arjun2183/Counselor huggingface dataset:
Question: My wife and I are newly married, about 2 months. We've had some issues surrounding sex, particularly her lack of libido. She's on an anxiety medication, of which diminished libido is a side effect, but I think our issue is also partly one of a lack of intimacy/romance centered around my hectic schedule. Our sex life has suffered as a result.
Tonight she made a genuine effort to let me know she wanted sex, which is a big deal. Once things started, she had the most obviously fake orgasm I've ever encountered. I was honest with her about why, and told her that the most important thing to me in sex was knowing that she was legitimately enjoying it. She responded angrily with a complete denial of the faking. I don't know how to broach this subject and have an honest conversation. I think she will continue to lie to me about faking it which will cause our sex life to spiral further. Please help.
Counselor response: You are newly married, you Have a hectic schedule, your wife is on anti anxiety medication. What if you take the focus (hint: pressure) off of her orgasms and focus instead on connecting with one another. You know, like the gestures you each likely made while dating.  It turns out that these little moments of connection throughout our days are actually foreplay. Spend a few weeks making a real effort to focus on building up your little daily moments of connection, I wrote a post about this a while back, you can find it here: http://connectfulness.com/little-moments/ And have fun with it!
Question: My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her?  I want her to stay.
Counselor response:   After stopping the abuse of alcohol, depressive symptoms are common. She may benefit from exploring why she wants to move and see if she would still want to move if she did not feel depressed. 12 step meetings can also be helpful.
Question: I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk.    In the past, I have even cheated on my boyfriend while I was under the influence of alcohol.    But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem?
Counselor response: Usually when someone asks if they have a problem, they believe they do have a problem!The first step is to understand your own theory and definition as to what problem you feel you have.  Some possibilities are feeling unhappy in the relationship to your boyfriend, not having enough discussion between the two of you, not feeling cared about by your boyfriend, not liking your boyfriend.Did you grow up in a family in which the grownups drank to the point of excess at the times they felt stressed?Family modeling of how to handle problems may have left you no knowing how to handle stress except to drink to excess.Ask yourself what it is you feel guilty of doing?The guilt may point you in a good direction if it is your sense of self-esteem telling you to find better ways of managing your life.Do you drink alone or together with friends?Try defining your specific reasons for drinking because this is the first step to know how to handle the situation differently.
Question: There are issues from my past that have me very heavily burdened in my heart. I've been torn for so many years and I need help so I can move on with my life.
   I experienced trauma when I was 8 years old and I did come out about it until I was 40.
   Now I know this is what's holding me back on my happiness. I've met a very loving and caring man but because I'm holding on to these things from my past I’m pushing him away.
   How can I get my life back?
Counselor response: I'm so sorry you had that horrible experience! It's common for those who've experienced childhood trauma(s) to not disclose the events until later in life. Sometimes it doesn't feel safe enough to share the information until the person who hurt them is far away, or even dead.  Trusting and vulnerability are difficult, especially when we've been hurt. So, it's not uncommon for clients to share that their desire to be close to their loved one (emotionally, physically and/or sexually) doesn't match the reality of what they are able to actually experience.But, there is hope!You have met a loving and caring man, and you have a self-awareness that you did not experience before. I am confident that the help of a licensed professional counselor (preferably trained in trauma recovery) can help you navigate this healing journey and help you gain the tools needed for the life you want.
Question: Is it normal for people to cry during therapy, or is it just me?
Counselor response: Yes, it is very normal to cry during a therapy appointment.  When you meet with a counselor, you are opening yourself up and sharing very vulnerable sides of yourself.  Through this deep introspection, emotions (sometimes unexpected) can come out and this is completely okay and very healthy.  Research has shown that crying reduces pain by releasing oxytocin and endorphins and reduces stress through the release of stress reduction hormones.
Question: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.
Counselor response: One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo manejar mi ansiedad y depresión para sentirme normal otra vez?Mi motivación se ha ido. Es difícil salir de la cama.  No sé qué hacer.  Soy Miserable.  Mi ansiedad y depresión han tomado el control de mi vida.Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico.
Question: I'm being verbally abused on a daily basis by my parents in front of my child. I feel like I’m trapped and I have no escape. I feel like I have to listen to the horrible things they say and just take all of it.
   I need some way of learning how to cope with listening to it especially since I have nowhere else to go. I feel very emotionally drained How can I deal with this?
Counselor response: I am so sorry you are experiencing this situation.  Considering that you mentioned not having a place to go, it may be best to address the problem as oppose to “just take all of it”. Confrontation can be done in a healthy and effective way.  Being able to communicate your feelings with the intent of improving the problem can be a great skill needed in multiple settings in life.  The therapy process can help build this skill set and goal plan to remove yourself from the home.  Good luck.
Question: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Counselor response: This is a question that is very specific to each person. There are definitely some variables, but I can give you some general ideas for when counseling might end:When a client has met all of their goals, at least to a degree when they feel that they no longer need to work on them with the assistance of a counselorSometimes a decision is made that a client is no longer benefiting from counseling at a certain timeSometimes clients have to remain in counseling in order to receive medication. This depends on agency policy, but sometimes it is a requirement. If the medication is necessary and cannot be prescribed by a primary care physician, frequency of sessions is usually decreased greatlyI'm not sure why you are asking this question, but it is also something that is often discussed at the beginning of treatment. Oftentimes "discharge goals" change as treatment progresses because more is known about clients, their goals, changes in their goals, and many other things. Changes are normal, but your counselor probably has discharge goals in mind, at least generally, from the beginning. I strongly encourage you to ask about it!
Question: I'm a girl, and I can't tell whether I'm bisexual or gay. I like girls a little more than boys, but I don't really know.
Counselor response: I would ask you, "do you feel like you need to come up with a label?" Is there something about identifying as one or the other that would be helpful for you? From what current science has told us about sexual orientation, it's a spectrum. There are people on the spectrum who are clearly gay, or clearly heterosexual, and then there is everyone in between, which includes being "bisexual" (which I guess in the spectrum would be smack in the middle?)It may be too early for you to identify as any one thing on that spectrum (as you say, "but I don't really know"), or maybe as you move through life you just won't identify as any one thing, and that's totally okay. The most important thing, in my professional opinion, is to accept yourself, fully, for whatever it is that you are. The second most important thing, in my professional opinion too, is to be honest with yourself and your partners about however you do identify your sexual orientation.
Question: I am married to a beautiful lady. I love my wife with all my heart. We have 3 boys and I have a daughter from a previous marriage. We also have 3 grandchildren.
Now this event is tearing us apart. I want our family to be together and happy. It was a mistake from so long ago. My wife wants to leave and I don't want that to happen I love her so much. Please help me save my marriage. Even my 3 boys want us to work it out. They love us both and want our family together. Please give me some advice or hope. Sincerely heart broken.
Counselor response: If your wife is willing, seek out a qualified couples therapist! Look for one trained in the Gottman Method or Emotionally Focused Therapy. Your relationship is repairable, but you may need some qualified support in the process.
Question: I’m trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset?
Counselor response: Is really difficult to tell whether he honestly forgot about someone or whether he was really lying again.I don't know whether he would be open to having a discussion with you about your concerns about this and whether you would be actually willing to listen to your thoughts about it.This might be something to discuss with a local therapist so that you can look at the patterns of lying in the past as well as whether you have a way to discuss this with your husband in the way that you would feel comfortable feeling vulnerable with your own feelings and also listening to what his responses are.This is difficult because I imagine you have a react very quickly and strongly to things like this because of what has happened in the past between you. All of this make sense. Having said that, there is also a question of whether he is telling the truth in this particular case and your reaction is based on past events.There's no easy way to know.If you do decide to have a discussion with your husband about it,  consider these things:Ask if this is a good time to have a conversation about something that is important to youMaybe you will be able to listen and ask questions about what came up for him (emotionally) when he realized that he didn't tell you about this other personMaybe he would be willing to listen to what you are thinking about if you are both able to do so without blaming, pointing fingers, or asking the other person to change. This would just be an exchange of information. Ideally this part of the competition would not be about you saying he did something wrong, but just expressing how you felt when you heard about itIt may be helpful to discuss these things with a therapist first so you have some coping skills for being able to listen to him without being overly defensive and also expressing your feelings without blaming, both of which would be very natural in this situation.
Question: How do therapists classify the type of personality their clients have? What characteristics do they look at to decide what type of personality the client has? I've read about this online, but I'd like to understand this from a therapist's point of view.
Counselor response: This is a great question, and I am happy to have the opportunity to explain my approach. When I am determining what type of personality a client has, I take my time and really absorb their lens/ point of view to themselves and others. Determining a personality type takes some time getting to know the person, and building rapport. After taking time to get to know them, and learning about their view they have of themselves and others, it is important to pick-up on more specific personality traits, which comprehensively contribute to a personality type. Clinicians, including myself, often witness certain traits that are enduring and consistent, which indicate a type of personality. For example, if a therapist is noticing that a client is exhibiting traits of organization, needing to be on time, planning, and perfectionism, these traits contribute to the "type A personality". In addition to utilizing clinical judgment, clinicians often use personality assessments and follow the guidelines of the DSM-5/ ICD-10.
Question: Is it normal for people to cry during therapy, or is it just me?
Counselor response: Cry? Of course you can cry!Therapy is a safe place where you can be who you are with no fear of being judged. Every counselor/therapist is dedicated to protect the confidentiality (with some exceptions) of all that happens in session. Crying helps to release tension and help secure free emotional space. It may provide you with the presence of mind that therapy demands.
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: Hi. Good for you in planning ahead to do what's healthiest for your baby (and yourself). That's a great first step! It's also good that you are able to identify that it's not always a physical need that's driving the addiction.For the next steps, I would suggest trying to figure out when the psychological cravings for a cigarette occur. The psychological (or mental) cravings are usually based out of habit, such as having a cigarette after a meal. And if you're consciously trying to quit, you'll find the craving starts with simply thinking about having a cigarette, then usually moves on to thinking about how good it made you feel, etc., etc. Well, if I'm on a diet and I continue to let myself think about the ice cream sitting in the freezer, eventually I'll give in and eat it.You're going to have thoughts about smoking a cigarette. That's normal and, for the most part, out of your control. But you choose whether or not to CONTINUE thinking and dwelling about it after that initial thought. That's what you would have to work on changing. When you have that initial thought, acknowledge it ("Ok, I kind of want a cigarette now."), but then change the thoughts that typically follow. Distract yourself, think about something else, do something else, whatever it takes to get your mind off of that cigarette.I've suggested to clients before that they should plan these scenarios out ahead of time so they already know what they're going to do when the time comes. Write down when you usually have the craving for a cigarette and then write down new thoughts or things to do to get your mind off of it. Eventually, it will become easier and easier to brush off that initial thought until you no longer have it.Best of luck, and you have a really great motivator to quit - your baby!
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 response: I would be more concerned with how is this being addressed in therapy. Therapy can be a rewarding process, however often times we do not pay much attention to the messages being sent to our bodies. I believe in somatic therapy which deals with our mind & body connection. I would think it may not be a question of normal or abnormal however if it is impacting you then you must pay attention to that. It would be helpful to explore the feelings you're having  with your therapist. It may be something that needs addressing to help alleviate those feelings or have a better understanding of why they are showing up when it is time for therapy.
Question: I'm currently dating someone else and I really like him. But I love and miss my ex so much. What do I do?
Counselor response: Finding the right person is a tricky thing to do. Why did you and your ex break up 3 months ago? In relationships with others you get to see a reflection of yourself. Sometimes you may enjoy that reflection, other times it may not feel so good. I'm not sure where you are in your life and relationships and what you do from here depends on what you desire more of in your life. But I'm not simply talking in the moment desire, I'm referring to the direction you want your life to go. If one of these guys was to support you...who would help you reach your dreams? And who would you enjoy spending time with? It's complicated and no one can answer the 'what to do' question but you. Slow down. Tune into your heart. Listen.
Question: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?
Counselor response: You wrote that each of you is under the age of 18.   A 15 year old cannot be a pedophile because you're not an adult.Also, if you mean "girlfriend" in a romantic way then this makes sense bc romantic relationships include physical attraction to the other person.
Question: How does a person start the counseling process?
Counselor response: I think it is important that you are able to convey what you are looking for in a therapist even if that changes over time.  You need to look at it like you are interviewing the counselor and that they will be able to provide you with the therapy you need.  To many times we do not know and it ends up not being a good fit and then people are left with a bad experience and do not want to re-engage.  Remembering you are basically hiring someone to help you so I would treat it as such. Do some research and be clear as to why you are coming to therapy and ask questions as how they will be able to help you.
Question: In 2008 my former husband of 14 years walked away from my life and we've been separated ever since. We have always been together sexually and both have experienced sleeping with others. I stopped because I wanted my marriage to work out but he did not. If he stops sleeping with other women, can our marriage be saved? Or should we just part ways? I still care deeply about him after all that I did and he has done. But he is seeing someone else on and off for years now. Will our marriage still be saved if he decides that he wants to try to do so?
Counselor response: Sorry to hear about the stress in your relationship.  There is definite value in being clear as you are, about your own emotional investment in your husband and that you expect sexual exclusivity from him as part of the foundation of your marriage.Also positive is your awareness that only your husband is the one who must similarly decide his own standards of being sexually exclusive to you, or not.Whether your marriage can be saved depends on what each person is willing to accept about the other one.Is sleeping with other women the only criterion of what will satisfy you about being together with your husband?Love and care are not enough to make a marriage work. Partners need to be able to compromise and cooperate with each other. That you care for him definitely intensifies any emotion you feel toward your husband.  It intensifies any frustration and sadness about the relationship too.Decide how much emotional sadness and hurt you're willing to tolerate and the reason you're willing to do so.From what you write, you are being very generous of yourself and not being reciprocated for this.If your husband doesn't start taking steps toward satisfying your wishes, this may be your time to question your own generosity in waiting for him to do so.
Question: Sometimes, I'm fine and can go out or meet people, but other days, my heart races and words physically cannot come out of my mouth. I've always thought it was normal and I was just nervous, but the other day, it took me almost 30 minutes of sitting in my car to find the courage to enter Target by myself.
Counselor response: Yes, it seems like you may have a type of anxiety: but considering that it is intermittent, it may be a good idea to talk to a therapist and explore what triggers the anxiety.  Different types of anxiety are caused by different scenarios, memories, or stressors.   Once you identify what triggers the anxiety, you may be able to identify the coping mechanism that will help you handle your symptoms.¿Tengo algún tipo de ansiedad?A veces estoy bien, puedo salir a reunirme con personas, pero otros días, mi corazón se acelera y las palabras no salen de mi boca.   Siempre pensé que era normal y que solo estaba nervioso, pero el otro día, me tomo casi 30 minutos encontrar el valor para salir del carro y entrar a Target.Si parece que tienes un tipo de ansiedad, y considerando que es intermitente, puede ser útil hablar con un consejero para explorar su causa.   Hay diferentes tupos de ansiedad que son causados por diferentes estímulos, memorias y escenarios. Ya que logres identificar que causa tu ansiedad, entonces podrás aprender mecanismos de defensa que te ayuden a controlar la ansiedad.
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: Post Traumatic Stress Disorder can occur after any traumatic event where a real and present threat of harm or loss of life to yourself or others is present. Yes, a car accident could increase PTSD symptoms such as hyper-vigilance, anxiety, nightmares, re-playing the event, etc. Depending on the severity of the accident new triggers might exist. This is not to say that you cannot recover. Are you currently experiencing additional trauma symptoms?