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How does a counselor decide when to end counseling sessions or to terminate working with a client? | There are typically three reasons why therapy is terminated:1) Client has met therapy goals2) Client is not progressing 3) Therapist is not a good fit for clientIn order to properly assess whether therapy is helping and what progress is being made, the therapist needs to have ways of consistently checking in with clients sessions-by-session to determine what is helping, what isn't, and where the client is at in relation to their original therapy goals. When a client has met their goals, that is a good time to end counselling sessions unless the client has new goals or simply wants to check-in periodically to make sure that they are still on track (sometimes referred to as relapse prevention). When a client is not progressing, and feedback has been taken and attempts have been made to make the therapy more helpful for the client but to no avail, than it is considered unethical to continue to work with the client. In these circumstances, referring out to another therapist who may be a better fit is a good idea. | 176 |
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together? | I'm glad to read about your willingness to develop new ways to invest yourself with your partner.The easier way to fix a relationship is when both people are helped to recognize the ways the couple dynamic falls short of what each person would like.Couples therapy is exactly this.Still, relationships can change if one person changes since changing one part of a system will change the system itself.Besides starting to work with a therapist on what you can do differently, reflect within yourself on the situations when problems arise between the two of you.See if you can figure out what you wanted and what you partner wanted in that particular moment. Was one of you trying to help the other and the person felt insulted by the suggestion of needing help?This is only an example of how intentions are misread or not welcome by one partner from the other.Also keep in mind there is a limit to everyone's flexibility.Reflecting and self-awareness are the first step.The second step is to know when you've reached the end of possibilities to change yourself and not be accepted for who you are.This raises the question of whether the two of you are far apart in similarities in order to be happy together.Good luck in enjoying the changes you will try to make! | 217 |
I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal.
Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes. | 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! | 208 |
I have PTSD. The side effects are really bad and have impacts on sex, anger and my relationships. I even lost my job month ago.
How can I get my life back? | It is brave of you to speak out, PTSD is not a joke and it can quickly take a toll on all aspect of life. Please, know that you are not alone and with the right help you can overcome these challenges. Living with PTSD can be very emotionally exhausting, but you can learn ways to cope with its challenges and find fulfillment in your life again. This means being proactively involved with the process, learning about the problem and positive ways to manage it can be a good start. This can also mean seeking professional help. It is important to address the problem both at the physiological and psychological level, this can mean using medication that is prescribed by a MD to reduce the intensity symptoms and also working with an experienced licensed professional. Having healthy life habits such as good sleep hygiene, healthy diet, staying away from self-medicating with drugs and alcohol, and exercising can help reduce the intensity of the symptoms as well. Please, consult with a licensed professional close to you to get more information on resources you can possibly find helpful to you. | 188 |
Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me. | A lot of times it is not about forgiveness but learning from experiences. As an example, as a child we continously fall in an effort to learn how to walk. Then when we begin walking we know we have to put one foot in front of the other in order to move forward. Experiences allow us to grow, find a balance and what to do and what not to do in order to move forward. On the positive side you now know the consequences as for your actions not to take the same course. Forgiveness comes with time as you "learn how to walk again." | 105 |
It happens especially at me and my sister, and then she gets emotional and brings up the past. How should I deal with it? She is always stressed about her work and doesn't put her family first. | You are very wise for a young person. You have already figured out that other people's behaviours...how they treat you...it's not about you...it's about them. I love that you don't blame yourself for your mom's behaviours. It's not your fault. She's getting upset because she doesn't know how to manage her emotions, and these emotions have to do with her past and her present stress. You're just the trigger. Yes, this is normal, but it's not necessary. She can find another way to manage her "stuff".Unfortunately, you can't help your mom a whole lot or even help her recognize this. But for yourself... remembering that her behaviours are her issue is the biggest piece of "dealing with it". You can always try some new strategies when you talk to mom...you can say "I'll listen you better if you don't bring up past stuff", or "I'm worried about you mom. You seem stressed", or even "I don't like the way you talk to me". Good luck! | 165 |
I don't know what's wrong with me. At times I can be really happy, excited, I'll talk fast, and I want to do things. But lately I've been staying up way later and sleeping too much. I don't hang out with friends, I don't really have them. I feel nothing, worthless. I want to do nothing, I have no interest in anything. All I usually do is stay in my room. I want to be happy, I want to be nice. What's wrong with me? | I'm sorry to hear that you are feeling as if you're in a slump. First of all, nothing is wrong with you. Many people report similar symptoms. Have you ever talked with a physician regarding your symptoms? Two extreme emotions such as feeling extremely happy and then feeling extremely low for a length of time may indicate a mood disorder. I think it would be best to talk with your doctor or a therapist to help pinpoint the issue causing them.It's possible that it could just be certain stressors in your life that are causing the two extremities but you definitely want to rule out any mental health issues. If it is in fact mental health related there are many medications or therapy choices that can help. Thanks for reaching out! I hope that you will feel back on track soon! | 141 |
My friend is abusing her prescription medicine. Even though she told me she didn't have any more pills, I found she has prescriptions for anxiety medications. | Your good intentions to help your friend stay clean, are very caring about her.Unless your friend feels like stopping pills, taking them away will mean she finds them some place else.The problem that anyone who is addicted to pills has, is that the person is psychologically and at least with xanax, physically addicted.Taking pills has basically become a standard part of your friend's life.Her problem is bigger than your ability to care.If you haven't already done so, tell your friend directly about your opinion on the way she is using pills.This is not a guarantee that she'll stop.It isa way of you showing that you care about her.Offering love and advice are the only things you can do for her.Meanwhile, knowing she is hurting herself is probably hurting you.Be sure to keep a sense of balance within yourself. Offer your concern and know she is the one who must decide to stop using. | 153 |
I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and it’s with the girl that works with us. I've been trying to get over it, but now my confidence and self-esteem are low, and sometimes I feel like he’ll do it again or that he's not ready to be with me. I think about it all over again when I see her. He says he's in love with me, and with the last time he cheated, it didn't feel right, and that's when he knew he had to stop because his feelings were for me. He's contacted her and told her he will not communicate with her because he's in a relationship with me.
How do I gain confidence? Should I let him go? If I let him go, I don't want to be sad about it being that we work together. I try to tell myself I'm beautiful every day, and I think I am a pretty attractive female with a great personality, but I don't like the fact that she works there. | Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for couple's therapy in which there has been infidelity.Understand within yourself whether you'd like being with your boyfriend and what you'd like him to do so that you start feeling more secure in the relationship.If yes, then tell him what you now know about yourself as partner in the relationship.For example, some people who are getting over being cheated on, would like knowing details about the affair person, some people want to see the phone of the one who cheated.Recuperating after a cheating incident takes many months.If he tells you he'd like earning back your trust, give him some time to see if there is progress in this area.As results unfold, you will feel clearer on the direction your relationship is naturally taking.About the girl at work, she will feel less meaningful to you as you work together with your boyfriend on securing the relationship.She has her greatest meaning right now because you are at the beginning stage of knowing what direction to take.As you go along this road, more than likely, you'll be more at ease in naturally finding a way of relating to her that feels ok to you. | 246 |
I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years.
I’ve never had counseling about any of this. Do I have too many issues to address in counseling? | The most direct answer is no. I would venture to guess that several of the things you are feeling (symptoms) are connected. I would recommend a trauma counselor. You have several strengths (resources) that you are able to pull from and I would encourage you to focus on them as you deal with the issues you have placed on the back burner for so long. Sometimes people are afraid to address things because they feel or believe that they won’t be able to handle it. Compare it to a tornado. The storm has passed, but you are still in hiding for fear of the aftermath (the mess left behind). A good therapist is like a personal organizer to help you. | 120 |
My husband and I have been together since high school. We have been married going on for nearly ten years, and we have three beautiful children. A few weeks ago, my husband decided he need some time apart and moved over to his dad’s for a while. He comes home to see the kids and acts like there is not too much wrong. Can this marriage be saved or is it too late? He said he would go to counseling, so I don't think he has given up. | While it would be impossible for me to say whether your marriage can be saved it sounds like you are both willing to give it a try and to get professional support. With appropriate professional support for your relationship a lot is possible. I'm not familiar with the resources available in Jackson but I'm sure there are some good local couple therapists and there may be some agencies that specialize in couple counselling and family therapy. So often the challenges that we have in relationships result from rather small habits in relating that lead to greater feelings of distress, loneliness, anger and resentment. I commend your willingness to put effort into creating the strong loving relationship that you want for both of your sakes and of course for your children. The following links provides more information regarding common behaviours that predict staying together or separating and also videos and other resources that can help you get started. Wishing you and your family all the best on your journey of healing and discovery. | 172 |
I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
How can I change my feeling of being worthless to everyone? | Hello, you sound like you have so much on your mind! I am relieved to hear that you have never tried or have contemplated suicide, but not being able to sleep, feeling worthless, and like you shouldn't be here are big issues that need addressing.Please get around to counseling. Having someone to listen to you is a gift to yourself. You deserve the help of someone helping you change your feelings of worthlessness. You have not been able to do this alone. It's time to reach out for help. You can do this! Best to you! | 96 |
My suppose-to-be father told me to go find my real dad. We haven't been getting along since I was a teenager. If I said one thing that he thought was wrong, I always got degraded. He never said “I love you.” He never gave us hugs. He’s always called me horrible names. I feel he's an evil man with no feelings. | Hi Louisiana, You got it right...he's "supposed to be" your father. It's tough enough being adopted (unless I'm reading it wrong, I think you're adopted); what you don't need is to be verbally abused by someone who's supposed to love and protect you. I don't know how old you are (past teen years though), or where your mom is, but I bet there are other people in your life who treat you differently. It's your right to spend your time with the people who love you properly. That's a really important part of learning how to be happy...carefully choosing who's going to be in your life. It's tricky to put emotional distance between you and your supposed-to-be father, but it's possible...physical distance (avoid him if you don't trust you'll be treated with respect), and emotional distance (feeling less connected to and affected by his relationship disability). I think you're already doing that part because you don't blame yourself for his words, which is wonderful. I don't know if he's evil (although I believe evil exists), but he may be incapable of loving properly, or lacking empathy, as you suggest. A good therapist can support you in these goals. I wish you the best in your growth as an independent adult. :) | 211 |
As a child, my parents injured my brother, so they went to prison. I was there when he had gotten hurt, but I can't seem to remember. I also can't remember being with them quite well. It's a blur. | Sorry to hear of having witnessed violence within your family when you were very young.Your blocked memories are a self-protection from the enormous emotional pain and feeling de-stabilized by realizing that the people whom you expected to trust, are harmful.Already you are at the first step, which is to know that memories exist about the disturbing events concerning your brother.Probably the best way of finding your way back to those times, is by paying attention to all of who you are today.The more intently and with loving interest you are able to notice yourself, you will be gradually dissolving the layers of protective thoughts about intimacy being unsafe.Basically, you will be teaching yourself how to slowly trust yourself.Since trust is what was violated while you were young, you will be developing a new model for trusting yourself and others.Then, more of the memories of your painful and overwhelming times will make themselves available to you.They are simply waiting for you to be strong and trusting enough within yourself, to tolerate them! | 171 |
My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines. | Kids develop in different ways and different speeds. It can sometimes feel like your kid has a delay because of these different ways of development. If you have concerns about your child’s development then addressing it with the school is the best solution. They will be able to provide a full assessment if needed with an academic diagnosis as well as academic support. | 63 |
I met this girl in high school. She had switched schools at the end of the year, and I have not seen her since. It's been a few years. We had a very good and friendly relationship, and we seemed to have a lot in common. I never gained the courage to ask her out. | One way to make good use of the situation you describe is to prepare and rehearse within yourself the way you'd handle a similar situation in the future.Since a lot of time has gone by since you and this girl saw each other on a regular basis, right now you've got no idea if you'd feel the same way about her today as you did a few years ago.The relationship does point out the priorities and values you hold for a potential partner. That you liked the friendliness you shared is good for you to recognize. This way you realize you like friendship as a relationship property. To have lots of similar interests, is another quality you appreciate in a partner.The more you know about what you do and don't like in a partner, the greater your chance to notice these qualities in someone new who comes along your path. | 150 |
I was kidnapped at fourteen and raped at gunpoint. The guy got six months. When the same thing happened with two "friends" at nineteen, I didn't even report it. | Wow, I'm so sorry that this has happened to you. My heart goes out to you. Please find a therapist who specializes in working with PTSD. Brainspotting, Internal Family Systems Therapy, and Somatic Experiencing are all highly effective therapies for complex interpersonal trauma. If you are interested in reading about trauma from a compassionate and scientific perspective I highly recommend Bessel van der Kolk's The Body Keeps the Score. | 69 |
It's really hard to not have negative feelings about friends who don't put any effort into nourishing our relationship. | One thing I would ask is "why are you still hanging with those {friends}?" A relationship needs to be nurtured by both parties, it is a dynamic fluctuation between two people. I would ask you to question why you continue to remain together as friends, I always believed that a relationship should emit positivity towards all parties involved, if your in a relationship that is one-sided, it is inevitable that it will start to de-compensate. Never travel with the circus, never travel with fools, everything in life should have some positive payout, will things at times be negative, of course they will, but in order to keep something or someone in your life there should be more positivity than negativity.Hope this helps, C | 123 |
I just took a job that requires me to travel far away from home. My family and I really need this job.
People keep telling me I have "anxiety" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do? | Bravo, on your success in securing a job and also for being proactive with your need. Starting a new job can be scary and having to travel away from your home and family can make it even more anxiety provoking. Do allow yourself to be anxious about this new journey, we can be hard on ourselves, think if it was a friend that was turning to you for help, what solutions would you have offered them, but also continue to seek to secure right support as well. Talking to your physician is always a good place to start; your physician can tell you if there are organic influences causing your anxiety that may be out of your control. Additionally, talking to close or compassionate family and friends is always good. It is important that you turn to supportive people at the time of emotional need, talking about our challenges can help break the cycle of anxiety at least momentarily. Remember, to further your success, it requires a healthy self, if you have supportive relationships relying on and turning to people who can be there without judgment is great. Healthy lifestyle like eating right, sleeping enough, and regular exercise also never fails to help improve overall emotional health. Additional self-care measures such as repeated relaxation practices can help you become more familiar with your nervous systems reactivity and you can implement strategies to ease anxiety in various situations as it demands. The more resources the better you will be equipped to manage challenges and concerns at the time notice. You can find a lot from the internet too, use your best judgment as what may not be appropriate for you there are some wonderful apps on most smartphones that can help you learn and practice grounding strategies to ease anxiety. If you have access to a therapy you find more specific strategies that would best fit your needs. Good luck, wish you a happy journey and much success. | 327 |
My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child? | You're in a difficult situation and on behalf of you and your child, I commend you for trying to find the right thing to do.Short version: your child needs you as much as possible. period. Always. We used to think that children were almost always harmed by divorce, unless there was extreme conflict or violence. More recent data shows that children are not necessarily harmed by divorce if they keep both their parents. In other words, the damaging part is losing half of themselves and losing the value of being connected to everyone who loves them, especially the other parent, in addition to the extra benefit there is from the other parent's perspective, strengths and so on. The best thing for your child is for you to be available and loving and doing everything possible to allow the child to be whole - a person who incorporates BOTH parents. It's a tragedy for everyone to use a child to achieve adult aims, like getting back at a former spouse. In such a circumstance, your child needs you more than ever. If you and your wife have different rules and so on, your child will learn to adjust and adapt, just as they would if you remained in the household. A child quickly learns that they talk to mom about x,y,z or get away with whatever, but has different rules with dad. He/she will not be too confused in the long run. Please stay the course in dealing with a difficult ex-wife for you and your child's wellbeing. Best of luck to all. | 262 |
I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her. | 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. | 364 |
My girlfriend's grandma passed away 5 months ago. They were very close. She took care of her till she died. Things kinda returned to normal few weeks later. Last month it feels like we hit a brick wall. Intimacy fell off. I asked what's up. She says she can't connect with anyone and that it's not me. She used to be very open and expressive. Now she gives short answers and has no interest in sex or any touching. When we did have sex in the last month, something felt really off. Now I'm very insecure about us and have thoughts of her cheating. She says otherwise, but I don't know. It just feels like something is really off. | Grief has a huge impact on us and everyone's reaction is different. The one common reaction however is to shut down and distance ourselves. Her relationship with her grandmother was close, given she took care of her up until she passed. It sounds like she is working through a difficult loss and her ability to connect with you, or anyone else, is likely low right now. Trust what she is telling you and try to be there for her as she works through it. If she finds it too difficult to connect again, a good grief counselor can help her get back on track. | 104 |
How does a counselor decide when to end counseling sessions or to terminate working with a client? | In the best case scenario, it's a mutual discussion and decision. If not, I've had the discussion initiated both ways, by me, when I sense the client has gone has far as they want, by lack of interest in accepting or completing homework assignments, missing or cancelling appointments, usually at the last minute, lack of participation during sessions. Client initiates by asking me pointed questions about why the need for homework assignments,, by forgetting their calendar, or their checkbook :) , by suggesting that we make appointments over longer intervals (once a week to once a month, for example). I rarely have had to terminate a working relationship--that's why I don't charge for the first visit, so we know if we are a good fit before we start working together. Then I periodically ask whether the client feels we are making progress, moving in the right direction, talking about the most relevant issues etc. | 154 |
My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore. | Buy the book "Boundaries: Where You End and I Begin." Read it. Apply it.Seriously, I'm not joking. You're not wrong to "not want to hear it anymore" but if you don't maintain healthy boundaries, you will allow your family to make you feel guilty for "not wanting to hear it anymore". That's not fair to you.Give a copy to your mom, too. No, I didn't write the book nor do I have any affiliation with it - I simply recommend it because it's a wonderful book and it helped me out a lot. I recommend it to a lot of people. It should be required reading! | 106 |
My older brother (in his 60s) started dating a lady with Asperger's. She is hyper-sexual and flirty. She does not understand boundaries. They’ve been dating for a few months, and she's talking marriage. Another sibling and his wife have met her, and they have said she is never invited back. My brother always picks similar ladies. Do we speak honestly and risk losing a relationship? | This is tricky and quite delicate.I wonder if you could talk with your brother about whether he would be willing to have a discussion with you about something that is important to you. I would also suggest trying to make clear your true intentions. For example:Telling him that he has the right to do what he wants with who he chooses to dateThat you are talking to him about this because you care about himThat your relationship with him is important to you and that you love him and care about himAlso try to stick to examples or ideas that are objectively observable (for example, when this happens ___, I notice ___). That way you are using facts rather than opinions and things that can be observed rather than subjective emotional decisionsI would also be curious with what your brother sees in this girl, and I might even recommend starting with thatI cannot underline enough the importance of having this come across as genuine, and for lack of a better word, gentle.I also be very honest with you that I cannot guarantee that he will react positively, neutrally, or even that he will have the discussion with you.Because it is true that he could choose to continue dating this girl and perhaps even hold it against you for a while, I would also encourage you to look at the importance of this to you and where you consider the risk-benefit ratio to be. | 243 |
Back in high school, my friend and I used to masturbate around each other. I hate even talking about it now because it's so weird. We didn't even realize how messed up it was at the time. One time, it escalated and we ended up doing it for each other. It wasn't supposed to be a gay thing, but it sure sounds like it now that I talk about it. I pushed this away until it recently came up in my head again. I'm having a lot of trouble. | Writing about your high school masturbation times with your friend, is itself a form of acknowledging the full picture of who you are. You are doing well to reflect on your actions in the truthful way you are doing.Also positive is that you have perspective, that at your age and social maturity, you were innocently doing something that in adult terms, would be considered in a negative way.Maybe through your more mature mind's eye of today, you can feel some compassion and understanding for your high school self. This way your sense of self-judgment may start to dissolve a little bit more. | 102 |
I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years.
I’ve never had counseling about any of this. Do I have too many issues to address in counseling? | There is no such things as "too many issues". Many of the issues cited here are connected. For example, in this case working on the sexual abuse will possibly address the depression, the anxiety, the self esteem. There may be some grief to process around the impact of the cancer. Our body, mind and spirit are parts of one system. They are interconnected.Addressing these issue are important so you can be relieved of the burden and feel more spontaneous and enjoy life even more. | 84 |
A few years ago I was making love to my wife when for no known reason I lost my erection, Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage. I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to. What could be causing this, and what can I do about it? | For starters, know that this is a normal experience for many men at some point in their lives. While this can certainly cause some embarrassment, a diminished sexual esteem or relationship problems, it is important to know you are not alone. I am going to move forward assuming that you have already checked with a medical professional to rule out any medical problems that may be related to this. Assuming that is the case, for most this happens for two primary reasons. It is either a short term biological shortage of blood flow to the penis. This can be caused my diet, lack of exercise, even stress. Another primary reason for loss of erections are anxiety. Have their been recent relationship issues? Are you feeling as though you aren't satisfied in the bedroom? These are just a few aspects that can cause subconscious anxiety and loss of erection. My suggestion to you would be to seek out a counselor that specializes in sexuality that can assist you in moving forward with this. Best of Luck! | 175 |
Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward? | To begin, I'm sorry to hear about your situation. Like many of the professionals have stated, infidelity is a very difficult obstacle to move forward from. It's not impossible. While forgetting is probably the hardest part, forgiveness is something that can and will happen. There are things you can do to help yourself. The first this is identifying what you feel is best for yourself and your children. That means being honest with how you feel being in this relationship on a daily basis and understanding how it's affecting you. Second, how is your relationship affecting the children. Do you feel that by staying in the relationship that it's affecting your daily interaction with them. If so, that' something to keep in mind. Next, Really looking at the pros and cons of staying in the relationship. A specific breakdown of what benefits come with staying and what are the ramifications. Vice-versa for leaving. Include your partner. I think being honest with him and letting him know what you are thinking is could be a great option. At least you aren't keeping something inside yourself to manage. Rather, you are being transparent to them. Sometimes a couple can come to an agreement that it may be time to end things and other times it may be best to keep moving forward with a serious plan to how to move forward. Regardless, if you can't trust him and that feeling will never go away it's time to address it. Couple therapy can be beneficial as well as a therapist can provide professional counseling to you. Earl Lewiswww.RelationshipsGoneRight.com | 265 |
I have several issues that I need to work through. However, I am afraid of and do not trust therapists after a horrible experience. I'm dealing with grief and guilt over losing my sons due to drug use. I have a very complicated traumatic relationship issue that is causing me severe anxiety and fear. | I am sorry that you had this experience. Therapy should be a healthy positive experience off g growth. You have the right to look for certain high qualities in a therapist and finding the right one. Each therapist is bound by a code of ethics and clients should have high expectations. You are trusting them to guide, support and help you achieve the absolute best outcome and success. You should never be or feel judged, and you should feel comfortable and feel as though your therapy process is moving along with YOUR GOALS IN MIND. Speaking as a therapist, I encourage my clients to always let me know how they feel, even if they disagree with me, they also have the right to inform me if something I'm doing simply is not working for them, communication is critical in maintaining a healthy therapeutic alliance/ therapeutic relationship. I'm able to offer ways of thinking and strategies to my clients they may not have thought of. Its important to listen to my clients. It's also critical for clients to feel they can share in a environment that feels safe, non judgmental and confidential.Remember, you are the driver in your healing process, you should be the one in control because you know what your life struggles are. Speaking as a therapist, I'm here to guide my clients toward achieving their goals, encouraging and empowering my clients in what is meaningful to them to achieve. You should feel comfortable speaking your thoughts, my advice would look one who open hearing toy feel, even it's regarding them a therapist. That they are open to feedback.With all of that being said, it will take time to trust again but remember, ask questions and communicate with the next therapist share your experience and how it made you feel and that trust and being spoken in a respectful , non judgemental and non condnscending way is critical for you. Be honest clearly state your expectations from start. I offer free 50 minute first sessions for clients. The reason. I do this is because I feel that clients deserve opportunity observe the environment, ask me questions and have the opportunity to determine their level of comfort and decide if it's a good fit. Other therapists sometimes offer the similar, try finding one willing to offer a consultation as that could give you the opportunity to feel things out and set forth expectations.The article below is an excellent article about what to look for in a therapist. It is worth your time reading because you are WORTH FINDING THE BEST HELP AVAILABLE! This article was written based on both evidence from research and clinical experience. I would strongly encourage anyone searching for help to read this and even use it as your guide. I hope this was helpful.https://www.psychologytoday.com/blog/insight-therapy/201603/10-ways-spot-good-therapistLaura Cassity, LMSW, LMAC | 471 |
I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them. | Have you tried counseling? Having PTSD from multiple abusive sexual experiences is very overwhelming for one to handle alone. You may need the guidance, experience and support of a professional to identify all the triggers that effect you and obtain the best coping skills that would work for you. | 49 |
I don't know how to tell someone how I feel about them. How can I get better at expressing how I feel? | "Practice makes perfect"!Simply by expressing yourself and listening to if others listen and understand you, then modifying your next try with whatever improvements you think of based on the impressions you feel others have of you, will progress your self-expression.Also, one way to lessen the tension before speaking to someone is to tell them you feel unsure on how best to express yourself. This way you've prepared them to be patient with whatever words you do state. | 77 |
My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay. | You should start by speaking with her about what has her so down. Have their been some significant events in her life that have affected her? Have their been significant events in your relationship that can be affecting you both? If she just stopped drinking, she may be struggling to finding an alternative and healthier behavior. This is something the two of you can explore together. Also, if need be perhaps she can speak to a therapist to discuss her feelings about quitting alcohol. It sounds like you really care and right now she could use all the support she can get despite her pushing you away. | 107 |
My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this? | Yes, certainly your mom's difficulty in having meaningful conversations with people results from the Alzheimer's disease process which weakens her brain function.Feeling a sense of guilt in relation to a parent, is pretty common for everyone.This is because as little kids and babies, we had a strong reliance on a parent and believing every word they sad and wishing to follow each action they ask or demand, was for the benefit of our own survival.One way of coping with your feeling of guilt is to examine it.Ask what it is you're feeling guilty about?Chances are that your sense of guilt is less due to what you're currently saying or doing to help your mom.Very likely, your guilt feeling is awakening the sense of obligation that you and all of us feel toward a parent simply because parents seem to have unquestionable power when we are very young.After all, you're thoughtful enough to write a question, so chances are great that you're already actively involved in caring for your mom. | 169 |
We're not together, but I’m still doing things for him and we are intimate. He’s not there for his son. | You didn't ask a direct question because I feel from what you wrote you already know the answer. I hate to sound harsh but I am a therapist that call it how I see it so brace yourself...You will always continue to have problems with letting your child's father go as long as you:Don't love or respect yourself first...Don't love and respect your son...Don't demand respect as a woman and mother...Give up the goods regardless of what he does for you or your son...Don't hold your son as a priority in your life....Have self worth of a $1, etc.I have a feeling you are saying...I do love my son and hold him as a priority even if you don't do it for yourself...I would ask...Are your actions of allowing such disrespect from his father proof of that?I know what I have said may have gotten under your skin...I want it to.... because I feel that you have a conscience, want to do better, know you and your son deserve better and you can do better. Believe in yourself and that you and your son DO desire better and it starts with you setting boundaries with his father. You can do it!!! | 201 |
We just cannot seem to get along. I cannot have a conversation with her without it turning into World War 3. She treats me like I have no right to an opinion and never really lets me speak. My real mother cares and tries to help me, but she can't do much, because my adoptive mother won't listen to her either. | Going to see a experience counselor would be my advice. You will have a neutral person that can listen to both sides and help you all find a common ground of understanding. If she doesn't agree to counseling, really the only person you can change is you. I would suggest that you approach her with love and let her know what you appreciate about her, let her know the great things she have done that could not be replaced or forgotten however you want your relationship to get better than it has been lately. Hopefully this will open the door of communication where you can explain your thoughts and feeling but in a loving way. | 115 |
After first meeting the client, what is the process that a counselor facilitates? | Hi. This is an excellent question ! I think that the answer probably varies depending upon the particular therapist . In my work with people , once we have met and I have gotten an idea of the person'a concerns and the issues they want help with , I spend the next few sessions gathering as much history and as much information about the client's current concerns in order to formulate some ideas about what may be causing distress . I would then share my thoughts with the client to see if they feel I am understanding them and on the right track. We would then discuss the best plan to address the client's concerns . Usually I will suggest strategies that I think may be helpful and ask the client for feedback about whether or not they think my suggestions feel helpful . I always encourage clients to be really honest with me about this. I tell them that I would hate for them to agree to try things that they know they won't try just to avoid "hurting my feelings" or "offending me." I want to be helpful and while I have the expertise as far as typically helpful strategies, I really like to work collaboratively and have clients tell me what they do and don't like / agree with or not agree with when I share my thoughts about a treatment plan . We the work together to come up with a plan that will be helpful , but also realistic and then revise it and try new things if necessary as we go along. If things aren't improving , I am very happy and willing to try something new ! I hope this is helpful for you ! | 292 |
I have been with my boyfriend for more than a year. He recently got a new job and travels a lot. I’m not used to him being gone all the time. I feel as though he has forgotten about me because he does not talk with me as much and doesn’t keep me up to date on everything that he does throughout the day, which he used to.
I feel lost, sad and unwanted. This is really a tough new challenge. I just want to break up with him, but I love him so much. I don’t know why he is acting this way lately. I believe I have separation anxiety. Is there anything that I can do to help me cope with this while he is out of town? | In a way, yes, you have separation anxiety. It's normal in a relationship for us to slow down a bit with the attachment behaviours that establish and deepen love and connection. So, just because your boyfriend isn't talking as much or keeping you up-to-date doesn't necessarily mean what you fear it means...that he's forgotten about you or loves you less. It could mean quite the opposite...that he's focused on being successful in his new job and impressing you. He may think he's loving you more, but you feel loved less. You have two jobs to do here. The first is to manage your anxiety by "talking back" to the thoughts it puts into your head. It sounds like "It's normal to be insecure, but I have tons of evidence that he loves me and that I mean the world to him..." Find that evidence that helps you refute what anxiety is trying to claim. The second part of your job is to let him know what you need. You need more affection and connection during this period when he's away (more texts, phone calls, information). It's okay to want that, and I am sure he will be relieved to know exactly what he can do to help you feel secure and calm when he's away. | 215 |
My boyfriend and I have been dating for almost a year. We go to different schools, and we don't see each other that often. I just feel very paranoid that there's someone else or that he could be hiding something from me. | 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! | 55 |
My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.
Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal? | This is certainly an important issue to look into, It is always helpful to speak with the child's pediatrician since they are most familiar with the child's developmental history. Also, children tend to regress behaviorally when facing events and interactions they feel to have no control over, this can be as simple as a loss of a pet, a recent move, death in the family, and/or as serious as sexual abuse, and other things. If you have not spoken to the school that can be a good starting point. | 89 |
I don't speak up if I'm uncomfortable and hardly ever make plans for us when we hang out. He is a very open and straightforward person, so he is getting upset with me for my lack of proper communication. We've been together two years and have identified this as our main problem. Arguments have arised from this single issue many times. | Do you know what you're afraid may happen if you do speak up?Usually people don't talk freely because they feel afraid to do so. Sometimes the fear of being rejected by the other, of being criticized or judged by the other person, or that what you will say stirs anger in the other person.If you are able to know what your particular reason is for not talking, then maybe you and your partner can talk about what makes talking easy or hard.Also, since speaking up is new for you, then ask your partner to be patient while you learn to do so. Everyone does better at learning new skills when they feel supported and welcomed. | 115 |
Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her. When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand? | We women really do tend to struggle with the comparison game. And Hollywood culture hasn't helped with romantic comedies and song lyrics telling us that when a man appears evasive, there's something to worry about. It's been my clinical experience though that most women value transparency and security in their relationships. So you might try sharing a little bit more about your history with this woman. For example:Where did you meet her?How long were you friends before you decided to call it quits? Why don't you want to be friends with her (i.e., what do you mean by "kind of crazy")? I promise this tends to matter to women.Were you ever intimately involved with or even attracted to her?If your girlfriend can truly see that you view her as the filet mignon to the other woman's hamburger, and that she is your favorite person on the planet and has NOTHING to worry about, she may start to come around.Now, IF she's more concerned that you might be taking this woman's calls behind your back, while I'm not typically a huge fan of sharing passwords or phone records, you might print them off and highlight this female's number and show your girlfriend that you absolutely are telling the truth.And if you really want to step it up, I would be intentional about doing all the little things that you know your girlfriend loves that helped make her fall in love with you in the first place (e.g., little love notes for her to find or sweet text messages, buy a rose or her favorite flower, have her car detailed, do the laundry...date nights...you get the idea). Bottom line - show your girlfriend why out of all the women on the planet that you could be with, you CHOSE HER. And would continue to do so all over again. AND why you love HER as a person. This will help her trust what you're saying. Best of luck to you! Tamara Powell, LMHC | 331 |
I sleep a lot. Music changes my mood. I cry every Wednesday. My mind is like a maze that even I get lost in. I don't usually feel my true emotions, but instead, I get fake mirrored ones. | What happens in your life on Wednesdays that you feel like crying? Crying is natural. Crying on Wednesdays may also be natural if some type of regular event or situation comes up for you then that you don't like, feel oppressed by and have no way of avoiding.Maybe you would qualify for a diagnosis for depression.This matters less than what you will do with a diagnosis. Very often people feel some type of relief from hearing a professional tell them what they "have".Don't let yourself get talked into taking pills because now you "have something". Pills change your mood.Only you can change your life.The diagnosis matters so the therapist gets paid from insurance.It is a good sign that you know whether you feel true emotions or fake ones. This is a clear sign of knowing about yourself.Your mind feeling like a "maze" is a little too vague to know if you mean there are too many thoughts at once so that you have difficulty knowing which ones to examine first, or if "maze" means you don't know what your thoughts are and feel lost for this reason.Depression which is addressed by a person can become quite liberating because you will remove what bothers you so much in your life that it weighs you down and depresses you. | 217 |
He's lied about his past/present situations. Since time has passed, he has changed, but I still have my doubts. I have no idea if I should stay or go, but I hate this feeling. I don't trust him all too much, but yet he hasn't done anything for me not to trust him recently. | Your doubts about your dating partner need to be addressed and solved so you can fully believe him again.Otherwise how would you actually know whether he's lying to you now or not?Start the conversation with him about wanting to trust him and asking for whatever details you feel will give you confidence he is telling you the truth.If he really wants to clear your doubts then he will be willing to invest in answering your extra questions or wanting to look through his phone or whatever areas you felt were violated by him in the past. | 96 |
What are the basic skills a good counselor needs to have? | 1) An awareness of their own incompetence and inexperience with events in your life;2) An awareness of how the body, mind, emotions, spirit, and others all intertwine and activate one another;3) How to work to use these connections to have you improve your experience...Oh yeah, and there's some listening in there, as well :) | 54 |
I stress over everything. If I don't have enough "quality time" with my boyfriend, I start to feel resentment towards him. He has three children, and they are great kids, but I find we don't have much time together. I break down easily and find myself depressed. | Everyone has some level of anxiety - it's what helps us respond to stressors in our lives and clues us into the fact that we need to respond to something going on. However, if you're feeling overwhelmed by racing thoughts, feeling like you spend a lot of energy worrying about something specific or even pretty much anything at all, and you're starting to find that it's getting in your way when it comes to living your life the way you want, then I'd suggest seeing a counselor or therapist for an assessment for anxiety. Your other concerns, though, seem pretty "normal" for someone who is in a relationship with a partner who has children. As a married stepmother, I've been there, and as a therapist, I can tell you that the boundaries and communication skills you have in your relationships need to be healthy for you to feel healthy. Finding some support from a group of others whose partners have children might be really helpful - being able to hear from others that you aren't alone in feeling like this can really lighten the load, and they might have some good ideas for handling certain situations. Another option is to find a counselor or therapist who has experience working with step/blended family dynamics - because even if you're not officially married, those dynamics come into play whenever there are kids from another relationship involved. You may even consider couples counseling so that both of you can learn to talk about your relationship needs and concerns in a way that will encourage connection and strengthen your sense of partnership. | 268 |
All my friends have either hooked up or had a girlfriend but me. I try to be happy for them, but I get really upset every time they hook up. | If you mean “hooked up” as having sex with no care for the person, and you’d like a girlfriend, then realize relationships require more complex alignment with a partner than being a sex buddy.Pay attention to all your feelings toward a girl so that you’ll approach someone who attracts you for reasons in addition to sexual allure.Also, the process of knowing someone takes much more time than only to sleep with someone.Have patience and kindness toward yourself while you get to know the qualities which attract you to a potential girlfriend. | 91 |
I've been in a relationship for almost a year, and I absolutely trust my boyfriend. He treats me nice, checks on me, and tells me sweet things. However, when it comes to making life decisions, I feel he is very immature. I try to talk things out so we can compromise or make sound decisions together, but he lacks any ideas and prefers to just go with anything to avoid fighting. As far as dates, if I don't say anything, plan it, or have money to chip in, we will not go. I feel like I put in a lot of work supporting and sometimes spoiling, and all I get is a loyal man who will not cheat and say sweet things on occasion. | Well, then your decision is whether you want to stay in this type of relationship or not.One point to keep in mind is this.Just because he's not telling you his opinions doesn't mean he doesn't have any opinions.In the long run t is always easier to talk with someone about their differences from our point of view than to be someone who doesn't tell you what is in their mind.Short term it seems easy to have someone agreeable.Long term someone who doesn't tell you their thoughts and who disagrees with you, may potentially go about their true wishes in hidden ways. | 101 |
Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me. He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard. I want to end this relationship, but I don't feel like I can. How can I let go? | Hello, and thank you for your question. Boy, ending relationships is tough, isn't it? Sometimes it's tough even when we are 100% sure that it is the right thing to do!I am going to give you some of my thoughts, and hopefully some colleagues will add some others. One of the things that I want to point out is that "letting go" is not really a thing. In other words, it's not really something you can reach out and grab. It's more of a process. This is good news, because you don't necessarily have to be at the end of the process to end an unhealthy relationship. We just have to accept that there will be feelings that come up even after the relationship is over. For example, someone can end an unhealthy relationship today, but then be reminded of the good times on what would have been their "anniversary." This could make the person very sad. They may even regret ending the relationship for a little while. It would important, then, for the person to remind themselves why the relationship needed to end, and that they are healthier because of it. This is relevant for you. It's hard to walk away from a relationship. We fear all kinds of things, including being single! Sometimes it's helpful to compare what you are getting out of the relationship to what you want from a relationship. It's helpful to be honest about what we have given up for an unhealthy relationship. It's fine to admit uncertainly about ending things. It's okay to be afraid. It's okay to have moments of doubt and sadness along with a dash of guilt. And even with all of that, someone can still leave if it is the healthiest thing for them. They can have sadness later on, and still not go back.It sounds like you are feeling responsible for making sure he is okay because of this divorce. The truth is that there is not necessarily a "perfect" time to end any relationship. There would be no guarantee that he would be doing any better after the divorce. Sometimes NOT making decisions stresses us out A LOT more than making a decision and living with the consequences, both good and bad. You may be at that crossroads. Be well..Robin J. Landwehr, DBH, LPC, NCC | 388 |
I panicked over a minor parking lot mistake. It was totally my fault, but due to another insurance issue, I left a note with an illegible phone number. Guilty over this, I got an envelope containing several hundred dollars. Unfortunately, by the time I returned, the other driver had seen my ersatz note and drove away. Since I cannot make this up to that individual, how do I atone for my cowardly act? I have been trying to do random acts of kindness in hopes that karma will somehow even out. | From your writing, you have already atoned for what you describe as "cowardly".Recognizing your action and trying to directly correct it, realizing your action was improper and demonstrating the willingness to take right action, are all examples of making things right.Since the actual driver is unavailable to consult as to their wishes on what they expect and feel would correct the matter, you did the next best thing and considered the situation from the driver point of view. | 78 |
I tried telling my husband I was depressed, and he ignored me. He said "you're always sad or depressed." And he picked up his phone and ignored me. I said, "Please don't exaggerate, that isn't true." And he said, "Whatever babe. You just want to be sad."
How can I get through to him so he will take me seriously? | Ouch. It's really hard to deal with a spouse that isn't taking you seriously. In this case, I would plan for and schedule a time to talk with him about this. I would tell him that you need about 30 minutes to talk to him with minimal interruptions about something that is important to you. Schedule a time, write notes if you need reminders about what you need to express, and tell him how you feel. Ideally, you would focus more on I-statements instead of telling him what he is doing wrong. For example, I feel ignored vs You always ignore me. By focusing on how you feel, he is less likely to feel attacked and get defensive. Some people go to couples or marriage counseling for help with communication. Chances are there are things that BOTH of you do that hurts your communication. Overall, try to talk to him directly and try not to get defensive. If he continues to say, you're always sad - then stay calm, say "okay, can you help me understand that more?" or "That's interesting. Tell me what you see." Reach out to a couples counselor for more help with communication strategies. Sometimes a 3rd party can help you both see things in a different perspective. Hope this helps! | 215 |
I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others. | The first step to change is to admit that you have a problem that is in need of change. Frequently our problems keep us in denial. Although feeling hopeless is an uncomfortable feeling, it suggests to me that you know that you can not do this alone. The best course of treatment for you is to treat all of these problems together. Alcohol detox can be very dangerous so it is important that you do this under the supervision of a medical provider; preferably someone who specializes in addiction. Know also that although marijuana may not appear to be as big as a problem as alcohol is, it will cause you to have an increase in alcohol cravings so complete abstinence from drugs and alcohol is needed. I really recommend an inpatient stay for at least 30 days for anyone who is dealing with addiction, whether combined with mental health issues or not. If this is not a possibility, then the next best thing would be an Intensive outpatient program that treats both addiction and mental health issues. Know that there is hope for what you are experiencing. You can get control over these issues. The next step is finding the team and/or facility that is going to help you do it. | 212 |
My husband and I are in our 40s. We’ve been married 17 years. Three weeks ago, he said he loves me but is not in love with me. He was going to leave me, but he said he thought about it and decided to stay. I don't know how to feel any more. How should I take what he said and not feel so hurt? He has been very blunt, and hurtful words just come out of his mouth. He makes me feel like I'm nothing, but I so dearly love him with everything in me. He said it wasn’t a mid-life crisis. | I get it. Your husband tells you that he's not in love with you, but oops, he's changed his mind and will tolerate you for a while longer? Excuse me? My Dear, it's okay if you expect more than that from a marriage. Maybe the question has shifted from whether he is happy in the marriage to whether you are happy in the marriage. You say you love this man, who makes you "feel like nothing". I say it might be time to sit down with an individual therapist and look objectively at your marriage and whether it's working for you. | 101 |
My boyfriend and I recently broke up. One week, we were fine, and the next, he told me he needed space. He completely deleted me out of his life. He does have an opiate addiction. He claimed he was sober, but since we've split, I've heard many lies from him. Could he be using again, and does this addiction affect the mind? | Studies have proven that addiction affects the brain, there are many coping skills that addicts use to enable their addiction as well. I would recommend that you speak with someone abut your relationship and your concerns. Not only so you can have more clarity in the situation but we often tend to gravitate around or toward the same types of individuals. Being more aware of your relationship will help you in the future when re-engaging in personal relationships. | 78 |
I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household. | Anxieties are an adrenal problem;Clean them out with a proper detox, using the food built for mankind, and a herbal protocol;Maybe throw in some fasting here and there to kick the kidneys into high gear and get the adrenals pumping...Every loss is a gain, so losing a car means you no longer hold responsibility to keep and maintain it...If you're really up for it, some contemplation (that is keep one thought *lightly* on your mind allllllll day; that is just focus upon it from time to time, "Man, I notice that the sky is really blue today... and the air is really crisp today..."); after 3-5 days of contemplation, see what you notice... | 113 |
I was talking to my fiance about changing my hair. He recommended a very specific hair style. Then I found out his ex has that exact same hair. I feel like he must know she has that hair style. Am I nuts, or does this show that he's still in love with her? | Maybe your finance's hair preference for you reflects he still is in love w the ex.There are other many reasonable options too.Maybe he doesn't know a lot about hair styles, or didn't want to even think through the question carefully and also didn't want to tell you this directly.He may have tried to take the easy way out of involving himself in your question.The key whether or not he loves you is how you feel most of the time in your relationship. If most of the time you trust the sense you are loved and you love him, then this gives you some reassurance about how the both of you feel toward each other.It is possible too that your finance has some remaining feelings for the ex. Whether or not this makes any difference to you depends on how stable and reliable you feel is the love between the two of you. | 152 |
I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years.
I’ve never had counseling about any of this. Do I have too many issues to address in counseling? | Absolutely not! In fact, most people have many issues, A lot lot of the issues you are describing commonly go hand in hand ( in "therapy speak" we call it co-morbid conditions)I would venture that most of the feelings you are struggling with stem from your early trauma. You would benifit tremendously from counseling! A good therapist will develope a treatment plan that addresses all of your needs. With help you could definitely live a happy life without all of your anxiety and depression getting in the way! | 88 |
It has been going on more often lately, but not all the time. It has been starting to affect my driving, among other things. | It's important to make an appointment with a neurologist and ophthalmologist ASAP for evaluation. There are medical conditions that can create this effect. | 23 |
Is it normal for people to cry during therapy, or is it just me? | Yes, it is very normal to cry in therapy. Expressing your feelings is very cathartic and allows you togain a deeper understanding into yourself and how the issue is affecting you. | 31 |
I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time because before our child she said she was raped by a family member but she never went to the hospital or the cops. Now me and my family don't talk. She's always telling me I'm annoying and just belittles me. Nothing I do is right. She says I work you watch the baby. On her days off she never cooks or cleans. I have no friends or family and a couple months ago she was confiding to some guy, but says he's not any thing to her. What do I do? I don't want to leave. | It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more beneficial for you and your child to move out.On the other hand, if you are just wanting the relationship to work out despite its current state, you need to evaluate whether the relationship is worth salvaging. It seems as though you are very unhappy and undervalued in this relationship. Although your question revealed just a short bit of information, I didn't read about any positives in the relationship. Sometimes it's extremely hard to leave a relationship even though you know that the relationship itself is harmful for you. However, with time and focus you can do it. Each day will get a little easier and you have to trust yourself that you are making the right situation for you and your child.However, if you really feel that you want to stay in the relationship, you have to be upfront with her. You need to tell her exactly how you feel and give her specific examples of how she is hurting you. This gives her a chance to render the situation. If after this there is no improvement, I suggest that you start reconsidering your decision to stay.I also think it would be valuable for you to start engaging in things outside of the home that make you happy. Are there any hobbies you enjoy? Are there any groups in the area that you can join such as playgroups that will allow you to engage with other parents? Start looking into these options and finding an avenue for you to do something for your own benefit.It is certainly not healthy for you to isolate yourself from friends and family. You need to have additional support networks besides the one with your girlfriend, especially since this has not been a healthy environment lately.Thank you for reaching out. I wish you the best of luck with your relationship. | 368 |
I keep having these random thoughts that I don't want. Things like "you aren't worth anything." I know they're my own thoughts but it feels like someone else is saying it.
What is wrong with me, and how can I stop having these thoughts? | There is nothing wrong with you! Sometimes we get intrusive thoughts that can be worrisome. One things that can be helpful is to identify if there is a trigger to these thoughts - something in your life that makes these thoughts more common (an experience, a person, a place, a situation, etc.). It will also be helpful to try and challenge this type of thinking by focusing on ways in which you are worthwhile as a person and have worth in your life. CBT (Cognitive Behavioral Therapy) may be particularly helpful with this, also. If you are open to seeing a therapist, find one that does CBT. You can also find resources on CBT online. It focuses on stopping and challenging unhelpful and harmful thinking patterns and replacing it with more helpful and healthy thinking patterns. | 136 |
What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose. | What would make you feel no one wants to be with you? | 12 |
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.
Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
Are they right, am I depressed? | The answer to the question of whether or not you're depressed, is less meaningful than what you are doing to feel strong and secure in your life.Otherwise, people shortcut themselves to go deeper in understanding who they are and what they'd like to do with their lives, and accept "depression" as though it is their new name.What you write sounds like classic depression.What to do about this feeling is to get closer to yourself in an accepting way. Assume that what you do in daily living is somehow necessary. Unless you are doing immoral or illegal actions to other people, to accept your own wishes as truth will open you to appreciate why you do what you do.Make believe you're interesting and find out more about who you are, if you have trouble to start with thinking of yourself as worth understanding.The more you appreciate who you are and your unique strengths, vulnerabilities and fears, the more these will dissolve by what seems on their own.In fact they will disappear bc you are believing in yourself and your ways.Good luck! | 180 |
I'm in love with my own gender, and my parents are against that. I don't know how to tell them because I'm afraid they'll not want me anymore. | Hello, and thank you for your question. This is one of those times when you wish you could assure someone that everything will go perfectly, but unfortunately I can't do that. There is no way of knowing how parents might respond until you tell them. The truth is that people have come out to their parents in many different ways. Some have told their parents directly, some drop hints, some have had others tell their parents, etc. The only "right" way to come out is the one that you choose. The one that feels right to you. That is the best way. Some people decide not to come out, and some wait for a very long time. Both of these things are okay. Coming out is deeply personal, and there can be real consequences to someone's emotional health and safety if they tell the wrong person. That is why it should only be done when you are ready. When you feel that you have the emotional and personal support that you need to take the risk. Sometimes people can feel pressured to come out, but I encourage you to do it in your own time. The truth is, there is a spectrum of how people's parents react to this kind of news. On one end, you may have the parents who shut a person out and are abusive, and on the opposite side you may have parents that are totally okay with it and throw you a "Coming Out" party. Most parents are going to fall somewhere in the middle. It is important to remember that their feelings may change over time. Many parents struggle at first, but they love their kids and get better with it over time. If you decide to tell them, consider taking someone along to support you. Plan ahead on what you want to say. It can be an emotional time, so do what you need to do to take care of yourself. If you need to, leave. You don't have to stay anywhere where someone is being cruel to you. I wish you well, and good luck.Robin J. Landwehr, DBH, LPC, NCC | 358 |
I’ve been with my boyfriend for a year and a half. He loves me a lot, and I love him. It hurts to be apart from him for so long. It hurts all over, and then I feel like it won't last. | 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. | 69 |
How can I get to a place where I can be content from day to day? | One thing that comes to mind is making a list of some things that happen each day. It could be that there are things that are affecting how upset you are, but because so many other things are going on, you may not notice.Another idea to try is to keep a list for a month of one good thing that happened each day. This way, when you're having a rough day, you have a list to think of and take a look at.Are you eating and sleeping in ways that are typical for you (typically at least two meals per day and roughly 8 hours of sleep that night (may be different depending on your age)? These two ideas are closely related to changes in your mood.From where do you have support? Friends or family?Can you take 5 or 10 minutes per day to do something that you enjoy?If you think back to the last time that you felt "content," what was contributing to that?Another possibility is to try to be mindful of things that you do every day. For example, rather than eating a turkey sandwich as fast as possible on your lunch break, consider actually tasting it and enjoying it. Also consider giving yourself praise for doing something well. For example, when you finish your paperwork, take a moment to notice that and maybe reward yourself by checking your e-mail, reading five pages of a book, or something else that can be done quickly before you get back to your next task. | 254 |
Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them. | Taking accountability for your actions and seeking help is an excellent first step. I wonder where the anger is coming from. Learning what is at
the root of it can shed some light on what the problem is and can provide some
relief in itself. I would also suggest doing some self-exploration and see a
therapist for individual sessions in order to gain a clearer insight as to what
the cause is. There are also several actions you can take on your own to help
control your anger and communicate more effectively. Here is what I would recommend
you try:
Take time outs: When you feel yourself becoming upset, excuse yourself and
take a time out to either think about the most appropriate course of
action or redirect your thoughts all together. Often when we become
angry, it is difficult to see the issue clearly, as our emotions get in
the way.
Do deep breathing exercises: Close your eyes. Breathe in slowly to the
count of 4. Breathe out even slower to the count of 6. Practice this for about
5 minutes, 3 times a day and focus on nothing except your breathing during this
time. Once it becomes routine for you, it will be easier to apply during
situations in which you are angry or upset.
Change negative thought patterns: Try and recall or be aware of your
thoughts, particularly when you are feeling angry. What are these thoughts
telling you? Are they valid or logical? Is there factual evidence to support
the negative thoughts? Often the answer is "no." Learn to stop the
negative thoughts and replace them with logical and more positive
ones.
Communicate effectively: As a speaker, you want to use "I"
statements by telling the other person how you feel instead of blaming him/her
by using "you" statements. For example, you might say something such
as, "I feel sad when you don't come home at a decent hour and I don't get
to spend time with you" versus "You always stay out late and don't
even care about me." The speaker should also avoid using black and white
language such as always, never, etc. As the listener, you want to validate what
you hear so that the other person knows that you are listening. You will also want
to be responsive and offer fair solutions.
I wish you luck in using these tools and learning about where your anger comes
from. | 406 |
Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven.
When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety.
Am I crazy? I don't think these thoughts are normal. | You might be surprised how normal you are. Anxiety is incredibly common and while your particular type of existential anxiety might be unique to you - it is very difficult for most people to really comprehend what happens after we die - regardless of the religious or philosophical belief systems we hold. It is the ultimate unknown and some philosophers and psychologists believe that at the root of our day-to-day anxieties is the fear of death or fear of the unknown. Just as it can be really hard to comprehend the ending of life it can also be hard to comprehend an eternal existence. What these both have in common is that we are imaging a future that is ultimately unknowable and this unknown can provoke a lot of anxiety. Mindfulness based practices like meditation - maybe there is something like this in your religious tradition - can be very helpful in making peace with the unknown in the present moment. The more we can learn to live in the moment - the less we get hung up on anticipating outcomes for our lives that may never come true. Mindfulness practices can help you ground, be where you are , relax and regulate your nervous system so that you are able sleep and recuperate, and train your attention to focus on living the life you want to live now - rather than worrying about what happens after you die. Having said all that - it can be profoundly helpful to speak with someone about your anxiety - especially when you feel haunted by it, worry that you are crazy and can't get to sleep. There are lots of good therapists out there who can help you with your anxiety. | 289 |
She's in her early 20s, and she has a toddler. | It may be helpful to first have a discussion about what you are expecting and put a timeframe on it that if she is not doing certain things by a certain date, she will have to leave. If you don't know where she can go, there is probably a list of shelters for the county that you live in. | 59 |
We are the legal guardianship of our grandson. He has been acting out, and he wants to talk to his mom that has not talked to him since before last year. How are we to handle this? | Hi Boone, This depends a lot on his age and the situation. The younger the child is, in general, the more I would see this as your decision, not his. A child of any age should be listened to carefully about these matters, but just because a child has unresolved issues about a parent doesn't necessarily mean that having contact is a good solution. Some questions... Was the parent harmful to the child? Is the parent likely to be harmful to the child? How likely is it to be a positive experience? Do you have any contact with the parent? You may want to speak with the parent first to determine whether they are in a stable enough place to allow this to happen. I would start by asking the child more about what is on his mind. What does he want to get out of a visit with the parent? Is it to see them and know the parent is okay, to get an apology, to apologize for a perceived hurt, to have regular contact, to find out if they are loved...? What does he hope mom or dad might do or say in the visit? There are many possible goals this child might have in mind. This will give you a sense of what's missing for the child; what need are they trying to fill. Once you know the need, try to determine the likelihood of that need being met successfully through contact.Once you determine the risk of the child's need not being met, then you decide whether it makes sense. The older the child, the more able they are to determine this with you or for themselves. There are other options than a face-to-face. He can write to his mom or dad, text or email. It's likely that the child is looking for a sense that he is loved, wanted, worth some effort. When a child is separated from a parent, they tend to blame themselves. Whether he sees the parent or not, he will need extra love, attention and support than a child who has two loving, present parents. I wish him the best and I'm grateful for the love and support you continue to give your grandson. You're very special! | 375 |
How do you know you have the right therapist for you?
How would I know how to "train" my therapist to be able to give me what I need from treatment? | I believe that the right counsellor will help you feel empowered, supported and understood. You should feel comfortable opening up and not be concerned that they will judge you for what you say or decide to do. I find this important to let my clients know during intake that they will never be judged for the decisions they decide to take while going over options in sessions together with me. In terms of what you need from treatment, please feel comfortable to open up to your therapist and tell them what you need from them. For example, do you prefer them to challenge you with questions, listen to your story and ask questions throughout or near the end, give you work to do outside of sessions? The therapy sessions will work best for you if you can help them support you in what will work for you.It can sometimes take a few trials of different therapists to find the right one so please do not give up if you feel disheartened! You should feel proud of yourself for taking the first big step in asking for help, that is not easy to do and you are on the right track already! | 201 |
I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me. Why do I feel this way? | It is normal to seek other’s attention and noticing that some people would not be interested. After all, we belong to a social environment where we constantly receive other’s feedback, which at times validates us, makes feel important and useful, like we belong; but also at times makes us feel isolated, different and neglected, which we could interpret as hate.The key is to be aware of what you think about what people think of you. Got it? This part can be tricky at times, because, what others think about us does not really affect us, what really affects us is what we decide to believe, internalize, and make our reality. For example, I could choose to ignore a person’s comment about me, or I could decide to focus on it all day, analyze why they said that and what have I done to them to get to that conclusion. Eventually, since we became so focused on that thought, we may end up believing that what the other person said about us was true, even if we did not agree to begin with.So how can we fix this? Awareness is the key! It is important that you understand the way you internalize external inputs, like comments, and to go through a process of discarding negative ones. It is also helpful to talk to your counselor about how you process feedback and validation so you learn to balance your positive traits from negatives and how that affects your relationships and self-esteem.¿Cómo me puede importar menos lo que la gente piensa?Siempre siento la necesidad de impresionar a otros, ya sea mi familia, la gente de la escuela o extraños. Y sé que no importa lo que haga o cuanto haga, siempre habrá personas que me odian. ¿Por qué me siento así?Es común que busquemos la atención de otros y notemos que algunas personas no están interesadas. Después de todo pertenecemos a un ambiente social donde constantemente recibimos comentarios, que a veces nos validan, alagan y nos hacen sentir como parte importante y funcional de la sociedad; pero en otros momentos nos hacen sentir aislados, ignorados y diferentes, lo cual lo pudiéramos interpretar como odio.La clave es estar conscientes de lo que pensamos que los otros piensan de nosotros. ¿Me sigues? Esta parte puede ser algo confusa, porque lo que piensan otras personas de nosotros, no nos afecta directamente, lo que si nos afecta es lo que decidimos creer que otras personas piensan de nosotros; y luego lo internalizamos y hacemos parte de nuestra vida. Por ejemplo, podemos decidir ignorar lo que una persona dice de nosotros, o podemos decidir enfocarnos en ello todo el día, analizando en detalle porque lo dijeron y que hemos hecho para hacer que ellos piensen así. Eventualmente nos enfocamos tanto en ese pensamiento, que terminamos creyendo que es verdad, aun cuando originalmente no lo creíamos así.¿Entonces como lo arreglamos? La clave es concientización. Es importante entender la manera en que internalizamos las opiniones de otros, y que pasemos por un proceso de discriminación, donde descartemos los comentarios negativos, hasta que aprendamos a ignorarlos. También ayudaría hablar con un Consejero sobre como internamente validas y descartas los comentarios y opiniones externas, y como eso puede estar afectando tus relaciones y tu autoestima. | 543 |
I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about? | Please do not worry about crying. People cry, laugh, rage, rant, and talk during counseling sessions. Part of the therapy process is to look at your feelings, and to feel what you are actually feeling (instead of what you think you should feel). So if you need to cry, that's ok. If you feel embarrassed because you cried, or if you feel anxious that you might cry, well those feelings are ok as well. Your counselor can help you manage your feelings so that you can attain your goals, and your counseling session is the perfect place for that. | 99 |
How do you know you have the right therapist for you?
How would I know how to "train" my therapist to be able to give me what I need from treatment? | How do you know anything is "right" for you? I think it's an intuitive process, and not always based on the objective expertise of the therapist, either (most psychotherapy research has concluded that the client-therapist relationship is the strongest factor in success in therapy.) But, in my view what is important to check-in with yourself around whether or not the therapist can hold space for all that you come in with (for example, not expressing discomfort with things you might talk about is a big "run away"), challenge you enough where you feel like it is challenging you to grow, but also where there is some part of you that does look forward to the sessions.How to "train" your therapist? This could be a session in and of itself I must say:) The therapist-client relationship can resemble many of the relationships in your life, or those that you seek out. A therapist, like anyone else in your life, won't be able to give you what you need 100% of the time and then expect that you will be able to function outside of the space. That can turn into a highly enabling process that won't help your other relationships. However, what the therapist can do, and help you deal with, is to tell you what they can and can't give you, and then process the disappointment that you feel when they can't be everything you might feel you need. | 239 |
I'm depressed often, and my mind goes a million miles a minute. Every once in a while, things are okay for a few days. After a bit, I start noticing that I am picking at my skin profusely. After roughly a week, the anxiety is back and still picking. Sometimes I find myself causing fights to have change. | Hello, and thank you for your question. I am very sorry that you are struggling. I have a few thoughts and perhaps some of my colleagues will add something else. Depression and anxiety can both be chronic conditions, as you have experienced. This means that they may always require treatment in order to have some kind of relief from them. Treatment could mean medication or some kind of counseling. Some people may take medication for the rest of their lives. Some people may go to counseling at times when the depression and anxiety worsens. As you mentioned, sometimes the symptoms improve for a little while, but they can also come back. When they do, it is important to talk to your medical provider if you are getting medication, and/or to go back to your counselor and talk to them about the symptoms that have returned. Skin picking and some other behaviors are not uncommon for people who are experiencing something like anxiety. Many people report that they do this when they feel anxious, and some say it calms them down. It is not really a surprise that you are constantly trying to change things and even starting fights to do so. These are ways to try to avoid, escape and distract yourself from the feelings of anxiety and depression. That is a very normal thing to do. Nobody likes these feelings, and so distraction is something we naturally try in order to get rid of them. The problem is that things like distraction and escape do not work as a long-term solution. In fact, they usually make things worse for many different reasons. Depression and anxiety can be treated, but it is likely something you will need some help with. I would recommend finding a counselor who has experience with anxiety and depression. Medication can be helpful, but I still recommend counseling. The reason for this is that the medication can help with symptoms, while the counseling can address the symptoms and provide you with very helpful skills. Be well,Robin J. Landwehr, DBH, LPCC, NCC | 345 |
Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me. | Forgiveness takes time. You know what you did, and by the sounds of it you are not impressed with yourself. In my mind, this is a sign that you are a good person. You recognize that you did something that crossed your own moral code. You could have just done this thing and not felt anything - but you do feel. And that is OK. It's not supposed to feel good when you do something wrong.Be patient with yourself. These things can take time. I suspect that you will be one of those people who slowly let go of their shame and guilt. The trick is to feel the pain but to not ignore/detach from the life that you are living right now. Don't deprive yourself of the opportunity to feel joy again. | 133 |
Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them. | Congratulations on making your way to Step One, self-observation and deciding to change a feature about how you understand and relate to others.There is extraordinary strength in being willing to notice your effect on others and consider what changes are possible.Start on the inside track of your own heart and mind. Once you're able to understand what is driving your emotions to the point where the only reasonable way of handling them is to curse and offend people, you'd have gotten a long way in knowing your own expectations of others and how far off the mark from this in your mind, they are.For example, if you expect others to always be accepting, tolerant and happy about situations with your boyfriend, and you're hearing otherwise from people, then you can prepare yourself for possible, less than positive comments about your relationship, or you can ask people to not comment to you about your relationship at all.Basically, the more you know about yourself and are willing to accept your right to ask others to respect your views, the easier and calmer time you'll have in handling comments from others that you're not glad hearing.Also, this is a long process because you'd be trying to change long time and deep patterns of interacting.Be patient with your own learning curve and certainly consider therapy for yourself in order to have some outside guidance and support for the process you're placing yourself. | 238 |
I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face. It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do. | This is so very common in this crazy looks-obsessed world! I meet so many beautiful people who can't see their beauty. Is there something getting in the way for you? Was there a time in your life when people teased you or told you something hurtful, or did something to you that made you feel ugly? If so, this can be addressed first. Sometimes stories are told about us when we're young and the best thing we can do is see the author's evil or careless intent and not take that on. A therapist can help you with this part.Once you've addressed any past barriers to feeling confident, you can focus on a few simple things. First, your thoughts. If you keep telling yourself that you don't like what you see, then you will never feel okay about your looks. Experiment with telling yourself something different. Look in the mirror and I dare you to find something that's lovely about your face. Focus on that. Describe what you see? If you were your own best friend, what would you say about your face? Eliminating those negative scripts and building new positive ones will help you feel more accepting of how you look. You can't change your face, but you can change your attitude towards your face. Confidence is the things that will make you beautiful!Accepting how you look is important. Without going to plastic surgery (the popularity of which is a testimony to how nuts this whole thing has become), you were born with that nose, those eyes, those lips. Accepting yourself and knowing it won't change is a good idea, because wishing it were different won't make it so!Looking good is also about minimizing flaws and building on your assets. Are you in a rut about hairstyle or makeup? Ask a good friend to give you a make-over. Play with your features and wardrobe. There are plenty of average looking people who know how to make themselves shine because they are creative! | 333 |
My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse? | Everyone deserves to be treated with dignity and respect. Having said that, everyone gets upset once in awhile and may yell or scream, which can be disrespectful. You said "always, and I mean always" and that is troubling. If your dad curses and screams at you on a regular and consistent basis, it can (as you stated) impact the way you feel about yourself. While the definitions of child abuse differ from state to state, talking to someone can help. Perhaps there is a counselor at school, or another trustworthy person you could confide in to help you understand how this situation is impacting you? Counseling is a good option. There is also help available through the national hotline at 1-800-422-4453, 24 hours a day, 7 days a week. You can call (press 1) and talk to a counselor while being anonymous. You can also check out this website: https://www.childhelp.org/hotline/resources-kids/I am sorry that you are going though this situation. There is help available. You do not have to go through this situation alone. | 173 |
I’m facing severe depression and anxiety and I just feel like I’m going through a lot. This really distracts me and I cant get my mind off the things that are bothering me. How do I overcome this anxierty and depression? | Anxiety and depression is caused by ineffective functioning of the adrenals, kidneys, and the other systems that affects.A basic protocol of natural health makes quick work of it (about 2-3 months-ish; maybe shorter with a good constitution, in your body) :) | 41 |
I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed. | One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine. Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day. These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts. Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy. If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process. You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo controlar mi ansiedad?Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal. Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte. Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar. También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico. | 287 |
How does a counselor decide when to end counseling sessions or to terminate working with a client? | I will work with clients and continually review progress with them and determine if counseling is helping. If a client appears to have less to talk about in sessions, appears more stable for a period of time and has reached therapeutic goals I will talk about termination. Some clients however I may continue with on a monthly or bi monthly process to allow for check-ins to see how they are doing and if they need more help at that time. | 80 |
After my fiancé cheated on me because of a miscommunication, I pulled myself away from him. Now he says all he wants is be with me. I'm pushing him away mentally now because he cheated on me again. I make plans with him that I don't keep. I really do love him still and I care about him. Should I give home one more chance? | People don't cheat bc of miscommunication. People cheat bc they feel diminished regard for their partner.You pulling away doesn't explain his behavior.If the two of you still were a couple at the time he cheated on you, then there were many alternatives he cold have taken besides disrespecting you.Try to understand whether you are satisfied and happy in the relationship. Your actions sound as though you are not either of these.Whether or not you decide to be together again many depend too on if the trust you had in him is restored. Do you feel you can trust him again?If the two of discuss your relationship then if you don't trust him right now and the both of you talk about your dynamics, then tell him about your feelings.Trust is foundational to feeling safe and happy in a relationship. | 139 |
I was with my friends fishing by a pond. I found a frog and stabbed it with my friend's knife. I'm not sure why I did it. My friends saw me do it it and were shocked and got really mad at me.
Now if someone brings it up I get really upset and panicked. I don't know why I feel like this. Does this mean there is something wrong with me? | The good news is your awareness that being violent to animals feels out of character for you. I'm glad you have awareness and I'm glad you are not at ease with killing frogs.Fairly likely that you were acting out aggressively toward the frog, feelings of being on the receiving side of similar type of violence.Basically, you did unto the frog what someone has or to you, feels like, has been done to you.Use your surprising finding of how strong your anger and most likely inward pain. Reflect on your closest relationships and how these people treat you. It is possible you feel more hurt by someone who is close to you than you ever realized.Stabbing innocent frogs is wrong. It is understandable as a way to show you how much inner pain you probably have.It is also wrong that someone close to you hurt you.The direction to go is to recognize your pain and then decide how to go about changing what is possible on your side of that or those relationship(s). | 172 |
My husband and I are in our 40s. We’ve been married 17 years. Three weeks ago, he said he loves me but is not in love with me. He was going to leave me, but he said he thought about it and decided to stay. I don't know how to feel any more. How should I take what he said and not feel so hurt? He has been very blunt, and hurtful words just come out of his mouth. He makes me feel like I'm nothing, but I so dearly love him with everything in me. He said it wasn’t a mid-life crisis. | I get it. Your husband tells you that he's not in love with you, but oops, he's changed his mind and will tolerate you for a while longer? Excuse me? My Dear, it's okay if you expect more than that from a marriage. Maybe the question has shifted from whether he is happy in the marriage to whether you are happy in the marriage. You say you love this man, who makes you "feel like nothing". I say it might be time to sit down with an individual therapist and look objectively at your marriage and whether it's working for you. | 101 |
I need answers to my anger, possessiveness, and urges.
I am angry all the time. I push people away so much that I actually blow up on people now because they ask me how my day is or was. I have a possessiveness to someone who is not even mine. I have these urges to hurt someone really bad. I want to see them beg for me to stop hurting. I want to hear their agonizing pained-filled voices. What is wrong with me? | What result are you hoping to get from the behaviors you describe?Maybe start by comparing the results you see yourself receiving from your current interactions, with how you would wish to feel from relating to others.Since you ask, "what is wrong with me?", there is a disconnect between what you are doing and what you'd like in return.This is true even with imagining doing harm to others.What are you really trying to accomplish for yourself by hurting others?Besides the unethicalness and criminality of this and legal consequences of arrest for such behaviors, what gain which is not evil, do you expect from overpowering and imagining you control another human being? | 110 |
People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore. | Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective of those with whom you have shared your concerns, it might be assumed that based on where you are in life and who you are now, that you have already worked through any issues from your younger years. Some of our deepest scars in life are indeed invisible and suppressed. We have to get to the place where we can take care of the inner child that is still hurting, by recognizing that those who hurt us - however they did, might have had their own challenges which prevented them from functioning and behaving in ways we might have deeply needed. Those who have directly hurt you, may not be capable of acknowledging and understanding how you were affected by their actions - even in the worst of cases. They themselves may be doing what they can, either out of shame or heartbreak for their own actions, to work on forgetting how they behaved toward you all those years before. How are they behaving toward you now? Can you find it in your heart to forgive those who have hurt you? Forgiveness is the gift we give ourselves, and isn't dependent on an apology from an offender. By forgiving (even in the absence of any apology), we are releasing the weight of the burden we are carrying that reflects the offense we feel was committed against us. Sometimes therapy can be helpful in this process. Talking with someone who can be non-judgmental and reflects an empathetic position toward you might be what you need right now. Seeking out a therapist to help you work through these negatives feelings and thoughts is much easier, than trying to go it alone. I would encourage you to reach out and find someone who resonates with you on that journey, so that you can begin a path toward healing.Warm regards,Shawn Berthel, M.S., LMHC | 367 |
I had to go to the emergency room today to get an X-ray of my spine. My boyfriend didn't want to sit there and wait with me. Instead, he wanted to go do things for his friends while I waited. When I was done, he was twenty minutes late in picking me up. He doesn't understand why I'm mad, and we keep bickering at each other over the smallest things. He thinks I don't have a reason to be mad, but I believe that I do. | It is extremely frustrating when our significant other doesn't understand our points of view. Often times, arguments are not the best opportunities to try and make a point, as strong emotions can get in the way of understanding others' perspectives. Try having a discussion with him about what is bothering you during a time when neither if you are upset or arguing. Communicate how you feel without placing blame and without yelling. Addionally, give him ideas of what he can do differently so that he understands what your expectations are. Lastly, consider seeing a couple's therapist who can assist with teaching more effective communication techniques. Best of luck. | 108 |
I'm very depressed. How do I find someone to talk to? | Hang in there! Feeling depressed sucks but talking with someone can really help - so its awesome that you're already trying to figure out how to find that person. Tons of good suggestions already but to add my two cents - you can find therapists in your area and read a little bit about them to find someone you like the sound of via this website, and also via www.psychologytoday.com; if you have health insurance your insurer might be able to make recommendations as to therapists covered by your plan, or if you happen to be in school, the school itself should be able to connect you with either their own counselor or a center that they recommend nearby. Finding someone can take a few calls or a bit of research so if you need some immediate support, or find yourself having thoughts of hurting yourself, you can also call the great folks who run the Suicide crisis line https://suicidepreventionlifeline.org - they are great in moments of crisis. | 168 |
I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk. In the past, I have even cheated on my boyfriend while I was under the influence of alcohol. But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem? | The short answer is yes - if you feel 'really guilty after a night of drinking', then you probably have a problem. What you could do is visit this website by the National Institutes of Health: http://rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/ There you will find information on how many drinks is too much, and the general answer for women is more than seven drinks in a week. There is also a quiz you can take anonymously that will help you determine if your drinking is a problem. The good news is that you can get help for substance abuse through counseling, self-help programs, or alcoholics anonymous. | 102 |
My ex-fiancé (whom I am still seeing) left me because of the pressure from all three of his teenage daughters. They wanted him to try to work it out with their mom (his ex-girlfriend of 20 years). He and I split three months ago, but I have been seeing him pretty regularly despite the fact that he is living back with his ex-girlfriend and kids. He is "co-existing" for the kids and fighting all the time with his ex-girlfriend. His daughters don’t want their dad with me because my two boys (grown adults and on their own now) had bad reputations and issues with drugs. His daughters say it is embarrassing for him to be with me. He and I had an absolutely amazing relationship and connect on so many levels. He is getting a lot of pressure from his family and his longtime friends to "do the right thing" and stay with his ex-girlfriend for the kids. He says he wants me to wait. We were going get married last year. He bought me a $1000 dress, we had invitations made, and everything set up, but then his girls told him they'd never speak to him again if he married me. He says he’s trying to mend his relationship with them. | Hello. It seems you are in a set of circumstances that are highly uncomfortable for you. Do you feel those circumstances are healthy? Do you find pleasure being in such a place of uncertainty? Why do you continue to be in this situation? Without meaning to appear that I might be lacking in compassion, you do have the option to leave the connection completely if the harm it is doing is more that the pleasure it brings you. Is there a benefit to being in this relationship? Do you consider this situation to be for your highest good? Is it healthy to be involved in something that is not likely healthy or perhaps could even be seen as dysfunctional? In truth, only you can decide the answers to these very important questions. I would encourage you to think of who benefits by being in this situation, and how you might be able to find happiness in other relationships that are healthier and more positive. In my clinical view based on what I read, this particular relationship does not carry the joy I am sure you want, nor the healthy interactions you would expect in a functional romantic engagement with another person.Beating yourself up about potentially wasting all this time waiting for the other person to come around will not serve a positive purpose. It likely will only lower your self-esteem. There is a time to wait to see how things develop, and a time to move on to other experiences. You are the one to make that choice, but I would encourage you to connect with your inner higher self, for the most clear answer. Chances are, you already know the answer, you just need to embrace it. Getting in touch with a counselor in your area can also help ferret out some of the deeper issues that you might not have felt comfortable expressing here. | 316 |
My dad beat and mentally abused me so badly that I can't function properly. Letting go of the past is important to moving on and getting better, but I’m terrified to get better because I don't even know who I am without the trauma. I've never gotten to be myself. I don't even know who I am. | I am so sorry to hear that you are struggling. Getting to know yourself after a trauma (especially at the hands of a caregiver) and learning to trust yourself can feel terrifying. I would encourage you to seek out a trauma therapist who can work with you slowly and at your pace. You are not your trauma. You are good and you are whole. Please seek out the support of a therapist who sees that in you. | 77 |
We’ve been together almost three years. We argue and he ends it by telling me he doesn’t love me. It's hurtful because I am all about resolving the problem, and he dwells on the issue even if I drop what he's done and just swallow my pride and say I am sorry. How can this be resolved? We have kids, and I don't want a broken family because we can't communicate. | Under duress the very youngest parts of you and your boyfriend emerge. So, while you still look like grown ups, your actions and words are motivated by very early preverbal parts of both of you. In simple terms it is as if two infants somehow acquire the ability to say words but they are motivated by very basic early wounds that were created due to deficits in what was able to be done for each of you, and likely understandable in terms of caregiver's life experience, and that still fell short of what you needed. You are both still trying to get very early needs met. The best advice I can offer is to try and remember this as early as possible when things start to heat up, and then restrain expression that you already know leads nowhere helpful. And seek out a therapist who can help you to work with these early issues and can support you to grow and develop from this stuck point.Avraham Cohen, Ph.D, R.C.C., C.C.C. | 170 |
I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? | Let me begin by offering my condolences for your loss. I can understand how difficult this time maybe for you especially if you have several unanswered the questions due to the circumstances surrounding the death of your friend. It's during this time, that you may experience the various stages of grief. This includes denial, anger, bargaining, depression and finally acceptance. In the bereavement process, there is so specific time frame or lengths of time for someone to work through each step. Its imperative to note that one may express each stage with different levels of intensity. Also, the five stages do not necessarily occur in any specific order. We often move between stages before achieving a more peaceful acceptance of death. Just note that everyone greives differently, some internalize their feelings and emotions, others express it externally, while other avoid it all together.Coping with loss is ultimately a deeply personal and singular experience. Sometimes we feel that no one understands what we are feeling or going through, much less comprehend our emotional state of mind . What's important, is that you allow others to comfort you through the various stages. My recommendation is to allow yourself to go through the emotions and feel the grief. Avoiding or resisting may only delay the healing process. Reaching the acceptance stage of mourning is a gift not not everyone is awarded, but seeking the help of a Grief counselor may assist in deciphering your emotions and set you on a more positive path to achieve closer. | 253 |
When my boyfriend gets in a snit, he gives me the silent treatment for days. When I ask what is wrong, I get nothing: no reply, no phone call. If he does reply, it is something very sarcastic and hurtful. He never admits he is wrong and never apologizes. | This sounds very hurtful for you to be on the receiving end of this. You can ask yourself " what am I learning from the way I am being treated? " and consider whether or not this is in fact either (1) A message or value that you agree with and believe will strengthen your relationship and help you to grow as a person or (2) A message or value that is damaging to the relationship or to your view of your self and others. Once you've considered that and come to your own conclusion, you will likely know what you need to do. If you're still stuck, you may want to consider seeing an individual therapist for yourself to process your feelings about the relationship or a couples therapist with your partner to work on improving your communication with each other. | 142 |
I'm a guy. If I don't like girls, nor do I like guys, does that mean I'm gay? | No, it does not necessarily. Your sexual preference is based on who you ARE attracted to, not what does not turn you on. If you find you have no sex drive at all, this is called asexual. But you did not mention what you do find arrousing either. Hope this helps. | 51 |
I suffer from checking and cleaning OCD. Can counseling help me to get over it? | Possibly yes, and definitely worth a try.First read about different types of therapy for OCD so that you find a therapist who does the type of therapy which feels best when you read about it. | 35 |
I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her. | 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.)? | 88 |
She's a teenager, and for the last two years, she's lived with her older brother. She's angry because she wants to come live with me, but my current living situation is not the best for her. She refuses to see any reason. She's being disrespectful. Her sexual curiosity is waking up. | You're her mom and she needs you. I would suggest focusing on connection. Since you are not currently living together, one way to do this would be to plan a date in which she gets to decide what you do together. Give her time to think about what she wants to do. As long as the activity is safe and affordable, try to do it, even if it's not your thing. While you are with her, turn off the phone and give her your undivided attention. The goal would be just for you to enjoy each other and connect. | 99 |
My fiancé and I come from a strong Christian background but both went off the "straight and narrow" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others.
His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present? | One of the sometimes difficult things about being in a relationship is the fact that you can make goals for yourself, but you can't make goals for your partner. If your fiancé wants to learn to live more in the present and learn to let go of the past or move in a different direction, you can certainly assist him, but you can't independently make it happen.I wonder if both of you would be willing to have a discussion where he is able to explain to you what he is experiencing and you are able to listen for five, 10, 15 minutes in a way that is not blaming or pointing fingers or asking him to change, but just listening (kind of like an investigative reporter) so you can have more details and ask questions that you may have about what certain things mean, when it feels like to to him when this is discussed, etc. At that point, maybe he would willing to listen to your thoughts on the subject as well.Also, if he wants to make a change, it may be helpful to see a therapist who specializes in working with couples. Sometimes changes such as these require a great deal of personal awareness and there can be quite a bit of emotions attached, so it is often helpful to have someone there to assist.It may also be nice to have a discussion where you consider what makes you feel valued, appreciated, special, or loved, and also consider what makes your fiancé feel that way. | 257 |
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