arjun2183/Counselor huggingface dataset:
Question: He is an adolescent. He has peed his pant multiple times over the last few years, all at times when he is too wrapped up in a video game or video. We have taken away games and videos for long periods of time as punishment, but after a few months of having then back, he pees his pants again.
Counselor's response: Sounds as though your son is "pissed off" about something.Punishment will most likely result in more of the same, not less of the peeing you would like to stop from happening."Laziness" is more of a social judgement than it is a characteristic of its own merit.Is this your description of your son or his description of himself?First step always before addressing any of the family dynamics, emotions, and psychology of the people involved, is a medical rule out as to why your son pees at times he plays video games.If he has medical clearance that there is no physiological  problem, then talk with your son on his opinions as to why he pees, if he is aware of the urge to pee and ignores it, or that his attention gets so absorbed he doesn't notice the urge to pee.See what modifications you can create by cooperating with your son.Maybe it is as simple as each two hours, he sets a timer and when it goes off, he takes a bathroom break.
Question: 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.
Counselor's response: Hello, and thank you for your question. First, I want you to know that you are certainly not alone on this issue. Everyone, at some point in time, has a fear of public embarrassment. But for many people, this fear can become so awful that it begins to have a real negative impact on their quality of life.  They will try to avoid any situation that they even THINK will cause them embarrassment or anxiety. Escaping a possible embarrassing moment by avoiding or isolating may cause some relief at first, but then many times the avoidance will eventually lead to loneliness, isolation, and even despair. By avoiding, we can also miss out on things that make us feel alive and bring enjoyment. There are many self-help books that offer advice on this issue. You can do an internet search, and I recommend reading the reviews of the book. That is  great way to find out if others have found the book helpful. Another option is to seek a counselor to help you with this fear. I would recommend a counselor who specializes in helping people who have anxiety or social anxiety. Acceptance and Commitment Therapy is  a good choice for helping with anxiety, but there are many others. The truth is that anxiety and fear of embarrassing ourselves is not something that any of us will ever "get over", but we can learn to respond to those feelings differently. A colleague may offer some other advice, as well.. Be wellRobin Landwehr, DBH, LPC, NCC
Question: 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?
Counselor's response: 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.
Question: I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac.    I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years.
   I’ve never had counseling about any of this. Do I have too many issues to address in counseling?
Counselor's response: Absolutely not! When we have the courage to accept the challenge to address whatever is causing us pain, the solutions often generalize to many, if not all of our symptoms. I would suggest that unresolved trauma from sexual abuse is likely a primary contributing factor. However, it is important that you first build a trusting relationship with a therapist experienced in trauma treatment as this is an area of specialty that not all therapists are skilled in treating. Choosing one issue to work on, such as anxiety or depressive symptoms, and starting there will allow you the opportunity to get to know your therapist, learn coping skills for managing distressing symptoms, and establish emotional safety before jumping into trauma work.
Question: 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?
Counselor's response: The world needs more people lately who have such a high degree of empathy which you describe in yourself!If it feels a little burdensome, then look to balance what is too much with its opposite.  Since you're giving a lot of empathy, maybe you'd like receiving a lot of empathy.In the situation you describe, when you start empathizing with others, real or cartoon, ask yourself whether you've felt empathy coming in your direction lately.Often people give to others what they feel within themselves is missing.The emotional brain reasons that if I give you my support, say, then at least I will feel half of what being supported is like.Obviously the wish to receive more empathy cannot be fulfilled by you directly.  Empathy is delivered by someone who is willing to offer it.Reflect on whether you are allowing those who are in your world, to know when you would like to receive their empathy.Is it possible you keep your feelings to yourself and present as though you are able to handle a great deal more than you'd like to handle without anyone's kindness to support you?Being open to others about your own inner thoughts and feelings is much more difficult than it sounds.It sounds easy to just tell someone how you feel.Sometimes the first step is the most difficult, of accessing how you feel.Start with knowing the amount of empathy you'd like from others and what stops you from asking.Also, about your diagnosis and the lack of  studies and lists and formulas.  Each person is unique, the instructions and guidelines don't necessarily mean very much.  Often having a diagnosis makes a person feel weak, stigmatized, incompetent. Forget the diagnosis and concentrate on what you need to do differently in order to feel better.The answers are inside you, not inside a book or website.
Question: She's in her early 20s, and she has a toddler.
Counselor's response: Well, first let's identify what factors are involved in the situation about which you wrote.Are you the only decision maker regarding your stepdaughter living with you?Is her dad, and your partner, living under the same roof?Would you feel any obligation to consult with your husband about his opinion and his way of handling the situation?Have you talked with your stepdaughter about your observation and your reaction to the fact of her not honoring your boundaries?Consider too that there will be an effect on the toddler, your grandchild, if you kick out your daughter.Is your daughter financially ready to live on her own and support herself and her child?You certainly have the right to define the terms of what goes on under your roof.It is only fair to everyone that as many variables as possible, be considered.The conclusion may be that it is in everyone's best interest for your stepdaughter to move out.If everyone feels respected and a well thought out plan is developed, then the least amount of hurt and stress, and the most amount of happiness, will be possible from this change.
Question: How do I decide if I should end my relationship with my boyfriend?
Counselor's response: The decision to end a relationship is difficult. There are a few questions you might want to ask yourself like, "Why am I asking myself if i should end it?", "What else am I looking for in a relationship that this one doesn't give me?", "is my boyfriend willing to discuss my doubts and willing to work at making this relationship better?", "Is he abusive in any way?" These are just a few questionsto think through in order to make this decision. Also talk to a trusted friend and see they're point of view of your relationship. Sometimes talking it over can help you think out loud and you're friend can point out details you can't thought about. Talking to a therapist is also a good option as a therapist can hello you figure out what you are looking for and address any issues that need to be addressed.
Question: I'm a teenager, and I created a sort of imaginary friend to help me cope with stressful situations or if I'm worried or upset. She "gives me advice" and comforts me and tells me it'll be okay. I've given her a name (Solace) and created a personality for her that's like a comforting motherly figure. I know it's just my own advice and my own thoughts, but it's just that I'm thinking of them through a voice other than my own. I do this because I know I never really listen to my own advice, and I thought it would be better if it was through someone else who knew my thought process in and out, through this imaginary friend. Is this normal? Could it develop into a separate personality with time if I continue a mentality that she is her own person?
Counselor's response: Since you are saying that you know that the thoughts are yours and your thinking of them in a different person's voice to make them easier for you to follow through on, it doesn't sound like it could develop into another personality.It may be helpful to also find other things that give you comfort and to practice telling yourself that it will be okay in your own voice. If you start to do that slowly, it may be more comfortable for you. If you're following following through with your own advice, it sounds like some part of you knows that you are making choices that you agree with.What else gives you comfort? Maybe there's a room that you like to be in when you are home or a certain outfit or color that makes you feel good. Focusing on these things may also be comforting to you.
Question: I've been hospitalized twice. Once was last month for psychiatric help. I'm on medicine, but I'm struggling with fighting the negative thoughts, irrational fears, and loneliness. The people around me aren't helping much.
Counselor's response: If you are someone who usually has a job, pays or contributes to household bills, and generally manages your own daily life, then here are some suggestions.Start with small changes in your life so that you will feel successful in developing little areas of personal happiness.Since the people whom you currently are in your life "aren't helping much", consider branching out your life so that you are with those with whom you do feel help you.Follow your natural interests.  If you like reading, look online for a local book club.   If you like watching birds, look up a bird watching group.Social isolation increases the intensity of negative feelings.Also, the way healthcare is set up in the US, psychiatrists spend 15 minutes asking a person questions and then giving them a pill script.    There is almost no human interest in the person.If you'd like feeling better as a person, then find people.   Relying only on our mental health system will keep you feeling low and unsteady.If your life is a little more sheltered and you are in a group home setting or your basic needs are taken care of by someone or some organization, then similar advice is still valid.Find and participate in whatever human settings which appeal to you and are available on a somewhat regular basis.
Question: I was with my boyfriend for years on and off. We dated and broke up three times. Since we broke up five months ago I can't move on. I want to get back together but he won't talk to me. What should I do?
Counselor's response: Probably being sad to lose the relationship would be a good next move for you.When a relationship ends the daily life structure changes significantly.  A break up means adjusting to differences in everyday life, not only that the person is no longer connected with us.Since your boyfriend isn't talking to you then you're keeping yourself sadder than necessary to not accept his actions.  There's nothing you or anyone else can do change the fact that when someone decides to stop talking, this person is the only one who's in charge to start talking.Maybe since you've had several breakups w this person that you require more time to pass before you're willing to accept that his changed interest in the relationship is permanent.Be patient with your uncertainty as to whether he will or will not resume the relationship.  Once enough time passes so that you're considerably past the point at which you and he come together, then accepting his leave-taking will feel natural.Right now its very understandable to have hope since you've been on this road before.  In time you'll have your answer as to whether your future is with him or not.
Question: I have a really bad temper. I get mad very easily then stay like that the whole day. I don't mean to be that way, but I can't help it.
Counselor's response: A lot of times the anger someone expresses is from feeling a deep level hurt within themselves.   A surface situation, like, a store told you they'd have delivery of a certain item by Tuesday, and when that particular Tuesday comes, the store doesn't have what they told you they would, and you are furious.The fury may have more with many times before in your life, having been deeply let down by someone who mattered to your life at the time, who similarly promised something and failed to deliver whatever it.If at the time of feeling let down by someone important in your life, the relationship didn't allow for honest expression of all your emotions, you'd have learned to hold in what you realized would not be tolerated if you expressed it clearly.Without practice of being heard when feeling hurt by someone, eventually the person, possibly you, learned to contain and contain your emotions.It is possible that the anger you feel at a variety of situations lately, are muting hurt feelings that you've understood from relating to meaningful people in your personal history, to not talk about.As a way to find out if you feel other emotions in addition to anger, take some time to reflect on what triggered your anger and whether its possible that hurt emotions which nobody whom you know wants to hear,  are really the underlying source of your upset.I hope you will enjoy some new discoveries about yourself and your emotions!
Question: I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.
Counselor's response: Having this kind of conversation with a doctor can feel difficult.  But remember, you are the expert on you.  Any good medical professional will recognize that.You are absolutely right to think about the importance of being your own health care advocate.  Generally, the best approach is simply to be honest.  Let your doctor know what you are concerned about and tell your doctor what you think might help.  If there is a specific issue that you’d like to address in counseling, let you doctor know about it.  And don’t hesitate to directly ask for a referral.I know this may all feel a little overwhelming.  It might help to bring a family member or significant-other with you to provide support when you talk to your doctor.  It’s great that you’ve already taken this first step to reach out.  You’re on the right track.
Question: I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and it’s with the girl that works with us. I've been trying to get over it, but now my confidence and self-esteem are low, and sometimes I feel like he’ll do it again or that he's not ready to be with me. I think about it all over again when I see her. He says he's in love with me, and with the last time he cheated, it didn't feel right, and that's when he knew he had to stop because his feelings were for me. He's contacted her and told her he will not communicate with her because he's in a relationship with me.
   How do I gain confidence? Should I let him go? If I let him go, I don't want to be sad about it being that we work together. I try to tell myself I'm beautiful every day, and I think I am a pretty attractive female with a great personality, but I don't like the fact that she works there.
Counselor's response: Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for couple's therapy in which there has been infidelity.Understand within yourself whether you'd like being with your boyfriend and what you'd like him to do so that you start feeling more secure in the relationship.If yes, then tell him what you now know about yourself as partner in the relationship.For example, some people who are getting over being cheated on, would like knowing details about the affair person, some people want to see the phone of the one who cheated.Recuperating after a cheating incident takes many months.If he tells you he'd like earning back your trust, give him some time to see if there is progress in this area.As results unfold, you will feel clearer on the direction your relationship is naturally taking.About the girl at work, she will feel less meaningful to you as you work together with your boyfriend on securing the relationship.She has her greatest meaning right now because you are at the beginning stage of knowing what direction to take.As you go along this road, more than likely, you'll be more at ease in naturally finding a way of relating to her that feels ok to you.
Question: Is it normal for people to cry during therapy, or is it just me?
Counselor's response: Crying in therapy is a natural response, a relief to what you are going through. It is an expression of emotions, which is why you are going to therapy - to express yourself in a safe, nonjudgmental space. Rather than trying to stop crying, sit on the couch with it until it is done and you have finished with the clearing. The energy is not blocked, is moving - a good thing. It's good to cry.
Question: I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky.  Is this normal? Should I still be feeling like this?
Counselor's response: It takes a lot of courage to go to therapy.  I have gone myself as a Counselor and know what that feeling is like. This is normal but hopefully you have become more comfortable with your therapist. This might be something to bring up to your Therapist and openly discuss (scary to do but its ok) this may even relieve some of your anxiety.  If it continues, you may want to consider trying another therapist as this one may not be the best fit for you.
Question: In 2008 my former husband of 14 years walked away from my life and we've been separated ever since. We have always been together sexually and both have experienced sleeping with others.  I stopped because I wanted my marriage to work out but he did not.  If he stops sleeping with other women, can our marriage be saved? Or should we just part ways?  I still care deeply about him after all that I did and he has done.  But he is seeing someone else on and off for years now.  Will our marriage still be saved if he decides that he wants to try to do so?
Counselor's response: Sorry to hear about the stress in your relationship.  There is definite value in being clear as you are, about your own emotional investment in your husband and that you expect sexual exclusivity from him as part of the foundation of your marriage.Also positive is your awareness that only your husband is the one who must similarly decide his own standards of being sexually exclusive to you, or not.Whether your marriage can be saved depends on what each person is willing to accept about the other one.Is sleeping with other women the only criterion of what will satisfy you about being together with your husband?Love and care are not enough to make a marriage work. Partners need to be able to compromise and cooperate with each other. That you care for him definitely intensifies any emotion you feel toward your husband.  It intensifies any frustration and sadness about the relationship too.Decide how much emotional sadness and hurt you're willing to tolerate and the reason you're willing to do so.From what you write, you are being very generous of yourself and not being reciprocated for this.If your husband doesn't start taking steps toward satisfying your wishes, this may be your time to question your own generosity in waiting for him to do so.
Question: After 40 years of being straight, how could I now find myself interested in people of the same sex? I have had a few same sex encounters of my own doing.
Counselor's response: Sexuality is fluid. It is possible to find yourself attracted sexually or affectionally to different types of people at different times in your life.
Question: I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?
Counselor's response: You're not a sociopath - you're traumatized. Shutting off feelings is our brain's automatic way of protecting us when something bad happens and we just can't deal with any more pain. It's temporary - which is both good and bad news, because after the numb goes away and your brain decides you're ready to handle it, you'll feel the emotional pain.  My advice is to get a therapist ASAP so you have a safe place and a safe person when that happens.This is a horrible thing that happened to you, but you are not a horrible person. With good therapy you will learn to assimilate this into the rest of your life. You'll never forget, but you won't have the same pain about it  .Good luck! You can do this!