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I no longer carry expressions on my face, and my emotions are decreasing the more I have fights with my fiancée.

Sometimes when we fight a lot with our partner, it becomes more uncomfortable to share emotions because it feels like it will lead to another flight or disagreement.You could try having a conversation when you're not fighting and starting it out by saying that you would like to discuss something important to you and see if your fiancée is open to that.Something else is that you could have an agreement that if one of you is having a really strong emotions in a difficult conversation and would like to break from the conversation, you could agree (ahead of time) that you'll say that you would like a "timeout" and will come back to discuss the issue in a certain amount of time (usually about an hour) and then try to resume the discussion. The reason this can work is it can give you a chance to calm down and then still go back to the discussion rather than not talking about it again. This only works if both of you agree to that before something starts, though.

depression

I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C

depression

Every winter I find myself getting sad because of the weather. How can I fight this?

Seasonal Affective Disorder (S.A.D.) is a term that reflects how many people are affected by the changing seasons, especially fall to winter.  Everyone suffers with some form of this (lessened activity levels, increased isolation, etc.) while some find that this time of year can put them into a deeper depression. If you have noticed that this happens frequently, there are some ways you can definitely help yourself going forward:1. Attend therapy to learn strategies and tools to help you to manage your mood.  It's important to stay within the therapy until you feel you have mastered these tools. 2. Push yourself to interact more with your social groups and other positive activities. It's easy to go out and spend the day outside in the summer months, when the temperature is warm and the sun shines for long periods of the day, but it seems harder to find fun ways to spend your time when the temperature drops and darkness comes on so quickly.  Perhaps winter time could become the time of year where you and your friends have weekly board game nights, complete with hot chocolate and a fire?3. You may want to consider the purchase of a S.A.D. Light.  These are lights that expose you to additional ultra violet light to increase the vitamin D in our bodies, as well as the release of growth hormone (which releases when we wake up). There are mixed reviews of these products, however, and they can be expensive.

depression

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?

I am really glad you reached out. When parents get divorced, they still need to figure out how to have relationship so that they can parent their child. We might divorce our partners, however, we don't divorce our children. If anything our children need to know that we are still a stable force in their lives. Unfortunately, in some relationships children get used as a bargaining piece and I am hearing that may be happening in your relationship. You can move on from the relationship with your ex while still maintaining a relationship with your child. It is possible and it takes both parents to agree to do the right thing by their child. It is important for your children to have some consistency in his or her time with you. For example, if you and your ex don't have a parenting schedule it is something that you want to create so that you can not only decide for you when you will see your child, but your child can know when you will be available just for her. This will lay the foundation for consistency and allow your child to have some security in troubled times.I would highly recommend you sit down with your ex and discuss how you can both be a positive source in your child's life. How you can both be there to help raise her. If this is not a conversation that you can have on your own you might seek out help from the court. There are parenting experts and mediators who might be able to assist you.Remember, in any discussion keep the focus on what is best for your child and you will be moving in the right direction.Best of luck to you!

parenting

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?

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.

anxiety

I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because it’s easier. I just want answers. I'm sick of feeling this way. It’s ruining my relationships with people.

Hi Loyal, This is a common question. I suggest that you not diagnose yourself (only a physician can do that), but the symptoms you mention are certainly common signs of depression; rarely happy, emotional numbness, hopelessness, isolation. Depression is very common. Research suggests that one in three people may experience it in their lifetime and at any one point, ten percent of adults may be experiencing it.  Most therapists are very good at spotting the signs and treating accordingly, although only a physician can prescribe medication.The great news is that depression is treatable. Some people experiencing depression may benefit from medication (often to lift the heaviness of the illness enough so that one can focus on psychotherapy), and therapies such as cognitive behavioural therapy and behavioural activation therapy have demonstrated a clear ability to reduce symptoms of depression. Even if medication helps, seeing a therapist to look at the roots of your depression and to build coping skills is very important. A qualified therapist will help you look at the barriers to happiness in your specific case and suggest a course of treatment. You are not alone, and you don't have to suffer. Keep asking questions and you will find your answers!

depression

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?

You’re noticing that as you lie down to go to sleep, there is quite a bit going on, which may be anxiety related. It sounds like the dreams and difficulty sleeping are reminiscent of previous experiences you had around the time of your break up, the difficulty with your father’s business, and your mother’s health issues. These connections to past events may be important insights to continue exploring in addition to finding out more about what your dreams may be trying to tell you. There is no exact science to dreams, but many people find it fruitful to explore the content as it relates to significant themes in their lives. I think that exploring these issues further with a therapist could help you resolve whatever is causing you the stress, trouble sleeping, and frightening dreams.

sleep-improvement

I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before. I feel like I don't want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered "wrong" by a lot of people. How can I get myself to just move on?

Well, there is some good news and not-so-good news. The good news is that people are capable of moving on from relationships, even if the person showed them a sort of love that they've never felt they've had, or deserved, before. Sometimes, even just the fact that this has happened for them can, eventually (see below) lead them to seek out love again, because they now believe they will be able to have that again.So, the not-so-good news though is that one can not "just move on." I'd even venture to say that the pressure you may be putting on yourself to just move on and out of this yucky hole of feelings that you are in is actually too much pressure and adding to the yucky feelings as they are. Instead, try thinking of getting past these feelings as grieving over the loss of someone (even though someone didn't die, there is still a significant loss you are experiencing) and therefore how essential it is to allow yourself to grieve, to feel whatever feelings (of anger, or sadness, or something else) that you are feeling. Often, it is really helpful to speak those feelings (I recommend professionals in this case) who can help you feel like you are not pathological for this struggle, and instead that it is completely normal. Love is a crazy thing, and the feelings can get very confusing. But, the last stage of grieving is "acceptance," and it is very challenging to get there if you skip over denial, anger, bargaining, and depression.

relationship-dissolution

I feel like I took our relationship for granted and he's now to the point that he's giving up. I have had trouble feeling like I could trust him but he's given me no reason not to trust him. I know my attitude is also a big issue for him. I have a lot of obligations at home so we don't spend a lot of time together. How can I fix this relationship?

A key factor in a relationship is trust.I'd start by understanding more about why you feel unable to trust your bf.Does this have something to do with a bad encounter you had from previous relationships, or with a sibling or parent?Its also possible you're intuitively sensing you can't trust your bf bc he's not trustworthy.  Sometimes people sense the basic safety items in a relationship before they emerge.Also, your bf may have similarly suffered broken trust and he gives off a feeling of not welcoming your trust.Its possible you're feeling his own self-protection about being in a relationship with you.The best way to open these topics is to actually talk about them together with him.Whatever the underlying tensions are, talking about them always adds positive feeling and confidence to a relationship.

relationships

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?

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!

behavioral-change

I have been in a relationship with my boyfriend for about six years now. In the past, our relationship was difficult and frustrating. We argued a lot, and due to that, there was a lot of tension between us. We stayed together because we love each other and wanted to make it work. I used to party a lot, and several times I got into situations where I would end up kissing someone else. These situations were never more than just kissing. I have come clean about these situations with my boyfriend, and he decided to forgive and move forward with me. I love him so much and want to work things out too, but I'm having a difficult time understanding how he can forgive me. I can't seem to forgive myself. I'm overwhelmed with feelings of guilt and unworthiness.

So wonderful to have a boyfriend who is able to understand and forgive you. What do you think that he sees in you that allows him to do that? Does he see someone who like other humans makes mistakes? Does he see someone who despite hurtful choices is a good person committed to being a loving respectful partner? The compassion and understanding that we can often extend to others can be difficult to extend to ourselves. We often hold very unrealistic and perfectionist expectations for ourselves which may even lead to our poor choices in the first place - as a ways of letting off steam or rebelling against our high standards. Regardless of the reasons, we all make mistakes and imperfection does not make someone less loveable - it just makes them human. If your boyfriend is able to start clean with you, there must be a reason. What you do from here on out will define the kind of partner you are to him. Can you treat him with the kind of respect that you would want? Can you help him to feel loved and safe in the relationship? Can you allow yourself to be imperfect and afraid and still worthy of love and acceptance. When you are feeling ashamed of your behaviours - try to imagine extending that scared part of you the same love and acceptance that you might extend to other people who have made mistakes. It is not easy to forgive ourselves but it is important in order to allow ourselves to be loved and to truly love others.

self-esteem

My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying "whatever" and "leave me alone." But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore.

Hello, It doesn't feel good when it seems that your partner no longer cares or cares less for you, especially if your feelings have not changed. It can be scary, frustrating, and lonely. Have you tried talking to him about your concerns? I would suggest to start there. There may be several reasons for his actions, some of which may have nothing to do with how he feels for you. Learning about what is going on for him will likely answer your questions and, depending on his response, may cause some relief. When initiating conversations about subjects that are sensitive, there are a few things that you want to remember. Tell him how you are feeling and what you are experiencing, rather than blaming him or telling him what he is doing wrong. Avoid using extreme, black and white language (i.e. always and never). For example, you may say something such as, "I feel confused that we are rarely intimate and I'm wondering if you've also noticed this change" versus "You are never intimate with me anymore." Don't be afraid to ask him questions. You deserve to know what is going on, as his behavior is effecting your well being. I like to ask open-ended questions instead of yes and no questions. It allows for more clarity and deeper explanation. Lastly, ask yourself (and possibly him) what part you play in the recent changes. Does he feel that you've been distant? Does he need something from you? Let him know that you are willing to work things out as a team. If communication attempts fail, seeing a couple's therapist can be a great benefit. Having an objective party to coach you through this difficut time can give you the support that will create lasting changes in your relationship.Best of luck to you!

intimacy

I don’t love my sister. I would never wish her harm, but if I could, I would wish for us not to be related. Is this cruel? Why must blood mean we have to be friends? Am I being unreasonable and is there a way to fix this? I do care about her, like I do every human being, but I’d rather be with my friends than be with her at all. It’s not just a "teenager phase." I still love my mom and dad, and I’m very close to them. However, it’s my sister I don’t love or have ever really liked at all.

No one can force emotions.   Its fine to not love your sister.You may make some discoveries about yourself and your relationship with your sister by studying the reasons for why you're not close.Usually this has something to do with how the parents positioned the kids.  Some parents obviously favor one child over another, and this would heavily influence how the kids view each other once they are grown people.The patterns of interaction set down during our growing up years stay with us until we change them consciously.Its possible your sense of not loving your sister started in your early years.You now have a chance to know your sister through your grown up eyes, or not.Either way, you still may decide you don't love her.

family-conflict

Is this something I should be worried about? Should I do something about it?

Humans are social creatures so this can be an alarming thing for a parent to deal with, just like adults children are not the same and some children are more social than others, if he plays alone at recess (all the time) it would worry myself as well, however recess is only one domain of life, does he have friends outside of school or daycare? Does he socialize in other situations or is it just at recess where this occurs? If this is a global problem occurring at other social times it may be indicative of something deeper going on, if perhaps it is occurring "just during recess" it could be something else altogether. I would request reports from all teachers and caregivers concerning socialization and make a choice on whether or not to evaluate further.Hope this helps,C

parenting

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?

Thanks for your question. Becoming a good listener is an essential piece in being a better communicator. Being an effective communicator will almost always improve the quality of your relationships. What stands in your way of listening to her? Do you find yourself becoming defensive when she brings up issues? Do you often find yourself thinking of what you want to say next? Do you take her words personally, preventing you from having the ability to problem solve?Here are some tips that may help you with being a better listener:1. Concentrate on what you are hearing, not on what you will say next.2. Ask questions if you need clarification or don't understand.3. Summarize what you're hearing after every couple of minutes to make sure that you're not missing anything.4. Ask your partner what she needs from you. Is she expecting advice or does she simply need to vent?5. Keep eye contact and avoid using non-verbal cues that demonstrate defensiveness or irritation such as eye rolling or crossing your arms.6. Remember that it's okay to disagree and, if this is the case, then decide as a team, how you want to move forward.I hope this helps. Good luck to you!

relationships

I don't know what to say. I have never really known who I am.

Start by giving yourself enough quiet and time to remember about yourself what feels steady and consistent in your nature and interactions with others.Give yourself the freedom to your interest in having interests.  Are you motivated because of competing with others or because an activity itself feels satisfying?If you are able to develop a sense of defining yourself without fear of judging yourself, you will start coming close to knowing who you are.

spirituality

It's been like a couple of years that I've been feeling like this. I don't want to self-diagnose, but I get so sad and cry and then I feel better. But then I get upset with people so quickly, and I hurt their feelings. It's this constant rollercoaster, and it's hard.

Hello, and thank you for your question. Bipolar disorder is generally characterized by extreme changes in mood, ranging from mania (highs) to depression (lows). There are different types; however, so here is a website that gives you a list of symptoms for mania and depression in bipolar disorder: http://www.webmd.com/depression/guide/bipolar-disorder-manic-depression?page=2After reviewing these symptoms, if you believe you may have bipolar disorder, then you may want to see your primary care provider or a counselor. Bipolar disorder is treatable, but for many people it requires the right medication and sometimes counseling to help people make behavior changes that are important for bipolar management. For example, some people may not get regular sleep, but proper rest is important for bipolar management. A counselor may talk to you about this and other lifestyle changes that you may need to make. The good news is that many people live happy, healthy, and productive lives with bipolar disorder. So, if it turns out that you do have bipolar disorder, it doesn't mean that things can't get better. There is currently no "cure" for bipolar disorder, but with proper medication and lifestyle management, people can do quite well.Hope this was helpful. Be well.Robin J. Landwehr, DBH, LPC, NCC

behavioral-change

I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.

First I think we have to acknowledge that you are doing something amazing.  You are putting yourself out there and becoming a Water Safety Instructor.   We often times will focus on the negative and forget about the positive.  Next, you had an incident where someone pointed something out which may have caused embarrassment.  Whether or not it was malicious on his part I think the important thing to focus on is what is called "Common Humanity".  Common Humanity is one of the three elements of self-compassion.  Common humanity essentially recognizes that suffering and personal inadequacy is part of the shared human experience.  While you may have had this embarrassing moment at this time, that boy may have had an embarrassing moment another day.  We all have embarrassing moments.  When we recognize that we do not suffer in isolation then we are able to move past that suffering.  Additionally another element to self-compassion is self-kindness.  My question is why must you forgive yourself?  Rather, be kind to yourself for learning an amazing new talent.

self-esteem

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?

Hard to say a whole lot without knowing more. However, if you focus your attention on her, what she's saying, what she's feeling instead of trying to make yourself heard and understood first, that's often a good step. Also, work on building win-win agreements with her, and follow through on them. Those are the areas I see men fall short on most often. Hope that helps!

relationships

After 40 years of being straight, how could I now find myself interested in people of the same sex? I have had a few same sex encounters of my own doing.

There are many possible answers to your question.The best one will be the one you decide after reflecting on your own reasoning as to your sexual attraction change.Sometimes people inhibit their sexuality bc of fear others will disapprove.  Currently since in most circles being gay is acceptable, the conditions are much easier now to come out.Maybe this describes you.How happy are you in your marriage?Sometimes people find it easier to discover a sudden change in their sexuality than to face painful emotions in an existing marriage.These are only two theoretical possibilities and may not even reflect your own.What matters is your self-discovery and that you trust your findings as the answer to your question.

lgbtq

However, it seems as though he is really talking to someone other than himself. I have even accused him of having a secret phone. Is he trying to make me crazy on purpose, or is he really talking to himself?

Some people simply talk to themselves as a way of processing information. Have you checked in with your husband about this in a non-accusatory way? Something like "Hey babe (or whatever sweet name you typically use), I'm so curious what that's all about? Do you notice that you are talking out loud?" Chances are it's just how he thinks things through and is not at all about trying to make you crazy, it's just one of his quirks you'll grow to endear. Early married life is a time full of discovering one another's quirks!

relationships

I feel really uncomfortable when I have people's attention. It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety?

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

anxiety

Last year, I just always felt hopeless. I don't have a great relationship with my sister. I lost my mother recently, and that really added to my sadness. My sister always brings up how I was never close to my mother.

Wow what a painful journey you have been in for a long time. Death and grief bring up so many painful reminders of relationships--what they could have been, never were, and what was lost. With death of a family member the family often falls apart for a while... or longer. I hope you can find some support for you and your pain that was occurring before your mom's passing. I also hope you can find someone to help you set boundaries with your sister so you can have your time (as long as you need) to heal from losing your mom and then later figure out how to interact with your sister.

grief-and-loss

I don't remember when the voices in my head started, but I remember Hearing them when I was little. I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?

You are right. It is not normal to hear voices that aren't your own but the fact is some people do. In my experience, medication seem to help. It is also important to understand when you hear voices the most - meaning it is important to understand what the triggers are. It is also important to understand when the voices are the least - meaning what helps you deal with the voices better. My clients have reported that their triggers are being in social gathering or around strangers or for some even the TV. Trying to identify your triggers is helpful for some people. Clients have also reported that listening to music, watching TV, being with friend or family helps them deal with their voices. Every individual is different and you need to figure out what works for you and what triggers your voices. My suggestion is to see a therapist / health care provider and then go from there.I hope this helps.

anxiety

I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?

Post Traumatic Stress Disorder can occur after any traumatic event where a real and present threat of harm or loss of life to yourself or others is present. Yes, a car accident could increase PTSD symptoms such as hyper-vigilance, anxiety, nightmares, re-playing the event, etc. Depending on the severity of the accident new triggers might exist. This is not to say that you cannot recover. Are you currently experiencing additional trauma symptoms?

trauma

She's in her early 20s, and she has a toddler.

Well, first let's identify what factors are involved in the situation about which you wrote.Are you the only decision maker regarding your stepdaughter living with you?Is her dad, and your partner, living under the same roof?Would you feel any obligation to consult with your husband about his opinion and his way of handling the situation?Have you talked with your stepdaughter about your observation and your reaction to the fact of her not honoring your boundaries?Consider too that there will be an effect on the toddler, your grandchild, if you kick out your daughter.Is your daughter financially ready to live on her own and support herself and her child?You certainly have the right to define the terms of what goes on under your roof.It is only fair to everyone that as many variables as possible, be considered.The conclusion may be that it is in everyone's best interest for your stepdaughter to move out.If everyone feels respected and a well thought out plan is developed, then the least amount of hurt and stress, and the most amount of happiness, will be possible from this change.

parenting

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.

This relationship with your step dad sounds very challenging. It is hard to to be told over and over again how not good enough we are. Let me offer you this, frequently when we say harsh, mean, nasty things to others, we are simply projecting our own thoughts about ourself. I am not advocating that this is ok, it seems like your stepdad could also use some support. You get to make your own empowered choice around this, this is your life and if you find yourself in a situation that does not suit you make a change.

substance-abuse

I am divorced and happily remarried. Our blended family of children are in their 20s. My youngest, age 20, continues to call me crazy and favors her dad. He was abusive to me, and I left with injuries. He never wanted kids, and I did. He paid child support only through forced wage earners. Now my daughters favor him after all the sacrifices I made for them the past 15 years as a single mom. I don’t deny them a relationship with their dad, but to be called crazy and then watch them hang out with him hurts me to the very core. I’m not sure how to handle this.

Hi, I understand what you're going through. Your daughters favor him because he has done no wrong in their eyes. Im guessing they lived with you? Growing up I was the same way.. I favoured my dad, thinking he has done no wrong. He also abused my mother multiple times, and that never came to mind. kids like their other parent more mainly because they don't see them everyday, and they usually buy them everything they want, because all he does it pay child support (by force) and then spoil their kids to make them happy. You seem like a great mom, don't doubt yourself.

parenting

My mom made a lot of mistakes a couple years back, and I can't seem to forgive her. I want to say that it's okay, but I can't. I feel like even if I did forgive her, I wouldn't be able to say it to her face.

How someone feels when they forgive another, is at peace with themselves and their understanding of what went wrong, who was responsible for what in the situation, and clarity on their own motivation, actions, emotions including pain, regret, resentment, sadness.These steps ideally allow a new door to open in order to develop new paths in the existing relationship or accept that this will not be possible due to either person's way of handling themselves.The long answer would be that you're not yet through with this process.I commend you on being truthful with yourself about yourself.You're on the right track by expecting to feel resolved when you've reached resolution, and not before.Finding patience with the unpredictable amount of time needed to thoroughly examine all the details of the incidents you mention, sometimes is a frustration of its own.Keep up your good work of knowing your own life.It is a worthwhile endeavor!

family-conflict

I have these dreams of men, and they always seem to try to hurt me. It's gotten so bad that I first wake at 4:30, then 4:45, and finally stay awake by 6:00. I'm always the last one to fall asleep and the first to wake. I hate falling asleep. The longest I've went without sleep is three days.

The good news about your dreams is that your fears are right at the surface of your mind so you can study them and release some of the harm from the terrifying experiences you had which created these bad memories in the first place.The bad news is the feelings themselves are sickening.Probably a therapist would be very helpful for guiding you to unfold these uneasy feelings and their source.This type of deep work is easier with emotional support from someone.  A therapist can give you this plus is knowledgeable about dynamics of someone having been emotionally harmed by another.Or, read a lot online and find out which articles resonate with your emotions.Luckily people are willing to express personal stories of recuperating a sense of peace and safety after being violated by someone.

anxiety

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?

Anxiety or panic attacks can be very frightening.  Here are a few "tools" you can use that will help in the short term:  Keeping your mind occupied by listening to books on tape may help;  Counting backwards from 100 in 7's; Naming cities that begin with each letter of the alphabet; Keeping some ice or an ice pack in a cooler beside you, which you may take out and hold in your hand or to your face; Soothing self-talk such as "This is uncomfortable, but I can handle it" or "I've been through this before and can make it through again".  I recommend that you seek out a Therapist to help you with some long-term solutions to the anxiety.  Additionally, learning to breathe into the abdomen and practicing this daily is another long-term solution.  Yoga and meditation would be great!

anxiety

I am lazy. I am very aware of the problem and try to talk myself out of it all the time, but I never seem to shake the habits. I try to think of what it is doing to me and my future, but no matter what, I keep creating excuses for myself to continue the procrastination. All I'm ever left with is regrets and a low grade. I am at an all-time low in my life, and I'm not even that old. I've always been a straight-A student, but now I'm getting C's and F's, and it hurts me to know that I am way better than that. It's not even like the work is hard.

Possibly laziness is not the true problem and is only what appears as the problem.Since you describe your laziness as an observable quality, I assume you've not always felt or handled yourself this way.Quite possibly and more likely, the particular conditions of your current life are not ones that are optimal for feeling good about yourself and your involvements.One suggestion is to see if there is any purpose to what you're doing in all the areas in which you see yourself acting from laziness.If you're not able to notice any good purpose, then you may be mistaking "laziness" for a significant amount of stress in your life.Stress can be opened and understood.  If stress is what underlies what appears as laziness, then you define the contributors to your stress.Not feeling enough support in your life, financial uncertainty, arguments w people who are close in your life, feeling misunderstood overall or by particular people, all are possibilities.Good luck in learning more about who you are!

behavioral-change

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?

Counselors do not expect to gain your trust during the first session. Trust is earned and gained through the therapeutic process. You may know you have the right therapist if you feel a lack of judgement or even unconditional positive regard for the choices you make in therapy. Good counselors will keep you accountable for your actions without making you feel ashamed of the choice you made.Counselors already have the training to give you what you need in treatment, and if they don't they are ethically obligated to refer you to a provider that does. That being said, the first few visits with your counselor will be goal oriented- creating realistic and obtainable goals that will allow you and your therapist to see positive change when it is made.

counseling-fundamentals

I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?

A car accident can be a traumatic event. Especially,  if it was serious, you could have feared for your life, felt everythingvwas out of control and had normal reactions to an abnormal situation afterwards. This may or may not be related to the traumas that you experienced in the military. If it is then it is possible that you will see a direct effect in triggering off PTSD symptoms. Even if it didn't, it is possible that the complexity of the two situations will interact inside you to be a combined response. Having already been diagnosed with PTSD, this might be a good time to reconnect with the help system you had around military experiences and explore it a little bit about the new experience. The right exploration does not have to make things worse and can be a good source of prevention.

trauma

I start to think of an issue that doesn't even matter or something bad that happened years ago. Then, I cry, pull at my hair, plug my ears, hit myself, and throw things. In loud public places, I get on edge and start being sarcastic and moody. I have an awful fear of people leaving me (which normally ends up happening) and I feel like I'm too clingy.

There is a reason you are having breakdowns. I can't agree that they happen for "no reason at all".   Finding out the reason is going to be your biggest challenge because that may require you to dig deep into your past, uncover hurtful experiences, or recognize something that would be extremely pain.  However, if you don't find professional help to carefully guide you through whatever you may confront, the symptoms mentioned will continue and may even get worse.  There is a light at the end of the road but you need some help to find the right road to get on so you can see it.

behavioral-change

I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone with my dad the whole time. I also forget things a lot.

Despite your anxiety you are highly attuned to your sense of well being and skillful in articulating the details of when anxiety takes over.Sometimes people who anxious in specific realtime situations are helped by talking themselves through the anxiety.Maybe you'd be able to distract yourself from the grocery store anxiety by telling yourself you're anxious and that you'll be ok, its only a grocery store.The longer term way to dissolve anxiety is through self-acceptance, self-love, self-belief, basically all the areas of trusting yourself to handle situations.Anxiety is a fear of being overwhelmed by a circumstance or condition which ends badly for you.Often the person can very well handle the situation about which they're anxious.   The problem is not trusting themselves enough to rely on their self knowledge.

anxiety

I recently went through a divorce. My ex-husband called my sister saying bad things about me. My sister never defended me. Now that I showed the truth, she's shutting me up and saying she doesn't care about the fight. Why didn't she convey that to him from the beginning?

Sorry for so much emotional pain from the combination of the divorce and your sister not supporting you in the way you wish.When you feel ready and if you feel this would help, then consider to talk to your sister from perspective to improve the relationship the two of you have.Since the ex is gone and the sister is an ongoing person in your life, this particular incident is only one in many which the two of you will have with each other.The disappointment you feel now as to how she handled herself, is a point to bring up to her for the sake of clarifying the type of relationship you each would like to build with each other.As to your specific question as to why she did what she did, she is the only person who has the answer.Start with finding out if she wants to improve the relationship altogether.   Then you can use her lack of support with the ex, as an example of how meaningful her support of you is to you.

relationship-dissolution

I've developed a really intense and unexpected attraction to An actress after seeing her in a ballet uniform while guest starring on a television show. I try, but I can't get her out of my mind. What should I do?

Why not make good use of your unexpected attraction to study the features you consider attractive in someone.Attraction based on physicality is normal.  As long as you have no negative thoughts of doing harm to the person or yourself which are connected to the attraction you feel, and so long as your attraction isn't stopping you from doing your daily life responsibilities such as work, to take care of your daily needs and any responsibilities you have for other people, then eventually it will lose its power on you.

behavioral-change

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?

One way is to bring one's concerns or desires to the therapist directly, rather than trying to subtly 'train' them. Here's why I say that: One quite important healing factor in a psychotherapy is discovering that problems in the therapy and the therapeutic relationship can be solved together. It is a safety zone or bridge for practicing that. If it can be done with a trained, usually safe person (the therapist), the client might think, wow--what are the implications for my outside life and relations? Could I get what I want outside of therapy, too, even if it feels not as safe?If the therapist can deal with feedback (and any good therapist should be able to), this can be very productive. Cooperation in this way, in the moment, with a live person who is supposed to have authority and knowledge in these matters, can be profoundly healing.If the therapist can't take feedback or doesn't want to--or does nothing to act on it--maybe we could say the client has the wrong therapist.

counseling-fundamentals

I'm always listening to my husband, but it feels like he never listens to me. How do I get my husband to listen to me instead of me listening to him all the time?

Thanks for your question.  Communication is essential between couples and often times gets neglected in relationships.  Working with your husband to help him become a better listener and consequently, a better communicator is going to take some work from your part.  You have to calmly be able to express to him your concern and how it affects you.  Very important is that you do it in a loving and non-threatening way.  Therefore, the time to have this discussion is not when you are frustrated or need to vent to someone about something important.  Focus the discussion on how both of you could benefit from having more meaningful conversations where both parties are being heard and how it is important to you that he hears you just like it is crucial for him to be heard.  There is a lot of useful information online about how to be a good listener or therapist in your area that can help you.  Be patient and genuine, and he will come around.  Best of Luck, Mirella~

marriage

She has lied about every aspect of her life. She's created three fake relationships. The most recent one is concerning because she has fake photos, phone calls, and text messages, and it’s with a married man with kids. Her lying is becoming dangerous because she could ruin lives.

Is being friends with this person safe for you?Liars don't generally distinguish who they bring down with them or in service to themselves.Step one is to understand a true friendship, which is based on trust, is probably not possible with this person.If you'd like to offer words of advice to protect her from herself then try gently pointing out that some of her actions which you know about, may come around to harm her.There is only a small chance she will be open to hearing you.People who lie are also very fearful of trusting others, including themselves.  She may prefer to keep status quo than open her own emotional pain to understand what created the need to lie in the first place.

intimacy

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?

You have several things going on here. The sleep should be addressed with a primary care physician to rule out any physical issues. Sleep is the big reset and allows us to function in the day. What happens during a depression is that our thoughts race and it is as though our “brain won’t shut off.” Medication can help with this. I also use a Pranayama yoga breathing technique called the four fold breath which has great usefulness for relaxing us  and often does work quite well with allowing us to sleep.. You can read about it here:    https://billleavitttherapy.com/breathing-techniques-the-four-fold-breath/Your thoughts on feeling worthless to everyone fall under a heading of thinking error in Cognitive Behavioral Therapy (CBT) known as overgeneralization. In CBT thoughts lead to emotions, so we are going to pick the statement apart and then reframe it. First list the evidence that contradicts the thought. Has anyone in the past made positive comments toward you? This might be hard to recall if we are in a rut, but at some point in life we frequently have had some positives expressed towards us by others.  “Everyone” is an absolute. The specifics on why you are thinking this need to be addressed. How are you arriving at this conclusion? There may be specific people that we want more validation from. Or specific people might have made offhand hurtful comments, (such as a family member, teacher or co-worker) but if I extrapolate that to a global and think that everyone thinks I am worthless, that thought is not rooted in facts.  What are the Pros and Cons of thinking this way? What are the Benefits and Costs? There are very little pros or benefits to thinking this way. It’s just going to continue to tear you down and make you feel bad. So can we reframe the thought about the situation? Is there another way of looking at the situation? Again, we need the specifics on how you are arriving at this conclusion, and a one on one therapist can definitely help you with this, but the thinking that you are using to arrive at the conclusion needs to be re-cast into a more helpful mindset.

depression

I am constantly having problems with the same two people who will always be in my life. I had a daughter with my ex-boyfriend. I am now married, and my husband’s ex-girlfriend is involved with my ex-boyfriend. They also have a daughter together. My issue is that there is always drama. I am pregnant, and I told my ex-boyfriend that I don't want any drama or arguments. I want to get along as much as possible, and he agreed. However, we just had an incident where my ex-boyfriend started discussing drop-off details about my stepdaughter. I told him that he needed to ask my husband because I can't make decisions about my stepdaughter regarding the matter. That led to an argument. I told him all my concern is when I pick up my daughter. My stepdaughter’s pick-up details are between my husband and his ex-girlfriend. I especially told him I didn't want to be involved. Somehow, he turned it around and then wanted to change the schedule we agreed on. He threatened me and got ugly because I wouldn’t discuss my stepdaughter’s matters with him. The point is there is so much drama. I try my best to get along with everyone. I don't understand where I went wrong (besides replying back to his question). I feel like I'm going crazy because this is a constant battle where everyone’s frustrations are taken out on each other, and it's the children that are hurting. I had a party planned for my daughter’s birthday, and my ex-boyfriend told me to cancel those plans because he wouldn’t let me have her. In my eyes, it’s the child that is hurting. I was throwing a party for her birthday, and because of the problem with stupid pick-up details about my stepdaughter, which I have no control over, he took it out on our daughter.

Hi. I appreciate your mature instincts and strong efforts to draw clear boundaries in this very complex situation. I agree that it sounds like the adult drama is unnecessary and potentially will affect the children. Children need adults around them to act maturely, cooperatively and peacefully even when they don't like each other; it helps them feel secure and lets them focus on learning and growing. Your ex-boyfriend seems more focused on his own needs. In fact, he demonstrates behaviours that are aggressive, controlling and manipulative, bordering on 'parental alienation'. I agree this is a problem.I also appreciate how protective you are of yourself at this vulnerable time with the pregnancy. It's not unusual for pregnancy to trigger a need to conserve energy and reduce stress. Honour this instinct you have. I will suggest a few things to you. First, to gather support around you, professionally if you need it, from family and friends, and certainly from your husband. If you two are on the same page regarding the children issues and your ex, that will help. He can help run interference when it comes to his daughter. It will help you feel supported.Know that your ex's behaviours aren't happening because you did anything wrong; it's the way he operates (and maybe this is why you're not with him?). You can't change him, but you can stop blaming yourself for his immaturity and aggression. You're correct that he will always be there, and you can both accept this fact and also find ways to manage the situation.Keep on defining clear boundaries! You might sound like a broken record ("You'll have to talk to my husband about that"), but that's okay. It's okay to ignore his efforts to pull you into an argument or power struggle. It's okay to not respond to texts or other communications that aren't vitally important. It's okay to not let him into your house if it makes you uncomfortable. It's okay to not engage with him more than is necessary.Regarding his manipulative behaviours that reflect a tendency to keep your daughter from you, I recommend you document these behaviours and incidents carefully and fully. Let him know what your expectations are, simply and clearly and in writing ("our agreement states X, and you are not following our agreement"). Your daughter doesn't have to be aware; I think you already understand that she needs to be protected from the adult conflict.A professional therapist can help you with all of this. I hope this helps get you started towards greater peace, at least within yourself. :)

family-conflict

My last relationships have ended horribly. They just up and abandoned me. One of them I have never gotten closure with over it, leaving me emotionally wrecked. I know something's wrong with me but I don't know how to even start trying to better myself. I get into these depressed like states whenever anyone I care about is too busy to be with me. I know that I shouldn't act like that because people are genuinely busy, but I feel like they're doing it just because they don't want to be around me.

Frequently when working with clients, I utilize the A-B-C model developed by Albert Ellis, the founder of Rational Emotive Behavior Theory. The theory basically states that you can not control an event but you can control your reaction to the emotions associated with said event. For instance here is an example:A (Action or Event): You need to talk to someone and that person is not calling you back.B (Behavior or Response): You begin to tell yourself that this person is too busy for me or I am not important to this person.C (Consequence): You feel depressed.If you look at the model, B has a direct effect on C. The thought is if you change your reaction to A, then C will have a better consequence, such as:A: stays the same.B (this is what you change): This person must be busy, they will call me back when they get a chance or I can call someone else to lean on for support until this person is available.C: Decreased feelings of depression & overall functioning improves.This is just an example but if you actively work to replace the negative thought patterns that effect your behavior, studies show that your overall outlook and mood will improve. If this model resonates with you, I recommend "Feeling better, getting better, staying better" by Alber Ellis. In addition, looking for support groups in your area are a great source of support when you are feeling abandoned or alone.

depression

I love my girlfriend so much. I get an erection even just thinking about her or seeing her. But the two times we tried to have sex I couldn't get an erection. We've only had sex once and it was a long time ago. Why this is happening and what can I do about it?

Sexual desire seems to be straightforward - I like someone and I become aroused at the thoughts of being intimate with them - but that idea does not always take into account other factors. Stress can have a huge effect on our body and how it performs.  When we are overstressed, for example, we often find ourselves ill at the same time.  Can you think of any part of your world that may be causing you some additional stress? Additionally, focusing on your erection may also be increasing the level of stress you feel about being intimate, which could also effect your ability to get and maintain an erection.  While this may seem counter intuitive, it makes sense in the word of stress!Finally, it's never a bad idea to follow up with your doctor, as well. You did not mention your age or sexual history outside of this relationship, but it is always a good idea to check in with medical staff to make sure there is nothing physically responsible for changes in our body, as well.

intimacy

He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

When you are at your lowest, you have an opportunity to learn not just about the people around you and who you can depend on, but also, so much about yourself and why you have come to the place that you have. Take this time to do some introspection and learn yourself. It will give you the power to recover from whatever it is that has broken you. We'd love to talk with you. Please contact us sometime.

depression

How does a person start the counseling process?

Phone or email a counselor whose profile you've read and which feels right for you.Ask to get a feel as to the way the person would handle your problem and work with you.In my practice I offer a phone consult which generally continues for twenty minutes.I feel it is only fair that a prospective patient has a feel for the service they are about to purchase before they can be expected to pay money for a service which may not be to their liking at all.

counseling-fundamentals

I've been married for 3 years and I have two kids. During my 3-years married, my husband cheated on me twice. The second time really got to me and at my lowest I hurt him back. We aren't communicating as well as I would like. What do I do?

Hi there. Thank you reaching out for help. It takes a lot of courage for someone that is being abused to reach out for help. I want you to know that I am here to help you in any way that I can. First and foremost, you did not mention whether or not you had children yourself by this man. I’m going to assume there are. So, the most important thing right at this moment is asking yourself, if you and your children are safe? Is the boyfriend currently living in the home or is he coming and going? If he is coming and going or currently living in the home, my suggestion for you to is to pack a bag for you and your children and go somewhere safe (i.e. family members home, friend or a shelter temporarily). I cannot stress this enough. Although, some people tend to minimize their abusers behavior (i.e. they only do it when they are drinking, they only do it when they are mad), it’s those individuals that find themselves or their children in a serious situation. So, you can never take abuse (physical or mental) lightly because you never know what is going through that persons mind at that particular time. It’s always better to be safe than sorry. Secondly, it will not be safe, helpful or productive to attempt to talk to the abuser about your relationship. Abusers often times try and manipulate you into staying by apologizing or attempting to justify their behaviors. This is the time you would want to go see a magistrate in order to get a protective order for you and your children.It’s unfortunate that your significant other was involved with another women causing pregnancy; however, that is no longer your concern. Your concern at this point is keeping yourself and your children safe. I would also suggest counseling for you and your children in order to work through these issues. I hope this was helpful and please stay safe and take care of yourself.

depression

She has lied about every aspect of her life. She's created three fake relationships. The most recent one is concerning because she has fake photos, phone calls, and text messages, and it’s with a married man with kids. Her lying is becoming dangerous because she could ruin lives.

To be honest, I think more information would be really important here because what you are asking could have a lot of different meanings. Consider making an appointment with a local therapist to discuss what you are going through.

intimacy

I have a problem with binge eating, especially during times of stress. I binge eat and feel so overwhelmed with shame and disappointment that I end up going to the gym and trying to exercise the calories off. I am in my late 20s, and I have been dealing with this since I was a teenager. Are there any coping mechanisms I can use to break this cycle?

I believe that for results that last, the best approach is to understand why someone feels like doing a certain behavior."Coping mechanisms" are superficial instruction that people usually give up on when feeling extreme pressure from the problem behaviors.Take the slower road of understanding why you would deprive yourself of enjoying food.Also, if you consider the binging as a mistake of some kind, reflect on why doing something less than ideal, deserves harsh criticism and not tolerance and acceptance that people mess up occasionally.I'm glad you know that there are better ways of treating yourself.  This is a valuable awareness of realizing you deserve patience and respect, not humiliation and severe criticism when you are lost as to best ways of self-care.

eating-disorders

I been having anger problems a lot lately. It only takes one word wrongly said to set me off. I use to not be like this until I got with my soon-to-be husband. I think his mood and rage/anger problems have rubbed off on me a lot. I don't get nearly as bad as he does, but I yell almost constantly and I can't seem to just stop. I have two young babies that have to hear this, and I don't want my girls growing up with a mommy like I have been lately. I just don't know how to get back to my old self.

With me knowing that a healthy relationship usually includes respect, trust, appreciation, companionship, spiritual solidarity, domestic support, feeling of being cherished, and  sensuous affection, I am wondering if you are lacking in several if not all of these needs in your present relationship.  Before he becomes your husband, you should examine these areas and see if they are high in rating.  Otherwise, yes this relationship will affect your girls and you negatively.  I would suggest relationship counseling, specifically pre-marital.  Not be surprised if through the process you realize that this relationship is not the best choice for you and your children.

anger-management

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!!!

relationship-dissolution

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?

I'd wonder first if you were still in the same home and neighborhood where you raised your son and experienced the abuse? In many ways, we react to our environments - and if you're still surrounded by neighbors who didn't reach out when they heard your ex yelling or offer assistance and resources when your son acted differently than his peers, it might make sense that you're more timid around folks. It might also be worth thinking about where your bar is set: do you want to be as comfortable around people as you were before your recent circumstances? Or find your new normal, and connect only with people who raise you up and bolster your self-esteem? You have the right to be both cautious (if you're still surrounded by the same folks and environment) and discerning - only connecting with people who will be supportive. All the best~

anxiety

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?

You may be interested in reading my most recent post, Intimacy Begins With You. In it I offer 7 expert tips to help you get started on a path of self connection and discovery. This is important stuff to do in order to work through that stuff that's holding you back from the relationships you desire. You may find that it's especially helpful to do this work with the alliance of a skilled individual therapist.

relationship-dissolution

We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?

You're wise to be aware of possible changes to your relationship once your bf is away from you for extended time periods.All you both can do is state your intentions and wishes, keep in contact as much as possible, and wait to see how your relationship unfolds.To a large degree, each of you is relying on faith that if the relationship is meant to last for a while, then it will.   The military may add stress.This doesn't necessarily mean the stress will dissolve the relationship.Sometimes all anyone is able to do, is try.

relationships

This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers.

Hello, and thank you for your question. I know that workplaces have some latitude when it comes to requiring certain behaviors from their employees. For example, they may require you to tell them if you get into some kind of legal trouble. But this situation seems completely different. For one thing, 12 step meetings are supposed to be anonymous. I am not sure how they would know that you attended unless you or someone else told them. I agree that it seems like to cross a line. Usually each state has an office that manages complaints related to employment, such as the Department of Labor or EEOC. You may want to see which entity is in your state and contact them. It would be worth asking them to see if this is a legal practice. If it is but you still want/need to stay at this job, then you may want to look for alternate sources of support for your sobriety. There are active online support groups that would allow you to do things from the privacy of your home. SMART Recovery http://www.smartrecovery.org/ is a website that many people like. There are also online groups that specifically discuss the 12 steps. No matter what, I give you a lot of credit for doing your best to keep your sobriety and continuing to see the value in having support. Robin J. Landwehr, DBH, LPCC, NCC

addiction

I have family issues, and my dad was both violent and a cheater.

I can imagine how incredibly difficult this must be for you. Having past traumatic experiences creap up on you without warning can be very scary and stressful. You may be suffering from symptoms related to post-traumatic stress disorder. Getting evaluated by a professional would be a good step to take next. By seeking treatment and having a therapist who you trust and can connect with, you will gain the ability to think about your experiences without it significantly interfering with your daily functioning. A therapist can also help you to develop new coping stragies to be used during recall of these experiences and help you to adopt healthy thought patterns. I would also recommend that you seek support from loved ones. Sometimes just talking about your experiences and associated feelings will alleviate some of the emotional troubles you are suffering from. Lastly, you may find meditation or mindfulness work to be of great benefit. Having the ability to live in the present moment should reduce the effects of your traumatic experiences interfering with recalling your past or looking forward to your future. I wish you all the best!

trauma

I think adult life is making him depressed and we often sleep in on weekends untill 1 or 2 pm. We just eat, smoke weed, watch movies, and he'll go on his phone all day. He doesn't seem motivated to do much and he's often angry. I have no clue how to help him take his mind off the negative, or to distract him into a different light. How do I help him?

How do you help yourself to believe you require more than what he offers to you?What do you get from this relationship which feels satisfying?To answer this question may in the longterm be the best way to help your bf.

depression

I feel really uncomfortable when I have people's attention. It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety?

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

anxiety

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?

Hello,It is completely understandable that you would not want people to know about your depression. I would first like commend you for realizing that you need to help with your depression by reaching out here. That is a great start, and you've taken the very first courageous step. Depression can feel debilitating and overwhelming. Depression is also a very personal thing and no one has know but you and the therapist. The best way to begin learningand dealing is to pick up the phone and call a therapist or email a therapist and schedule a session. The great news is that with professional help you can feel better and you will learn how deal with and manage the depression. There are many ways to help with depression that a therapist can teach you and help guide. You do not have do this alone. Asking for help and going to therapy is a strength! This can be done in a private and confidential setting.Depression should be treated by a therapist, in a safe, confidential office setting. The therapist can then discuss your depression with you in more detail to figure out the underlying cause, how long you've been feeling this way and identify what brings on these feelings. There is hope and depression can be treated with great success, you CAN feel good again. Depression can be managed appropriately by seeing a licensed therapist. Often times therapy will offer relief because you would have someone there simply to listen to you, validate your feelings and listen to your story. The therapist will be able to offer professional insight and perspective on the situation and help you think outside the box. The therapist can do many things with you, provide insight and offer many ideas to help you learn new coping skills and ideas of things you enjoy, encouraging you to re engage in hobbies you once enjoyed or even discover new things you may enjoy. There are creative ways to learn to cope too!Your therapist will also be there to support you, without judgement, at your pace, through the entire process. But the first step is finding a therapist and beginning to identify the cause your depression. Healing is possible and getting your happiness back is also possible.Feel free contact me for additional help or informationLaura Cassity, LMSW, LMAC

depression

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.

substance-abuse

My life is completely normal, yet I feel empty inside. I feel as if I already know why I'm alive: to reproduce and die.

Are there any times or moments in which you feel other than "empty"?  Start with knowing the context of when you feel something other than empty.If there is no recent example, then in your mind, go back in time to think of when you felt something other than empty.  Recall what you liked about this time, whether you were by yourself or with others, what type of activity you were involved at the time of non-emptiness.How did you come to your conclusion that your life purpose is to reproduce and die?  If this is what your parents, siblings and extended family believe, it is possible that you have a broader view of yourself and haven't yet uncovered a way of defining your own philosophy of living.Give yourself the time to browse around online, or in person social meet ups, on your interests.  It is possible you will discover entire new areas of life and ways of considering life, that are brand new to you and which connect to your true self.This is one way of respecting your individuality, which of itself, may decrease your sense of emptiness.

depression

I suffer from adult ADHD, anxiety disorder, and depression. It has been difficult to find a doctor in my area and my primary physician won't help. I am unemployed and overwhelmed. What would you suggest I do?

Look up online what the local hospital offers to people.  Also, google some of the key words you just wrote here, like depression and counseling, low-cost counseling.Did your primary physician tell you their reason to not help you?  If not, then ask the person to tell you their reasoning.  Even if the specific doctor won't help you, by understanding their reason, you may be able to work with the answer you hear.

depression

After first meeting the client, what is the process that a counselor facilitates?

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

counseling-fundamentals

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.

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.

behavioral-change

My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.

It is challenging to maintain motivation at all times, anxiety and depression can set in which can make interacting with others a  struggle, it can lead us to do things that make us not feel good and we become isolated.  This ends up feeding into a cycle that maintains the anxiety/depression loop  and can be really challenging to step out of it.  You are in a place of awareness and this is the first step in making changes that can help you feel better.  It is really one step at a time, a concrete plan, with self-compassion to build the solid ground you need to come out of this. http://www.empoweryou2.com

depression

How does a person start the counseling process?

Great question. Too often people search for the help they need via a phone book or a basic internet search. When looking for a new person to add to your team, whether it be a Counselor, Plumber, or Mechanic, it is important to know as much as you reasonably can about the person. I generally take the following steps: 1.) Know what is important to me in finding help. 2.) Ask for referrals from my trusted friends, family, and colleagues. 3.) Search for online reputation (Better Business Bureau, Yelp, etc). The absence of an online reputation is not necessarily a bar to consideration. However, a predominantly negative review may warrant further research. 4.) Finally call the Counselor and ask a few questions. Let the Counselor know what you are looking for. Trust your gut. For example, if you feel rushed or do not receive thorough answer, move on to the next. Taking the time to defining and conveying your requirements about what you are looking for in counseling can save you a lot of work down the road.

counseling-fundamentals

I get so much anxiety, and I don’t know why. I feel like I can’t do anything by myself because I’m scared of the outcomes.

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

anxiety

I would like to be able to have more positive relationships in the present.

Hi Chapel Hill, I like your goal; research is telling us more and more that one of the most important keys to happiness is having healthy relationships. If we feel successful in that area, it can give us the confidence and hope to tackle anything life throws at us.There are personal barriers we all have to having healthy relationships; it's our "stuff", our "baggage" (not a steam trunk, right...you have a cute little Gucci bag!). You hint that people may have hurt you in the past. Maybe fear says "stay away...hold onto resentment or you will be hurt again!". Resentment, or simply focusing on the past is certainly a barrier to improving any relationship. Learning to forgive ourselves and others is so important. And remember...forgiveness isn't about saying something was okay; it only means "It happened, I can't change that, and I don't want to carry it (anger, hurt, resentment) around anymore, so I let it go." Or...sometimes fear tells us that people won't accept us; this keeps us isolated for sure! But really, all fear wants is power over us. Fear is a trickster! It tells us that if we let go of the past, we will be rejected or hurt. It says "I'm trying to protect you!", but what it REALLY wants is to paralyze and isolate us all so it can feel powerful. Once you pull the sheeps clothing off of fear, you can see that it doesn't help you at all!Once you see where your personal barriers are, and you start to refute those thoughts in your mind, you can begin to build new ideas about yourself and other people that are based on compassion instead of fear... Everyone deserves forgiveness and compassion.No one deserves to be judged by their worst moments.If I look in the rearview mirror, I can't move forward.We are all beautifully imperfect.I can't change the past, but I have the power to make the future good.I wish you the best on your journey!

social-relationships

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?

If you have a good relationship with your child then you have already accepted and been accepted as this child's parent and you have a commitment and an obligation to play that role.  If you suddenly absent yourself from this child's life then you may be doing real damage. Working out an arrangement with the child's mother for regular visits the child can count on and committed to by both parents will serve the best interest of the child, which I assume is what both parents are truly concerned with.  The visits don't have to be every day, once a week, even once a month, is better than hit and miss with long absences in between.  Best of luck to you, and the fact that you asked the question says volumes about your parenting potential.  Feel free to follow up with me, on line or in person.

parenting

It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?

A mediated safe talk session between. You and your sister.Then, you and your husband have a mediated safe talk.  So both hear what you feel in the respective relationships. Possibly the last step is a mediated  safe talk with sister, husband and youcoversation, in the future.

family-conflict

Sometimes, I'm fine and can go out or meet people, but other days, my heart races and words physically cannot come out of my mouth. I've always thought it was normal and I was just nervous, but the other day, it took me almost 30 minutes of sitting in my car to find the courage to enter Target by myself.

Feelings of anxiety can be scary and sometimes we're not aware of the triggers that lead up to moments of anxiety, i. e., heart racing, sweaty palms, sweating, shortness of breath. It's important to realize that in moments of anxiety our body & mind are experiencing a reaction from our primal or reptilian brain that is signaling the flight or fight response within us, which kicks the hypothalamus into action flooding our body with chemicals, like adrenaline or cortisol.  So, one way to work with anxiety is to find out what the triggers are that lead to anxiety, such as fear, stress. negative thought patterns, not enough food or sleep. Keeping a daily journal can help you track the patterns and triggers and once you identify the triggers you can ameliorate them by learning new skills & techniques and by reducing stress and getting enough sleep. One quick way to reduce anxiety is by taking deeper breathes, sometimes this is called belly breathing. When you breath in make sure your belly rises and expands and as you breath out the belly deflates. Many of us do shallow breathing up in our chest which does not allow for a full breath, and getting a full breath is so important as a tool to help relax us in times of stress & anxiety .

anxiety

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?

Keep doing the crossdressing since you like it.Your problem sounds more a matter of timing and reason to tell the girl about it.Not keeping a secret is a good attitude regarding meaningful parts of your life.  Usually our relationship partner is someone whom we trust as a safe person to know all about us.Once you feel at ease with your potential partner then bring up your crossdressing.  Based on their handling of this intimate part of your life, you will know more as to whether or not you feel more or less drawn to them.Secrets held within a relationship usually get worse with time.   The person who feels unsafe in truly being and stating themselves eventually will end up feeling ashamed of parts of them which prior to the relationship, felt good or at least not worrisome.

intimacy

My ex-boyfriend and I met over a year ago. We hit it off and fell in love pretty quick. However, he has trust issues and assumed I was cheating. When I found out I was pregnant, we had just broken up. Five months later, I lost the baby, and we did not speak for a few weeks. Now we are talking, and he says he loves me but is afraid I will hurt him "again." I just want to know where to go with this because I love him so much, and I want to get back to us being happy and a family.

Trust is essential in romantic relationships and it is common to have trust issues - because the stakes are so high. If both of you are committed and willing to be fully honest with each other, trust can be repaired and become stronger than ever. I would encourage you to seek out professional help as it easy to get derailed by fear when trying to work things out in the absence of trust. When fear takes over - we tend to become defensive and act in ways that makes it harder to trust one another. In addition to getting professional support I would encourage you to learn more about building trust in relationships and deepening connection through accessing various online resources on relationships.

relationships

Me and my adult daughter just do not get along. She's very belittling to me when I don't agree with her. It's almost like she scolds me. We get into all out war. She's said I don't support her in what she does and that I've never loved her. She calls me horrible names, and she pushes my buttons to the point I call her names.

As frustrating and probably hurtful as your daughter's comments sound, there's also a message in them about how she genuinely feels.To some degree, your daughter and you may both feel similarly misunderstood by the other.Developing ways of listening and talking to one another to better understand how you each feel, would probably help a lot.One major point to be aware, is that the mother/daughter relationship dynamic, because it is strong, may slow the new dynamic of relating as two adults.Watch for your own tendency to expect your daughter to consider you as a parenting authority, instead of considering her as a grown person.The same is true of your daughter.  She may need to remind herself to talk to you as the adult she is.Her needs from you are real, they just need to be spoken to you in an adult way.

parenting

Is this something I should be worried about? Should I do something about it?

It can be tricky to figure out if a child is truly satisfied with his lack of friendships. Parents can usually tell when their child is happy. But kids who are unhappy may be masking disappointment, perhaps acting out their feelings in an aggressive manner. Others may internalize symptoms, appearing sad or withdrawn. A parent may learn a great deal by asking the teachers questions such as whether the child works with others on group projects or if he eats lunch alone. A parent can also talk with the recess supervisor about what happens on the playground, and whether your child stays on the sidelines of play, unsure of how to join the group. Therespectfully is a difference between kids who are shy but happy and kids who feel isolated because they do not know how to make friends. Itis not necessarily that there is something wrong with that child, but they will in fact need help and suggestions for breaking into a peer group Ask a child if there is someone he would like to have over to play. If a mom or dad can make the play dates happen, or if they hit on an activity the child truly enjoys, the young person may begin to forge friendships on their own. I encourage well-meaning parents to choose words carefully. Use phrases like, "Hey, I noticed something," or "Let me help you be successful." By showing respect, parents should feel more comfortable nudging their children beyond their comfort zone.When to seek professional help. When does isolation raise a red flag for long-term issues? True personality disorders are not typically diagnosed until adulthood. Still, professional counseling should be considered if the anti-social behavior is causing the child significant distress, perhaps keeping him from functioning in everyday activities. Also, parents should pay attention to how the child's social behavior changes over time such as social anxiety. The vast majority of children who define "quality time" as time alone are perfectly happy, healthy and normal. If the child is able to nurture at least one friendship, exhibiting what experts call "social reciprocity," then parents can relax, and can cherish that child who enjoys the pleasure of his or her own company.

parenting

I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single.

Let yourself enjoy crossdressing!What sounds in your way are whatever beliefs you gre up hearing, see and absorb currently.Concentrate on your own satisfaction and that you are doing this in a non-harming way.Maybe if you branch out your interest by finding other people who enjoy crossdressing as much as you do.With any interest or activity, social interaction supports it.

lgbtq

I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?

What you are describing is something I often refer to as "living with your roommate" phenomenon. This is the idea that you feel like you are living with a roommate and no your partner or spouse . It is not uncommon for members of a couple to report to feel both physical and/or emotional distance. When we don't feel connected within relationships, this can be isolating and lonely. The emotional distance often makes us wonder: am I important to the other? These types of feelings need to be better understood in the context of your own background and upbringing I.e., who you are and also better understood in the context of your couple. Feeling reconnected can occur-- but there is not a "one size fits all" solutoon. As a first step, do you or your partner have any ideas of how to feel reconnected? Have you considering talking to your partner about the emotional void? Or how about discussing  solutions , together, that might help-- from individual therapy to couple therapy to a weekly date night to inquiring about one another's personal interest to starting off the conversation of what both of you want and can do to re-establish feelings of connectiveness. If this is too frightening I.e., to address the lack of connection between you and your spouse.  a fist meeting with a couple therapist can likely help unpack what the possible solutions for your couple.

intimacy

I don't understand why this is happening. Why do I feel this way?

The first step to answer your question is to reflect on what is going on in your life overall.  If you're in the midst of severe stress, whether within your relationship or effort to establish a relationship, upheaval in family dynamics, some type of significant loss like a job or someone with whom you feel closely attached, then you may simply be creating the solitude which is necessary to better understand and absorb the meaning of these changes.I assume you mean you are by yourself when you are indoors.What you write sounds like you're not happy with this recent urge rather than that you and someone or others are having great and fun times together.One way to encourage yourself to go back outdoors is to connect w a friend or search for an interest within you to develop.This way with either of these, you'd feel a little bit of motivation to join and get more involved with either of these.

anxiety

I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Your fear may have deeper roots within your sense of who you are, than you realize.   Fears are sometimes irrational so that logic doesn't get rid of them.Think about whether you felt secure and confident as a child.  Also, did any major bad events happen to you with other people or situations when you were growing up?Often these overwhelming situations of childhood stay with us as fears of situations in our adult lives.  If the root of the problem w the fear is from long ago, then probably a therapist who can ask you questions which help you remember upsetting childhood circumstances, may help you to dissolve the current fear.Another possibility is CBT, cognitive behavior therapy which teaches people short term mantras to do something which is safe, say being a passenger in a commercial airplane, which feels frightening to a person.CBT is short term and results are limited to specific fears.  It is a much quicker approach than self-understanding.

anxiety

I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.

What are the best ways to reduce anxiety?I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.Our everyday life is filled with pressures and deadlines that are common to cause anxiety.   Here are some basic tips to handle those stressors.·         Learn thought stopping techniques: There are multiple ways to teach your brain to refocus.  If you allow your brain to focus on the source of anxiety, the anxiety will be in charge.  But you can learn to put those anxiety-provoking thoughts on a parking lot, and focus on pleasurable thoughts, or the activity that you need to complete on the time being.·         Plan, organize, delegate:  Create a schedule to manage demands, organize priorities, and delegate or share responsibilities.   Work as a team with your family, so you can share the load.   Prioritize actives, shores, and expenses. Focus on the urgent, necessary, and spread apart the not so urgent.·         Identify triggers:  Once you understand what causes your anxiety, you can learn to channel process and refocus your thoughts.  You can also learn coping strategies to manage the problem or give up the desire to control it if needed.·         Learn coping skills:  Having a balanced lifestyle helps tremendously to reduce and manage anxiety symptoms.  Looking at your eating, sleeping, physical activities, spirituality and leisure time is key to find that balance.If you find yourself struggling with anxiety, you can contact a Counselor or mental health provider.  I provide teletherapy for Texas residents and psychotherapy in Puerto Rico, you can reach me at 787-466-5478 for appointments.¿Cuáles son las mejores maneras de reducir la ansiedad?Tengo ansiedad por preocupaciones diarias, como las finanzas, relaciones, niños y mantener mi casa.Nuestra vida está llena de retos y presiones que comúnmente nos causan ansiedad.  Aquí unos consejos básicos para manejar esas preocupaciones.·         Aprende como detener tus pensamientos: Hay múltiples maneras de enseñarle a tu cerebro a reenfocarse.  Si permites que tu cerebro se enfoque en la fuente de ansiedad, entonces la ansiedad se apoderará de ti.  Pero puedes aprender a poner a un lado esos pensamientos que causan ansiedad, y enfocarte en pensamientos positivos, placenteros o simplemente enfocarte en la actividad que estás haciendo. ·         Planifica, organiza, delega: Crea una agenda para manejar las demandas diarias, organizar prioridades y delegar o compartir responsabilidades.   Trabaja en equipo con tu familia, de manera que puedas compartir la carga.  Organiza las actividades, gastos y tareas por prioridad.  Enfócate en lo urgente y necesario y distribuye lo que no es tan vital. ·         Identifica la fuente:  Ya que comprendes donde o qué inicia la ansiedad, puedes aprender a canalizarla, procesarla o reenfocar tus pensamientos. También puedes aprender a manejar la fuente de ansiedad, resolver el problema, o aceptar que no lo puedes controlar, si ese fuera el caso. ·         Aprende mecanismos de defensa: Tener un estilo de vida balanceado ayuda tremendamente a manejar síntomas de ansiedad.  Observar tus patrones de alimentación, descanso, ejercicio, espiritualidad y tiempo de ocio es clave para encontrar el balance. Si notas que continuas batallando con la ansiedad puedes contactar a un consejero profesional de salud mental.   Proveo teleterapia a residentes de Texas y Consejería en Puerto Rico, me puedes contactar al 787-466-5478 para hacer una cita.

anxiety

My boyfriend lost his dad to suicide. He says that because his dad died, so did his heart. He says that he can't be there for me or love me anymore and wants nothing to do with me ever again. Why is he doing this when we were very happy together? He says that I have done nothing wrong but he just can't be with me.

I am sorry to learn of this.  You must be extremely frustrated and heartbroken.  To begin, he is correct.  You have done nothing wrong.  This is entirely a coping mechanism in overdrive.  It is fear.  It is anger.  It is extreme sadness.  It is feelings of abandonment.  It is intense emotional pain.  It is his way of protecting himself from potential unexpected additional loss.I am not familiar with how old this post is, but often, it will require time and understanding.  If he speaks with you, encourage him to get grief counseling.  Do not encourage it for your relationship, encourage it for his betterment coping with losing his dad.  Start there.  Good Luck.

intimacy

He owns his own business. Sometimes, he stays out all night but doesn't tell me. We have a son together, and I get to stay home with him. He says I complain too much about what he's doing. We've been together a year and a half. I got pregnant after being together for a month. We moved in together when I had my son in July. Everything was great, and then he started the staying out. He then started not spending time with either of us. I just don't know if I'm doing something wrong. We've talked and he says this is just how he is, but he wasn't like this before.

Congrats on the birth of your son!Your situation sounds painful, lonely, and isolating.And, these features are eating away at your self-confidence.Start by believing in yourself.  The feelings and ideas you describe here would only be arising from within you because they are at the very least, partly true.Ask your boyfriend if he is willing to listen and understand your point of view.  If he does, then hopefully the two of you will more easily talk with one another about the truth of feeling overwhelmed by the quick pace of your courtship and becoming a family.If these discussions continuously include him blaming you for having your own feelings and expecting him to more actively be a part of your and your son's life, then you'll need to start valuing your feelings and what is best for you and your son, by yourself.I send you lots of good luck!

intimacy

Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?

There are some great thoughts offered by others here. I would just add that typically the most natural response to fearful thoughts is to want to stop, avoid, or get rid of them - which doesn't work if you're really caught up in a cycle of OCD or other form of anxiety. In the long run, the more effective thing to do is the harder and less intuitive option: to have those uncomfortable thoughts on purpose. This may mean writing out in detail what the worst case fear you are thinking of is, and then reading it over and over again until it becomes boring. It may also mean pausing through the course of the day to merely observe all the thoughts going on, and realizing that thoughts are merely thoughts. They are not the same as reality, and the unpleasant ones can become a lot less scary when we realize we can coexist with them without them coming true.

behavioral-change

I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.

Thanks for your question. I'm glad you realize that you need extra support and are being proactive. Simply explain to your doctor the feelings you have been experiencing and how you feel that speaking with a mental health therapist would be beneficial. However, keep in mind that you do not have to go into detail about your personal feelings. You can simply state that you are feeling down, overwhelmed, stressed, or whatever it may be. I'm sure your doctor will be glad to direct you from there. Best of luck you you! I hope that you will be feeling better soon!

professional-ethics

These "jokes" are made about everything. They seem to have the need to say something "funny" about everything. It's not funny, just awkward.

I agree, it is awkward when people make jokes about subjects which may not be funny at all.  And, if a person only jokes, then after laughing and realizing the person has nothing of themselves to offer, this can also be quite tedious.Realize that you are more aware of human interaction having many levels of expression.  You could start avoiding people who irritate you by the way they behave.

social-relationships

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?

If we were in my office together, I would offer that most likely you are feeling somewhat depressed. It's most important for me to impress that you "don't have to live like this..."  Other helpful information: Have you experienced similar symptoms before?  Anyone in  your family been depressed before?  Based on other physiological signs, like quality of sleep, appetite, energy/motivation, I would present you with some treatment options, one of which would be to consult with a medication management provider to assess your symptoms and provide additional information for you to consider.

depression

My husband and I are separated and he doesn't even want to talk to me. He says he doesn't love me anymore, but I would do anything to get him back. Is there any hope?

I believe there's always hope. I also believe that you are worthy of respect and love. I'm curious if you felt loved, cherished, and respected by your husband during your time together. Feeling willing to go to any extreme to save the marriage is common, but having to do things that go against your values sets you up to develop a lot of resentment. It sounds like you did not want to be separated from your husband, but now that it's happened, you can make the choice to focus on yourself, rediscovering, or discovering for the first time, what you really want out of life. Taking some time to grieve the loss of your marriage and practice self-care can help in the immediate aftermath. Are there dreams that you put on a shelf during your marriage that you could reignite? By considering the dreams and desires you had at the beginning of your marriage, you might find some direction for what to do next.

relationship-dissolution

I just got out of a two year relationship. I broke up with my boyfriend because he wasn't showing any affection at all. He was talking to other women and lying about it. It pushed me away and hurt me, but I'm still in love with him. A couple days after our breakup, he was talking to someone new. He told me he wasn't sure if he loved me. I cried for several days, lost my appetite, and couldn't sleep. Our whole relationship was only us. We didn't have friends. It was me and him against the world. We didn't talk to anyone else because we only wanted to talk to each other. We hung out constantly and Skyped to sleep every single night. Then, when I cut myself, we talked on Skype. He cried and told me "I'm still in love with you, I never stopped loving you," and I cried tears of joy. I asked multiple times if he loved me and asked to make sure he wasn't just saying that because of me being so depressed. He promised and assured me he loved me. He came over after that, and we had sex because he wanted to. He went the home that night and told me he didn't love me, and he lied because he was scared. He told me I wasn't attractive, I wasn’t beautiful to him, and that I changed. He also told me he was 100% sure he'd never love me again. I'm still in love with him. Why do I love him? How do I stop? Just knowing that someone else is with him hurts me. That I wasn't good enough and that I'm no longer beautiful hurts me. I think I need a therapist, but don't know if I should.

I am very sorry for the pain you are suffering. Losing the most significant person in your life is extremely painful and breakups are often equated to a death. There will certainly be a grieving process that you go through and time passing will allow the hurt to subside. With that being said, seeing a therapist is highly recommended as it sounds like continuous support may be necessary for healing to take place. Anytime sadness causes thoughts of suicide or self harm, it is important to get help immediately. A therapist can help you by validating your feelings and what you are going through, while also working with you to move through the grieving process, adopt new hobbies, social outlets, and goals for your future. While starting over and trying out new ways of being may seem like a daunting task, it will only make things easier and give you a sense of hope and purpose for your future. With the new year right around the corner, this could be viewed as a good time and opportunity to get reaquainted with yourself and set goals related to living a more fullfilling life. Hang in there. With a support system in place and a healthy mindset, things can only get easier. Best of luck to you!

depression

My new daughter-in-law just informed me that she is smoking marijuana while pregnant because of her morning sickness. I’m in shock and I don’t know how to respond. I just lost my mom, and she was good with advice.

Have you reached your own conclusions and reasons for these, regarding the topic?   When you feel confident in your own reasons for your conclusions, then obviously ask your daughter in law for some time together and tell her what you think and your reasons for opinions.Plan for this meeting according to the type of relationship you have with your daughter in law.Since your son will also be affected by the prenatal conditions of his child, he may also be interested in being part of this conversation.Also, during your discussion, find out the exact ways the morning sickness affects your daughter in law.It is possible that scheduling adjustments in routines can be made so your daughter has more time to rest or fewer responsibilities for a while until she feels better.Maybe you and other family members can lighten her daily routines so she has more time for herself to manage her morning sickness in a less risky way.Sending Good luck!

substance-abuse

The eight months I've been dating my boyfriend, I have lied about a lot of things. I slept with a couple guys to get back at my boyfriend for breaking up with me. Now anything I say to him he won't believe, even if I'm being honest. I don't know what else to do at this point. He constantly criticizes me.

Start a conversation with him about your sincere interest to earn back his trust.Ask him what he expects from you so that he will trust you again.If you are consciously willing and do try to earn back his trust, and have periodic conversations with him on whether he feels more at ease with trusting you, then after a few months of this, both of you should feel more secure in the relationship.

intimacy

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.

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.

behavioral-change

He said that if I were to visit my mother, he will be gone when I get back. My boyfriend and I hit a rough patch in our relationship a few months back, and my mom had a few choice words with him.

Your boyfriend and you have a separate relationship than your relationship with your mother.   By trying to control whether or not you visit your mom, unless you are in agreement with this, is building tension between you and him.Ask why he resents your interest to see your mother.If he is insecure to the point where he fears your mother will influence your opinion about him, then trying to prevent you from visiting your mom is itself creating negativity in you toward him.If something still bothers him about the problems you both had several months ago, then talking about these problems will do more to clear the air between the two of you than him trying to interfere in your relationship with your mother.

intimacy

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?

Those  critical thoughts most likely came into your mind as the way you understood what one of your parents or some other adult who was very meaningful to you, at a very young age.When we are too young to distinguish whether what a grown person tells us, feels accurate, we absorb their opinions as our own.Your question shows you've reached the point of emotional maturity to know that your opinion about yourself is not the same as what is inside your emotional brain and stored there since you were too young to know that someone else's opinions are not necessarily your opinions.Nothing is wrong with you, everything is right with you to wonder how to more firmly establish your own point of view.Start the habit to revise any viewpoints about yourself which don't feel true.Then replace these thoughts with better ones which you decide on your own.After a while of doing this you'll either automatically think the more positive thoughts about yourself or at least be in the habit to know that negative viewpoints about you are not necessarily true.

diagnosis

She mostly targets me on social media. The bullying used to be much worse, but it is still going on. The comments are so vague, but I know that they are meant for me. Even when I confront her, she messages me short phrases to try to get in my head. If I try to fight back, she will ruin me.

Sorry to hear of your problem situation.  Feeling intimidated by another person is very unsettling.Stop having contact with the person.Bullies only interact with others either by intimidating someone or by themselves feeling intimidated by someone.Bullies do not have the same dynamics as everyone else.No one can convince or persuade or talk a bully out of their behavior.The best protection for yourself, assuming you are not being physically threatened by the person, is to close contact with them.This does not take away any of the disappointment or sadness of wishing for a better relationship with the person.Until the bully wants to interact differently with others, only harm can result from contact with them.Step one is to stop the bleeding, then to assess and learn to live with not having the person in your life.

social-relationships

My wife just last week said she wants a divorce and it's all sudden. I understand that marriages have their ups and downs but I don't understand why she can't tell me why she wants a divorce. Should I fight for my family (daughter and wife)?

Chances are, if you really think about it, there were signs that something wasn’t quite right in your marriage. You may have passed these things off as being the normal ups and downs of a marriage, but whatever it was (or wasn't), it's obviously bothering your wife. I would say yes, keep trying to fight for your family, at least until you know what the problems are from your wife's perspective and if they're repairable. Ask your wife if she’s willing to try to work on the marriage and then see a marriage counselor. Just be sure you’re open to hearing what's said and try not to get defensive if she blames you for some things.Even if your wife is adamant about getting a divorce, that doesn't mean you’re divorcing your daughter and you should make sure she knows that. Continue to be a part of her life. And although it may be difficult, if a divorce does happen, try to be as amicable as possible with your wife so your daughter isn't further impacted by this new family dynamic.

relationship-dissolution

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.

parenting

How does a person start the counseling process?

Hi, Reaching out on this site was a great first step! To start counseling, I would recommend looking up counselors and thinking about what sort of counselor would be a good fit. See if they have areas of focus that line up with your goals, and never be afraid to call and set up a consultation. Usually these are free of charge and can help you make your decision.

counseling-fundamentals

I've been dealing with this for years. My mom thinks I'm overly emotional and refuses to offer any help, like therapy or seeing a doctor. She's seen me when I'm having a panic attack and just said I was faking for attention or that I'm a hypochondriac. I just want to get better.

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

anxiety

About 3 years ago or so I was skinny, but I was still ugly. I really do want to change that but I've tried 3 times. Now can I try but don't stop. At school I get bullied about my weight and my ugliness and I have been bullied my whole life that I believe them. How can I stop thinking about them and don't let it get in my head? My parents said I don't weight that much but, they do think I am fat but, they tell me I am not. I told my parents that I need to go to a therapist, but they think I am fine and I think they don't want to deal with it.

Hey!  I am so impressed with your efforts to ask questions, to figure out how to change the messages that you hear (and say to yourself), and to get support!  And it sounds like you want to make some changes in your life!  Take a walk over to the counseling office at school, the school nurse or consider reaching out to your Pediatrician’s office. You don’t have to have your parent’s permission to seek support for yourself!  And maybe taking control of your support network will give you the strength to make even bigger decisions about your health!  I am rooting for you!  Be Wise!

self-esteem