arjun2183/Counselor huggingface dataset:
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 response: Such a good question!  Sometimes, clients will feel like they are not connecting with their therapist and will put it on themselves.  In truth, the bond between therapist and client is the #1 predictor of positive outcomes in therapy.  Ask yourself these questions: does it feel like this person can come to care about me?  Do they remember from week to week what we touched on?  Do I feel compassion from this person? Do they allow me my difficult and painful feelings too, or do they try to rescue me?  On your other question - I suggest you ask your therapist what goals he/she has for your treatment.  See if they respond with interest and participation, or if they become clinical and distant.  Ideally, you and your therapist jointly develop your goals, and check on your progress on a frequent basis.  I don't know if you can actually 'train' your therapist - we can be a hard bunch to train! :-)  - but you can definitely tell your therapist what works for you, and what didn't work, at the end of each session.  How they react will also tell you a lot about whether this is the right person for you.
Question: I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.
   I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?
Counselor response: First off, I would like to congratulate you on making the decision to stop smoking.  The next thing I want to share is that there are so many different ways to kick the habit. Some people find solace in groups, while others prefer to see a counselor about this individually. Remember, that the crux of addiction is feeling one way and using a substance or thing to feel a different way.  My suggestion is to find an addiction counselor and create an individualized plan together to help you stop smoking . Your chances of stopping smoking are much higher when you have professional support and a plan to work on outside of your sessions.
Question: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Counselor response: The most important action you can take here is validating her feelings and staying calm when she is crying and "freaking out".  It's equally important to do some self exploration regarding your own thoughts, feelings, and behaviors towards making mistakes and how you respond to your mistakes.   When she is calm, ask her what a mistake means to her.  Giving her examples of different kinds of mistakes and listening to her responses will give you an idea of how extreme her thoughts are.  Taking this opportunity to share with her your own struggles with perfectionism or some other area would help her feel more at ease.  Reminding her that she is enough just as she is would be helpful as well.  Encouraging her self care routine will help develop a greater sense of balance regarding her priorities.  The practice of mindfulness will be helpful in self awareness.  Creating a plan on what to do when the early signs of "freaking out" surface will strengthen her coping skills.    Your fears as a parent are completely understandable and this definitely needs to be addressed.  Your daughter cannot bring about change on her own and will need the family to work towards this change as well.  A therapist that specializes in anxiety/perfectionism would be a great resource.  They may also help you all have a greater understanding of what the root of this need for perfection is and how it plays a role in the family.  I suggest one or two sessions without your daughter would be helpful to develop a course of action.    I hope this was helpful.   It takes a lot of courage to seek help and guidance, I'm glad you posted.
Question: I always feel like I'm not good enough and it literally is so hard living. I don't know how to talk to my parents about it.
Counselor response: Are you a teen?  This is a really hard problem for more teens (and adults) than let on.  When I was about 15, I remember asking my parent's friend, Herman, whether life gets any easier when you get older.  He said the problems are actually harder, but you gain the ability to deal with them better.  I've been an adult a long time now, and that is so true. If you need someone to talk to, consider a teacher or a school guidance counselor or someone you respect, maybe in church.  If they're good and they don't know how to help you, they may know how to get you to someone who can.  Also, the idea of not being "good enough" is a common psychological event.  In CBT it's called a "core belief," but I call it a "core lie" in my book, Living Yes, a Handbook for Being Human.  If you are serious about changing yourself, read about it  at www.LivingYes.org and pick up a copy there or on Amazon.  I hope this was helpful.  The future is filled with possibility if we don't prejudge it!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)
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 response: I don't think you have too many issues for counseling.  If a client came to me for help with the same issues that you have listed here I would first want them to meet with their doctor to get a physical to rule out any biological causes to your depression, anxiety, and insomnia.  I would work with you on deciding which of these issues to tackle first.  I usually suggest starting with the issue that is easiest.  Reading through your symptoms I might choose anxiety to start with since you are in the early stages of it.  I like to give my client skills they can use right away, so I would focus on teaching you breathing exercises to manage the anxiety as well as cognitive restructuring so that when an anxious thought pops up you can talk yourself through it.  Once you felt that you had some control over the anxiety I'd start to work on some of your other concerns, but I would seek your input on what you felt like might be good to work on next.  My gut is that some of these issues would be resolved as you worked on others.  For example as you worked on your anxiety and began to process your trauma and as you began to work on self care and getting more sleep - your self esteem would probably improve.  I encourage you to meet with a therapist and ask them how they might be able to help you.  These are just some thoughts that came up for me on how I might help someone with the same or similar symptoms.
Question: I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair.
Counselor response: Whether to divorce or not depends on your reasoning to do so.Marriage is its own unique existence dependent on what the partners want from it.Examine your terms of satisfaction from the marriage.Maybe you have very clear reasons to continue the marriage.Maybe you don’t.Only you can decide if what you’re contributing and benefitting is satisfying enough to stay.
Question: I'm  very depressed. How do I find someone to talk to?
Counselor response: Great that you realize talking with a professional counselor about how you feel, would be helpful!If you'd like a very fast response by phone, then google "depression hotline" for where you live.  And, if you have a specific topic which upsets you then google around with this topic to see if there are services specific to your interest.If you've got time to invest in looking for the best fit therapist for yourself, then google "therapy' or "therapist".There will be many, many names which come up.I know I sound like I work for google only it is the easiest way to find lots of information.I send you good luck!
Question: A year ago, the love of my life left me and never looked back. Our son was two months old at the time and it broke my heart. I miss her so much and can't seem to get over being so heartbroken.
Counselor response: I recognize that you say you are missing being with the love of your life. At the same time, I don't understand whether you are able to see your son. I'm curious as to the relationship dynamic between you and your son's mother.When you say that she "never looked back," I imagine you are conveying that getting back together is not something that she is interested in.I would suggest that you talk with a therapist and your local area so that you have the ability to discuss the loss of this person who you love so much. Most people think of grief related to the loss of someone who has died, But it also applies to people who have a significant loss, whether that is a relationship, a job, or any number of other things.In the meantime, try finding something about yourself that you value and can focus on.
Question: She's a teenager, and for the last two years, she's lived with her older brother. She's angry because she wants to come live with me, but my current living situation is not the best for her. She refuses to see any reason. She's being disrespectful. Her sexual curiosity is waking up.
Counselor response: You're her mom and she needs you.  I would suggest focusing on connection.  Since you are not currently living together, one way to do this would be to plan a date in which she gets to decide what you do together.  Give her time to think about what she wants to do.  As long as the activity is safe and affordable, try to do it, even if it's not your thing.  While you are with her, turn off the phone and give her your undivided attention.  The goal would be just for you to enjoy each other and connect.
Question: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Counselor response: It must be really difficult to experience what your going through right now.  It takes a lot of courage to reach out. It sounds like you want to get better, but perhaps need some help to get over the hump.  Many of the symptoms you have described are consistent with a person who is dealing with depression.   Depression is a treatable condition.  Typically, if these symptoms have persisted for more than two weeks, then it is a good idea to seek professional help.   Someone who is trained in dealing with depression.  Initially, a comprehensive assessment would be completed to rule out any other causes for your symptoms and to determine the exact nature of your presenting concern.  Then, in collaboration with one another, a tailored treatment plan would be developed, focusing on how to best help you reach your goals.  The good news is that their is hope for getting better! You don;t have to do it alone.  Allow me to be your ally in healing.
Question: After I told them, they yelled at me.
Counselor response: I am so sorry to hear this has been your family’s reaction. It is truly heartbreaking to hear. The important thing to remember is that your identity as bisexual is valid and you are worthy of love, no matter what other people say.The other therapists below have given you some great advice on how to cope with your family's reaction and how to manage the pain you are feeling. I wanted add to their responses by sharing a few resources on ways to connect with bisexual community.To know you are not alone. To see yourself reflected in others. To hear others stories of how they have coped. These things can help you stay strong during difficult times. I hope these resources can do some of that for you.Online blogs, resources, and stories: https://bisexual.org/, https://www.binetusa.org/Find a Bisexual support group: https://www.binetusa.org/bi-groups-in-the-usBisexual Podcast- https://www.binetusa.org/the-bicast Find Bi-Affirming Professionals in your area - http://bizone.org/bap/In Solidarity,-Lindsey
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 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 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 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 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 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 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 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