Lathma/Mental_Health_Conversation_Dataset huggingface dataset:
Question: I'm concerned about My 12 year old daughter. 

About a month or two ago she started walking on her toes, as well as coloring and writing very messy. This all happened very suddenly. She has never walked on her tiptoes and has always colored and written very neatly. 

Is this something I should be concerned abou? Any advice will help.

Answer: Have you asked your daughter why she's doing the behaviors you describe?Often the best way to find out why someone does something is to simply ask them their reason.Her answer will give you some guidance as to next possible steps.If she's pretending to be a fantasy figure or trying to find out how being taller feels, or walking on high heels or some other image then knowing this rules out that she has some unbearable pain in her arch which may require more practical answers such as new shoes or even indicate a medical problem.Ask if she's noticed any change in the way she walks.   Maybe she doesn't know she's doing this and maybe she feels embarrassed to tell you she's doing something a bit odd.Since usually 12 year olds don't color, is it new that she started coloring?Maybe given the fact of messy handwriting, she's in a phase of pretending or reflecting on good times as a young child.Then this becomes the topic of examination.Does she feel insecure about being on the cusp of adolescence?Some of these questions can be asked directly and some are for you to first decide based on what you know of your daughter, which questions and what direction to take in understanding your daughter's motivation.
Question: 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?

Answer: First step always is to do a medical rule out so that you're sure the problem is psychological and emotion based, not a medical condition which requires care and attention.If you are medically clear in the reasons for losing your erection, then reflect on what may be creating a loss in confidence in either who you are and what you're doing with your life, or whether your wife has these sort of problems within herself.Often a problem transfers ownership of who shows it.If you are a sensitive person its possible your erection problem reflects your wife's insecurities and self-doubt.  If she is someone who is reluctant to talk about feeling unsure then in a certain way by you showing a problem, she can avoid looking at herself.There may not be a direct cause such as usually exists in a medical problem.Medicine looks for symptoms to treat.Our emotional lives are much more indirect.If you feel stress at work or are unhappy in the place you live, for example, then your frustration may show up in your sex life.Basically, do a broad inward search of your life and what it holds and maybe ask your wife to do the same.You may clear the air within yourselves and between each other so the problem goes away.
Question: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone. 

How can I deal with depression without telling anyone?

Answer: It can be really tough to tell someone - anyone - that you're feeling depressed. But finding that supportive person that you can share with is a big part of the battle with depression. Depression thrives on being secret, it seems to grow the more we isolate ourselves and hide it away so I'm with Laura Cassidy, when she suggests finding that professional support person so you can start fighting back against your depression. If that feels like too big a step right now, maybe check out a book or two... I'm a big fan of a book called 'Feeling Good' by Dr. David Burns if you want some practical thoughts on tackling depression and on 'Radical Acceptance' by Tara Brach if you prefer something a little more spiritual.
Question: I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years.

How can I deal with being bullied at school when the teachers won't help?

Answer: That's a very difficult situation that you are in. But you are not alone. I have several school-aged clients who find little to no assistance from their teachers at their schools regarding bullying.There are a few options that are available to you to help deal with being bullied at school. One option that I would suggest is for you to talk to your support network. Friends and family can sometimes be good sources of support. Another option would be to speak with us about your counselor, if you have one. And third, there are some excellent online sources of support regarding the bullying at school (www.stopbullying.org).
Question: 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?

Answer: When I'm working with men with this type of situation, I always suggest a medical examination to rule out any type of organic reason for a difficulty in maintaining interaction. In cases where there is no medical reason for the loss of erection, I find that many men have a similar situation in experiencing negative intrusive thinking during lovemaking. My counseling approach for this situation is to incorporate the use of mindful sex.
Question: I don't know how else to explain it. All I can say is that I feel empty, I feel nothing.  How do I stop feeling this way?

Answer: A feeling of emptiness can be from a lack of awareness and acknowledgment for the things, the people, the places that you have in your life. The use of affirmation and gratitudes helps to remind ourselves of all of the aspects of our lives.
Question: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?

Answer: This can be a very complicated situation. The boundaries of relationship include the rules to follow in the relationship. It is important to follow the rules of your relationship  in regards to each person being able to spend time with exes. If you and your boyfriend agree upon a rule about spending time with exes, then there should be no problem.
Question: 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?

Answer: 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!
Question: My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me. 

I recently found out he cheated on me with another women.  He says he wants his family back but I'm confused on what to do.  Is it possible for us to get past the cheating, or should I just move on?

Answer: As a relationship therapist I work with couples all the time that are in the repair phase of their relationship after infidelity. The short answer to this, is not only is it possible to have a satisfying and fullfilling relationship after infidelity, it happens more often that we may know. The current rate of infidelity is high, while it's not important to go into many reasons, it mau be important to know you aren't alone in this! My biggest suggestion for you would be to seek out a professional counselor that specializes in working with couples healing from infidelity. Best of luck!
Question: I'm dealing with imposter syndrome in graduate school.  I know that by all accounts I am a phenomenal graduate student, and that I am well-published.  I am well liked by students and faculty alike.  And yet I cannot shake the feeling that I'm going to be found out as a fraud. 

How can I get over this feeling?

Answer: It would be very helpful to identify with you eventual pattern where the imposter syndrome is more or less present. Are there specific situations where you've noticed the feelings of "I'm going to be found out as a fraud" becoming more strong? It seems that shaking this feeling is very important to you. In my opinion, before shaking that feeling, we need to get closer to it and understand its roots. If you would like to get closer to the feeling, you might consider asking yourself questions such: "What is the trigger for this feeling? How does it feel in the body? What is the thought process I engage with after noticing this feeling? All the best. Rossana Mag.
Question: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?

Answer: It is not the case of being right or wrong, in my view. If you are asking, I believe you truly care for your boyfriend. It seems like he is having difficulties in establishing trust in this relationship. The ideal would be to come closer to his upsetness and to show him that you are there for him. I hope all goes well. Rossana Mag.
Question: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?

Answer: Ideally you and your boyfriend will reach a balance point where you and your boyfriend are each happy with the level of involvement you have with your former boyfriend.Start w a discussion with your current boyfriend as to what specifically he doesn't like about your friendship with your former boyfriend.It is possible that you can answer his concerns as well he can find out from you more as to what the friendship is all about.As a therapist, I've never seen a former romantic relationship become only a friendship.   As sincere as you may be in your intention to only keep the friendship with the former relationship partner, if  your former boyfriend secretly has romantic feelings for you, then at best, you've got an unclear friendship with this person.The obvious possibility is to socialize together with your current boyfriend and your former one. If neither guy would go for this, then this would show there is an undercurrent of competition for your romantic attention.Basically make your romantic partner's feelings and your own, the major considerations and discuss from this perspective.
Question: I'm dealing with imposter syndrome in graduate school.  I know that by all accounts I am a phenomenal graduate student, and that I am well-published.  I am well liked by students and faculty alike.  And yet I cannot shake the feeling that I'm going to be found out as a fraud. 

How can I get over this feeling?

Answer: First step is to remove the label of your behavior as a syndrome and instead understand the reasons for it."Imposter syndrome" sounds like a name someone made up to write a book and have lots of people buy it bc it gives the feeling they know themselves by calling themselves this name.Instead, consider your own unique qualities including your fears of being recognized as adding value to people's lives.If you were told growing up that you're worthless, or if your chosen career goes against family advice and expectations, or if you simply are a shy person, then these would be the starting points to understand your reluctance to believe in yourself.The more you understand yourself and trust the truths you find as to who you are, the less you will feel fraudulent.Good luck in your career work!
Question: 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?

Answer: I'm alway wary of assigning a term to a feeling, as often that term becomes more important than the feeling itself. From the very little that you have written, it is clear that you are going through something that has made you extremely low, affected your self-esteem and motivation, limits your enjoyment of formerly pleasurable activities and affects your feelings of self-worth. All of these are aspects of being depressed, though you can be depressed and still not have "depression". Counseling is definitely a place where you can go and sort out why you have had such a sudden a drastic change to your mood. Sometimes our mood can be effected by changes in our routine, losses or significant disappointments. Talking with someone will not only help you to better understand why you are feeling this way, but they will also help you to ground yourself and learn strategies and tools to help you to manage your mood and strategize for the future. I do hope that you will reach out. Feeling alone can be harmful over long periods of time, as it can stop us from seeking out the support we need.
Question: I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.

What can I do to manage my stress?

Answer: Hello. Workplace stress is one of those areas of living that troubles many people who need an income to survive. The interactions between you and coworkers is a mixed bag, and sorting that out can be difficult. Also, if you are feeling under appreciated and not well paid, this can add bitterness to your lot of emotions. A few questions can be kept in mind as you work through your situation. Do you have the option of talking to your employer about your experiences and feelings with regard to your current work? Do you have local resources that you can use to find different jobs in your field? Do you have connections with employment counselors or agencies that can support you with strategies in dealing with workplace stress? These questions might cause others to bubble up, and could begin a new journey into a new field.While still at your job, what can you do to take care of yourself? Are you taking breaks? Do you eat lunch at the office, or do you go somewhere away from the office to eat? What do you do when you have a few moments to breathe? Understanding that you can indeed find even the smallest strategies useful for self-care, can help bolster your energy and give you some support as you move through the day. Seeking the support of family and friends can be helpful as well. Knowing your personal limits and when to pull back and take a break will give you a chance to recharge your mental and physical energy, thus helping you face the demands of your job.
Question: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. 

How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it.  I wonder if i should stop or if I should continue to do it since it makes me happy.  What should I do?

Answer: Thanks for asking this question. I think the most important part of what you mentioned was that you do it because it makes you happy. For that reason, I would encourage you to keep doing what makes you happy.As far as telling girls or keeping it a secret, I don't really think that it's necessarily one or the other, at least not the first time that you meet. In other words, one part of your decision-making could be whether it is something that you always want to address in the first date, or perhaps something that you address after you've known each other for a couple of meetings. The answer to that question may also change depending on who you are dating. I would imagine that each person that you are with mainly due to a different decision this was when to disclose this. It sounds like this is an important part of you, so I would think that if you were going to date someone long-term, you would want them to know about the most important parts of you, including that.I also encourage you to remember that if you meet someone who is not comfortable with this, that does not mean that there is anything wrong with what you are doing, but rather something that the other person is in some way deciding not to continue learning about or choosing to have someone they are dating like to cross-dress.I'd also ask you to consider this: Are the people who you say this to expecting it? My guess is that the answer is probably not. Along with that, Are they going to have questions? I would imagine so.Are you comfortable answering questions?I wonder if you could figure out yourself or with friends (or perhaps even with a therapist) how you would answer these sorts of questions:What exactly is cross-dressing?Does that change the gender that you're attracted to?What does it mean to you?Why is it important to you?And what you want your listening person to know about you related to cross-dressing.There could even be ways that you can start the conversation by asking them to be open to listen to you and ask questions about what they are thinking before they make any quick decisions about you or the relationship.I certainly hope that you find the right person for you. I imagine that having this conversation could be stressful, especially considering the idea that you have had some negative reactions in the past. Remember that talking this through with a therapist could be very helpful.
Question: 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?

Answer: Good for you to know your daughter's friendship circles and to notice when these have changed.While friendships are key relationships, they are not the only indicator of someone not developing normally.Is your observation and opinion that your daughter isn't normal based on other factors or just this one?If this is the only factor then start with reflecting on what circumstances may be influencing your daughter to socialize with younger kids.Has she ben ostracized or bullied by her peers and may be retreating to avoid further emotional hurt?Is she keeping up with her school work?Sometimes kids who feel overwhelmed by schoolwork will regress into conditions in which they feel more success and control.Are there family circumstances such as the death of someone with whom your daughter felt close?  Or, is there a new younger sibling in the family or a younger sibling who due to their own circumstance receives more attention than your daughter may wish for herself.Once you've reflected on which areas may be affecting your daughter, gently ask her some questions about her comfort with what you theorize may be the source of the problem.Its also possible that offering her your extra time and interest may increase her sense of self so that she feels secure enough to increase her social time with her age group.
Question: I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.

What can I do to manage my stress?

Answer: Recognize your reason for continuing to work for this place.Sometimes "overworked and underpaid" is tolerable bc of the valuable learning which the person will take with them when they've decided the time has come for these lessons to end.Or, are you in this place bc it is an easy commute to your home or fits well with other parts of your life such as education or some health related program?As long as you have a good reason to be there, you will feel there is good purpose.If there is no good purpose and every day you wake up to work for a place you can't stand, then its time to look for a new position.
Question: My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him.  I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.

How can I feel more comfortable around other people?

Answer: Probably a good portion of living like a recluse was necessary so you had time to rest and recuperate from so much major adjustment in your life.Have you told some of the people in your life about the many changes you've been through?   It is possible people sense something different about you and aren't sure whether to ask or not ask questions.Also, understand what type of qualities you'd like to offer and receive in a friendship.   Given that raising a kid who has autism takes a lot of energy and time, the way you socialize will change.Start with one person whom you're pretty sure would welcome you and whom you would gain by bringing them into your life.As a result of how this interaction goes, how you decide to spend your time together, what you'll discuss, you will know more about yourself and what you require to feel good around other people.Then, you can consider if you're ready to add others into your world.