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: Hi there, There are a number of reasons why a therapeutic relationship might end including, but not limited to the client reaching their goals, the client reaching a place of acceptance where they wish to remain or even a breach within the relationship.  The last aspect should likely be taken to supervision in order to be fully processed.  All of these things could happen, and usually happen organically (again, except for the last example). Your question, however, was about the counselor ending treatment. This is a bit more difficult and can be very nerve-wracking.  It may be beneficial to take this with you to supervision, as well.  It's important to understand why you feel the need to end or terminate with the client, as well. Do you feel that they would be better suited for another therapist, have they achieved their goals or is it something else?In regular, open-ended sessions, I try to make a point of checking in with the clients fairly frequently. In these check-ins, I use the time to ask the client how they feel about the sessions and if there is anything they wish to focus on more astutely.  I also ask if they have any immediate goals that they would like to prioritize.  In goal-oriented sessions, I check in more frequently to ensure that both the client and I remain focused and, should they wish to shift their focus, that they recognize it is part of my responsibilities to make sure we move back to the desired goal. Often, especially in longer term therapeutic relationships, we as clinicians can see that the client has reached their goal, however they are apprehensive about ending therapy.  This is actually a great place to go with them; why would they feel unable to handle issues in their external or internal environment without you? Often, having this open discussion can increase empowerment and mastery. That said, it could also highlight other issues which the client may have been apprehensive about going into within therapy and now, as the relationship seems to be ending, feels more confident in bringing these up. In the case where the relationship is a toxic one, terminating with a client may be the best option for both of you. It's a difficult conversation, but recall that part of the role of the therapist is to model that these discomforts can be managed. I hope that this brief response can assist you going forward!
Question: Is it normal for people to cry during therapy, or is it just me?
Counselor's response: Yes, it is normal to cry during therapy, it is a time of catharsis, letting things out, shedding our skin, dropping our weights and just to let you know, even therapists sometimes feel like crying in sessions. Although people often cry or become upset, it is in no way a measure of "good therapy". C
Question: He is in his late thirties and I am in my mid twenties. We have been together for about 5 months. I really like him. He says he cares about me and is willing to fight to make things right. He has been very apologetic and expressed he did it out of fear. I don't know if it's worth giving him a second chance.
Counselor's response: Cheating is often a sign that something is amiss in the relationship. His fear may be full of information. While it's possible to repair relationships after a betrayal it's also challenging to do, especially so early in your relationship. I can't tell you if you should/shouldn't give this relationship a second chance but I will tell you to tune into your own intuition (and follow your own fears in doing so, they often are incredibly informative when we don't push them away with denial).
Question: 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.
Counselor's response: If you are happy with the person that you are about to be married to and are also enjoying time with other men, it could be possible that you are attracted to people of more than one gender.Having said that, some people have feelings toward people of more than one gender that are not really related to romance or attraction, but any number of other feelings, such as trust and communication. I don't know whether your use of the phrase "messing around" was related specifically to being romantically or sexually involved with the people who you are or referring to or if you are saying that you are enjoying spending time with them. These terms have different definitions for almost everyone.I would definitely recommend speaking with a local mental health practitioner in your area, not because there is anything wrong about the way you are feeling, but because there are a lot of different parts of what is happening in your life right now and it may be helpful to talk about the feelings and thoughts with someone who can help you to learn more about yourself and the people are most important in your life (yourself included).I also suggest looking at a few things that you love and appreciate about yourself.
Question: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out.    How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do?
Counselor's response: Your happiness and healthiness is key.  I would not suggest that you hold back and keep it a secret.  You should be up-front about it, but perhaps gently bring it up on a date.  When thinking about whether or not you should stop, think about how it makes you feel.  Perhaps try to be social at more accepting affirming locations in your area.  The people who will accept you for who you are are out there.  You may not be looking in all of the places you have available to you.
Question: My dad cheated on my mom for 13 years. I cannot stop obsessing over the fact that my boyfriend might be cheating on me even when I know he isn't. I have full access to his phone, social media, and e-mails. I never find anything, but I'm obsessed with constantly checking just in case. How do I stop this? It's driving a wedge between us.
Counselor's response: Hi Greenville, I respect that you're owning your own overreactions, and that you want to give your boyfriend the respect he deserves. The truth is that some people cheat, and some don't, and our partners deserve the benefit of the doubt unless they show signs they can't be trusted.The answer here is in two different areas. Basically, if you want to feel differently (more trusting, in your case), you look at your thoughts, and your behaviours.Your thoughts are stuck... like tires in deep ruts in the road. These thoughts are only habits, they don't reflect the truth. Fear is probably whispering in your ear things like "everyone cheats", or " you're not enough for him". Once you figure out what fear is trying to tell you, picture those words in red next time they come up. Ask yourself what the evidence is that supports that thought (there won't be much...perhaps none), and what is the evidence that doesn't support it (I know lots of good men, I know I deserve love and loyalty, there is no sign of infidelity...). You're learning to refute the thoughts that are connected to the fear. That's the first half. Practise these thoughts.The rest of the work is in your behaviours. Act as though you trust him. Force yourself to not check or interrogate, and the less you check, the less obsessive and untrusting you will feel. Acting "as if" something if true strangely helps us believe it.It's possible to change the way we think, and this is turn changes the way we feel. Try this to start, and see a therapist for support and cognitive behavioural therapy if you want to dive more deeply into why this is happening and how to stop it. Good luck!
Question: We are the legal guardianship of our grandson. He has been acting out, and he wants to talk to his mom that has not talked to him since before last year. How are we to handle this?
Counselor's response: Hi Boone, This depends a lot on his age and the situation. The younger the child is, in general, the more I would see this as your decision, not his. A child of any age should be listened to carefully about these matters, but just because a child has unresolved issues about a parent doesn't necessarily mean that having contact is a good solution. Some questions... Was the parent harmful to the child? Is the parent likely to be harmful to the child? How likely is it to be a positive experience? Do you have any contact with the parent? You may want to speak with the parent first to determine whether they are in a stable enough place to allow this to happen.  I would start by asking the child more about what is on his mind. What does he want to get out of a visit with the parent? Is it to see them and know the parent is okay, to get an apology, to apologize for a perceived hurt, to have regular contact, to find out if they are loved...? What does he hope mom or dad might do or say in the visit? There are many possible goals this child might have in mind. This will give you a sense of what's missing for the child; what need are they trying to fill. Once you know the need, try to determine the likelihood of that need being met successfully through contact.Once you determine the risk of the child's need not being met, then you decide whether it makes sense.  The older the child, the more able they are to determine this with you or for themselves. There are other options than a face-to-face. He can write to his mom or dad, text or email. It's likely that the child is looking for a sense that he is loved, wanted, worth some effort. When a child is separated from a parent, they tend to blame themselves. Whether he sees the parent or not, he will need extra love, attention and support than a child who has two loving, present parents. I wish him the best and I'm grateful for the love and support you continue to give your grandson. You're very special!
Question: My friend is abusing her prescription medicine. Even though she told me she didn't have any more pills, I found she has prescriptions for anxiety medications.
Counselor's response: Your good intentions to help your friend stay clean, are very caring about her.Unless your friend feels like stopping pills,  taking them away will mean she finds them some place else.The problem that anyone who is addicted to pills has, is that the person is psychologically and at least with xanax, physically addicted.Taking pills has basically become a standard part of your friend's life.Her problem is bigger than your ability to care.If you haven't already done so, tell your friend directly about your opinion on the way she is using pills.This is not a guarantee that she'll stop.It isa way of you showing that you care about her.Offering love and advice are the only things you can do for her.Meanwhile, knowing she is hurting herself is probably hurting you.Be sure to keep a sense of balance within yourself.  Offer your concern and know she is the one who must decide to stop using.
Question: 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.
Counselor's response: 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.
Question: I like getting attention from men. I don't have sex. I lead them on to thinking I might want to. I like to tease, I like for men to chase me, and I like to feel wanted.
Counselor's response: Hi Michigan, Good for you for recognising a destructive pattern. This behaviour, although it might get you the attention you want initially, will ultimately drive men away because it's not respectful of them. My gut says that you learned early on in life that your value is in your sexuality alone. That's a powerful thought. You are certainly acting as if this is true. If you believed in your value as a person, you would be less afraid of deeper relationships and intimacy in general. If I were your therapist, I'd have many questions for you and I would need to understand a lot of things about you and your past to help you sort out where this idea about yourself came from. I'd suggest reaching out to a qualified therapist who can help you get to the root of this behaviour. Good luck!
Question: 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.
Counselor's response: As a relationship therapist I work with a lot of people who feel similar feelings to some degree or another and almost always find that the origin of these feelings point back towards childhood. How did you caregivers express (or not express) love towards you? How did they express (or not express) love towards one another. These early messages become your template for how you have learned to see yourself and what you expect from others. In his book Wired for Love, Stan Tatkin, PsyD writes “We learn to love ourselves precisely because we have experienced being loved by someone. We learn to take care of ourselves because somebody has taken care of us. Our self worth and self-esteem also develop because of other people.”  This could be very fruitful to explore in individual therapy with a relationship therapist who really gets it, you may have to interview a few to find the right fit; that's OK. Maybe you'd even want to read that book I linked above. :) Noticing this pattern is HUGE, it's where transformation begins. And now that you have be kind with yourself, it begins there too.
Question: 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.
Counselor's response: The numbers you write are low compared to how much sex many other people would be satisfied having.The key is your and your husband's satisfaction with the amount of sex you are having.And, know if there are reasons besides low sex drive that possibly explain this.Knowing the other possibilities matter because a low sex life may mean one of you is being satisfied sexually outside the marriage or that one of you prefers sex with a same gendered partner.If you've ruled out these possibilities, and you are satisfied with your emotional and financial life in the relationship, then a low sex drive may simply be the norm for the two of you.
Question: I sleep a lot. Music changes my mood. I cry every Wednesday. My mind is like a maze that even I get lost in. I don't usually feel my true emotions, but instead, I get fake mirrored ones.
Counselor's response: What happens in your life on Wednesdays that you feel like crying?   Crying is natural.  Crying on Wednesdays may also be natural if some type of regular event or situation comes up for you then that you don't like, feel oppressed by and have no way of avoiding.Maybe you would qualify for a diagnosis for depression.This matters less than what you will do with a diagnosis.  Very often people feel some type of relief from hearing a professional tell them what they "have".Don't let yourself get talked into taking pills because now you "have something".  Pills change your mood.Only you can change your life.The diagnosis matters so the therapist gets paid from insurance.It is a good sign that you know whether you feel true emotions or fake ones.  This is a clear sign of knowing about yourself.Your mind feeling like a "maze" is a little too vague to know if you mean there are too many thoughts at once so that you have difficulty knowing which ones to examine first, or if "maze" means you don't know what your thoughts are and  feel lost for this reason.Depression which is addressed by a person can become quite liberating because you will remove what bothers you so much in your life that it weighs you down and depresses you.
Question: I recently lost a friend to suicide.  I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Counselor's response: I'm so sorry to hear about your recent loss.  There is such a large feeling of uncertainty that befalls those of us left to sort through these emotions of such a loss, and it's never easy.  I think it's important to remember that there is no "right" or "wrong" way to deal with loss and the "best way" for you may not be the best way for someone else.  The fact that you are aware that you are smoking more marijuana and drinking more, and the fact that you can recognize that these may not be the best coping techniques, is a very good step towards giving yourself some better support at this time.  Marijuana and drinking are type of coping techniques that can numb us to our emotions, but they do not really help us to work through those emotions. When it comes to grief, often one of the most helpful ways to move through the phases of grief is to use your social supports; talk to your friends and family, see your mutual friends and commiserate with each other on the loss and the uncertainty.  The more we talk about our feelings, the more we are okay with them being ours. The more we express our loss, the better we become at accepting such a loss. In talking with your supports, you may also decide ways in which you may want to remember your friend; ways you can do so on a personal level (writing a poem, planting a tree, etc.) or ways you as a group can remember and memorialize them (a special day where you get together to share your memories, starting a charity, etc.) We never truly "get over" our losses, but we can learnt o accept the losses and what it means to us now...but that also takes time.
Question: Every winter I find myself getting sad because of the weather.  How can I fight this?
Counselor's response: Light therapy is very helpful. You are not alone. The name for the condition is Seasonal Affective Disorder (SAD). You might want to see a therapist to assist you putting in place a behavioral program to help change the way you feel.
Question: How do you know you have the right therapist for you?
 How would I know how to "train" my therapist to be able to give me what I need from treatment?
Counselor's response: When you find the right therapist, you will feel understood on a deeper level.  You'll feel that they not only understood what you were saying, but that they were also able to catch the "in between the lines" part and put into words what you have not been able to.  The relationship with your therapist should be collaborative, there should be a fundamental element of safety and trust.  A strong relationship with your therapist takes time to cultivate, but by the second or third session, you'll know if that therapist genuinely see's the world from your perspective and has a plan to get on how they will support your growth through this journey.
Question: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?
Counselor's response: What you are describing is something I often refer to as "living with your roommate" phenomenon. This is the idea that you feel like you are living with a roommate and no your partner or spouse . It is not uncommon for members of a couple to report to feel both physical and/or emotional distance. When we don't feel connected within relationships, this can be isolating and lonely. The emotional distance often makes us wonder: am I important to the other? These types of feelings need to be better understood in the context of your own background and upbringing I.e., who you are and also better understood in the context of your couple. Feeling reconnected can occur-- but there is not a "one size fits all" solutoon. As a first step, do you or your partner have any ideas of how to feel reconnected? Have you considering talking to your partner about the emotional void? Or how about discussing  solutions , together, that might help-- from individual therapy to couple therapy to a weekly date night to inquiring about one another's personal interest to starting off the conversation of what both of you want and can do to re-establish feelings of connectiveness. If this is too frightening I.e., to address the lack of connection between you and your spouse.  a fist meeting with a couple therapist can likely help unpack what the possible solutions for your couple.
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 think honesty is the right approach in this situation. Share with him that you looked at his phone, as well as sharing with him any fears or concerns that you're having about the long distance relationship. Trust is the foundation of any successful relationship and when doubt & distrust creep into a relationship it can undermine the long term health of the relationship. Hopefully, he will understand your concerns and appreciate your honesty. This also might be a good time to seek couples counseling to work on relationship & communication skills.
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: Certainly.
Question: I have been seeing this guy for a little over a year. Back in August, he asked for us to step back for now. Since then, he has still been in contact with me every day. We spent some time together over the holidays, but then I was gone for New Years with family. I came to find out that he put himself on a dating site. When I found out, I asked him about it, and he responded with this: “My apologies if I got my signals crossed, or if I wasn’t honest with you. You have helped me tons this past year and I am glad you are in my life. I didn’t realize you were still interested in dating. Again, my apologies.” Also, is it better to say that I want him in my life or that I want him as part of my life?
Counselor's response: It sounds like there is a bit of confusion regarding how you two feel about each other. Do you know what type of relationship you want with him? A friendship only, casual dating, or an exclusive relationship? I would encourage you to first figure that out and then communicate to him how you are feeling. Ask him to be honest with you about how he feels and what he wants from your relationship as well. Be mentally prepared for a variety of responses from him so that there are no major surprises. By clearing the air and learning what your own and each other's desires are, you can then move forward with a plan. Without that clarification, there will likely be false assumptions, unanswered questions, and confusion.