arjun2183/Counselor huggingface dataset:
Question: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Counselor's response: To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basis, depending on the frequency of the appointments.  Once the therapy goals have been met, there is a closing session, the counseling relationship is ended, and the client can stop attending sessions.  In some cases, the client can also establish new goals and determine if I am a good fit for their therapy needs or if they need a new provider, in which case I provide multiple referrals.The counseling relationship could also end due to other factors like noncompliance= when a client is not committed to the agreed treatment process, or when the client’s or a counselor violates the counseling relationship.  Either the counselor or the client is able to end counseling.  Although, as mental health providers we need to provide a reason for terminating our therapeutic relationship and referral options, as a client no explanation is needed, a closing session is highly recommended.  ¿Cómo termina la terapia?¿Cómo un consejero decide cuando terminar las sesiones de consejería o terminar de trabajar con un paciente?Para poder determinar el final de la relación del consejero, debemos comprender las metas y parámetros de la terapia.  Usualmente durante la evaluación inicial se identifican metas a corto y largo plazo con el cliente, y se discute con el cliente como esas metas serán alcanzadas.  Durante el proceso de terapia el consejero revisa las metas mensual o trimestralmente dependiendo de la frecuencia de las citas.  Ya que las metas de terapia son alcanzadas, hay una sesión de cierre y el cliente puede terminar la terapia.   En algunos casos el cliente puede identificar nuevas metas para la terapia y determinar si el mismo consejero u otro consejero le pueden asistir. 
La relación de consejería también puede terminar por no conformar o violentar los parámetros  establecidos para la terapia.   Tanto el consejero como el cliente pueden terminar la relación de terapia.  Como proveedores de salud mental los consejeros estamos obligados a proveer un razón para la conclusión del tratamiento y proveer referidos según aplique, los clientes no necesitan proveer una explicación, aunque es recomendable discutirlo en una sesión de cierre.
Question: I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are attractive, but not like before. I can also find men attractive now. I'm too ashamed to tell anyone.
Counselor's response: Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these
feelings and desires it could certainty shake everything you thought you knew
about yourself. 
My guess is that you becoming sick around the time that this
started is likely a coincidence, but I understand how you would make the
connection. 
I have a feeling that a few things may be going on here. It
is really hard to say since I don’t know you, how old you are, etc. But, I will
share you with you some thoughts. 
Some people, when they have undesirable thoughts that really
surprise them, have a really tough time getting rid of them. Our reaction to
the thought can be very strong and our tendency to try to block it out, stuff
it, avoid it, etc. is not always successful. In fact, it’s usually not. 
It’s like telling you not to think of pink elephants. I
would be willing to bet that you thought of a pink elephant just now. 
So, rather than fighting thoughts that you find confusing,
sometimes it is helpful to allow yourself to explore the thought with curiosity
and without judgement. Where is this thought coming from? What are my feelings
about it? Asking yourself these questions may help you come to a resolution
about what is going on. 
One possibility is that you have developed an anxiety about
your thoughts and now you are in the process of obsessing about them, but
another possibility is that you are legitimately exploring your sexuality and
gender. I get the feeling from your question that you do not want to believe
that it is second possibility. And that is okay. 
You can try some of my suggestions, but you can also see a
counselor who may be able to help you work through your confusion. I would
suggest someone who has experience working with sexuality issues. You can
usually find out what a counselor works with on their website. What is
important is that you find someone who is non-judgmental about what you are
experiencing. 
 
I wish you well.
Robin J. Landwehr, DBH, LPC, NCC
Question: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a  female coworker. I don't know how to approach this situation. How do I ask him about it?.
Counselor's response: I agree with Sherry that in a close intimate relationship, you are entitled to ask questions about his relationship with significant others. These questions help couples to build connection and trust. It's based on the idea that if you reach out to him for whatever reason (support, openess, understanding, empathy), you can count on him and can expect him to be responsive. How he responds to your question will give you an idea whether he helps you to feel more emotionally secure and builds trust or if you feel that you cannot be open with him. If your partner responds in an open and understanding manner, it usually indicates that he cares about your feelings and values your importance. If he responds in a defensive manner, it could mean that he does not like that you are questioning your trust in him or that he has something to hide. Either way, you may wish to explain that building trust is something that is very important to you in a relationship and that talking to him openly helps to foster that. If he continues to be defensive or evasive, then there might be some bigger issues at stake and the two of you may benefit from couples counselling or having a discussion about the values that are important to you in the relationship and how the two of you will go about supporting those values with actions.Dr. Virginia Chowwww.PsychologyResource.ca
Question: Ever since I was little, I loved the idea of loving someone and spending my whole life with them. I treated everyone nice. For girls I liked, I would spend every second with them. It always ends the same way: “I like you as a friend,” or “I love your attention but not you.”
Counselor's response: Attention is often something that is both wanted and sometimes not wanted all the time. Maybe when you're in a relationship with someone you can discuss the amount of attention that you are both comfortable with and/or what you are both looking for as far as amount of connection.
Question: Why am I so afraid of it? I don't understand.
Counselor's response: Why are you afraid of rape? Because it is a problem in the United States! The National Sexual Violence Resource Center reports that one in five women (0r 20%) will be raped (http://www.nsvrc.org/sites/default/files/publications_nsvrc_factsheet_media-packet_statistics-about-sexual-violence_0.pdf) and that 80% of women know their assailant. Given these statistics, it is perfectly logical to be afraid. However, there are things you can do to reduce the risk of rape, such as being aware of your surroundings, and limiting the use of drugs or alcohol.The Enhanced Access, Knowledge, Act program for college-aged women has been shown to reduce the risk of rape by more than 50%. (http://www.blueprintsprograms.com/factsheet/eaaa-enhanced-assess-acknowledge-act-sexual-assault-resistance-education) You may want to see if a program like this is available in your area. Another great app for when you need to walk somewhere alone, is the Companion App (http://www.companionapp.io). Friends or family can track your progress from one point to another via the GPS in your phone.In addition, talking with a counselor about your fears would also be a good idea. Sometimes fears are rational and reasonable. Sometimes they are over-reactions and unreasonable. When then are over-reactions and unreasonable, they can have a negative impact on your life. In this case, a counselor could help you understand why your fears are unreasonable, and how you can stop them from negatively impacting your life.
Question: My dad refuses to acknowledge my anxieties about going to parties, dinners, etc. Whenever I have an opinion it gets shut down. My mom and everyone else behaves likewise. For my father who heads a company, this is normal. He has to be right all the time. He blatantly refuses to even try to see it from my angle. 

Recently however, it's been getting to the point where I feel pressured and unable to speak my mind. It isn't possible for me to get professional one-on-one help. He tells me to grow a pair and get over it. I recently have been developing more severe body image and self-confidence issues, which I have had all my life. I feel invalidated by my dad.  I have been more paranoid lately as well. I can't turn on location services anymore on my phone because of a past incident. He makes me feel guilty about it.  I feel rather worthless more often than not, unfortunately.  What do I do?
Counselor's response: I'm sorry to hear that you are unable to get through to your parents. It sounds like you are experiencing a great deal of anxiety that needs to be addressed by a professional (despite the fact that you are unable to at the moment). I would recommend talking with another adult such as a  school counselor that can offer you support in this area. Perhaps they can work with you on your anxiety issues and schedule a meeting with your parents so that he/she may help mediate the conversation with them.If you are unable to reach out to a school counselor maybe you can try a member of the family such as an aunt or an uncle that feels comfortable addressing the issue with your parents. Sometimes it helps hearing it from a third party before the situations is taken seriously enough.Good luck!
Question: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.
Counselor's response: I would suggest possibly talking with a physician about all the different types of protection. They may be able to help you to know about all of the options that are available.It sounds like your partner is open to understanding your concerns. Perhaps until you have the chance to speak with someone about the effectiveness of different contraception and forms of protection, are either of you open to other forms of engaging in sexual intimacy (without penetration, but with use of vibrators, toys designed for sexual interactions, etc.)?
Question: Every winter I find myself getting sad because of the weather.  How can I fight this?
Counselor's response: One theory is that instead of "fighting" your feelings, accept your sad feelings and work with them.   Feeling sad may open many doors to reflect and make peace with the source of your sadness.Also, I believe fighting against the natural cycle of rest and hibernation may not even be possible to succeed.   Winter for most creatures is a time of withdrawal and slowdown.  Our bodies and moods are part of nature as well.  Fighting what is part of nature seems like a tiring fight which the person will lose.Last point, there are the winter holidays to break up the dark and cold of winter.   Maybe you can invent some of your own winter celebrations so you'll have a few gatherings to look forward to hosting.
Question: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole "If you love them, let them go," but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped.
Counselor's response: Hi Fort Worth,  I applaud your awareness and insight into the relationship.  Most of us come into relationships carrying old baggage and although you can't change her,  what you can do, is change yourself.  We can usually begin to understand ourselves better in the context of our own upbringings.  That is where we learn what a relationship looks like and it is often not the best teacher.  I wonder about your jealously, insecurity, feeling trapped and a lack of trust.  Has that ever showed up anywhere before?  It has more to do with you and less to do with her.   Your relationship with her is tapping into unresolved issues within yourself.  That is really where you want to focus. Once you understand it and resolve it, you will no longer need to ask anyone else what to do, because you will know.  You are young and just getting started in the relationship world and the healthier you are, the better you will know what healthy looks like.   Know yourself, understand yourself and love yourself.  The rest will take care of itself.  Finding a Therapist can be a big help in this process.  You are asking the question, so I suspect you are ready to look at the man in the mirror.  I believe in you and am wishing you all the best.Sandra Cooper, RN, LPCMH
Question: My mom made a lot of mistakes a couple years back, and I can't seem to forgive her. I want to say that it's okay, but I can't. I feel like even if I did forgive her, I wouldn't be able to say it to her face.
Counselor's response: Hi Cleveland, I think I get what you're feeling. You're scared that if you forgive your mom, that would mean it wasn't so bad, or she'll think it's okay to do it again, or she won't realize how hurt you are. I invite you to look at forgiveness in a different way. Forgiveness doesn't have to mean what she did was okay. Not at all. Forgiveness can mean "I accept what she did, and I don't want to live in her worst moments constantly. I want to put it down and move past it because I want her in my life, because fear and resentment interfere with my relationship with her, and mostly because I'm tired of carrying them (fear and resentment) around constantly."You can forgive your mom for yourself, not for her.  If there is evidence that your mom wants to respect you moving forward, then it might be worth it to risk putting down the resentment and the grudge that you think you need to protect yourself.  Your ability to draw boundaries with her in the present is your biggest protector; let her know in the present what hurts you, and notice her responses.You don't have to say it to her face. Saying it to yourself is more important. Again, forgiving your mom helps you...it reduces your own burden of fear and resentment, leaving space for better things.
Question: I have been pushing people away all my life. I finally have a great boyfriend who loves me, but I keep pushing him away and I don't want to. I need to learn to open up.
Counselor's response: Figuring out the space we need between ourselves and others is an ongoing and unsolvable task.  But it sounds like you may be feeling stuck in a pattern of pushing people away and are wanting to change that.  Pushing others away may be your way of surviving relationships and may have proven to be very helpful at one point in your life.  Or it may be serving some other purpose.  One helpful way to consider changing that is to seek out a therapist.  Psychotherapy can provide you with a relationship that is in tune to you and that can provide the reflection and supportive challenges to help determine the function the 'pushing away' is serving.  It also may be helpful for you to take time to reflect on the moments when interpersonal guardedness snuck its way into the interaction.  What were you feeling right before this?  Did it provide relief?  Reflecting on what was happening just before and right after can provide some clues as to what purpose the 'pushing away' serves.It may be helpful to communicate to the boyfriend how you experience intimacy and the discomfort it can bring you at times.  This may help him be as sensitive as you need him to be about the pace of the relationship, and to understand what may be happening when you push him away.
Question: My husband and I would've been married for five years come June 2016. Our infant daughter just had her birthday. Shortly before, he told me he wanted a divorce. He has four other children, three of which are from his first wife. He decided to end that marriage when his youngest was an infant. The children do not have a good relationship with him now. He has another child from a woman he was dating. He decided he didn't want to be with her anymore when the child was an infant.    It seems to me that there is a pattern. He easily detaches from relationships at the same time in the child's life but wants a relationship with them when they are older. I've tried to research online, but I'm not getting any answers. He also has an unhealthy dependency on alcohol and does not believe in mental health disorders such as depression and bi-polar disorder. He also does not believe in therapy or seeking help from professionals. Is there a detachment disorder or some form of mental block he could have? Where do you recommend researching this?
Counselor's response: This sounds really difficult and I can understand your motivation to get to bottom of why this behaviour has occurred - especially if your husband (who sounds like he is an ex-husband?) continues to have a relationship with you and your children. With that being said - relationships and mental health are very complicated and you are unlikely to find the answers you are looking for. In order for someone to be diagnosed with a mental illness or in order for them to identify what leads them to fall into particular patterns in relationship - they would need to be willing to seek help and honestly talk about their challenges, something that you say your ex is not willing to do.  While it might be a relief to understand what is going on with him - it might be more comforting for you to get support for yourself in processing your feelings and everything that has come up for you as a result of his choices.
Question: 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.
Counselor's response: If you're feeling like your gender is different than the gender you are born with, and there are many different terms to help describe that. Gender is actually looked at on a spectrum. Transgender is just one of those terms, but looking at the information here may help: http://www.transequality.org/about-transgender. I'm not saying that you should use the term transgender to describe yourself because that may not accurately describe what you are experiencing, but I'm just trying to point you to some more resources.As for what to say to someone who asks your gender, that becomes a question with a lot of different parts. This is probably something that would be best talked out with someone else who you trust. I don't know whether that is your family, friends, and mental health professional, and member of the clergy, or someone else. There are many different things than you could say and they are all related to how much you already to share with other people about how you feel regarding your gender.Generally, I would suggest it would be important to become comfortable with how you feel yourself and possibly tell some people whom you really trust first. Also consider that once you tell someone something, it's not possible to undo it, so if you tell someone, they may tell someone else. Then there is also the matter of people having very different reactions related to different genders and not everyone will be supportive. I hope that you are able to surround yourself with some people who are willing to understand and work through this with you so that you have some ideas how to react if you come across someone who does not understand.Please remember that there is always someone to talk with.
Question: Every winter I find myself getting sad because of the weather. How can I fight this?
Counselor's response: Thank you for sharing. It seems like since the "winter blues" happens to you every year it may also be impacting your quality of life and possibly relationships. What you report sounds like you may be experiencing Seasonal Affective Disorder (SAD) and is quite common to many from about fall thru winter seasons; but, also can impact folks during the Spring and summer months.The best care and treatment for SAD includes discussing it with your PCP (primary care physician), integrating light therapy (full-spectrum lighting) throughout home and workplace (where possible), psychotherapy, and possibly medications (e.g. Wellbutrin XL, Aplenzin).Be sure to exercise good self-care and checkout the Mayo Clinic's website for SAD here: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047.
Question: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole "If you love them, let them go," but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped.
Counselor's response: Are you possibly mixing up an impulse to nurture and protect someone, such as by offering housing, and your own need to feel loved and appreciated as a romantic partner?Maybe your feeling of jealousy is really your awareness of a reasonable need to be loved by a partner.Even though you are quite detailed in your description of your partner, one piece which is missing, is whether you feel you are loved by her.Maybe too, what she considers your insecurity, is really her unwillgness to love you.It's always easier to put distance between two people by insulting them.I hope this gives you a few new ways to look at your situation.A few therapy sessions, either by yourself or together w your gf, would give you more chance to know more deeply what it is you are facing.