arjun2183/Counselor huggingface dataset:
Question: I love my girlfriend so much. I get an erection even just thinking about her or seeing her.  But the two times we tried to have sex I couldn't get an erection.  We've only had sex once and it was a long time ago. 

Why this is happening and what can I do about it?
Counselor's response: This is something I have
had to address with individuals often since working with couples is one of my
practice's focuses.  The answer can depend upon several reasons all which
tend to be explored while in session.  If you or your counselor utilizes
an integral approach, in which one of the main premises makes sure to check the
four irreducible perspectives (subjective, intersubjective, objective and
interobjective – also known as the four quadrants) in determining where the
challenges are, it then becomes possible to identify what might be contributing
to or causing the challenge as well as offering up ways to address the
situation.In this case, from the upper-right
or behavioral and physical perspective, we would want to make sure there is no
physical limitation or ailment meaning that you would need to visit your doctor
and have the basics checked (such as blood pressure.  We would also look at particular behaviors to
see if you are doing something with is effecting performance (such as
masturbating often or being influenced by pornography). Next we would look at the
upper left quadrant (thoughts, cognitions, identity, feelings) to look at what
is going on here both during sexual activities and at other times.  If you are worried about your job, your
family or under immense pressure to perform at work or while intimate, this can
contribute to your situation.  From there
we would turn to the lower left quadrant (cultural rules and tools) to see who
you have learned to interpret challenges that come up during sex and look for
ways to shift, update and/or reshape the way you view sex and its
challenges.  It would be here that we
would see whether one is even comfortable using a service like counseling based
upon how your family/culture of origin views the profession. Finally, we would need to
account for challenges that show up in the lower right quadrant (systems, laws,
rules of society) such as your economic ability to try services and products as
well as whether such services and products were even available.  Once we have rolled through these areas it
then becomes possible to look at which aspects might need to be looked at
further in a more meaningful way to help you change a perspective or if just
getting a blood pressure medication is all you need.To sum your question then
of why you can’t keep an erection we would need to look at your thoughts (look
at your actual thoughts during the act as well as before and after), look at
your behaviors, look at your physical body for issues, look at where you picked
up your rules and tools (culture) and look at your ability to access goods and
services.  They all contribute equally
and need to be taken into account.  So - as you can see, there is no one possible answer to this, but several.  I hope this helps.
Question: I've got so much anger. I don't know how to control myself. My girlfriend screams at me all the time, and sometime I don't know how to deal with life. I'm very depressed and angry. I feel lost.
Counselor's response: Hi Campbell River, You say you have anger but you don't mention how it shows. Or maybe it doesn't. Are you aggressive with your girlfriend? Since you mention depression, I wonder if you're bottling it all up somewhere instead of letting it show at all. If this is the case, I admire your ability to not lash out at someone who's hurting you. However, if they are totally  unexpressed, anger turn inward and shift into depression. When she yells at you, what do you do? Is this the moment that you feel the most angry? I wouldn't be surprised; anger is a normal response to someone yelling at you. Something about anger...it's often there to cover up our more vulnerable emotions. Under the anger I wonder if you feel worthless, powerless, scared, unloved. Part of the trick to reducing anger is identifying those other emotions and expressing them. You say you don't know how to deal with life, and I think maybe you mean you don't know how to deal with emotions. Lots of people don't! This is confusing for most of us. What am I feeling? Why is it so strong? I'm afraid to express it for fear of hurting someone (or falling apart, or feeling alone...). How do I know what to express and what to be quiet about? These are all great questions to ask yourself, and a qualified therapist can help you sort it all out and support you in your growth. I wish you well!
Question: My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this?
Counselor's response: When you feel the frustration and anger building inside you have that be a trigger for you to remember a feeling that you want to experience instead of anger, frustration and guilt, for example understanding. Then say that word to yourself as you take deep breaths. But know that this is normal for caregivers/family members to have these reactions because it is also an emotional roller coaster for you. Even though it is normal it is still good to try to respond differentyl and I commend you for doing that. You also may want to look for a Caregiver Support group which will help you hear from others who also respond this way.
Question: I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?
Counselor's response: A car accident can be scary and possibly trigger your symptoms of PTSD. It is good that you recognize the possibility of this occurring.Not everyone who experiences a car accident develops PTSD. The chances are definitely increased due to your prior diagnosis during military service.Some of the things to be mindful of for yourself include:1. Feelings of anxiety and increased heart rate when you're faced with reminders of the event.2. Feeling a little more on edge when you're driving.3.Being more watchful. You're more likely to scan your environment for potential sources of threats.4. Avoidance. Because of the anxiety that often follows an accident, it's natural that you may want to avoid some situations or experience hesitation at times.If you experience any of these symptoms or feel other symptoms of PTSD it would be advisable to seek help possibly through your local VA Medical Clinic or a private practitioner. There are certain modalities such as EMDR that can help with your symptoms.
Question: 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?
Counselor's response: From what you write you've got good motivation to change and awareness as to what you'd like to change. These are very good predictors that you'll be successful in what you'd like to change.Try, the next time you realize you're depending on your bf instead of friends, yourself, to interrupt whatever typical action you'd take.Do something different instead!If when you'd like advice and usually ask your bf, ask a different trusted someone.Or, when you feel lonely, contact a friend or introspect on your own if usually you'd contact your bf.Also, being dependent on a bf is part of a trusting intimate relationship.   Dependency in the sense that you each are reliably available to each other, is a good quality.Only if it seems excessive, such as you're isolating yourself from other close friendships, is dependency on a partner, a problem.
Question: She has lied about every aspect of her life. She's created three fake relationships. The most recent one is concerning because she has fake photos, phone calls, and text messages, and it’s with a married man with kids. Her lying is becoming dangerous because she could ruin lives.
Counselor's response: Have an honest and open conversation with her about how her behavior is negatively impacting you ( and others).  You will feel good knowing you did the right thing.
Question: After he got home from the hospital he was angry, then for a time wonderful.  Now he is depressed and hopeless again.
Counselor's response: Hello, and thank you for your question. This is a very serious time. I don't mean to frighten you, but you are right to be concerned. The time right after people leave the hospital after receiving psychiatric services is a time of high risk for suicide. It is very important, after hospitalization, to get follow-up care with a professional as soon as possible. If your husband has an established therapist, this is the time to call. It is also a good time to alert your support system of friends, family, clergy or others to let them know he is still struggling. This is good support for him AND you.It is important to think about means and opportunity to make another attempt. Means really do matter.  So, if you have a firearm in the home, it is really important to remove it. You can't remove all things that a person may hurt themselves with, but some things are more lethal than others. Firearms are very lethal. I am not sure what means he used last time, but try to reduce the opportunity for him to access it again. This is where your support system can help out. People can take turns hanging out with him until you are sure the crisis is over.If you believe that an attempt is going to occur, talk to your husband about going back to the hospital. If he refuses, you will want to find out what your options are to have him go even if he doesn't want to. I know the thought of that really hurts, but it can save his life. Calling 9-1-1 is always a good option if you are not sure. Usually a suicide crisis, meaning they want to harm themselves right now, lasts a few minutes, hours or days. Sometimes when you get them through the crisis stage, they no longer want to commit suicide. But, as you are indicating, that feeling of wanting to commit suicide can come back again. So, it is always good to have a plan. If you want more information, call the National Suicide Prevention Lifeline. They will always answer: 1-800-273-8255. They can help you create a specific safety plan. I do hope things work out alright. Be well. Robin J. Landwehr, DBH, LPCC, NCC
Question: 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
Counselor's response: 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.
Question: I'm concerned about My 12 year old daughter.    About a month or two ago she started walking on her toes, as well as coloring and writing very messy. This all happened very suddenly. She has never walked on her tiptoes and has always colored and written very neatly.    Is this something I should be concerned abou? Any advice will help.
Counselor's response: It is great that you are noticing these changes with your daughter. I can’t offer advice without knowing much more about your particular situation but some things to think about:Has something else happen recently that has been stressful, upsetting?Is your daughter trying to communicate something to you and if so what might that be?Have you discussed these recent changes with her? (Without being too serious or accusatory)There is so much changing for her (and you) now-communication and connection are crucial. I hope you both can talk to a supportive person about all these changes.
Question: I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?
Counselor's response: Hi, Break ups can be very devastating and even traumatic. Recovering from one is a process that is unique for everyone person and will take time. It's important that you don't compare yourself to others. Each and every person will experience this grieving process differently. Here are a few tips to help with your recovery: 1. Make sure you surround yourself with people who love you and support you, friends and family. Even though you might feel like being alone, make an effort to be around them. 2. Although you might not feel like it, try to take care of yourself as much as possible: eat healthily, get regular sleep, & vigorous or gentle exercise (depending on your mood). The last thing that we want to do when we are physically sick (e.g. flu) is to take care of ourselves even thought that's what we need the most. But when we do get that chicken broth, sleep and vitamins we recover much faster and with less discomfort. That's exactly the same when it comes to emotional pain. Take care of yourself, keep yourself strong and healthy so you can recover faster. 3. As much as possible, put away reminders of the relationship. You might not be ready to throw things out, but try to put them away in a box in the storage or in a closet. And also block Social Media reminders. There is a lot of wisdom in the saying "Out of Sight, Out of Mind." 4. Once the initial shock and intensity of the break up wear off, try out something new. In a relationship, we often forget and give up on things that we always wanted to do or to try. Now it's time to bring out that dusty bucket list and start trying something new. 5. If possible, change your scenery by going away on vacation with a friend or even by yourself. Changing your surroundings can really help you change your thoughts, mindset and forget your ex even if just for a few hours. Even a weekend getaway with a couple of girlfriends can do wonders. 6. In addition, to help you make sense of your past relationship and what went wrong, I would highly recommend seeing a professional counsellor or therapist.
Question: After he got home from the hospital he was angry, then for a time wonderful.  Now he is depressed and hopeless again.
Counselor's response: This must be so difficult for both of you.  Watching someone you love suffer so profoundly can bring up lots of difficult feelings.  Without knowing what you are already doing, I have a few thoughts to share with you. First and foremost, know that you cannot fix this for him, and get support for yourself.As much as you are able, make space in your relationship for him to talk about what he is experiencing.  He might not want to talk, and that is ok.If he wants to talk, try to listen without judgement and without trying to talk him out of his feelings.  Focus on validating his feelings and just sitting with him in his pain.Let him know how you feel...that you love him, that you care, that you are concerned, that this is scary for you too, that you are here.I hope that this is helpful.  On my website (www.sarahmcintyrelpc.com), I've written a series of blog posts about coping with distress.  The techniques I've written about there may be supportive for you and your husband.  Sending warm wishes your way.  -Sarah
Question: 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?
Counselor's response: 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.
Question: Does counseling really do anything that can help people?
Counselor's response: A lot of things affect how helpful counseling is for each person, including at least these things, but often many others:The therapeutic alliance (this refers to the bond, connection, or trust between the client and the counselor)What the person is coming in to work onHow motivated the person is to work on what it is they would like to changeSome people also ask how counseling is different from friendship. There is a similarity in the sense that hopefully both counselors and friends will listen to what you are experiencing, but that is really the end of the similarities. Some differences are:Counselors are specifically trained to phrase questions or statements in ways that help you to gain more awareness of one could be contributing to what it is that you are trying to change, both within yourself, and possibly with people around youCounselors have experience in using lots of different types of techniques (for example, focusing on finding solutions, looking at how the present situation could relate to your past, using role-plays or examples in session to help you learn new skills or ways of looking at situations, and probably hundreds of other things)Counselors are taught to look at what you are experiencing and ask questions about other related ideas that you may not have connected to what you are experiencingThere is a treatment plan in place (usually after the first, second, or third session) so both you and the counselor have an idea of where you would like to go with counseling (what you are hoping to change or learn) and a general idea of a plan for getting to your goalsIn general, I would say the following:Yes, counseling can help people who want something to be different in their livesCounseling is most helpful when the connection between the counselor and the client is strong enough that some trust forms (in other words, not every counselor or technique is helpful for every person)A lot of counselors will talk to you on the phone for a few minutes prior to you coming in for your first appointment to answer any general questions that you may haveIf you are working with a counselor and you feel as though you are not "clicking" or connecting with one another, give it three or four sessions before you change. Trust is not happening in one hour for most of peopleIf you are working with a counselor and you would like to be getting more or something different out of it, tell the counselor about that because typically modalities can be changedIf you are asking this question because you would like help with a specific issue, call a local counselor and discuss it so that you could have a more specific answer about possible options for counseling
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 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?
Counselor's response: It is not the case of being right or wrong, in my view. If you are asking, I believe you truly care for your boyfriend. It seems like he is having difficulties in establishing trust in this relationship. The ideal would be to come closer to his upsetness and to show him that you are there for him. I hope all goes well. Rossana Mag.
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: What most people don't know is that sexual preferences can be fluid, meaning our sexual orientation is not as fixed as most people believe.  Women in particular tend to be more fluid in their desire to express and experience sex.  It is not uncommon for heterosexual women in their mid-life to explore new sexual appetites.  That said, men tend to be more rigid in their orientations particularly if they are hetero while gay men tend to be more fluid.  So if your distress is over your new interests I would tell you, you are not alone and not abnormal.  Since you have started exploring, enjoy and consider seeing a therapist to help you navigate your feelings around this new sexual life! Warm wishes.