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I’m a teenager. My entire family needs family therapy, and more than likely individual therapy. My parents refuse to take action, and I'm tired of it. Is there any way I can get out of this myself?

This sounds like a really tough situation.  As a teenager, you may be able to get counseling on your own (without needing your parents' consent) under some circumstances.  If your parents are refusing to consider counseling, you might want to try talking to your doctor or another trusted adult about finding some counseling resources - even without your parents' help.

family-conflict

I have been dating my ex-boyfriend’s cousin for a few years. We have gotten pretty serious. He wants to cut it off because people are giving him a hard time that our kids will be related to my ex.

Does your boyfriend agree with the other people's opinions or is the problem that he feels that doing what they want will be an easy way to stop hearing them say what he doesn't like hearing?Talk through whether he actually believes what the others are telling him or figures that complying will make them stop bothering him.Once the two of you understand what, if any, the differences are in the opinions you each have on the double relationship status, you'll be more clear whether the differences can be aligned somehow.

family-conflict

My boyfriend called me a particular profanity and I broke up with him. This is the third time he's called me this and I'm just completely done with giving him chances. He knows how much it bothers me. I just want to know if I'm over reacting.

It sounds like you are reacting to an issue in communication patterns, rather than a particular word.  The ability to listen considerately to your partner and to have your partner listen to you is one of the keystones of a successful relationship.  If your partner is not listening to, acknowledging and remembering your wishes, that is likely an indicator of some fissures in the foundation of the relationship.

relationships

I am really worried about one of my friends because I think he has major depression. He disagrees with me on that. He is shut off when it comes to talking to people and telling them how he really feels. He told me he feels empty inside and the only emotions he feels are anger and sadness. I suggested to him to get help and talk to his mom about it but he refuses.

First of all, I can tell that you really care about your friend and I think it's great that you are reaching out with your concern. It's hard to determine whether your friend would meet the criteria for an official diagnosis of depression without working with him, however, whether he does or not, therapy may be beneficial for him in working through these difficult feelings and relational challenges. Unfortunately, you can't make your friend get help. He will ultimately need to make that decision for himself, however, you can talk to him about your concerns and your hopes that he will reach out for help.

depression

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

I think there are many different directions we could go as far as answering your question.  I think the first and most important question you need to ask yourself is do you truly believe in your heart that you can forgive him and trust him again?  Once you answer that question honestly then you can move in one of two directions.  First, if you truly love this guy and see yourself being with him long term and for the "long haul", so to speak...and you genuinely want to forgive him and trust him again, that is completely do-able and possible if you both put in the work.  But, there's a greater issue here that needs to be addressed.  You say your relationship is "good", but there's been a sexual disconnect between the two of you and that usually indicates some type of emotional disconnect is at the core.  Would you agree with that, or what are your thoughts?  Were you giving him less sexual attention than you normally do or were you guys never on the same page about sexual needs and having compatible sex drives?  If you are more of an emotional person than he is, you may have been less interested sexually because he hasn't been meeting your emotional needs.  For instance, if you hadn't been feeling loved, cared about, validated, appreciated, cherished, and special to him than you may have felt less connected physically and been less interested.  This is a common issue with couples, and can easily be addressed if the communication in your relationship is strong and you can find a way to express to him your frustrations.  In essence, many women tend to have more emotional needs than men, this is the way we are hard-wired, and there are exceptions to this of course, but if you have been feeling neglected emotionally than your lack of interest in sex is actually completely understandable and NORMAL!  Until he understands this, and can learn to tune into your needs emotionally, you may struggle with feeling you are out of sync emotionally (and sexually).  This leads to you both being frustrated, but if all this is ringing true to you, he seriously probably has no clue what's going on and may not know how you're feeling.  You need to communicate your needs to him; if you are super lost with how to do that, there's an awesome book called The Five Love Languages.  It's not that long, and it's very approachable and easy to apply the concepts to your relationships. Invaluable resource for relationships and truly eye opening; really!!This is a long post, I'm sorry!  But this is such an important issue that is very common and many people feel lost about how to handle it.  So back to the second direction you can go....you feel very betrayed, you aren't sure if you can ever trust him again and you see yourself perhaps being paranoid forever and never being able to completely get over this.  For instance, if he says he is working late, or if he doesn't call or text right away when he usually does, you may immediately jump to the worst case scenario that he is cheating again.  Of course, it may not be true, he may have legit reasons for his behaviors, but the point is if you are going to be in paranoia-mode OR you just will always be unsure whether he loves you and is committed to you and only you, then the trust may not be able to be re-built.  You need to think long and hard about this, and if you decide you have the capacity to forgive him and rebuild your foundation of trust and honesty, then you need to let him know very explicitly what you need him to do to earn that trust back.  You can't just tell him vaguely "I need to trust you again"; if he wants his family back and he's willing to do the work, you need to line out exactly what he needs to do and he needs to do it.  But, be prepared that he might throw out there that he cheated because he felt you weren't attracted to him anymore (or he tries to put the blame on you somehow because he says you weren't meeting his physical needs)...if he throws that out there, but you weren't showing him the affection because you were frustrated emotionally, then it all starts with you communicating that to him.  Get that book!In conclusion, if you feel in your heart there is no way you will be able to trust him again and you will always wonder if he's cheating when his behavior isn't spot on, you will be a nervous wreck and perhaps cutting your losses now would spare you the continued heartache.  There is certainly a way to work through this, but you both have to be motivated and you have to get to the source of why the cheating happened in the first place.  Rebuilding trust can be a long process, maybe even years, and for some people, they may never be able to fully trust and let go of the past.  I truly recommend starting with the book, and then going from there.  If you decide you want to stay with him, you would really benefit from couples counseling, as it sounds like a professional could help you strengthen your communication and ability to trust again.

intimacy

When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.

I hear your concern that your daughter might break under the pressure and stress that she is dealing with.  It is a good thing that your high achieving daughter is calling out for help and that you are listening.  The education system is wrought with social and emotional problems, and there is a disproportionate emphasis on test taking, scores and achievement in school.   It sounds like your daughter would benefit from some social and emotional education and learning to understand how her feelings are impacting her thoughts and behaviors.  I'd like to also assure you that crying and freaking out is a normal part of growing up.  Depending on your daughter's age, it is likely that she is going through a growth spurt and she may be feeling her feelings in a unique way to her too.  If this is the first time you are having a concern about anxiety then rest at ease and see if you can ride the emotions with her and be a stable sounding board for her.   Use empathy and compassion and allow her a safe place to process through her concerns.  Try not to solve it for her, but allow her a space to fumble through and find her own answers to the problems she is faced with.  Give her confidence that she can figure it out, and be patient as you sit with her.  Our presence is key to our children's well being.   Make eye contact with her, allow her to squirm and get frustrated and work through it while you witness her process.  As parents, when we can model calm in the storm of life our children learn that all of their feelings are ok too.  When our children see and feel our fear, it can create more insecurity and low self evaluation of their own efficacy to manage the stress.  When we can be calm and reassuring, then we can boost their confidence in their own ability to problem solve what they are going through.  Let's face it we all have irrational thinking from time to time, and usually it is when we are under stress.  If your daughter continues to show concerning anxiety, check with her school and see if she can benefit from an opportunity with the social emotional learning curriculum.  In Texas at least, schools are required to have resources for children like your daughter who are experiencing anxiety and other mental health concerns.  Her teacher is with her all day and you may request to have a conference with her to see if she can help her in any way as well.  If resources in your school are limited then I would seek an outside therapist who specializes in working with children your daughter's age.  Call around and see if she can benefit from a therapeutic relationship outside of school and home.  Once you have plenty of feedback from her teacher and a therapist or counselor then you will be able to determine if seeking medical care is necessary with their support and guidance.  Thank you for your courage to reach out for help on behalf of your daughter.  You are her greatest advocate.  I hope that you find support to help you navigate this time in her life and that you both grow and learn from this experience.

parenting

Sometimes 3 times a night.

Dreams are our chance to make sense of our waking lives.If you've got a lot going on in your life then your dreams are your assistants in understanding these happenings and dynamics.

sleep-improvement

I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends. I spent the weekend with him and it upset my boyfriend. Was i wrong?

Hello. There are a number of factors playing into this situation. A former romantic partner coming back onto the scene during a current relationship; you spending alone time (and spending the night) with that former partner; and the uneasy feelings experienced by your current partner (boyfriend). Now those are the ones you have openly expressed. There are very likely other issues that prompted this behavior on your part. You ask if you were wrong. It is not a question I will be able to answer, because it is not one I am meant to answer. It is up to you to find that truth. Now, if you are feeling guilty, was it because of some sexual engagement occurred when you spent the night? If so, you might want to look at why that happened. Do you feel secure in your current relationship? Is this the relationship you want, or do you want to be with the former boyfriend?Important questions, but ones you need to ask and answer. Odds are, there is something that triggered this event to occur and it becomes a focal point in discovering any unexplored discomfort or other issues with your current boyfriend. Seeking relationship counseling can be effective in sorting this out, so be open to that possibility to help you clarify your thoughts and feelings.Best of luck to you.

relationships

I feel like every time I do something someone asks me to, I never fully meet what they want. I feel that when I finish it, they always think that they should have picked someone else to do it. I feel like they just want nothing to do with me.

It sounds like you have the perception that people are frequently disappointed in you, wish you were different or someone else, and ultimately reject you. One question I would have for you is what is your evidence that people feel this way? Is there anything in people's words or behaviors that gives you this impression? If your not sure, it may be useful for you to try to notice what people say and do in response to you, even though you perceive these attitudes within them. Additionally, working with a competent therapist may be a great way to get an answer to your question as well as developing ways to move forward with that answer and gain a sense of self-esteem and security in your relationships.One possibility that comes to mind, of which there may be more, is that as we grow up, we often develop relational templates, or sets of expectations about how people are and will relate to us, which influence our experiences and behavior in relationships. Sometimes the templates that we develop to stay connected growing up are not particularly adaptive for adult life and can hamper our self-esteem and capacity for comfortable intimacy as an adult. You ask a great question here, and one that can be very hard to see through, given the difficulty of feeling that people think of you in this way, and I hope that you will stay curious about this and consider working with a therapist who is trained to help you discover the answer.

self-esteem

A lot of times, I avoid situations where I am to meet new people because I have a fear of embarrassing myself. I often avoid large groups of people, like parties, because I think they all constantly judge me.

Why not accept and tolerate that you naturally are a shy person who doesn't like large groups?This is not necessarily something to get over if it is part of who you are.People have the capacity to judge others regardless of whether the group is large or small.If you aren't afraid of being judged in small groups then study the factors which allow you to feel safe in small groups. Possibly you can generalize your findings to large group venues.If you try the and aren't successful, then likely you simply aren't naturally someone who cares for large group settings.Not everything a person doesn't like is a symptom of something is wrong w the person!

anxiety

The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says "here lays my emotions. R.I.P." I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?

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

family-conflict

There's this boy who asked me out awhile ago. I said no because my friends and family would think weirdly of me. How do I be with him and tell him and tell my friends?

Since you've decided to be with the boy who already showed you his interest, then why not simply tell him you decided to accept his invitation to be together?Probably your first concern about hesitating to accept this boy into your life due to the way you imagine your family may react if you do, is the more complex matter to solve.Forming a relationship does bring up our values and the way these are different or similar to our own.    At the same time, we already have values which are rooted in those from the family in which we grew up.Your dilemma of wanting to be with this boy shows there is a clash between your values as an individual, including your choice of partner, and the way your family understands the values which support being part of a couple.Stay true to what you feel, whether this comes from your family or the way you currently are evolving.This will guarantee that your new relationship will be built on the values and person you truly are.

relationships

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

I recommend asking your son about the reasons he chooses to play alone at recess. If he is happy on his own and you know he has some friends, I would not be very concerned. However, there may be bullying going on at school. In the case of bullying, it may be a situation where you as his parent will need to step in.

parenting

My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?

Yes, screaming and cussing at your child is considered abuse.Here are two points I suggest you consider for your situation.If your dad is ever calm when you and him are with one another,  ask for some time to talk about your relationship with him.Schedule it for sometime in the near future from your request.   This way he has time to consider his points of view on his relationship to you.  Even if he does no thinking about your relationship at all, he will not feel pressured by the surprise of suddenly being expected to talk about a topic he may prefer to prepare himself.My second point to you is to keep steady in your own views of who you are.  When a parent demeans and mistreats a child, the child is affected in a negative way.  Concentrate on loving yourself and keeping people in your friendship circle who care about you.

parenting

My girlfriend's grandma passed away 5 months ago. They were very close. She took care of her till she died. Things kinda returned to normal few weeks later. Last month it feels like we hit a brick wall. Intimacy fell off. I asked what's up. She says she can't connect with anyone and that it's not me. She used to be very open and expressive. Now she gives short answers and has no interest in sex or any touching. When we did have sex in the last month, something felt really off. Now I'm very insecure about us and have thoughts of her cheating. She says otherwise, but I don't know. It just feels like something is really off.

Grief has a huge impact on us and everyone's reaction is different. The one common reaction however is to shut down and distance ourselves. Her relationship with her grandmother was close, given she took care of her up until she passed. It sounds like she is working through a difficult loss and her ability to connect with you, or anyone else, is likely low right now. Trust what she is telling you and try to be there for her as she works through it. If she finds it too difficult to connect again, a good grief counselor can help her get back on track.

relationships

I'm being verbally abused on a daily basis by my parents in front of my child. I feel like I’m trapped and I have no escape. I feel like I have to listen to the horrible things they say and just take all of it. I need some way of learning how to cope with listening to it especially since I have nowhere else to go. I feel very emotionally drained How can I deal with this?

All you can do/control is work on yourself. When you have enough sense of self, you will know how to deal with your family. Therapy is an investment in yourself, which affects your family.

parenting

I am going through a very hard time and I'm so depressed. My parents are getting a divorce and a lot of bad things are happening. I want to lull myself.

It sounds like a tough time and it's normal to feel down when your family is going through a divorce or other hardship. There's a difference between feelings like sadness, discouragement, grief, loneliness and depression, though. Sadness is sadness and sometimes we have to go through a grieving or other process, that is a normal reaction to events in our lives. Depression, on the other hand, is more about being stuck. Lulling yourself with self-care sounds like a healthy response and a way to give yourself support. So as to the uncomfortable but healthy part of your feelings, do the best you can to put names to it and share with a trusted other person. You will find comfort. The part of your situation that's depression -- feeling stuck, not able to get out of bad, concentrate, changes in sleeping and eating, loss of enjoyment in living, poor hygiene, feelings of hopelessness, that's different. First step, identify your own symptoms of depression. If you have any thoughts of hurting yourself, tell someone. If you're not sure, you can try 800-lifenet or other support line to get feedback. First aid for depression includes: daily care and feeding, good sleeping and eating, lots of exercise--even when you don't feel like it-- healthy socializing, and focusing on talking to yourself in a positive way. If you aren't able to move yourself out of your depression,  work with a professional to make short-term goals and get some support. You may also talk to your doctor or psychiatrist about trying an anti-depressant to give you a little lift while you go through a rough patch.Best wishes,Karen

depression

I've been going through a rough time lately. I been into nothing but women. I’ve never thought about men until a week ago. I’m very upset and depressed about this. It's not normal to me. I looked at gay porn more than once to prove that I’m not gay. I get the same results each time, and I feel disgust. This is tough on me. I'm scared that I looked too many times. I keep thinking about it and shake all the time.

Hi Brookfield, It can be unsettling when we feel something as fundamental as our sexual orientation shifting. I like that you're honest enough with yourself to say "I'm struggling with this". To accept that there is a question is a brave place to be. And...it doesn't necessarily mean you're gay.Unfortunately, we live in a culture that wants to put people in slots...male or female, straight or gay...we tend to not like those grey areas so much as a culture. The truth is that, if we grew up in a society where there wasn't this categorization...if we felt free to explore and grow sexually, we might be surprised at who we are attracted to. You don't have to put yourself in a slot. Our sexual preferences are more fluid than we think, and it can change over time.We also live in a culture where there is prejudice against homosexuality or "differentness" in general. The wish to not be gay can be powerful. Many people who are gay spend years believing they were heteroxual...fighting against, repressing  or ignoring their gay thoughts. This is needless pain. If you are gay, there is no shame in that and you can still have a glorious life filled with love and passion.Having said all that...just because you have thoughts about men or get turned on by gay porm doesn't mean you're gay. Many heterosexual people have thoughts and fantasies about the same sex; it's arousing because it's naughty...we're curious about the forbidden, or we're just curious. Becoming aroused by gay porn is normal for many heterosexual men. Sexual orientation isn't just about sex either. A different gauge of who you are sexually can be found in your emotions towards men or women. Are you drawn into emotional connections with men more than women? Who do you feel the urge to explore and be close to?Exploring your sexuality through being open to different experiences can help too. How does it feel to kiss a man, to touch a man, as compared with a woman...sometimes this feels like such a big and forbidden step that it's a barrier to discovering ourselves. We don't want to open that door. I wish you well as you do exactly what you are supposed to be doing...exploring and discovering yourself. It's an exciting journey and you might want to find a trusted person to talk more about this with.

lgbtq

I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?

Breaking up can be a very difficult thing.  I'm sorry you're feeling badly.    The first thing is to be really sure you are taking care of yourself --- that means eating well, exercising, getting good sleep, spending time with friends/family and making sure you are taking care of important things like work, rent, bills etc.    Secondly, it's important to do things that make you feel better and not worse.   If looking up your ex on social media makes you feel worse stop doing it!   It's important to concentrate on you and not them.    Thirdly, it's super important to make sure you're really looking at the situation accurately and look for the good things that still exist in your life ---  what is still good?   Even though your emotions are hurting and you are feeling badly, can you see the light at the end of the tunnel?  Do you feel hope?  If you do try to concentrate on that hope feeling.   If the obsessing continues and really gets in the way of living your life?   Maybe contact a therapist or counsellor that can help you through this difficult time?

relationship-dissolution

I don't feel like myself anymore. For example, I could walk up an entire flight of stairs before realizing that my legs are moving. I feel like I’m watching my life be lived by someone else.

You may be experiencing a form of dissociation called depersonalization.  People with this type of dissociation may feel disconnected from their bodies, feel that they are watching their bodies from a distance, or may not recognize their image in the mirror.  Dissociation sometimes occurs after someone experiences something traumatic.  I would suggest working with a therapist who specializes in dissociative disorders as dissociation does not typically resolve on its own.  On my website, I have some information specific to dissociation that you may find helpful.  Best of luck to you.

behavioral-change

Does counseling really do anything that can help people?

Hi!  Great question.  I believe counseling does help people! Of course, I am a therapist, so I would think that! :)  Seriously - I think therapy and counseling allow us to understand ourselves, our motivations and the things that bring us happiness and discontent.  Therapy can create opportunities to try new skills and enhance positive attributes that are already present in someone.  I like to think of therapy as an unbiased "aerial view" of our lives. Someone outside can often help us notice things we might otherwise miss. Hope this helps!

counseling-fundamentals

My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1.

I will admit that I'm not specifically familiar with this from my own experience.My best educated guess is that you could have a seizure during which you have some sort of symptoms similar to a hallucination (which is one of the psychotic symptoms) when you hear or see things that aren't really there.In looking briefly online, I was able to find some information here: http://www.epilepsy.com/information/professionals/about-epilepsy-seizures/psychiatric-and-behavioral-aspects/psychiatric-2It sounds like this would be a symptom in addition to an already existing seizure disorder, not a seizure disorder in addition to a mental health problem. If it is the other way around, I'm not sure how that would work. It is common with some types of seizures to have an altered state of reality during or shortly after the seizure, so that could also be related.I would suggest you talk to your physician about this directly so that if they are worried about this, you can learn more about what is making them concerned about it and what, if anything, you could do to lessen the likelihood of it or how to handle it if it does happen.

behavioral-change

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?

Hi there, I'm sorry you're feeling this way. Let me see if I can guide you in the right direction. Often when I talk to my clients about feelings of worthlessness we start with a little bit of self-exploration. We start with noticing. Start to notice when these feelings come up for you. Is there a particular time of day, a specific person who brings it out, a phrase you hear? Just start to notice. Usually it's tied to something but it may take a while to figure out what that something/someone is. Try to be patient.Next we start to explore. When did these feelings start? Where do you think they come from? Is there something - a statement - perhaps that repeats in your head over and over again? If so, whose voice is it? These are difficult questions, and just a few of them, so take your time answering them. (We usually do it over a few sessions.) It might even be helpful to write them down somewhere. If you have a journal that would be a great place as research has shown that our brain works differently when we put pen to paper versus typing on a computer. Now comes the good news. Our brains are able to rewire themselves. This allows us to change habits we don't want as well as statements we say to ourselves that are no longer serving us. The next step is to select an ally. Someone who is or has been in your corner, someone who is always rooting for you. If you don't have someone like that, that's ok - a lot of us don't - you can just make someone up. Close your eyes and try to describe that person in great detail from the way they look to the way they act to the way they sound. Now, pick a phrase you would like that person to say to you whenever you start to think that you're worthless. Something that will help you feel better about yourself - a characteristic, a skill, a great joke you tell, a physical attribute. This also takes time and may involve you asking for help from someone who knows you.Once you have all of that together - the noticing, answers from where these feelings and statement(s) come from, your ally, your new statement, you can try to put it altogether. When the feelings come up, notice what is bringing them up and then call upon your ally to try to change the statement in your head from the self-defeating one to the more positive, uplifting one. I hope this was helpful. Again, I do this with my clients over quite a few weeks, if not months, and I am there with them the whole time. It is quite an involved process and can bring up a lot of very difficult feeling/memories. If at any point you find it too hard to go at alone, please seek help. If you take anything away from this reply, know that there is help out there and that it is possible to change the way you feel.

depression

How do I ever trust another woman? I have found myself constantly reading between the lines with every other woman that I meet. I am having a difficult time making any sort of connection to anyone because of her deception and willingness to say and do literally anything in order to control my emotions. Once the "relationship" was over, she became extremely abusive and has attempted to intimidate me into silence regarding the many false claims made on her immigration application.

I'm sorry to hear about that situation. If the woman was your therapist (or had been at one time), this could represent a significant ethical violation when she created a dual relationship with you.Even if you were not her client, this might still be an ethical violation. Counselors are held to a high standard of conduct and honesty at all times.In a situation like this you might consider filing a complaint with the state regulatory board.

family-conflict

I’m facing severe depression and anxiety and I just feel like I’m going through a lot. This really distracts me and I cant get my mind off the things that are bothering me. How do I overcome this anxierty and depression?

Meditation may be able to assist you in lowering your anxiety and depressive symptoms. Meditation…Breaks Anxious Thought PatternsA common symptom of anxiety is having racing negative and obsessive thoughts that create a vicious cycle of worry within your mind. Meditation can reduce rumination and the break negative thought patterns by increasing your control over random unwanted thoughts and decreasing your tendency to worry by altering the way your brain responds to stress. For example, instead of following your negative thought down the rabbit hole, you learn to view your thoughts differently and recognize it for what it is – a thought – and let it go. Thank goodness to neuroplasticity and your brains endless capacity to change! Balances Brain ChemicalsAnxiety is brought on by various factors (personality type, emotional trauma, genes, prolonged exposure to stress…) and sometimes causes an imbalance of chemicals within the brain (GABA and serotonin). A meditation practice can assist in restoring the balance of neurotransmitters within the brain by increasing GABA (neurotransmitter connected to feeling happy and relaxed) and serotonin (another neurotransmitter connected to being happy) and decreasing cortisol (stress hormone).Builds A Healthier BrainBased on research and scans, individuals who have a regular meditation practice show dramatically larger amounts of gray matter, the volume of the hippocampus, thickness of the cortex, increased blood flow to the brain, improved neural connections between various parts of the brain and decreased size of the amygdala (controls autonomic responses associated with fear, arousal, and emotional stimulation). View full article here: https://www.therapybyshannon.com/blog-2/2019/4/16/meditate-to-lower-anxiety-levels

depression

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?

Hi, It is really good that you are working so hard to take care of your family. Anxiety can be so challenging, especially when new challenges have come up. It would be good to work through some of these issues you are experiencing, and examine your self care and support processes.

anxiety

Does counseling really do anything that can help people?

Hi there! Thank you for your question. It's a great question and one that many people want to know the answer to. The short answer is, YES! Counseling can be very helpful to people struggling with many different things. There has been a lot of research conducted to prove that counseling is an effective way to help people with mental health concerns, life stressors, and many other issues. In addition, there are many people who would tell you that counseling made a positive, profound impact on their lives. Indeed, some would tell you that counseling saved their lives. Now, not everyone would tell you that counseling helped. But when you think about it, there are many medical treatments for a variety of healthcare issues that also do not help everyone. So, is counseling guaranteed? No. But, it is something that is worth trying if someone is suffering or is just wanting some perspective or support. Also, there is many different types of counseling. Different counselors have different styles and have different training for various issues. This means that you are likely to find someone who has a good style and expertise in an area that you want to work on. If you don't know where to go, I suggest contacting your state's counseling association. They can help. I think the real question that most people have is, how? How does it help? That question is a bit more complicated, because there are many different models of counseling/therapy that work in different ways. What I can tell you is that, regardless of the model of counseling, the relationship between counselor and client is the most important factor. I don't mean that the relationship has to be ooowy goowy... but it does have to be one where there is trust and openness. A counselor will spend time to make sure that you are working together as a team toward a common goal. If you go to counseling and you don't feel this is the case, tell your counselor. An ethical counselor will welcome your feedback. I hope this is helpful, please ask more questions! I hope some colleagues add some other thoughts, too. Be well,Robin J. Landwehr, DBH, LPCC, NCC

counseling-fundamentals

People have been calling me names, and I have had enough of it. I cannot stand it anymore I'm done. I have told someone this, and that is why I am writing this. The thoughts are awful.

It's sounds like you are feeling pretty overwhelmed with intrusive thoughts and are feeling very criticized by others as well. I think it is great that you are reaching out and I can tell that you want this to change. Working with a competent therapist may be a good option for getting some more clarity about what is going on, developing ways to cope, and eventually getting relief from these overwhelming experiences.

depression

How does a person start the counseling process?

Approaching a counselor can seem intimidating at first, but most mental health professionals want to help you feel safe and heard.  You can often find counselors using search engines like CounselChat or Psychology Today.  These websites allow you to get to know therapists before you take the next step.  These days, counselors have websites where you can learn even more.  These websites usually have clear instructions for contact.  Typically, you can reach out via phone or email to request a consultation.  During a consultation call, you can ask the therapist questions about their credentials and areas of expertise.  If you feel like you connect, you can schedule a first session where you will tell them more about yourself and why you are seeking therapy.  The thing to remember is that therapists want you to reach out to them, and they are happy to be approached for support.  Good luck!

counseling-fundamentals

My ex-boyfriend and I have been back and forth for over a year now. He's in his late 20s, divorced for like five years now with two kids. He has a lot of narcissistic behaviors. He lies and cheats, but I love him. I've tried to date other people, but I always go back to him.

There are a lot of pieces to the decision of whether to stay or leave. Can you have open conversations about your concerns? Is he able to listen to that? I'm not sure how you know for sure that he lies and cheats, but does he recognize these things as problems? Which part of you is bigger: the part of you that wants to stay or the part of you that wants to leave? Can you consider what you want, wish for, and desire while also considering the same for him? Can he do that for you?

relationships

I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.

This could have many different origins. Have you tried asking him about it? Sometimes starting with asking whether he would be open to having an important discussion can be a good beginning. If that starts well, perhaps continuing with something like "I've noticed that we haven't been together intimately (or whatever phrasing works for you) as much lately. Can you tell me more about what it's like for you?"When asking questions like this, it usually helpful to not overuse (and perhaps try to avoid using) the word "why." That word tends to trigger really strong emotional reactions in people. Try starting with "what makes" Instead. For example, "what made you choose not to do that?"

intimacy

I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.

It sounds like you have not had the opportunity to process through the trauma you have endured. It would help if you have the opportunity to speak with someone on a regular basis until the symptoms of your trauma have subsided.

trauma

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

Many peope uffer from changes in mood when the winter time comes. The amount of daylight hours decreases significantly. Most times it is dark when you go to work and dark when you return home. There are special lights that can be used during the winter season to counteract the "winter time blues." Also, paying attention to self care. Are you sleeping enough, attending to physical illness? Exercising and eating a balanced diet? Make sure to schedule fun activities and spend time with loved ones.

depression

I'm very depressed. How do I find someone to talk to?

Great that you realize talking with a professional counselor about how you feel, would be helpful!If you'd like a very fast response by phone, then google "depression hotline" for where you live.  And, if you have a specific topic which upsets you then google around with this topic to see if there are services specific to your interest.If you've got time to invest in looking for the best fit therapist for yourself, then google "therapy' or "therapist".There will be many, many names which come up.I know I sound like I work for google only it is the easiest way to find lots of information.I send you good luck!

depression

I've been depressed for quite a while. I've been trying to work through it, and my boyfriend has been my rock. He is honestly the only person I trust enough to talk to about anything, but he decided to break up with me because of my depression. I cannot afford to see a therapist or anything, so he saw no hope in staying with me. My insurance has a $5000 deductible, so I’m screwed. I've had everything from suicidal thoughts to trying to quit my job. I have no one. My family doesn't care about me; they kicked me out when I turned 18 a few years ago. I had friends, but they have all moved on with their lives and have no time for me. My ex-boyfriend is trying to help but is making things worse because every time I see or hear him, I break down into tears. I found out that I will never be promoted now because of my depression.

It sounds like you have been struggling with this for quite some time, using many of the same coping techniques that feel tried and true to no avail. Often, we fall back on coping techniques that would be helpful in other problems (stress, social anxieties, etc.) for our depression, but the truth is that depression requires it's own little tool kit. Depression is all-encompassing, and, based on what you've written, the symptoms are already affecting work and your personal life in myriad ways.  The best route forward would be to seek out counselling, admittedly, but if your insurance deductible is too high, that can be very expensive. I would recommend contacting your Employee Assistance Program (EAP) if offered by your employer. If not, you can look into community centres for counselling options, check if your doctor will give you a referral or your local religious organization. If, however, you are motivated to get your depression under control, there are some great workbooks out there that you can use on your own or with your therapist (as long as your therapist is trained in Cognitive Behavioural Therapy, or CBT), such as "Mind Over Mood".

depression

I'm in my mid 20s with a husband and children. I love my family, but I feel like I've lost my identity, and I don't know who I am other than a mom and wife. At times, all I can think is what I gave up and how I feel unhappy and trapped, but I know I'd feel like worse without them. I loathe myself at times. I have an amazing life, so why can't I just enjoy it?

Good for you on being sensitive to your human need for personal evolution.Wife and mother are meaningful positions.  And in your case, in order to feel your own growth, other areas of who you are would like your attention.Give yourself time to allow your interest to wander in order to find the area of growth which will satisfy you.Just like you know now that you'd like more than your current situation, trust yourself to know you will also know when you've arrived at another road you'd like to take for your own happiness.

depression

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.

Maybe you have depression.The name of your condition matters much less than the descriptions you wrote of how you feel.Since you've observed how you sometimes interact with people and realize you aren't happy with the result, you've a very solid starting point for reflecting on your deeper wishes in relating to others.Start with asking reasons of yourself about the puzzling aspects of how you're engaging with others.Theorizing as to "why" you feel that pushing people away is "easier", and easier than what?Googling the keywords of how you feel, may open a starting point for ideas on knowing yourself and what you wish for.

depression

I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.

Depending on your relationship with your parents, inviting them to have a conversation might be a good first step.  If they consent then you can have the opportunity to discuss your concerns with them.  Inviting someone to a conversation and getting their agreement is a great first step. I would then make sure your location of the discussion is conducive to the conversation and once all that is considered it might be beneficial that you make a list of your concerns prior to the meeting.  this can help keep you on point.

depression

I noticed lately that I've been thinking a lot about death. I don't want to die, and I'm not suicidal. I just think about what would happen if I died or if someone I loved died. I imagine how sad everyone I know would be. I know it isn't worth it, and I definitely want to live and have a future. I just think about it. When I'm driving, I sometimes imagine what would happen if I just let go of the wheel and kept going.

I'll respond to your speculation that if you let go of the steering wheel while driving, you'll end up quite seriously hurt, at the very least.   It is fine to play in your mind with "what ifs".   People who write horror movie scripts most likely have some terrible sounding stories and suppositions.If you trust yourself to actually not follow through with an idea that may kill you, and you recognize the difference between thinking dangerous things and doing dangerous things, then go to the next step of understanding more about your thoughts on death.Since you wonder about being missed if you die, it is possible your thoughts about death are from feeling that you are metaphysically dead to people in your life whom you wish would show more interest in you.Play around with your idea as to why you'd consider how people will feel about you if you're not in their lives.This may offer some insight as to your expectations of current relationships with others.

behavioral-change

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?

The thing that confuses a child the most is for a parent to come and go from their life. Children have a way of making things their fault, even when they have done nothing wrong. Because of this, when parents cut off contact, the child thinks it's their fault. As hard as that already is for a child, it is even worse when a parent pops in and out of their life. This makes the belief even more strong for them. They start to think, "why does dad keep leaving? What am I doing to keep making him go away?"I believe a child needs both parents in their life. Whether she used you for a child or not, that child still exists and never asked for this. They didn't ask to be born into drama and two parents that can't make things work. You can move on and start over while still maintaining a relationship with your child. If you start over far away, this may mean less visits but you'll still be a part of their life. Just make sure when you make a commitment to this child to stick to it. Every child deserves that much. Good luck to you! :-)

parenting

My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.

It's encouraging that you say you want "to be better connected with [your] husband," and since he hasn't left you, he must care about you and the relationship more than he does about just having sex. You don't say whether he complains or not, but even if he doesn't it seems there's a sense of something important missing for both of you.Most likely to connect better with him physically you'll need to become better connected with yourself and your body. Men often feel fulfilled by sex simply because it happened - the woman they want received them, allowed them to make love with her. For women that can sometimes be more complicated. A woman who loves sex most likely also loves her body, knows what pleasures her, and feels confident asking for what she wants. Self-pleasuring can be a way for you to discover more about your sexuality, and a classic resource is Betty Dodson's book Sex for One: The Joy of Selfloving. A good counselor or sex therapist can be very helpful with your whole relationship as well as the sexual part of it, but not all counselors are comfortable working with sexual issues. Shop around and be sure you find someone who can help you and your husband get better connected on all levels.

intimacy

My mother has Alzheimer's and I can see that she has lost some of her intellectual abilities. Even though I know this disease is not her fault, I’m still finding it difficult to separate my own feelings of disappointment and frustration when my mom seems to ignore my opinions and wishes, and seems

Good observation on your part, to distinguish that your feelings in relation to your mom are not necessarily connected to the way she handles her part of the relation toward you.Has your mom usually ignored your opinions and wishes in relating to you?If prior to the onset of Alzheimer's, she never examined her way of relating to you, and if both of you have never had an open conversation about your sense of feeling hurt by her attitudes and manner with you, then the relationship between you and your mom will change in ways other than rational dialogue.She may continue ignoring or overlooking your wishes because she's been stuck in this attitude for most of your life.The good news for you about this is realizing that who you are and your way of relating to your mom, has very little to do with the way she relates to you.This is a more profound disappointment because it shows that her disconnect from you has been for longer than when the Alzheimer's began.You can however, feel a little more free knowing that you're not deserving of being ignored.

family-conflict

I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

This is not totally unusual behavior, but the fact that you would like to stop and cannot seem to be able to points to something deeper. That cannot be unpacked online, but I'm glad that you're in this space and asking this question. Try to find a therapist who seems like a good fit and begin to get to work on this issue and what all is going on for you. You're not alone!

behavioral-change

I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments.

If you are a people-pleaser type or a natural caretaker, you can slowly "lose yourself" over time if you are always tending to the needs of others and neglecting yourself.  If this sounds like a familiar pattern for you, this may have happened without you even realizing it if you were raised in a family where you had to pick up the slack alot.  Maybe your parents were addicts or they might have even just worked all the time and you learned to "take care of everything" because that is what you had to do to help the family run smoothly. Over time, a person who grows up in this type of environment learns that you put the needs of others before your own.  You might also be stuck in these types of patterns in intimate relationships as well; if you completely give yourself over to your significant other and you don't create a life for yourself with your own interests and supportive friends, you are at risk of losing what is unique and amazing about you.  If you grew up in a family where you learned this role out of survival or because it was needed to take care of your family, it's easy to re-create this in adult relationships.In both scenarios, if there is no awareness that this "self sacrifice at the expense of others" is going on, your identity is shaped around being a caretaker/enabler/people-pleaser and down the road it can lead to depression, low self esteem, and a confused sense of self.  Basically, you spend so much time helping other people that you don't make time for yourself or create a life of fulfillment.  Before you realize it, you have been living a life for others instead of yourself and you have no idea who YOU are.  Supporting loved ones and friends is important and certainly admirable, but if you are always that person that rescues, those that rely on you begin to take advantage of you and they will suck you dry if you let them.  In conclusion, learning to set boundaries with those in your life that are too needy becomes a really important part of the process when you begin to recognize that you are unhappy and unfulfilled in life.  It sounds like you may be at that crossroads right now.  Take one small step at at a time.  Identify the worst offenders in your life that suck time and energy, and limit your contact and/or set some strong boundaries with those people so you can refocus and do some soul-searching.  Meanwhile, engage in pleasurable activities with people you enjoy being with, get yourself outside in the fresh air, get some good sleep, and eat some nourishing food!

depression

My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt "ehh" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way.

Congrats on your upcoming baby!Its possible that the pregnancy is diminishing your wife's sex drive.From everything you describe about your wife, she sounds to not yet have become comfortable with having a wish for sex.The other side of the sex equation is you and your relative ease with having sex and whether it is for physical release or as an expression of love, some of each.Since you talk with each other honestly then start with a dialogue about what you each would like from sex with each other, from perspective of giving and receiving sex.  Hopefully this will open up some new light on your respective feelings.Really, there is a lot to navigate in a conversation about physical and emotional intimacy.  If these are not the types of discussions the two of you are used to having, a couples therapist is a good idea so you both become familiar and learn how to more easily articulate some of your respective deep feelings.

intimacy

Is it normal for people to cry during therapy, or is it just me?

Crying in therapy is definitely normal. A lot of people, if not most, cry in therapy. Why does it happen? During therapy you'll explore your thoughts and emotions. Some of them will be pleasant: joy, hope, excitement, etc., so you will smile and laugh. Others may be more unpleasant, such as grief, sadness or anger, so you may feel like shouting or crying. It's healthy to accept and feel all your emotions and to express them in appropriate ways. Crying is a good way of expressing sadness, disappointment and helplessness. If you try to cut off some of the "negative" feelings, you are likely to also cut off your positive ones and feel numb as a result. Crying in therapy speaks to your ability to relax and let go in the presence of another human being (essential for healthy relationships!) and it also speaks to your therapist's skills at making you feel safe and comfortable. Good for you! It's your therapy and you can cry if you want to!

counseling-fundamentals

I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.

Many times when things become difficult to manage, is because we are getting out of our comfort zone, so we seek growth and change.  Coping with the difficulties does make you more resilient and helps you to build the confidence you need to solve problems in the future. Now I wonder:  are things getting tough in a way that you are not able to resolve them?  Do you need to move or change to save yourself or prevent any harm? If so, it is OK to know when to remove ourselves form situations that harm us more than helping us.   On the other hand, are the things getting tough because you need to learn a new skill?  If so, how can you learn them and is there someone who can help you overcome this challenge?  I help my clients to identify their strengths and areas where they can achieve growth, things like polishing up your resume and evaluate new job opportunities could help you discover a new you.If you would like to engage in counseling, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478. Cada vez que las cosas se ponen difíciles, hago cambios en mi vida.He sido así desde que estaba en la escuela; antes me transfería de escuela.  Ahora pienso cambiar de trabajo.Muchas veces cuando las situaciones se tornan en difíciles de manejar, es porque nos sacan de nuestra zona de comodidad, con el propósito de buscar el cambio y el crecimiento.  Manejar las dificultades si te vuelve más resistente, y desarrolla tu autoestima para que puedas resolver problemas en el futuro.    Ahora, te pregunto: ¿se están poniendo las cosas difíciles al punto que no puedes manejarlas?  ¿Necesitas removerte de la situación para evitar que te hagan daño? Si es así, entonces está bien reconocer cuando nos debemos remover de una situación dañina que nos daña más de lo que nos permite crecer. O por el otro lado, ¿Se están poniendo las cosas difíciles porque necesitas a prender una nueva destreza?   Si es así, ¿cómo puedes aprender esa destreza y quien te puede ayudar?Ayudo a mis clientes a identificar sus fortalezas y áreas de crecimiento, el actualizar y pulir tu resume junto con explorar opciones de empleo, te puede llevar a descubrir nuevos talentos en ti.Si te gustaría hacer una cita, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478.

anxiety

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?

Have the two of you ever discussed how you feel?  I know given the nature of your question that's probably not likely, but I'm going to suggest it any way.  He needs to understand that how you feel about this issue equates to not being as happy in the relationship as you could be or he thinks you are.  So start there, that may be more of an attention getter than "you never listen to me" yes I do etc.  Direct opener:  I'm not as happy in this relationship as I think we both deserve.  Pause, and if you won't let me talk about it then it's only going to get worse.  Then explain you don't feel listened to, you try to be a good listener but you don't feel you are getting the same in return.  If he interrupts put your hand up in the sign of a stop, then say please just let me finish.  You are right to raise this subject with him because a good marriage can't exist in a communication vacuum. In fairness to him, he needs to understand the seriousness of your concern and have a chance to do better.  If he refuses,  tell him you want to seek couples counseling then do it, with him or without him.

marriage

He told me he started to back away because I was asking for too much in the relationship. The more I tried to fix things, the worse it got. I want to make us better again, but I don't know how.

Have you asked your boyfriend directly this question?It is a good question and possibly would open a necessary clarifying discussion as to what each of you expects from the other.

intimacy

I've been with him for a couple months. We will talk everyday and he will get mad over something I will say and not talk to me. We have our great moments, but I just need to focus on my personal situations, and I feel he is slowing me down with that. I still wanna be with him, but not now.

It sounds like you're pulling away instead of being honest. If you really want to be with him, why not now? If you don't have time for a relationship, why are you dating at all?I don't understand the whole "phasing out" thing that people do these days (or "ghosting", where you just stop talking and disappear!). I get the sense that this relationship isn't working for you, but for some reason you're stopping yourself from being honest with yourself and him and just ending it. In the early stage of a relationship (the first year), if it doesn't feel fabulous, it's a good idea to move on. It's not personal. You don't owe this person anything. They deserve someone who's totally into them (and so do you) and you're doing him no favors by hanging on to something that's not amazing or giving him hope that it might work better in the future sometime. You don't have to slowly bow out. It actually creates more hurt than gentle honesty. Maybe people don't know how to say it?"I've decided not to continue with this. I wish you the best." Life is too short!

relationships

My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.

I'm sorry to hear about the trust issues in your relationship. Trust, as you clearly know, is essential to healthy relationships. Past indiscretions or dishonesty can damage this trust and make it really hard to confidence that these things will not happen again despite reassurances. We tend to be very sensitive to betrayal and risks to our relationship security. Rebuilding trust takes time and effort for both parties. On your end, you may need to provide more reassurance and more concrete evidence that you are trustworthy, gestures of transparency (e.g. - giving him more information about where you are going and who you will be with, letting him know when you get texts or emails from people that might give him pause or trigger insecurities), and more patience and empathy for his fears. On his end, he may need to learn to be with his insecurities and fears and ask for reassurance about your love and commitment in ways that do not lead to criticizing you, attempting to control you, or limiting your freedom. If you are not able to come to agreements about how to put his fears to rest without it negatively impacting your life, I would suggest getting some professional help from a marriage counsellor or couples therapist.

marriage

I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?

Thank you for asking this important question. I find that there are three steps to getting ready for treatment. Step one is expressing interest in wanting to receiving treatment for the outcome of positive behavioral change. Congratulations you did the first step! You are showing your readiness to start counseling by asking this question. Now the second step is to find a counselor who specializes in treating clients with Anxiety and Depression. The therapeutic orientations I have found to be helpful in treating clients with  Anxiety and Depression are a combination of Cognitive Behavioral Therapy with Mindfulness, and Solution Focused Brief Therapy. Receiving meditation for your symptoms if part of the treatment, and the other part is receiving counseling to increase your resilience for future events. Research has found that medication and psychotherapy treatments together shows the most effective outcome for Depression.  The third step is to increase your positive self-talk to motivate yourself to attend treatment. As counselors, we are aware of the anxieties and fears that are associated with talking to a new professional for the first time. However, remind yourself that you are doing this to improve your well being. I hope this was helpful, and good luck with your treatment journey.

depression

My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.

People often have very different values and opinions when they are drinking excessively and when they stop drinking so much.Did the two of you share drinking as an activity?  If yes, then did you stop drinking too?Often when partners meet each other as drinking buddies when one gets sober, the relationship ends.  Once the terms of any relationship changes, one possibility is that it dissolves.The best way to go is to start the conversation of what you genuinely want.  This is the only way she'll really know your thoughts.Ask her to give serious consideration and discussion over at least a few weeks or months, to moving away from you.  This is a fair request since you are in a relationship.If she's changed so much by giving up drinking, which is possible, that she no longer wants to be in relationship to you, then you are better off being without a drinking gf, even if the truth she delivers is a hurtful one.

depression

She said she needed space after three days of dating, and she got a boyfriend a week later. I still really miss her, and she told me she still likes me.

It sounds as if your ex-girlfriend is trying to figure out what type of relationship she is looking to have with you. There are lots of levels of relationships, from a basic acquaintance, to a more friendly acquaintance, to a friend, close friend, best friend, early romantic partner, committed romantic partner, and many more.If she is willing to have a conversation with you about her feelings, it may be helpful to have her explain her feelings to you while listening as an investigative reporter and asking questions that cannot be answered with yes or no, but are what are called open-ended questions, which ask her to provide more information. During this process, it would be helpful for you to try to think of it as not being personal, but just listening and trying to understand the experience from her perspective. After you have done this for five minutes (it's a rough estimate, but basically until you can restate what she is saying and she says you have it right), you can switch so she is asking you questions about how you are feeling. The goal is not necessarily to change the outcome, but to learn more about yourselves and each other.Then you may have an idea of where you stand in each other's eyes.

relationship-dissolution

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?

Love yourself more and treat yourself kindly, with empathy and compassion.Usually when people feel depressed they also feel lonely and isolated.  Since at this time you wouldn't want to tell anyone about the way you feel, which includes the possibility that a few of the ones whom you tell would offer you emotional support, give this to yourself.Also consider to make a goal of eventually telling someone whom you are reasonably sure would understand and empathize, about your depression.This will help alleviate the sense of shame, unworthiness and pervasive guilt which often comes along with depression.Sending you good luck!

depression

I have four children. One of them is in her 20s, and she cannot afford to go, nor can I pay for her. She went last year for two weeks by herself.

I imagine you are trying to figure out a way to be "fair" to your adult kids.  The key word is "adult".  If your daughter can afford to join the family for a vacation that's great, she's welcome to come.  However, as you pointed out she took a vacation by herself last year - she chose to put her resources (time off work and money) into doing that.  Good for her - she did what she wanted.  If she wants to budget time and money for a family vacation she will.As for feeling guilty, let me echo the sentiments already offered - vacations are lovely, but not a survival need.  Your girl is in her 20s and it's her turn to provide for herself.  You did your parenting - now go enjoy your vacation with whoever can, and wants to, join you!

parenting

I was with my friends at the park, and we were talking and having fun. After a while, I met a girl there. We talked and flirted for a while, then we gave our numbers to each other and left. We talked for a few months, then we met up again. She kissed me, so I assumed we were dating. Then I found out she has a boyfriend.

I'm sorry for your disappointment with this girl.Maybe next time you start to like someone talk with the person to find out if they feel similar to you.   This way you have a good chance to avoid being hurt in the way you describe here.Even if the person doesn't give you a straightforward answer to their feelings for you, you'll gain a little more information by listening to how seriously they consider your question, what their body language is like, whether or not the person seems sincere.Listen to your gut.If you feel unsure the person likes you as much as you like them, then wait a little while to see if your feelings about the person or their feelings about you, change and in what direction they change.Keep yourself informed as best you can so you'll know you did as much as possible to kiss someone who understands your kiss the way you mean it to be understood.

intimacy

I'm depressed often, and my mind goes a million miles a minute. Every once in a while, things are okay for a few days. After a bit, I start noticing that I am picking at my skin profusely. After roughly a week, the anxiety is back and still picking. Sometimes I find myself causing fights to have change.

Hello, and thank you for your question. I am very sorry that you are struggling. I have a few thoughts and perhaps some of my colleagues will add something else. Depression and anxiety can both be chronic conditions, as you have experienced. This means that they may always require treatment in order to have some kind of relief from them. Treatment could mean medication or some kind of counseling. Some people may take medication for the rest of their lives. Some people may go to counseling at times when the depression and anxiety worsens. As you mentioned, sometimes the symptoms improve for a little while, but they can also come back. When they do, it is important to talk to your medical provider if you are getting medication, and/or to go back to your counselor and talk to them about the symptoms that have returned. Skin picking and some other behaviors are not uncommon for people who are experiencing something like anxiety. Many people report that they do this when they feel anxious, and some say it calms them down. It is not really a surprise that you are constantly trying to change things and even starting fights to do so. These are ways to try to avoid, escape and distract yourself from the feelings of anxiety and depression. That is a very normal thing to do. Nobody likes these feelings, and so distraction is something we naturally try in order to get rid of them. The problem is that things like distraction and escape do not work as a long-term solution. In fact, they usually make things worse for many different reasons. Depression and anxiety can  be treated, but it is likely something you will need some help with. I would recommend finding a counselor who has experience with anxiety and depression. Medication can be helpful, but I still recommend counseling. The reason for this is that the medication can help with symptoms, while the counseling can address the symptoms and provide you with very helpful skills. Be well,Robin J. Landwehr, DBH, LPCC, NCC

depression

I have no idea what happened. I go places and do things but still feel lonely. I honestly have no friends, and I am always the one texting people and bothering people. I feel invisible, like someone that no one wants to be around.

A lot of times any and each of us creates what we need for ourselves by seeing other people as creating these circumstances and situations.Is it possible that at this time period in your life, being alone is positive for sorting through your true values or sorting through key situations in your life?If "yes", then possibly you are giving yourself some alone time, even though to some degree being alone is not your first choice.At the very least, since you aren't happy with being the one who texts others, then some alone time may encourage new thoughts and ideas creating more open space within you to attract other people who do enjoy texting you first.Also, most relationships are not forever.  Is it possible you are at a phase when some relationships are simply closing down so that you have clear space within your life for new and different activity?

intimacy

My roommate is a unapologetic person who doesn't care who she hurts. She never apologizes to me or my family. She made me lose my temper today to the point where I was using swear words in front of my mom and brother.

Must you keep this roommate in your life?If you've tried speaking with the person about your unhappiness to feel angry "all the time" , the problem has been going on for an extended amount of time and nothing changes, then the next step would be for both of you to part ways.It is possible each of you triggers the other in very deep and irrational ways on occasion.If the choice is to tolerate being triggered or to dissolve the relationship, then your decision is which of these two choices is better for you.Since you already know you don't like to be triggered, parting ways as soon as reasonably possible, seems the choice you prefer.Either choice is fine.  Let the decision depend on which way makes you feel life is livable and happy!

anger-management

That phrase makes me crazy. It happens anytime I point out something to my husband that he needs to change, such as looking up from his iPad long enough for me to tell him the grandbaby almost pulled the shelf unit over or explaining to him that I got all the things he needs to bake a pie. Another example is when he opens the front door, the dog runs out if he doesn't pick him up. Over and over again, he lets the dog run out, and I am afraid he will get hit by a car.

It's hard to say what is okay and what is not okay, as it depends on what you and your husband feel is appropriate in your relationship. If you are feeling like you need to walk on eggshells or that you can't speak your mind and say how you feel, then that sounds like a problem. I would recommend having an open discussion with your husband about communication between the two of you in general. Do this during a time when there is little or no conflict and emotions are not heightened. Let him know how you feel and give him specific ideas of how you would like him to respond instead of saying, "enough." Additionally, try and see his perspective and understand why he shuts you down. Perhaps, he feels like he is being told what to do constantly or that he gets little positive feedback from you. An open dialogue about how to discuss issues going forward will likely help. Seeing a couple's therapist will also greatly assist with teaching better communication skills and seeing if there are underlying issues that need resolution. Best of luck to you guys.

marriage

I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.

One thing you could try to do on your own is to focus on the partner who is in front of you now. If you are able to connect with them via touch or focusing on their tone of voice, that may help to center you. Tried to stay grounded and/or mindful. That is being aware of your position in the room, your feet on the floor, your hands in your lap, or your hips in the chair. Being mindful of the environment you are currently (for example, noticing what is around you) may be helpful. Try to use all your senses. For example, you could focus on hearing your husband's voice, feeling his hand in yours, being wrapped in your favorite blanket, seeing a comforting photo, using a comforting sense or candle, or tasting an apple that reminds you of times when you have enjoyed yourself in the kitchen.It also sounds like you are having a very specific reaction that could very well be related to trauma. I would recommend that you talk with a local mental health professional.Remember, just because it was the best decision of your life, that doesn't mean that what happened to you or in your presence automatically leaves you when you leave the relationship. Our brain is actually hardwired to remember things that have caused us pain or great emotional distress as a way of protecting us from them happening again. This is a very natural response and the reactions you have as far as nightmares and flashbacks are the past coming forward and your brain trying to make sense of it all.

trauma

For the last year, my adolescent son and daughter have been driving me nuts with fighting. I'm at my wits end. How can I get them to stop and get along?

That is a good question. Unfortunately there is no generic answer with this one. Kids fight for different reasons - wanting attention, wanting respect, feeling jealous, wanting space and to be left alone, or a whole bunch of other reasons. Regardless of the underlying motivations for fighting, most conflicts result from misunderstandings and assumptions about the motivations of others and one of the best ways to start figuring out what is going on is to sit them down and have some conversations with them. These conversations should be centred on getting a better understanding of why they are angry with each other and really understanding them. It is important that they each know that you are committed to understanding their experience rather than simply sitting them down and lecturing them about what they are doing wrong. The more they are able to understand each other and feel understood the more likely they will be cooperative and considerate of each other. One exercise for doing this that can be very helpful is "active listening" where one person speaks and the other person reflects back what they heard the other person say and then checks for understanding. This is hard to do but it often illuminates where the misunderstandings and assumptions are. If this doesn't work it may be time to get a family therapist or counsellor involved who can help facilitate dialogue and resolve conflict.

parenting

I am going through a divorce. He is extremely angry. He refuses to physically assist me with our teenager daughter. I have no extended family support. Often times, I feel overwhelmed, tired, and joyless. I feel out of control, sad and depressed on a daily basis. I am just going through the motions of life every day. I am in my mid-50s. I have almost 29 years on my job. How can I handle this?

You are in the midst of a really hard time and it sounds like you have no help at all.  Search out a local support group through community counseling type centers.  If you can't find a group, at least get in to see a therapist who can help you manage stress and upset better.  Your sadness, depression and out-of-control feelings don't mean there is something wrong with you - they just mean that your circumstances are too big for your current resources to handle, so get some help. Take care of YOU and you'll be able to get through this.

depression

I have suffered many things at home and school. We never went to the doctor to diagnose depression or anything like that, but I always feel like a part of my heart is missing. I try to fill it in with objects or, in this case, a woman.

Maybe the reason is not having confidence in the love you give to yourself.Possibly you consider the quality of your self-love as inferior to love someone else gives you.The best way to push through to your own self-comfort and acceptance is to be aware of this tendency so you can remind yourself to practice appreciating the unique love you give to yourself.

relationships

I was “mentored” by this guy for a few years spiritually. It was okay at times, but other times, it was just weird. I try not to think about it too much, but a lot of manipulation and lying happened, yet no one else really believed me when I told them. It's like he's two different people, and no one else really sees that side of him. I was blamed for a lot of our troubles, and now we don't really talk much. I'm worried because he's in a trusted position of leadership and no one suspects anything. They just think I'm attacking his character. How do I know for sure?

You may intuitively be sensing what many professionals in the social sciences and psychology have already understood.Just Google "psychopaths and leadership" and many articles come up about boardroom politics and that psychopaths are very successful in these roles.Theoretically, is it terrible that corporate leadership qualities match those of psychopaths?  Well, yes.  And, I consider your question as a mark of your sensitive awareness toward other people.  Being able to recognize social dynamics, is a strength that you have.Psychopaths know how to be charming and to twist words so that others believe that their own interest is the same as the psychopath's.I agree with you about not being able to change people's minds who are attached to this person's interactions.The only way you can introduce a change in the relationship system of a psychopath is that if you are aware of illegal or law breaking activity, and you have evidence of this, that you contact relevant authorities.No one is allowed to break laws, including psychopaths.

social-relationships

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

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

lgbtq

When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.

Oh dear - this is becoming all too common.  I suggest you have some conversations with your girl to figure out where she is getting the "information" that she builds anxiety around.  I see teens  who have heard teachers, parents, coaches, etc push the "highly selective colleges" idea on kids way too much.  Teens in particular are prone to black and white thinking, leading them to see one poor test performance, one off day, one not-great assignment as the make-or-break task on the path to successful adulthood.  If that's the case with your daughter, she needs you to help modulate both the incoming information (there are nearly 5000 colleges in the US - she will get into one of them!) as well as her reaction to that information.As well, you and any other adults that are involved in parenting her need to discern fact from fiction.  The recent scandal around celebrities "buying" their kids into college is an indicator of how far off track we, as a culture, have gotten in terms of education.  A college education is certainly important, but we have allowed the marketing push to create so much stress and upset for our kids (and ourselves as parents) that they are actually less prepared to leave home and really engage in higher education than ever.You may want to include a therapist in these conversations if you get stuck, but start with a parent-child conversation.  Help her figure out what is going on - if it is the "I have to get it right or I will have no future", calmly walk her through all the evidence that says that's just not true.  As well, let her know that being anxious now is NOT preparing her for a bright adulthood - it's preparing her for an anxious future.  She needs help figuring out how to balance her effort to attend to real and reasonable expectations, not over-inflated fear-based actions.

parenting

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?

This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well.However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you).If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help.

anxiety

I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me. Why do I feel this way?

It is normal to seek other’s attention and noticing that some people would not be interested.  After all, we belong to a social environment where we constantly receive other’s feedback, which at times validates us, makes feel important and useful, like we belong; but also at times makes us feel isolated, different and neglected, which we could interpret as hate.The key is to be aware of what you think about what people think of you.   Got it?  This part can be tricky at times, because, what others think about us does not really affect us, what really affects us is what we decide to believe, internalize, and make our reality.  For example, I could choose to ignore a person’s comment about me, or I could decide to focus on it all day, analyze why they said that and what have I done to them to get to that conclusion.  Eventually, since we became so focused on that thought, we may end up believing that what the other person said about us was true, even if we did not agree to begin with.So how can we fix this?  Awareness is the key!  It is important that you understand the way you internalize external inputs, like comments, and to go through a process of discarding negative ones.  It is also helpful to talk to your counselor about how you process feedback and validation so you learn to balance your positive traits from negatives and how that affects your relationships and self-esteem.¿Cómo me puede importar menos lo que la gente piensa?Siempre siento la necesidad de impresionar a otros, ya sea mi familia, la gente de la escuela o extraños.  Y sé que no importa lo que haga o cuanto haga, siempre habrá personas que me odian.  ¿Por qué me siento así?Es común que busquemos la atención de otros y notemos que algunas personas no están interesadas.  Después de todo pertenecemos a un ambiente social donde constantemente recibimos comentarios, que a veces nos validan, alagan y nos hacen sentir como parte importante y funcional de la sociedad; pero en otros momentos nos hacen sentir aislados, ignorados y diferentes, lo cual lo pudiéramos interpretar como odio.La clave es estar conscientes de lo que pensamos que los otros piensan de nosotros. ¿Me sigues?  Esta parte puede ser algo confusa, porque lo que piensan otras personas de nosotros, no nos afecta directamente, lo que si nos afecta es lo que decidimos creer que otras personas piensan de nosotros; y luego lo internalizamos y hacemos parte de nuestra vida.  Por ejemplo,  podemos decidir ignorar lo que una persona dice de nosotros, o podemos decidir enfocarnos en ello todo el día, analizando en detalle porque lo dijeron y que hemos hecho para hacer que ellos piensen así. Eventualmente nos enfocamos tanto en ese pensamiento, que terminamos creyendo que es verdad, aun cuando originalmente no lo creíamos así.¿Entonces como lo arreglamos? La clave es concientización.  Es importante entender la manera en que internalizamos las opiniones de otros, y que pasemos por un proceso de discriminación, donde descartemos los comentarios negativos, hasta que aprendamos a ignorarlos. También ayudaría hablar con un Consejero sobre como internamente validas y descartas los comentarios y opiniones externas, y como eso puede estar afectando tus relaciones y tu autoestima.

self-esteem

A year ago, the love of my life left me and never looked back. Our son was two months old at the time and it broke my heart. I miss her so much and can't seem to get over being so heartbroken.

Who takes care of your son, is a significant part of getting over your heartbreak.If you made reasonable custody terms re your son then the relationship heartache is much easier to recover from than if your son’s mother vanished from his life, or if the mother wants nothing to do w him.Re the actual relationship, let yourself feel sad and hurt since this is the truth.Usually life gradually fills in new people, including a relationship once you feel strong enough from having endured such sadness and loss.

relationship-dissolution

My boyfriend and I have been going out for about a year. I suddenly find myself jealous when I see him talking to other girls. I have never been this way before. I don't like these feelings. He said that my jealousy would cause our relationship to have problems. I told him I can't help these feelings. I don't know where they are coming from, but this is how I feel, I tried to stop, but I can't. I really like this guy, but I'm afraid that I'm messing up the relationship. It's just stupid.

Trust is at the top of what makes a healthy relationship.  It sounds like you may benefit from personal counseling to explore where this jealousy comes from and what keeps you from having complete trust in your boyfriend.  This is not stupid, this is your mind telling you that there is something that needs to be worked through.  Sometimes we need to talk to someone like a counselor who is disconnected from our life to understand our feelings and what they mean in our relationships.

intimacy

I’m a man, and I’m soon to be married. I have been messing around with other men on the side. It started as a once in a while thing, but it’s been happening a lot. I don't know what to do.

I would start by examining the reasons for seeking out other relationships. Are you getting something from the other men that you do not currently receive from your current partner? Such as, is it more exciting with others and that excitement is lacking in your current relationship?

intimacy

I feel like I'm trying to convince myself that I'm okay when I'm not. I'm always blocking out the bad things and forgetting. I also feel like nobody cares for me and they never will. I feel truly alone.

As social creatures, we humans all long for deep human connection. To know that we belong and are part of something larger. It is so important to us that when we feel alone - it can feel almost unbearable. You are not alone in feeling alone. While it can take time to build deep relationships there are moments in each day where we have the opportunity to interact with other people who may also feel lonely and scared and want to be seen and acknowledged. I wonder what it might be like for you if you took on an experiment of trying to really see the people around you and make little attempts to acknowledge and connect with them - fellow humans on this journey of life. A "good morning" at the bus stop or really looking at the person who you buy your groceries from or thanking or complimenting someone for something that you notice and appreciate. While this is not a substitute for close relationships these moments of real connection with the people who we share our communities with can go a long way to realizing that we are not as alone as we may have thought.

self-esteem

Does counseling really do anything that can help people?

Counseling can go a long way in improving your mental health. Counseling helps you to get new perspective on your life and problems.Talking about your problems with a counselor gives them substances and something to get a handle on. Talking about your problems gives you a chance look at your situation from a new angle to help solve your problems.The counselor is a neutral listener that can help give direction and answers to your needs.Counseling can help you solve your problems but also can set up a plan for the future. Counseling can help you to deal with things before they get out of hand.Give counseling a try.

counseling-fundamentals

I try to do everything right just so we won't argue, and it doesn't help the only time he is calm is when he is drinking alcohol. I get anxiety over having fights with him.

Because of the way that you say your boyfriend is only calm when he is drinking and you have concerns about flights, it would probably be most helpful for you to speak with a local therapist so you can have specific conversations about what happens during these fights.When you do "everything right," are you saying that you don't argue? It sounds a bit as though you are trying to read each other's mind without being able to communicate effectively. I recommend working on this with a therapist, though (even if you end up going without your boyfriend to sessions), so that you can talk about specific strategies and what you can do when he is not calm.

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?

Why do you blame other people who had nothing to do with your actions?If it is because after the fact you wish you had accepted their help, then the person who is responsible for this is you!Since you are aware of your tendencies and how the interfere with your life, try to become aware of when you do these habits.This way you can interrupt your own patterns a little bit at a time.

behavioral-change

he just walks in the house whenever he wants to see his kids. My fiancé tells me it makes her angry and doesn't like it, but she seems afraid to say anything to him about it for some reason. Is it okay for him to do this?

The obvious answer is no, it's not okay.  There are other you should be asking though.  You said your fiance "seems afraid" of her ex.  Did you ask her about that?  Is there a reason he still has a key to the  home?  Has there been any discussion of appropriate boundaries?  I work with a lot of people parenting from different households and the stickiest spots are the ones that have not been discussed.  There is obviously conflict there or they wouldn't have split, but your fiance and her ex do need to stay aligned for the kids and that can't happen if she feels fearful or resentful.  If she doesn't have a problem with his barging in, clearly you do (and who wouldn't?  He's not YOUR ex!), so you and she need to have some agreements around his access to the home.  If she is afraid to bring up the discussion then I strongly recommend that she and the ex get some help with a good therapist.  The kids health, your health and hers, and the health of your relationships in the family depend on it!

parenting

I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.

I agree with Sherry, it is OK to give the answer that you feel most familiar with.  The most important part is not who people think you are, but that you know who you are.  Read about gender identity and fluidity.  Discovering the answer is a process, don't rush it to comply with others either way.  If you feel that this is a constant issue that keeps you awake and keeps you from enjoying your life, consider going to a therapist to discuss your feelings and concerns. ¿Qué significa que yo me sienta como diferentes géneros?Nací como niña. Me veo como niño.  A veces siento como una variación diferente de género.  No sé qué decirle a otros cuando pregunta que soy.  Me siento confuso y solo digo mi genero de nacimiento. Estoy de acuerdo con Sherry, está bien dar la respuesta que se sienta más cómoda.  La parte más importante no es quien las otras personas piensen que eres, sino quien tú piensas que eres.  Lee sobre el tema de identidad de género y fluidez de género.  Descubrir tu género puede ser un proceso, no lo apresures para complacer a otras personas.  Si sientes que este tema te esta quitando el sueno y te impide disfrutar tu vida, habla con tu consejero sobre tus sentimientos y preocupaciones.

lgbtq

My boyfriend and I have been dating for almost 2 years. I've been really sad lately and for the past few months I've realized I'm just way too dependent on him. It makes me really upset to be so dependent on someone else, but I can't help it. I don't even know who I am without him. How can I be less dependent on my him?

Recognizing that you're too dependent on your boyfriend can be a wakeup call and an excellent opportunity to work on your own personal growth and independence.  It sounds like it's time to explore and develop your own interests and engage in some activities that excite and challenge you.  If you have time, it could be useful to begin a new activity or class, cultivate friendships outside of your relationship with your boyfriend, and begin to reflect and meditate on ways to enhance your own personal fulfillment.

relationships

I've known him for about six years. We've dated off and on. I hadn't seen him in close to three years but recently started seeing him again. I really want this to last this time. I stayed the night. Do I text, call, or make contact first, the same day of the morning I left his house?

I don't see why you can't call, text, or make contact first. It would be up to him to reply when he can and wants to, but I don't know why you couldn't initiate contact.One thing to consider as you get to know each other better is having conversations about conversations. For example, you could say "I'd like to call or text you more often, but I'm concerned about _____ (listing what you are most worried about)." Then he can discuss his reaction and you can have a dialogue about it.

anxiety

I snap easy and push people away. I need help before I push my boyfriend away.

Awareness is the first step.  Now that you know that you snap and push people away, you can look into ways to control your anger.  If you give yourself the time to analyze why you experience anger, you will discover that there are other feelings underneath;  shame, frustration, disappointment, and fear are some of the feelings that we cover with anger when we are not ready to deal with them or don’t know how to express them.  So next time you feel angry, even if you snap (with practice you will be able to identify them ahead of time), identify why you are angry, and try to express it out loud.  A therapist can help you to learn assertive communication skill using examples drawn from your daily experiences.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.¿Cómo puedo controlarme y a mi coraje?Exploto fácilmente y alejo a las personas.  Necesito ayudo antes de hacer que mi novio se aleje.Tener conciencia de la situación es el primer paso.  Ahora que sabes que explotas y alejas a las personas, puedes buscar maneras de controlar tu enojo.  Si te das tiempo para analizar porque te da coraje, descubrirás que hay otras emociones escondidas, la vergüenza, la frustración, la decepción y el miedo son algunas de las emociones que cubrimos con coraje cuando no estamos listos para revelarlas, procesarlas o expresarlas.  Así que la próxima vez que estés a punto de explotar, o cuando ya hayas explotado (con la practica uno aprende a identificarlas de antemano), identifica por que estas enojada e intenta expresarlo en voz alta. Un consejero te puede ayudar aprender técnicas de comunicación asertiva usando ejemplos de tu vida cotidiana.Si te gustaría hacer terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478.

anger-management

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.

I'm sorry for the hurt you're feeling from your husband's decision.Keep in mind that if one partner does not want to be in a relationship and remains in it, then both people will be unhappy, dissatisfied and feel stressed.Imagine being in a relationship that you'd rather leave.All the negative feelings and resentment of being with someone whom you'd rather be without, would not leave very much energy to satisfy your partner.I'm glad you realize that you feel depressed.Depression is a mood that can change once you understand what is causing it.Depression is an area that very often therapists help their patients understand, and emotionally support and encourage them during the course this takes.For now, concentrate on decreasing the tension in your life.  Your husband's indecision may very well be adding to your stress.Only he can make up his own mind.As hard as this may be, all you really can do is take care of how you feel so that you will feel better.From what you write, your husband is too unsure to offer you the love and care you'd like from him.Learning to love oneself is always worthwhile.   At this stage in your marriage, now sounds like an ideal opportunity for you to teach yourself self-love.

depression

I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least. I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me?

It sounds like this would be difficult at times, particularly if you feel misunderstood.You may or may not know that we all have chemicals in our brain. We also have different sections of our brain that become active when different things happen. There is a part of our brain where a lot of our emotions originate that is also designed to protect us when we are going through things that have been physically or emotionally painful in the past, and when that part of the brain is sometimes overactive (perceiving threat when there is no actual threat at the time), sometimes anxiety can develop. This doesn't necessarily mean that everyone has an anxiety disorder, but often if we are afraid of something that is not actually a legitimate concern (for example, most insects are not going to hurt me, but I still do not like them very much), we have anxiety about it.The first thing I thought of when I read your question is that perhaps some part of your brain are overactive. I did find an article that may be helpful to you, but I just want to caution you. Not everything listed here applies to you. Also, the article uses the term "brain anomalies." This does not mean that there is something majorly wrong with your brain. While I cannot tell you exactly what is happening, I'm asking you not to panic over the term and to just consider that perhaps some of the chemical reactions in your brain may be a little overactive, which may be able to be corrected with medication or something similar. I can't tell for certain from what you posted whether or not this is what is happening, but I would recommend that you either talk to your primary care physician or a therapist or psychiatrist.Here is the article: http://blogs.psychcentral.com/addiction-recovery/2012/09/too-much-empathy/When you meet with your doctor or a therapist, please try to convey how much this is affecting your life.Thank you so much for posting here and I wish you the best.

diagnosis

I am in my early 20s and I still live with my parents because I can't afford to live alone. My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?

That is a really tough situation that a lot of young people are experiencing right now. The first thing to under is that you can’t change who your parents are and cannot change their behavior. The thing to keep in mind is that you can control your responses and actions.  You may need to keep living at home with them for the next few months or years and the best way to do this is to have a plan. The second thing is to keep in mind that their controlling behavior is most likely not about based your behavior. Controlling parents are often driven by their concept of what will keep their children safe and happy. Unfortunately this is not always accurate but keep in mind it is not a personal attack.  There are ways you can deal with controlling parents – and most of them require creating a plan of action.Examples of action plans:Decide in advance how you’ll calmly and rationally respond to your parents when you feel they’re trying to control youArrange to phone a friend or trusted adult when you feel like you’re losing controlTalk in person to an adult you trust. There aren’t any quick tips on how to deal with parents who want to control you; you need to find strategies that are geared to your specific family situation. Get specific coping tips from books about family dynamics, such as:Toxic Parents: Overcoming Their Hurtful Legacy and Reclaiming Your Life by Susan ForwardCutting Loose: An Adult's Guide to Coming to Terms with Your Parents by Howard HalpernA counselor can be a good resource and provide support and guidance about issues addressing normal growth and development during periods of transition.

parenting

On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs. I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest. How do I fix this?

Sometimes we let our insecurities get the best of us, causing us to make some interesting choices. Honesty is always the best policy, but honesty comes with risk.  Perhaps you may want to start with your family first, explaining to them what you have done and why.  Perhaps they can help you to practice talking about your insecurities with your friends. Another way is to start, slowly, to dress more and more like yourself and your true body shape. Some of your "friends" may make fun of you, true, but then you must ask yourself...why do you want to be friends with people like that?

self-esteem

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?

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

relationship-dissolution

I'm in my late 50s. I never loved or have been loved. I need deeper help than is offered in my small town, but I cannot leave this town because of agoraphobia. I find myself losing hope more and more. My brain barely works anymore, and my memory so small, I forget in a moment. I serve no purpose. I'm incapable of work or anything of value, and I never have been. I’m a complete waste of time and resources, and yet I keep trying. Why? Why does God insist that I continue to exist? I’m not suicidal, just tired.

Hi Oak Harbor,My heart goes out to you. Sometimes when I'm working with a client who experiences depression or anxiety, I ask them for a glimpse into their worst moments in their minds. "What are the worst thoughts that run through your head?". Often they struggle, perhaps out of shame; maybe they don't want me to know their worst thoughts. But I can help them better if I do know, because then we have a place to work from. You are feeling hopeless and worthless, and your thoughts support these intense emotions. I don't know you, but I strongly believe that you have someone in your life who, if they heard your thoughts, would say "That's not true. I know where her value is." I believe that there are people who would see your value clearly, even if in small things. Can you imagine those voices?You mentioned God, so let's invite God into the conversation. What might God say to you? What evidence might God...who sees all..have of your worth? What hint might God give you about your purpose? You suffer from severe anxiety, and the agoraphobia works together with fear; they're a tag team. Fear tells you perhaps that people will reject you (or something equally bad), and then agoraphobia steps in and traps you and uses as evidence the fact that no one seems to be reaching out to you to convince you that you have no worth. Do you see their plan? Make her scared... keep her here alone...convince her it's hopeless. They both try to convince you that they are your only friends, except they're lying to you. They only want power over you.You forget your worth. You forget that we all have worth. No one is a waste. I believe all God's creatures have worth, and that we're here to use our gifts to improve the world, and to remind each other of our value. There are people out there needing your support as much as you need theirs. Can you find them? My guess is you've been alone and isolated for a very long time and it's impossible for you to see your worth in this situation. We need mirrors to see our worth and other people are our mirrors. We see our value in their eyes. Do you remember the first time you questioned your worth? What was happening that you blamed yourself for? Can you speak to that child and tell her (or him) that whatever's happening isn't her fault? It's that child who cannot see her own worth, probably because someone treated her as though she had none. That's only a story though; not the truth. Can you find another thread of a story? Who might tell a story of your worth?Oak Harbor, I believe that there is help closer than you think. Fear wants you to believe it's hopeless. You reached out here...can you reach out again? Start with just one person, and that will lead you to somewhere. We don't know where that somewhere is but could it be better than sitting alone? You've stopped living. You can choose any moment to start. I wish you peace and hope. :)

depression

My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time.

That's a good question. I would say learn to pick your battles. What types of behavior/situations can you let go of? If you allow yourself to worry about the various areas in life that you cannot control, you will find yourself stressed out and unable to manage everything. Know that toddlerhood comes with lots of "no's," tantrums, non-compliance, and a growing need for independence. When your toddler does something that you don't approve of, remain calm, explain to him/her the appropriate way to act, and model it for him/her. Remember to give your toddler praise when he/she does something good or acceptable. Be consistent and follow through with your instructions. Finally, know that you are not alone. Parenting comes with its set of challenges but all you can do is your very best. Good luck to you!

anxiety

I am so angry. I feel like the arguments with my parents have caused me so much anxiety and stress, and I don't know what to do. I want to sit down with a psychologist, but I cannot afford one, nor do I have my own health insurance. I can feel myself starting to get violent. I throw things of value when I start to get mad. I have punched holes in my wall. I can feel my aggression getting worse.

I'm sorry you have so many arguments with your parents.  Ideally parents are people who tolerate that their kids are people with their own unique characteristics.Everyone likes feeling loved by their parent.   Do you feel loved even though you and them have clashes?Anger is a symptom of a problem.The real question is knowing what feels like its being hurt inside of you.I agree with your idea of talking with a psychologist or some other type of licensed professional therapist.See if your area has a family service agency in it.  Generally the non-profit sectors offer sliding scale fees, and if you qualify, your cost per session would be financially comfortable for you.One possibility is to tell your parents that you'd like starting therapy because of feeling so much stress from the family arguing.They may very well be surprised to learn of your maturity in assessing your level of stress and be willing to make a positive contribution to this by offering to authorize therapy through their health insurance. They may even decide on family counseling so all of you work together to relate in more loving ways.Last, if you aren't ready to speak with your parents about wanting counseling, think about speaking to your school guidance counselor.  This person may have some recommendations for your specific geographic location.

anger-management

I was raped repeatedly when I was younger. I told my parents and action was taken, but now that I’m an adult, I suffer from extreme anxiety.

It's not unusual for traumatic experiences that happened when we were younger to stay with us when we get older.  Traumatic experiences can become embedded in our bodies, as well as in our emotions.  If the issue doesn't get a chance to get resolved within, then external action doesn't necessarily take care of the problem.  Seek out a qualified trauma therapist so you can start to deal with the issues you're grappling with.

anxiety

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

The short answer I could give is that we don't know why it's happening. The longer answer could come from deeper exploration as to your fears, or anxieties, that you experience maybe just thinking of going outside. But any sort of exploration about this almost HAS to begin with an agreement within you (and all of your feelings), that's it's not something to be ashamed of. If we are ashamed of any of our behaviors, then we lose the ability to sit with them and see where they are coming from. This could be something that can be worked through in therapy, and specifically with a therapist who specializes in anxiety and more specifically, agoraphobia.

anxiety

I have three siblings. My mom loves them and not me. She’s always yelling at me, but when it comes to my siblings, she talks to them. I’m always crying in my room.

Have you ever tried talking with her about this when she's not angry? While I hear you saying that it feels like she doesn't love you, there could be a lot of other pieces to this. Have you ever told her about how much she means to you (when she's not angry)?

family-conflict

What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.

What would make you feel no one wants to be with you?

relationships

Why am I attracted to older men?

What a wonderful question!Good for you on clearly knowing your priorities.If I was sitting with you now, I'd ask you to list your reasons.Start with whatever answers you do come up with and examine each of these a little further.If, for example, you feel you need a man because many of your friends are in relationships, then possibly you feel insecure about being your unique self, even when this sets you apart from your friends.If, you feel you need a man to protect you financially, then possibly you've lost faith in your ability to financially support yourself.If you'd like a man in your life to offer your love and are willing to contribute the work of relating intimately, then you've found the best reason for wanting a man in your life.This is far different than "need".

relationships

He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining.

From what you write, you're not too happy with how your boyfriend treats you and how he handles his own life.What keeps you feeling connected to him in positive ways?If you're truly not happy most of the time in this relationship, then you're at the time of asking why you'd want to remain in a relationship which is draining.

relationships

My ex-boyfriend boyfriend and I lived together. He had a two year affair with a girl and had three pregnancies with her. One was an abortion, another was a miscarriage, and then she had the third baby. They are not together, but he continues to contact me and wants me back. He has nothing to offer me.

Hi Attica,This is a question I think a lot of people deal with...they feel confusion about why they can't forget about or get over (or stop connecting with) someone who they absolutely know isn't good for them. In your case, part of the problem is that he keeps trying to get back in touch with you. For some people, honestly, it's a game... to see how much power they have over you or it's their need to control you. If you don't want contact from this person, it's really important to give him clear messages about boundaries ("Don't contact me again"), and then ignore all of their communications. Any interactions or responses from you at all will feed their behaviour. Remind yourself why you don't want to be with them. I hear you doing that already when you say "he has nothing to offer me". That's great self-talk.But let's get back to the question of why we have a hard time letting go of people like this. Sometimes it's because we still hope they will change. Maybe we remember who they used to be or how they used to treat us, and we think it can go back to the way it felt in those "good old days". The problem there is that, over the first few years, as intimacy grows, people tend to show more of who they are, not less. So what they're eventually showing you is who they are and what they're capable of. People do change and grow, but it won't happen at your pace. Accept that person for who they are and stop expecting them to change. Another reason we can't let go is because we picture our ex with someone new in the future and we wonder if they will be a better person for the next partner in their life. This is a normal... but not a healthy... thought. It's as though we want them to stay, maybe apologize, and heal our hurts; maybe make up for past mistakes. You deserve that healing, you deserve better than you got, you deserve apologies, but to expect that from the person who hurt you and hasn't demonstrated that compassion as yet is probably foolhardy. It is my belief that underlying some of the above scenarios is the deep belief that we must somehow be responsible for the hurts our exes have caused. If you blame yourself in any way for someone's poor treatment of you, you will be dancing around trying to do things differently so that they can treat you better. It will be impossible to let go, because you blame yourself for their behaviours.Draw a line. Their behaviours are about them, not you, and the only solution is to challenge and reduce thoughts of them, and create physical and emotional distance. These things plus time will help the events of the past fade from importance.

relationship-dissolution

My husband and I have been together since high school. We have been married going on for nearly ten years, and we have three beautiful children. A few weeks ago, my husband decided he need some time apart and moved over to his dad’s for a while. He comes home to see the kids and acts like there is not too much wrong. Can this marriage be saved or is it too late? He said he would go to counseling, so I don't think he has given up.

While it would be impossible for me to say whether your marriage can be saved it sounds like you are both willing to give it a try and to get professional support. With appropriate professional support for your relationship a lot is possible. I'm not familiar with the resources available in Jackson but I'm sure there are some good local couple therapists and there may be some agencies that specialize in couple counselling and family therapy. So often the challenges that we have in relationships result from rather small habits in relating that lead to greater feelings of distress, loneliness, anger and resentment. I commend your willingness to put effort into creating the strong loving relationship that you want for both of your sakes and of course for your children. The following links provides more information regarding common behaviours that predict staying together or separating and also videos and other resources that can help you get started. Wishing you and your family all the best on your journey of healing and discovery.

marriage

My husband and I are separated. He says he needs some time apart. He says he needs to get back the “in love” part of a relationship but doesn’t want to lose me. Should I wait or start over new?

That's a tough one.  Would you and your husband be willing to attend couples counseling during the separation?  That would benefit you both.  If you separate and reconcile, what will have changed other than you having time apart?  You will need to gain new skills to enhance and maintain your connection - otherwise you will risk repeating the cycle of disconnect, discontentment and separation.  Please seek help from a therapist trained in couples work to help the two of you find a way either back to each other or gracefully out of the marriage.  Time away will not, by itself, change your relationship into one that can be sustained.

relationship-dissolution

My husband always works. He does work from home, but his hours are from morning until night, and he neglects his family. If I have anything I want to do, I have to find a babysitter, but he does what he wants. He rarely comes to bed when I do, and we never have date nights.

Hi Ohio, The crazy things about situations like this is that, almost guaranteed, while your husband is out working and away from home, he feels he's doing it all for you and the kids; he believes he's loving you. He might feel like he's carrying his family on his shoulders. Your 'love language' is different...you'd rather spend time with him or talk to him...you want to feel like he's a bigger part of the family and feel connected to him. I absolutely understand that, and I support you asking for that.He might very well miss that feeling of connectedness too, but he's likely also feeling the weight of financial responsibility. A lot of men (and women) don't talk about this but they feel it. Sometimes they feel like they can't win either way; there's pressure to earn and pressure to be home. He has needs too; he probably wants more appreciation and less blame. I urge you to talk to him about how you feel, find out how he's feeling, and use a professional to assist you if your communication styles aren't great. Right now you WANT to spend time with him and that tells me that you have a good chance of addressing this problem successfully.

intimacy