a concern about anxiety then rest at ease and see if you can ride the emotions with her and be a stable sounding board for her. Use empathy and compassion and allow her a safe place to process through her concerns. Try not to solve it for her, but allow her a space to fumble through and find her own answers to the problems she is faced with. Give her confidence that she can figure it out, and be patient as you sit with her. Our presence is key to our children's well being. Make eye contact with her, allow her to squirm and get frustrated and work through it while you witness her process. As parents, when we can model calm in the storm of life our children learn that all of their feelings are ok too. When our children see and feel our fear, it can create more insecurity and low self evaluation of their own efficacy to manage the stress. When we can be calm and reassuring, then we can boost their confidence in their own ability to problem solve what they are going through. Let's face it we all have irrational thinking from time to time, and usually it is when we are under stress. If your daughter continues to show concerning anxiety, check with her school and see if she can benefit from an opportunity with the social emotional learning curriculum. In Texas at least, schools are required to have resources for children like your daughter who are experiencing anxiety and other mental health concerns. Her teacher is with her all day and you may request to have a conference with her to see if she can help her in any way as well. If resources in your school are limited then I would seek an outside therapist who specializes in working with children your daughter's age. Call around and see if she can benefit from a therapeutic relationship outside of school and home. Once you have plenty of feedback from her teacher and a therapist or counselor then you will be able to determine if seeking medical care is necessary with their support and guidance. Thank you for your courage to reach out for help on behalf of your daughter. You are her greatest advocate. I hope that you find support to help you navigate this time in her life and that you both grow and learn from this experience.

Aye, you're correct, that isn't normal, and maybe you should get her to a doctor!Before you do that, and if she were my daughter, I would provide her the necessary physical support that can be given readily at home; that is: proper natural diet, rest, and a good sense of detoxification before she readies herself to approach it.Basic listening is warranted here and would be of great use.

Your daughter is suffering from extremes of perfectionism. She needs to know that God accepts her as she is. I can provide her with a knowledge of her God-given, inborn temperament to help her find her God-esteem.

As parents, it's hard not to have "freak out" moments when our children are being bullied, stressed, or exhibit other symptoms of teenage angst. We walk a delicate balance of letting go and giving autonomy to our teens get older. Adolescents are learning how to be functional adults and it's important to allow them to try (and sometimes fail) in managing their emotions. Grades are a pretty good indicator of how a student is doing, overall. If your daughter has a 4.0 and there's no pattern of "crying and freaking out" I'd offer gentle support and encourage her to find ways to relax when she's stressed. If her grades start to decline and her crying spells become more frequent, a call to a counselor who specializes in teens might be in order. Good luck!

I am sorry to hear about your daughter. Many of the youth I see in my practice are going through similar behaviors and concerns. If she feels like she can talk to you about this I think that is a great place to begin. There are many life stressors that youth have to manage and seeing others on social media seems to exacerbate these feelings and can feel like even more pressure to strive for perfection. You may be able to offer her support by listening to and validating her concerns, reviewing all that she has accomplished and praising her for doing her best and not push that she needs to be "the best."If she feels she would like to speak to someone it may be good to find a therapist where she can vent her feelings and find a way to increase her coping skills. She may benefit from additional support outside the home where she can cry, learn to manage her worries and gain skills to triage the expectations of each day. She may benefit from skills that would help her to learn that she is enough already!

Hi there Mom! Just look at all of the things that a teen has to juggle and it's no surprise they're stress out. There are simply not enough minutes in the day to get everything done. So, they react by cutting into important times such as social interaction and sleep. Our fast paced, fast food, society is taking its toll on our teen generation. While multi-tasking seems to be a hot pop word, it simply doesn't work. We aren't wired to do our best at multiple things at once. We are not machines but rather humans who are going to quickly expire if we don't get a handle on our stress.As adults, it's time we intervene and teach our teens how to maintain a healthy balance between work and play. We need to help them prioritize and put first things, first. Are you putting first things, first in your life? If not, it's a good time to start. Best of luck to you and your daughter in whatever you decide to do.

I understand that as a mom it must be really hard to see your daughter stressing about things at school. Based on your description it sounds as though she has very high expectations of herself and is pushing herself to keep up. I hear your concern and recommend that to start, you provide her a space where she can express herself openly to you without judgement. Although it may seem as though this is "not normal", unfortunately it is. From standardized testing, to awards, to scholarships, the pressure is on to perform at high levels for kids today. Secondly, I would recommend that you connect her with therapist that can teach her coping and stress management skills that can help alleviate some of her anxiety. A therapist can also help her identify any faulty beliefs she may have in regards to perfectionism or fear of failure. You're doing a great job keeping an eye out for your daughter and being in tune with her emotional wellness!

I hear that you are concerned about your daughter's reaction and her emotional well being. Her behaviors are worry some as you feel she seems to be approaching her breaking point. I would suggest speaking to your daughter about the situation at school and her feelings. Listening and acknowledging your daughter's feelings without judgement or giving solutions is a very effective communication skill. Ask your daughter how she feels about speaking to a therapist or her doctor. Someone that she knows and feels comfortable talking to about her feelings and learning healthy coping skills to address stressful situations.

It sounds to me like your daughter is anxious to be perfect and has a low tolerance for failure. As her mother one of the most important messages you can share with her is that she need not be perfect, nor is it necessary. As a matter of fact, failure and making mistakes are only opportunity to learn and grow. Give her permission and more importantly she needs to give herself permission to be a perfectly flawed human. It may be a good idea to see a therapist to help her learn how to reframe some of her negative beliefs so she can form healthier thinking habits. Warm wishes.

children and adolescents who have a desire to achieve high grade point averages often have the symptoms you are describing. It sounds like, your gut is telling you to help her find ways to de-stress. Listen to your gut-always; as her mom, you know her needs better than anyone else. She would probably benefit from seeing a therapist to help her deal with the stress of being a high achiever. I provided the following suggestion to another parent with a similar concern: First identify the three most stressful aspects of the day. Do this by creating a circle on a regular size paper. (do this three times); ask your daughter how much of that circle can she confidently say she has under control. shade that in. The remaining parts of the circle are then named by intensity. (for example, in the circle labeled school anxiety, the client identified that she felt she could handle school anxiety 1 out of 4 days. The circle was split into 1/4. 1/4 of the circle was shaded . the remaining parts were labeled with the challenges that caused the client school anxiety.(these were 1. walking to class during passing time. 2. not having the assignments completed or at all. 3. feeling fat. after labeling each part; and making note of the percentage of the stress associated with each concern, free form thinking takes place and a pile of unwanted behaviors and genetic responses are portrayed around the circle in bright colors. Using note cards, create a tree of concern; the concerns can be written on note cards. a concern = the behavior that leads to more trouble. For example, "all i could do was think about that extra slice of pizza, I was unable to concentrate on the teacher's explanation of the assignment" (the concern you would write on the note card is Inability to concentrate. Now, fill up the back of the notecard with all of the different factors causing this pattern. nack. (

Dear Concern Mom, Sadly, kids nowadays stress a lot about school and compete with one and another. Determine Career-minded students, tend to be very hard on themselves and can eventually become very anxious about things. Whereas, it is a good thing to be driven it can break you down too. Therefore, I recommend that you find your young daughter someone that can help her find ways to cope with her strong desire to doing well in school. Getting ahead of it now before she gets worst is the best thing you could do for her. Best of luck to you and your daughter. Sincerely, Mirella~Image and Likeness Counseling

Thank you for being an observant parent and taking the very important step toward getting help for you as well as your daughter. The period of adolescence and emerging adulthood are tumultuous times for youth ( and their parents). The pressure to fit-in, be liked, and succeed could be some of the contributing factors for your daughter's stress. I have had many adolescent clients who do very well academically, but keep it well hidden from their peers so that they can fit in. She is still learning about herself, her abilities and how to like herself none of which are easy tasks even for adults. The academic success that you refer to only tells part of the story. As I read your statement, I got a sense of what your daughter does and that you are proud of her academic accomplishments. However, I would also want to ask her who she is as a person and encourage her to explore that with assistance from a therapist.By working with a therapist your daughter will have the opportunity to discuss her stress, fears, and focus on achievement with an objective person. As she gains a better understanding of the source of her stress and learns some stress management, she can also learn to communicate her concerns to you. I do recommend starting with a therapist rather than the doctor. If the therapist believes that your daughter's symptoms would benefit from a health exam and/or medication they will make that recommendation.

Hello! First of all, thank you for paying attention to your daughter and noticing that she is concerned! It sounds like you have been a positive influence on her for her to be so focused on achievement and for her to care so deeply about her performance! Based on what you've said here, I understand that you are concerned that she is overly stressed, though. I share your concern. People of all ages have meltdowns when they become overwhelmed with stress, and the negative consequences of those meltdowns can definitely have a ripple-effect into other areas of our lives.For your daughter, the thing I would want to know FIRST is this: does she feel she has adequate healthy coping skills to manage the stress she is experiencing? Because, it doesn't really matter WHAT she is stressing on...what matters is how she deals with her stress when it threatens to overwhelm her. I'd like to know what, exactly, that she does when she is feeling stressed that helps her to feel better. If she has only unhealthy coping skills (for example, sleeping, shutting-down, raging, self-attack with critical self-talk, etc.), or only one or two healthy skills, we would want to teach her some additional healthy strategies to help her KNOW that she can cope. Just one risk of not addressing this issue now could be that she may come to "learn" that stress is 'unbearable' which may cause her to turn to destructive or escapist strategies to avoid the discomfort, the pain of feeling hopeless, and/or the negative belief that she "cannot help herself." I definitely think it would be worth both your whiles to have her evaluated by her family doctor and/or a professional counselor. With a counselor specifically, she could learn the needed skills as well as be evaluated for other issues that may be contributing to the issue (for example, a learned belief that she "must be perfect or she is not worthy.") Plus, having a neutral support person to help her meet her personal goals is always a good thing. Good luck, mom and daughter!Learn more about me and my practice at www.EMDRheals.com

As a therapist and mother of four children (3 of whom are teenagers)...I hear your pain. Raising children in our society is no joke. Kids are under a tremendous amount of pressure from parents, peers, teachers, coaches and the list goes on and on. Fear and anxiety can suffocate students particularly as they approach their high school years where they are bombarded with questions about their future and expected to select professions before they have even gone to college!! I highly encourage the teens I work with to strive for balance in their lives- and we can model this for our children by how we choose to live! Encourage your child to spend time with friends, join you for a yoga class, read a book, pick up a hobby or go out to exercise. If your daughter continues to feel overwhelmed by stress, it would be a good idea to select a therapist for her to go speak with. As much as we love our children, there are times where kids need to consult with a neutral 3rd party. It can be a wonderful thing for kids to have a therapist whom they can confide in.

As a Parent it can be very hard to see your child struggling. It sounds like they’re experiencing anxiety from their stress. It’s always a good idea to check in with your family doctor. Many children are experiencing anxiety and can benefit from individual counseling services to help them cope with their stress. School pressures and academic achievements can you create physical stress responses in the body. Seeing a counselor can also help you as the mom or dad have available tools to provide Continued support. It sounds like you are a great support for them and helping them connect to their resources.

It sounds as though your daughter is struggling to manage her anxiety and she is having really big reactions to what you view as small problems or issues. What have you tried with her in the past? As exhausting as it might be, a good first step is to empathize and validate her feelings.

It may be helpful to register for a class you can take together. I would recommend mindful meditation or yoga, just the two of you. Something you find time for in a weekly basis. Yoga is amazing in learning mindfulness and reducing stress. I use yoga and mindful techniques when working with children and recommend it to parents to engage with their children. Hope this helps.