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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.

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.

I was “mentored” by this guy for a few years spiritually. It was okay at times, but other times, it was just weird. I try not to think about it too much, but a lot of manipulation and lying happened, yet no one else really believed me when I told them. It's like he's two different people, and no one else really sees that side of him. I was blamed for a lot of our troubles, and now we don't really talk much. I'm worried because he's in a trusted position of leadership and no one suspects anything. They just think I'm attacking his character. How do I know for sure?

It doesn't really matter what the actual diagnosis is, and whether or not he is an actual psychopath, he has manipulated and lied to you, and that is enough reason for you to stay far away from him. Men (and women) with these characteristics can become violent. They can also make your life difficult by creating financial or legal trouble for you. Again, forget about him, and contact the police if you think he is in a position to harm others.

I don't know what to say. I have never really known who I am.

Start by giving yourself enough quiet and time to remember about yourself what feels steady and consistent in your nature and interactions with others.Give yourself the freedom to your interest in having interests.  Are you motivated because of competing with others or because an activity itself feels satisfying?If you are able to develop a sense of defining yourself without fear of judging yourself, you will start coming close to knowing who you are.

how can i stay motivated to work out regularly

sustaining motivation set clear goals track progress and reward yourself for achievements vary your routine to prevent boredom and find an exercise buddy or coach for accountability

I'm having a quinceañera, and the girls don't like their dresses. They never told me, and now it's a week away. I don't know what to do.

How did you find out that the girls aren't happy with their dresses?Did you hear this directly from one of them or is this third hand information that someone else told you about one of the girls in your party?The answer matters because gossiping instead of directly telling you about a problem, is a problem in itself.I suggest a conversation with the entire group of girls in which you tell them how you actually are feeling about their opinions about the dresses.One topic you may consider bringing up is what everyone expects to get out of the party.  Are they coming because they like one another and wearing a dress in which the girl is happy, is only one way of having fun together?You may learn a great deal as to the difference in values about a quinceaña among you and your friends.I hope you'll have a fun party!

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?

Hi! Many people begin their therapeutic journey with histories just like yours and experience transformative shifts in their quality of life.  I hope you are able to find a counselor you feel comfortable working with and do the work if you feel called. Best of luck on your journey!

tell be about ezbar skullcrusher

the ezbar skullcrusher is a popular exercise targeting the triceps muscles contrary to what the name implies the bar should actually come down behind the head it is usually performed for moderate to high reps as part of an upperbody or armsfocused workout

I’ve been on 0.5 mg of Xanax twice a day for the past month. It hasn't been helping me at all, but when I take 1 mg during a big anxiety attack, it calms me down. I was wondering how I can ask my psychologist to up the dose to 1 mg twice a day without her thinking I'm abusing them. I just have very big anxiety attacks. Should I stay on the 0.5mg and deal with the attacks or should I ask to up the dose? I'm afraid she will take me off them and put me on something else.

Staying on the lower dose may give you more room to learn strategies for coping with your anxiety.  Medications are so helpful, and needed at times, but it's also important to have a variety of tools you use to manage your responses to stress.  If you are not already seeing a therapist, consider finding one who can help you learn some effective strategies, like replacing self-defeating thoughts with ones that work better for you, or mindfulness, relaxation, or other tools to keep your anxiety in the manageable range!

My dad is doing some really bad drugs, and I'm not allowed to see him anymore because of what he can do to me or my siblings on this drug. It has affected me tremendously in my life. It’s even caused me anger and stress.

It seems like you are going trough stages of grief, since the inability to see your father causes you similar feelings as if you had lost him.  Perhaps you could send him letters expressing your feelings and hopes.  But do understand that if he is under the influence of drugs he might not be able to empathize with your feelings or react in the way that he would have done so in the past.  As the issue evolves find a therapist or counselor to help you work on letting go of that anger and stress, which may affect you negatively.  Find forgiveness so you can have a relationship with him in the future.  ¿Qué puedo hacer con mi padre usuario de drogas?Mi papa está usando drogas muy malas, y no estoy autorizada a verlo por lo que me puede hacer a mí y a mis hermanos.  Esto afecta mi vida tremendamente.  Me causa coraje  estrés.Parece que estas pasando por estados de luto, ya que el no poder ver a tu padre causa sentimientos similares a cuando hay una perdida.  Tal vez puedes escribirle cartas expresando tus sentimientos y esperanzas.  Pero comprende que si el está bajo la influencia de drogas puede que no sienta empatía o te responda como lo solía hacer.  Mientras el problema se resuelve busca un consejero o terapeuta que te ayude a trabajar en resolver los sentimientos de coraje y estrés, trabaja también en perdonarlo para que puedas tener una relación con él en el futuro.

Or how to send him somewhere that can help him, something like The Baker Act.

More information would be needed for me to accurately answer this question, such as your age, whether you live with your dad or not, and what other family members live in the household. Something like this, alcoholism, is a whole family disease. In other words, family members often unknowingly contribute to the alcoholism and enable the alcoholic to continue the destructive behavior.First of all, you can’t make your dad do anything, and constantly nagging him or begging him to stop is just going to make him defensive and make this worse. Nobody can change another person. What you can do is change how you react to him and the things that you and other family members do for him. Research codependency. There’s a great book called Codependent No More. There are a lot of articles on the internet that you can read. In short, you have to stop enabling him. Like I said, you cannot control him, but you can control yourself. This means do not buy his alcohol. Do not make it easy for him to get. Don’t loan him the car keys or pay any household bills for him. Don’t call in sick to work for him or make excuses for him in any way. Do not bail him out of jail when he gets arrested. He needs to be responsible for himself. This may mean losing his job or losing his driver’s license. This may mean that he loses his family if he doesn’t stop. What you and your family can do is set boundaries about what you will put up with. It is his choice to drink, but it is your choice to put up with the behaviors of his drinking. A lot of people go into rehab because their spouse said if they don’t then they are getting a divorce.If you are an adult and you don’t live with your dad, then the best thing you can do for him is STOP doing things for him. If you are a child who lives at home with him, then this could be a case for child protective services. In my state this is called DHS. A report is made to this organization for child abuse or neglect. Substance abuse in the home qualifies. Of course, alcohol is legal and when consumed in moderation, there is no problems. The problem will be the result of his alcohol consumption. Does he drive with children in the car while intoxicated? Is he left to care for minors while in an intoxicated state? Are there any domestic violence issues due to his drinking? This could be a reason for the authorities to step in. You can look for a local meeting for family members of alcoholics. They are similar to the AA meetings that an alcoholic should go to, but are for the family members. They can help you.

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.

Your friend needs to admit they have a problem.  If not no matter how many pills you take they will find a way to get more.  It is also a federal offense to take someone else's medication so if you did take it she could have you arrested.  In other instances it can be more dangerous to take medication away than slowly tapering off of them.  Like anything we put into our system our tolerance builds up and can effect us in different ways.  I would listen to her and discuss why she feels that she needs to be on the medications rather than playing bad cop in this situation.  Encourage her to get help and let her know you re there for her.

I need help knowing how to deal with stress. What can I do?

Learn how to meditate. I recommend a Mindful Based Stress Reduction MBSR program.

I was in a relationship for almost five years. We were friends for a few years before we got into a relationship. He was a caring, friendly, and charming guy up until three and a half years in. He started controlling me: who I hung out with, where I was at all times, and he had a huge hissy fit if I tried to ask him the same questions. All that time, he just liked me as a friend and was cheating on me with my so-called friends. At the end, he was a nasty and narcissistic person. Now it’s hard to be social.

It sounds like you had a very confusing and painful experience in this relationship, and now you feel hesitant to let yourself get close to people. It is understandable that when we are hurt in relationships, we may have trouble trusting and allowing ourselves to be vulnerable with others.Therapy is a great place to explore the roots of present difficulties in relationships, to unpack what happened in prior relationships, and to find new ways to show up in relationships so that we can have the relaxed intimacy that we want. Often, relationship difficulties represent patterns of relating that we learn early in life which we may feel compelled to act on outside of our awareness and therapy provides an opportunity to become more aware of these patterns so that we can change them, enabling us to feel secure and to seek out satisfying companionship.

I found out my boyfriend takes anti-depression medicine. Lately he's been saying he has a lot on his mind, and he needs time to think about us. We've only been dating 3 weeks but I like him a lot.

This seems like two questions.  The first is what may have happened to prompt him to back off.  The second is what it means to you to have a boyfriend who takes anti-depression medication who says he has "a lot on his mind."  Both give you opportunity to look at yourself.  Having expectations can be a huge trap.  I write about this extensively in the first chapter of my book Living Yes (www.LivingYes.org).  Is there any way that you can enjoy your time together without expecting anything down the road?  Are there wonderful lessons for you to take from the relationship - even if it only lasts three weeks?  Can you create a mindset of gratitude for what is and let the future expectations (and future demands) go?  Are there new ways to communicate that might bring you together?  What are the lessons for you about allowing the relationship to develop its own course on its own time?  Again, let go of all expectations, and see what happens. That's what "Living Yes" requires.I am sure this will work out well for you - either with him or without him.  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org)

I don't know what to say. I have never really known who I am.

Because you put this under the category of spirituality, I'm not sure whether you are asking how you find yourself as far as religious or spiritual beliefs or overall.If you are talking about learning more about religious or spirituality, consider either going to or speaking with someone who is involved with a nondenominational church service (the Salvation Army usually has something) so you can discuss questions or ideas that you may have.As far as finding yourself in general, I suggest considering what makes you happy and/or comfortable. I also wonder if looking at the list of values here may be helpful to you: http://www.therapistaid.com/therapy-worksheet/values-clarification

whats your advice for staying consistent with a busy schedule

consistency is key even with a busy schedule prioritize workouts schedule them like appointments and involve friends for accountability remember even short workouts are better than none

tell be about singlearm cable crossover

the singlearm cable crossover is an isolation movement that uses a cable stack to build bigger and stronger pectoral muscles working the chest one side at a time allows you to focus on the balance between the sides of your chest and really feel the chest muscles contracting it is common in upperbody and chestfocused musclebuilding workouts often in combination with other presses or flyes to target the chest from different angles

My fiancé and I come from a strong Christian background but both went off the "straight and narrow" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others. His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present?

One of the sometimes difficult things about being in a relationship is the fact that you can make goals for yourself, but you can't make goals for your partner. If your fiancé wants to learn to live more in the present and learn to let go of the past or move in a different direction, you can certainly assist him, but you can't independently make it happen.I wonder if both of you would be willing to have a discussion where he is able to explain to you what he is experiencing and you are able to listen for five, 10, 15 minutes in a way that is not blaming or pointing fingers or asking him to change, but just listening (kind of like an investigative reporter) so you can have more details and ask questions that you may have about what certain things mean, when it feels like to to him when this is discussed, etc. At that point, maybe he would willing to listen to your thoughts on the subject as well.Also, if he wants to make a change, it may be helpful to see a therapist who specializes in working with couples. Sometimes changes such as these require a great deal of personal awareness and there can be quite a bit of emotions attached, so it is often helpful to have someone there to assist.It may also be nice to have a discussion where you consider what makes you feel valued, appreciated, special, or loved, and also consider what makes your fiancé feel that way.

I have been feeling more and more down for over a month. I have started having trouble sleeping due to panic attacks, but they are almost never triggered by something that I know of.

It could be really helpful to see a counselor/therapist about your increasing depression/panic symptoms. Finding out the cause of depression/anxiety isn't always as straightforward as it seems, since both issues tend to become patterns we engage in rather than solely related to a specific trigger/reason. For example, if I am feeling down about a particular circumstance in my life, then I start seeing life through this lens of feeling down, and typically I'll start to see a lot more that I get down about, and it can really build very quickly on itself. Same with anxiety. Obviously, this is a very simplified example and it can be very difficult to see how the pattern is maintained, but that's where working with a counselor/therapist comes in. I would be curious about whether you can start to notice the initial sensations of panic, and if you can (through the panic attack) continue to maintain awareness of the actual physical sensations. Even better if you can talk yourself through the sensations you're feeling - such as saying to yourself "Okay, I'm breathing really rapidly, and my heart is racing, now my palms are sweaty and my chest is feeling really tight..." Reminding yourself that it's just your body's reaction to stress, and while it might be overreacting right now, you're okay and eventually it will go away. I highly recommend the SAM for Anxiety Management app for the anxiety piece, and I wouldn't be surprised if addressing the anxiety helped to address some of the depression too. 

My boyfriend of eight years and father of our two children is a truck driver. He is never home and only contributes to our family financially. There is no other support given. He comes home when able, sleeps, gives money, and leaves again. I can't get him to do anything with me or the kids. He just sleeps and works.

After eight years and two children’s, people change.  I suggest to talk to him about how you feel, let him know that although he is gone for a long time, his presence as a husband and father are required and important.  Ask him if he will be willing to engage again and how he would like to do so.  Many times when the dads are away, moms design a perfect routine and they feel like they will disturb it.  Make alone time and family time for him, so you can reconnect as a couple and then as a family.¿Cómo trabajo con un esposo que solo contribuye económicamente?Mi novio de ocho amos y padre de mis dos hijos es camionero. El nunca está en casa y solo contribuye financieramente. No provee apoyo en ninguna otra forma. El viene a casa cuando puede, duerme, provee dinero y se va otra vez. No puedo lograr que haga nada conmigo y los niños. Solo duerme y trabaja.Después de ocho años y dos hijos las  personas cambian.  Te sugiero que hables con tu pareja sobre cómo te dientes, déjale saber que aunque el esta fuera la mayoría del tiempo, su presencia como pareja y padre es requerida e importante. Pregúntale si el está dispuesto a comprometerse  ser parte activa de la familia y como lo haría.  Muchas veces cuando los papás están afuera las mamás desarrollan rutinas que luego ellos no quieren interrumpir.  Crea tiempo a solas para dedicarle a el para que puedan reconectar como pareja y luego como familia.

My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me. I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?

Definitely yes, it is possible for a couple to trust each other again and become close with each other.Since your trust was broken, your fiancé would need to earn back your belief that he is faithful to you.Do you feel he empathizes with how you felt to find out about his cheating?Before you have this question answered, based on what you write there is a sense of your own doubt as to whether you are with the right partner.Before you and he address regaining your trust, first decide if you'd like to work on this.Ask yourself if the sexual attention he felt he wasn't getting from you was bc you're not as interested in him as you imagine or once felt in the past.If each of you sincerely wants to be together, it is possible to talk about your respective needs and help the other person feel safe again with the other.

Is it normal for people to cry during therapy, or is it just me?

Although not everyone cries in therapy. In my opinion crying is a emotion that some express in therapy. Crying is something that some express when it’s hard to discuss situations that may have never been discussed, When discussing traumatic experiences, and at times crying has even happened to some of my past clients when they have had a breakthrough in their therapy process.

My girlfriend recently started hanging out a lot more with one of her friends who did her wrong in the past and just walked out on her. So for the past 3 years its been just me and my girlfriend. Things have been great up until the last month. Now she ignores me and texts and hangs oit with her friend more and more. I dont know what to do anymore. My girlfriend is so distant. How do I keep from losing her?

Well, if you each want to be with the other, than no one will be lost.Have you told her about feeling slighted?  Start telling her about your feelings.  How she responds to you will tell you a lot about where her heart is and maybe too some of the reasons she has been so involved w the friend.Who knows, maybe the friend has problems of her own and your gf is spending extra time w the friend to help the friend, and doesn't even know you feel hurt.You would do yourself and your gf a lot of good to tell more about your feelings.  Either you will get more closeness and consideration, or not.  At least you will have the truth.

I think about death all the time because I feel so alone. I want someone to love and someone to love me.

Hi Ohio,I'm so glad you reached out. I urge you to talk to someone close to you, today, about your feelings, and to also seek professional help for your serious thoughts and feelings. We want you to be safe, and your depression is treatable.Loneliness is so painful, and when we feel lonely, this can lead to fears that we are not worthy of love or that the world is just a cold and lonely place. Neither are truths; only thoughts. Once we have fears like this though, we start to pull away from people, the fears keep us isolated, which makes the thoughts worse, and the cycle continues. We all have a place in this world. We all have value, we all deserve love, and there are safe, wonderful people out there waiting to meet you and care for you. Can you take a moment right now to become more in touch with three things? First, who in your life, if they were sitting beside you right now, would say "wait a minute...I love you!" What is the evidence that you are already cared about? Then ask yourself "what is the evidence that I am lovable?" What qualities do you have that make you a good friend or person? The third question is "what tells you the world is a good place?" What evidence do you see that there are people out there who care about others? Please reach out to someone today as you ask yourself those questions. I wish you the best. 

My older brother (in his 60s) started dating a lady with Asperger's. She is hyper-sexual and flirty. She does not understand boundaries. They’ve been dating for a few months, and she's talking marriage. Another sibling and his wife have met her, and they have said she is never invited back. My brother always picks similar ladies. Do we speak honestly and risk losing a relationship?

If you and your brother are open w each other and respect each other’s opinions then there is little risk your relationship with him will end.If there already is strong animosity, mistrust, dislike between both of you then there is more chance he will not seriously consider your advice.For your own peace of mind, say whatever you feel must be said to him.The person you’ll need to live with is yourself so do what you believe is needed for you to feel good about saying what’s necessary.Even if he never follows through with your advice then you’ll still know you tried your best to advise.

tell be about machine shoulder press

the machine shoulder press is a machinebased exercise targeting the deltoid muscles it approximates the motion of a freeweight shoulder press but uses a selectorized weightstack or plateloaded machine many such machines also allow you to choose between different grips and grip widths machine shoulder presses are often done for moderate to high reps such as reps per set or more as part of the upperbody or shoulderfocused portion of a workout

I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.

Something to remember about anxiety is that it's a useful and necessary response to stressors, and we all have a level of anxiety that falls somewhere on the spectrum from very slight to very overwhelming. Anxiety is our brain's way of prompting us to deal with the stress in our lives by getting us geared up for action. Some helpful ways of managing anxiety are actually very simple. The first I'd recommend is a calm breathing technique - breathe in for 4-5 seconds, and then out for 7-8 seconds. Try to repeat this for 3-5 minutes. Another suggestion is to pay closer attention in the moments you feel the physical symptoms of anxiety and see if you can describe - without judging - the sensations to yourself. Try to be very specific, such as "my palms are feeling very sweaty, and I can feel the slight tightness and fluttering in my belly of the butterflies." Then try to sit with these sensations without deciding if they are good or bad - just experiencing them as intentionally as possible.  Combining the calm breathing with this technique can also be very helpful. If you feel that these techniques don't help and your anxiety about everyday stressors are inhibiting you from being able to engage in life the way you want to, then I'd highly recommend going for an assessment or even just consultation with a professional. This professional can help you determine if therapy/counseling would be helpful for you to develop additional skills for managing those interfering anxiety symptoms.

what are some strategies for managing and reducing the risk of chronic diseases such as diabetes or hypertension

eat a healthy diet eating wellbalanced meals that contain plenty of vegetables fruits whole grains lean proteins and healthy fats can help you maintain your weight and reduce your risk of chronic disease get regular exercise regular physical activity is important for maintaining a healthy weight and preventing chronic diseases aim for at least minutes of exercise a day control your stress try to find ways to reduce stress in your life such as meditation yoga and deep breathing monitor your blood pressure monitoring your blood pressure regularly can help you manage hypertension and

what are some strategies for fostering positive relationships and social connections that contribute to my overall wellbeing

make an effort to stay connected with family and friends regularly set aside time for meaningful conversations develop new friendships by joining groups and activities that interest you attend events in your community to meet new people ask people to lunch or coffee to get to know them better make time for hobbies and activities you enjoy be an active listener and ask openended questions of those around you practice selfcare by making time for yourself and doing things that make you feel good

Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me. Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me?

I'm sorry that you are having a difficult time.I wonder about how your friendships are in person. If you get along well with people and have effective conversations with them face-to-face, there could be some kind of technology-related problem.Have you tried gently talking to people about how you send a message and they didn't answer? If you can phrase it in such a way that they recognize that you are asking for information and not blaming them for not answering you, that could be effective.I'd also encourage you to consider how much this is bothering you. If it is causing a significant amount of anxiety (say, more than 5/10 if 10 is really anxious), I would suggest talking with a local therapist.In the meantime, consider talking about this with someone you trust to whom you can get more details to get a more specific answer.

Any time my family and friends are in an altercation, I’m the one who steps in. I’m the one they call to fight for them. I do this even though I have a tough time trusting the people I’m fighting for. I’m only in my early 20s.

You could be protective because of things that happened in your past or in the past of the people that you are protecting. A lot of us have natural instincts that we do not want other people to be in pain. For other people, conflict is just hard to watch and/or listen to.As for having a tough time trusting them, that could also relate to past events between you and these other people or it could relate to the conflict that you mentioned. It can be difficult to trust someone deeply when you don't know when the next big fight or argument is going to start.The next time you step in for someone, consider asking yourself what is making you do that? What are you feeling in the moment?

My life is completely normal, yet I feel empty inside. I feel as if I already know why I'm alive: to reproduce and die.

Are there any times or moments in which you feel other than "empty"?  Start with knowing the context of when you feel something other than empty.If there is no recent example, then in your mind, go back in time to think of when you felt something other than empty.  Recall what you liked about this time, whether you were by yourself or with others, what type of activity you were involved at the time of non-emptiness.How did you come to your conclusion that your life purpose is to reproduce and die?  If this is what your parents, siblings and extended family believe, it is possible that you have a broader view of yourself and haven't yet uncovered a way of defining your own philosophy of living.Give yourself the time to browse around online, or in person social meet ups, on your interests.  It is possible you will discover entire new areas of life and ways of considering life, that are brand new to you and which connect to your true self.This is one way of respecting your individuality, which of itself, may decrease your sense of emptiness.

I met this girl in high school. She had switched schools at the end of the year, and I have not seen her since. It's been a few years. We had a very good and friendly relationship, and we seemed to have a lot in common. I never gained the courage to ask her out.

One way to make good use of the situation you describe is to prepare and rehearse within yourself the way you'd handle a similar situation in the future.Since a lot of time has gone by since you and this girl saw each other on a regular basis, right now you've got no idea if you'd feel the same way about her today as you did a few years ago.The relationship does point out the priorities and values you hold for a potential partner.  That you liked the friendliness you shared is good for you to recognize.  This way you realize you like friendship as a relationship property.  To have lots of similar interests, is another quality you appreciate in a partner.The more you know about what you do and don't like in a partner, the greater your chance to notice these qualities in someone new who comes along your path.

My wife is always accusing me of cheating and telling me that I'm doing things she finds disrespectful even when I don't mean it like that. For example, she gets offended when I call someone at work "sweetheart." I wish I had a penny for every time she accused me of cheating on her. She doesn't, and never will say she was wrong. How do I get her to understand?

You may not get her to understand your point of view with any more success than your wife is having with you to do the same.It is possible you are a balanced couple in the sense of neither one of you understanding the other.The deeper question to ponder is whether each of you can accept the other person even though you each have very different terms for defining "cheating".You will find either there are enough strong similarities to keep the two of you happy as a couple, or there aren't these similarities.Then, the new question would be whether either of you want to address your findings or not.

I've have lived for sometime with depression but things have gotten a lot better, but why is it so hard to get over anxiety and social isolation?

The best way to handle depression and anxiety is with a combination of appropriate medication given to you by a medical doctor, and therapy to help you understand the thoughts, feelings, and behaviors that are causing the depression and anxiety in the first place and then to replace these with more positive thoughts and behaviors. This is not something that anyone should just “white knuckle” and try to get through on their own with no help. Cognitive Behavioral Therapy is a technique that has been proven helpful for depression and anxiety. This takes a therapist trained in CBT. There are some things in life that you cannot change and must learn to accept. A lot of people spend time trying to change things that they have no control over. This may be the behavior of someone else in your life or it could be a situation that you cannot change, such as the recent death of a loved one, a lost relationship, or an accident or illness which has left you handicapped. In cases like this, what can change is your attitude and thoughts about the situation that you now find yourself in. One thing that is inevitable about life is that stuff happens and it is not always pleasant. Some people take these unpleasant occurrences very hard and it throws them into a deep depression. Other people seem to be able to handle life’s ups and downs and bounce back. They do this with having positive coping skills in their life. Learning new coping skills is something your therapist can help you with.A lot of people are so focused on trying to change the things in their life that they cannot change and are ignoring the things that they can change. There are things that you can do. Here is a quote for you to consider. “You are getting almost everything that you are getting based on the choices that you have made. You will continue to get the same thing out of life until you make some changes.” Another quote I like is “You will find a way or you will find an excuse.” Don’t ever say that you have no choice. Everyone has a choice. You might not particularly like any of the choices that you are facing, but you do have choices. Not happy in a relationship? You can leave it. Hate your job? Get a new one. If it matters to you, you will find a way. Don’t sit there complaining about everything but not doing anything different or better.Take care of yourself. Exercise is very important not only for your physical health, but for your mental health as well. Eating right and exercising will help you feel better about yourself. Also, find a meditation that works for you. There are progressive muscle relaxation exercises, visual and mental meditations, and many many more. Start making some positive changes in your life today! You can do it!

tell be about dead bug reach

the dead bug reach is an exercise for strengthening the core in which you alternate lowering your opposing arm and leg simultaneously controlling the movement with the abdominal muscles it can be part of a dynamic warmup to activate the core for other athletics or lifting or be performed in a circuit or on its own in the abfocused portion of any workout

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.

Have you asked your daughter why she's doing the behaviors you describe?Often the best way to find out why someone does something is to simply ask them their reason.Her answer will give you some guidance as to next possible steps.If she's pretending to be a fantasy figure or trying to find out how being taller feels, or walking on high heels or some other image then knowing this rules out that she has some unbearable pain in her arch which may require more practical answers such as new shoes or even indicate a medical problem.Ask if she's noticed any change in the way she walks.   Maybe she doesn't know she's doing this and maybe she feels embarrassed to tell you she's doing something a bit odd.Since usually 12 year olds don't color, is it new that she started coloring?Maybe given the fact of messy handwriting, she's in a phase of pretending or reflecting on good times as a young child.Then this becomes the topic of examination.Does she feel insecure about being on the cusp of adolescence?Some of these questions can be asked directly and some are for you to first decide based on what you know of your daughter, which questions and what direction to take in understanding your daughter's motivation.

Everyone around me is much smarter and flaunts it. Everyone around me is skinny, and here I am trying to throw up so I'm not fat. Everything I do is wrong, and I can't seem to do anything right! No one else at school seems to feel the way I do! Is this normal teenage girls feelings? I don't think these feelings are normal.

There are some struggles that are less "obvious" than others, an eating disorder being one of them. From just your personal experience alone you might realize how easy it may seem to keep such a secret from those around you. In the same way, there are many people who struggle secretly with this problem and not many people know or even notice. So you are definitely not alone. Low self-esteem or lack of confidence in some areas are issues that EVERY teen, in fact EVERY person, has experienced at some point. These feelings are "normal." It sounds, though, as if these feelings of insecurity and inadequacy have begun to consume your every day thoughts and behaviors bringing you to where you are today - comparing yourself to others, purging, and feeling extreme guilt. Sometimes it's best if we seek outside help, instead of trying to tackle problems on our own. Breaking habits that come along with an eating disorder really requires the help of a doctor, nutritionist, and a therapist who can help change your perspective from the inside out! Hope this helps!

After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

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

How can I get to a place where I can be content from day to day?

One thing that comes to mind is making a list of some things that happen each day. It could be that there are things that are affecting how upset you are, but because so many other things are going on, you may not notice.Another idea to try is to keep a list for a month of one good thing that happened each day. This way, when you're having a rough day, you have a list to think of and take a look at.Are you eating and sleeping in ways that are typical for you (typically at least two meals per day and roughly 8 hours of sleep that night (may be different depending on your age)? These two ideas are closely related to changes in your mood.From where do you have support? Friends or family?Can you take 5 or 10 minutes per day to do something that you enjoy?If you think back to the last time that you felt "content," what was contributing to that?Another possibility is to try to be mindful of things that you do every day. For example, rather than eating a turkey sandwich as fast as possible on your lunch break, consider actually tasting it and enjoying it. Also consider giving yourself praise for doing something well. For example, when you finish your paperwork, take a moment to notice that and maybe reward yourself by checking your e-mail, reading five pages of a book, or something else that can be done quickly before you get back to your next task.

I've worked with this guy for about three years now, and I knew the first time I saw him that I was attracted. Over time, he became a very dear friend, and we talked about our relationship problems, family, dreams, and so on. There was always flirtation with us, and one day pretty recently, it progressed to making out. We agreed to keep it quiet, and we did, but in the back of my mind, I hoped it would become something more. It didn't, and three months later, I'm still not over it. I'm trying so hard to maintain the friendship because that's what he wants. We're no longer in the same office, which I thought would help me get over these feelings, but we still talk about work, and he's constantly touching me, so I'm still very drawn to him. He's a hugger and such a sweet guy, so I find myself fantasizing all the time about what could have been and what could still be, but he's clearly not interested. He's younger than me and prefers model types, but I see him checking me out a lot, which gives me hope. How do I get him out of my system and still maintain the friendship?

It sounds like you have mixed feelings and motivations - which is understandable. On the one hand you want to get over him, on the other you are still holding out hope for something more. It will be really hard to let go of him and create friend boundaries so long as there is a part of you holding on to the idea of something more. If you are being really honest with yourself you might need to acknowledge that you are not really striving to get him out of your system - that you have not really given up hope of having a relationship with him. If you are whole-heartedly committed to moving past the sexual and romantic parts of your relationship and just having a friendship than refraining from all the touching would be a good place to start. It is hard to "just be friends" when all your sex and bonding hormones are coursing through your veins.

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?

Often times when an individual begins the counseling process it is revealed that there is more than one thing going on. When we think about how much is wrong, it can be overwhelming and we may not know where to even start. Counseling can provide guidance to help you to begin working toward healing in a way that is most helpful for you to reach your goals.

I'm transgender, I know I am, but I've only told a few friends. I know I can't tell my family because of previous conversations we've had. They just wouldn't accept it. My gender dysphoria is getting really difficult to deal with on my own. I need some strategies for dealing with it. What should I do?

Hi! I am so glad you're reaching out!  Sounds like you have some solid support in some areas of your life but are still dealing with some difficult dysphoria.  I think it can depend on what kind of dysphoria you have - sometimes it's physical, social or mental.  Sometimes physical dysphoria means less time around mirrors or plans to make showering less stressful (music, audio books, distraction).  Sometimes online support networks can be a great source of ideas in this way (for social and mental dysphoria as well).  Some of my clients do things that help them feel better in their bodies that don't require anyone to know (hair removal, binders, packing, hormones,) and other things.  I recommend stopping by a website called Conversations with a Gender Therapist. There are some awesome videos there that might help you!  I hope this helps some!  Don't forget to try to connect with other trans folks (even online) - it can be a great relief to know you're not alone in how you're feeling! Best of luck!!

I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments.

It sounds as if you would benefit from talking with a local mental health professionals so you can discuss some details.Having said that, I wonder if you could consider how you would define yourself to someone who doesn't know you. For example, honest, adaptable, fun-loving, dependable, compassionate, open-minded, dedicated, etc. If you're looking for a list of adjectives, try these: https://www.englishclub.com/vocabulary/adjectives-personality-positive.htm . There is a list of negative ones here too. If you're going to use those, try to use three positive ones for each of the negative ones. You could also try asking yourself what you love about yourself and/or what others love about you. Sometimes it's easier to consider what others see as our positive points and if this is difficult for you, try asking someone who you trust to help you with the list.The idea here is to look at your relationship with yourself. I don't mean this in a way that you would be talking to yourself and receiving answers, but rather looking at yourself in a way that you deserve the same kind of loving and compassion that you give to others or want others to have.I'm also curious as to whether you are eating and sleeping okay, as these things can really affect your focus and many other changes, such as differences in your emotions. Also, you saying that you are struggling to put things into perspective leads me to believe that you are going through some things right now that are not typical for you, if so, consider from whom you have support and the ability to talk about what you are going through.Consider Metta meditation here to help give yourself loving kindness: http://www.mettainstitute.org/mettameditation.html

I'm a young adult woman, and I have trouble finding my true identity being at home. This all started when I had a boyfriend about 10 months ago. My boyfriend and I were dating for a couple months and decided to get in to sexual acts. At the time, I was pretty religious, but I let this happen. I don't know why. I felt kind of guilty but mostly because I know my parents wouldn't like it. My parents are very religious—they're Christians. We did things every time he'd come over to my house. We didn't have anything to do at our house, so we would get tempted to do things when we'd watch movies by ourselves. One day, my parents found out I did this stuff with him because my dad read my messages. As soon as my dad found this out, he told my mom. They were both aggravated. They told me he was just a boy that wanted to get inside my pants. They said he wanted me for sex and he's not a Christian. I took their advice and broke up with him. Once we broke up for about a month, I decided to get back together with him a little after school started. My parents found out eventually, and I decided to not listen this time. I would constantly talk to my boyfriend about what they say about him: how's he's not the right one for me, and God totally forbids him. I would kind of try to break up with him, and then eventually I would just never listen to my parents. They're always yelling at me about how I shouldn't date this boy. I felt too old to listen to them. Now I'm kind of just stuck. Is the real me religious? Have I been brainwashed by him? I don't talk to my parents anymore about him, and my parents think I'm deceiving because of it. They threatened me that if I'm still with him, I can't do track and they won't support me. They've also called me slut, and now they called me basically a devil worshipper. They say my boyfriend is taking me away from my parents. I'm actually very happy with him. They also say I'm living a separate life at home than I am at school. They say they want what's best for me and love me because they adopted me.

What a tough situation you must be in, feeling torn between your parents and someone who is very special to you. I would say the first thing you want to do is (if you haven't already), have a calm reciprocal conversation with your parents, telling them how you feel and letting them know what you need from them. If communication attempts are unsucessful then you will need to make a decision with how you would like to move forward. You, unfortunately, will not be able to change your parent's feelings or opinions but you can agree to disagree on certain matters by keeping them separate from the relationship you have with your parents. It always helps to try and see things from another angle. You might want to, for example, try and understand your parent's perspectives and let them know you understand that they are upset. Validating other's feelings can be very helpful with communicating effectively. Are you living with your parents and do they support you? If so, are you willing to give that up should you decide to not follow their rules? Know that there is nothing wrong with being happy with someone or loving somebody so deeply. Your feelings and actions certainly do not make you brainwashed or a devil worshipper. Not everyone will always approve of the choices we make and sometimes we need to be okay with that. Best of luck to you.

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?

Hello, I'm so glad you decided to take the first step in opening a conversation first. Deciding to go to therapy can sometimes be difficult for some, but with the right therapist, healing is possible and obtainable, even with what you've described. To answer your question, no you do not have too many issues to go to counseling.  You've been through a lot and have been strong and at times it's helpful to have someone else to help you through it. What I would say is to be sure and find a therapist who is experienced in sexual abuse and trauma overall. But you absolutely do not have too many issues for counseling. Please feel free to ask any other questions you may have regarding your situation and I hope you find the therapist you're looking for, there are many great ones out there. Many of the issues you're experiencing may be tied together from the trauma. Best Wishes. Laura Cassity, LMSW, LMAC

I am always arguing with my father. He gets stressed over work and health and talks to me in a tone of voice that seems very demanding and seems more like yelling. I get upset often at this. Am I too sensitive? He always says I am overreacting but never seems to understand that he is hurting my feelings. No matter how often I try to tell him this, he never listens.

Thanks for the question. Regardless of whether or not you are sensitive, it is okay to want better communication with those who are important to you. When we feel that we are being talked down to or being ridiculed, it is difficult to not take it personally. It sounds like you have taken the first and necessary step in resolving this by bringing up the issue to him. Is it possible that the delivery of your message is causing him to feel blamed or defensive? Try communicating with him during a time when you are not upset and when it is out of context. Begin your statements with "I" as opposed to "you." For example, you can tell him, "I feel angry when you raise your voice at me" instead of "You always yell at me." Also, avoid using black and white terms such as never and always. Additionally, offer sugggestions as to ways that he can better communicate with you. Maybe he just doesn't know how to. Lastly, when delivering a message, I like to use the sandwich method by starting off the discussion with something postive and ending it with something postive. For example, you may say something to the effect of:"Dad, I enjoy the discussions we share and really value your opinion. There are times that I feel angry when you talk to me aggressively. Perhaps you can try talking to me using a calmer tone when I bring up heated topics. Let's try and work on this together. I will try to be less sensitive and I am asking that you be more calm."I hope you find this useful!

I have three children. The oldest is nine and not my biological child. The middle child is three and the youngest is one. I have a great relationship with the oldest two children but I haven't developed the same level of attatchment to the youngest child. I rarely want her around and look forward to her nap times. Is this normal?

Congrats on being honest about the way you feel!Many people state having a favorite child so the reverse would also be possible, of having a least favorite child.Try to understand your own reasons for not liking your youngest child as much as the others.One point to consider is whether it is the child' personality or the way they interact with you which gives you the feeling of not liking this child as much as the others, or does the reason have more to do with younger children requiring more care?Also, do you generally prefer older kids to younger ones?   It is possible the problem will go away as your youngest grows older.Is there another parent in the household who can make up for what you feel unable to naturally give to your youngest?Is it possible you feel your own need to be involved with activities or to have time on your own?   Maybe you simply need a break from constant mothering.Continue to give as much as possible to your youngest child.

About 5 months ago my ex left without fully explaining why. For me it seemed out of the blue. I don't miss her as much as I used to but I just don't trust people anymore, not even my friends who I have known since my childhood not even my family. I'm so terrified of being judged or dismissed. Instead of acting like someone else or putting on a mask of a personality, I've just shut down. I haven't felt that sense of comfort and happiness with myself since everything fell apart. I'm scared to because I don't want it to be taken away from me again. I feel like ever lesson I learn only last a day. I just don't know what to do. I'm working at a place I know I should enjoy. I'm keeping up with my creative passions: working out, eating healthy, etc. I'm doing everything the books say I should do, but I don't feel any different. I just don't know what to do.

Sounds like you need closure. I'm sure your doing your best to overcome this feeling but seem to be struggling with your own happiness. Trust God no one else. Give this some time and don't close yourself off to the world or the people who love you. Be open hearted and minded. And know that no matter what reason your ex walked out of your life, she missed out on how great of a person you truly are and may have had personal issues of her own. 

I recently went through a divorce. My ex-husband called my sister saying bad things about me. My sister never defended me. Now that I showed the truth, she's shutting me up and saying she doesn't care about the fight. Why didn't she convey that to him from the beginning?

Unfortunately, I can't tell you what your sister was feeling or why she reacted that way.I can say that divorces can be difficult or confusing for everyone involved. While the divorce is most impactful for the couple going through it, the divorce itself also changes extended family dynamics. Also, a lot of people don't act the same way around extended family (or other people) as they do at home behind closed doors, so there are times when divorce is a real shock to everyone who was not directly involved in it.I wonder if you are at a place where you can shift your focus into looking at your relationship with your sister, how she is treating you, how you feel around her now, etc. I do not know how close you were before all of this and how close you feel now, but perhaps if you can assess your overall relationship, you could find a time when you could ask about this (why she didn't convey that to him from the beginning) in a way that is calm, not defensive, and is honestly looking for an answer from your sister, not looking to defend yourself at that moment. If that conversation can happen, it may be quite a difficult one, so it may be good to have something to think of to remind yourself that you are trying to gather information from her and him that conversation, it's not about you, but is about where she was coming from. After you think you understand that (I'm saying that you understand where she's coming from, not that you agree with what she's saying), you could see if she's willing to listen to how you feel about it.

tell be about cable rope preacher hammer curl

the cable rope preacher hammer curl is a singlejoint arm exercise that builds strength and size in the biceps using a cable stack a preacher bench and a rope grip the neutral or hammer grip amplifies activation of both the grip and the brachialis muscles building arm thickness the angle of the bench also effectively removes the shoulders from the movement largely isolating the biceps it is generally performed for higher reps at least per set

he just walks in the house whenever he wants to see his kids. My fiancé tells me it makes her angry and doesn't like it, but she seems afraid to say anything to him about it for some reason. Is it okay for him to do this?

Do you know the reason your fiancé puts up with the ex's behavior?If not, then ask her.The answer could be anything, from some agreement the two of them made either formally or informally before you came into her life, to residual sense of obligation she feels toward him as a parent, or that she genuinely does fear his physical or verbal anger if she disagrees with what he wants.Facts are the best starting point to know how to handle a situation.There is no blanket rule and certainly no law which prohibits what he's doing.   The situation is entirely in the hands of the people involved.