Lathma/Mental_Health_Conversation_Dataset huggingface dataset:
Question: I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are attractive, but not like before. I can also find men attractive now. I'm too ashamed to tell anyone.

Answer: Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these
feelings and desires it could certainty shake everything you thought you knew
about yourself. 
My guess is that you becoming sick around the time that this
started is likely a coincidence, but I understand how you would make the
connection. 
I have a feeling that a few things may be going on here. It
is really hard to say since I don’t know you, how old you are, etc. But, I will
share you with you some thoughts. 
Some people, when they have undesirable thoughts that really
surprise them, have a really tough time getting rid of them. Our reaction to
the thought can be very strong and our tendency to try to block it out, stuff
it, avoid it, etc. is not always successful. In fact, it’s usually not. 
It’s like telling you not to think of pink elephants. I
would be willing to bet that you thought of a pink elephant just now. 
So, rather than fighting thoughts that you find confusing,
sometimes it is helpful to allow yourself to explore the thought with curiosity
and without judgement. Where is this thought coming from? What are my feelings
about it? Asking yourself these questions may help you come to a resolution
about what is going on. 
One possibility is that you have developed an anxiety about
your thoughts and now you are in the process of obsessing about them, but
another possibility is that you are legitimately exploring your sexuality and
gender. I get the feeling from your question that you do not want to believe
that it is second possibility. And that is okay. 
You can try some of my suggestions, but you can also see a
counselor who may be able to help you work through your confusion. I would
suggest someone who has experience working with sexuality issues. You can
usually find out what a counselor works with on their website. What is
important is that you find someone who is non-judgmental about what you are
experiencing. 
 
I wish you well.
Robin J. Landwehr, DBH, LPC, NCC
Question: I'm a teenage girl. I don't know if I'm straight, bisexual, or gay. I've been straight all my life, but a sudden rush of questions have come over me, and I don't know anymore.

Answer: Being open minded about the type of sexual connection which feels true and real, is a solid starting point.Having questions is a very valuable way of more clearly defining your sexuality.Write one or two of your questions if you'd like a more specific focus to your general search about your sexual preference.
Question: I'm a teenage girl. I don't know if I'm straight, bisexual, or gay. I've been straight all my life, but a sudden rush of questions have come over me, and I don't know anymore.

Answer: Hi Brentwood, While our society tends to want to put us into categories...slots...when it comes to sexuality, because this is nice and neat and convenient...many people find that they don't fit perfectly into one or the other. All you have to do is exactly what you're doing; be aware of yourself and allow yourself to explore these thoughts and emotions both alone and in connection with a safe partner. The people who love you will continue to love you as you sort through this. You can resist the temptation to please others by giving yourself a label. We are attracted to, and fall in love with, people...and we can't always predict what gender they might be. I love how open you are to discovering yourself. Keep on that track. :)
Question: I've recently thought that i could be transgender but I've never had the mind of a girl.

Answer: Hello Frostproof,Thinking about becoming transgender and being transgender are slightly different.  This is a topic that is best discussed with a therapist that specializes in LGBTQ issues.  From what you have written it sounds as if you still have some confusion as to where you fit in with the "labeling system".  While labels provide a means to quickly identify and classify, they can also feel restrictive or confining.  Instead of focusing on fitting into a specific classification, explore who you are as a person and celebrate your positive qualities and those things that make you uniquely you!  There are many options for you to find a therapist and e-therapy is also an option.  You can try Breakthrough an online service.   Here is some reading for refection that you may find helpful.  Yin Yang Woman Man http://dld.bz/ejVK2  What does it mean to be a woman or a man?
Question: I feel like I would be more comfortable as a girl even though I still like girls. I think I'm like a girl stuck in a guy body. I imagine myself as a girl too. I think this more because my friends say that if I was a girl I would be a hot looking one. And I don't care about having boobs or anything. I just feel like the way that I do act will make more sense if I was a girl.

Answer: I understand that gender and/or sexual identity crises can be very difficult to navigate, although in today’s time I think we have made a lot of progress and it is becoming easier for individuals to find themselves and also find acceptance from society.I am unsure how old you are. If you are a child or teenager, this is a normal time to have identity questions and to be in a phase where you are trying to figure out who you are and what you want out of life. I hope that you have understanding and supportive friends and family that you can talk to and who will support you in how you feel and what you may decide to do. A lot of people, unfortunately, do not, and if this is the case then it makes it harder for you. Because then you may not feel safe exploring these feelings and decisions.I urge you not to try to make any permanent changes for quite some time. By this I mean a sex change. Anything permanent like surgery or hormone replacement to change your actual gender is something that does not need to be done lightly. Please find a therapist that can help you explore your feelings and your identity crisis. Of course there are things that you can do that are not permanent changes. Many people decide to dress like their gender of choice. Maybe experimenting in this way is something that you could do.See if you have a local chapter of PFLAG in your area. PFLAG stands for Parents, Families and Friends of Lesbians and Gays. They are able to help not only with those who identify as lesbian or gay, but also transgendered and asexual. I wish you all the best in your identity crisis. It would be very easy for you to sink into depression if you do not have good support and understanding from those around you during this time. Find a professional that can help, especially if you experience depression or any thoughts of harming yourself.
Question: I feel like I would be more comfortable as a girl even though I still like girls. I think I'm like a girl stuck in a guy body. I imagine myself as a girl too. I think this more because my friends say that if I was a girl I would be a hot looking one. And I don't care about having boobs or anything. I just feel like the way that I do act will make more sense if I was a girl.

Answer: Gender is personal thing.  There is not just boy and girl.  It is ok to be a boy and feel feminine and date women.  It is also ok to be a transgendered women and date women.  Have fun with it and feel it out.  What is right for you?
Question: I can't understand what I pay attention to.

Answer: One way to concentrate is that if your mind starts to wonder then remind yourself to bring your attention back.Start with short time spans of expecting yourself to concentrate.  You'll more likely succeed with concentrating with small time spans than longer ones.Once you start seeing your success, this will motivate you to try increasing the length to expect yourself to concentrate.The task of self-reminding is the same, whether for long or short time periods.Also, before starting this exercise ask your medical doctor if the problem can be related to a physical health problem.If there is, then have the possibility ruled out that your difficulty concentrating comes from the mental ability to concentrate, and not some medical reason preventing this.Before someone can engage their psychological will there must be a clean medical body and mind with which to work.
Question: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

Answer: I've talked to many teens who frequently sneak out. The question I always ask them is, "What are you getting from sneaking out that you aren't getting at home?" Many teens answer they are hooking up, using substances, and engaging in other risky behaviors. As uncomfortable as it might be, I encourage you to talk with your parents or guardians about the reasons why you are sneaking out. What are you getting "out there" that you aren't getting at home? A good family counselor can help sort through those issues. Good luck!
Question: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

Answer: When you say you've "been caught", I am assuming that means your parents know you've been sneaking out.  If that's the case, could you ask for their help?  Sometimes just knowing someone else is holding you accountable really makes a difference.  That could be as simple as Dad checking in on you at, say, 2 am, just to make sure you are where you are supposed to be.If you are sneaking  out to hang out with friends, find another way to connect with them - if they are truly friends they will want to support you in your resolution to stay put at night.  Maybe you can ask for their support by telling them to stop including you in late night plans.There is likely a reason you were sneaking out, but there's a reason you want to stop too - so get support.  No one changes hard habits on their own!Best of luck to you - you can do this and it will help you change other things in the future.
Question: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

Answer: Hi,When we can't stop doing things that we know are wrong, it can help to take a closer look at how we make our decisions. Usually we are getting something good out of these bad behaviors, such as feeling excited or taking our minds off of bad things. It is really hard to change these things without helping us get the good effect in a more healthy way. I hope this helps.
Question: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

Answer: Hi...let's start with what's causing you to sneak out of the house?Understanding the motivation behind your actions (in this case...your sneaking out at night) can often times help you create the change you want.  Are you arguing with your parents? Do you feel misunderstood? Alone? Scared? Stressed out? What are you doing once you leave the house? Where are you going? Are people in your home in conflict? Do you feel safer when you leave? Most importantly, reflect on what may be behind the reason for your wanting to leave the house and feeling not in control of your actions?  Talk to someone about what's going on, because maybe that person could help you create the movement you are seeking.
Question: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

Answer: This is not totally unusual behavior, but the fact that you would like to stop and cannot seem to be able to points to something deeper. That cannot be unpacked online, but I'm glad that you're in this space and asking this question. Try to find a therapist who seems like a good fit and begin to get to work on this issue and what all is going on for you. You're not alone!
Question: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

Answer: Where do you go and what is your reason to go wherever this is?Try to understand these reasons because the answers may give you good guidance as to other ways to get what   it is your trying to reach by sneaking from your home at night.If for example, you're sneaking out because your parents are arguing and you feel hurt by this and want to escape hearing their arguments, then you can come up with other ways to hear less of their arguments.If you sneak out bc your parents restrict your friends or time to socialize with your friends, and your friends are doing legal and safe behaviors, then maybe you could do some socializing online w them.Also, I wonder the reason why either of your parents isn't aware that you leave the house.  Do you feel your parent would offer and would you ask your parent to give their suggestions so you feel more motivated to stay home?
Question: I suffer from checking and cleaning OCD. Can counseling help me to get over it?

Answer: Counseling can be very effective for OCD. In particularly, a kind of therapy called Exposure Response (Ritual) Prevention Therapy is considered the 'gold standard' for the treatment of OCD. What this is, is a specific protocol that helps you build relaxation strategies and to increase the amount of time between your checking/cleaning rituals while also helping you to face any of the fears that OCD given you until those rituals and fears are no longer interfering with your life. Research has shown that this kind of therapy may even be more effective for OCD than medication, https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.162.1.151
Question: I suffer from checking and cleaning OCD. Can counseling help me to get over it?

Answer: 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.
Question: I'm a teenager and I get these really intense mood swings.    My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out.    Can you explain what's going on?

Answer: Mood swings and getting frustrated when things don't work out is totally normal. Sometimes, we get tied to one thing we really want to do and it can feel pretty intense when that gets interrupted or doesn't work out. This said, you're coming to CounselChat and so I'm guessing this is something that is pretty intense for you and something that you are concerned about. If this is getting in the way of your life, it may be worthwhile to reach out to a therapist or doctor to get some help with this and see if there might be something more going on. While for most people frustration/mood swings is related to typical life and stress, if very intense it can be a sign of a number of challenges ranging from anxiety to a traumatic experience to something like Bipolar Disorder where a person's mood and energy might fly so high (mania) that one feels like they can do anything but often become frustrated when interrupted (note: there is a lot more to Bipolar Disorder than this and this is certainly not a diagnosis). Wish you well!
Question: I'm a teenager and I get these really intense mood swings.    My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out.    Can you explain what's going on?

Answer: Why do you blame other people who had nothing to do with your actions?If it is because after the fact you wish you had accepted their help, then the person who is responsible for this is you!Since you are aware of your tendencies and how the interfere with your life, try to become aware of when you do these habits.This way you can interrupt your own patterns a little bit at a time.
Question: I'm a teenager and I get these really intense mood swings.    My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out.    Can you explain what's going on?

Answer: Teenagers are prone to mood swings due to developmental and hormonal changes that are rapidly and intensely occurring in your body and mind - so some of this happens to many people in your stage of development. You are not at all alone.You've taken the first and very important step in regulating your moods by just identifying that you are having these intense changes instead of being completely submerged in them and unaware! The more you are able to be a witness to your emotions and thoughts, the more you can learn to manage them. Your question offers several clues for strategies that you can try - for example, identify the warning signs for becoming irritated and plan a response, such as taking a deep breath, informing the person you are becoming irritated and need some space, or find a distraction temporarily like listening to music or going for a walk. Since you are aware of blaming others for things not working out, you can proactively make a personal commitment to taking ownership or personal responsibility by just thinking about it and practicing thoughts such as "I am responsible for my efforts" and "Blame is not helpful for anyone" and other thoughts that you believe and can repeat related to this insight. When you practice thinking more rational, healthy thoughts, you are actually rewiring your brain, so practice is key!
Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Answer: Hearing voices can be a very upsetting experience to have. I want you to know that a lot of people will hear a voice at some point in their lives and that there are many things that cause voices. Oftentimes, significant stress can offset us to have symptoms like this. There also mental and physical health conditions that can do the same. I strongly encourage you to seek out help from both a doctor and a counselor to help you piece together exactly what is causing your voices. I Once you've got that down, you'll know what to work on. In the meantime, here are some strategies to cope with voices1. Lower your stress levels: Oftentimes stress makes voices worse. What can you do to lower your stress?2. Get enough Sleep: Like stress, sleep deprivation is an awful trigger for hearing voices3. Listen to Music; Music can help you focus on another sound4. Wear headphone or Earplugs5. Use Your Own Voice; If the voices are saying harsh things to you, it can be tempting to talk back and that's okay if you do. However, you cn also use your own voice through singing, whistling, or the like, which can help drown out the voices6. Remind Yourself that What the Voices Say is Not True; Sometimes it Helps to Write it Out7. Draw the Voice or Give it a Name; This can make it less scary and help get it outside of you8. Keep Track of When You Hear Voices to Identify Triggers; These are situations you can avoid while these are so distressful for you9. Be Kind to Yourself; When a Voice is Being Cruel to You it is especially important to be kind to yourself10. Remember that while hearing voices can be disturbing that it is a common experience and something that many people recover from.
Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Answer: I would recommend that you talk with a mental health professional near you about the details so you can have some really specific support for what you are going through.I don't know if you can understand when the voices are saying, but I wonder how you feel about what you are hearing? If the voices are just at night, is it possible that they are part of a nightmare or a dream? If you recall your nightmares, consider writing them down so that you can remember their content and work with a mental health professional to look for patterns.One thing that may help you while you are awake is to try to stay connected to the room you're in. For example, take time to notice your feet on the floor, hips in the chair, and shoulders against the back of the chair. You can also try mindfulness techniques, such as noticing what is around you or changing your breathing patterns. These ideas may help in the meantime prior to having more specific ideas from someone near you.Thanks for reaching out!
Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Answer: Voices and dreams could be suppressed feelings or thoughts that result from negative experiences.  Many times when people go to trough traumatic incidents or changes in their lives without being equipped to manage them and as a result they start having similar symptoms. It is helpful to find a therapist to talk to about those dreams and voices, once you get them out, you could analyze the concerns and fears that they reflect and normalize them, which will also be a good time to discuss their source, if any traumatic event has occurred in your life.  Also, I recommend to journal your dreams, especially if they keep you awake at night, and meditate after, so you could go back to sleep.   ¿Cómo puedo hacer que los sueños y las voces desaparezcan?Durante las últimas cuatro semanas he estado teniendo pesadillas y escuchando voces que me dicen cosas horribles.  No son voces que hablan al azar, pero voces de las personas que me importan.Las voces y los sueños pueden ser sentimientos supresos o pensamientos que resultan de experiencias negativas.  Muchas veces estos síntomas surgen cuando las personas pasan por situaciones traumáticas o cambios que no estaban preparados para enfrentar.  Es útil encontrar a un terapeuta con quien puedas hablar de esos sueños y voces, y aprender a normalizar el contenido de los mismos.  También sería un buen momento para discutir cualquier situación traumática que te haya ocurrido. Además te sugiero que escribas tus sueños, especialmente si te mantienen despierto  en la noche, y que medites luego de escribirlos para que puedas volver a dormir.
Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Answer: Are you in the middle of extreme emotional pressure right now?Or, is someone with whom you're close, under stress or somehow suffering?Dreams and nightmares are when our feelings and pressures we feel, try working themselves out without logic and language.Even though the nightmares are horrible, they are one way your psyche is trying to come to terms w extraordinary difficulty in your life or someone's life whom you feel greatly attached.