Topic: depression

Question: Do I have too many issues for counseling?
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?

Answer (from Jeanette Razo-GonzalezLittle Steps Giant Leaps):
Hello there,No one has too many issues to address in counseling. Once you start counseling, your therapist will help you identify which issues to start working on first and which are causing you the most distress. Once you and your therapist prioritize your concerns, you can start to address each concern, starting with the one causing the most distress for you.

Answer (from Rachelle MillerMental health therapist, parent educator, life coach):
It sounds like you are feeling pretty overwhelmed. But you are also a survivor and have the benefit of a long, stable marriage. You do not have too many issues to address in counseling. A good therapist will help you to partialize your goals into smaller objectives and focus in on what's most pressing for you to address first in treatment.

Answer (from Amelia Mora MarsHi, I'm Amelia. I help overwhelmed, stressed out teen girls and women find peace again.):
Hello! You may have heard the saying that counseling is like peeling the layers of an onion. Whether a person comes to therapy with many issues on their heart and mind or whether he/she comes with something specific, one issue leads to another. Please don't feel as though you have too many issues. You are important and worthy. On the plus side,  you are a breast cancer survivor and have a wonderful marriage! Seek the help that you deserve.

Answer (from Dr. John Frampton):
You do not have too many issues to address in counseling.  And your perseverance will serve you well if you choose to engage in therapy.  The trauma and medical event you experienced topped off with chronic sleepless nights would lead to feelings of depression for many.  The emotional reaction you've had to these experiences sounds normal albeit troublesome and I would imagine intensely painful at times as well.  Therapy can help prioritize what is the most impactful issue you are grappling with.  I find in therapy that when the central issue is revealed, understood, processed, and understood again in its current context, many other areas of the person's internal experience improve.  It sounds as though something has prevented you from seeking help from a counselor in the past, and it sounds as though you are more seriously considering it now.  Therapy helps and it can help you when you're ready.

Answer (from Jessica ClineSpecialist in Divorce Recovery):
Thank you for sharing your history. You do not have too many issues to address in counseling. It will help to prioritize what you would like to work on first in therapy. Your therapist will create a treatment plan with you, which can always be changed while working together. Therapy is a process in working towards your best life, and you deserve it.

Answer (from Adriana DyurichCOUNSELING, WELLNESS, AND CONSULTING for for Moms, moms to be and their children):
Not at all! Whatever issues you might have you can bring to the therapy room. Remember therapy is about YOU, not your therapist. You bring whatever you need to bring to the table. Keep in mind these issues are likely related. Remember you are a holistic being, more than just the sum of the parts. Just like any system, when you move something in one area, things start changing in other areas as well. Talk to your therapist to decide goals for counseling and establish priorities, and ENJOY THE RIDE! Growing, flourishing, and finally letting go of what hurts can be a beautiful and exciting process.

Answer (from Emily SullivanHealth & Wellness Counseling, Individual & Couples Psychotherapy):
You absolutely do not have "too many issues" for counseling. Your reaching out to ask this question shows you have a resilient spirit. Also, your happy marriage can be a support and strength to you as you embark on a counseling journey. I would recommend that you find a counselor who specializes in trauma, sexual trauma and/or EMDR (a type of therapy that is proven to have a strong impact on healing from trauma). Good luck!

Answer (from Gwendolyn Nelson-Terrywww.GwendolynNelsonTerry.com):
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.

Answer (from Debbie Gottlieb):
The way it goes is that all your issues are connected. Once you work on one issue it will have a positive effect on all areas. Slowly each issue is addressed and actually less issues will need to be addressed directly since resolving one helps your overall wellness. So no, you do not have too many issues. Don’t give up. Get help now and see how your life can change for the better.