Lathma/Mental_Health_Conversation_Dataset huggingface dataset:
Question: After first meeting the client, what is the process that a counselor facilitates?

Answer: There are probably no two therapists alike because first and foremost we are human beings!And...our personalities may somewhat guide how we go about getting to know you, identifying what you would like to be different in your life and developing a plan to get where you would like to be. The very most important thing that will determine a successful outcome is the healthy therapeutic relationship between you and your therapist.  If you don't feel safe, comfortable and ready to work together, then it is likely not a good fit. And that's OK...speak up and the therapist should assist you in finding someone you can readily work with.
Question: After first meeting the client, what is the process that a counselor facilitates?

Answer: Each counselor may have a different process, so I'm not the end all authority here.  For myself, I review policies and confidentiality concerns with people first and answer any questions they have. Then I'll let them know I'll be writing a lot in this session and I have an assessment form that I like to get completed, but I want to have a conversation and I'll ask questions as we go.  My first question is usually, "How do you feel I can best help you today?"  Some people are very at ease and tell me many details.  Others are a bit more reserved and I have to demonstrate more curiosity.  Even people who have been very apprehensive are usually feeling very relaxed by the time the session is over.  Usually, when we get close to end of session time, I'll summarize what I think are the biggest concerns from what I've heard and confirm whether or not the person wants to work on those things.  I also try to give an exercise targetting my biggest concern for them to work on in between sessions.  For instance, a relaxation method if they are very anxious.  Counselors are just humans as well, so it does take a bit of time to really get to know another person.  I always tell people that are apprehensive to give the counselor 3 or 4 sessions to determine if they really connect with them.  I hope that helps, Allison
Question: After first meeting the client, what is the process that a counselor facilitates?

Answer: After meeting a client, many Counselors will ask you lots of questions in order to complete a thorough assessment of what you came to counseling for. This assessment is required by most insurances and allows the Counselor to give a diagnosis, which is also required by most insurances in order for them to pay the Counselor. If you are paying out of pocket, this diagnosis is not really required for payment, but many Counselors will still perform a comprehensive assessment because we really want to know what the issues are that brought you to us. The better we understand what it is that bothers you, what you would like to get out of the counseling, and all the various things that tend to affect people such as family upbringing and medical issues, the easier it is for us to help you reach those goals. How the counseling actually plays out from there depends a lot on the theory that the Counselor uses to direct their approach to counseling, and that information is too much for this little post.
Question: After first meeting the client, what is the process that a counselor facilitates?

Answer: A good therapist will discuss what brought you to therapy in the first place and devise a therapy plan with you on some of the things that you may want to work on.  The plan is not set in stone as things may arise during your therapy sessions. You also agree on how often and when you would like to meet.
Question: After first meeting the client, what is the process that a counselor facilitates?

Answer: Great question which I imagine many other people have as well.The therapist will want to know your main source of life discomfort.  In what areas are the problem interactions which you hope will disappear?The therapist is trained to listen for your emotions to your story.  And to open these up to you in a kind and safe way so that you'll start to see your circumstance in a new light in which you feel more of your own authority to handle the troubling conditions.The therapist and you will refine your thinking and theories.   The therapist will ask questions to help you prepare for any stumbling blocks along your way of creating your own new answers to the problem you brought to counseling.I hope you'll enjoy learning and creating new thinking and interacting patterns!
Question: I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.

I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?

Answer: Hi. Good for you in planning ahead to do what's healthiest for your baby (and yourself). That's a great first step! It's also good that you are able to identify that it's not always a physical need that's driving the addiction.For the next steps, I would suggest trying to figure out when the psychological cravings for a cigarette occur. The psychological (or mental) cravings are usually based out of habit, such as having a cigarette after a meal. And if you're consciously trying to quit, you'll find the craving starts with simply thinking about having a cigarette, then usually moves on to thinking about how good it made you feel, etc., etc. Well, if I'm on a diet and I continue to let myself think about the ice cream sitting in the freezer, eventually I'll give in and eat it.You're going to have thoughts about smoking a cigarette. That's normal and, for the most part, out of your control. But you choose whether or not to CONTINUE thinking and dwelling about it after that initial thought. That's what you would have to work on changing. When you have that initial thought, acknowledge it ("Ok, I kind of want a cigarette now."), but then change the thoughts that typically follow. Distract yourself, think about something else, do something else, whatever it takes to get your mind off of that cigarette.I've suggested to clients before that they should plan these scenarios out ahead of time so they already know what they're going to do when the time comes. Write down when you usually have the craving for a cigarette and then write down new thoughts or things to do to get your mind off of it. Eventually, it will become easier and easier to brush off that initial thought until you no longer have it.Best of luck, and you have a really great motivator to quit - your baby!
Question: I have secrets in my mind, and I don't know what to do with them. I don't want to tell my wife and mom because I don't want to hurt them. But I'm not sure how long that I can keep the secret to myself.

What should I do? It's becoming annoying and making me anxious. Help me out

Answer: It sounds like keeping the secrets has become a problem for you now. There are several things to consider before you make a decision.- You mentioned that you don't want your wife and mom to know because you don't want to hurt them – why would it hurt them? - Is it necessary for them to know this information?- What are the consequences of either telling them the truth or not telling them? (for you and for your wife and mom).- Once you have considered these, think of what you would tell your friend if they were in your exact situation?- Also, if your wife or mom were in your situation right now, what do you think they would do themselves?- If your wife and mom were in this situation, how would you feel? Would you want to know the secrets?- How has keeping these secrets affected your own mental and physical health?Once you have looked at the problem from all angles, you will be able to better make a decision on whether it is right to tell them or not.
Question: I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?

Answer: It is a good thing that you have recognized that you have been in some unhealthy relationships and that you are wanting to break this pattern.  You seem to have some good insight into the situation.The type of behavior that you are describing is usually rooted in childhood issues with insecure attachment bonds with your caregivers, childhood trauma and/or abuse or neglect, or dysfunctional family issues that did not allow you to develop healthy boundaries for yourself or a sense of self.  This is something that is going to take some time to work through in therapy.  I recommend a book titled “Boundaries: Where you end and I begin” by Anne Katherine.  Another book that might be helpful is “Codependent No More” by Melody Beattie. In the meantime, until you can work through your personal issues, absolutely do not enter into another relationship.  Take however long you need to and work on becoming a whole, happy, emotionally healthy person on your own.  Needing another person to define you is problematic.  That’s too much to expect from any individual.For a relationship to be healthy and happy, both people in the relationship first need to be a whole person on their own.  That means having a clear sense of self, knowing who you are and what you want, knowing how to set healthy boundaries, and knowing how to meet your own needs.  It is unreasonable to expect your partner to meet all of your needs all of the time.  There will be times that they won’t be able to meet your needs.  You have to know how to meet those yourself. When you are working on becoming the best you that you can be, eventually the right person will come into your life.  Then you can CHOOSE to be with someone because you want them in your life instead of feeling like you NEED them to complete you.
Question: I easily recognize this but have no control over it and need suggestions for managing my anger.

Answer: I suggest that you work on emotional awareness. Emotional awareness basically means knowing what you are feeling and why.Emotional awareness also means that you can identify the link between the way you are feeling and your actions. In other words knowing that your feelings dictate what you do.Often feelings of hurt or insecurity can come out as anger if we cannot properly identify and express the feelings.Being emotionally aware also means that you are able to express your feelings to others.  Being unable to do so leads to feelings of frustration and being misunderstood.Many people for many different reasons are not in touch with their emotions.  For example, men traditionally have been brought up taught to not express sadness or weakness.  Therefore, many men learned to turn feelings of sadness, insecurities, or fears into anger and express these feelings as anger.  Being taught not to feel a certain emotion does not make that emotion disappear.  Instead it makes us learn how to express it in other, incorrect, ways.  If a man never learns to say “I am sad” or “that really hurt my feelings” and instead lashes out in anger, then the response they get from those around them will be to the anger and not a response to the underlying true feeling, which will leave the man feeling alone and misunderstood.You can control yourself and not explode.  Walk away, remove yourself from the situation, do whatever you have to do to not lash out.  Instead of reacting the way you normally would, go somewhere by yourself and think about what just happened and try to understand why such a “simple” thing upset you.  What is the real feeling driving these outbursts?  Maybe you can begin to recognize an underlying pattern. It might help to keep an anger journal.  Write down everything that gets you upset.  That might help you see a pattern and pinpoint what may be setting you off.  Talking with a therapist about this would be beneficial in helping pinpoint the underlying cause of the outbursts you are experience.
Question: It takes me a long time to fall asleep; I’d estimate about two hours. I often have nightmares, starting with being eaten by a monster, and I often wake up frightened and unable to breathe.

I believe I started losing sleep after breaking up with a girlfriend of 8 years. Also, my father’s business went bankrupt and my mother has a chronic condition. I was under a lot of stress, and life lost meaning.

After improving my life and developing a habit of running and exercise to release stress, my symptoms improved. However in the past couple months, I started losing sleep again and having nightmares without warning. How can I solve this issue?

Answer: First of all, exercise is always beneficial for your physical and emotional health. That's great that you have added this in your routine. Have you also considered altering your diet? Certain foods are linked with poor sleep. For example, alcohol, caffeine, nicotine and high fat content foods do not bode well with quality sleep, especially right before bed time.  On the other hand, warm milk and foods high in carbohydrates have actually shown to positively impact sleep.Additionally, at bed time it's important to keep your room dim, cool and without distractions (i.e. TV, IPad, Phone). Stick to a sleep routine and avoid any activities close to bed time that demand a lot of attention and energy.As far as your nightmares, there could be many causes contributing to them. Certain foods (many of the ones mentioned) or medications could be the culprit. Doing a bit of research into the ones you are consuming may help you eliminate the offender. You may also benefit from talk therapy with a qualified therapist to discuss any underlying issues you are experiencing. Oftentimes, depression and anxiety can manifest themselves during sleep, causing nightmares. Finally, Yoga has shown to be very beneficial for quality sleep. There are many instructional videos available that can introduce you to the practice if you'd rather not join a class right away. Best of luck to you and I sincerely hope you are able to catch up on some well deserved Z's!
Question: What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation?

Answer: I will admit I am confused about this question.  Are you the other parent in question or a concerned coworker of this therapist? Therapists do not prescribe or have access to medication.  Most therapists won't even get involved in a custody battle.  They know there is a good chance of their records ending up in court and that they themselves will have to testify in court.  Of course, therapists are human and can make mistakes, but I find it highly unlikely that a therapist would knowingly and willingly do something like this that is such a major ethical violation.  Not only are they losing their license to practice by doing this, they are going to face criminal charges and jail time.  If their clinical judgment is that the other parent is a danger to the child, they don't have to resort to illegal means to try to prove this. If you have concrete proof that this has happened then there is a process in which you can file a report against the therapist with their licensure board.  Every therapist is licensed in their state.  There are different types of licensures so you would need to know this therapist's licensure.Most accusations from the other parent are expected in a custody situation because people do tend to get quite ugly.  Don't accuse the therapist or the parent of anything just to try to make yourself look better and them look bad.  Have evidence of wrongdoing before accusing them of this.  If this has really happened then of course it needs to be reported, but don't try to ruin someone's career unless you are sure this occurred.
Question: 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?

Answer: First of all, my heart goes out to you. Infidelity is an extremely challenging obstacle to overcome. There are some things that you should consider. First of all, did he seem truly remorseful? If you felt in his heart that he was truly sorry for what he had done, it will give you a piece of mind that it was a  mistake. Secondly, was he forthcoming with this information? How about with answering your questions after the truth was uncovered? If you found that he was still lying or not forthcoming, the sting is even more painful. He should be able to answer any question you have honestly and without hesitation.Thirdly, has he shown a positive difference after this experience? At this time, he should still be proving his faithfulness to the marriage, you and the children.Keep in mind that experiencing infidelity is a form of grief. It is not a quick process that can easily be overcome. What you are experiencing is 100% normal. My best suggestion would be to see a marriage therapist. Find out what drove your husband to cheat in the first place and decide if this aspect in his life has been resolved. I know its important for you to keep your family together but children can sense anger and frustration, this is not a healthy environment either. If you decide that you can no longer remain in the relationship, a therapist will also be able to help you cope with the separation along with addressing your children's needs.Please know that you are not alone and that unfortunately, many relationships have endured this very thing. It may also be helpful to reach out to people who have experienced similar obstacles. The web is a great resource to find groups whether online or in person to use as a support or sounding board.Best of luck to you and your family!
Question: I have no sex drive due to medical issues. I’ve shut down completely and closed everyone out. I’ve even told my husband that I wanted a divorce since that’s what I thought he wanted to hear. However, it devastated me when I learned he's seeing someone else.
I’ve since told him that I wanted to work things out but he’s not sure I actually mean it. He thinks the only reason I want him back is because I’m jealous.  How do I show him I’m serious?

Answer: I’m sorry to hear about your current situation. My heart goes out to you during this time.First of all, it is of vital importance that you discuss your symptoms with your doctor. Regardless of whether you are able to mend your relationship with your husband, you need to address the physical issues you are experiencing. More than likely he/she will be able to help you relieve some of these symptoms.Secondly, you must be upfront and honest with your husband. Intimacy is a large part of a relationship and it is unfair to your husband that you did not disclose how you were feeling. I think he would appreciate knowing that it was your medical problems causing the lack of sexual desire as opposed to the reason being him.If you explain to him that you are addressing your sexual issues with your doctor in order to enhance your relationship, he may be more willing to see that you are serious in wanting to mend the relationship. The conversation will be hard to explain to your doctor and your husband since it is of such a personal nature but it will be extremely beneficial. And please note that the reason for the feelings you were experiencing (or lack thereof), was not your fault.Best of luck to you and your husband!
Question: I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I’m also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?

Answer: Hi there. I have to commend you on reaching out to get some answers on why you are feeling the way that you are feeling. A lot of people secretly go about their lives every day feeling this way because they are too afraid of what the answer might be.First off, what stressors do you have in your life right now? Financial, relationship and unemployment are all common stressors for people. They can often make it difficult for us to sleep at night due to the constant racing thoughts and wonders of how you will deal with it all. Secondly, do you have a history of depression or does depression run in your family? Some of the symptoms listed here in this question (i.e. trouble sleeping, constant fatigue, too much sleep, anger & anxiety) are all common symptoms of depression. Often times, these symptoms can be overlooked and mistaken for "just being tired." Furthermore, it's important to ask yourself, if you are feeling worthless, problems with concentration and recurrent thoughts of death. If you are having these symptoms, please seek help IMMEDIATELY. Lastly, considering your stated symptoms I would recommend reaching out to your Doctor for further consult. It's always better to be safe and the earlier you catch the symptoms the faster you will get to feeling better!  do Some helpful tips for the your Doctor would be to monitor your sleep habits (i.e. how much or little are you sleeping), make a list of your triggers for your anger outbursts as well as your triggers for your anxiety attacks. I hope this was helpful and the best of luck to you.
Question: The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says "here lays my emotions. R.I.P." I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?

Answer: It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets.  I do not know what all is going on in your family, and I cannot answer for your dad’s actions or his reasoning behind this.I would recommend that you focus on developing healthy coping skills.  We cannot change what others do but we can change how what they do affects us.  If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress.  It is really good to have a wide variety of interests such as friends, hobbies, games, etc.  Develop other things that you care about and are passionate about.Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don’t have healthy ones, you may develop some very unhealthy ones.  You have to cope somehow, right?  Developing unhealthy ways of coping with life is only going to make life more difficult for you.I don’t know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe.  Both of these environments can lead you to develop some unhealthy ways of coping with life.  Please talk to a trusted adult about your feelings before it gets any worse.