text
"Instruct: I didn't trust my wife when I found out that she had a new guy friend that she was texting and calling. I investigated him before I found out that he was gay and that there was nothing going on. Now all my wife and I do is fight about trust.
Output: Instead of fighting about trust, is it possible for you and your wife to talk with other about areas which upset each of you?Whenever feelings are hurt, knowing what exactly is problematic and being heard and understood by the partner, goes a long way to building trust.These type of discussions are hard to have, and especially for the first time.  A lot of emotions arise and often people lose their conversation focus from this.If you and your wife have a tough time opening up to each other, consider scheduling time with a couples therapist.Just by each of you committing time to invest in the relationship will show faith in the relationship, and this may contribute to restoring trust."
"Instruct: I don't know what to say. I have never really known who I am.
Output: What exactly is it that you are looking for? Different people define themselves in different ways. For example, one person may define himself by his values and morals while another identifies herself by her personality and characteristics. Still, another person may define himself by his interests and hobbies. Learning who you are as a person can take time and life experience. At the same time, who you are may change according to what experiences you have had and how you have dealt with them or felt about them. Try viewing the journey of finding yourself as exciting and ongoing. Allow yourself to feel emotions and learn how they relate to the experiences you have. This may help you to know more about what you value, what you like and dislike, and what you want for yourself in life. Best of luck to you!"
"Instruct: I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?
Output: I can offer you hypnosis for confidence in presentations, via Skype, if you're in Cali."
"Instruct: I feel that I need to end my present relationship. He lives three hours away and likes the reassurance of having someone to talk to multiple times per day and seeing me once or twice a month.  I want someone who is more present and more of a life companion.
Lately, he has had a very busy work schedule and I have only seen him a few times in the last 6 weeks. I told him that I can't continue in this way because I constantly feel frustrated and angry and that he is not making the relationship enough of a priority. I also feel it is keeping me from possibly finding the relationship I want.
We have been together 7 years. The problem is that I panic and experience anxiety and depression thinking of him with someone else and then thinking I will never meet someone I like. We have gone through this cycle already 4-5 times and I feel it is unhealthy to stay in it, but my aversion to the anxiety and depression I experience upon separation always leads me to reconcile.
Output: It sounds like you have some insight into the cycle that you describe with your current relationship and at the same time you are still feeling stuck. It also sounds like the distressing feelings that you experience, when you imagine what will happen for you and your current partner, are pretty overwhelming. A competent therapist may be able to help you work through these difficult thoughts and feelings and find a resolution to this cycle that will feel right to you."
"Instruct: I'm depressed and recently went through a break up. It’s like every guy I like only wants me for sex. I think I'm ugly, and sometimes I just want to die. I have a son, and I got really big when I was pregnant. I have stretch marks on my stomach.
Output: If you are currently feeling as if you want to die, please call 800-273-8255 and talk to someone.One way to work on not always thinking so negatively about yourself is to surround yourself with people who are more positive toward you. Do you have friends or family who are supportive?Can you find one part of you that you do not think is ugly?If your stretch marks are still bothering you, talk with a pharmacist or your primary care physician. Sometimes there are creams or lotions you can use to decrease stretch marks and they should be able to guide you in the right direction.You mentioned mostly physical things here. I wonder if you can find one small thing each day that is going right and build from there. Perhaps your son makes you smile?"
"Instruct: My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1.
Output: I will admit that I'm not specifically familiar with this from my own experience.My best educated guess is that you could have a seizure during which you have some sort of symptoms similar to a hallucination (which is one of the psychotic symptoms) when you hear or see things that aren't really there.In looking briefly online, I was able to find some information here: http://www.epilepsy.com/information/professionals/about-epilepsy-seizures/psychiatric-and-behavioral-aspects/psychiatric-2It sounds like this would be a symptom in addition to an already existing seizure disorder, not a seizure disorder in addition to a mental health problem. If it is the other way around, I'm not sure how that would work. It is common with some types of seizures to have an altered state of reality during or shortly after the seizure, so that could also be related.I would suggest you talk to your physician about this directly so that if they are worried about this, you can learn more about what is making them concerned about it and what, if anything, you could do to lessen the likelihood of it or how to handle it if it does happen."
"Instruct: 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?
Output: Therapy can feel very weird to begin with - think about it, how often do we go and tell a relative stranger our deepest, darkest thoughts in the rest of our life? So I think its reasonable to expect a certain level of nerves as you get used to your therapist and to the whole process of talking about yourself and vulnerable topics. That said, its definitely worth bringing to the attention of your therapist (if you haven't already) to see if there is anything that they can do, or that the two of you can explore together, that might make the process feel less intimidating to you."
"Instruct: I'm dealing with imposter syndrome in graduate school. I know that by all accounts I am a phenomenal graduate student, and that I am well-published. I am well liked by students and faculty alike. And yet I cannot shake the feeling that I'm going to be found out as a fraud.    How can I get over this feeling?
Output: It would be very helpful to identify with you eventual pattern where the imposter syndrome is more or less present. Are there specific situations where you've noticed the feelings of ""I'm going to be found out as a fraud"" becoming more strong? It seems that shaking this feeling is very important to you. In my opinion, before shaking that feeling, we need to get closer to it and understand its roots. If you would like to get closer to the feeling, you might consider asking yourself questions such: ""What is the trigger for this feeling? How does it feel in the body? What is the thought process I engage with after noticing this feeling? All the best. Rossana Mag."
"Instruct: Sometime when small thing happen, like losing a comb, I get furious.  I even start throwing things. Do I have a problem?
Output: I don't like the word ""problem"".  It is such a strong word.  However I would say that you have an issue that needs to be addressed and controlled before it directed at the wrong person and gets totally out of control.  I have found that anger management classes has been helpful for my clients.  Try and see if it will help.  You will be surprised at what you learn about your self."
"Instruct: I feel like I would be more comfortable as a girl even though I still like girls. I think I'm like a girl stuck in a guy body. I imagine myself as a girl too. I think this more because my friends say that if I was a girl I would be a hot looking one. And I don't care about having boobs or anything. I just feel like the way that I do act will make more sense if I was a girl.
Output: Gender is personal thing.  There is not just boy and girl.  It is ok to be a boy and feel feminine and date women.  It is also ok to be a transgendered women and date women.  Have fun with it and feel it out.  What is right for you?"
"Instruct: If I tell him I don't like certain things, he does when it pertains to me. He tells me it's not like that. He never has anything to say about me until I tell him something about himself.
Output: It sounds like there are issues with communication between you and your husband.  Your perceptions of interactions that you are having don't sound like they match up.  It would probably be helpful for you both to work on communicating using ""I"" statements (I feel----when you---).  This is a more effective way of communicating your needs than directly criticizing the other person.  If you work on communicating in new, less critical ways you both may learn more about your spouse's feelings and perspective.  "
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: Sometimes its quite literally the lack of sunshine that can affect our mood - in these cases it can be worth experimenting with a sun lamp, to boost your dose of vitamin D, when the sun isn't naturally out. Also consider, what is it that the change in weather, changes in your life? If for example, when its sunny you are an outdoorsy, active person and when the weather changes, you're whole activity level changes along with it, you could explore how to get some of that activity replicated indoors in the winter months."
"Instruct: I'm in a relationship with my fiancé and I currently found out that she's been cheating on me with a co-worker. I was very upset none the less. I understand what she did was wrong, but I want to spend the rest of my life with her. So I'm willing to forgive and move on. We have been together for a little over 9 years, and we have a son. At the beginning of our relationship, I was unfaithful and she caught me cheating. She forgave me for what I've done to her and since then I been completely faithful. I'm worried about our relationship and want to move forward  but its been very unsettling. All I can think about is her with another man. I don't know what to do or where to go for advice?
Output: I'm sorry for the stress and unhappiness stemming the problem you describe.Trust your instinct that there is more complexity to feeling good about being in a partnership than simply wanting this to happen.In any relationship, the complexities of each person combine.   Often people accept when this feels good and are lost as to what to do when natural human complexity, doesn't match up with our partner in the way we'd like.A couples' therapist would be able to help each of you talk about the factors motivating the cheating, as well as clarify the reasons you each have for continuing to stay together. The unique advantage of couple's therapy is that each person is able to hear their partner talk out loud about themselves and their partner.This is sometimes enormously helpful since our inner thoughts are often hidden yet very dominant in how we direct ourselves in relationships.Sometimes the initial consult session offers enough new understanding that a second session wouldn't be necessary for a while.Good luck in finding your relationship happiness!"
"Instruct: I'm always listening to my husband, but it feels like he never listens to me.    How do I get my husband to listen to me instead of me listening to him all the time?
Output: Have the two of you ever discussed how you feel?  I know given the nature of your question that's probably not likely, but I'm going to suggest it any way.  He needs to understand that how you feel about this issue equates to not being as happy in the relationship as you could be or he thinks you are.  So start there, that may be more of an attention getter than ""you never listen to me"" yes I do etc.  Direct opener:  I'm not as happy in this relationship as I think we both deserve.  Pause, and if you won't let me talk about it then it's only going to get worse.  Then explain you don't feel listened to, you try to be a good listener but you don't feel you are getting the same in return.  If he interrupts put your hand up in the sign of a stop, then say please just let me finish.  You are right to raise this subject with him because a good marriage can't exist in a communication vacuum. In fairness to him, he needs to understand the seriousness of your concern and have a chance to do better.  If he refuses,  tell him you want to seek couples counseling then do it, with him or without him."
"Instruct: 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?
Output: Thank you for sharing your question.  I imagine it feels overwhelming and discouraging at times if you feel like there are too many issues to address in a counseling session.  I would encourage you to share these concerns with a counselor because a counselor can help you organize the concerns into a list of specific goals.  For example, a list of goals may look similar to this:1.  ""I will learn about the effects of medication on the symptoms of depression and anxiety.""2.  ""I will learn about the factors that affect insomnia.""3.  ""I will learn about resources and support groups in my local area to help me cope with my traumatic experiences.""4.  ""I will practice self-care exercises each day and write about my thoughts and feelings in a journal so I can measure whether or not I""m making progress.""This is an example of some of the possible goals a counselor can help you work toward each week.  Working toward a specific goal can lead to a feeling of accomplishment once you've completed it, and this may have a positive impact on your self-esteem.  I hope this information helps, and I wish you all the best!"
"Instruct: I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?
Output: It is a good thing that you have recognized that you have been in some unhealthy relationships and that you are wanting to break this pattern.  You seem to have some good insight into the situation.The type of behavior that you are describing is usually rooted in childhood issues with insecure attachment bonds with your caregivers, childhood trauma and/or abuse or neglect, or dysfunctional family issues that did not allow you to develop healthy boundaries for yourself or a sense of self.  This is something that is going to take some time to work through in therapy.  I recommend a book titled “Boundaries: Where you end and I begin” by Anne Katherine.  Another book that might be helpful is “Codependent No More” by Melody Beattie. In the meantime, until you can work through your personal issues, absolutely do not enter into another relationship.  Take however long you need to and work on becoming a whole, happy, emotionally healthy person on your own.  Needing another person to define you is problematic.  That’s too much to expect from any individual.For a relationship to be healthy and happy, both people in the relationship first need to be a whole person on their own.  That means having a clear sense of self, knowing who you are and what you want, knowing how to set healthy boundaries, and knowing how to meet your own needs.  It is unreasonable to expect your partner to meet all of your needs all of the time.  There will be times that they won’t be able to meet your needs.  You have to know how to meet those yourself. When you are working on becoming the best you that you can be, eventually the right person will come into your life.  Then you can CHOOSE to be with someone because you want them in your life instead of feeling like you NEED them to complete you."
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: Each counselor may have a different process, so I'm not the end all authority here.  For myself, I review policies and confidentiality concerns with people first and answer any questions they have. Then I'll let them know I'll be writing a lot in this session and I have an assessment form that I like to get completed, but I want to have a conversation and I'll ask questions as we go.  My first question is usually, ""How do you feel I can best help you today?""  Some people are very at ease and tell me many details.  Others are a bit more reserved and I have to demonstrate more curiosity.  Even people who have been very apprehensive are usually feeling very relaxed by the time the session is over.  Usually, when we get close to end of session time, I'll summarize what I think are the biggest concerns from what I've heard and confirm whether or not the person wants to work on those things.  I also try to give an exercise targetting my biggest concern for them to work on in between sessions.  For instance, a relaxation method if they are very anxious.  Counselors are just humans as well, so it does take a bit of time to really get to know another person.  I always tell people that are apprehensive to give the counselor 3 or 4 sessions to determine if they really connect with them.  I hope that helps, Allison"
"Instruct: I have secrets in my mind, and I don't know what to do with them. I don't want to tell my wife and mom because I don't want to hurt them. But I'm not sure how long that I can keep the secret to myself.

What should I do? It's becoming annoying and making me anxious. Help me out
Output: It sounds like keeping the secrets has become a problem for you now. There are several things to consider before you make a decision.- You mentioned that you don't want your wife and mom to know because you don't want to hurt them – why would it hurt them? - Is it necessary for them to know this information?- What are the consequences of either telling them the truth or not telling them? (for you and for your wife and mom).- Once you have considered these, think of what you would tell your friend if they were in your exact situation?- Also, if your wife or mom were in your situation right now, what do you think they would do themselves?- If your wife and mom were in this situation, how would you feel? Would you want to know the secrets?- How has keeping these secrets affected your own mental and physical health?Once you have looked at the problem from all angles, you will be able to better make a decision on whether it is right to tell them or not."
"Instruct: I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I’m unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do?
Output: You should be able to get a replacement ID card either from the Personnel Office on your local base (the actual name of this office will vary depending on which branch of the military it is). You may also be required to go to the Military Police or Security office on base to report the loss of your old ID card."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: Sometimes stress helps us become motivated and thrive to do better however, if your daughter is stressing to the point that she is crying and freaking out then that would be concerning. Helping your daughter with relaxation techniques like deep breathing or guided imagery would be a good start. Also, reminding your daughter that you see her doing so well in school and that most importantly you are there for her. I would also make an appointment to see a mental health therapist they can have more ideas on ways to de-stress."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: It's more than just normal, it's expected! Quite honestly, there are a very few days where at least one client hasn't cried during therapy throughout the day. -IJP"
"Instruct: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone.    How can I deal with depression without telling anyone?
Output: Hello,It is completely understandable that you would not want people to know about your depression. I would first like commend you for realizing that you need to help with your depression by reaching out here. That is a great start, and you've taken the very first courageous step. Depression can feel debilitating and overwhelming. Depression is also a very personal thing and no one has know but you and the therapist. The best way to begin learningand dealing is to pick up the phone and call a therapist or email a therapist and schedule a session. The great news is that with professional help you can feel better and you will learn how deal with and manage the depression. There are many ways to help with depression that a therapist can teach you and help guide. You do not have do this alone. Asking for help and going to therapy is a strength! This can be done in a private and confidential setting.Depression should be treated by a therapist, in a safe, confidential office setting. The therapist can then discuss your depression with you in more detail to figure out the underlying cause, how long you've been feeling this way and identify what brings on these feelings. There is hope and depression can be treated with great success, you CAN feel good again. Depression can be managed appropriately by seeing a licensed therapist. Often times therapy will offer relief because you would have someone there simply to listen to you, validate your feelings and listen to your story. The therapist will be able to offer professional insight and perspective on the situation and help you think outside the box. The therapist can do many things with you, provide insight and offer many ideas to help you learn new coping skills and ideas of things you enjoy, encouraging you to re engage in hobbies you once enjoyed or even discover new things you may enjoy. There are creative ways to learn to cope too!Your therapist will also be there to support you, without judgement, at your pace, through the entire process. But the first step is finding a therapist and beginning to identify the cause your depression. Healing is possible and getting your happiness back is also possible.Feel free contact me for additional help or informationLaura Cassity, LMSW, LMAC"
"Instruct: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?
Output: Thanks for posting.  This is a significant issue for many people and can make us feel helpless; among other emotions due to the uncertainty.  You said that, at times, you feel like everyone is lying. Ask yourself some of these questions.  What is it that makes you feel so strongly that they are lying?  Where is the concrete evidence that they are lying? How could I test my thoughts about this? What if things are not what they seem on the surface? Am I any lesser of a person as a result of this person's behavior or opinion?  Our beliefs about ourselves and the people and our world  and how we interpret information and experiences have a significant effect on how we feel and how we behave.  It is important to objectively challenge the beliefs that contribute to negative emotions.  You can start this process by answering some of the above questions.  We are unfortunately influenced by what and who we associate with.  As it pertains to if God is a lie; be honest with yourself and question your beliefs that tell you that God is or is not real.  It may be helpful for you to speak to a preacher or chaplain of some sort and they can help you with a lot of that.  Hope this helps at least a little bit."
"Instruct: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.
Output: Post traumatic stress disorder (PTSD) is a very complex issue.  It is the root cause of many other issues including depression, anxiety and anger to name a few.  Re-experiencing the event is a telltale symptom of PTSD.  One of the best things you can do for yourself is to find someone who specializes in this area to help you work through the symptoms associated with this disorder as well as directly addressing the event/events that initially caused the symptoms.  There are various treatment methods available to helping professionals that are successful in treating this disorder.  In the meantime there is a book called ""The Body Keeps the Score"", it is informative and may be helpful for you on your journey.  It is my hope that you are not dealing with this alone.   Best wishes!"
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: This is a great question! I often wonder about what normal really means. Counseling is a personal process where many emotions can be experienced by people. I I do not believe it is just you who cries in therapy. Therapy can bring out many emotions such as laughter, anger, frustration, relief, grief, sadness, and many more emotions. Talking to your counselor about your experience might provide insight and healing for you. If crying surprised you and you feel comfortable that might be something you could bring up with your counselor."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Lots of people do cry in session, but your therapist won't be uneasy with this.  Crying is a natural response and it also releases toxins, so some might say it's necessary!  Remember that you can be in charge of what you talk about in your session and if there's something that feels too uncomfortable, just say, ""I'm not ready to talk about that.""  Your counselor wants  you to feel at ease and will probably not push you right away to a very uncomfortable place.  As you get to know your therapist, you will feel more relaxed and even not worry so much about how you appear to them.  It's normal to be anxious going into a new situation especially when you might not feel in control of uncomfortable emotions.  Don't give up, go and put your best effort in! Hope that helps, Allison"
"Instruct: These ""jokes"" are made about everything. They seem to have the need to say something ""funny"" about everything. It's not funny, just awkward.
Output: I agree, it is awkward when people make jokes about subjects which may not be funny at all.  And, if a person only jokes, then after laughing and realizing the person has nothing of themselves to offer, this can also be quite tedious.Realize that you are more aware of human interaction having many levels of expression.  You could start avoiding people who irritate you by the way they behave."
"Instruct: I don't know what's wrong with me. At times I can be really happy, excited, I'll talk fast, and I want to do things. But lately I've been staying up way later and sleeping too much. I don't hang out with friends, I don't really have them. I feel nothing, worthless. I want to do nothing, I have no interest in anything. 

All I usually do is stay in my room. I want to be happy, I want to be nice. What's wrong with me?
Output: I'm sorry to hear that you are feeling as if you're in a slump. First of all, nothing is wrong with you. Many people report similar symptoms. Have you ever talked with a physician regarding your symptoms? Two extreme emotions such as feeling extremely happy and then feeling extremely low for a length of time may indicate a mood disorder. I think it would be best to talk with your doctor or a therapist to help pinpoint the issue causing them.It's possible that it could just be certain stressors in your life that are causing the two extremities but you definitely want to rule out any mental health issues. If it is in fact mental health related there are many medications or therapy choices that can help. Thanks for reaching out! I hope that you will feel back on track soon!"
"Instruct: Both of my parents committed suicide together, and I was the one who found them. I suffer from overwhelming depression, which is having an extreme effect on me and my husband’s sex lives. He does not understand at all and is always making me feel so uncomfortable about sex.
Output: Hello, and thank you for your question. First, I want to tell you how sorry I am for the experience you had with your parents. That is a grief and trauma that is certainly hard to imagine. Trauma and grief can affect us in many ways, and certainly deeply personal things like our sex lives. It may be difficult for others to make the connection, but it is there. So, for example, if stress and trauma make you feel like you are not interested in sex, a partner may take it as a personal rejection rather than response to stress, trauma or grief. If your husband will agree to it, couple's counseling may be your best bet. A counselor can help you with your communication and may be able to provide some education to your husband about trauma and how it can have an impact on intimacy. If he doesn't agree to go, it may be worth it to go on your own. You still have a lot you are dealing with yourself. And sometimes our personally therapy can influence others, so it may be a good idea. It is important to remember that even though you are married you have the right to make decisions about your body, and that includes when you want to have sex with it. I hope this is helpful, and some of my colleagues may have ideas, also. Be well.Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: I keep on begging him to come back. I am so unhappy with him but am so scared of being a single parent to our son. I was abused as a little girl and that has made to be very abusive to men. What should I do...
Output: Major change frightens almost everybody.Don't be so afraid of your fear that you let yourself beg and are willing to accept unhappiness as a standard in your marriage.If you start considering that life can be better than what is current for you now, new possibilities and ideas will start developing in your mind.Consider finding a therapist so that you have private space to talk in detail about your fears and the new ways of seeing your Self.A therapy relationship, since it is safe and supportive, will be a good balance to having been abused, suffered, and unhappy."
"Instruct: My brother just broke up with his girlfriend. While they were dating for the past two years, her son spent the weekends with me and my mother. Now she doesn't think her son should have any interaction with us. How should we approach the situation? Is she doing the right thing for her child?
Output: Hi Tampa, I get that this is a loss for all of you; you have bonded with this child as a result of the significant time you have spent with him. He's a lucky boy to have had you all taking care of him. Certainly, it seems that his mother might not be making the best decision for her son; if you are willing to maintain the relationship, it would be good for him to still have that contact. In my book, the more people loving a child, the better. But, ultimately, she has the right to make these decisions. To oppose her won't likely do any good. You can focus on grieving this relationship and supporting your brother through his loss as well. "
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: A good therapist will discuss what brought you to therapy in the first place and devise a therapy plan with you on some of the things that you may want to work on.  The plan is not set in stone as things may arise during your therapy sessions. You also agree on how often and when you would like to meet."
"Instruct: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
Output: Your fear may have deeper roots within your sense of who you are, than you realize.   Fears are sometimes irrational so that logic doesn't get rid of them.Think about whether you felt secure and confident as a child.  Also, did any major bad events happen to you with other people or situations when you were growing up?Often these overwhelming situations of childhood stay with us as fears of situations in our adult lives.  If the root of the problem w the fear is from long ago, then probably a therapist who can ask you questions which help you remember upsetting childhood circumstances, may help you to dissolve the current fear.Another possibility is CBT, cognitive behavior therapy which teaches people short term mantras to do something which is safe, say being a passenger in a commercial airplane, which feels frightening to a person.CBT is short term and results are limited to specific fears.  It is a much quicker approach than self-understanding."
"Instruct: My dad makes me feel like shit and like I'm worthless.  He calls me names and makes me feel depressed.  I want to move out because I swear if I stay here, I'm going to lose it. What can I do?
Output: Are you old enough to move out? Then by all means, what's stopping you?If not, is it possible for you to move in with another family member?If you're a minor, CPS may need to step in. They often do in cases of abuse. Your safety is the number one priority.It's difficult to offer advice without knowing more about your situation. But I can say this: Don't let other people define your self worth. You can choose NOT to allow him to make you feel anything. It really is that simple. By looking at it as a choice you make, you will be empowered to take control over your emotions and learn to feel better about yourself because your self-worth will no longer be defined by what someone else says about you or how they treat you.Let me say that again in a different way: Your self-worth is NOT defined by someone else. The way he treats you is a reflection of who he is as a person - not you. Don't take ownership of that! I understand that if you are a minor, setting healthy boundaries and refusing to accept this kind of treatment can be difficult. Reach out to others for help. But if you are 18 and over, there is absolutely no excuse for you to be there having to put up with maltreatment. Put up some boundaries and create the distance needed to protect yourself emotionally. You owe it to yourself, and deserve to live a healthy, happy life. Anyone who tells you otherwise is wrong."
"Instruct: 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?
Output: It could be said that you might be the perfect candidate for counseling! No one is beyond hope, and someone brave enough to be honest regarding their struggles, with the intention of reaching out for help is certainly a person a qualified counselor would be happy to assist. You may want to do some research on therapists in your local area who specialize in mind-body connection, or one of the struggles you have acknowledged in your post, in order to find a therapist that is best suited to meet your needs. Good luck on your search, and remember that the world is a better place with you in it."
"Instruct: What makes a healthy marriage last?
Output: This is a fantastic question. In one sentence, I would say the following:Recognize that while you and your partner probably have common interests and areas of commonality, you are separate people, each with different wants, wishes, and desires – if you consider a diagram of two overlapping circles, they may share perhaps a third of the circle with overlap to indicate commonality (could be more or less) and then there are parts of the circles that are not overlapping, indicating separate interestsAs for ways that may strengthen any relationship, even the great ones, this is what came to mind. There are certainly more specific unique answers or elements for different people as far as the details, but here are some general ideas:Try to have at least 15 minutes a week where you are spending time together and not problem-solvingRealize that listening to your partner does not mean that you are agreeing with them, it just means that you are saying that you hear where they are coming fromLearn to hold on to your own wants, wishes, and desires while also recognizing those of your partnerSet boundaries for what is and isn't acceptable behavior during an argument or difficult discussionDiscuss how having important discussions can be anxiety-producing and consider having an understanding that if one of you (or both of you) feels overwhelmed, you can take a timeout for a certain amount of time. For example, you may say ""okay, I'm feeling really stressed about this right now. Let's discuss it in an hour."" And at that time, go back to the discussionConsider what your partner's top three or four complaints about you may be. Check in with them and see how accurate you are. If you see validity in their responses, consider whether or not you may want to make changesDiscover what makes your partner feel loved, valued, appreciated, or specialRelationships are always in progress and constantly changing. Some anxiety around change is typical. Being able to effectively discuss the anxiety and actually listen to one another without being defensive, name calling, finger-pointing, or asking each other to change is a true gift.You may enjoy this quote: ""Connection is the energy that is created between people when they feel seen, heard, and valued; when they can give and receive without judgment."" ~Brene Brown"
"Instruct: My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this?
Output: Make sure that you continue to treat your Mom with respect. However, you also need to make sure that you have time away from her so that the stress of caring for her doesn't overwhelm you. Balance is the key!"
"Instruct: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time.
Output: Trust that you are a good mother and that you love your child.Trust and love are their own authority and come from a different inner place than the urge to be obeyed.Trust and love are effective guidance and usually feel happier and lighter too!"
"Instruct: Sometime when small thing happen, like losing a comb, I get furious.  I even start throwing things. Do I have a problem?
Output: Anyone who asks whether or not they have a problem, usually feels at least partly, that they do have a problem.Your answer to the question is what matters.Since you already understand that your reaction is overstated to the events which trigger them, the reactions you're having are more than likely anger that is leftover from past events, either in the near or distant past.Be aware, consider, reflect on  how you usually handle feeling angry.  Based on your description here, it is quite likely that the anger you show toward what you call ""little things"" reflect anger at much bigger matters that are uncomfortable and not easy to understand.Knowing more about the more significant matters causing frustration for you, may very likely decrease reacting angrily toward smaller matters."
"Instruct: I just need to know if I'm really crazy or not.
Output: Do an internet research on psychosis symptoms and see if you have several of the symptoms.  If you do, seek a medical evaluation from your primary care physician.  There are great medications and psychotherapy that can help you live your life to the fullest.  There a many people who are diagnosed with psychosis and living a productive life.  "
"Instruct: I think I'm annoying and bothersome, but my girlfriend says I'm just fine. I don't think so, I think I'm stressing everyone else out
Output: ""Where you put your attention is where you will go"". I forget who said this first, but it's very powerful. If all you think about and talk about is how annoying you think you might be, that will get annoying. Your intense self reflection is lovely; it will help you monitor yourself so that you're not affecting others negatively, but your alarm is going off too easily here and you risk having the opposite effect.You don't have to be perfect. She's with you, so she probably likes you as you are. She seems to put far less emphasis on your possibly annoying traits. We all have faults and if that's what we focus on, that's all we will see. My hunch is that your most annoying trait might be your negative self-talk. How ironic is that?There's another irony here...your goal is to be a better partner...but when you are self-critical, your focus is on you, not her. Every moment that fear grabs ahold of you is a moment that you're not being present in the actual relationship; you're gazing at your imagined faults. Fear steals your ability to focus on your loving partner. Maybe take a moment to image how she sees you...all of you. Put yourself in her shoes to see the entire you...how are you loving...thoughtful...a good partner? Confidence is a very attractive quality! "
"Instruct: When I'm around people, I sometimes think someone has made a comment to me or asked me to do something. I will be focusing on something else and then randomly think I hear something about me. I never know if it was actually said.
Output: It sounds like you are having difficulty knowing if people are saying things to you, or if you only thought someone was talking to you, and this is anxiety producing. It's understandable that it could be confusing and/or a bit scary to be unsure if people are speaking to you or not. It's hard to say exactly what is going on from just this description, but if you can work with a competent therapist, you may be able to get more insight into what is happening, get clarity about your social interactions, and develop some ways to deal with the anxiety."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Hopefully both the client and counselor would together decide when to terminate counseling sessions. It's really helpful for the client to leave counseling with a solid sense of what he or she has accomplished in counseling, so it can be a good idea to spend some time acknowledging that in the last session or sessions. Sometimes, however, a client has needs beyond the scope of the counselor's expertise. That's a good time for a conversation about those needs and ideas of  how best to meet them, whether by adding in care with an additional mental health professional or transferring care entirely to a new mental health provider."
"Instruct: I have an overwhelming desire to watch my wife have sex with another man. I talked to her about it, and she said she will do it for me. The idea excites me to no end, but I don’t want to because it disgusts me. How can I stop wanting it, or should I just give into it and do it? I’ve been struggling for years with this. It won’t go away. By the way, I am in my mid 30s and my wife is in her mid 40s.
Output: Try to understand your own ambivalence to having your wish fulfilled.Since you and your wife are in a relationship, the sex she will have with another man will affect emotions in both you and your wife.I suggest you and her prepare emotionally before you both go ahead with the sexual arrangement,By anticipating any jealousy or feeling helpless or out of control, or in control, since it's your wish being fulfilled, all the feelings you and her are able to expect, you'll be more prepared for the actual emotions from the episode, which may also resolve your conflicted feelings about creating the event.There are a lot of unknowns in the situation you're considering.  Having your partner, who will be key in satisfying your sex wish, be active in understanding these unknowns, is a good way of keeping your relationship strong overall."
"Instruct: 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?
Output: There are never ""too many issues"" to be addressed in therapy.  Most people come in with multiple issues they want to address.  The wonderful thing about therapy, is that often, as one or more significant issues begin to change and improve-   the lead naturally without much effort to improvements in the other areas.  (For example, as you begin to address trauma and betrayal from you past, you may find that the insomnia improves). Your therapist, with you input and direction, can help you to prioritize which problem areas to target first."
"Instruct: I’m facing severe depression and anxiety and I just feel like I’m going through a lot. This really distracts me and I cant get my mind off the things that are bothering me.    How do I overcome this anxierty and depression?
Output: Life can bring us all kinds of struggles.   Depression and Anxiety are very common reasons people come into counseling.  Both can be debilitating.  Sometimes when life struggles and stresses build up anxiety and depression become prominent.  Learning tools to ride the waves  of life is a core part of counseling.  If you are ready to manage the symptoms and come up with a plan visit staceybshapiro.com for more information."
"Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.
Output: Alot of our choices have to do with what we have been taught and partly our fear of trusting ourselves to do what is right. There is so much more going on within you than you realize. We can help you bring it to the surface. Please contact us when you can and in whatever way you can to discuss what's going on with you."
"Instruct: I've been having horrible anxiety for the last week. I can't sleep. I get a sense of doom, and it's hard to breathe. I feel like nothing I do makes it better.
Output: Anxiety is usually a sign of a current problem to which familiar emotional patterns of feeling similarly upset, attach themselves.Try to understand more about who you are, what you like, feel uneasy about, especially your deeper emotions of being emotionally harmed or injured by meaningful people.Anxiety is best addressed indirectly by understanding and kindly accepting previous hurt and fears from long ago.Once you feel at ease with dynamics of past situations then the current anxiety will decrease.  This is because you will have adjusted and found new ways of handling otherwise frightening and overwhelming interactions and involvements with others."
"Instruct: I think I'm annoying and bothersome, but my girlfriend says I'm just fine. I don't think so, I think I'm stressing everyone else out
Output: I think you have identified something important here. It's not unusual to experience feelings that don't seem to match up with what your rational mind recognizes. In this case, it sounds like a part of you recognizes that the people around you do not find you ""annoying and bothersome."" Despite knowing that people like you, it seems that there's still a part of you that feels like you're a bother.Finding a local counselor who can work with you to process those feelings might be just the help you need."
"Instruct: All we do is argue. We never agree on anything.
Output: For how long has the arguing been occurring and does it relate to a specific incident or circumstance in your relationship?Arguing due to temporary stress and feeling lost or uncertain, is different than the two of you rarely agree on what foods to buy at the grocery store.In both temporary or longer term arguing, ask yourself if the points being argued are core principles of yours or matters which you can accept in service to the benefits you feel from the marriage.If your core principles are rejected, you’ve been arguing for an extended amount of time, and the value of the marriage doesn’t outweigh this, then seriously consider if ending the relationship is a better option than to stay in it."
"Instruct: I have manic depression and last summer was very very bad. I have recurring nightmares and I avoid anything that will give me a similar feeling as I did that summer.
Output: In general, the answer is no. Depression can not not generally cause PTSD. Your question does make a lot of sense, though. Depression is a common symptom of PTSD. A counselor in your area should be able to help you what's going on - either feelings of depression, PTSD, or both."
"Instruct: My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?
Output: I'm really sorry to hear that you are going through this.It's a little difficult to answer your question because the laws that define child abuse are different from state to state. But usually, things like what you describe your dad is doing are not considered to be child abuse.The more important thing is how you feel about what is going on. It sounds like this is really bothering you.If you don't think you can talk to your dad about how you feel, you might want to try talking to another adult you trust (like a family member or teacher). They may be able to help you figure out some ways to communicate with your dad.I think you might feel better if you can talk to someone about how your are feeling."
"Instruct: I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because it’s easier. I just want answers. I'm sick of feeling this way. It’s ruining my relationships with people.
Output: Maybe you have depression.The name of your condition matters much less than the descriptions you wrote of how you feel.Since you've observed how you sometimes interact with people and realize you aren't happy with the result, you've a very solid starting point for reflecting on your deeper wishes in relating to others.Start with asking reasons of yourself about the puzzling aspects of how you're engaging with others.Theorizing as to ""why"" you feel that pushing people away is ""easier"", and easier than what?Googling the keywords of how you feel, may open a starting point for ideas on knowing yourself and what you wish for."
"Instruct: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore.
Output: It sounds like you have been thinking about how past hurts have influenced you, and when you try to talk about these hurts with people in your life, you are feeling invalidated. It also sounds like current conflicts are continuing to leave you feeling hurt and devalued. In working with a therapist, you may be able to get some clarity about your past, who you are, and what kinds of boundaries you want in your relationships, so that you can lead a life that is more satisfying to you."
"Instruct: 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.
Output: Answers about our inner lives are most successfully reached from a sense of feeling grounded in oneself.First step is to accept your nervousness and restless sleep.  As often as possible, sleep during daytimes in order for your body to catch up on its need for rest.Accept too about feeling down.  It is normal to feel down once in a while.  From this place of self-acceptance, trust any answers which come up to your mind.  Often answers about complicated topics come in small pieces, not all at once as a whole unit.Also, your description about panic attacks is also completely normal.   They often arise unrelated to particular conditions at a given moment.  They are a healthy symptom your body is trying to expel bad feelings and does this by having the anxiety erupt at times.So, self-acceptance, tolerance of being on a process of clearing out worn out emotional clutter, and sleep at odd times if possible, are all ways to stabilize yourself, which will also feel calm and good!"
"Instruct: I'm scared that I am with this man so I won't be alone. He should be with somebody who deserves him if this is the case, and I don’t want to hurt him.
Output: While not wanting to be alone may not be the best reason to be in a relationship, it is probably more common and normal a reason than you think.  Since you seem to care about your friend (""don't want to hurt him""), I imagine there are many other reasons that you are together.  I suggest that you talk about this open-heartedly with each other.  The idea of being afraid of being alone sounds like an honest starting place.  Don't try to ""figure out"" whether you should be with him.  Just talk.  The communication is likely to shine light on deepening connection for BOTH OF YOU.In the meantime, your idea that you don't deserve him is rooted in a ""core lie"" that you are telling yourself.  You can read about ""core lies"" and much more in my book, Living Yes, a Handbook for Being Human.  Check out www.LivingYes.org.Be easy on yourself.  You are deserving!~Mark"
"Instruct: My daughter didn't see her biological father for the last three years. She doesn’t want to see him because she remember really bad things from him such as domestic violence and child abuse. The visitation is with supervision, but she refuses to see him. Is it better to take my daughter to the therapist and try to see him after the therapy?
Output: Hi Dillon,I'm from Canada, so I don't know the laws in your state. It depends on that a good deal, perhaps. In my opinion, a child should never be forced into a situation where they feel unsafe, even if it is ""supervised"". If the child is old enough to make a strong statement about not wanting to see a parent, then this should be honoured. Unfortunately, the laws don't always uphold a parent's right to do what is best for their child. I recommend you see a lawyer, who will advise you about how to proceed without putting yourself at risk of breaching custody agreements.If you feel your daughter can benefit from therapy, that is a separate question. Or is she already in therapy? A family therapist will typically meet with you alone first, in order to determine if therapy is a wise move for your child. It isn't always appropriate."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: The most important part of therapy is finding a therapist who is the right fit and you feel you can connect to. Feeling comfortable with your therapist and feeling that you can be vulnerable is what will assist in helping you find what you want out of therapy. It also sounds like discussing with a potential therapist your expectations for therapy. Also, I would read up on what the therapy process is like so that you are aware of the role the therapist is supposed to play in your life. As long as a therapist is ethical and not breaking any ethical practices, find someone you connect with and can share with."
"Instruct: I just lost my grandpa and i'm having a rough time with it.    I need some help to deal with the loss, but I don’t think I can pay for counseling. Where Can I get help?
Output: Y'know, to see a man you've loved and care for pass on must make ya' want to cry and weep a bunch, don't it?And, may I say to you that... (as I've long since said)... if you need to mourn, take about a week or so and mourn like your life depended on it.  I mean, get to weeping, gnashing, moaning, crying, solemnness, and reflection.And then, after about a week or so, reflect on the man as if he were a well-beloved traveler... sent off on a wondrous journey that will consume and encapsulate his entire awareness... and...Rather than expression vibrations of fatigue, sadness, and anger, send him the finest recollections and images you have of him, and regard him fondly...For, I think you will realize that the dead are not gone forever, but are actually extraordinarily active... and when he sees what you express out from within yourself, he experiences it himself (probably more than you know); so, why not send the very best you have out to him :)"
"Instruct: She has lied about every aspect of her life. She's created three fake relationships. The most recent one is concerning because she has fake photos, phone calls, and text messages, and it’s with a married man with kids. Her lying is becoming dangerous because she could ruin lives.
Output: To be honest, I think more information would be really important here because what you are asking could have a lot of different meanings. Consider making an appointment with a local therapist to discuss what you are going through."
"Instruct: I don't understand why this is happening. Why do I feel this way?
Output: The first step to answer your question is to reflect on what is going on in your life overall.  If you're in the midst of severe stress, whether within your relationship or effort to establish a relationship, upheaval in family dynamics, some type of significant loss like a job or someone with whom you feel closely attached, then you may simply be creating the solitude which is necessary to better understand and absorb the meaning of these changes.I assume you mean you are by yourself when you are indoors.What you write sounds like you're not happy with this recent urge rather than that you and someone or others are having great and fun times together.One way to encourage yourself to go back outdoors is to connect w a friend or search for an interest within you to develop.This way with either of these, you'd feel a little bit of motivation to join and get more involved with either of these."
"Instruct: My brother has been a heroin addict for years, and he’s now in his mid-30s. He has taken from me my mom and my grandparents. He's sick in the head. Now he moved his girlfriend into the house because they both manipulated us. Today, my mom and my brother went toe-to-toe over his girlfriend not helping around the house and always being high. I ended up hitting my brother for getting so close to my mom's face. I feel terrible, but he's always picking his girlfriend over us. Mind you, he tells other girls that he hates his girlfriend, he's single, and she's only living here because he feels bad. We tried kicking them out and everything, but nothing is working. They do nothing to try and help.
Output: I think the best thing for you is to speak with someone on how you can best cope with the situation.  It can be challenging living in a household with someone who is currently addicted.  It is also important that you realize that you can only work on yourself.  Other individuals need to take the same accountability.  Enabling often happens in households with addiction. It can be a challenging environment to live in."
"Instruct: 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?
Output: You may intuitively be sensing what many professionals in the social sciences and psychology have already understood.Just Google ""psychopaths and leadership"" and many articles come up about boardroom politics and that psychopaths are very successful in these roles.Theoretically, is it terrible that corporate leadership qualities match those of psychopaths?  Well, yes.  And, I consider your question as a mark of your sensitive awareness toward other people.  Being able to recognize social dynamics, is a strength that you have.Psychopaths know how to be charming and to twist words so that others believe that their own interest is the same as the psychopath's.I agree with you about not being able to change people's minds who are attached to this person's interactions.The only way you can introduce a change in the relationship system of a psychopath is that if you are aware of illegal or law breaking activity, and you have evidence of this, that you contact relevant authorities.No one is allowed to break laws, including psychopaths."
"Instruct: 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.
Output: Not very well :)So, you got the Jungians, and you got the Big Fiver's, and you got every manner of Ivory-Tower Orc in between, loosening the chains on their drooling, snarling Pet Theories...The real truth is, does it matter?  If it does, what does it matter?If it's still of keen interest to you, I would presume that God designed most of his creatures with a ""simpler set"" of personality blueprints; not a complex set as theorized by man;Also realize that this level of reality is dualistic in nature; that means there is two of everything;So, imagine that whatever personalities you observe, and whatever words come to mind, also think of the opposite word, and you'll have a good sense of what actual personalities look like :)Then, share your findings; it'll be pretty neat to see what you come up with."
"Instruct: 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?
Output: Breaking any habit is no easy feat.   Cutting down or cutting out cigarettes is very challenging, and there aren't any one size fits all solutions.  Fortunately, there are a lot of tricks and tools that you can use to stop smoking.  1. Many habits that we have are paired habits. If we do one thing, then we will do the other thing.  Think about the activities that you do when smoking and try to pair those activities with another activity other than smoking.  For instance, many people smoke while they drive.  Consider planning another activity to do while driving. (It might not be driving for you, but you get the idea! :)).  It might be taking a walk instead of smoking on your break at work.  2.  Create distance between you and the habit you are trying to break.  This approach could be used in a variety of different ways.  If you smoke first thing in the morning, consider leaving your cigarettes in a different room in your home.  Walking the extra couple of feet could help you decide not to smoke.   Leave your credit or debit cards at home and carry less emergency cash than a pack of cigarettes.  With this strategy, you are trying to create some distance between you the cigarettes so that you have to jump through extra hoops to get them.  3.  Consider cutting back before cutting out.  If you are smoking 10 cigarettes a day, try smoking 9. Then cut back to 8 and so on.  Having a plan to reduce harm may be more sustainable than cutting things out altogether. 4.  You could also talk to your doctor about the safety of nicotine patches. If you aren't already pregnant, this could be a great resource to help boost your success.  5. Focus on what you are gaining instead of what you are loosing. You may be losing cigarettes, but you are gaining money, health, taste buds, an increased sense of smell, lung capacity, a healthy baby etc.  You could plan small rewards/ treats with the money you save from decreasing cigarette purchases.  I recommend making these purchases small and frequent to keep up the momentum rather than waiting for a big payout a couple of months down the road.  Good luck! Cutting out cigarettes will be good for you and your baby."
"Instruct: What makes a healthy marriage last?
Output: It's surprising how many folks talk too much on the subject;It's the same three things that make all relationships work:HonestyTrustRespect(in that order)Most folks fall down on the first :) (*coughcough* THERAPISTS!  Heh heh heh...)"
"Instruct: Sometimes 3 times a night.
Output: Perhaps more dreaming means that you are making use of your mind to solve problems.  I find that change states, while sometimes difficult, are very exciting.  They give you opportunity to grow more rapidly.  So I say: ""congratulations!""  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)"
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: Anyone who wants to change their life path, eventually will be successful in this.  How to stop abusing alcohol involves a few steps, most of them time consuming, with slow progress and very often with tremendous emotional pain.The basic path is to figure out what motivates you to drink too much and be addicted to weed.  Almost always, addictions are rooted in the person having suffered feeling deeply ignored, humiliated, shamed, invisible, nothing very pleasant, since a very young age, usually starting around 18 months.Most often addicts are sensitive people who have been emotionally overburdened by the grownups in their family.With no outlet for emotional expression or nurturing, the frustration goes inward until the emotional pain feels very big and without an outlet.So, people mask and numb by substances, whether this is food, chocolate, work, alcohol, weed.Therapy that is humanistic based, is a better fit than one which is drug oriented and diagnosis oriented.If you'd like getting serious about knowing who you are, including any unfair treatment of you during your growing up years, you can do this.Once you have a stronger self-respect and awareness, you would naturally avoid substances because they harm people.  Harming oneself is the opposite of self-respect.Also, about your diagnosis, it may not be true at all.  the US healthcare system loves selling drugs to people and clinicians in agencies and clinics are encouraged to find something wrong with people in order to find a new customer who will take drugs.See if you can find a therapist who is independent minded, and therefore free to interact therapeutically with you as a human being, not as a potential customer if they are able to label you as having something ""wrong"".This simply continues the long line of being shamed by others that created the addiction problem in the first place.Good luck!"
"Instruct: I have a mother who is still running my life even though I'm almost 30 years old. I want to move out and live my own life, but it feels like as long as I do what my mom wants our relationship is okay. It's never okay if I don't do what she wants. 

I don't know how to start making my own decisions and not worry about  whether it's right in her eyes.  Would it help for me to talk to someone about this?
Output: ABSOLUTELY.  Having someone who's outside the situation and, even more so, with knowledge and experience in human behavior and relationship dynamics such as a counselor can do wonders in helping us feel less alone in frustrating situations like the one you're currently stuck in with your mother.  A professional can also assist you in finding some assertiveness techniques, communication strategies, and coping skills to help you find your voice and stand your ground in a way that feels most authentic to you.In a healthy parent-child dynamic, there comes a normal developmental shift when, as the child reaches each new stage of maturity and responsibility, the parent backs off to provide a more supportive role instead of directive role.  We call this ""redefining relationships.""  (We also do it with our friendships and colleagues here and there over time as needed). It's absolutely vital. Sounds like your mom may have missed that memo. Like many parents, she may feel your behavior and choices is a direct reflection of her.  Or that her role as your mother allows her greater latitude than it should.  Or like many other people in general, that her way is the ONLY way.  Regardless, this is YOUR life.  And as far as we know, it's not a dress rehearsal.  You certainly don't want to wake up some 50 years from now regretful or resentful. That being said, there are certainly ways to show her love and respect while doing what makes you happy. I would encourage you to Google therapists near you whose bios resonate with you and what you're looking for and start on a the journey towards a new chapter of freedom and hopefully a deeper, more satisfying mother-daughter relationship for both of you.Warmest regards,Tamara Powell, LMHC "
"Instruct: I never feel like myself. I can’t even think straight anymore. I start stuttering and I can’t remember anything. I always get nervous and usually talk myself down but recently end up fighting with, what feels like, someone else. I don’t know why I feel this way, but I hate it.
Output: Hi Houston, Okay, something's definitely going on, right? My gut is to start with your family physician, because you have some physical symptoms. While it seems anxiety is a likely problem here, your doctor will hopefully know your history and can help you decide if you need some medical tests or some therapy. Without knowing more, that's all I can say at this point. Best of luck. "
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.

People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: Anxiety or panic attacks can be very frightening.  Here are a few ""tools"" you can use that will help in the short term:  Keeping your mind occupied by listening to books on tape may help;  Counting backwards from 100 in 7's; Naming cities that begin with each letter of the alphabet; Keeping some ice or an ice pack in a cooler beside you, which you may take out and hold in your hand or to your face; Soothing self-talk such as ""This is uncomfortable, but I can handle it"" or ""I've been through this before and can make it through again"".  I recommend that you seek out a Therapist to help you with some long-term solutions to the anxiety.  Additionally, learning to breathe into the abdomen and practicing this daily is another long-term solution.  Yoga and meditation would be great!"
"Instruct: It has been going on more often lately, but not all the time. It has been starting to affect my driving, among other things.
Output: It's important to make an appointment with a neurologist and ophthalmologist ASAP for evaluation. There are medical conditions that can create this effect."
"Instruct: I'm always listening to my husband, but it feels like he never listens to me. 

How do I get my husband to listen to me instead of me listening to him all the time?
Output: Does your husband want to listen to you?Find this out by asking him the question!This way you know whether the goal you'd like to reach is even possible.Some partners prefer that one person is the rule maker or the only one who is entitled to talk about themselves.If your husband tells you he wants to listen to you, or even that he does listen to you, then you can explain in detail the way you define ""listening"", which may be very different than his definition.Basically, no one can directly change someone into being more openminded.What is possible is to tell him your wishes, your willingness to be patient while he develops the habit of listening to you and point out that a relationship is more fulfilling when both partners feel they are receiving from the other one."
"Instruct: I'm a teenage girl. I don't know if I'm straight, bisexual, or gay. I've been straight all my life, but a sudden rush of questions have come over me, and I don't know anymore.
Output: Being open minded about the type of sexual connection which feels true and real, is a solid starting point.Having questions is a very valuable way of more clearly defining your sexuality.Write one or two of your questions if you'd like a more specific focus to your general search about your sexual preference."
"Instruct: My roommate has had a drinking problem for a while. She goes out, gets trashed, and then expects everyone to take care of her. The next morning, she apologizes constantly until she feels validated. She also thinks everyone hates her all the time. If I don't seem anything other than happy, she asks me ""Do you hate me? You hate me. Tell me you love me,"" and I feel like I have to pity her because she has also been suicidal before.
Output: It does sound like your roommate may have a drinking problem, and the short answer is that you can't do anything about it, only she can. We can't change what other people say, think, or do. We can only change our reactions. It does sound like your roommate may be having a hard time. You can suggest that she enter counseling or therapy. You can reassure her that you like her (if that's true), but you don't have to pity her."
"Instruct: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?
Output: You are not a pedophile. You are both under 18 and your age is appropriate for a relationship. There would be a possible problem if she was 10 or younger. Pedophelia, is a whole other problem that you probably should not be worried about. I would be happy to talk with you in more detail about this."
"Instruct: He goes out with her to dinner/brunch/movies when we are not together (we live 2 hours apart).
Output: Would you have the same desire to meet this friend if she were a he? If you are concerned that their friendship is a substitute for you when you aren't present, talk to him. It sounds like you are concerned that he is building an emotional intimacy with her and spending time doing the sort of things with her that you'd otherwise be doing with him. Help him understand why this bothers you but try to also be open to allowing him to make friends. Is the issue that he hasn't introduced you? Is there another reason you don't trust their friendship?"
"Instruct: He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining.
Output: Sometimes relationships just do not work.  Don't feel that the first, second, or even third relationship is the relationship you are suppose to be in for life.   The one that is meant for you will require work but should be be draining and a constant roller coaster of breaking up.  It is good you all went to counseling, but one or two sessions may not be enough to make and see a change in behavior.  It takes times and it takes both working toward the same goal.  I would suggest doing you...meaning focusing on your own growth at the time.  If he wants to grow with you, he will make the necessary steps.  If he doesn't...wish him well."
"Instruct: 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.
Output: Your, sitting in your car for 30 minutes, story sounds so sad and frustrating.Yes, you're describing classic symptoms of anxiety.Anxiety itself is the indirect result of repeatedly being in positions of feeling helpless or frightened.Are you able to recall from your growing up years of feeling insecure?You may not have felt loved and nurtured as much as you needed.Some people develop anxiety from missing enough love.  They feel lacking in ability to take care of themselves, similar to the lack of being sufficiently taken care of when younger.Try understanding if you felt neglected emotionally.If ""yes"", then start the slow process of emotionally rewarding and acknowledging yourself.Progress will be slow.Eventually you'll stabilize the way you feel toward yourself.This will gradually result in decreased anxiety."
"Instruct: My girlfriend was abused as a child. Now, if I hug or touch her in any kind of way she says she feels as if she is being abused as a child. What might be going on?
Output: Thank you for your question.  I think it's wonderful that you are approaching this with openness and curiosity.  The reaction you are describing is extremely common in survivors of abuse.  What you said is insightful...when you touch her ""she feels as if she is being abused as a child.""  From your description, I would agree that in those moments she is re-experiencing something that happened in the past as if it is happening right now.  Re-experiencing or reliving traumatic experiences is a key symptom of PTSD.If you are seeking to better understand what is going on for her, I would highly recommend Bessel van der Kolk's book the Body Keeps the Score.  This book also discusses effective treatments for overcoming trauma.  Best of luck to both of you,Sarah"
"Instruct: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.
Output: Unfortunately, ptsd is not something that can be cured.  Ptsd can be managed through therapy.  Mindfulness can assist in redirecting thoughts and gaining further control over paranoia. Therapy is confidential and there are different ways you can obtain treatment.  Mental health professional have availability to provide therapy online,  on the phone or in person."
"Instruct: 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?
Output: I would ask you first what made you give him another chance after he repeatedly lied and broke every promise to you?  I would imagine if he repeatedly lied to you that it will damage your ability to trust him now.  Is he in therapy? Does he recognize that he has a problem and is he trying to repair it?  Even if he truly forgot to tell you about the woman at work I think the real issue here is TRUST.  I am not saying that he doesn't have a lying problem.  Instead of asking someone else if you should be upset, ask yourself how you truly feel about him and this situation."
"Instruct: 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?
Output: Thank you for your question. It's completely normal and natural to feel nervous before a therapy session. Many people report having felt this way. I can't say enough regarding the amount of courage it takes to reach out and attend a therapy session. For many people, it can take weeks, months, or even years of contemplating whether to see a therapist or not before actually contacting one and attending the first session. It takes courage to want to work through any struggles you may be having or personal growth you aspire toward. In your question, you mentioned that you've ""gone several times and are still feeling nervous and shaky."" If you feel comfortable with your therapist and it's a good fit for you, I would suggest talking about this with your therapist. You don't have to struggle each time you have your appointment. Together, you and your therapist can work toward helping you have a different experience."
"Instruct: 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.
Output: Hello! Thank you for your question. I have a worked with many people who have become addicted to benzodiazepines, like Clonazepam. It is a difficult road for people who are trying to become clean. It is also a very difficult road for those who love the person and are trying to be supportive. During those times, it is important to remember to take care of yourself, too. As for taking your friend's pills, my concern would be the legal ramifications that you could face should you ever be caught with someone else's prescription medication, and especially these types of medications. Our laws have become much more strict surrounding prescription drug sales and possession due to the increase in prescription drug abuse. In addition, people who are in active addiction are likely to find some other means to get their drug, so it would do little to help the overall problem. I don't know about your friend's family situation, but they may be a better route to take if you are concerned about your friend. They may already be involved, but with your help you may be able to convince your friend to go to treatment willingly. That is usually better. In many states, there are also involuntary committal processes where a person's family may be able to convince a court to force the person into treatment. This varies from state to state. If your friend's family is not aware of this option, it may be something to look into. It usually does take a relative, or a medical provider, to begin this process if it is available. I hope this was helpful, and I wish you and your friend well. Robin J. Landwehr, DBH, LPC, NCC "
"Instruct: I stress over everything. If I don't have enough ""quality time"" with my boyfriend, I start to feel resentment towards him. He has three children, and they are great kids, but I find we don't have much time together. I break down easily and find myself depressed.
Output: Everyone has some level of anxiety - it's what helps us respond to stressors in our lives and clues us into the fact that we need to respond to something going on. However, if you're feeling overwhelmed by racing thoughts, feeling like you spend a lot of energy worrying about something specific or even pretty much anything at all, and you're starting to find that it's getting in your way when it comes to living your life the way you want, then I'd suggest seeing a counselor or therapist for an assessment for anxiety. Your other concerns, though, seem pretty ""normal"" for someone who is in a relationship with a partner who has children. As a married stepmother, I've been there, and as a therapist, I can tell you that the boundaries and communication skills you have in your relationships need to be healthy for you to feel healthy. Finding some support from a group of others whose partners have children might be really helpful - being able to hear from others that you aren't alone in feeling like this can really lighten the load, and they might have some good ideas for handling certain situations. Another option is to find a counselor or therapist who has experience working with step/blended family dynamics - because even if you're not officially married, those dynamics come into play whenever there are kids from another relationship involved. You may even consider couples counseling so that both of you can learn to talk about your relationship needs and concerns in a way that will encourage connection and strengthen your sense of partnership."
"Instruct: 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?
Output: It can be challenging to quite anything once we set our mind to it.  We often crave the things more that we know we can not or should not have.  With that being said I would encourage you to become aware of the chemical dependency part that cigarettes have on your brain and your body.  Then make yourself aware of the mental part the habit part.  Often times people will engage in smoking again just from the mere social aspect of it.  Make yourself aware of these and devise a plan of the things you will do instead of going out on smoke breaks, or the ritual of smoking in the car on on the back porch.  There are plenty of support groups out there to help with this as well.  Smoking cessation is a good resource.  "
"Instruct: I was raped by multiple men, and now I can't stand the sight of myself. I wear lingerie to get my self excited enough to have sex with my wife.
Output: I am very sorry to hear about your rapes.  Traumatic events, such as rape, can have some lasting effects.  Issues with sex drive are one of these effects.  Therapy can help to decrease the impact that traumatic events have upon our lives as we process through some of our experiences.   EMDR can be a particularly effective modality of treatment to address this issues.  I would also encourage you to have an honest conversation with your wife about this concern.  Sometimes it is helpful to have that conversation with a therapist so that the therapist can help educate  your wife in regards to effects of trauma.  This may help her understand that your feelings are more about the trauma and less about her as a person.  Best of luck to you!  "
"Instruct: I found the guy I’m dating on dating websites. He was telling women that they were beautiful. He said it wasn’t him and that the phone was hacked. It has since happened two other times. He says he loves me and I’m the only girl he wants to be with, but I feel he is not telling me the truth.
Output: Tell him what you know and ask why he is lying to you.   If he tells you he isn't lying and you have proof that he is, then you can either accept that he denies the truth or not."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: There are typically three reasons why therapy is terminated:1) Client has met therapy goals2) Client is not progressing 3) Therapist is not a good fit for clientIn order to properly assess whether therapy is helping and what progress is being made, the therapist needs to have ways of consistently checking in with clients sessions-by-session to determine what is helping, what isn't, and where the client is at in relation to their original therapy goals. When a client has met their goals, that is a good time to end counselling sessions unless the client has new goals or simply wants to check-in periodically to make sure that they are still on track (sometimes referred to as relapse prevention). When a client is not progressing, and feedback has been taken and attempts have been made to make the therapy more helpful for the client but to no avail, than it is considered unethical to continue to work with the client. In these circumstances, referring out to another therapist who may be a better fit is a good idea."
"Instruct: My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying ""whatever"" and ""leave me alone."" But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore.
Output: Your situation sounds a little painful.Have you brought up any of these topics for discussion with your fiancé?Now is a good time for finding out if and how your future husband is interested and addresses the way you are feeling.Until the two of you open up what bothers you, all you or anyone who talks to you about the situation, can do is take guesses as to what is driving your finance's behaviors.Also, in the moment of when your fiancé texts you words you find surprising or startling, you can tell him this.   Maybe by being clear and truthful about how what he writes affects you, then next time he will change what he tells you.And if he doesn't, then you know that you explained yourself, he had this information about you and that , he isn't that willing to consider what you told him. Really, the best first step is to open up all the topics you wrote about here, with him.  This way you'll give each of you to discuss how to care about one another in a meaningful way."
"Instruct: My fiancé and I recently had an argument over finances. He gives me the money each month to pay his automobile insurance. He no longer has one of the vehicles on the policy. He realized he was still paying for the coverage and asked why I was allowing him to continue to do that since I was physically paying it for him. My response was that he was giving me the money, and I just made the payment. I didn't think of the coverages. He was angry about it. I still can't figure out that anger.
Output: A few things come to mind. I wonder if your fiancé is still angry about it or if he was angry in that moment and has now worked through it.It sounds like there was also a difference in expectations here. You were just  paying the bill with the money he was giving to you and he may have assumed you were reading it. You thought that you were following his directions. It could be that you could have a discussion about it, but that depends on how much of a hot button issue it still is for either of you.If you're going to talk about it, I might suggest asking whether this would be a good time to have a discussion about what happened with the automobile insurance so that you can both use the opportunity to learn more about yourselves and each other around this particular issue."
"Instruct: I feel like I'm trying to convince myself that I'm okay when I'm not. I'm always blocking out the bad things and forgetting. I also feel like nobody cares for me and they never will. I feel truly alone.
Output: I can relate! When things are going badly, I feel like my life has
always been and will always be that way. (But I also do this when things are
going well. That is, I forget how good things can turn bad. Personally, to
avoid this emotional roller-coaster, I try and heed the famous advice by author
and feminist Rita Mae Brown: ""One of the keys to happiness is a bad
memory.""So maybe this weakness of your for forgetting is really a
strength! It sounds a lot like living in the moment to me. And while it’s hard
to manage my past and my future, the moment seems like a small enough piece of
temporal real estate to sort out. So that’s the “what” of my answer. The “how”
goes like this: Choose one from column A, two from column B, and three from
column C in the following chart. Then try doing them for as long as you can.
Then see what happens.A                                            B                                                  CGratitude                                Forgiveness                                 AppreciationExpectations                           Meditation                                    ExerciseBitterness                               Distraction                                    Volunteering
Resentment                            Substances                                  WorryRegret                                    Possessions                                 PessimismShame                                    Desire                                          SuperstitionRage                                      Isolation                                        WishingSelf-loathing                           Criticism                                       Withholding If you feel as though what you
think and believe are out of your control, or that your values were imposed on
you, or that nothing good will ever happen again, then we will have to
respectfully disagree. You’ve ask a very deep and insightful question, proving
that your hope has gotten you this far. Hang onto that hope because I’m an
example of things working out despite my previous way of looking at my life.Instead of “convincing”
yourself that you’re okay when you’re not, how about calling it “accepting
yourself as okay just the way you are, without judging your okayness.” You
probably have high standards (perfectionism?) and that’s a thing to talk with a
counselor about. The opposite of perfect is not horrible. It’s called “good
enough.”Blocking out the bad things and
forgetting is as natural as eating and sleeping. All the other mammals do it
(except when it comes to life-threatening bad things) so why shouldn’t we? This
might be called optimism.
Feeling alone and uncared for
is a worse feeling than being despised. This is good! This means (I suppose)
that you don’t despise yourself as much as you just don’t care for you (because
we can often project our own self-beliefs onto others). This is an abstract
concept that will take some time to get used to. But I have a suspicion that,
with just a little more self-care, and a little more caring for others, you
might be better off very soon."
"Instruct: It's the way my mom said I was worth nothing, stupid, no point of being in school. I'm ""lazy little fat.""
Output: Your mom is telling you cruel words.The fact that she is your mother and is not supportive and willing to point out your strengths, is a good reason to not believe what she tells you.Parents are meant to nurture their children, not take them down with words.Kids go to summer schmo for all sorts of reasons.  If you were unable to concentrate during the school year on academic subjects, for whatever reason, summer school is a way to catch up so you will stay with your classmates in the school year which starts in September.I understand not liking the idea of school in the summer.  Only this is different than being putdown the way your mother does to you."
"Instruct: I have three children: a biological daughter, a stepdaughter, and a stepson. I found out my stepdaughter overdosed today. My daughter blames me. I told her to stay out of it. I'm scared of all three kids now. They all blame me for their choices they made. All three have drug addictions. I had a stroke in 2013 so I need to depend on people from now on.
Output: Blaming others is one of our greatest coping mechanisms.  It is not just for addiction, and often we blame the ones closest to us.  You can not stop them from blaming you, you can stop yourself for taking on the burden.  We are all in charge of the choices we make.  No one makes us do something other than our self.  We choose how we internalize and react to situations.  I would find a good therapist who understands family dynamics and addiction to help you cope with your current environment and help you move forward.  "
"Instruct: I don't know how to tell someone how I feel about them. How can I get better at expressing how I feel?
Output: 

Let's just start with being real. Expressing
yourself is vulnerable, and being vulnerable is hard. It takes courage and work
to be vulnerable. My guess is that you have been shown in your lifetime that
being vulnerable (ie, expressing yourself) is unsafe. My assumption would be
you have been criticized, or ignored when you have expressed yourself in the
past, it has taught your emotional self to simply not do it again. This is a normal
protective mechanism that you have used to cope with past feelings of hurt. It
will take time and work to engage again in an emotional way.I would start my practicing and
identifying how you feel to yourself. Check in with yourself multiple times a
day to gage where you are at emotionally. After you feel you have a good grasp
on this, start to engage in emotional conversations with others. Choose others that
feel safe to you, a good friend that knows you well, or a sibling or family
member. Expressing yourself is a behavior that you have suppressed out of
protection, so you can choose to engage in safe emotional expression behaviors
just the same. Best of luck!
"
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Crying is a natural process when you talk about upsetting things especially in therapy when you are opening up and being so vulnerable. I suggest that you consider how you would feel/respond to someone that was confiding to you and they began to cry. If you felt concerned, supportive and empathetic then you know exactly how us therapists feel when our clients are emotional in sessions. I suggest that you think of times where you have cried and how you felt at that time in public and what would have helped to make you feel less uncomfortable during your tears. I think of crying like any other natural reaction of our body such as sneezing, laughing, coughing. You can't help but do those things and most people won't really judge negatively if you do it in public. Similarly, crying is our body's reaction when we are emotional whether it is tears of joy, from a hilarious joke or from being upset. If you are very uncomfortable about crying but willing to start therapy perhaps you can ask the therapist if you can turn your chair around if you begin crying. This way you are not facing them and can self soothe without worrying about how you physically look at that time.I wish you luck and you should be proud of yourself for starting therapy and I wish you a wonderful journey on this important path that you are embarking on."
"Instruct: I am a teenager, and my brother is a few years older. He has a girlfriend who is always with him. He never hangs out with me anymore. We were really close, and it is making me really sad.
Output: It is always hard when we feel as if we are losing somebody close to us. Feeling sad over these losses are normal. While there may be some things you can do to remedy this situation, it is important that you try and understand that part of life is change. The fact that your brother doesn't spend as much time with you doesn't mean that he loves you less or doesn't care about you. It most likely means that he is having to split his time between different people and priorities. I suggest that you communicate with him how you feel. Perhaps, ask him if he would be able to set up times that the two of you can hang out, without anyone else present. Addionally, it wouldn't hurt for you to also find some other ways to spend your time away from him. Now might be the perfect opportunity to pick up a new hobby or hang out with different peers. Keeping yourself distracted in healthy ways and processing your feelings of sadness will likely help with lifting your mood. Good luck to you!"
"Instruct: 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?
Output: When their verbal abuse starts, tell them you are exiting the conversation because the way they're talking to you is unacceptable.Explain you are willing to hear their point of view only not when it is expressed as abuse.They may not agree with your opinion and also may not want to change.Even if they do not change, you are entitled to be treated as a human being who is worthy of respect.Explain your reason to exit the conversation and ask them to write down their requests for you to consider."
"Instruct: I'm  very depressed. How do I find someone to talk to?
Output: Sorry to hear you are feeling that way.    Is there a 24-hour helpline where you are that you can call?   Here is a website with some numbers to call:  https://psychcentral.com/lib/common-hotline-phone-numbers/      You could talk to your family doctor and they could help you find a therapist?   You could also use this website to find a therapist.  https://therapists.psychologytoday.com.  I sincerely hope you find someone to talk to.  "
"Instruct: I've been struggling with it for a test and I'm starting to believe it's something mental. What could it be?
Output: Hello in Jacksonville, It sounds like you are struggling with motivation to either take or study for a test.  There could be several different causes.  If you were being seen at my practice, I would ask you to describe your self-talk when engaging in these activities, during the different phases ie. in beginning, after a few days, and after few weeks.  Negative self-talk leads to increased disinterest and eventually tasks not being completed.  It is great that you recognize that you have the tendency to not complete tasks that you start.  Some questions that would be great to explore with a therapist are: how often you start and stop tasks without completing them?how you are feeling when you choose to start/ stop a project/task?how many tasks do you complete?  Sometimes we need to recognize list our accomplishments so that they do not go unnoticed.   Do you ever feel like you are working against yourself?A licensed counselor in Jacksonville will be able to asses you and rule out or diagnose self-sabotaging, depression, anxiety or other possible contributing factors.  Remember to continue to provide yourself daily motivation and encouragement towards your goals."
"Instruct: My issue isn't resisting angry urges; it's the anger itself. My rage is extreme and vastly disproportionate to the direct stressor. It causes violent thoughts, but I never act. I stay lucid enough to know the rage is violent, not me. I don't want to drown myself in anger and resentment.
Output: Knowing how you feel and also being able to stabilize yourself to act upon the tremendous anger you feel, are fine qualities.Anger, whatever the magnitude, generally reflects emotional pain that has not yet been placed into words.Try thinking over your growing up years because maybe you will discover certain repeated dynamics which upset you and that no one helped you feel secure through such times.Also, if either of your parents drank too much and raged when they were drunk, you may be repeating their patterns of how to respond to situations.   Even without drinking, the response patterns of yelling and throwing things are frightening enough to leave a permanent memory.If this describes part of your childhood, then it is possible you are becoming angry because it was the only emotion that either of your parents was able to express."
"Instruct: My son claims that hes been having extremely violent thoughts and dreams. Not violent like he's hurting someone, but violent thoughts like horrible things happening to his loved ones. He explained one of his dreams the other day and it was so violent it was sickening. It was far beyond anything in a horror movie, he says he can't help these thoughts they just pop up. Please help!
Output: If your son is reporting ""extremely violent thoughts and dreams"" please have an psychological evaluation done by a psychiatrist now before it gets even worse for him to bare.  Don't take his reports lightly.  For him  to tell you, he knows that something is not right.  He is seeking and needing help.  Get it immediately.  Best to be safe than sorry."
"Instruct: What should I do when we see each other?
Output: I am so sorry that this happened.  Nobody deserves to be outed without their permission.  I would encourage you to get in touch with someone who is supportive and accepting and plan to touch base with them after you see your wife's sister.  You can also plan to take some time for self care after you see her.  For example, if you enjoy bike rides, plan on taking a bike ride afterward.  Plan to do something that feels nurturing and caring.  Best of luck!"
"Instruct: I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?
Output: The answer would require a more in-depth knowledge of you and your situation. A lot of times, these feelings are the result of the people in your life treating you a certain way. You internalize it and accept it as your reality. The first step is to evaluate the people close to you, especially your parents. Even if you are an adult, think back to your childhood. Children who grow up in an unstable home often grow up to be adults with insecurities and emotional problems. The obvious, such as being abused, can certainly lead to a person having little to no confidence and self esteem, but there are other situations that might surprise you to hear they can be damaging to a person.You may have never been physically or sexually abused, but what about emotionally? Were you yelled at, berated, put down? Were you told you'd never amount to anything? Were you compared to siblings and felt like you always fell short, couldn't live up to expectations? When you hear something over and over again, you start to believe it.Maybe you weren't yelled at. Maybe it was the opposite. Studies show that children who grow up with a parent who is depressed show signs of emotional neglect. A chronically depressed mother, for example, may have seemed cold, detached, emotionless. She may have been less likely to show interest in a child's life, not give praise for accomplishments or show support by going to ballgames or performances. If one of your family members were chronically ill while you were growing up, chances are, a lot of the attention went to them, which could have led to your needs not being met.Any of these situations could cause a person to grow up feeling unimportant, unheard, unloved, or like they don't matter.Maybe nothing I've described here fits your situation. If you can't pinpoint what has caused you to feel this way on your own, a counselor can help.I am not saying ""blame it on your parents"" or telling you there's nothing you can do to change it! Quite the opposite! Understanding WHY you feel that way is a first step towards making the changes needed to feel better. Cognitive behavior therapy focuses on cognition - figure out the WHY. Then behavior - the HOW. "
"Instruct: I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why,    I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it.    How can I help myself to change my behavior?
Output: The best way to handle anxiety of this level 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 anxiety. 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. You will learn to recognize when and why you perform the behavior of hitting your head, help you deal with the underlying cause of this, and replace the behavior with a more positive behavior. You'll learn coping skills.You mention having a rough childhood. Anyone who has experienced trauma like this, especially long-term ongoing trauma from abuse of any kind, definitely does not need ""exposure therapy"", which is what is recommended for phobias. You need a therapist trained specifically in trauma informed therapy.You are on the right path by recognizing there is an issue and what it is. Good luck with your healing journey!"
"Instruct: After I told them, they yelled at me.
Output: There are a lot of ways one could go about handling this kind of conflict. It is hard to know which way might be advisable if we don't know quite why they would yell (or, why would they care who you choose to sleep and/or partner with to begin with?)However, it is of utmost important that you accept yourself as bisexual, and sometimes that is easier said than done. But, when you are able to get to that acceptance that you are not in the majority in society as far as sexual orientation goes, and all that comes with that, and perhaps other issues you might have with it, it will be significantly easier for you to tolerate your family's lack of acceptance, and perhaps chalk it up to a severe lack of open-mindedness.But because it is family, and we don't choose our families but are forced to deal with them for the most part for better or worse (admittedly I'm not the biggest fan of outright estrangement), processing the loss of ""the family that I hoped I had"" will also be important for you moving forward in your life. You likely will be able to realize you don't need them to accept your sexual orientation for you to live a healthy and happy life. Perhaps when they see that they can't change you, they will actually just learn to accept it."
"Instruct: My husband cheated on me and it hurt me very bad. It was a time when my health was poor. I'm have a hard time moving on.
Output: How has your husband acted since then? Was he regretful? How did you find out? Did he confess? These are all things that you want to consider. Betrayal is very hard to get over so if it's taking you awhile to get over, know that this is normal.Hopefully you're husband has been very regretful and upfront and honest with you since this happened. It may take awhile to reestablish your trust with him and he should understand this. It's also very important to discuss WHY he cheated. You want to make sure that the reasoning behind this was not something that could arise again in the future. And if it can, there needs to be an action plan in place (i.e. being honest with how he's feeling) so that you both get a chance to rectify the situation.If the cheating has happened more than once, you may want to reevaluate your reasoning for staying in the marriage. It would be obvious that he did not truly regret what he had done or else he wouldn't repeat the same mistake. However, if it was a single event and he has shown you and continuously shows you that he genuinely loves you and is sorry for his mistake, I would give it a try. People do make mistakes and sometimes it takes an event like this to realize what you have.Know that it takes time and that you have the right to feel what you feel. If the relationship was a good, healthy relationship, it is worth saving. Ease back into it and be upfront with your feelings. In return, your husband should be patient and understanding of this. Also, marriage counselors are often a good go-to as they have a great deal of experience working with marriages in similar situations. Best of luck to you!"
"Instruct: 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.
Output: I would suggest keeping a log of those days when you are having a hard time. Items to write would be what were you doing before you felt this way, did you eat and what, what time of day is it, how much sleep did you get that night, etc... This can help you identify any triggers. Further assessment can be made by a health care professional. It does sound like you are experiencing some symptoms of anxiety."
"Instruct: 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?
Output: Finding out about an affair is quite an emotional experience. It's usually jarring. I encourage you to give yourself some compassion about emotions that you have.You asked whether it is possible to get past the cheating and the answer is that it can be. It depends on many factors.I would recommend that you see a therapist who specializes in working with couples. There are certain ways that both of you could learn more about yourselves and each other that may actually serve to make your relationship stronger. Sometimes there are motivations for having an affair that can be discussed in therapy in a way that you become more aware of what each other is experiencing and where you want to go from here. It could be that learning to communicate differently would be helpful.Regarding whether you should ""just move on,"" I recommend talking about with a therapist as well. At the very least, you can discuss more about what you are thinking and feeling and what your choices are as far as where you want to go from here."
"Instruct: I was raped by multiple men, and now I can't stand the sight of myself. I wear lingerie to get my self excited enough to have sex with my wife.
Output: Hello Utah, thank you for writing with your question. Sexual assault or sexual abuse is a very traumatic event that affects victims in many ways. Your difficulty in feeling sexually engaged and your description of the shame and self-loathing you feel are normal responses to the rapes you experienced. A good therapist can help you to process your traumas and understand that you did nothing wrong to cause the rapes; the shame is not yours. It takes a very patient and loving partner, but you can make progress towards a healthier sexual relationship with your wife. These are issues that I cannot address more fully here other than to recommend that you seek the assistance of a qualified professional. "
"Instruct: After 25 years, I fell in love for the first time. The person acted for a week and left me without even saying goodbye. My heart is burning, and I can't take this pain.
Output: Hi, San Diego. I'm sad that this was your first experience (in 25 years) with feeling in love. You deserve better. My understanding of today's (western?) social cultural norms is that it is somehow acceptable to abruptly stop communicating with someone you've been seeing, without explanation. I don't get it. It's rude. You're better off without this person around. There are still people who operate with respect, but this person isn't one of them.If I'm reading this right, you knew this person for a week? In my humble opinion, much heartache and many poor relationships come from attaching too soon. It takes years to get to know someone deeply. I know it's hard to keep yourself from falling in love, but you owe it to your heart to take these things more slowly, because everyone puts their best self forward at the beginning and it takes time for that to relax and for you to see who they are when times are tougher and real stuff happens.If I was your therapist, I'd be curious about how this is the first time you've fallen in love? Or is it that you were in love 25 years ago?  Was your heart broken then, or did something encourage your heart to close? What has kept you from either meeting people or letting yourself fall in love until now? Is there a danger that you will decide love isn't worth the risk? This is a crucial time for you to potentially seek professional support from a therapist in order to understand yourself and not shut down, if that's what happened before. :)"
"Instruct: 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.
Output: 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. "
"Instruct: I get so much anxiety, and I don’t know why. I feel like I can’t do anything by myself because I’m scared of the outcomes.
Output: Anxiety is simply your system communicating to you that you are in danger. The issue that I see in most of my clients is that they try to reason with this anxiety. You do not reason with sensory states in the body. If your system tells your in danger (your stomache feels like it is knots, your heart is beating out of your chest,) validate by just being present with it. Take your breath to it. Breath in and out of that space. Say ok, I am in danger. I always tell my clients, ""a crying baby wants to be held, not told to shut up."" Listen to your system, validate it like you do a child and see what happens."
"Instruct: I’m in a relationship with my child's father. I’m a really jealous person. We don’t go out or do anything with other people because of me. To keep our relationship going, I know I have to stop being jealous, but I can’t. How can I get over these issues?
Output: It may be important to look at this as getting through something rather than ""getting over it."" If you're aware of the reasons why you are jealous, I don't know if they relate to this relationship or a previous one, but you could remind yourself of the differences if your feelings of jealousy relate to something from your past.Also, it may be beneficial to have a conversation with your child's father if you are both open to having a discussion about this in a way that you summarize what each other is saying so you are sure that you are understanding each other, at least to some degree.Also, consider what you may want from your child's father to assist you with this. You cannot make him do anything to support you with this, but you can certainly ask.What is something you could start or stop doing to move you toward your goal?"
"Instruct: My ex-boyfriend boyfriend and I lived together. He had a two year affair with a girl and had three pregnancies with her. One was an abortion, another was a miscarriage, and then she had the third baby. They are not together, but he continues to contact me and wants me back. He has nothing to offer me.
Output: Hi Attica,This is a question I think a lot of people deal with...they feel confusion about why they can't forget about or get over (or stop connecting with) someone who they absolutely know isn't good for them. In your case, part of the problem is that he keeps trying to get back in touch with you. For some people, honestly, it's a game... to see how much power they have over you or it's their need to control you. If you don't want contact from this person, it's really important to give him clear messages about boundaries (""Don't contact me again""), and then ignore all of their communications. Any interactions or responses from you at all will feed their behaviour. Remind yourself why you don't want to be with them. I hear you doing that already when you say ""he has nothing to offer me"". That's great self-talk.But let's get back to the question of why we have a hard time letting go of people like this. Sometimes it's because we still hope they will change. Maybe we remember who they used to be or how they used to treat us, and we think it can go back to the way it felt in those ""good old days"". The problem there is that, over the first few years, as intimacy grows, people tend to show more of who they are, not less. So what they're eventually showing you is who they are and what they're capable of. People do change and grow, but it won't happen at your pace. Accept that person for who they are and stop expecting them to change. Another reason we can't let go is because we picture our ex with someone new in the future and we wonder if they will be a better person for the next partner in their life. This is a normal... but not a healthy... thought. It's as though we want them to stay, maybe apologize, and heal our hurts; maybe make up for past mistakes. You deserve that healing, you deserve better than you got, you deserve apologies, but to expect that from the person who hurt you and hasn't demonstrated that compassion as yet is probably foolhardy. It is my belief that underlying some of the above scenarios is the deep belief that we must somehow be responsible for the hurts our exes have caused. If you blame yourself in any way for someone's poor treatment of you, you will be dancing around trying to do things differently so that they can treat you better. It will be impossible to let go, because you blame yourself for their behaviours.Draw a line. Their behaviours are about them, not you, and the only solution is to challenge and reduce thoughts of them, and create physical and emotional distance. These things plus time will help the events of the past fade from importance."
"Instruct: My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt ""ehh"" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way.
Output: I suggest seeking the support of an AASECT certified sex therapist to help work through much of the issues you address, you simply may need some really qualified support. Also, you might be interested in watching Esther Perel's ted talk on the secret to desire in a long term relationship, and/or you might want to sign up for my own 8-part-series on Reconnecting Parent Couples"
"Instruct: All my friends have either hooked up or had a girlfriend but me. I try to be happy for them, but I get really upset every time they hook up.
Output: If you mean “hooked up” as having sex with no care for the person, and you’d like a girlfriend, then realize relationships require more complex alignment with a partner than being a sex buddy.Pay attention to all your feelings toward a girl so that you’ll approach someone who attracts you for reasons in addition to sexual allure.Also, the process of knowing someone takes much more time than only to sleep with someone.Have patience and kindness toward yourself while you get to know the qualities which attract you to a potential girlfriend."
"Instruct: I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking to get him something special with my country's name on it, and I remembered that he likes wine. My country is known for that. Is it appropriate to give him wine as a gift after Christmas?
Output: I don't think it's appropriate to give your counselor a bottle of wine. Your counselor helped you and supported you, which is great, But a gift is inappropriate. I can understand that you want to show your gratitude. There are many other ways to do that. You could drop your counselor a note or card, thank him in person, or tell him how much he helped you. These small gestures can be very meaningful for both of you. "
"Instruct: Does counseling really do anything that can help people?
Output: Counseling allows us to have a sacred space, a space that is set apart from the outside world, it is a space of non-judgement and exploration. Being that the universe is not made for us and that the the world tends to be a fairly untamed place at times, this sacred space allows us to explore ourselves. It allows for greater reflection upon our attitudes, our behaviors and our feelings. Imagine if you will a small goldfish swimming around the usual fish tank, although I dont attest to know what a goldfish thinks, I would imagine he does not see the world outside of him, he only sees the small fishbowl, oblivious to the outside world, when one comes into the counseling room, one is trying to gain insight that was not previously there. Remember the observer affect, one cannot truly act objectively with the world, we are in a dynamic relationship with life, it reacts to us and we to it, the time in the counseling room allows us to gain an understanding that is beyond the normal limits, allowing us to see what was before hidden, often times in plain sight."
"Instruct: How does a person start the counseling process?
Output: Approaching a counselor can seem intimidating at first, but most mental health professionals want to help you feel safe and heard.  You can often find counselors using search engines like CounselChat or Psychology Today.  These websites allow you to get to know therapists before you take the next step.  These days, counselors have websites where you can learn even more.  These websites usually have clear instructions for contact.  Typically, you can reach out via phone or email to request a consultation.  During a consultation call, you can ask the therapist questions about their credentials and areas of expertise.  If you feel like you connect, you can schedule a first session where you will tell them more about yourself and why you are seeking therapy.  The thing to remember is that therapists want you to reach out to them, and they are happy to be approached for support.  Good luck!  "
"Instruct: I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time because before our child she said she was raped by a family member but she never went to the hospital or the cops. Now me and my family don't talk. She's always telling me I'm annoying and just belittles me. Nothing I do is right. She says I work you watch the baby. On her days off she never cooks or cleans. I have no friends or family and a couple months ago she was confiding to some guy, but says he's not any thing to her. What do I do? I don't want to leave.
Output: It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more beneficial for you and your child to move out.On the other hand, if you are just wanting the relationship to work out despite its current state, you need to evaluate whether the relationship is worth salvaging. It seems as though you are very unhappy and undervalued in this relationship. Although your question revealed just a short bit of information, I didn't read about any positives in the relationship. Sometimes it's extremely hard to leave a relationship even though you know that the relationship itself is harmful for you. However, with time and focus you can do it. Each day will get a little easier and you have to trust yourself that you are making the right situation for you and your child.However, if you really feel that you want to stay in the relationship, you have to be upfront with her. You need to tell her exactly how you feel and give her specific examples of how she is hurting you. This gives her a chance to render the situation. If after this there is no improvement, I suggest that you start reconsidering your decision to stay.I also think it would be valuable for you to start engaging in things outside of the home that make you happy. Are there any hobbies you enjoy? Are there any groups in the area that you can join such as playgroups that will allow you to engage with other parents? Start looking into these options and finding an avenue for you to do something for your own benefit.It is certainly not healthy for you to isolate yourself from friends and family. You need to have additional support networks besides the one with your girlfriend, especially since this has not been a healthy environment lately.Thank you for reaching out. I wish you the best of luck with your relationship."
"Instruct: My boyfriend is always saying he's done with me and says he's leaving, but then at the end of the night, he's still here. He wakes up in the morning, acts like nothing happen, and repeats this every night.
Output: Do the two of you ever talk over why he does this or your reaction to it?Are you asking your question because his behavior upsets you or only out of curiosity to understand him better?Basically, first know your own reason for your question.   Then go ahead and tell him if what he does bothers you.  In the best of cases, he doesn't realize how his actions affect you and he will change."
"Instruct: I have been with my boyfriend for more than a year. He recently got a new job and travels a lot. I’m not used to him being gone all the time. I feel as though he has forgotten about me because he does not talk with me as much and doesn’t keep me up to date on everything that he does throughout the day, which he used to.
I feel lost, sad and unwanted. This is really a tough new challenge. I just want to break up with him, but I love him so much. I don’t know why he is acting this way lately. I believe I have separation anxiety. Is there anything that I can do to help me cope with this while he is out of town?
Output: In a way, yes, you have separation anxiety. It's normal in a relationship for us to slow down a bit with the attachment behaviours that establish and deepen love and connection. So, just because your boyfriend isn't talking as much or keeping you up-to-date doesn't necessarily mean what you fear it means...that he's forgotten about you or loves you less. It could mean quite the opposite...that he's focused on being successful in his new job and impressing you. He may think he's loving you more, but you feel loved less. You have two jobs to do here. The first is to manage your anxiety by ""talking back"" to the thoughts it puts into your head. It sounds like ""It's normal to be insecure, but I have tons of evidence that he loves me and that I mean the world to him..."" Find that evidence that helps you refute what anxiety is trying to claim. The second part of your job is to let him know what you need. You need more affection and connection during this period when he's away (more texts, phone calls, information). It's okay to want that, and I am sure he will be relieved to know exactly what he can do to help you feel secure and calm when he's away. "
"Instruct: My ex-boyfriend and I met over a year ago. We hit it off and fell in love pretty quick. However, he has trust issues and assumed I was cheating. When I found out I was pregnant, we had just broken up. Five months later, I lost the baby, and we did not speak for a few weeks. Now we are talking, and he says he loves me but is afraid I will hurt him ""again."" I just want to know where to go with this because I love him so much, and I want to get back to us being happy and a family.
Output: Trust is essential in romantic relationships and it is common to have trust issues - because the stakes are so high. If both of you are committed and willing to be fully honest with each other, trust can be repaired and become stronger than ever. I would encourage you to seek out professional help as it easy to get derailed by fear when trying to work things out in the absence of trust. When fear takes over - we tend to become defensive and act in ways that makes it harder to trust one another. In addition to getting professional support I would encourage you to learn more about building trust in relationships and deepening connection through accessing various online resources on relationships."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: In general, I usually let the client decide when this should occur, sometimes with some clients it will be a joint agreement, but even in that case it should weigh mostly on what the client feels. In short, therapy ends when you feel your done.C"
"Instruct: I have manic depression and last summer was very very bad. I have recurring nightmares and I avoid anything that will give me a similar feeling as I did that summer.
Output: A PTSD diagnosis requires an event which occurred at least 6 months prior to the symptoms.   Depression is a common symptom of PTSD, but depression can come from many other sources as well.  In the end, diagnoses are systems of behavioral labels.  If you believe that one label (PTSD) is worse than another (Depression), you are creating a false hierarchy.   Consider consulting a CBT therapist, such as the fine clinicians listed in AcademyofCT.org.  You may also want to look at my book, Living Yes, for many ideas about challenging your thinking and improving you mood. www.LivingYes.org. I hope you feel better soon.  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org)"
"Instruct: 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?
Output: Yeah, you might :)At least, it certainly feels like that, I bet...Not to mention that most counselors out there might generally feel overwhelmed with a ""case"" with so many problems.  And, so, you will slog along week-to-week with gradual improvements occurring as she slowly does her best to chip away...The real issue is that these folks don't yet comprehend the integrative nature of each of these subjects and how generally simple it is to understand them, and then eradicate them."
"Instruct: 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.
Output: Give him the time and space he needs.  Obviously something is going on with him that he needs time to process, think about, and work through.  Respect that most men are not talkers but more thinkers.  If and when he is ready to talk, he will.  When and if he does talk, be a comforting listener and put yourself in his shoes the best you can to be the support he needs.  Don't take it personal because you just been dating 3 weeks and his depression maybe something that been going on for a while.  If you do like him...showing him by being patient and supportive at this time."
"Instruct: Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?
Output: Hi there,I first want to let you know that having these thoughts is completely normal. Studies have been done that show that 80% of human thoughts are ""negative"" so you are not alone. I like to think of thoughts as a tornado... if you are in a tornado, you are completely consumed by it and it is nearly impossible to do anything beneficial. However, when you are, let's say, a mile away from a tornado, it is still scary but you have the option to do something that is important to you such as get shelter or make sure your family and friends are safe. When unhelpful or scary thoughts arise, we tend to start a ""war"" with them, which is the equivalent of jumping into the tornado. This makes the thoughts and emotions bigger and intensifies the feelings that go with them. So the question I imagine you have is ""how do I get out of the tornado?"" There are 3 steps to doing this:Get distance from your thoughts by adding ""I am noticing I'm having the thought that...."" to the front of them. For example, ""I am noticing I am having the thought that something bad is going to happen to me.""   The purpose of this is not to decrease your fear or get rid of the thought. These thoughts might always be there and that is okay because that is how the mind naturally works so struggling with that is a waste of time and energy. The purpose is to gain some distance from the thoughts so you don't get swept away by them. You can imagine them floating along like leaves in a stream or clouds in the sky (and often the same thought will come back again and again but that's okay... just continue to notice it with curiosity). I imagine the thoughts get in your way of doing what really matters to you so if you can get a little bit of distance, you can do things that are fulfilling and meaningful to you. Tune into your body and notice what sensations come up and where you feel them most intensely. Then breathe into them and make room for them. Our 5 main emotions are: joy, sadness, fear/anxiety, shame, and anger. ALL of these emotions are part of being human and there is no escaping them. So again, struggling with them ends up intensifying them. Instead, let them be and make a little bit of room for them. Often a side effect of this is the intensity will decrease but it might not. The purpose is to keep them from becoming more intense. Contact the present moment. Notice what is happening here and now. One way of doing this is tuning into the five senses. What are some things you hear, see, taste, smell, and feel? Another way is to notice what is happening in your body (without trying to change it). How deep are your breaths, what is happening with your heart rate, are you cold/warm, etc?Implementing these three steps can help you to refrain from getting caught up in your unhelpful thoughts. Unfortunately there is no way to get rid of thoughts or feelings completely. So the only option that works in the long run is to accept them while continuing to do what matters to you and what is fulfilling to you.I hope this helps!"
"Instruct: 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.
Output: Give him the time and space he needs.  Obviously something is going on with him that he needs time to process, think about, and work through.  Respect that most men are not talkers but more thinkers.  If and when he is ready to talk, he will.  When and if he does talk, be a comforting listener and put yourself in his shoes the best you can to be the support he needs.  Don't take it personal because you just been dating 3 weeks and his depression maybe something that been going on for a while.  If you do like him...showing him by being patient and supportive at this time."
"Instruct: 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.
Output: 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. "
"Instruct: I am married, but I had sex with my friend. I feel guilty, but I feel not guilty too. Do I need to feel guilty? It's my body, and I have full rights to do what I like.
Output: Yes, of course, it's your body and you can do what you feel like doing.Do you feel a commitment to your partner?Your guilt probably is pointing out the feeling of having done with your body what your spirit tells you is a violation of the commitment you feel toward your partner.The good news is that this is a moment for you to examine how strong your commitment is to your partner.Find balance between satisfying your freedom to do as you please, with your sense of being a partner, which means prioritizing the partner once in a while."
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: There can be lots of different factors contributing to this. Here are some possible tips:Consider if you know anything about what specifically is making you feel sad? If you're looking for activities because you cannot participate in what you like to do in the warmer months, consider finding some indoor winter activitiesConnect with others. One idea is to join a group (such as a book club) that meets regularly. This could give you something to look forward to regardless of the colder weather.Enjoy the sunshine from indoors. You may notice that sometimes looks are deceiving women is bright and sunny outside, but is also quite cold when you open the door. If you are staying inside for the day, consider allowing yourself to enjoy the sunlight without specifically considering that it is also cold.Consider using a light box. Certain types of light boxes are designed to help with the ""winter blues."" You can find more information here: http://www.mayoclinic.org/tests-procedures/light-therapy/home/ovc-20197416Recently, one of the nurse practitioners that I work with has been checking a lot of vitamin D and vitamin B12 levels and she says the lower levels of these vitamins can contribute to feelings of less motivation or energy than is desired.Each of us has days when we are not thrilled about the weather and may be feeling sort of ""bummed"" or ""down."" If you find yourself having these days frequently or for several consecutive days in the above strategies are not helping, consider talking with a therapist about more specific strategies that may be of help to you. Also, because  if everything you would see is likely to live in your area, they would be familiar with the weather patterns where you are and may have some tips that they use for themselves or With other clients."
"Instruct: I've only been married three months. Every week, we argue about something, and it seems to be getting worse.
Output: At the begin g of marriages, we expect to be living on an eternal honeymoon, but the reality can be different.  This is a process of adaptation, even if you had known your better half for a long time, during the first months and years of marriage you go through a process of settling in your new roles and confront new challenges together that as you resolve become new rules and agreements.Yes, you can work this issues by practicing assertive communication, being clear with each other about what is the problem, how you feel about it and how would you like to resolve it.  Learn to close arguments with resolutions, and reminding that you care about each other, that’s why you choose to be together.  Discuss your roles and expectations, this is normally done over a marriage preparation class, is never too late to sit down a talk about what you want and look for in a husband/wife and clarify your roles and rules. Find couples therapist who mediates communication and helps both of to you learn assertive communication skills and conflict resolution. ¿Cómo puedo arreglar mi matrimonio?He estado casado por tan solo tres meses.  Cada semana discutimos sobre algo y parece ponerse cada vez peor.Al inicio del matrimonio, esperamos vivir una eterna luna de miel, pero la realidad es diferente.  Es un proceso de adaptación, sin importar por cuánto tiempo hayas conocido a tu pareja.   Durante estos primeros meses se definen los roles en el matrimonio, también enfrentan nuevos retos juntos que según resuelven se convierten en reglas y acuerdos.Sí, puedes resolver estos problemas practicando comunicación asertiva. Deben aclarar sobre cuál es el problema, como se sienten al respecto y como lo quieren resolver.  Aprendan a resolver las discusiones con decisiones claras y recordando que si les importan uno al otro, y por eso decidieron estar juntos en primer lugar.  Discutan sus roles y expectativas, regularmente esto se hace durante clases de preparación matrimonial, pero nunca es tarde para hablar sobre lo que les gustaría que fuera su matrimonio y lo que esperan de su pareja, así clarifican los roles y reglas que aplicaran a su unión.Encuentren un consejero matrimonial que les ayude a mediar los problemas de comunicación y les ayude a aprender destrezas de comunicación asertiva y resolución de conflictos."
"Instruct: I was born a girl, but I want to be a boy. Because of my religion I can't tell my family. I know they won't accept me. What do I do?
Output: It is really important for you to be comfortable with your identity. With that said, it is also so important for you to be safe. It may be helpful for you to find supports (in your life, community, or online) that you can talk about how you feel and potentially gain supportive persons if your family does not accept you. It will be really important to connect with others and even a counselor to help you."
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: There are many different ways that can be approached in your situation.1. I would recommend a complete medical examination including blood test. i would want to know if there are any medical issues in your low sex drive.2. Where is your husband in this situation? Is he resentful, accepting, demanding or neutral?3. What is your past sexual history? has this had an affect on your current issue?4.Has there been problems in your past with abuse of any kind?5. Understand that intimacy is more than sex. What other ways can you be close to your spouse?6. It sounds like there is some confusion about sexual intimacy from both of you.Couples counseling would be a great place to start. All of these areas need to be explored before any treatment goals can be established.You need to talk with a professional counselor to explore how to better connect with your spouse."
"Instruct: I have no real friends. I have a girlfriend who irritates me but loves me to death. I push her away and pushes me away. We’re going through a breakup, and I have nobody.
Output: Having time all to yourself may be necessary so you have time to reflect on your own identity and values, become more clear on what matters most to you, and with this increased self-understanding, be able to attract people who will feel like satisfying friends.Having a relationship with someone whom you push away and are pushed away, with someone who is irritating, seems to have limited benefit for each of you.Maybe you are together from fear of being alone, and being alone is exactly what you may now need in your life in order to draw more favorable people to you."
"Instruct: I'm in college currently, so I am not a direct victim anymore. My father is very abusive with his words and actions, and my siblings are getting treated horribly.
Output: Yes you can help!  Emotional and verbal abuse can cause a negative impact in your family.  It is important that you encourage your siblings to seek assistance with a therapist, and maybe help them find one, they should have school counselors available and if not our college counselor may help you to get referrals.  It’s also a good idea to talk to your mom about the issue and ask her if she would like help as well.  If you are concerned about your siblings' safety, contact Family Protective Services in your state, they will investigate and refer your father to classes or therapy as needed. It takes courage to do the right thing, you can do this!¿Hay algo que pueda hacer para ayudar a mis hermanos a escapar de nuestro emocionalmente abusivo padre?Actualmente estoy en la universidad, así que no soy victima directamente.  Mi padre es muy abusivo con sus palabras y acciones, y trata a mis hermanos horriblemente.¡Tu si puedes ayudar!  El abuso emocional y verbal puede causar daños graves en la familia.  Es importante que motives a tus hermanos a visitar e incluso encontrar a un terapista, la escuela debe tener uno disponible, y también puedes pedirle referidos a tu Consejero universitario.  También es buena idea que hables con tu mama al respecto y le preguntes si a ella le gustaría buscar ayuda.  Si te preocupa la seguridad de tus hermanos, contacta a el Departamento de Protección a la Familia en tu estado para reportar el abuso.  Ellos investigaran y determinaran si el hogar es un ambiente seguro par tus hermanos y recomendaran terapia o clases para tu papa.  Hay que ser valiente para hacer lo correcto, ¡tú puedes hacerlo!"
"Instruct: What makes a healthy marriage last?
Output: I appreciate your question.The answer of what makes a ""good marriage"" are as varied as there are marriages.Basically, similarity, like mindedness in beliefs and values, makes a good marriage. The best chance of getting along with someone on a longterm basis is when two people see life and the world in similar ways.Even though ""opposites attract"" this is a short lived dynamic which breaks apart when there aren't enough similarities in common between the partners."
"Instruct: They don't go away, and I feel like I'm going crazy. Does that ever stop? Can it be a symptom of medication?
Output: This can certainly be a side effect of some medications. If the voices are so powerful that you can not sleep or they are constantly present, you shouldn't wait any time, but go and see your doctor straight away. "
"Instruct: I have a problem with binge eating, especially during times of stress. I binge eat and feel so overwhelmed with shame and disappointment that I end up going to the gym and trying to exercise the calories off. I am in my late 20s, and I have been dealing with this since I was a teenager. Are there any coping mechanisms I can use to break this cycle?
Output: Hello,This question describes a very typical setup of what is called the  Binge, Repent, Repeat cycle. This means that typically after you binge, you experience emotions as you described ""shame and disappointment"" and then because of these emotions you ""repent"" (i.e. vow to never binge again, promise to ""do better,"" go to the gym, etc.) and then ultimately end up bingeing again. There are many coping mechanisms for binge eating and one of the best is actually attempting to NORMALIZE eating. Meaning you need to attempt to eat normally, eating appropriately portioned meals 3 times a day, with snacks in between. IF you binge, then it may be helpful to remind yourself that when you attempt to compensate for your bingeing behaviors, and you end up feeling restricted from over exercising or undereating, then this actually leads to a binge again. Thus, reverting you back to the cycle. If you binge, it will be helpful to try and get back on a normal schedule of eating instead of trying to compensate for the binge. Although it may feel counterproductive, getting back on a normal eating schedule will prevent you from entering into the restrictive cycle. It can also be helpful to remind yourself that the binge has already occurred, it is in the past and the goal is to move forward without focusing on the past. Focus on what you can do differently next time. What emotions or situations led up to the binge? What can you to do prevent or change the circumstances that led to the binge, or the way that you handled the situation? Lastly, if you're struggling with ""normalizing"" eating, it can be helpful to work with a professional that can provide counseling and coaching to help you learn how to eating normally, mindfully and without feeling the guilt and other harmful emotions sometimes associated with disordered eating. I would be more than happy to assist you if you ever have any questions or want to reach out to somebody. You can contact me via my website: http://www.maddenwellnessky.com/ "
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: These are common challenges that involve setting healthy boundaries with family, as well as friends and co-workers.  Therapy can help you to define, establish and enforce boundaries between self and others by being assertive.  This involves determining what things make you uncomfortable and how to communicate that with assertive, not passive, not aggressive, actions and language."
"Instruct: I've always thought that there wasn't much good out there for me. Now that things are actually going well, it kind of scares me. I spent most of my life feeling unwanted and figured I would be alone. I recently met a great woman who seems to really like me, and I don't know how to process this. It's bothering both of us.
Output: Congrats on having a happiness problem.Go slowly and tell your partner how you feel as you discover how being loved feels.On a deep level you’re releasing yourself from interaction patterns which treated you poorly and unkindly.Time is needed of repeated occurrences of this newfound loving behavior toward you.Gradually you will trust more and more that your new living relationship life is your reality."
"Instruct: I’m facing severe depression and anxiety and I just feel like I’m going through a lot. This really distracts me and I cant get my mind off the things that are bothering me.    How do I overcome this anxierty and depression?
Output: Depression and anxiety can be disconcerting and disruptive to our lives in many ways. I am sorry that you are suffering so much. Depression and anxiety can arise due to experiences, genetics or a combination of both. I like for my clients look at their issues as whole persons so I would also recommend these tips:Physical: regular exercise, healthy balanced diet, rest and sleepMental: how we think is how we feel. How are you interpreting the events that are happening to you? Try to interpret them in a less negative way. Unfortunately we cannot stop our thoughts as our brain is always working. If you can't see your issues in a different way then stop struggling and allow and accept whatever the unhelpful thoughts are. Choose to take actions based on your values and what will give you a fulfilling life no matter what your thoughts are. Remember, your thoughts have no power unless you act upon them. Emotional: do not let feelings dictate your actions, even if something feels anxious take action again based on your values and how you want to live.   Social: connect with healthy friends and family that will be a positive support. Take up some hobbies and recreation activities as well. If things do not improve I would encourage you to make an appointment with a talk therapist and discuss these issues. I would encourage you to also be open to consider an evaluation for anti-depressants with these issues as well. If you ever feel like you might hurt yourself please call 911 or go to your nearest ER."
"Instruct: Does counseling really do anything that can help people?
Output: Hi there! Thank you for your question. It's a great question and one that many people want to know the answer to. The short answer is, YES! Counseling can be very helpful to people struggling with many different things. There has been a lot of research conducted to prove that counseling is an effective way to help people with mental health concerns, life stressors, and many other issues. In addition, there are many people who would tell you that counseling made a positive, profound impact on their lives. Indeed, some would tell you that counseling saved their lives. Now, not everyone would tell you that counseling helped. But when you think about it, there are many medical treatments for a variety of healthcare issues that also do not help everyone. So, is counseling guaranteed? No. But, it is something that is worth trying if someone is suffering or is just wanting some perspective or support. Also, there is many different types of counseling. Different counselors have different styles and have different training for various issues. This means that you are likely to find someone who has a good style and expertise in an area that you want to work on. If you don't know where to go, I suggest contacting your state's counseling association. They can help. I think the real question that most people have is, how? How does it help? That question is a bit more complicated, because there are many different models of counseling/therapy that work in different ways. What I can tell you is that, regardless of the model of counseling, the relationship between counselor and client is the most important factor. I don't mean that the relationship has to be ooowy goowy... but it does have to be one where there is trust and openness. A counselor will spend time to make sure that you are working together as a team toward a common goal. If you go to counseling and you don't feel this is the case, tell your counselor. An ethical counselor will welcome your feedback. I hope this is helpful, please ask more questions! I hope some colleagues add some other thoughts, too. Be well,Robin J. Landwehr, DBH, LPCC, NCC"
"Instruct: I never get infections or scars or anything, and it doesn't bother me if it gets filled up with blood or something, but I'm concerned.
Output: Hi Houston, The fact that you're concerned says a lot. If I was your therapist I'd ask you questions about your worries and how this is causing a problem in your life. You're causing perhaps permanent changes (damage?) to your body, and it's likely you're trying to express something...pain maybe? A therapist can help you to explore what's going on for you and how to get your needs for self-expression met in a more healthy way. Good luck!"
"Instruct: I avoid talking to him because he always makes me more upset. I can't be honest with him about anything because he is always rude to me.
Output: Hi Troy, I totally get this. It's a dilemma; you want your dad to know how he's hurting you but you don't feel safe enough to say anything to him. Your reaction is understandable; it's his responsibility as a parent to work harder than you to create that safe place for you to be open. But that's not who your dad is. Your dad is your dad, and waiting for him to change won't really help. Nothing you do can change your dad, but...there are things you can do for yourself and your relationship with him. While your response of avoiding him is understandable, I wonder what effect it has on your dad. It's possible that he's feeling frustrated, rejected and punished by your withdrawal. You may think he knows that you're feeling hurt, but he probably doesn't. So this is the squirrel chasing its tail: your dad is rude, so your habit is to be silent, then he maybe feels abandoned and frustrated. His frustration comes out as more rudeness, which makes you want to withdraw more, and the cycle starts all over again. You can't change his part of the cycle but you can change yours.Are you willing to take a risk? Can you be honest about how you're feeling? What's the worst thing that could happen if you said to your dad ""You know why I avoid you? I stay silent because when I talk to you say rude things. So if you want me to talk, I need to know you can listen."" I imagine it would come out differently because you're a few generations younger than me, but put that into your own words.I don't know the level of your dad's 'rudeness'. If he is abusive, then a better plan is to see a therapist alone or talk to someone about this. I don't want to put you at any risk. But if you don't worry your dad will hurt you, maybe give honesty a try.My point is that, as rude as your dad may be, checking out of a relationship by being silent is also rude. It's powerful...your silence. Your dad can't read your mind, and if you want things to be better you will need to get in that ring with him.And, if you're both open to it, seeing a therapist together can be really helpful. :)"
"Instruct: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?
Output: No. You are not a pedophile. You are both under the appropriate age where it would be seen so. Your both only a year a part so this shouldn't a worry to you. Like Frank said below, Pedophelia is a problem that won't apply to this situation."
"Instruct: I get so much anxiety, and I don’t know why. I feel like I can’t do anything by myself because I’m scared of the outcomes.
Output: The are two ways that such anxiety can be dealt with. One is an attempt to replace maladaptive thinking by examining the distorted thinking and resetting the fight-or-flight response with more reasonable, accurate ones. As an example ""I'm scared of spiders."" But if you change the thinking from being scared to ""I'm bigger than the spider,"" it allows the mind to reach a calmer state of mind. Mindfulness-based therapy can also help  focus on the bodily sensations that arise when you feel anxious. Instead of avoiding or withdrawing from these feelings, remain present and fully experience the symptoms of anxiety. Instead of avoiding distressing thoughts, open up to them in an effort to realize and acknowledge that they are not literally true.Although it may seem counter-intuitive, fully realizing the experience of anxiety enables the release of over identification with negative thoughts. You can practice responding to disruptive thoughts, and letting these thoughts go.By remaining present in the body, you'll learn that the anxiety being experienced is merely a reaction to perceived threats. By positively responding to threatening events instead of being reactive you can overcome an erroneous fight-or-flight response."
"Instruct: 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.
Output: 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"
"Instruct: I stress over everything. If I don't have enough ""quality time"" with my boyfriend, I start to feel resentment towards him. He has three children, and they are great kids, but I find we don't have much time together. I break down easily and find myself depressed.
Output: Everyone has some level of anxiety - it's what helps us respond to stressors in our lives and clues us into the fact that we need to respond to something going on. However, if you're feeling overwhelmed by racing thoughts, feeling like you spend a lot of energy worrying about something specific or even pretty much anything at all, and you're starting to find that it's getting in your way when it comes to living your life the way you want, then I'd suggest seeing a counselor or therapist for an assessment for anxiety. Your other concerns, though, seem pretty ""normal"" for someone who is in a relationship with a partner who has children. As a married stepmother, I've been there, and as a therapist, I can tell you that the boundaries and communication skills you have in your relationships need to be healthy for you to feel healthy. Finding some support from a group of others whose partners have children might be really helpful - being able to hear from others that you aren't alone in feeling like this can really lighten the load, and they might have some good ideas for handling certain situations. Another option is to find a counselor or therapist who has experience working with step/blended family dynamics - because even if you're not officially married, those dynamics come into play whenever there are kids from another relationship involved. You may even consider couples counseling so that both of you can learn to talk about your relationship needs and concerns in a way that will encourage connection and strengthen your sense of partnership."
"Instruct: 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?
Output: Well, it's generally okay to feel anxious or nervous about going into therapy, particularly in the beginning because the process of being open about what you are going through, much less to someone who you don't know well, can be anxiety-producing. It's also common to feel anxious when you are discussing something that is important, difficult to discuss, or you are making changes that are very difficult for you.The most important thing I can tell you, though, is to discuss with your therapist this idea that you feel nervous and shaky. Some anxiety can actually help to motivate or lead you toward change. There are also level of anxiety that can be counterproductive, so it's a good thing to discuss. Personally, I can tell you that I would want my clients to tell me about anxiety they feel 100% of the time. That opens the dialog to discuss whether it is the level of anxiety that they want to sit with and learn about in discovering more about themselves and their experiences and/or whether they would like to do something to lessen the feeling of anxiety.Thanks for writing here. If it caused anxiety for you to do so, I hope that feeling is diminishing for you, at least related to writing here."
"Instruct: I don’t love my sister. I would never wish her harm, but if I could, I would wish for us not to be related. Is this cruel? Why must blood mean we have to be friends? Am I being unreasonable and is there a way to fix this? I do care about her, like I do every human being, but I’d rather be with my friends than be with her at all. It’s not just a ""teenager phase."" I still love my mom and dad, and I’m very close to them. However, it’s my sister I don’t love or have ever really liked at all.
Output: Hi. My guess is there's a lot of deep history here that I don't know about. Have you felt hurt by your sister in the past, or are you just 'different people'? It's a common feeling people have about siblings; that they're very different and they wouldn't choose them as friends, but most people stay connected to family unless there's a good reason not to. We don't choose our family, do we? Your feelings are normal and they don't make you cruel. If you were mean to her, that might be a different thing. It might be considered cruel to cut her out of your life for no reason, but choosing to not hang out with her a lot isn't cruel, in my mind. Perhaps you at least owe your sister kindness and respect (if she respects you), but not necessarily friendship. How you respond here is up to you; there are no rules. You get to decide how much 'family' means to you and how much time you spend with friends or family. This may shift at different times in your life though. Cutting all ties with a sister now (you haven't said you want that though) might mean she won't want to be there for you in the future when you need her. Also, how you treat your sister affects your other family members as well. There are many things to consider here, but the bottom line is that you get to surround yourself with the people you want in your life."
"Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?
Output: You are a unique individual exhibiting some of the traits of a specific type of temperament. Through temperament counseling you can come to know, accept, and manage your God-given temperament to become all that God intended. There is nothing wrong with you -- God loves you as you are and wants to help you balance your temperament needs."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: It sounds like you may be putting yourself last. You wrote that you want to fix your issues but never get around to it. I wonder how you are spending your mental and physical energy. Are you spending time taking care of and doing for others? I also wonder where the thoughts and feelings of being worthless are coming from - are you around people who treat you poorly or are hurtful? Or do you feel it is more of a worry you have but aren't really sure how others feel? It may be helpful to talk to someone about your feelings - a counselor perhaps - to clarify your feelings and move forward from se that are hurting you."
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: I work with many couples that experience a wide range of sexual and relationship challenges. The one aspect I tell many folks that I work with, is this: Every person and relationship is different. There really isn't a ""normal"" amount of sex a person should have or want to have. If having sex 4 to 5 times in the course of your relationship is satisfying to you and your husband, there is nothing wrong with it. If you or your husband would like to have sex more often, I suggest talking with a counselor about this to find ways to engage in a sexual life in which you are both satisfied. The aspect of connectedness is an important one. While sex can be very connecting for many couples, it isn't the only way to connect. I find that communication about the matter of frequency of sex, checking in to see how you and your husband feel, as well as communicant about your needs for connection are an important start to fulfilling this need."
"Instruct: In middle school and high school, my friends and family thought I was gay. I tried telling them, but they wouldn’t believe me. It almost feels like they wanted me to be. Now I’m actually starting to believe them. I know I wasn’t back then, and now I’m not sure anymore.
Output: I agree with Amy. We get a lot of pressure from others and even ourselves to define who we are and what we want at a pretty early age. The truth is, our sexuality can change and grow in directions we never imagined. I may be wrong, but I am getting the impression that you may not want to be gay. That this is something you didn't like others suggesting and now you are uncomfortable with the idea that it may be true. This would certainly be understandable. Your sexuality is YOURS and yours alone. It can be quite frustrating and hurful when others try to define who you are. And it can be equally frustrating when you are trying to figure it out for yourself. The truth is that there are many different possibilities when it comes to sexual orientation. It may help to think about what qualities you find attractive. What kind of person can you see yourself being attracted to? Someone smart? Funny? Loves dogs? If you look for these qualities in a person they may lead you to being attracted to someone of the same sex, but maybe not. At least you would be choosing someone based on values and qualities that you love and admire. Another idea is to chat with a counselor, if you are interested. Preferrably one who has done some training in affirmative therapy. Be well and be you..Robin  J. Landwehr, DBH, LPC, NCC"
"Instruct: I know I'm ruining my life with a lot of the decisions I make.  I consistently tell myself I need to make some serious changes in my life, but I just can't seem to even though I really want to. Why can't I force myself to change?
Output: In general the reason people aren't able to change is because the person feels a sense of fear to change.What the roots are of this fear are usually easiest to identify by talking with someone whom you trust and feel safe to talk about your inner thoughts and emotions.If you haven't got someone like this in your life, which is common, then shop around for a therapist because a therapist is someone who is professionally trained to listen in a way which helps someone know more about who they are.Be patient with yourself too.  Change sometimes feels much scarier and is more complex than simple compared with whatever you would like to change."
"Instruct: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.
Output: First, thank you for sharing such deep personal information. It can be difficult to share such intimate information. To begin, it sounds likes your primary concern your desire to speak to someone who takes your mental health seriously. You've tried talking to your parents and your friends and neither have made that connection in the area you need. I'm sorry to hear that. it's unfortunate. However, I think a couple things can be done to try to address this. If you want support1) Parents- Sit down with one of them and tell them with all seriousness that you need to talk about something that is affecting you deeply. Perhaps speaking to both can be too much for one room. If you try to speak to mom or dad by themselves, it may create that intimate atmosphere needed to understand where you are coming from. 2) Friends: Like parents it can be difficult to speak to your friends about challenges with your mental health. When you're feeling down and anxious, friends can be great help or not their at all. With friends, it may be one of those things where you also need to create an intimate environment with one friend to speak to about your sadness and anxiety. If anything, speak to the fact you're hurt and help them understand that if they can't understand the depressionIf you don't want support Coping Strategies: Identify coping skills and strategy that help you when you're feeling down. Ideas:A.) JournalingB) PaintingC) ExerciseD) MusicE) Reading AffirmationF) Listening To Motivation Videos"
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?
Output: That is a difficult situation and there is no right or wrong. You both need to discuss it and come up with a solution that works for the both of you. You want to spend time with your friend but your boyfriend  may feel betrayed by you spending quality time with another man you have been intimate with. There may be a way for you both to get your needs met. Maybe you only spend short periods of time with your friend, not a whole weekend. Or you check in with your boyfriend  periodically when you see your friend. It really depends on the two of you. If it becomes too difficult, you may need a neutral party to help you establish appropriate boundaries around this issue. Good luck!"
"Instruct: 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?
Output: Absolutely not!  In fact, most people have many issues,  A lot lot of the issues you are describing commonly go hand in hand ( in ""therapy speak"" we call it co-morbid conditions)I would venture that most of the feelings you are struggling with stem from your early trauma.  You would benifit tremendously from counseling!  A good therapist will develope a treatment plan that addresses all of your needs. With help you could definitely live a happy life without all of your anxiety and depression getting in the way!"
"Instruct: When I got home, my boyfriend and I got into an argument. He got upset and he started hitting his face. That is the first time he has ever done that, but I would be lying if I said that didn't scare me. I locked myself in the room.
Output: Sounds scary to watch.  I agree with you!Maybe he felt so overwhelmed by anger, hurt and frustration that he went back to an old behavior from his past in which someone hit him for having strong emotions.Now that the incident is past, bring up the topic to him so the two of you can discuss it.Just the fact of you having empathy and caring what he was feeling at the time, may be restorative to him.At the very least, you may find out exactly what the answer is to your question as to why he did this in the first place!"
"Instruct: 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?
Output: I offer that getting a professional assessment is in order to look at your relationship with alcohol."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: What an important question! I think one of the first things to assess is this: Do you feel comfortable with your therapist? Do you feel like you can talk openly about what's going on in your life without feeling judged? Do you experience your therapy as a safe space to process your thoughts and feelings? Feeling comfortable with your therapist is a crucial factor. Once you feel comfortable with your therapist, you can have a conversation about what works for you in therapy. Tell your therapist what is helpful, and what you don't find helpful. A skilled therapist can shift his or her style and techniques to meet your individual needs, and this may be an ongoing conversation that the two of you have during therapy. Oftentimes, there is just an X factor between client and therapist that either makes the relationship work or can make it feel like something is missing. This is no one's fault, it's just that not every therapist will be a perfect match for every client. If you feel uncomfortable with your therapist or feel like that x factor is missing, it is a good idea to keep searching for therapist who is right for you."
"Instruct: My boyfriend lost his dad to suicide. He says that because his dad died, so did his heart. He says that he can't be there for me or love me anymore and wants nothing to do with me ever again. Why is he doing this when we were very happy together? He says that I have done nothing wrong but he just can't be with me.
Output: I am sorry to learn of this.  You must be extremely frustrated and heartbroken.  To begin, he is correct.  You have done nothing wrong.  This is entirely a coping mechanism in overdrive.  It is fear.  It is anger.  It is extreme sadness.  It is feelings of abandonment.  It is intense emotional pain.  It is his way of protecting himself from potential unexpected additional loss.I am not familiar with how old this post is, but often, it will require time and understanding.  If he speaks with you, encourage him to get grief counseling.  Do not encourage it for your relationship, encourage it for his betterment coping with losing his dad.  Start there.  Good Luck."
"Instruct: My husband and I are separated and he doesn't even want to talk to me.    He says he doesn't love me anymore, but I would do anything to get him back. Is there any hope?
Output: Most important is to take care of your feelings regarding that he has left you.From your description  there doesn't seem to be much hope your husband would like to keep the marriage going.Has a long time passed since the two of you separated?   Sometimes, and really this is very rare, people decide to return to their marriage.If he impulsively decided to leave and now is a short while since he did this, then there is some hope he will decide to stay together.If he's been out of the house for a while and tells you what you wrote, then there is greater chance he's had time to think through to split and will follow through.As painful as it is to hear that someone with whom you'd like to be, doesn't want to be with you, accepting your hurt feelings will eventually let you come to peace with your feelings.To keep hoping against the facts of what he's said to you, only makes your own pain intensify."
"Instruct: I'm a teenage gay girl, and I'm in love with a girl a few years older than me. She loves me too, but we're not physically together at the moment. I've been thinking about being transgender soon too, but my family doesn't accept me, so I honestly don't know what to do about that because I feel like I have to constantly hide the real me. It hurts so much to hide the real me. What can I do?
Output: They would probably be helpful to speak with a local mental health professional about this, not because there's anything wrong with the real you, but because having these conversations can be difficult and you may choose to talk about your real self in different ways with different people.Maybe you could talk about your concerns with your significant other and discuss different ways you may be able to discuss your relationship that fit with how each of you defines your love for one another.Because you are saying openly that you are gay, and it sounds like you already identify yourself as gay, as compared to considering being transgender ""soon,"" it may be worth considering disclosing the fact that you are gay now and disclosing the idea that you are transgender after you have worked through that yourself. I would like for you to be able to be true to yourself and show the real you. It could also be that you already know that you are transgender, but with the way that you  phrased it here, I'm not certain.Here is a link to a hotline that you may want to consider using. The Trevor Project is about helping teenagers who identify as LGBTQ: http://www.thetrevorproject.org/Here is another national site where you may be able to find a local chapter: https://www.pflag.org/I don't know what you mean when you said that your family will not accept you, but since you are concerned about your family's reaction, I would suggest that it may be helpful to have a therapist or some other support in place before telling your family. The decision of whether or not to wait longer to tell them is ultimately yours, but I wonder if you have a likelihood of explaining what you are experiencing in a way that would be truer to you and also perhaps easier for your family to follow if you had time to process it with supportive people first.Please remember that you are not alone in this. There are people in the world who can and will accept you for who you are."
"Instruct: Then turn right back around and say he loves me and needs me. This rollercoaster is crazy.
Output: Yes, I agree with your view about the ""rollercoaster"" sounding ""crazy""!Concentrate on knowing what your reasons are for staying with this guy, given the broad facts that you state.What are you gaining from being together and are these gains outweighing how you feel when your companion says the opposite of what he just told you?Also, examine yourself for any fears of being alone.Very often, people stay in detrimental relationships because of a fear that being alone will feel worse.It may, initially feel this way after a breakup.This is from change itself.Eventually, stability and peace of mind return, and being alone with oneself is preferred to being taken on an emotional rollercoaster by a partner."
"Instruct: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?
Output: The way that I see it is that Humans have always been afraid of life and death, historically we have always tried to understand life, we try to organize it, categorize it, explore it, and we've built up this system, our system and societies system around us to help us define what life and (death) is, this system or way is not real but only a perception of our own value judgements, it is, no matter how you try to argue it, a false system of conditioning, humans have a finite mind and a finite mind cannot ever hope to understand an infinite mind of which a god would be. God has been developed over time as a security blanket for our child-like selves, the world is a beautifully brutal place and what is more reassuring than a master that will take care of us and show us the way. On Earth alone there are thousands of gods and even many more systems of thought, economics, societal structures and so on, it is almost as though it were a supermarket with so many choices, we have more choices in gods than we do flavors of ice cream at Baskin-Robbins, so then I ask you, ""which one is real?, and ""what is real?"""
"Instruct: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole ""If you love them, let them go,"" but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped.
Output: It sounds like there are assumptions being made regarding how she feels about you and why she is with you. I would not suggest breaking up with her without first attempting to resolve your own issues. You may not only regret your decision, but might find that the exact same problem arises in future relationships. I would recommend seeing a therapist who can help you figure out what is at the root of all of this. By learning about your own insecurities and where they come from, you can expect to discover new ways of responding and relating to others, which will likely impact your relationship in a positive manner."
"Instruct: What should I do when we see each other?
Output: Echoing others here, I'm sorry, she shouldn't have. Hopefully, you will have a conversation (or, in reality, several conversations) about relationship expectations of privacy~ Are there things your wife would prefer you not share with her family? Without exploring what is or isn't okay through healthy dialog, it's entirely possible she felt her sister was 'in the circle' of people she could share this with. All that said, though ... now that you've been outed, you have an opportunity to be more authentically you: what will you do with it?"
"Instruct: My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this?
Output: It is very difficult to move from being the child to be the care giver as in your situation. Your mother's behavior as you describe it is a part of this disease. As the disease progresses and she is less aware of the present including her surroundings and who she is speaking to. Your response of anger and frustration are understandable. It is also a part of the grief process as you see you mother slipping away mentally. In the moment that you feel the anger step away, take some deep breathes and give yourself time to calm down. Then return to whatever you were doing with her. Caregivers of Alzheimer's patients need a lot of support themselves. There are support groups  as well as respite services available in many areas that will help you understand the process that each of you is going through. You can get more information about Alzheimer's disease and local resources by going to www.alz.org"
"Instruct: This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers.
Output: Hello, and thank you for your question. I know that workplaces have some latitude when it comes to requiring certain behaviors from their employees. For example, they may require you to tell them if you get into some kind of legal trouble. But this situation seems completely different. For one thing, 12 step meetings are supposed to be anonymous. I am not sure how they would know that you attended unless you or someone else told them. I agree that it seems like to cross a line. Usually each state has an office that manages complaints related to employment, such as the Department of Labor or EEOC. You may want to see which entity is in your state and contact them. It would be worth asking them to see if this is a legal practice. If it is but you still want/need to stay at this job, then you may want to look for alternate sources of support for your sobriety. There are active online support groups that would allow you to do things from the privacy of your home. SMART Recovery http://www.smartrecovery.org/ is a website that many people like. There are also online groups that specifically discuss the 12 steps. No matter what, I give you a lot of credit for doing your best to keep your sobriety and continuing to see the value in having support. Robin J. Landwehr, DBH, LPCC, NCC "
"Instruct: Does counseling really do anything that can help people?
Output: Yes, counseling can help people.How this happens is bc the counselor can guide the person or couple into deeper areas of their thoughts and emotions than the person or partners would typically avoid or not even realize they are avoiding.Also, a counseling session offers emotional safety because the therapist will intervene with thoughtful questions if someone's strong emotions overwhelm them.This is different than in everyday circumstances.  When someone feels overwhelmed by their own or someone else's feelings, there is no one who asks reflective questions.Last, people get better in therapy because often therapy is the first time the person has a chance to trust someone with their confidential information and know this information will always be protected."
"Instruct: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.
Output: Many times when things become difficult to manage, is because we are getting out of our comfort zone, so we seek growth and change.  Coping with the difficulties does make you more resilient and helps you to build the confidence you need to solve problems in the future. Now I wonder:  are things getting tough in a way that you are not able to resolve them?  Do you need to move or change to save yourself or prevent any harm? If so, it is OK to know when to remove ourselves form situations that harm us more than helping us.   On the other hand, are the things getting tough because you need to learn a new skill?  If so, how can you learn them and is there someone who can help you overcome this challenge?  I help my clients to identify their strengths and areas where they can achieve growth, things like polishing up your resume and evaluate new job opportunities could help you discover a new you.If you would like to engage in counseling, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478. Cada vez que las cosas se ponen difíciles, hago cambios en mi vida.He sido así desde que estaba en la escuela; antes me transfería de escuela.  Ahora pienso cambiar de trabajo.Muchas veces cuando las situaciones se tornan en difíciles de manejar, es porque nos sacan de nuestra zona de comodidad, con el propósito de buscar el cambio y el crecimiento.  Manejar las dificultades si te vuelve más resistente, y desarrolla tu autoestima para que puedas resolver problemas en el futuro.    Ahora, te pregunto: ¿se están poniendo las cosas difíciles al punto que no puedes manejarlas?  ¿Necesitas removerte de la situación para evitar que te hagan daño? Si es así, entonces está bien reconocer cuando nos debemos remover de una situación dañina que nos daña más de lo que nos permite crecer. O por el otro lado, ¿Se están poniendo las cosas difíciles porque necesitas a prender una nueva destreza?   Si es así, ¿cómo puedes aprender esa destreza y quien te puede ayudar?Ayudo a mis clientes a identificar sus fortalezas y áreas de crecimiento, el actualizar y pulir tu resume junto con explorar opciones de empleo, te puede llevar a descubrir nuevos talentos en ti.Si te gustaría hacer una cita, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478."
"Instruct: 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.
Output: Give yourself credit for what you already know.For instance, you do know that you're unsure about your life direction. Take off any pressure on yourself to decide an answer in a certain amount of time.  Inner reflection work takes time and has its own course.   Trust that answers will show once you've done the work to understand yourself and circumstance, and the relationships in your life.From what you describe, your interest is in a broad scope life change. One direction is to start with only one specific part of your life you would like to change.  By examining one area in detail you will gain self-trust and confidence in handling your life.   And, you will have clarity as to which area to change first."
"Instruct: She was raised by her abusive father and his wife. 30 years ago I shot and killed my rapist and was convicted in Louisiana. I lost custody of my daughter and served 5 years. When I was released, she was 5 and didn't remember me. Many many sad memories came from my having to leave her visit after visit, having to leave her in Texas to travel back to Louisiana. She doesn't remember that. I do.
Over the years, I thought we had developed a close mother daughter relationship. She gave me good reason to doubt that on several occasions but especially last year. I have been cruel to her verbally and to my son who I met years after giving him up for adoption. Last night, I was angry at the world and afraid of God. I drank and cussed out a maintenance worker for not doing his job 4 months running. Now I'm not only feeling guilty for that but afraid of being evicted now. Help.
Output: Was either parent abusive or violent toward you?You sound to have suffered emotionally in your relationships since early in life.One point to consider is to strive for moderation in what you offer in relationships.A lot of what you've lived through is extreme, either as victim or perpetrator.If you imagine that apologizing to the custodian for the way spoke to him, would calm him down, do so.At the very least, you'll be actively resolving your guilt over cussing at him, and fear of his retaliation."
"Instruct: Two years ago, I was separated from the military into my contract for medical issues. It has emotionally destroyed me. I now basically hate myself. It's embarrassing to be separated from the one place who takes anyone. My family has been in the armed forces, and it has always been my dream. I can't do this alone anymore, and now my family is even worried.
Output: It sounds like being separated from the armed forces is a major loss for you. It takes some time to work through the emotions related to this and it often takes longer if you are trying to work through it without a lot of support.Is there a task that you were doing during your military service that can in some way transfer into civilian life? I don't know what else your life involves, whether you have close friends or a romantic partner, a career, activities that you like to do, and many other things. You may be able to use some of the things that you still have today as a way to start moving forward in a different direction.Your military service will always be a part of you. Thank you for your service."
"Instruct: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?
Output: Certainly counselling can help. however, there is a caveat, namely, you will need the right counsellor with the right approach. This leads to two questions: 1) What are the identifiers for the right counsellor, and 2) What is the right approach?1) What are the identifiers for the right counsellor? The right counsellor will almost certainly have a lot of experience. He or she will have done a lot personal work and have an ongoing practice of inner work both on their own and with the support of an experienced therapist. This person will be viewing you as a human being with challenges, not as a diagnostic category. He or she will be willing to work with you over an extended period of time and have experience doing such work. Further they will be well versed in approaches that are responsive to you in the moment and overall. The in-depth work will be collaborativel designed in an ongoing way that is responsive to you, the moment, your overall life experience, and their in-the-moment experience. It goes without saying that you will subjectively evaluate the felt sense of connection with this person and the feeling that they are invested in their work with you, value you as a human being, and value the connection. As well, it is crucial that you feel this connection and that your therapist 'gets you.' 2) What is the right approach?  As Carl Jung stated, ""When the doctor sits down with the patient he (or
she) must drop all theories and learn the theory of this person."" The approach must include a bond between you and your therapist that is in a continuous process of development, attention to pre-verbal imprinting, development of awareness ability, ongoing development of the ability to attend to and stay with inner experience, development of a process orientation, attention to egoic structures that were seeded from the earliest days in the service of perceptions of threats to needs being met, identification of current egoic states and work with these inner selves and their relationship with each other to facilitate movement from developmental points of arrest, increased ability to access and contain non-ordinary states of consciousness, attending to what is, and working with this in the service of moving towards optimal human development.depression is generally experienced as the system shutting down. anxiety is a signal that something is wrong. anxiety is not the problem. it is a sign that there is a problem. the core of these issues is a lack of inner security that is the outcome of insufficient bonding. the work of psychotherapy is to establish an environment and relationship that will facilitate work with the bonding ruptures and re-initiation of the developmental process that stopped at an early stage."
"Instruct: Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me. 

He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard.  I want to end this relationship, but I don't feel like I can. How can I let go?
Output: First decide what you truly would like in the current relationship. Understand your reasons for staying in the relationship.Three years is a substantial amount of time to be involved with someone.   Whatever attachment you feel toward this man is deep and complex.Instead of deciding to leave or not leave, change your question to figuring out your satisfactions and dissatisfaction with the man. Also important is to tell the man your feelings.Whatever problem you are feeling may become clarified by discussing what bothers you.At the very least, you will give the guy a chance to show how interested he actually is in the tension you currently feel and have felt for a while."
"Instruct: In middle school and high school, my friends and family thought I was gay. I tried telling them, but they wouldn’t believe me. It almost feels like they wanted me to be. Now I’m actually starting to believe them. I know I wasn’t back then, and now I’m not sure anymore.
Output: I agree with Amy. We get a lot of pressure from others and even ourselves to define who we are and what we want at a pretty early age. The truth is, our sexuality can change and grow in directions we never imagined. I may be wrong, but I am getting the impression that you may not want to be gay. That this is something you didn't like others suggesting and now you are uncomfortable with the idea that it may be true. This would certainly be understandable. Your sexuality is YOURS and yours alone. It can be quite frustrating and hurful when others try to define who you are. And it can be equally frustrating when you are trying to figure it out for yourself. The truth is that there are many different possibilities when it comes to sexual orientation. It may help to think about what qualities you find attractive. What kind of person can you see yourself being attracted to? Someone smart? Funny? Loves dogs? If you look for these qualities in a person they may lead you to being attracted to someone of the same sex, but maybe not. At least you would be choosing someone based on values and qualities that you love and admire. Another idea is to chat with a counselor, if you are interested. Preferrably one who has done some training in affirmative therapy. Be well and be you..Robin  J. Landwehr, DBH, LPC, NCC"
"Instruct: I feel too scared to meet people I don't know - even relatives. I don't ever raise my hand or talk in school. I feel like no one understands. How can I handle this?
Output: Congratulations on your courage to ask this question!This shows you are willing to engage with other people, just not in all situations, especially the in person ones.Start by ""meeting"" yourself.Reflect as thoroughly as possible as to what you imagine will be the outcome of meeting others or of speaking up during a class.Some people are afraid of being criticized or judged by other people, or do this to themselves inwardly.  If you are judging or criticizing yourself to be less worthy of having opinions or views or of being who you are, than others, then the thought of actually placing yourself in this situation, would feel intolerable.One way to move out from this position of feeling less than others, is to recognize that these feelings are inside of you.Then it is possible to know at least on an intellectual level that it is not true that any one person is superior to another.All the people whom you are afraid to meet, also have their own insecurities.We are all equal in worth and in having blindspots about ourselves.Also, it is possible that you are naturally shy and may be expecting more from yourself than is reasonable, in terms of a standard about meeting others.You may have a few fears of being judged unfairly, you may also simply not enjoy being around people very much.Be aware to not push yourself beyond your natural limits.  Overcoming fears of being judged is different than forcing yourself to do what is against your basic nature."
"Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone.
   My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?
Output: Unfortunately I think most of us have heard this, so you are not alone.  If you are still under her roof she has leverage as to what her expectations are while you are living there.  I would consider therapy for the both of you to see if there could be a middle ground that could be agreed upon.  Often times a 3rd party can help with conflict.  If there is no resolution then I would look to get creative in finding a place of your own."
"Instruct: I'm in my late teens and live with my dad.  The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks. 

Sometimes I feel i'm not worth knowing or i'm never going to do anything right.

Are they right, am I depressed?
Output: I would not focus on what other people say. Do you feel what you have described impacts your day to day functioning? Try to evaluate how is your self esteem, motivation and self confidence. How about negative thoughts or hopelessness? Any concerns about your grades sliding down? If you answered yes to any questions, may be its time to see a counsellor."
"Instruct: 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?
Output: I understand the feeling of not being liked due to not having any responses on the sites you list.More than likely the non-response has less to do with liking you than w liking the way you write your messages.Have you tried asking a question in your posts?  This would be one way to invite people to answer your post.When you write,  imagine yourself as the reader of the post.If you think about the wording of a question which would motivate you to respond, then this formula will very likely be the same for many others who read your post.Good luck!"
"Instruct: 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?
Output: This is a great question! I personally don't believe that any client could ever have too many issues for counseling. In fact, that type of thinking may be stopping you from seeking counseling, so it may be hindering you from getting the help you need. In fact, all of what you described points to the importance of you seeking help in order to cope with the many challenges in your life. If you seek counseling, it will be important for you to understand that you may need to remain in counseling for a sustained period of time in order to work through each of these issues. All of these issues won't be able to be solved right away or in a brief period of time. Counseling will take commitment and hard work, but it is possible for you to recover and heal from all of the issues you described.Many clients come into counseling with numerous issues rather than just one particular thing. Most of the time, the issues relate to and exacerbate each other. We call these ""comorbid"" conditions, which means that two or more mental health problems exist at one time. A lot of the times, when you start to work on one issue, the other issues get better as a result.I encourage you to find a professional therapist that can help you learn how to cope with all of the mental health difficulties that you described. You deserve the help just as much as anyone else."
"Instruct: I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.

What can I do to manage my stress?
Output: It sounds like you are experiencing burnout and have very little, if no job satisfaction.  There are some aspects of this that are in your control and others that are not.  What type of work do you typically enjoy?  Do you enjoy high stress work? What keeps you in this job? Is there a reason you have stayed?  Is your boss reasonable to have a conversation with?  I recommend a few things.  For one, you may want to have a discussion with your boss about your job duties and see if there is a way to either eliminate some responsibilities or get higher pay.  Another option, if you are unable to have an open conversation, you can start to look at an ideal work situation, what would you like/ be OK with/ absolutely hate about a job. Then possibly try to look for a new job that fits these qualifications. If you are unable to leave your job, you may want to attempt to balance your work life with more activities that create joy outside of work.  Sometimes that balance can help you tolerate work more.  I recommend that you find a supportive person to talk with and process these frustrations as burnout can lead us to do things we may regret.  "
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: You can, for sure... and the first step is to believe you are worthy TO YOURSELF. Recognizing you are in a quest is already a big first step. Taking the time to start figuring out who you are is definitely the next... do so with SELF COMPASSION and kindness. Know this is a process and just look forward for what you might find.  I do recommend you find someone to talk to (there are many options out there that can fit the situation you are in), and I also recommend you start by giving yourself the importance to invest some time and effort in this quest. YOU DESERVE IT. There are some excellent TED Talks you can google, great books you can read, or even joining a yoga practice, team or some kind of hobby may help. Anything that shows yourself you are worthy of this effort. Have patience and start!!!! the answer is out there waiting for you. Asking these questions already set you on the right path."
"Instruct: 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?
Output: This is your experience, your feeling and you are wondering if it is normal, which means is this common or the rule. This question about how you feel about your third child leads me to believe you are dis- turbed [etymology: agitated or stirred up].  Feelings are messages from our soul or spirit that something is not right.  So, though  it might be normal [common, the rule]  to look forward to a one year olds nap time when you have a three year old a nine year old, the dis- turbance or stirring up in you, is important and requires your attention, your listening, if you will to your higher self."
"Instruct: I feel like I would be more comfortable as a girl even though I still like girls. I think I'm like a girl stuck in a guy body. I imagine myself as a girl too. I think this more because my friends say that if I was a girl I would be a hot looking one. And I don't care about having boobs or anything. I just feel like the way that I do act will make more sense if I was a girl.
Output: I understand that gender and/or sexual identity crises can be very difficult to navigate, although in today’s time I think we have made a lot of progress and it is becoming easier for individuals to find themselves and also find acceptance from society.I am unsure how old you are. If you are a child or teenager, this is a normal time to have identity questions and to be in a phase where you are trying to figure out who you are and what you want out of life. I hope that you have understanding and supportive friends and family that you can talk to and who will support you in how you feel and what you may decide to do. A lot of people, unfortunately, do not, and if this is the case then it makes it harder for you. Because then you may not feel safe exploring these feelings and decisions.I urge you not to try to make any permanent changes for quite some time. By this I mean a sex change. Anything permanent like surgery or hormone replacement to change your actual gender is something that does not need to be done lightly. Please find a therapist that can help you explore your feelings and your identity crisis. Of course there are things that you can do that are not permanent changes. Many people decide to dress like their gender of choice. Maybe experimenting in this way is something that you could do.See if you have a local chapter of PFLAG in your area. PFLAG stands for Parents, Families and Friends of Lesbians and Gays. They are able to help not only with those who identify as lesbian or gay, but also transgendered and asexual. I wish you all the best in your identity crisis. It would be very easy for you to sink into depression if you do not have good support and understanding from those around you during this time. Find a professional that can help, especially if you experience depression or any thoughts of harming yourself."
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: It's encouraging that you say you want ""to be better connected with [your] husband,"" and since he hasn't left you, he must care about you and the relationship more than he does about just having sex. You don't say whether he complains or not, but even if he doesn't it seems there's a sense of something important missing for both of you.Most likely to connect better with him physically you'll need to become better connected with yourself and your body. Men often feel fulfilled by sex simply because it happened - the woman they want received them, allowed them to make love with her. For women that can sometimes be more complicated. A woman who loves sex most likely also loves her body, knows what pleasures her, and feels confident asking for what she wants. Self-pleasuring can be a way for you to discover more about your sexuality, and a classic resource is Betty Dodson's book Sex for One: The Joy of Selfloving. A good counselor or sex therapist can be very helpful with your whole relationship as well as the sexual part of it, but not all counselors are comfortable working with sexual issues. Shop around and be sure you find someone who can help you and your husband get better connected on all levels."
"Instruct: Why am I so afraid of it? I don't understand.
Output: Your fear is somewhat reasonable.  No one wants to be raped and I imagine everyone is afraid of what being raped would feel like.Do you mean that this fear is on your mind more often than you would like?If this is the case, then try understanding the reason behind your fear.Is it because you personally know or know of someone who was raped?  One general direction of what would help is to regain confidence in your decisions of keeping yourself safe.  The more you trust yourself to avoid social situations with lots of drinking, isolated physical surroundings, and being in isolated locations with someone with whom you're not very familiar, probably your fear will decrease.The other general direction to understand is if in your family history, people have been violated severely, either emotionally, mentally, or physically.In families in which people have suffered severe violations of themselves, often the emotional patterning of expecting to be hurt by others, plants itself very deeply and transmits to the younger generation.Its possible then, that you are suffering from fears established in other family members who have not yet been able to fully understand and accept their own suffering.The good news is that individual therapy, with a credentialed and licensed therapist, is ideal for a safe place to open and clear this type of emotional burden."
"Instruct: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole ""If you love them, let them go,"" but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped.
Output: It sounds like there are assumptions being made regarding how she feels about you and why she is with you. I would not suggest breaking up with her without first attempting to resolve your own issues. You may not only regret your decision, but might find that the exact same problem arises in future relationships. I would recommend seeing a therapist who can help you figure out what is at the root of all of this. By learning about your own insecurities and where they come from, you can expect to discover new ways of responding and relating to others, which will likely impact your relationship in a positive manner."
"Instruct: 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?
Output: Not at all my dear. Human beings are complex creatures, and in my opinion, our issues interconnect in a very nuanced web between our levels of being (for example, mind, body, and spirit). Everything you bring up affects all three. The truly beautiful thing about the human body is that when you begin to work on one, the others improve as well!I would encourage you to seek out a counselor who's style and approach speaks to you and start with whichever issue feels most pressing to you. A skilled therapist will flow with you at your own pace and make recommendations to other professionals (e.g., physicians, holistic practitioners, EMDR specialists for trauma etc) as needed to complement the psychotherapy work you're doing with him or her to help you find the total healing you seek. I wish you well on your journey!"
"Instruct: How do I make myself happy without the people who made me happy? Now that they’re gone, I feel sad. It’s been two months now but I seem to be unable to stay okay and independent.
Output: It sounds like you have been feeling pretty down, since the loss of a relationship, and you're wondering how to be happy by yourself. Intimacy is a very natural human desire and at the same time learning to enjoy ourselves, even when we are alone, can strengthen our ability to lead a satisfying life in and out of relationship. Working with a therapist, you may be able to gain insight into how you show up in your relationships with yourself and others and discover more fulfilling ways to do so."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: It seems like you are very receptive of your husband’s emotions and want to support him trough this time.  But it is also important of being aware of your emotions.  How are you feeling after the suicide attempt?  It is common to experience negative feelings while you try to make sense of the incident.  Feelings like anger, shame, guilt and fear are frequent; while, wanting to avoid, minimize and become distant from the person are parts of the defense mechanism to attempt a quick resolution.  Once you understand and overcome those feelings you may be in a better position to help your husband; who may be experiencing some negative feelings as well.First, it is important to have a safety plan in place, which includes removing harming objects from the home, knowing who to call if there’s a new attempt (either 9-1-1, or nearby treatment center), have a professional expert who monitors you and your husband’s progress, either a Counselor or mental health provider could help you manage negative feelings and identify ways to handle triggering situations.Once the safety plan is in place,  make him feel supported and not judged, saying open ended statements, like: “I am glad that you are here, please let me know what I can do to help you through this process”.  Making small changes toward a healthier living may help as well.  Exercising, eating healthier and practicing new leisure activities may be good ways to start.  Also, explore your spirituality and your husbands, looking for ways to encourage each other by joining a support group or finding people who share your spiritual beliefs.If you have more questions or concerns I offer teletherapy in the State of Texas, and traditional Counseling in Puerto Rico, call 787-466-5478. ¿Cómo puedo ayudar a mi esposo después de un intento de suicidio?Después de que el llego a casa del hospital estaba enojado, luego por un tiempo maravilloso.  Ahora está deprimido y sin ánimos.Parece que estas muy atenta a los sentimientos de tu esposo, y que lo deseas ayudar durante este momento de su vida.  Pero también es importante estar consciente de tus propias emociones.  ¿Cómo te has sentido luego de este intento de suicidio?   Es común que experimentes emociones negativas mientras los recientes sucesos hacen sentido.   Sentimientos como coraje, vergüenza, culpa y miedo son comunes, y el querer evitar, minimizar o distanciarte son mecanismos de defensa igualmente comunes.  Ya que comprendas y superes estos sentimientos,  estarás en una mejor posición para ofrecerle ayuda, recuerda que tu esposo también debe de estar experimentando sentimientos negativos. Es muy importante tener un plan de seguridad, esto incluye remover todos los objetos que pueden ser dañinos o facilitar un futuro atentado, saber a quién llamar en caso de una emergencia (9-1-1 o una clínica de emergencias cercana),  tener un experto que monitoree tu progreso y el de tu esposo, puede ser un Consejero u otro experto de salud mental que te ayude a manejar los sentimientos negativos y situaciones retantes.Ya que el plan de seguridad sea activado, crea un ambiente donde tu esposo se sienta apoyado y no juzgado.  Utiliza frases abiertas para comunicarte, dile que estas feliz de que este contigo, y quieres saber cómo puedes ayudarlo durante esta etapa.   También haz cambios pequeños para mejorar su calidad de vida como pareja.  Hacer ejercicios, comer más saludable y compartir actividades puede ser un buen comienzo. Explorar tu espiritualidad y la de tu esposo también puede ser de ayuda, y encontrar personas o grupos que compartan esos mismos intereses puede ser una manera de mantenerse motivados.Si tienes más preguntas o preocupaciones sobre el tema, ofrezco teleterapia en Texas y Consejería Tradicional en Puerto Rico, llama al 787-466-5478 para más información."
"Instruct: I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
   What can I do to manage my stress?
Output: I think it's important to tease more of this situation out to figure out what is at the root of the stress. It is emotionally dangerous to be at a job for a lengthy duration in which you feel overworked and underpaid. You will not perform well as you mention, and thus your self-esteem will continually take a hit without really any effort. So, I don't know that simply coping with your stress would be advisable as a first step.You don't speak about a lot of what the office dynamics are like, which can be a big indicator for me of what can be done to help you feel better (because we exist as a part of a relationship with everything, including people at our job.) I would encourage you to speak up about your contributions to your boss. Often, ""overworked and underpaid"" also includes the ""my boss never notices me,"" and that can demoralizing. If we feel appreciated, that can go a long way. I've found that it is quite common for bosses to require some instruction for how to show each of their employees ""appreciation"" (and it goes deeper than ""thank you"" or taking you out to lunch - it's almost something felt as opposed to made explicit.)But sometimes appreciation isn't going to do the trick either. Because that overworked and underpaid actually has led you to feel ""burnout."" You have zero interest in doing the job in the way it is designed, so some real changes need to be implemented. The bottom line? Try not to just ""suck it up"" and do all of the ""self care"" work on your own. If your company isn't helping you to take care of yourself (I'm talking to you, boss that handles employee pay and/or work conditions!) then you also have to question if this is a company worth working for. While I don't know exactly what you do, it sounds like you have confidence in your contributions! So take that confidence to a tech company that will support you (and there are tech companies out there!)"
"Instruct: 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.
Output: 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.   "
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output:   Thanks for sharing and asking for help.  You mention that you're the one who ended the relationship in the past, yet are haunted by nightmares and flashbacks. Your comments here lead me to wonder that you may have experienced some form of trauma in this past relationship; and, if so, I would encourage you to additionally consider the whole of your story-line as it relates to trauma. Doing so will serve you well for your own peace-of-mind especially so in your current relationship.  The best way to do all of this in a supportive fashion is to work with an experienced therapist who specializes in trauma-focused care. The therapist may, if indicated, wish to to incorporate EMDR (Eye Movement Desensitization and Reprocessing) which ""...is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.  Best wishes.Resource for Your Consideration: http://www.emdr.com/"
"Instruct: I met a guy a while ago, and I can't stop thinking about him. I feel like I love him, but I don't think I know him. What if he is not who I think he is? I cry sometimes thinking someone is going to be with him or that he has a girlfriend. I don't know, am I too obsessive? Every time we talk though, it's like magic. He makes me feel amazing, but what if I'm mistaken?
Output: Keller, it sounds like you're living this relationship in your mind, instead of in the real world. You can get answers to your questions by talking to him...getting to know him will answer all the curiosities you have. You're asking the questions in your head instead of being in the friendship. So what is it that gets in the way of actually asking the questions and getting to know him? Fear of rejection? Fear of something else? If you have fear that keeps you from having fulfilling friendships, I recommend a therapist to help you work through that. I wish you well. :)"
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: Thank you for being an observant parent and taking the very important step toward getting help for you as well as your daughter. The period of adolescence and emerging adulthood are tumultuous times for youth ( and their parents). The pressure to fit-in, be liked, and succeed could be some of the contributing factors for your daughter's stress. I  have had many adolescent clients who do very well academically, but keep it well hidden from their peers so that they can fit in. She is still learning about herself, her abilities and how to like herself none of which are easy tasks even for adults. The academic success that you refer to only tells part of the story. As I read your statement, I got a sense of what your daughter does and that you are proud of her academic accomplishments. However, I would also want to ask her who she is as a person and encourage her to explore that with assistance from a therapist.By working with a therapist your daughter will have the opportunity to discuss her stress, fears, and focus on achievement with an objective person. As she gains a better understanding of the source of her stress and learns some stress management, she can also learn to communicate her concerns to you. I do recommend starting with a therapist rather than the doctor. If the therapist believes that your daughter's symptoms would benefit from a health exam and/or medication they will make that recommendation."
"Instruct: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?
Output: Thank you for asking this important question. I find that there are three steps to getting ready for treatment. Step one is expressing interest in wanting to receiving treatment for the outcome of positive behavioral change. Congratulations you did the first step! You are showing your readiness to start counseling by asking this question. Now the second step is to find a counselor who specializes in treating clients with Anxiety and Depression. The therapeutic orientations I have found to be helpful in treating clients with  Anxiety and Depression are a combination of Cognitive Behavioral Therapy with Mindfulness, and Solution Focused Brief Therapy. Receiving meditation for your symptoms if part of the treatment, and the other part is receiving counseling to increase your resilience for future events. Research has found that medication and psychotherapy treatments together shows the most effective outcome for Depression.  The third step is to increase your positive self-talk to motivate yourself to attend treatment. As counselors, we are aware of the anxieties and fears that are associated with talking to a new professional for the first time. However, remind yourself that you are doing this to improve your well being. I hope this was helpful, and good luck with your treatment journey. "
"Instruct: We had great chemistry, but then he became distant. I had the feeling that I can't be without him. As soon as I felt the difference, I was scared to lose him. I started freaking out if he did not answer, thinking that something bad happened.
Output: The simplest answer is that love feels good, obsessions don't.Love deepens a sense of peacefulness and security.Obsessions give anxiety and worry of feeling abandoned.One suggestion is to study more about yourself and why you'd feel so ill at ease when you aren't w this person."
"Instruct: My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?
Output: Yes, this emotional abuse.  There is no abuse without emotional abuse.  His abuse is demeaning and can have lasting negative impact on your perspective of your self and people around you.  Please find someone support to talk to."
"Instruct: How does a person start the counseling process?
Output: I have found that if you go to my website and fill out the form, I can usually get back to you within 24 hours. In my most efficient instances, I've been able to set-up a consultation within a couple of days, which is just 15 minutes by phone, to chat a little about what you might want to work on, how I may or may not be a good fit, etc. Then from there, if you want to meet in person we can set up an initial session. I will usually be able to let you know what kinds of ongoing times for counseling that I have available over the phone. Scheduling is a big barrier to finding a therapist, especially in New York, when schedules seem pretty busy all around.I've heard a lot of statistics about how prospective clients in therapy will often wait for months before reaching out, which is why I think that email is great. Cold-calling can cause an unnecessary amount of anxiety (also, who will hear me on the phone?) whereas email is relatively easy to begin a conversation, from what I've found.I tend to recommend clients give a new therapist a couple of sessions to get a feel for fit. But, if it's horrible after one session, and you feel awful when you leave, that's another story. I might want to explore with you what felt so awful, but if you don't want to come back, that is well within your right.Also, keep in mind that we want to help. So, please don't feel like we are judging you for seeking out help! You are strong for doing so. Far too often I hear about it as a weakness, and that's just BS:)"
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: When it comes to sex drive, we are talking adrenal function, and a little bit of kidney;The endocrine glands require a bit of pumping up to improve one's sense of desire, motivation, and joy;Consider herbal formulas centering around woman's reproductive function to improve desire;To improve his, there are herbs for the man's side as well :)"
"Instruct: I'm currently struggling with diagnosed depression, anxiety, and Misophonia. Also, I am 99% sure I have Borderline Personality Disorder and Avoidant Personality Disorder. I read the DSM-IV, taken college psychology, etc. I know it in my heart I have them. Is self-diagnosing okay with the right research?
Output: Any diagnosis is limited in its usefulness.Knowing the name of some typical ways you may feel, think and behave, doesn't help you or anyone to understand why the person is the way they are and how to change any of these characteristics.Both self-diagnosing and being diagnosed are equally unhelpful to know why you are the way you are and what to do about it.Consider yourself a person who wants to find a better way to be who you are, and this will get you further with better results than to read a list of descriptions which all are very indicting and negative sounding."
"Instruct: I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.
Output: Everybody does something or a few things in their life which looking back, the person wishes they hadn't.The key to feeling better is to realize that as long as you learn something for the future from your mistake, then you will be doing all that any human being is capable of doing.Your mistake sounds genuine, not that you were deliberately trying to create a stir or harm yourself or anyone.Now that this student in your class pointed out your mistake, you will learn to notice the appearance of your swimwear.Put in context that feeling foolish for doing something embarrassing means that overall, you generally do most activity in your life, in non-foolish ways.The incident would only bother someone who generally is responsible.  The mistake is a contrast with what is usual behavior for you.I hope you'll enjoy swimsuit shopping and find a beautiful bargain!"
"Instruct: 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.
Output: You're probably not going to like my answer.Your question says a lot about what YOU want rather than what she wants or what may be best for her. Sometimes, what's best for a person is the hardest thing to do, and may be completely opposite of what YOU want.Addictions don't happen in a vacuum. If you've had any experience with addicts at all, then I'm sure you've heard the term ""enabler"". A lot of the times, when people think they're ""helping"", they're actually enabling the addict to continue their self-destructive behavior. Tough love and clear boundaries are needed in a lot of situations, but especially with addictions. Family and friends are often the biggest contributing factor to someone choosing to use/drink, continuing to do so, or relapsing back into it.You said she recently quit. You said she is depressed. She wants to move. When a person receives counseling for addictions, they are encouraged to make changes like this. They need to break the habit, and this means removing people from their lives at times. It means moving to new locations. Anything that may trigger a relapse needs to be identified and removed. Not only that, but the addict needs to do a lot of personal reflection to figure out WHY they use/drink in the first place, and not only break the physical addiction to it, but deal with whatever is the root cause that led them to use in the first place. She may need some time alone to figure out who she is as a person, time to make some decisions for herself and do what she needs to do to be healthy.Don't pressure her to stay. Let her have the freedom to do what she needs to do. If she stays, the decision needs to be hers and hers alone. It doesn't need to be made under pressure. That will only lead to resentment. Support her, but don't try to change her or make her do anything, especially for selfish reasons. Let her go. It sounds like she needs some time to focus on herself right now. It wouldn't be a bad idea for you to do the same."
"Instruct: I’m facing severe depression and anxiety and I just feel like I’m going through a lot. This really distracts me and I cant get my mind off the things that are bothering me.    How do I overcome this anxierty and depression?
Output: First, be patient because anxiety and depression are rooted in a person's outlook on who they are and how they handle situations and relationships.Changing these deep major structures in your life takes time to try new ways and see what develops, then fine tune accordingly.Most commonly, anxiety and depression relate to one's self definition.Reflect on your own opinion of yourself and whether you'd like making any adjustments to this.   Then figure out what stops or inhibits you from doing this.Try new ways of thinking and interacting with other people.  The changed impression you make on others will influence your own view of who you are.In America people take Pharma pills to not feel badly.If you prefer to make natural, long-lasting change then reflect, read, try therapy if it feels right to you.Eventually you will be better off this way than to take drugs to hide how you truly feel."
"Instruct: I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal.
   Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes.
Output: I think that every person who has been single for any extended period of time has felt the same worries - myself included. Since relationships are so important to us we fear not having them and being single. It is similar to fearing that we won't ever get a good job when we have been out of work for awhile or fearing that we won't be healthy when we have been sick. We fear these things because they are so important - not because these fears are realistic or true! There is immense pressure put on young single people from peers and media to conform to ideas of what is normal and to meet expectations in terms of sexual experience, dating, etc. While some people may judge an adult who is a virgin - others will respect your choices and feel even more attracted to you because of your choices. Experimenting with sex, so long as you are being safe and respectful is also completely okay and normal. Since expectations vary and we can't be happy if we are always comparing ourselves to other people, we need to ultimately trust that being who we are and building a loving relationship with ourselves is the key to meeting someone who will cherish us for all the ways that we are special and unique, virgin or not. When we are able to really accept ourselves and trust in our loveableness (not a real word but you get what I mean!) then meeting someone special is simply a matter of time and effort - putting ourselves out in the world in situations where we are likely to meet other single people looking for relationships. When you are most afraid of being alone - remember that this fear is simply a reminder of how much you value relationships. Use that passion about wanting relationships to build the best relationship you can with yourself and then one day soon some lucky person will stumble into your life and benefit immensely from your passion and your ability to be authentically who you are rather than pretending to be ""normal"" or whatever that is anyway. Hope this helps!"
"Instruct: I never feel like myself. I can’t even think straight anymore. I start stuttering and I can’t remember anything. I always get nervous and usually talk myself down but recently end up fighting with, what feels like, someone else. I don’t know why I feel this way, but I hate it.
Output: Hi Houston, Okay, something's definitely going on, right? My gut is to start with your family physician, because you have some physical symptoms. While it seems anxiety is a likely problem here, your doctor will hopefully know your history and can help you decide if you need some medical tests or some therapy. Without knowing more, that's all I can say at this point. Best of luck."
"Instruct: My dad beat and mentally abused me so badly that I can't function properly. Letting go of the past is important to moving on and getting better, but I’m terrified to get better because I don't even know who I am without the trauma. I've never gotten to be myself. I don't even know who I am.
Output: I am so sorry to hear that you are struggling.  Getting to know yourself after a trauma (especially at the hands of a caregiver) and learning to trust yourself can feel terrifying.  I would encourage you to seek out a trauma therapist who can work with you slowly and at your pace.  You are not your trauma.  You are good and you are whole.  Please seek out the support of a therapist who sees that in you."
"Instruct: I'm socially awkward. I've always want to be popular. I've had the opportunity to be popular, but every time I get i,t I'm too scared. All I have to do is talk the popular people. They're really nice to me, but I'm too scared of change. I really want to work up the courage to lose my fear.
Output: Change can be uncomfortable, but sometimes those uncomfortable moments are the opportunity for us to be the person we feel we really are.  It sounds like you like to spend the time in your head anticipating the worst, why not be in the present and encourage yourself that you can talk to people and it will be okay.  By telling yourself it will not be okay, or that it will go wrong you are hurting your confidence to do what you want.  Give yourself some credit for being awesome and tell yourself you can build new friendships...it may be the motivation you need to move past this fear."
"Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?
Output: You're in a difficult situation and on behalf of you and your child, I commend you for trying to find the right thing to do.Short version: your child needs you as much as possible. period. Always. We used to think that children were almost always harmed by divorce, unless there was extreme conflict or violence. More recent data shows that children are not necessarily harmed by divorce if they keep both their parents. In other words, the damaging part is losing half of themselves and losing the value of being connected to everyone who loves them, especially the other parent, in addition to the extra benefit there is from the other parent's perspective, strengths and so on. The best thing for your child is for you to be available and loving and doing everything possible to allow the child to be whole - a person who incorporates BOTH parents. It's a tragedy for everyone to use a child to achieve adult aims, like getting back at a former spouse. In such a circumstance, your child needs you more than ever. If you and your wife have different rules and so on, your child will learn to adjust and adapt, just as they would if you remained in the household. A child quickly learns that they talk to mom about x,y,z or get away with whatever, but has different rules with dad. He/she will not be too confused in the long run. Please stay the course in dealing with a difficult ex-wife for you and your child's wellbeing. Best of luck to all."
"Instruct: I was with my friends fishing by a pond. I found a frog and stabbed it with my friend's knife. I'm not sure why I did it. My friends saw me do it it and were shocked and got really mad at me.

Now if someone brings it up I get really upset and panicked. I don't know why I feel like this. Does this mean there is something wrong with me?
Output: The good news is your awareness that being violent to animals feels out of character for you.   I'm glad you have awareness and I'm glad you are not at ease with killing frogs.Fairly likely that you were acting out aggressively toward the frog, feelings of being on the receiving side of similar type of violence.Basically, you did unto the frog what someone has or to you, feels like, has been done to you.Use your surprising finding of how strong your anger and most likely inward pain.   Reflect on your closest relationships and how these people treat you.   It is possible you feel more hurt by someone who is close to you than you ever realized.Stabbing innocent frogs is wrong.  It is understandable as a way to show you how much inner pain you probably have.It is also wrong that someone close to you hurt you.The direction to go is to recognize your pain and then decide how to go about changing what is possible on your side of that or those relationship(s)."
"Instruct: My roommate is a unapologetic person who doesn't care who she hurts. She never apologizes to me or my family. She made me lose my temper today to the point where I was using swear words in front of my mom and brother.
Output: Must you keep this roommate in your life?If you've tried speaking with the person about your unhappiness to feel angry ""all the time"" , the problem has been going on for an extended amount of time and nothing changes, then the next step would be for both of you to part ways.It is possible each of you triggers the other in very deep and irrational ways on occasion.If the choice is to tolerate being triggered or to dissolve the relationship, then your decision is which of these two choices is better for you.Since you already know you don't like to be triggered, parting ways as soon as reasonably possible, seems the choice you prefer.Either choice is fine.  Let the decision depend on which way makes you feel life is livable and happy!"
"Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
Output: Hi Louisiana,It's normal when trust has been broken in the past for fear and insecurities to come up from time to time. His reactions may not mean that he doesn't trust you, but rather that he gets scared that he's going to be hurt again. You're a bit vague about the past. You don't say whether you cheated or not. If you did, then you might try taking an approach where you a) take responsibility for your past actions, b) show an understanding of and compassion for his pain about that, c) do everything you can to demonstrate trust and show that he is your priority, and d) reassure him when he says he's scared or feeling insecure. I'm suggesting that part of healing is you having tolerance of his emotions and demonstrating that you're so confident you can be faithful that you can handle his moments of fear. This is what he and the marriage need in order to heal from the attachment injury.Part of the issue might be that when he brings it up, he's coming across as angry, accusing or suspicious, rather than scared and insecure. This often happens. A therapist can help both of you understand that fear is behind the anger, and it works best if he shows you his vulnerable emotions rather than the anger (which is also natural, but less helpful in those moments), and then you can more easily recognise the cue for you to reassure him. As much as you want to forget about it, he might need to talk about it sometimes, and that's normal. His needs are important. Also important, however, is your need for respect. If he approaches it in a disrespectful way, that's a separate problem. If it's brought up as a weapon, used to shut you down, or used to control or punish, those are unhealthy ways of dealing with past hurts. You can both offer compassion to him and use your sense of boundaries to protect yourself from being flogged with the past.A qualified therapist can help you sort through this trick territory. Best of luck."
"Instruct: I’m a senior high school student. I’m also five months pregnant. I got pregnant by my boyfriend of three years. My parents don’t want us to communicate with each other. He can’t even come to visit my gynecologist. My mom goes to attend all of my doctor’s appointments. She’s supportive of me. I wish, though, that my boyfriend was next to me and be able to see his daughter on a sonogram, at the very least. My family does not understand that he deserves that much. I cry all the time because I feel lost and hopeless.
 I need guidance and I believe that you can give it to me. Am I wrong for wanting him around? Are they right for keeping him away from the appointments and not letting us communicate with each other even though we are the parents? I do everything that they ask of me. I just want him to be around. When I ask my parents to let him be here, they call me a selfish person. Please help me.
Output: You're not wrong for wanting to be with your boyfriend of three years who is also the biological father of your child.Do your parents object to you and your boyfriend continuing to see each other in person?  Or, do they object only to electronic communication and don't want him involved in his child's life? Ask your parents what their reason is for forbidding you to communicate with your boyfriend.  Ask them also to understand your point of view.Now is also a good time for you and your boyfriend to plan whether and where you will live as a family and how to financially and emotionally support one another once your baby is born.Your mom and dad are definitely making fatherhood difficult for your boyfriend and motherhood stressful for you.Consider bringing up the topic during your next obgyn visit.  Your doctor may ask your mom to explain her reasons and address these.Look online for women's resources to see if there are clinics or agencies that would help you advocate for your position in this matter.Good luck with the remainder of your pregnancy, labor and delivery!"
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: You will know you have the right therapist when you feel at ease and comfortable to share deep feelings.You do not hold back and feel total acceptance and validation by your therapist. Listen to your feelings and letthem guide your decision.Your therapist and you will work together to decide what is best for you with regards to the type of treatment, frequency andduration. It is about collaborating and deciding together on the treatment plan that will help you to achieve your counseling goals."
"Instruct: I have a bad habit of thinking and worrying about what others may think of me. I really want to stop it and enjoy things.
Output: Thinking about what others think of us is a natural tendency. Human beings are social creatures and rely on feedback from the outside world of people, places, and things to let us know more about ourselves. We also have an inner voice, dialogue, conscience, etc. that helps us to determine the path for us. Often, when someone is worried about the external feedback, and focuses on this as the sole source of information, it can create a dependency that can become problematic. Balance is key to so many things in life. Your own voice is powerful and has strength to provide you the enjoyment you seek. Don't discount it and rely only on the voices of others."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Hello. The end of the counselor/client relationship is one of mutual respect and engagement. Counseling sessions can end for any number of reasons. Among them are the client's inability to make forward progress in therapy; the clinician's inability to help the client (for a variety of reasons); a mutually agreed upon time frame for a number of sessions to be provided; or the financial challenges of the client who decides that they need to put their resources elsewhere. In this last case, a counselor should never cancel sessions with a client simply on the basis of the client's inability to pay. That is traditionally seen as an unethical practice. Other arrangements can be made to provide care to the client, which in itself should be paramount.When the client and therapist decide that services are done, it is best if there is at least one or two more sessions to allow a case file review to occur, and to bring an appropriate psychological sense of closure to the client (and vicariously to the clinician as well, those this is perhaps not as important). This transition gives both a sense of having reached the end of a journey...rather than some abrupt departure from it. (An abrupt ending in therapy can have a varying level of impact both emotionally and psychologically on the client and therapist). Sometimes the closure of therapy is the result of a program of therapy being formally completed, in which there is a mutually known (albeit perhaps approximate) date of when that program will be finished. In this case, the client is likely feeling that impending closure and has time to prepare mentally and emotionally from a place of being the client in therapy, to a place of healing, growth and situational resolution.I have always worked in therapy with the following slogan (if you will), that I learned years ago during graduate school: ""Not every therapist is good for every client, and not every client is good for every therapist."" It is perhaps one of the most important guiding views I hold in working with clients. The therapeutic relationship is driven by mutuality - the desire of the client to get better at living life, and the therapist's desire to truly see the client heal and grow. When there is a block in this process from either side that prevents that synergy from occurring, the relationship that should be established may not be able to form. Or, if already formed, may at some point be unable to move forward. In these instances, referring the client to another type of service or clinician is appropriate. Usually, this can be seen pretty quickly by either party, though sometimes it is not always clear.Ultimately, the client and counselor need to work together to discover if the needs of the client (which is paramount) are being met in the therapeutic engagement with their current counselor, or if other arrangements need to be made to go elsewhere. If both are observant in this process, they can work together to maintain that sacred space and continue to reach the goals that have been set. Eventually, therapy will end, but hopefully based on the client's successful journey to the place where they wanted to go, and thus opening the next chapters of their life to a space that is more whole and brighter."
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output: From what you describe about yourself, I agree with you that ending your former relationship was a very wise decision.The nightmares and flashbacks show that you were deeply affected emotionally and on the foundations of your basic nature.The way for these to stop is by the slow process of realizing how badly injured and frightened you were of your former partner.Once you've stabilized yourself by accepting the tremendous harshness that was part of the former relationship, then the nightmares and flashbacks will disappear gradually usually, maybe all at once.There is a possibility too that your former relationship connected with being emotionally ignored, abandoned, treated harshly during your time of growing up years.Since generally people choose partners who relate similarly to the ways in which they felt treated by parents, it is possible that you had been badly treated while growing up and weren't aware of this until going through this terrible relationship.Congratulations on ending your relationship!"
"Instruct: My boyfriend and I have been arguing every night about the same thing. He also tells me that if I  go visit my mother out of state he will be gone when I get back.  He and my mother do not get along. What should I do?
Output: It's ultimately your decision whether or not you go to see your mother. I'm not sure whether talking with her on the phone or through some videoconferencing application (such as Skype) would be something you could do in the meantime until you sort out what you want to do.Some things I wonder are:What makes the two of them not get along?What makes him feel threatened or on edge if you visit your mother without him? What does he think will happen?What is he getting out of trying to choose for you?What is he so afraid of?If you decide to talk about these things with your boyfriend, try to do the following:Consider using questions that start with the words who, what, where, when, and not why. The word why can be really difficult for some people to answer because the word itself triggers an emotional reaction.Try to ask him if the two of you can discuss this in a way that you can just ask more questions about what he is experiencing. If you can listen without being defensive about what you think and feel, you may understand more about where you boyfriend is coming from.Remember that understanding what he means does not mean that you have to agree with what he is saying.Maybe he would be willing to listen to what you are experiencing and ask questions about that as you did for him. It would be good to do this in a way similar to what an investigative reporter would do and asking questions that cannot be answered in a yes or no format and require more information.I'm sure this is putting you in a very tough place. If you would like to talk to someone more directly about the details, consider seeing a local mental health professional."
"Instruct: How does a person start the counseling process?
Output: Usually people call me by phone, they introduce themselves, we chat for a bit, then we schedule a time for their appointment"
"Instruct: I feel like every time I do something someone asks me to, I never fully meet what they want. I feel that when I finish it, they always think that they should have picked someone else to do it. I feel like  they just want nothing to do with me.
Output: It sounds like you have the perception that people are frequently disappointed in you, wish you were different or someone else, and ultimately reject you. One question I would have for you is what is your evidence that people feel this way? Is there anything in people's words or behaviors that gives you this impression? If your not sure, it may be useful for you to try to notice what people say and do in response to you, even though you perceive these attitudes within them. Additionally, working with a competent therapist may be a great way to get an answer to your question as well as developing ways to move forward with that answer and gain a sense of self-esteem and security in your relationships.One possibility that comes to mind, of which there may be more, is that as we grow up, we often develop relational templates, or sets of expectations about how people are and will relate to us, which influence our experiences and behavior in relationships. Sometimes the templates that we develop to stay connected growing up are not particularly adaptive for adult life and can hamper our self-esteem and capacity for comfortable intimacy as an adult. You ask a great question here, and one that can be very hard to see through, given the difficulty of feeling that people think of you in this way, and I hope that you will stay curious about this and consider working with a therapist who is trained to help you discover the answer."
"Instruct: 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.
Output: In my therapy practice I avoid characterizing people except for whether or not they are self-harming or a risk to harm other people.As long as someone is sincerely trying to know more about themselves my work is help the person clarify who they really are and how their true self may be quite different than the life the person created for themselves, based on satisfying other people's standards.In broad terms, personality disorders have stock characteristics which change very minimally over time instead of  uniqueness  which constantly flows and changes with circumstances over time."
"Instruct: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?
Output: Believing in God is a matter of faith.  There are many opinions out there for and against God’s existence.  But the real question is not if God is real or not, but, do you want to have faith and decide that he exists?  This is a personal choice.  Reading scripture may help to learn more about those who struggle with believing, but again, you decide if you believe that scripture is true or not.   Praying and asking for a revelation or a confirmation may help as well, but again it is another act of faith. Estoy teniendo dificultad con la idea de: ¿Dios es real o no?Tal vez es una pregunta estúpida, pero algunas veces no sé que es real o no.  Siento que todo el mundo miente. ¿Cómo se si Dios es una de esas mentiras?Creer en Dios es una cuestión de fe.  Hay muchas opiniones en favor y en contra de la existencia de Dios.  Pero la verdadera pregunta no es si Dios existe, pero si tu quieres creer que existe.  Esto es una decisión muy individual.  Leer la Biblia te puede ayudar a conocer sobre algunas personas que han dudado, pero de nuevo, tu decides si las escrituras son reales para ti. Orar y pedir una revelación o confirmación es otro acto de fe, que te puede ayudar. "
"Instruct: I'm feeling different towards my husband. I feel I am growing from the relationship. I have been with my husband for six years and married for almost five. I just don't feel that connection anymore. I feel nothing. I don't know why or if I'm just being irrational.
Output: Lacey, I'm SO glad you wrote. Thousands of people are having this same feeling right now. I'm glad you're paying attention to it. When you first meet someone, there are all kinds of sparkly feelings and you both do and say lots of things to cement the attachment and create deep intimacy and connection. Then what happens is because we have that connection established, we instinctively cut back on those loving behaviours because we don't have to work hard to earn their love anymore. That sparkly feeling typically lasts a few years (long enough to procreate and keep the human race going), and then it wears off a bit, and you end up looking at each other thinking ""how come I don't feel the same anymore?""Mostly (not always, and I'll get to that in a minute) all that this means is you've stopped doing all those loving things you used to do! It's as though you filled the car with gas, you've run out of gas now, and you're forgetting to put more in!The first clear solution to this feeling is to bring back more of your own loving behaviours that you've cut back on. Act lovingly, and you will likely regain those feelings. Talk to your partner about this. It's okay to say ""do you remember we used to do X,Y and Z? Can we do that again? Can I get more of the foot rubs you used to give me?"" Ask for what you want (instead of complaining). What are your 'love languages'? What are your partner's? Marriages need to be fed. It's that simple. Many things get in the way...children, jobs, but mostly complacency. Get active with your love!Okay, now, you might read this and think ""that's not what's happening"". That's a cue to talk to someone, like a therapist, about your feelings. People do grow and change and sometimes relationships don't fit anymore. But these are huge decisions, not to be made lightly. I wish you happiness."
"Instruct: I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?
Output: I would not focus on what other people say. Do you feel what you have described impacts your day to day functioning? Try to evaluate how is your self esteem, motivation and self confidence. How about negative thoughts or hopelessness? Any concerns about your grades sliding down? If you answered yes to any questions, may be its time to see a counsellor."
"Instruct: She was diagnosed a type one diabetic two years ago and had a very tough time dealing with it. She has an attachment issue also; her mother just moved to a much nicer home, and she gets angry and demands to go back to her prior home. We do not understand what is going on, and it is driving us crazy.
Output: There are many possible answers here. It could be that she misses friends, that she felt safe in the other house (emotionally safe and comfortable), or dozens of other things. Will she talk about it when she's not mad? You mentioned that she has an attachment issue. It could also be that she was attached to the house. It's not the same as being attached to a person, but possessions and safe places certainly mean a lot."
"Instruct: What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.
Output: What would make you feel no one wants to be with you?"
"Instruct: I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?
Output: I am so sorry to hear about what happened to you! What you are describing is being in a state of shock. You haven't suddenly become a sociopath - this is a normal reaction to an event that is completely overwhelming. There are most likely too many feelings to feel right now, so your body in its wisdom is shutting them down. You absolutely can recover, and it would be really important to get some trauma counseling with a counselor who feels safe for you to talk with. This is not the kind of situation to try and handle totally on your own."
"Instruct: 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?
Output: There is no such thing as too many issues for counseling. Many issues are often interrelated and can all be worked on with some time and patience."
"Instruct: 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?
Output: It can be uncomfortable talking to someone about your life in the great detail that is normally necessary for counseling to be beneficial. Since you're already going to counseling, congratulations on taking that big, first, stress-inducing step. Hopefully by now you are starting to feel a little more comfortable with your therapist. It can be helpful to address this big ""elephant in the room"" and talk to your therapist about this. I do my best to help people feel comfortable when they come to counseling, but regardless of how hard we try, sometimes it is just a little hard to get accustomed to. The good news is, the more you keep at it, the more ""normal"" it will become. "
"Instruct: My husband’s ex-wife married a man who was charged with seven felony counts of pandering involving a minor. He, by his own admission, is addicted to child pornography. My step-daughters are now all teenagers. They do not know. My husband’s ex-wife has kept this information from my step-daughters. The step-father has had issues regarding his pornography addiction recently. The ex-wife minimizes it by saying that he has ""repented."" It is a constant strain on my husband, knowing that his girls are living with a man who is addicted to child pornography. My own therapist believes the girls should be told. The ex-wife says her therapist says the opposite.
Output: If the daughters are old & mature enough to understand substance abuse.  They should be told for their own empowerment. KNOWLEDGE is their power of safety and protection."
"Instruct: I am on my own with my daughter. I am so worried and stressed about her.
Output: Your instinct to help your daughter, is natural.How you proceed depends a lot on whether she recognizes she has a psychological and emotional problem, or if only you see this from observing her.Also, her age matters a lot in what way would be most likely to succeed in addressing the problems you describe.If you and your daughter have different opinions as to whether or not she has problems, and she is above the legal age of when you have authority over her life, then you can only suggest to her that therapy may benefit her.If your daughter is in your legal control, then you can locate a counselor nearby, discuss your situation with that person, and depending on the outcome, you'd be within your parenting right to take your daughter to a counselor.Starting therapy without willingness to do so, is risky.  The person may feel resentful enough to not participate.   And, sometimes the counselor is skillful enough to find a path to your daughter, or any patient's self-interest and engage them in therapy.Family counseling, regardless of your daughter's age, is another way to bring your concerns to your daughter's attention, in a therapy environment in which a counselor would be able to help distinguish the seriousness of your daughter's psychological problem, from simply a difference in viewpoints between you and your daughter, in how to handle certain situations.Also, if you believe your daughter is a threat to herself, then instead of this slower route, get in touch with the emergency psychological assessment service in your town, for a more immediate response."
"Instruct: I'm not the same anymore, I don't know how to get back to who I am. I'm sad and confused and angry and tired. I don't sleep well.
Output: Being tired can really affect almost everyone's ability to work through things that make them sad, confused, or angry, among other emotions. If you're having difficulty sleeping, try to get into a habit of going to bed and waking up close to the same time every day. Also consider only using the bed for sleeping so your brain knows that it's time to sleep when you are in bed. If you are not sleeping while you are in bed, consider getting up and reading a book or doing something to make you tired before going back to bed. Hopefully you'll be able to establish a pattern.Sometimes sadness and other emotions make sleeping very difficult as well. Try keeping track of your moods to see what is leading up to the changes.If you're still struggling, consider talking with a therapist about the specifics and/or maybe talking with your primary care physician. There are natural sleep remedies that he or she may recommend for you."
"Instruct: I'm always listening to my husband, but it feels like he never listens to me. 

How do I get my husband to listen to me instead of me listening to him all the time?
Output: Unfortunately you can't directly change another person's behavior. However, you can give him feedback on how his not listening impacts you. The best way to provide feedback is in 3 parts. The first part is telling him the emotion you are experiencing when he doesn't listen, such as hurt, sad, and unloved. I would stay away from feelings such as frustrated, angry and irritated and use a more vulnerable emotion. The second part is what he does specifically to make you feel that way, be specific! Example: when I get home and tell you about my day and you don't look away from the tv. Be objective as possible when you describe his behavior. And the last part is the most important, tell him what you want him to do, and again be specific! Example: I would rather you turn off the tv, give me eye contact and reassure me about my day. Here is an example with all 3 parts together: I feel hurt when you don't say anything to me when I tell you about my fight with my friend, I want you to hug me and tell me you understand how I feel. Hope that helps!!"
"Instruct: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.
Output: If your daughter is the same age as most of the other students in her class, and the other students easily complete the tasks you list here, then there is a problem in the performance of these tasks for your daughter.Without knowing more about the context of your daughter's life, for example, is she a new student to the school and class, are there major stressors in the home environment, does your daughter have friends, does your daughter have the same problems she has in school, when she is in other environments?Also, who is telling you she has these problems?  Are you the one who notices what you describe here or is your daughter or is her teacher telling you these facts?Depending on your answers to the questions, start to get clarity with the classroom teacher and the school guidance counselor as to the source of your daughter's problem.Good luck!"
"Instruct: I have family issues, and my dad was both violent and a cheater.
Output: Sorry that your growing up years in the family were so unsafe and painful.Everyone has family legacy patterns of behavior and ways of handling emotions, handed down to them simply by living.All of what any child observes and how they are treated within their family context, creates their foundational expectations of others.The best way of releasing yourself form hurtful interaction patterns is by being aware of your own feelings and intuition within close relationships.If you have a similar sense of hurt or that something is wrong, yet in a familiar way, then most likely you are in a relational pattern similar to the negative ones in your family of origin.This realization moment is your chance to more deeply see your own original trauma and try different ways of responding to these similar key situations.This type of work takes a lot of repeated effort because trauma is deep and childhood trauma is attached to loving ones parents.Expect slow progress and expect more than a few tears.If it feels overwhelming then a therapist for guidance and support would be very beneficial to the work you'd be doing within yourself.Sending lots of good luck!"
"Instruct: We got into arguments, and we would break if off but start it back up again. We clicked, or so I thought. We are both married with problems in our marriage. We never have sex; we just send a lot of pictures back and forth and talk about doing things together. His wife found out, and he lied to her and didn't even refer to it as an affair. I can't stop thinking about him. We just click. I've been married for 16 years, and I've never liked anyone other than my husband. Now I like him, and we’ll never be together.
Output: If you will ""never be together"" and in order to maintain this affair you need to deceive both of your spouses it seems unlikely that maintaining the affair will bring anything but heartbreak for everyone involved. There is obviously something that you are getting from this that you are not getting in your marriage. Maybe this is a cue that there is work to do on your marriage to try to make it more fulfilling and if that is not possible, then maybe you want something else for your life.  If you and your husband are willing, I would encourage you to do some therapy or counselling together.  You may enjoy this article to learn a little more about some factors that lead to connection or disconnection and that predict separation and divorce."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: When you have the right therapist you just know, as evidence of the help that you have received, the progress that you have made,  from the rapport and partnership that you have gained with your therapist, and from if you feel supported in a way that is helpful to you, as well as if your therapist has a good understanding of what your needs are and what you desire to gain from your therapy experience."
"Instruct: 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?
Output: 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. "
"Instruct: Is this something I should be worried about?  Should I do something about it?
Output: I recommend asking your son about the reasons he chooses to play alone at recess. If he is happy on his own and you know he has some friends, I would not be very concerned. However, there may be bullying going on at school. In the case of bullying, it may be a situation where you as his parent will need to step in."
"Instruct: I don't know what to say. I have never really known who I am.
Output: This quiet wonder that you have is something you can easily explore. There is a part of you that you can access anytime, anywhere. It is the part that has always been with you. Find a quiet place where you can be alone for a while and get comfortable. Settle in. Let your thoughts go by like a river. Stay with that connection for a while. What you find in the silence is yours alone, your ""you""."
"Instruct: I don’t love my sister. I would never wish her harm, but if I could, I would wish for us not to be related. Is this cruel? Why must blood mean we have to be friends? Am I being unreasonable and is there a way to fix this? I do care about her, like I do every human being, but I’d rather be with my friends than be with her at all. It’s not just a ""teenager phase."" I still love my mom and dad, and I’m very close to them. However, it’s my sister I don’t love or have ever really liked at all.
Output: No one can force emotions.   Its fine to not love your sister.You may make some discoveries about yourself and your relationship with your sister by studying the reasons for why you're not close.Usually this has something to do with how the parents positioned the kids.  Some parents obviously favor one child over another, and this would heavily influence how the kids view each other once they are grown people.The patterns of interaction set down during our growing up years stay with us until we change them consciously.Its possible your sense of not loving your sister started in your early years.You now have a chance to know your sister through your grown up eyes, or not.Either way, you still may decide you don't love her."
"Instruct: I've always thought that there wasn't much good out there for me. Now that things are actually going well, it kind of scares me. I spent most of my life feeling unwanted and figured I would be alone. I recently met a great woman who seems to really like me, and I don't know how to process this. It's bothering both of us.
Output: You're in a lot of good company and it's great that you're in a positive relationship. Congratulations!I often hear people talk about loving yourself and self esteem. We often seem to blame ourselves for not ""loving ourselves"" enough or put ourselves down for having low self esteem. It seems to me that since we are essentially socially beings and in fact, need each other for our survival, we really know who we are through our many interactions with others and with our environment. In other words, you can't just snap your fingers and voila! now I love myself, where there was an empty space or self-doubt before. We grow that warm coal inside ourselves through the friction of contact with others who value and validate us.  Allow yourself to be patient with yourself as you experience this new relationship. You are learning a new model of who you are and how you fit into the world. What a marvelous gift for you! You may also have fears that the current joys may be temporary or unreliable. These fears of loss may get in your way, however understandable. If you are truly close to your companion, you can share with her that you are loving your relationship but sometimes fear it will go away and sometimes have trouble really trusting it. Such a conversation may bring you both closer. Hang in there. You're working on co-creating a new normal with a great woman."
"Instruct: I have been with my boyfriend for more than a year. He recently got a new job and travels a lot. I’m not used to him being gone all the time. I feel as though he has forgotten about me because he does not talk with me as much and doesn’t keep me up to date on everything that he does throughout the day, which he used to.
 I feel lost, sad and unwanted. This is really a tough new challenge. I just want to break up with him, but I love him so much. I don’t know why he is acting this way lately. I believe I have separation anxiety. Is there anything that I can do to help me cope with this while he is out of town?
Output: In a way, yes, you have separation anxiety. It's normal in a relationship for us to slow down a bit with the attachment behaviours that establish and deepen love and connection. So, just because your boyfriend isn't talking as much or keeping you up-to-date doesn't necessarily mean what you fear it means...that he's forgotten about you or loves you less. It could mean quite the opposite...that he's focused on being successful in his new job and impressing you. He may think he's loving you more, but you feel loved less. You have two jobs to do here. The first is to manage your anxiety by ""talking back"" to the thoughts it puts into your head. It sounds like ""It's normal to be insecure, but I have tons of evidence that he loves me and that I mean the world to him..."" Find that evidence that helps you refute what anxiety is trying to claim. The second part of your job is to let him know what you need. You need more affection and connection during this period when he's away (more texts, phone calls, information). It's okay to want that, and I am sure he will be relieved to know exactly what he can do to help you feel secure and calm when he's away."
"Instruct: A few nights ago I talked to this girl I know about my self esteem issues for the first time. We talked for hours and she told me time and again that I was a great guy. She told me I was attractive, and have a great personality, etc. I really started to feel better about myself by the time I woke up the next morning.
Now, though, I can't stop thinking about her, but I leave to go back to college in a few days and I go to school 4 hours away from her. So now I feel constantly depressed because even if I told her how I felt it wouldn't matter. I feel helpless and I don't know what to do.
Output: Hey!  It takes a lot of courage to share your feelings with someone!  And it sounds like you have been lucky to meet someone who makes you feel safe enough to explore some of your more painful feelings.  A big part of the process, however, of strengthening your self-concept is learning how to tell yourself those positive messages that you heard from your friend!  Leaving for college may also be contributing to your feelings of unsteadiness.  Try this - Make a list of all of the positive things that you know are true about yourself.  Ask your friends and family to contribute to the list.  Then carry it with you in your wallet - and when you need a self-esteem boost, take a look at it!  You are in a season of life that presents lots of challenges and opportunities.  Reach out to your long-distance friend when you need support - and take a walk over to the campus counseling center and check out what they might have to offer.  Be Wise!"
"Instruct: I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?
Output: The answer to the question of whether or not you're depressed, is less meaningful than what you are doing to feel strong and secure in your life.Otherwise, people shortcut themselves to go deeper in understanding who they are and what they'd like to do with their lives, and accept ""depression"" as though it is their new name.What you write sounds like classic depression.What to do about this feeling is to get closer to yourself in an accepting way.  Assume that what you do in daily living is somehow necessary.  Unless you are doing immoral or illegal actions to other people, to accept your own wishes as truth will open you to appreciate why you do what you do.Make believe you're interesting and find out more about who you are, if you have trouble to start with thinking of yourself as worth understanding.The more you appreciate who you are and your unique strengths, vulnerabilities and fears, the more these will dissolve by what seems on their own.In fact they will disappear bc you are believing in yourself and your ways.Good luck!"
"Instruct: I don't remember when the voices in my head started, but I remember Hearing them when I was little.    I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?
Output: This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well.However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you).If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help."
"Instruct: I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
 I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
 I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?
Output: Good for you on your keen awareness of your difficulties and your willingness to change!The type of change you'd like to achieve is possible, and since a change in self-confidence and self-love is deep rooted, this comes about gradually and slowly.Keep understanding yourself during your moments of doubt and anxiety.  Its fine to feel terrible and certainly better to know you feel insecure than to act upon the insecurity by being with men who take advantage of you.Everyone needs to feel loved and recognized.Until you attract a partner who will love and appreciate you, develop relationships with co-workers and classmates, neighbors, so that you have some quality of giving and being given by someone.It is a way to nurture yourself and another person until your strength and self-belief grow bigger."
"Instruct: I’ve been with my boyfriend for a year and a half. He loves me a lot, and I love him. It hurts to be apart from him for so long. It hurts all over, and then I feel like it won't last.
Output: I would suggest that you look up the word codependency and it's characteristics.  See if you relate to those characteristics.  I have a feeling  you have suffered some form of loss in your life that you have not dealt with properly.  For some reason you are depending on your boyfriend to fill that loss.  Considering working with a counseling to work through your emotions and resolve any lingering issues."
"Instruct: I feel really uncomfortable when I have people's attention. It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety?
Output: Since anxiety usually about anticipating a bad result, or fear of being judged negatively, as though having failed some sort of test, consider what would give you the feeling of anticipating a good result from talking to an audience?Maybe, for example, if you prepared and rehearsed your talk more than what you typically would, you'd feel more secure in speaking  in front of an audience.Once you sort through your particular reason as to the source of your discomfort, it may feel more manageable.Yes, social anxiety can change.  You may naturally prefer smaller groups than an audience.And, it is possible to decrease anxiety in what may always be somewhat uncomfortable for you."
"Instruct: 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?
Output: It sounds like a tricky situation. If you want to maintain your friendship and continue to have regular contact with him, getting over him may not be possible. What makes it even trickier is that his actions (hugs and touching) may be misleading and are allowing you to believe that a romantic relationship is possible. Some ways in which we naturally get over others are when we fall in love with someone else or when we suddenly see the person we like in a more negative or unattractive light. If you truly want to force yourself to get over him, cutting contact or setting strict boundaries may be necessary. If you don't see him, over time you can begin to forget about him. If you set boundaries by discontinuing to allow the hugs and touches, you will not feel mislead or have the idea in your mind that he is being flirtatious or interested. It would be difficult to continue the relationship as is and expect your feelings to change. Thus, being proactive by talking to him about boundaries or cutting contact with him are two things you can do that will likely help you to get over him. Good luck! "
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?
Output: Relationships can be extremely enjoyable and satisfying.  When relationships end, however, it can be devastating.  It is normal to go through a grieving process after a breakup.  Denial, bargaining, sadness, anger and eventually acceptance are all normal stages of grief.  You may experience these feelings all at once or one at a time.  Allow yourself time to grieve by expressing your emotions - talk to a friend or write in a journal.  Take care of yourself during this time by exercising, eating and sleeping well and spending time with friends.  After some time you should start feeling better.  If you feel like you're not feeling better and you don't know what to do, you can see a therapist to help you get through this difficult time."
"Instruct: It takes me a long time to fall asleep; I’d estimate about two hours. I often have nightmares, starting with being eaten by a monster, and I often wake up frightened and unable to breathe. I believe I started losing sleep after breaking up with a girlfriend of 8 years. Also, my father’s business went bankrupt and my mother has a chronic condition. I was under a lot of stress, and life lost meaning. After improving my life and developing a habit of running and exercise to release stress, my symptoms improved. However in the past couple months, I started losing sleep again and having nightmares without warning. How can I solve this issue?
Output: First of all, exercise is always beneficial for your physical and emotional health. That's great that you have added this in your routine. Have you also considered altering your diet? Certain foods are linked with poor sleep. For example, alcohol, caffeine, nicotine and high fat content foods do not bode well with quality sleep, especially right before bed time.  On the other hand, warm milk and foods high in carbohydrates have actually shown to positively impact sleep.Additionally, at bed time it's important to keep your room dim, cool and without distractions (i.e. TV, IPad, Phone). Stick to a sleep routine and avoid any activities close to bed time that demand a lot of attention and energy.As far as your nightmares, there could be many causes contributing to them. Certain foods (many of the ones mentioned) or medications could be the culprit. Doing a bit of research into the ones you are consuming may help you eliminate the offender. You may also benefit from talk therapy with a qualified therapist to discuss any underlying issues you are experiencing. Oftentimes, depression and anxiety can manifest themselves during sleep, causing nightmares. Finally, Yoga has shown to be very beneficial for quality sleep. There are many instructional videos available that can introduce you to the practice if you'd rather not join a class right away. Best of luck to you and I sincerely hope you are able to catch up on some well deserved Z's!"
"Instruct: I am a young adult, and I was sexually assaulted by an older man when I was a teenager (which has really intensified the guilt/shame). However, I've been attracted to much older men since I was even younger than that.
Output: Sometimes the reason for being attracted to older men is because of growing up with a father who was distant.If you grew up having enough interaction with your dad to know you'd have liked more and didn't receive this, then maybe your longings of childhood are still active within you.It is ok to like older men.Just be sure you're not idealizing them, or anyone else.Because regardless of age, a relationship is based on who the two people really are, not how we'd like imagining them."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Counseling ends when the client has received the maximum benefit from the therapist. Even if the therapist believes the client is not making progress, the client may feel they are improving and receiving a benefit. And the therapist may see a benefit and the client does not. It is best to have ongoing dialogue with the client to determine when termination is appropriate."
"Instruct: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time.
Output: Trust that you are a good mother and that you love your child.Trust and love are their own authority and come from a different inner place than the urge to be obeyed.Trust and love are effective guidance and usually feel happier and lighter too!"
"Instruct: On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs. I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest.    How do I fix this?
Output: Wear baggy clothes to disguise the problem and if you do this for a long enough time, then your friends may forget what size boobs you have.Can you tell your parents what you wrote here?  If yes, then maybe they will be empathetic and this always helps.They may also agree to not make any comments about your boobs when you wear the bigger bra around your friends when they visit you at home.Also, its possible your friends already have questioned why you wore a bigger bra than your boobs.  Maybe they saw what was going on the whole time during the school year and felt too awkward to tell you."
"Instruct: I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.
Output: Since it is clear that people react differently to the same stressors, we know that the stressors are not causing the anxiety, our thoughts about the stressors are. Often, cognitive distortions are the problem. Some common cognitive distortions include catastrophizing (predicting the worst), future telling, black and white thinking (if it's not perfect, it's terrible), mind-reading (I just know he is angry at me) and can't-standitis (I can't stand this situation). There are more, but the list is long, and if some of these are resonating with you, I would advise looking up CBT (cognitive behavioral therapy) tips, worksheets, booklets etc. on line, or contact a local CBT therapist. Another helpful piece of info on anxiety, is that it is prone to something called ""symptom stress"" - being anxious about anxiety. If we could hear this symptom stress it might sound like, ""Oh no I'm getting nervous about this, I'm getting uptight, I look nervous, what if I have a panic attack!"" followed by  more cognitive distortions such as ""I can't stand being anxious!"" and ""this is horrible!"" The antidote to this is acceptance.  Kind of like not stopping the waves but learning to surf instead (Jon Kabat-Zinn). If you happen to feel anxious, say to yourself - this is just a reaction I'm having that is unpleasant, but not horrible. I can tolerate and survive some anxiety, I can breathe deeply, and I'll be OK because panic attacks never killed anyone. I can stand this and it is temporary. You get the idea.We can increase our awareness of anxiety-provoking self-talk, and counteract it with calming and reassuring self-talk. We have the ability to think about our thinking, decide which thoughts are healthy and which are unhealthy, and choose which to focus on. We brainwash ourselves with our thinking, and according to self-perception theory, "" we learn what we believe when we hear ourselves speak,"" so we may as well be a calming, reassuring presence in our own minds. :)"
"Instruct: My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him.  I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.

How can I feel more comfortable around other people?
Output: Probably a good portion of living like a recluse was necessary so you had time to rest and recuperate from so much major adjustment in your life.Have you told some of the people in your life about the many changes you've been through?   It is possible people sense something different about you and aren't sure whether to ask or not ask questions.Also, understand what type of qualities you'd like to offer and receive in a friendship.   Given that raising a kid who has autism takes a lot of energy and time, the way you socialize will change.Start with one person whom you're pretty sure would welcome you and whom you would gain by bringing them into your life.As a result of how this interaction goes, how you decide to spend your time together, what you'll discuss, you will know more about yourself and what you require to feel good around other people.Then, you can consider if you're ready to add others into your world."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: You'll know you have the right therapist when after the first few sessions you feel comfortable enough to tell them things you wouldn't tell anyone else. It's important in therapy for that rapport to be built from the beginning and that you as the client feel comfortable enough to share what you need to share. You shouldn't feel judgement from your therapist and you should be able to trust the advice your therapist provides. Therapy isn't about advice, don't get me wrong, but to truly implement the changes that need to be implemented to improve your life you need to trust the person giving the advice. Your therapist should have your best interest at heart and truly listen to what you have to say. The therapist should be willing to meet you where you are in your world and attempt to see the world from your perspective to truly understand what you have been through. You need to feel comfortable in therapy to be yourself and say what's on your mind. Therapy shouldn't be something that should be dreaded but it can get uncomfortable depending on the depth of the things being discussed."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: Hello and thanks for your question! It's important to have the right therapist. I encourage you to start by checking out the website of the therapist. Their blog articles will reflect the kind of work they do and the approach they may take while working with you. If there's an email listed, go ahead and reach out. Ask the particular questions that are on your mind. Share a little of what you are looking for in a therapist. Are you a goal-direct, solution-focused individual who is looking for someone to listen and ask questions? Are you less self-directive and desire a therapist who can give you the consistent push to move forward? Are you interested in intertwining certain theory approaches? Maybe a cognitive-base or experiential? Art therapy or engaging in exercise while talking? Your therapist is out there. It's OK to try out a therapist for a session or two. Interview them as they interview you. It's also OK to change therapists; ask your present therapist for a referral. He or she should be willing to provide you with names of other providers and there's no shame in asking for it. You deserve to work with someone who fits your style!I imagine there's already enough things happening in your life if you are searching for a therapist. Do you really want to ""train"" your therapist? After all, you are paying them for their knowledge and expertise. It does take time to develop a relationship and developing one with your therapist is vital to your growth and satisfaction. Participating in therapy, for the most part, should be a time you anticipate and not avoid. Can you be honest with them? Are you trusting of the confidentiality they provide? Has this person clearly shared with you the limits of confidentiality if using insurance versus paying privately? Is there any part of you that ""just isn't sure""? It's okay to assert yourself in therapy. As a therapist, I invite you to assert yourself as it's a way to develop self-confidence and resiliency. Not everyone thrives in therapy by sitting in an office or lounging on a couch. Some folks benefit by challenging themselves in various environments, or are more comfortable in their homes, online, in the community, at a retreat, etc. Give yourself a gift of spending some time finding the person that can work with you towards what you are searching. Although there's the convenience of the local non-profit agency in your area, it may not be what you need. Also, limiting yourself to the names of providers listed on your insurance may not lead to the ""right one"". There are many forms of therapy that insurances refuse to cover. When this happens, many times you can be reimbursed for your expenses by your insurance or you can use a Health Savings Card or Flexible Spending Card, there are many, many options. Therapy is about exploring yourself. Go ahead and feel free!If you feel as if you need to ""train"" your therapist, it seems that person is not the right fit for you. Engaging in treatment should be quite comfortable from the outset of treatment. Many independent practitioners or small group providers offer a free consultation to start the relationship. Perhaps that's a place for you to begin? Good luck and I wish you well!"
"Instruct: I feel like I'm ugly, stupid, useless, and that I can't make anyone happy.
Output: Check out my blog post on:  Four-ways-add-self-esteem-friends-list/I hope this offers you some nuggets of helpfulness!  "
"Instruct: I'm depressed often, and my mind goes a million miles a minute. Every once in a while, things are okay for a few days. After a bit, I start noticing that I am picking at my skin profusely. After roughly a week, the anxiety is back and still picking. Sometimes I find myself causing fights to have change.
Output: Hello, and thank you for your question. I am very sorry that you are struggling. I have a few thoughts and perhaps some of my colleagues will add something else. Depression and anxiety can both be chronic conditions, as you have experienced. This means that they may always require treatment in order to have some kind of relief from them. Treatment could mean medication or some kind of counseling. Some people may take medication for the rest of their lives. Some people may go to counseling at times when the depression and anxiety worsens. As you mentioned, sometimes the symptoms improve for a little while, but they can also come back. When they do, it is important to talk to your medical provider if you are getting medication, and/or to go back to your counselor and talk to them about the symptoms that have returned. Skin picking and some other behaviors are not uncommon for people who are experiencing something like anxiety. Many people report that they do this when they feel anxious, and some say it calms them down. It is not really a surprise that you are constantly trying to change things and even starting fights to do so. These are ways to try to avoid, escape and distract yourself from the feelings of anxiety and depression. That is a very normal thing to do. Nobody likes these feelings, and so distraction is something we naturally try in order to get rid of them. The problem is that things like distraction and escape do not work as a long-term solution. In fact, they usually make things worse for many different reasons. Depression and anxiety can  be treated, but it is likely something you will need some help with. I would recommend finding a counselor who has experience with anxiety and depression. Medication can be helpful, but I still recommend counseling. The reason for this is that the medication can help with symptoms, while the counseling can address the symptoms and provide you with very helpful skills. Be well,Robin J. Landwehr, DBH, LPCC, NCC "
"Instruct: Sometimes 3 times a night.
Output: As a depth therapist (aka ""psychodynamic practitioner""), I do a lot of dream work with clients; and they gain great insights from our explorations.We remember dreams, I believe, because dreams are messages (always in code) from the unconscious, communicating the crux of unresolved conflict between who we are and who we think we are supposed to be. You might be remembering so many dreams because your conscious mind is ready to hear these messages...and make some internal changes in response.Write them down! You'll be glad you did. A broad cross-section of these these messages will help your therapist help you interpret the meanings of these communications from you to you, and possibly chart your best path forward toward to resolve the cause of psychological symptoms you might be experiencing."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Therapy is by nature a safe place to discuss difficult, or painful memories or experiences and thereby it is normal that feelings of all kinds, including sadness, loss, frustration, disappointment, etc may arise.  This is part of processing and bringing closure to things that may have been pushed aside for a lifetime and can now be faced and dealt with.  Change too is often not easy, and can lead to crying, whether from frustration and set back...or also from joy and accomplishment!"
"Instruct: I have friends, family, I live in a good home, I go to a nice high school, and I get pretty good grades, but I don’t know why I'm so unhappy. These friends are my best friends and they’re all amazing people, and yet I'm sad all the time and feel alone.
Output: I wonder if you have moments where you feel happy?You say you have amazing friends. I wonder if you get along with them and feel as though you can be yourself around them.Sometimes we put a lot of pressure on ourselves to do really well at everything all the time and this can be overwhelming sometimes. Where do you have support? I hope you can tell someone that you are feeling sad so that you can talk about your feelings.Sleeping can make a big difference as far as feeling sad as well. If you're not sleeping well at night, that could be a big part of feeling sad a lot.Perhaps you could try to find a person or two who makes you feel totally safe and comfortable and try to talk with them."
"Instruct: Does counseling really do anything that can help people?
Output: Counselling offers a number of ways to help one to improve their situation.  For some, this process can take a very long, winding path of self-discovery, while, for others, they are seeking a purposeful, solution-based way to approach and manage a specific problem. It's important to remember that there are different styles of therapy, some of which will work great with some, but poorly with others, specifically to help those to decide how they wish to move forward. I often recommend speaking with a number of therapists before beginning treatment to find out more about how they practice, in order to make sure their style aligns with your goals. On a more specific note, there is myriad research out in the world that indicates both counselling and medication can have an affect on changing our moods and behaviours.  However, medication is not an effective way of treating the problem, as it treats the symptoms of that problem (increased anxiety, lowered mood, etc.) and research has shown that the most effective route for better mental health care comes from a combination of counselling and medication."
"Instruct: I am on the track and softball team. My school is small, so I play all four sports it offers. I feel obligated to do track because I'm not a horrible runner, and my dad wants me to. The catch is is that the days before a track meet and the morning of, I get sick and cry.
Output: Does anyone notice that you get sick and cry on track meet days?Have you told anyone?From what you write, as much as you would like to please your school and dad, something within you doesn't quite want to fully follow through.Step one in life always is to know what you want and what your limits are.   It already is difficult to avoid listening to your body.Try understanding what is difficult in telling your father that you'd like doing as he wishes, only are not able to do so because you are emotionally and physically distraught on the days you have track.After finishing the season for this year with your school's track team, then expect to concentrate on taking care of your own need to not do track.Hopefully your father will understand and care about your problem.   If he does not and track is more important than your well being, then you have a different problem entirely."
"Instruct: 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?
Output: Hi, people who have only a few issues and people who have several issues are perfect for therapy. There is no such thing as having too many problems for therapy. Therapy is great because it will help you process all that you are going through, heal from past and present pain, and gain clarity."
"Instruct: 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?
Output: It is absolutely a typical response.  Many of my clients are nervous the first couple of times we meet.  This is essentially a stranger with whom you are sharing your feelings.  "
"Instruct: I decided to stay and work it out. I just don’t want to sit on the couch. Other than that, I have been getting over the situation. I don't feel it is fair that she expects me to sit on that couch and won’t leave me alone about it. I can move on and continue to love, laugh, and play with my wife. I just don't want to sit on that couch.
Output: Houston, It's normal for this kind of thing to be a trigger, so I get why you don't want to sit on it, but to keep refusing keeps the affair alive. Am I to assume that you can't afford a new one? Ideally, she buys you a new couch, but it certainly would be a gesture of love for you to do it too and it will help you both move forward. t will be interesting to see if there's anything else that keeps the problem alive after the couch is long gone. "
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Goodbyes can be hard.
Chances are most of the goodbyes you have experienced in your life have been
difficult. Saying goodbye to a therapist can be different. It can be an
opportunity to create a healthy ending in a positive relationship in your life.
If you work with a therapist who is skilled, then saying goodbye can be just as
transformative as the therapy itself. Ending therapy is also known
as “termination.” I know, “termination” doesn’t have a great ring to it!
However, it is what it is. It is an ending of the relationship as it existed.
It is reality cold and stark. Of course, when I talk to clients I don’t use the
word “termination,” I usually say “our goodbye.”  Under what circumstances does therapy usually
end? Therapy should end when a client does not need further assistance, is not
receiving any benefit from therapy, or might be harmed by continuing to work
with a particular therapist.In the best case scenario
the decision to move on from therapy and “say our goodbyes” happens when both
the therapist and the client feel like the client is ready to move on and move
up!  Ending the therapeutic relationship
should actually be worked on from the very first session. What I mean by that
is, there should be an understanding that the work we do together will have an
ending and that is a good thing because it means the client has gained the
skills to continue working on themselves independently. So the first session I
have with clients usually outlines a plan where the end goal is discussed and
we both have an understanding of the skills the client wants to learn or what
they hope to achieve. Now sometimes there are
situations where the therapist ends the relationship and the client may take
that personally, it is hard when any relationship ends and it might bring up
feelings of sadness, and fear or abandonment. Any good therapist will end the
relationship based on what is right for the client. What are some situations
where a therapist might end the relationship?If the situation the client
is dealing with is out of the therapist's scope of practice, the therapist may
end the relationship and refer the client to someone else. This is in the
client’s best interest. Another reason a therapist might end the relationship
is that the therapist is in a place in her life which prevents her from being
objective and helpful.  A therapist who
is going through a painful divorce may have difficulty working with a couple
that considering divorce. A good therapist may see that their judgement may be
clouded and want to refer the client to see someone else. This is good practice
and helps the client.If a client is actively
suicidal or actively using substances then the therapist may end the
relationship and refer out for a higher level of care. The client may need to
be hospitalized or may need an inpatient substance abuse treatment program.
Therapy may be terminated while they are being treated and may continue after
the intensive program is completed. 
Ending therapy should be a
time for connection and bringing together accomplishments, or reviewing the
next important step the client needs to take. It should not be an experience of
abandonment. A skilled therapist will help a client gain a new perspective on
closure. For some clients, it may be the one time in their lives when they get
a clean ending in a healthy relationship and they get to feel a sense of
control on creating that ending. Good luck to you!"
"Instruct: My husband’s ex-wife married a man who was charged with seven felony counts of pandering involving a minor. He, by his own admission, is addicted to child pornography. My step-daughters are now all teenagers. They do not know. My husband’s ex-wife has kept this information from my step-daughters. The step-father has had issues regarding his pornography addiction recently. The ex-wife minimizes it by saying that he has ""repented."" It is a constant strain on my husband, knowing that his girls are living with a man who is addicted to child pornography. My own therapist believes the girls should be told. The ex-wife says her therapist says the opposite.
Output: Lorain, you're correct that your husband's ex-wife is (seriously) minimizing this problem. I have a very strong opinion here. In my book, the safety of children trumps potentially insulting or hurting the feelings of adults. Of course the girls should be told, because they have the right to know. Their voice is not the only one I'm concerned about here though. I believe your husband has the right to insist that his daughters be in a safe home, and there is clear evidence this man is not safe. This woman is putting her own comfort (she simply doesn't want to deal with her partner's situation, her own fears, or anyone else's needs) above the safety of two vulnerable girls. Honestly, if it was me, my kids wouldn't be even visiting that home with that man present, ""repented"" or not. It's not worth the risk. If she decides to stay with him, the natural consequence of having a known perpetrator in your home is not having access to vulnerable children in that same home."
"Instruct: It's really hard to not have negative feelings about friends who don't put any effort into nourishing our relationship.
Output: Interpersonal relationship (either positive or negatives) need to or more persons who give and receive: attention, dedication, time and communication. But what makes friendships special is that they last trough time, at least with those who we call our true friends, those who know us well and whom we have a special connection and those from whom we disconnect at times, without fear of losing them.Consider what is that you are going trough yourself and with your relationship, talk to your friend about your concern; let him (her) know that you would like to spend more time together.  Plan an activity that you both enjoy or try to discover a new hobby. If your friend is not enthusiastic or engaged, give him (her) some time and focus your energy spending time with other friends or enjoying activities in solitude. After a waiting period, call again to let your friend know how you are and that you are still a friend.   If you continue feeling rejected, analyze why you value this relationship so much and consider if it’s worth to maintain it.Mis amigos no ponen esfuerzo en nuestra relación.Es muy difícil no tenerles sentimientos negativos a amigos que no se esfuerzan en cuidar nuestra relación.Las relaciones interpersonales (negativas positivas) necesitan dos o más personas que den y reciban: atención, dedicación, tiempo y comunicación.  Pero lo que tienen de especial las relaciones de amistad es que perduran a través del tiempo, al menos con los que llamamos nuestros verdaderos amigos, los que nos conocen bien y con quien tenemos una conexión especial, y de quienes nos desconectamos en ocasiones, sin miedo a perderlos. Considera que está sucediendo contigo y en tu amistad, conversa con tu amigo(a) sobre tu preocupación, déjale saber que te gustaría pasar más tiempo juntos.  Planifica alguna actividad que les interese a ambos o descubran algún nuevo interés.  Si la respuesta de tu amigo(a) no es positiva o entusiasta, dale tiempo y acércate a otras personas que compartan intereses en común, o dedícate a hacer cosas que disfrutas en solitud.  Después de un plazo,  vuelve a comunicarte para saber como esta, y dejarle su amigo(a) de siempre está ahí. Si sientes que tu amigo(a) no tiene ningún interés, buscar hacer nuevas conexiones, y enfócate más en ti y en otras actividades.  Si tu amigo(a) no responde, analiza porque valoras esta relación, y si conviene mantenerla, aun cuando tu amigo(a) no responde a tus esfuerzos."
"Instruct: I have suffered many things at home and school. We never went to the doctor to diagnose depression or anything like that, but I always feel like a part of my heart is missing. I try to fill it in with objects or, in this case, a woman.
Output: There are a lot of ways to look at this. It sounds as if there is a part of you that is looking for support. I wonder what it is that you feel when you're not in a relationship?Because of the way you asked the question, I'm getting the impression that you are referring to romantic relationships. I wonder if you have close friendships that could form a network to help with this when you are not romantically involved with someone. Even when you are in a relationship with a romantic partner, having friends is still an important element.I wonder if you could also notice what changes for you inside of yourself (as far as emotions) when you move from not being in a relationship to being in one.Perhaps you could take a look at what you value about yourself.In general, it is natural for people to want to be in relationships with others (in this case, relationship has many meanings and degrees). Most of us enjoy sharing elements of our days, thoughts, feelings, etc. with someone else who we trust and care about – also hoping they care about us in return."
"Instruct: I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before.    I feel like I don't want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered ""wrong"" by a lot of people.
   How can I get myself to just move on?
Output: Love is a deep and nuanced feeling so start to accept that a simple cutting of emotional connection isn't possible.Honor the love you felt for this person.  Acknowledgement of your love feelings will most likely help you find a dignified way to accept them while at the same time slowly developing new ways to live your life in a way which does not include the actual person.Your feelings will always belong to you.  The newly discovered sense of how love feels will be with you and positively influence all your relationships.  There is a benefit to feeling loved even if it is not forever in this lifetime.Also, your partner opened your feelings, the feelings which showed in fact already were within you.  He opened the door and this door belongs to you.I hope you will find ways to appreciate having been loved and to be open that your feelings of being loved are a positive influence in all your relationships."
"Instruct: I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?
Output: Hard to say a whole lot without knowing more. However, if you focus your attention on her, what she's saying, what she's feeling instead of trying to make yourself heard and understood first, that's often a good step. Also, work on building win-win agreements with her, and follow through on them. Those are the areas I see men fall short on most often. Hope that helps!"
"Instruct: I am a single mother. As a child, I was molested by my mother's boyfriend. I never knew my father. I started having children at 18 right after high school. After having children, I completely lost myself and gave all of my focus on my children. Now my children are getting older, but I still don't know myself. I've had several attempts at relationships, and they all fail. I stopped caring about a lot after my children's father left me. I fell into a spiral and got depressed.
Output: What your are experience is normal for most women.  We usually forget about self and totally focus on our children putting our personal wants and needs aside.  So to answer your question of how do you get to know yourself I usually do a 6 session course with my client by having them answer questions such as the following in the first session:  What do I love? (other than your children)  What are my own needs and desires?  What 3 things have I accomplished in my life that I'm most proud of?  What are 5 strengths or qualities I have?  What is one event that had a major impact on my life?  How have that event affected my life today?   For their homework assignment after the 1st session, they are asked to write a letter to self tell self what they love, cherish, appreciate and even admire about themselves.  Most women feel awkward at first, but I remind them that the truth is that only to the extent that you are able to love and value yourself, you are to love and support others.  "
"Instruct: My wife works late most days, so I'm lonely. I love my wife with all my heart, however I don't feel the intimacy we used to have. We don't have sex anymore, which bothers me tremendously. I have become close friends with a coworker, which I know is not helping. Nothing will happen with that, but there’s the thought.
Output: First things first!  Friendships that develop in times of struggle may be a great emotional support, but also become confusing there's sexual attraction. And entertaining a tough is only going to make it a stronger target.  Careful with that friendship! You do not want to fill your marriage's void with another person.  Even when you are in a friend zone and not having intimacy with this person, you may be developing a special bond, sharing interest and activities that may lead to a deeper connection.  Ask yourself how you would feel if your spouse was having a friendship like that.Then try to refocus on your marriage. I suggest being transparent and talking to your wife about your feelings and concerns.  Ask her what you could do to reconnect, make some suggestions and dedicate time to practice them.  Make time in both of your schedules, make an effort to have lunch together, or to text during the day.  Remember that a marriage is like a very good friendship with benefits, but sometimes the responsibility kills the fun.¿Cómo puedo volver a enamorarme de mi esposa?Mi esposa trabaja tarde casi todos los días, la amo con todo mi corazón, pero no siento la intimidad como antes.  Ya no tenemos sexo, lo cual me molesta tremendamente.  Me he acercado a una amistad del trabajo, lo cual no ayuda.  Nada pasara, pero hay pensamientos al respecto.Primero lo primero! Las amistades que se desarrollan en momentos de crisis pueden ser un gran apoyo emocional, pero también pueden convertirse en algo nebuloso cuando hay atracción sexual. Entretener pensamientos al respecto solo lo va a hacer un reto más grande.  ¡Ten cuidado con esa amistad! No quieres llenar el vacío que deja tu matrimonio con esta nueva persona.  Aunque no estés teniendo intimidad con esa persona, puedes estar creando una conexión especial, compartiendo intereses en común y actividades que los unen más aun. Pregúntate como te sentirías si tu esposa tuviera una amistad así.Intenta reenfocarte en tu matrimonio.  Sugiero que seas transparente con tu esposa y le dejes saber tu preocupación y como te sientes con el distanciamiento.  Pregúntale que le gustaría hacer para reconectarse, sugiérele algunas ideas y dediquen tiempo a las mismas.  Hagan tiempo en sus agendas para ustedes, hagan un esfuerzo para almorzar juntos, y comunicarse durante el día, aunque sea con textos.  Recuerda que el matrimonio es como una muy buena amistad con beneficios y muchas veces las responsabilidades matan la diversión."
"Instruct: It's the way my mom said I was worth nothing, stupid, no point of being in school. I'm ""lazy little fat.""
Output: There is nothing wrong with going to summer school."
"Instruct: On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs.  I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest. 

How do I fix this?
Output: Sometimes we let our insecurities get the best of us, causing us to make some interesting choices. Honesty is always the best policy, but honesty comes with risk.  Perhaps you may want to start with your family first, explaining to them what you have done and why.  Perhaps they can help you to practice talking about your insecurities with your friends. Another way is to start, slowly, to dress more and more like yourself and your true body shape. Some of your ""friends"" may make fun of you, true, but then you must ask yourself...why do you want to be friends with people like that? "
"Instruct: My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt ""ehh"" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way.
Output: That sounds really challenging for both of you. Differences in sexual desire between partners is common and can create real friction and conflict. I would encourage you to do some couples counselling or sex therapy as often these issues can be worked through and low sexual desire can result from relational fears and misunderstandings or sex that isn't as arousing as is possible. There are some good videos on this resource page about sexuality and intimacy and a video that specifically addresses desire differences in relationships. "
"Instruct: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?
Output: From whom do you get anti-depressants?This person should be talking with you to know whether the pills are helping or not.Trust your own instinct that the pills aren't helping you.Pills work differently for everyone and not all people feel better from them.It is also possible the particular pills have lost their effectiveness because after around six to eight months, this usually happens.Try to understand what is depressing you.  This is slow work since you may have many theories.Just by addressing your own emotional needs and life structure in a caring and respectful way, may improve your mood so that you'll feel less depressed."
"Instruct: I would like to be able to have more positive relationships in the present.
Output: Staying present is an attitude most of us aspire
to, and most of us have to work at it—certainly at first. I’m here to tell you
that living in the now or being mindful is a skill anyone can learn. Unfortunately,
the only way to do it is to do it. What a paradox! But there are plenty of
other skills that we are not born with: walking on stilts, riding a bike,
swimming, and driving a car are good examples. You can’t learn them by reading about
them.Having said that, I can recommend two books on
the subject: Eckhart Tolle’s The Power of
Now and David Richo’s When the Past
is Present. Richo asks that we don’t beat ourselves up about dwelling on
past events. This is nature’s way of reminding us that we have unfinished
business. But while we are attended to the wounds and confusion that litter our earlier lives, we can prepare to inhabit the expanded present that awaits us.He offers three helpful steps to making any important life
change:Step One: Hold in awareness the behavior,
belief, attitude, or characteristic you want to change in yourself and how you
want to be different. Awareness is the opposite of distraction and stuffing.Step Two: Live as if you have
already made the change. (This is hard and takes courage, but you can do it.
Ride that bike—even if for a foot or two.)Step Three: Be persistent.
(Practice, practice, practice.)Just as two-year-olds are able to walk
confidently after hundreds of hours of practice, you’ll be able to stay in the
here and now as long as you want after trying and failing many, many times."
"Instruct: 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?
Output: Therapy can feel very weird to begin with - think about it, how often do we go and tell a relative stranger our deepest, darkest thoughts in the rest of our life? So I think its reasonable to expect a certain level of nerves as you get used to your therapist and to the whole process of talking about yourself and vulnerable topics. That said, its definitely worth bringing to the attention of your therapist (if you haven't already) to see if there is anything that they can do, or that the two of you can explore together, that might make the process feel less intimidating to you."
"Instruct: My ex-boyfriend and I met over a year ago. We hit it off and fell in love pretty quick. However, he has trust issues and assumed I was cheating. When I found out I was pregnant, we had just broken up. Five months later, I lost the baby, and we did not speak for a few weeks. Now we are talking, and he says he loves me but is afraid I will hurt him ""again."" I just want to know where to go with this because I love him so much, and I want to get back to us being happy and a family.
Output: Trust is essential in romantic relationships and it is common to have trust issues - because the stakes are so high. If both of you are committed and willing to be fully honest with each other, trust can be repaired and become stronger than ever. I would encourage you to seek out professional help as it easy to get derailed by fear when trying to work things out in the absence of trust. When fear takes over - we tend to become defensive and act in ways that makes it harder to trust one another. In addition to getting professional support I would encourage you to learn more about building trust in relationships and deepening connection through accessing various online resources on relationships."
"Instruct: I easily recognize this but have no control over it and need suggestions for managing my anger.
Output: I suggest that you work on emotional awareness. Emotional awareness basically means knowing what you are feeling and why.Emotional awareness also means that you can identify the link between the way you are feeling and your actions. In other words knowing that your feelings dictate what you do.Often feelings of hurt or insecurity can come out as anger if we cannot properly identify and express the feelings.Being emotionally aware also means that you are able to express your feelings to others. Being unable to do so leads to feelings of frustration and being misunderstood.Many people for many different reasons are not in touch with their emotions. For example, men traditionally have been brought up taught to not express sadness or weakness. Therefore, many men learned to turn feelings of sadness, insecurities, or fears into anger and express these feelings as anger. Being taught not to feel a certain emotion does not make that emotion disappear. Instead it makes us learn how to express it in other, incorrect, ways. If a man never learns to say “I am sad” or “that really hurt my feelings” and instead lashes out in anger, then the response they get from those around them will be to the anger and not a response to the underlying true feeling, which will leave the man feeling alone and misunderstood.You can control yourself and not explode. Walk away, remove yourself from the situation, do whatever you have to do to not lash out. Instead of reacting the way you normally would, go somewhere by yourself and think about what just happened and try to understand why such a “simple” thing upset you. What is the real feeling driving these outbursts? Maybe you can begin to recognize an underlying pattern. It might help to keep an anger journal. Write down everything that gets you upset. That might help you see a pattern and pinpoint what may be setting you off. Talking with a therapist about this would be beneficial in helping pinpoint the underlying cause of the outbursts you are experience."
"Instruct: I don't know what to say. I have never really known who I am.
Output: I'm having the same issue... I think you need to consider your morals and what you really want out of life. If there's something you want to achieve, that's who you are. And you need to put yourself into that and immerse yourself in the purpose of whatever you want. It doesn't matter how small it may seem. If there's nothing you want badly then think about other things. What others want or what you need or what others need. Find something that feels important and commit to it."
"Instruct: 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?
Output: Here is the truth: You will never get her to understand! because that would mean changing her and we can't change other people we can only change ourselves. I would recommend to take the time to self reflect on what exactly it is that you are doing that is contributing to the mixup. You both have very valid feelings and those won't magically go away until you address the root problem (which could be many factors). I am curious to know more about past relationships the both of you have had and how that plays a role in your current relationship. Many times we don't realize how past relationships truly impact our current behaviors. "
"Instruct: I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.    Currently I'm going through anxiety and my thearapist is not available. How do I handle this?
Output: OK first things first. We have to think of your safety and take care of those thoughts of hurting yourself.Yes, this is a major problem for you and can cause anxiety and depression. You have the right to be sick and tired. Kids often are pawns in this marital problems that their parents have. I'm sorry that this is happening to you.I am not sure of your rights in the state you live in but as far as I know you as a 17 year old you have the right to stay where you want. So your'e going through an anxiety episode and your therapist is not available.  If I'm the therapist we would have already set up a plan so that if you are in this situation you would know what to do. In the worst case scenario you would be able to contact me.But I would have given you several exercises to help reduce your anxiety.Staying with your mom should be your choice. I know you probably don't want to hurt anyone's feelings but there are ways to ease the tension. Maybe with your permission and their agreement, we all could meet together for a session or two to ease your tensions and get over and through this hassle."
"Instruct: I haven't been feeling like myself lately. I've been upset for no reason and feeling anxious. I'm feeling burnt out. What can help me feel better?
Output: Does it help to put a name to the experience you are having? Where you first said, ""I've been upset for no reason and feeling anxious,"" you then say that you are ""feeling burnt out,"" which gives a little more context to what may have once felt like ""no reason."" Perhaps you are feeling burnt out! That is a big deal, and please try not to take it lightly! When we get burnt out, I have found that it's from one of two things: either we are not doing what we want, or we are doing too much (either of something we want or something we don't, doesn't really matter once we get into doing too much.)If either of those rings true for your experience, try as much as possible to sit with the experience and get a better sense of where the burn out is coming from. I wrote about burnout for a newsletter and it is on my website. I don't want to do shameless promotion, but I thought it could also add to helping you: https://davidkleintherapy.com/my-experiences-with-burnout/I hope that you can also see that it's not an abnormal experience."
"Instruct: I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?
Output: What stops you now from telling your parents the way you are feeling?Do you imagine asking them for therapy would be a surprise for them?If they're paying attention to you at all, then I imagine they'd feel relief to know you're aware of having some feelings within yourself of a problem.If you believe they'd have a negative reaction to you asking for help, this may very well be part of why you are having problems in the first place.What reaction did your parents have when you were diagnosed with the other conditions?I'd separate their willingness to help you from your sense of needing help.If they do not want to help with finding a therapist for you, then start by looking for services available for people in your age group whose parents also do not wish to be involved in their child's emotional and psychological health."
"Instruct: 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?
Output: Therapy can feel very weird to begin with - think about it, how often do we go and tell a relative stranger our deepest, darkest thoughts in the rest of our life? So I think its reasonable to expect a certain level of nerves as you get used to your therapist and to the whole process of talking about yourself and vulnerable topics. That said, its definitely worth bringing to the attention of your therapist (if you haven't already) to see if there is anything that they can do, or that the two of you can explore together, that might make the process feel less intimidating to you."
"Instruct: 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?
Output: It is absolutely normal to be nervous about therapy.  Many people take years to make the decision to start counseling and although it is a safe place to explore feelings, it may be the first time you are facing certain issues.  It takes courage to face issues head on.  Being nervous is part of the process.  The fact that you are continuing to go to therapy sessions despite feeling nervous demonstrates your strength.  Keep it up!"
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: It is generally very normal to cry in therapy, and for many reasons. Therapy should be a safe space to explore emotions as they come up and how you cope with these emotions. I would encourage you to talk with your therapist about crying and to explore your experience of emotions/feelings. Sometimes people will apologize for crying. However, emotions and expression of emotions is part of being human. There is no ""right"" or ""wrong"" emotion to have. How we express and cope with emotions is more of something to explore in therapy if it is hindering your life. Either extreme of keeping emotions in and avoiding or feeling like your emotions run your life/struggle to regulate your emotions is something to explore in therapy, as this is often the most distressing and troublesome for people. Hopefully this provides some insight."
"Instruct: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven.  When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety.  Am I crazy? I don't think these thoughts are normal.
Output: Good questions! The paradox of thinking about forever is that you can become more motivated to live only in the present. Thinking about forever can certainly be overwhelming, it's a lot to think about, What can you do about your future? Be present - learn and relax, knowing that you are doing everything you can right here, right now. There is a book by Eckhart Tolle - The Power of Now - that you might be interested in. Enjoy your journey!"
"Instruct: I keep having these random thoughts that I don't want.  Things like ""you aren't worth anything.""  I know they're my own thoughts but it feels like someone else is saying it.

What is wrong with me, and how can I stop having these thoughts?
Output: Those  critical thoughts most likely came into your mind as the way you understood what one of your parents or some other adult who was very meaningful to you, at a very young age.When we are too young to distinguish whether what a grown person tells us, feels accurate, we absorb their opinions as our own.Your question shows you've reached the point of emotional maturity to know that your opinion about yourself is not the same as what is inside your emotional brain and stored there since you were too young to know that someone else's opinions are not necessarily your opinions.Nothing is wrong with you, everything is right with you to wonder how to more firmly establish your own point of view.Start the habit to revise any viewpoints about yourself which don't feel true.Then replace these thoughts with better ones which you decide on your own.After a while of doing this you'll either automatically think the more positive thoughts about yourself or at least be in the habit to know that negative viewpoints about you are not necessarily true."
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: I'm sorry for the hurt you're feeling from your husband's decision.Keep in mind that if one partner does not want to be in a relationship and remains in it, then both people will be unhappy, dissatisfied and feel stressed.Imagine being in a relationship that you'd rather leave.All the negative feelings and resentment of being with someone whom you'd rather be without, would not leave very much energy to satisfy your partner.I'm glad you realize that you feel depressed.Depression is a mood that can change once you understand what is causing it.Depression is an area that very often therapists help their patients understand, and emotionally support and encourage them during the course this takes.For now, concentrate on decreasing the tension in your life.  Your husband's indecision may very well be adding to your stress.Only he can make up his own mind.As hard as this may be, all you really can do is take care of how you feel so that you will feel better.From what you write, your husband is too unsure to offer you the love and care you'd like from him.Learning to love oneself is always worthwhile.   At this stage in your marriage, now sounds like an ideal opportunity for you to teach yourself self-love."
"Instruct: I have not been able to really sleep. I stay up all times of the night not even knowing why. Every day, I feel like I have anger inside of me. I have a little family, but I can't open up to them like I want to. I have a son, and I feel that I take my anger out on him by screaming at him.
Output: Best question is....what are you so angry about?  You can't stop being so angry until you figure out what is the root of your anger.  If you feel like you have anger inside, while I am sure you do.  Taking it out on your son is only passing on the hurt and anger.  This will be inside him too.  Get some professional help so that you can be happy and have a happy child."
"Instruct: My husband’s ex-wife married a man who was charged with seven felony counts of pandering involving a minor. He, by his own admission, is addicted to child pornography. My step-daughters are now all teenagers. They do not know. My husband’s ex-wife has kept this information from my step-daughters. The step-father has had issues regarding his pornography addiction recently. The ex-wife minimizes it by saying that he has ""repented."" It is a constant strain on my husband, knowing that his girls are living with a man who is addicted to child pornography. My own therapist believes the girls should be told. The ex-wife says her therapist says the opposite.
Output: The information from the other therapists here is sound and prudent. There are what sounds to be real legal (is this man a RSO [registered sex offender]; is he prohibited from being in proximity to minors? use/possession of child porn violates any # of state and federal statues...) and safety issues at play here. Your husband's daughters have an immediate ""need to know"" and this can be done developmentally-contextual, factually and in a non-shaming fashion. I would further counsel that you and your husband (his daughters welfare is at stake) seek immediate legal counsel. The ex-wife here seems to be between a ""rock and a hard place"" of her own creation -- she desperately needs care, treatment for herself. Resources for Your Consideration: 1) http://www.missingkids.com/home; 2) https://www.justice.gov/criminal-ceos/citizens-guide-us-federal-law-child-pornography"
"Instruct: I was in a car accident and totaled my car. I gave up my job of nine years to pursue school full-time to better myself. I failed a class, and my boyfriend that I live with thinks I’m stupid and wants to break up with me. I have nowhere to go, and I feel like I’m losing everything.
Output: When we feel overwhelmed by life situations, it is important to understand where the feeling is coming from.  Once we understand the source, it is important to normalize the situations that got us there and find balance in our lives.First, car accidents are common, and since they are accidents they are not a reflection of us.   When we have an accident we feel anxious, worried, and may have some trauma after the accidents.  If you have been experiencing anxiety since the car accident, talk to your doctor or therapist about it.  Second, a lot of people fail classes, tasks, deadlines, etc. but they don’t give up on their goal.  We have to remember that failing is part of the learning process, and having the courage to try again is what gives us determination and character.  Remind yourself what motivated you to leave your job, and the courage and determination that took to do so, then channel that energy back into school.  Third, when we have problems in our relationships, is helpful to look for ways to improve communication, discuss our concerns and how we want to resolve them, but it may be that the relationship needs to end if there isn’t enough interest in one of the parts or if there’s verbal or emotional abuse.  Consider talking to your boyfriend and set some boundaries regarding appropriate communication.At all times:  focus on being kind to yourself and improving your self-esteem: increase self-care activities, do more things that you enjoy, meditate in what gives you peace and make an effort to have more of that in your life.   At the end, you are the one in control of your life, and you determine who you become.¿Qué puedo hacer cuando siento que mi vida está fuera de control?Estuve en un accidente de auto, y fue pérdida total.  Deje mi trabajo de 9 años para completar un grado a tiempo completo.  Falle una clase, y mi novio piensa que soy estúpida, el quiere dejarme.  No tengo a donde ir y siento que lo estoy perdiendo todo.Cuando nos sentimos agobiados es importante reconocer donde estamos parados y entender de donde vienen esas emociones.  Ya que entendemos la fuente de agobio, es importante normalizar las situaciones que lo causaron, y volver a encontrar el balance en nuestra vida.Primero, los accidentes de auto son comunes, y por ser accidentes no son un reflejo de nosotros o nuestras destrezas.  Cuando experimentamos accidentes no s sentimos ansiosos, preocupados, y puede que experimentemos algún trauma.  Si sientes ansiedad, extrema preocupación habla con tu doctor o terapista al respecto.  Segundo, muchas personas fallan clases, tareas, fechas de entrega, pero no se rinden.  Tenemos que recordar que fallar es parte del proceso de aprendizaje, y tener el valor de intentarlo de nuevo, es lo que nos da determinación y carácter.   Recuerda que te impulsó a dejar tu trabajo y canaliza esa energía en la escuela.  Tercero,  cuando tenemos problemas en las relaciones, es importante comunicar nuestras preocupaciones y diferencias, pero puede ser que la relación termine si no hay interés mutuo o si hay algún tipo de abuso.   Considera hablar con tu novio y establecer límites respecto a la comunicación apropiada.En todo momento: enfócate en cuidarte a ti misma y mejorar tu autoestima, aumenta las actividades que te ayudan a sentirte bien, medita sobre lo que te paz y pasa más tiempo practicando esas actividades."
"Instruct: My husband has had issues with alcohol addiction in the past (he'd never admit to this). A while back (3 years ago), I asked him to stop drinking so much, and he agreed. I caught him one night drinking behind my back. I confronted him and he lied, but I told him I knew he was lying because I counted the beers in the fridge and four of them were missing. He admitted and apologized and promised he wouldn't do it again. Lately, my husband has been drinking on and off, but I noticed it was every single night. I didn't like this. For our New Year’s resolution, we decided we were going to limit our alcohol consumption. He was on board—no more drinking every night.
The other night, I counted the beers in the fridge just to see if some were missing. It took a couple of days, but tonight, I discovered a few were missing along with a shot of vodka. He was passed out on the couch when I decided to wake him up and confront him (poor timing, but I couldn't wait). I asked him if he'd come to bed with me (when he drinks, he snores and I cannot sleep—it's a dead giveaway he's been drinking). He slurred a bit and said no. I asked if he had been drinking, but he snapped and said no. I went into our room to sleep, leaving him on the couch. 
I'm not sure if I'm overreacting or not. I just feel like I'm so honest with him about everything, and I expect the same honesty. He is a good husband in every other regard.
Output: Hi Los Angeles,So your husband is giving you mixed messages. He says he's willing to cut back on the drinking, but he drinks and hides it. His behaviour is passive aggressive and immature, which puts you into this position of having to act like a disapproving parent. It sounds more like you're talking about an out-of-control teenager than your partner. Your husband's lying is sending a message. ""I get to make my own decisions and you can't stop me"" might be it. Underneath that, maybe it's ""I want to stop but I'm ashamed that I can't and I don't want you to see my failures"". Ultimately, as an adult, he gets to decide what he puts in his mouth and if you try to manage that by monitoring how many beers he has, you are pretty certain to get some fallout... pushback...backlash...  How does his drinking affect you? That's where your voice has power, rather than in counting his beers or setting him up to lie (when he's passed out, asking if he's been drinking seems confusing). You've mentioned snoring, which I guess is a legitimate complaint. If he's passing out, that's a legitimate complaint. When he drinks does he drive, act aggressively, or 'check out of' the relationship (avoid you)? All of these things are legitimate concerns, and I'd stick to talking about those rather than counting beers. My guess is he has few other ways to cope with stress, so he checks out with alcohol, and it also helps him avoid your relationship. But the problem is it makes it worse; the more he avoids you, then more you chase him with your questions.There's a conversation that would be helpful here.  It sounds like ""I've tried to support you in your drinking less, and it's not working. What are your goals for alcohol and how can I support you in that more effectively?"" I'd like to see you in a place where you're not micromanaging his drinking, but focusing on the things that affect you. What concrete supportive methods can you use with his agreement? Can we get the alcohol out of the house? Is he willing to seek treatment? Lay your expectations out really clearly. ""I won't count your beers, but I can't tolerate lying"". You have to decide what's more important; is it really the number of beers, or is it something else. What do you need to happen in order to want to remain in the marriage? What does he need? Does he let you know what isn't okay with him? He might have trouble saying these things. The drinking is only a part of the complex dynamic in your marriage. A qualified therapist can assist in pulling this apart, understanding it, and changing the way you relate to each other. "
"Instruct: After he got home from the hospital he was angry, then for a time wonderful.  Now he is depressed and hopeless again.
Output: The fact that you're reaching out for help here is really helpful.The first thing I would suggest is that you consider seeing a local mental health professional yourself to be able to talk about the details, how this is affecting you, and how you can hold onto you are while also being supportive to you husband.From the way that you describe this, I wonder what has changed since coming home from the hospital. Perhaps you can have a conversation with your husband this and mention that you are asking him questions to learn more about his experience and you can discuss how you notice that things were going much better when he came home from the hospital, and now things are not as good. Perhaps he can tell you about what is different so that you may know him would be most helpful to him.I also hope that you husband is still continuing with his own treatment.There may also be a local peer support telephone number for the county that you live in that they be able to help you determine whether your husband needs more immediate treatment if he is feeling hopeless again. There are national crisis telephone numbers listed below as well."
"Instruct: I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?
Output: This happens slowly and can be done.You already are at the first step of realizing that you hate yourself, not that the feelings of self-loathing are the best of what you're able to expect from life.A way to start building confidence is to pay close attention to the way you handle interactions and make decisions.If you start to notice what you'd like from an interaction, and afterwards, reflect on how well you handled yourself, especially with any unexpected circumstances, you'll build confidence in your ability to be good at something.Do you know why you hate yourself?This answer may help you address within yourself , a new type self talk which has more positives in it than what you've been accustomed to telling yourself."
"Instruct: I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?
Output: Sociopaths don't know they are sociopaths.Clearly, you realize you have pretty deep emotions and have lived through several severely distressing situations.Your sense of self may be protecting for a while until you recover the practical aspects of daily life and feel some sense of predictability and stability in your life.Knowing and feeling disturbing emotions which rupture basic trust that other people are safe, is itself a raw process.Yes, it is possible to become numb emotionally.   The good purpose is to protect you from additional hurt.When your inner world feels itself ready, more of your emotions from the recent distressing events will be accessible.If many months pass and you see no progress, then definitely consider a few sessions with a therapist who would be able to guide you to become more open to your feelings."
"Instruct: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a  female coworker. I don't know how to approach this situation. How do I ask him about it?.
Output: The best way to get an answer is to just ask. I would defintely let him know you are asking out of concern and not to judge or criticize. Allow him to explain his answer and see how you feel about it. Try to ask him when you both are already discussing other topics and just say, ""Can I ask you something?"" Earl Lewiswww.RelationshipsGoneRight.com"
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: You know have the right therapist if:Your counselor specializes in what you are seeking help for or they have experience with treating people with similar issues.They are ethical and are able to understand your culture or religious norms.They are licensed in your state.They are able to provide you treatment that is tailored to your needs so that you can meet your goals for therapy.They are non-judgmental and can show empathy to you.They can meet you were you are in your journey of healing and understand you.The location of the office or use of technology to hold sessions is something that you are comfortable with.Recognize that a relationship with a counselor is like a relationship with any other person, sometimes you mesh well and sometimes you do not mesh well. A counselor should never take any offense if you do not feel like a good fit with the counselor, just be honest with your counselor about how you are feeling about the relationship. If you feel the need to change counselors, feel the freedom to change counselors as you will get more from therapy if you feel like you make a good team.To ""train"" your therapist:Be honest about your needs, expectations, barriers and about your situation.Know thyself and share that with your counselor. Create attainable goals for yourself with the help of the counselor.Set the pace that you are comfortable with.Feel comfortable to share an agenda for each session."
"Instruct: A few years ago I was making love to my wife when for no known reason I lost my erection, 

Now I'm In my early 30s and my problem has become more and more frequent.  This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage. 

I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to. 

What could be causing this, and what can I do about it?
Output: For starters, know that this is a normal experience for many men at some point in their lives. While this can certainly cause some embarrassment, a diminished sexual esteem or relationship problems, it is important to know you are not alone. I am going to move forward assuming that you have already checked with a medical professional to rule out any medical problems that may be related to this. Assuming that is the case, for most this happens for two primary reasons. It is either a short term biological shortage of blood flow to the penis. This can be caused my diet, lack of exercise, even stress. Another primary reason for loss of erections are anxiety. Have their been recent relationship issues? Are you feeling as though you aren't satisfied in the bedroom? These are just a few aspects that can cause subconscious anxiety and loss of erection. My suggestion to you would be to seek out a counselor that specializes in sexuality that can assist you in moving forward with this.  Best of Luck!"
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: children and adolescents who have a desire to achieve high grade point averages often have the symptoms you are describing. It sounds like, your gut is telling you to help her find ways to de-stress. Listen to your gut-always; as her mom, you know her needs better than anyone else. She would probably benefit from seeing a therapist to help her deal with the stress of being a high achiever. I provided the following suggestion to another parent with a similar concern: First identify the three most stressful aspects of the day. Do this by creating a circle on a regular size paper. (do this three times); ask your daughter how much of that circle can she confidently say she has under control. shade that in. The remaining parts of the circle are then named by intensity. (for example, in the circle labeled school anxiety, the client identified that she felt she could handle school anxiety 1 out of 4 days. The circle was split into 1/4. 1/4 of the circle was shaded . the remaining parts were labeled with the challenges that caused the client school anxiety.(these were 1. walking to class during passing time. 2. not having the assignments completed or at all. 3. feeling fat. after labeling each part; and making note of the percentage of the stress associated with each concern, free form thinking takes place and a pile of unwanted behaviors and genetic responses are portrayed  around the circle in bright colors. Using note cards, create a tree of concern; the concerns can be written on note cards. a concern = the behavior that leads to more trouble.  For example, ""all i could do was think about that extra slice of pizza, I was unable to concentrate on the teacher's explanation of the assignment"" (the concern you would write on the note card is Inability to concentrate. Now, fill up the back of the notecard with all of the different factors causing this pattern. nack. ("
"Instruct: I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.
Output: Understandably the idea of someone who tries to control you, is good reason to feel sad.Your feelings sound like they are very strong and meaningful in your life.Keep in mind that your feelings about others has more to do with one's own self-view than with what the other person is actually doing.Unless the people in your family are actually interrupting and impeding your life in practical ways or by intimidation or other verbal ways to inhibit you, then there is a great chance your feelings of being controlled by other family members has more to do with your fears to be who you are than with any family members' actions."
"Instruct: My brother just broke up with his girlfriend. While they were dating for the past two years, her son spent the weekends with me and my mother. Now she doesn't think her son should have any interaction with us. How should we approach the situation? Is she doing the right thing for her child?
Output: Hi Tampa, I get that this is a loss for all of you; you have bonded with this child as a result of the significant time you have spent with him. He's a lucky boy to have had you all taking care of him. Certainly, it seems that his mother might not be making the best decision for her son; if you are willing to maintain the relationship, it would be good for him to still have that contact. In my book, the more people loving a child, the better. But, ultimately, she has the right to make these decisions. To oppose her won't likely do any good. You can focus on grieving this relationship and supporting your brother through his loss as well."
"Instruct: 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?
Output: You are right on to recognize that the effects of trauma can be cumulative.  It is very possible that a car accident could lead to an increase in PTSD symptoms that were related to other traumatic experiences.If you have been deployed to a combat area, you are most likely eligible for free counseling services through the VA Vet Centers.  The Vet Center clinicians typically have a lot of experience working with military trauma. Here's a link to a directory of Vet Centers:http://www.va.gov/directory/guide/vetcenter.aspYour service and sacrifice is greatly appreciated."
"Instruct: 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?
Output: 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!!"
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for.  Is there anything I can do to feel reconnected?
Output: I can think of several things that may help you to reconnect. I don't know how much time you actually spend together, but one thing you could try is to spend 15 minutes a week together talking about common interests or other things that make you feel connected.Have you considered a date night or anything (doesn't have to cost a lot of money, but could make each of you feel special)?Something else you could try is to consider talking to each other in a way where you summarize what you are hearing and reflect back to make sure that you got it right rather than just assuming so. Communicating this way can feel awkward at times, but it could reconnect how you are listening and deeply connecting with your partner. Also, you may discover that you are on two different pages about things on which you thought you understood what each other felt, wanted, or desired.Consider what makes your partner feel loved, valued, appreciated, or special. Can you name a few things and get them right according to your partner when you check in? Can he do the same for you?You could also try doing two things every day that would be appreciated by your partner without either of you having to ask for it. There is some more information here, although what you do for one another does not necessarily need to be on this list: http://www.couplesinstitute.com/tracking-success-by-doing-the-daily-double/Reconnecting is a bit of a process. Try to praise yourself and your partner for attempts that you make and recognize that you're not going to get it right 100% of the time. You may also find this book to be helpful (or there are other similar ones by the same author): https://smile.amazon.com/Love-Languages-Secret-that-Lasts/dp/080241270X/ref=sr_1_1?ie=UTF8&qid=1471479801&sr=8-1&keywords=Love+languagesIf this still seems difficult, consider seeing a local mental health professional. As one more thought, recall that this relationship involves both of you. If you are both committing to change your level of connection, change will likely not be a steady uphill climb (there could be plateaus or even some dips back in a negative direction) and each of you may change at a different rate.Best wishes in your quest for connection!"
"Instruct: I self-harm, and I stop for awhile. Then when I see something sad or depressing, I automatically want to self-harm.
Output: Self-harm has a way of becoming a go-to method of coping. When we get stuck using self-harm as a way to deal and manage emotions, when something serious happens it totally makes sense that that will be one the first things to go through the mind. It is its own kind of addiction. There is a therapy, DBT or, Dialectical Behavior Therapy, which focusing on giving you new tools to get through hard times, understand and manage your emotions, to stay present and to deal with relationships. This one of the most effective interventions there is for self-harm. If you are interested in DBT, reach a local therapist in your area and ask if they do DBT or can recommend you to a DBT program. This can help immensely. Self-harm recovery is totally possible, but it is definitely hard work!"
"Instruct: I would like to be able to have more positive relationships in the present.
Output: Remember, the past no longer exists and the future is just an illusion as we don't know what will happen tomorrow, so take the present as your guide. That is all we can do, so keep saying this to yourself and try to help someone each day.  The happiness is helping others to feel a bit better. "
"Instruct: I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past. 

Currently I'm going through anxiety and my thearapist is not available. How do I handle this?
Output: Have you told either of your parents that the current house rotation of where you stay, bothers you?Since each parent has an interest to be together with you, I imagine that to some degree, each cares how you feel.If these conversations are not getting your problem solved, then maybe your therapist can have a family session with your parents together and depending on the outcome, with you and each parent."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: Hello, and thank you for your question and seeking advice on this. Feelings of worthlessness is unfortunately common. In fact, most people, if not all, have felt this to some degree at some point in their life. You are not alone. Changing our feelings is like changing our thoughts - it's hard to do. Our minds are so amazing that the minute you change your thought another one can be right there to take it's place. Without your permission, another thought can just pop in there. The new thought may feel worse than the last one! My guess is that you have tried several things to improve this on your own even before reaching out on here. People often try thinking positive thoughts, debating with their thoughts, or simply telling themselves that they need to ""snap out of it"" - which is also a thought that carries some self-criticism. Some people try a different approach, and there are counselors out there that can help you with this. The idea is that instead of trying to change the thoughts, you change how you respond to them. You learn skills that allow you to manage difficult thoughts and feelings differently so they don't have the same impact on you that they do right now. For some people, they actually DO begin to experience less hurtful thoughts once they learn how to manage the ones they have differently. Acceptance and Commitment Therapy may be a good choice for you. There is information online and even self-help books that you can use to teach you the skills that I mentioned. Because they are skills, they require practice, but many people have found great relief and an enriched life by learning them. As for suicidal thoughts, I am very glad to read that this has not happened to you. Still, you should watch out for this because it can be a sign of a worsening depression. If you begin to think about this, it is important to reach out to a support system right away. The National Suicide Prevention Lifeline is 1-800-273-8255. The text line is #741741. I hope some other colleagues will provide you more suggestions. Be well...Robin Landwehr, DBH, LPCC"
"Instruct: When my son was a teenager, we sent him to live with his dad because of the constant disrespectful attitude. A week after he graduated, his dad made him leave because of the same issues. All four parents tried to talk to him, and he just refuses help all around. He is now living with his grandparents. He had a job, and took steps to get his license and an insured vehicle. I thought he was heading down the right road, and then he tells me he quit his job because he didn’t like it. I just don’t know what to do.
Output: I admire your efforts. You can continue to offer assistance for your son, but it is ultimately up to him to decide what to do with the information or ideas that you are giving to him.One thing you might try is to ask questions in a way that enables you to learn more about what he is experiencing. For example, if he is willing to talk to you about what he does on a daily basis and/or what he would like to be doing, you may be able to get a sense of what he finds difficult and find some resources to help.I might ask things like this (just as examples):Can we talk for a few minutes about some things that I would like to learn more about?I'm just looking to learn more about what has been happening for you recently and I'm not trying to make you do anything.I know you said you quit your job because you didn't like it. Could you tell me more about what you liked and what you didn't like?Do you see yourself doing the same kind of job in the future?What is it that makes you happy or what is it that you look forward to doing?Can you think of anything that I can do to be of support to you?If he is interested, you may be able to connect him with an area community college to learn more about possible job opportunities.With the way that I wrote the questions above, it probably sounds like it's relatively easy. In reality, it may not be an easy conversation and your son may choose not to discuss it with you. If that's the case, I'd remind yourself that you are trying to do everything you can."
"Instruct: 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.
Output: 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)"
"Instruct: My husband always works. He does work from home, but his hours are from morning until night, and he neglects his family. If I have anything I want to do, I have to find a babysitter, but he does what he wants. He rarely comes to bed when I do, and we never have date nights.
Output: I'm glad you're aware to expect more satisfaction from being part of a couple, than you currently describe yourself as having.Are you and your husband able to talk about any or all of what you've written here?His answers would be a starting point for knowing how he understands his share of your relationship and whether and how he would like making any changes.If the two of you feel too much tension in the relationship to bring up any of the topics you write about here, then ask yourself the reason for this.Very commonly, people are afraid to ask questions of their partner, even when feeling unhappy and that they'd like changes to the relationship.Often, people are fearful of harsh criticism by the partner and worry that by simply stating the reasons for feeling unhappy, will mean hearing judgments against them, spoken by the partner.It is always a good idea to utilize the services of a professional, credentialed and licensed therapist, if after trying to start a conversation on the topics you bring up here, does not go well or very far.For all of us, the emotions in our intimate relationships are deep and powerful.  They are not easy to handle, especially under tension and frustration.Sending lots of good wishes for future happiness!"
"Instruct: I'm a teenager, and throughout my entire life, I've never really had good parents, or parents at all for that matter. I'm not exaggerating. I was living with my mom and grandparents until my father, in prison for most of my life, got out when I was in middle school. His mom, my grandma, only lived a mile down the road from my mom’s house, and I was so awe-stricken with my dad that I got to stay with him for a long time. Meanwhile, I did not realize that my mom was doing hardcore drugs. My mom went to prison for that and lost her café. We live in a very small town, so everyone knew about it, and I was bullied because of who my parents were. My dad ended up getting in with the wrong people and went back to prison.
   My mom and him had a mutual friend and often hung out at that person’s house. My parents did not get along at this point. We were driving him home one day from this house, and my mom stopped the car and kicked him out. He got out of the car, went to the driver’s side, and punched my mom in the face. I got out and told him not to hit my mom. At that point, I was really scared and mad that he did that, so I ran towards him to stop him. He literally picked me up and threw me on the back of a gravel road. I couldn't even walk. My mom tried to help me, but he started choking her. I hobbled over, and she barely got into the car, and we quickly drove away and called the police and ambulance. He was so badly strung out on drugs. He went to prison again and seems to be doing well. I met up with him once with my grandma, and we had coffee, but he's so hard to handle. I think a lot of it is that I can't bring myself to forgive him. My mom went back to prison again for drugs, and while she was in there, I moved in with my dad’s mom (the one who lived just down the road) because I trust her, her house is stable, and she's more nurturing, understanding, and loving then my other grandparents. I also stay at my boyfriend’s a lot. Now that my mom is out of prison, she's trying to control every aspect of my life. She’s trying to make me move back home out of Susan's house, and I don't want to. I don't like it there. They condone drug abuse and many other things, and I'm just not comfortable. She's even threatened to call the police and say I'm a runaway because she has custody of me. My boyfriend has always had this picture-perfect life, and his family are strict Christians. One time, his mom even went as far as to say that if he and I break up, if we were having sex, I would say that he raped me. I've got so many problems I don't even know what to do.
Output: Thank you for reaching out and I can see that this is getting to the point that it is becoming overwhelming with all that is going on. To address your question, the best answer is that it will take time and from what I read you are still living through it , so your feelings are perfectly normal for the situation. I get the  impression that you really need someone to process through all that you have been through and unfortunately getting  adequate feedback would best be done meeting one on one with a therapist vs. through a question answer forum. If you are currently in school you could see about meeting with a school therapist or if you are over the age of 15, in most states you can consent to your own therapy. If you choose not to meet with a therapist I would encourage you to call a crisis hotline to help you safety plan to keep yourself safe around your parents 1-800-273-8255  If you chose to meet with a therapist keep in mind that a lot of what you experienced can be reported to Family protective services since you are a minor. You can also choose to make a report if you are feeling unsafe with your parents. I’m glad to hear that you have your grandmother for support. I’m sure this is a lot to take in and I wish you the best."
"Instruct: My husband and I got into a huge dispute. He said he wanted a divorce, and I left. I still come home a lot and see my kids, and he has not filed yet even though he still said he is. What does that mean for our marriage?
Output: In any relationship, including marriage, each partner will be better able to do their part, by understanding their own interests and wishes.Concentrate more on what you'd like from your marriage.  This will naturally raise the questions and criteria of what to talk with your husband about and what to ask of him.Think over whether you wish to divorce or not.Since he hasn't taken any action, then for the moment, you can assume he is not sure of what he wants.Once you feel a little more clear on your opinion about your marriage, including feeling uncertain if you'd like it to end or continue, then you will be able to tell your husband the suggestions you have for resolving the dispute matter and emotions.Try to re-direct your speculations about, ""what does he want"", ""I wonder what he's thinking"", back to answering these very reasonable questions, about yourself.This will strengthen your own purpose in clarifying where to start and guide a discussion with him.Good luck!"
"Instruct: He is an adolescent. He has peed his pant multiple times over the last few years, all at times when he is too wrapped up in a video game or video. We have taken away games and videos for long periods of time as punishment, but after a few months of having then back, he pees his pants again.
Output: From a behavioral standpoint you should refrain from punishing your son.  Instead of utilizing punishment when he wets himself provide contingencies prior to any accidents.  Sit down with your son and discuss the importance of utilizing the bathroom and responsibilities and inform him that if he chooses to wet his pants that his video games will not be available for use for him the next day(or your designated realistic time frame).  This way if an accident occurs, no heated words have to be exchanged because you have already laid the ground work.  Also allow him to clean up himself.  Gather cleaning supplies and and oversee cleaning operations without ridicule or negative feedback.  Since you have stated that you have an adolescent who is experiencing enuresis, you may want to check with your PCP and a licensed professional for underlying diagnosis that can be treated.   You can also call a local behavioral analyst."
"Instruct: My fiancé and I have been in a relationship for two years. We have an infant son. My fiancé also has a child from a previous relationship. We do not live together. I live with my mother currently while I get on my feet, and he's living with some friends. My mother and I have an awful relationship that is completely unbearable most of the time. We cannot even stand to be around one another while living in the same house. She has made it clear that she wants me gone. Recently, I was talking to my father who lives in a different state. My father and I have always had a good relationship. I explained to him the situation I am in with my mother, and he said he would like for me, my fiancé, and our son to come live with him and his wife. I would really love to go. I do not want my son to be in this environment with constant arguing and negativity any longer. There is nowhere else for me to stay while remaining in this state. The problem is my fiancé is refusing to move away with me because he does not want to leave behind his other child. He and his child's mother have a horrible relationship, and she would absolutely not be willing to let him visit if we moved away. I believe I would be doing what is best for my child by moving away, but I do not want to leave without my fiancé. I have already explained the situation to him, and he will not give in. Do I continue to stay in this negative environment with my child and keep our family together? Do I move away with my child and have my relationship end? I do not want to take him out of either of his kids’ lives. What do I do?
Output: Hi Bethlehem,You have a big decision to make.  I appreciate your fiancé's need to stay close to his child and be a stand-up dad, and I am glad that you know your son needs an emotionally safe place.I'm a bit confused, because the obvious answer seems to be that you and your fiancé would get your own place together. I get that you want your dad to take care of all of you, but maybe it's time to take responsibility for your own future and start building it independently of either parent. I say that without knowing how old you are, but if you have a child and a two year relationship, you basically have declared your independence anyway.  I wish you the best."
"Instruct: I am in my 30s with 2 kids and no job and I'm behind on the bills. I've been trying everything with no results. I feel like everyone else puts their needs in front on mine. I give intil it hurts and I'm afraid that I'm going to fail my babies    I've been struggling for 5 yrs in a relationship with no communication and no alone time. How can I get some support?
Output: Financial stability is probably a good place to start your new life project.If your partner doesn't work or doesn't contribute his money to the household bills, then maybe you are eligible  for some type of stipend from the government.Especially since you have kids the child welfare service may intervene to help you.  Sometimes too, a partner who is unwilling to pay for their kids' wellbeing may be pressured by child welfare to make regular contributions to you and your kids.I''m glad you are thinking of your needs and those of your kids.  This is the philosophy which will show you what road to follow so all three of you are in a secure financial place."
"Instruct: I recently broke up with my boyfriend After being together for over 4 years. I truly believe I did the right thing, but omehow being single now has made me very needy and unsure of myself.
    I am seeing someone casually and I am losing my mind with anxiety about how he feels about me and this need for validation.
   How can I learn to be content and at peace with myself regardless of my career, relationship status, etc?
Output: A break up, even one that you initiated, may deserve some time and space to allow it to be complete.There's a few ideas I'll throw out there and you can choose if they stick.  One is to re-invest in the friendships you have by setting up regular coffee get-togethers for example.  Two, get out in nature.  It's hard to ignore how grand and patient nature is, and it sometimes takes the pressure off what we should be and instead allows us to be.  And the last one I'll throw out there is to invest your time and energy in a project or achievement you've wanted to do for a while, but that perhaps you didn't have the time to.  Something related to a hobby such as sports or music, or related to your career.  Something that is 'for' you.  Life knocks us off balance at times, and that's ok.  Self-questioning during these times can be a healthy endeavor.  Should you follow any of the advice on this website, continue to be kind to yourself about what you're feeling, and curious about why you're feeling that way."
"Instruct: 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?
Output: Yes, feeling nervous for the first few or several sessions of therapy, is completely normal.Therapy is an unusual way to have a conversation with someone.   The person is an expert in recognizing and understanding dynamics of human interactions.   For some people the fear is that the therapist knows more about you than you do yourself.In general terms hopefully your therapist has worked with many other people who've faced problems similar to yours.In this sense the therapist has a general idea of the basic dynamics you most likely are handling.No therapist could possibly know your particular details and your particular areas of upset or in what ways you feel unsure of yourself.Once you start to trust both your own right to tell your particular story and start to also feel that your therapist is listening attentively and cares what you tell the person, your nervousness will start to disappear all on its own.Good luck in getting the most from your therapy sessions!"
"Instruct: Me and my adult daughter just do not get along.  She's very belittling to me when I don't agree with her. It's almost like she scolds me. We get into all out war. She's said I don't support her in what she does and that I've never loved her. She calls me horrible names, and she pushes my buttons to the point I call her names.
Output: As frustrating and probably hurtful as your daughter's comments sound, there's also a message in them about how she genuinely feels.To some degree, your daughter and you may both feel similarly misunderstood by the other.Developing ways of listening and talking to one another to better understand how you each feel, would probably help a lot.One major point to be aware, is that the mother/daughter relationship dynamic, because it is strong, may slow the new dynamic of relating as two adults.Watch for your own tendency to expect your daughter to consider you as a parenting authority, instead of considering her as a grown person.The same is true of your daughter.  She may need to remind herself to talk to you as the adult she is.Her needs from you are real, they just need to be spoken to you in an adult way."
"Instruct: 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?
Output: Most clients have many issues that need working out. It is normal to have many events in our lives that trouble us and remain with us without counseling help. The right type of counsellor will help you focus on the main and most troubling issue you have first and work your way through all that you are managing step by step, goal by goal. Sometimes, working on  one issue helps to bring other issues to light in the context of your main problem. This can help you resolve some other issues that are connected. Look for someone with experience and specialty in your most pressing issue...even though you have had breast cancer, you may find that grief from your past is more troubling. Then you would look for a bereavement or grief specialist."
"Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone.
   My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?
Output: You're among many millennials who live with their parents due to financial reasons.Does your mother mean rules pertaining to the way your family household organizes its daily or does she mean something else?Every household needs rules as responsibilities to keep the house clean, who does the grocery shopping, the way costs are distributed for this and all the other carrying charges  and tasks of maintaining the house in decent order, as well as respecting the privacy and noise level requests of others who live in the home.This set of responsibilities applies whenever more than one person lives with another person.Have you tried simply telling your mom that you're willing to be a responsible household member and that you prefer to keep the details of the way you live the rest of your life, to yourself?This would show respect to your mom and start the discussion as to the areas of your life you feel deserve privacy and how you would like to handle when your right to run your own life overlaps with any household duties."
"Instruct: I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.
Output: Hello,While one can be sad from time to time, feeling sad ""all the time"" could be a sign of depression. If you feel sad on most days, it is worthwhile speaking to a psychologist to determine whether you suffer clinical depression. Feeling sadness is a normal response to loss, whether you lose a family, friend, job, or something you deem important in your life. However, feeling sadness all the time is a signal that you are not happy about something in your life. If it is related to your family and often relationship with family members could affect our self-esteem and self-worth, then perhaps it is worthwhile exploring what you find unhappy about your relationship with your family. Is it that you do not feel heard, supported or loved? Is it that you feel disrespected, disregarded or feel unimportant? These are just a few examples of common issues that people report that contribute to their depression. To help you to uncover your reasons for your sadness or depression and to cope with them in a healthier and more constructive way, it may be helpful to contact a therapist who could support you with this process. You do not have to deal with it alone. Dr. Virginia Chow, Montreal Psychologist. For more information about depression, please consult my website at www.PsychologyResource.ca"
"Instruct: I've been depressed for quite a while. I've been trying to work through it, and my boyfriend has been my rock. He is honestly the only person I trust enough to talk to about anything, but he decided to break up with me because of my depression. I cannot afford to see a therapist or anything, so he saw no hope in staying with me. My insurance has a $5000 deductible, so I’m screwed. I've had everything from suicidal thoughts to trying to quit my job. I have no one. My family doesn't care about me; they kicked me out when I turned 18 a few years ago. I had friends, but they have all moved on with their lives and have no time for me. My ex-boyfriend is trying to help but is making things worse because every time I see or hear him, I break down into tears. I found out that I will never be promoted now because of my depression.
Output: It sounds like you have been struggling with this for quite some time, using many of the same coping techniques that feel tried and true to no avail. Often, we fall back on coping techniques that would be helpful in other problems (stress, social anxieties, etc.) for our depression, but the truth is that depression requires it's own little tool kit. Depression is all-encompassing, and, based on what you've written, the symptoms are already affecting work and your personal life in myriad ways.  The best route forward would be to seek out counselling, admittedly, but if your insurance deductible is too high, that can be very expensive. I would recommend contacting your Employee Assistance Program (EAP) if offered by your employer. If not, you can look into community centres for counselling options, check if your doctor will give you a referral or your local religious organization. If, however, you are motivated to get your depression under control, there are some great workbooks out there that you can use on your own or with your therapist (as long as your therapist is trained in Cognitive Behavioural Therapy, or CBT), such as ""Mind Over Mood""."
"Instruct: She works with a man and always looks at guys that check her out.
Output: I wonder if you are having some of these thoughts related to something that has neither happened directly to you in your past or to someone that you care about. This can often change the way that we look at different situations. Try to look at what feelings, for you when you notice that someone is ""checking her out,"" and perhaps when you have felt these feelings before.If you trust your girl enough to have an open conversation, perhaps you could ask her whether she is willing to talk about something that is important to you. Then you could talk about feelings that you're having."
"Instruct: I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal.

Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes.
Output: Hi Winters, I'm so glad you wrote, because I think there are a lot of young women experiencing the exact same thing. You feel self-loathing for both being a virgin, and for being sexually active. Young women have always gotten crazy mixed messages about what they're supposed to be. They feel pressure to be pure, and they also feel pressure to be the vixen and please men sexually. But you can't be both, so you can't ever win if you buy into all that horse manure (excuse my language). This current hook-up culture puts added pressure on girls to expect nothing more than random sexual encounters that leave you feeling empty and used; perhaps desirable in that moment but mostly worthless. The stupid part is that research tells us that young men are also impacted negatively by this cultural norm that values sex and not relationship; they feel guilt, and loneliness.  I urge you to talk to other girls and women about your feelings. My hope and prayer is that they will echo my words here.Your value and power cannot ever be found in whether a man wants you, whether you turn his eye, or how he treats you. Your sexuality is a beautiful part of who you are, and it is to be celebrated. I love that you want to celebrate it with someone who cares. Who you are is so very much more than your sexuality. You sound like you have a lot of things going for you. Try to see all of those things when you think of yourself.There are many more virgins out there, and many are afraid, like you, that they don't fit in. We are all different, and you don't have to be anything but who you want to be; who you are. You don't have to have any kind of sex until you're ready, and that makes you brave and smart, not weird.You're tall and beautiful, and guys may be intimidated by that. It may take time for you to meet the right guy, but he's out there. The question is: How do you want to spend your time until he crosses your path? I hope you talk to someone soon and find out that your feelings are normal. I wish you the best."
"Instruct: We had great chemistry, but then he became distant. I had the feeling that I can't be without him. As soon as I felt the difference, I was scared to lose him. I started freaking out if he did not answer, thinking that something bad happened.
Output: The simplest answer is that love feels good, obsessions don't.Love deepens a sense of peacefulness and security.Obsessions give anxiety and worry of feeling abandoned.One suggestion is to study more about yourself and why you'd feel so ill at ease when you aren't w this person."
"Instruct: As I was growing up, my mother and father always fought. With that, I grew trust issues. I think it's going to affect my relationship now and end it sooner then I want to. I try not to let it affect me, but I can’t.
Output: If you thing your trust issues are going to end or affect your relationship it will because you are being baggage from your parents into this relationship.  Don't allow their problems to become your problem.  You didn't mention that your partner in your present relationship have done anything to make you not trust them.  Like in the court of law, if no evidence....find not guilty.  Don't make them pay the consequences as if guilty of your parents unhealthy behavior."
"Instruct: 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.
Output: It is challenging to maintain motivation at all times, anxiety and depression can set in which can make interacting with others a  struggle, it can lead us to do things that make us not feel good and we become isolated.  This ends up feeding into a cycle that maintains the anxiety/depression loop  and can be really challenging to step out of it.  You are in a place of awareness and this is the first step in making changes that can help you feel better.  It is really one step at a time, a concrete plan, with self-compassion to build the solid ground you need to come out of this. http://www.empoweryou2.com"
"Instruct: I feel so irritated and frustrated because of it. I get so angry to the point that I feel like I'm going to explode. I feel pathetic, stupid, and worthless. I just can't take this anymore.
Output: Yeah I get the same problem... Look I'm not a professional but I've heard a few things. a powernap can help. just a half hour of sleep can clear your mind and let you refocus. Also, brain activity increases with physical exertion. Just walk around for a minute and get your brain working and that'll help you reach the task at hand. Taking breaks it totally okay. Try to have something to do in between that you enjoy."
"Instruct: I have been diagnosed with general anxiety and depression by my family doctor. They wrote a prescription for me to have an emotional support dog, I have the paper work, and I gave it to my apartment manager. They said I can't keep the ESD because I'm not disabled. What do you suggest I do?
Output: This is tricky because there are different types of emotional support dogs. The ones that are officially trained actually go through months of training and then are paired with someone for whom they perform specific tasks.You may benefit from looking at the blog written by Valerie Parrott, who has an emotional support dog due to severe anxiety and panic. I will warn you that her blog is very blunt, but she is honest and she has gone through this process: https://thedogintheroom.wordpress.com/2016/06/20/what-makes-a-service-dog/#more-508"
"Instruct: She refuses to talk to me and told my mom (her grand mother) that she is remembering things from the past. I don't know what to do. My daughter blames me and swears she hates me.
   My parents say I should just let my daughter live with her dad, but I don't see how I could fix things if I only see her every other weekend. What should I do?
Output: Sorry to hear about your high degree of stress.How old is your daughter?Who abused yours daughter?The answers make a difference to your decision.Obviously if the father was the abuser, then unless your ex demonstrates to you and you believe, he will not abuse her, your daughter should stay with you.If someone other than the father was the abuser and the father has a good relationship with your daughter, then it is possible that the time away from your household will give each of you time away from arguing with one another.What does your daughter tell you she wants?Her wishes must be considered too.Relationships can be fixed.   Sometimes being apart helps this process because the two people each have time to reflect more deeply on what they value about the other."
"Instruct: I'm always listening to my husband, but it feels like he never listens to me.    How do I get my husband to listen to me instead of me listening to him all the time?
Output: Thanks for your question.  Communication is essential between couples and often times gets neglected in relationships.  Working with your husband to help him become a better listener and consequently, a better communicator is going to take some work from your part.  You have to calmly be able to express to him your concern and how it affects you.  Very important is that you do it in a loving and non-threatening way.  Therefore, the time to have this discussion is not when you are frustrated or need to vent to someone about something important.  Focus the discussion on how both of you could benefit from having more meaningful conversations where both parties are being heard and how it is important to you that he hears you just like it is crucial for him to be heard.  There is a lot of useful information online about how to be a good listener or therapist in your area that can help you.  Be patient and genuine, and he will come around.  Best of Luck, Mirella~"
"Instruct: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
   I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.    Do I have the rights to be able to sign my brother into mentalhealth facility?
Output: Family members sometimes get Power of Attorney over vulnerable adults. If you had this, you could do something like that. I'm assuming that you don't, though. There are steps family members can take through the court system to get someone involuntarily committed, but it is a long process. I deal with situations like this everyday on the job. The only time an adult can be committed against their will is if they are deemed by the doctor (such as at an emergency room) to be a threat to self or others. For instance, if he had suicidal thoughts and a plan to carry out the action, or if he had homicidal thoughts against someone else and a plan to carry it out, he could be placed on a short hold, but these holds only last for a few days. This still isn't a long-term solution. An adult has the right to refuse treatment and the right to make their own choices, no matter how bad those choices are. If you have a way to get him to an ER whenever things like that happen, such as being found sleeping outside in 12 degree weather, it will help a lot. They may or may not do a short term commitment for treatment based on the situation that brings him to the ER, but it's a start. They can help set him up with appointments for psych and he can get on medications. You can help by taking him to appointments and making sure his medications get filled. However, you can't force him to take the meds, so this may be something that happens a lot. With enough of a paper trail of many ER visits and that sort of thing, you'll stand a better chance of getting a court appointed psych ward stay. Some tips about ER visits: Don't send him alone. Always go with him or have someone go with him, because you will be able to give the treatment team better insight into what's going on than he will. He may say everything's fine and he wants to leave, so they won't have any reason to keep him if that is the case. Go with him. If you do get Power of Attorney, take the paperwork with you when you go to the ER and to doctor's appointments because they aren't just going to take your word. They need to see the actual paperwork. Having it on file in their system isn't good enough because paperwork expires, etc. Take it with you at all times. You can also compile his medical records and that sort of thing to take with you so they can see a full history of what's going on.Keep in mind that if you do get Power of Attorney, this makes you his guardian and you have to take care of him. Otherwise, you can get reported for vulnerable adult abuse and neglect. In fact, your mom ignoring and not helping may already put her at risk of that because she is willingly doing nothing to help someone who clearly needs the help. She won't be financially responsible for the hospital or doctor bills, but should be held responsible for his safety. Someone should. There are group homes for people with schizophrenia. "" Being responsible"" for someone doesn't mean you have to pay their bills, it just means you are going to make sure they get the care they need. That care may be placement in a long-term care facility like a group home or a nursing home. Psych inpatient hospitals aren't long-term, so you do need to look into other long-term options. Psych inpatient stays are temporary and are to stabilize him, they're not where someone stays forever.Good luck, and keep up the good attitude! Work with his treatment team. Ask for a social worker. If they see family that is wanting to do the right thing and wanting to help, they'll help you even if it does take a while to get things sorted out. The worst thing any of you can do is NOT go to appointments and that sort of thing."
"Instruct: I was raped repeatedly when I was younger. I told my parents and action was taken, but now that I’m an adult, I suffer from extreme anxiety.
Output: It's not unusual for traumatic experiences that happened when we were younger to stay with us when we get older.  Traumatic experiences can become embedded in our bodies, as well as in our emotions.  If the issue doesn't get a chance to get resolved within, then external action doesn't necessarily take care of the problem.  Seek out a qualified trauma therapist so you can start to deal with the issues you're grappling with."
"Instruct: About 3 years ago or so I was skinny, but I was still ugly. I really do want to change that but I've tried 3 times. Now can I try but don't stop. At school I get bullied about my weight and my ugliness and I have been bullied my whole life that I believe them.
How can I stop thinking about them and don't let it get in my head? My parents said I don't weight that much but, they do think I am fat but, they tell me I am not. I told my parents that I need to go to a therapist, but they think I am fine and I think they don't want to deal with it.
Output: Hey!  I am so impressed with your efforts to ask questions, to figure out how to change the messages that you hear (and say to yourself), and to get support!  And it sounds like you want to make some changes in your life!  Take a walk over to the counseling office at school, the school nurse or consider reaching out to your Pediatrician’s office. You don’t have to have your parent’s permission to seek support for yourself!  And maybe taking control of your support network will give you the strength to make even bigger decisions about your health!  I am rooting for you!  Be Wise!"
"Instruct: My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.
   How can I feel more comfortable around other people?
Output: There's a lot of layers there to your situation, and I'm focusing on two layers that may be contributing to your feelings of discomfort around others.  One layer is the daunting news that your son has autism.  Many parents can feel overwhelmed and distraught with this diagnosis.  The vast array of treatments available is daunting in and of itself at times to wrap one's head around.  Taking time to reflect or seek out therapy regarding how this diagnosis has impacted you may be helpful.  Some parents feel their individual identity gets lost in the diagnosis because they have dropped everything to help their child, and others may experience guilt.  If either of these or other feelings come to the forefront for you, it may be worth working through them with a therapist.  A support group list is available through www.autismspeaks.org and may help connect you with others raising children with autism.A second layer is the abusive relationship you were involved in.  The trauma you experienced in this relationship may have a very meaningful impact on your ability to trust and to be intimate with others.  Engaging with a therapist can help facilitate the healing process, as well as paving the way for more comfortable and trusting relationships."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: I appreciate that you are concerned about your husband's emotions and want to support him as best you can right now. I imagine that you must be going through your own difficult time too. You've had a complicated shock and trauma in your life and in your marriage; it's normal for both of your emotions to move from hope to despair to fear, anger, gratitude... there is no wrong way to feel and there is no particular pattern your emotions or his will follow. Try not to assume what he is feeling but ask him instead. ""How are you doing today?"" is something that can be asked over and over again and your love and compassion for him will come through. If he has a hard time talking, you can share your observations. ""I notice you're more withdrawn. This worries me."" Certainly it will help you if you know what he's thinking and feeling because he hid his intentions to hurt himself. It's normal that you want to know. If there is depression and hopelessness, this likely was part of what led to his initial despair. There is help out there. Depression is treatable, and seeking that treatment is important right now at this vulnerable time. This is the kind of complex situation that can be assisted by a therapist who is qualified to help you both understand and manage your emotions. Whether your husband seeks help or not, I hope that you do."
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: It is ok to have anxiety.   Please don't be anxious about being anxious.If you feel anxiety coming over you, then pull off the road to a safe place.   Concentrate on centering yourself and to breath slowly.   Take some sips of water.  Sit still.     The anxiety should pass in about twenty minutes.If it does not pass, then continue calming yourself until you feel safe enough to drive to your hotel.     You can always explain to your supervisor that you were taking care of a medical problem, because anxiety is a medical problem."
"Instruct: I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least.

I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me?
Output: It sounds like this would be difficult at times, particularly if you feel misunderstood.You may or may not know that we all have chemicals in our brain. We also have different sections of our brain that become active when different things happen. There is a part of our brain where a lot of our emotions originate that is also designed to protect us when we are going through things that have been physically or emotionally painful in the past, and when that part of the brain is sometimes overactive (perceiving threat when there is no actual threat at the time), sometimes anxiety can develop. This doesn't necessarily mean that everyone has an anxiety disorder, but often if we are afraid of something that is not actually a legitimate concern (for example, most insects are not going to hurt me, but I still do not like them very much), we have anxiety about it.The first thing I thought of when I read your question is that perhaps some part of your brain are overactive. I did find an article that may be helpful to you, but I just want to caution you. Not everything listed here applies to you. Also, the article uses the term ""brain anomalies."" This does not mean that there is something majorly wrong with your brain. While I cannot tell you exactly what is happening, I'm asking you not to panic over the term and to just consider that perhaps some of the chemical reactions in your brain may be a little overactive, which may be able to be corrected with medication or something similar. I can't tell for certain from what you posted whether or not this is what is happening, but I would recommend that you either talk to your primary care physician or a therapist or psychiatrist.Here is the article: http://blogs.psychcentral.com/addiction-recovery/2012/09/too-much-empathy/When you meet with your doctor or a therapist, please try to convey how much this is affecting your life.Thank you so much for posting here and I wish you the best."
"Instruct: I'm in my late teens and live with my dad.  The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks. 

Sometimes I feel i'm not worth knowing or i'm never going to do anything right.

Are they right, am I depressed?
Output: The answer to the question of whether or not you're depressed, is less meaningful than what you are doing to feel strong and secure in your life.Otherwise, people shortcut themselves to go deeper in understanding who they are and what they'd like to do with their lives, and accept ""depression"" as though it is their new name.What you write sounds like classic depression.What to do about this feeling is to get closer to yourself in an accepting way.  Assume that what you do in daily living is somehow necessary.  Unless you are doing immoral or illegal actions to other people, to accept your own wishes as truth will open you to appreciate why you do what you do.Make believe you're interesting and find out more about who you are, if you have trouble to start with thinking of yourself as worth understanding.The more you appreciate who you are and your unique strengths, vulnerabilities and fears, the more these will dissolve by what seems on their own.In fact they will disappear bc you are believing in yourself and your ways.Good luck!"
"Instruct: I've been getting told lately by my partner that it’s embarrassing that I'm so antisocial around his family and friends. I believe it's because I'm not as social as him.
Output: Hi Buffalo, I think you're right; your partner's reactions are about him. I have to say it's a cruel thing to say to someone you love...that you're ""embarrassed by them"". The subtext says ""You're not good enough"", and I love that you can reject that false message.You don't have to be different for anyone. If he can't accept you for who you are, what is he doing with you? Your social habits (unless they are extreme...like you refuse to go anywhere) aren't a reflection on him; it's just you being you. Also, and I'm sure you've found this...the more he judges you, the more difficult it is for you to be the confident, outgoing person he wants you to be...so his method of trying to change you doesn't even work!I think that's the crux...he's trying to change you. What does that make you want to do?"
"Instruct: 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.
Output: 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?"
"Instruct: Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me.
Output: What a beautiful discussion of guilt and shame Lynda offers! Those
two demons start out as pesky and little when we are young, then grow with us to
become quite formidable. I'd like to throw in a technique I learned from Randy
Rausch (author of The Last Lecture) called The 3-Step Apology.
I teach this important bit of wisdom to my clients when they need to apologize
to someone else but more importantly when they need to forgive themselves.Yes, when we have trouble forgiving ourselves we sometimes forget
that there is part of us that just doesn't know how to apologize effectively.
Here goes:Step One: Say what you did and the damage it caused.Step Two: Say you're sorry and accept full
responsibility (no excuses, no explanation, no defensiveness: “It was all my
fault.”)Step
Three: Ask what you can do to repair the damage.Step Three is the one many of us didn’t learn growing up. And when
we add it to an apology, we are usually surprised that the penalty is as light
as it is. Of course, sometimes the apology is not accepted and no way to atone
is offered. So be it, we can’t control this. But if we are apologizing to
ourselves, we can. There is always a way to make amends if we put our heart
into it.
Give this a try the next time you’re reluctant to let yourself off
the hook. You might surprise yourself when how benevolent you can be when
invited."
"Instruct: 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?
Output: You absolutely do not have too many issues for counselling. The fact that you are wanting to seek help is commendable and you should feel proud of yourself for reaching out for support. I know from my experience working with clients that some may say they have only one issue but when we explore it turns out they have many things that they want to discuss that are of equal importance. I believe that you deserve to feel happy, at ease and also get restful sleep amongst other things. Please do not feel hesitant because the fact that you know what you want to discuss and work on is amazing. You know the directions you want to go and the therapist just needs to help you get there. I suggest sitting down and making a list of what you want to discuss as well as what you feel is more important to address first. Perhaps the therapist can help you with that as well."
"Instruct: When I see something I don’t like, I go off like a ticking time bomb. I go from “0 to 100” really quickly.
Output: Sometimes we react to situations immediately, without thinking of the consequences of our actions. Typically by not reacting right away, we are better able to gather our thoughts, see the situation more clearly and from other perspectives, and respond more calmly. One of the strategies that almost always helps is deep breathing. When faced with a stressful situation, you can give yourself a time out by removing yourself from the stress and spend 5 minutes taking deep breaths (breathe in slowly counting to 4 and breathe out even slower counting to 6), while focusing and thinking only about your breathing. After doing so, think of the various ways you can respond to the situation and choose the one most appropriate. Good luck!"
"Instruct: I’m a man, and I’m soon to be married. I have been messing around with other men on the side. It started as a once in a while thing, but it’s been happening a lot. I don't know what to do.
Output: Hello, and thank you for your question. When faced with these kinds of difficult challenges, I usually encourage people to look to their values for help in determining what their behavior should be. Indeed, it is usually when our behaviors conflict with our values that we don't feel very content with our lives. Perhaps you can take some time to think through a couple of these questions: What kind of person do I want to be deep in my heart? What kind of character do I want to have when in public and in my private world when nobody is watching? How would I want others to describe me? Let's say that you want others to see you as being authentic, and YOU also value authenticity as something you want to live by. You may feel like this value is currently at odds with the behaviors you are engaging in right now. That you are not being the person that you really are deep in your heart. This is not an unusual struggle when it comes to sexual behavior and sexual orientation. So please, try not to feel alone. We all know quite well how unacceptable it may be to be seen as gay, lesbian, bisexual, etc. And I am not just talking about being unaccepted by others, but a person may have a VERY hard time accepting themselves. Thinking about your values and living a life based on them can bring a lot of freedom, but I won't lie, it can also bring a lot of pain at the same time. For example, someone with the value of living authentically may decide they have to tell others who they are and what they stand for, even if that means people may disapprove. That may cause a lot of pain, but it may also come with a sense of freedom to live a life based on honesty and authenticity. It may be helpful to find a counselor who is trained in affirmative therapy, which is recommended for people who are navigating their sexual behaviors and figuring out what is right for them. I would also sit down and think through some of the questions above and consider what your values are... both as an individual and as someone's fiancé.Above all, I wish you well in this journey. Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: I was hanging out with my close guy friend. We started kissing, but afterwards, he said that we should just stay friends because he doesn't want to ruin anything. We both just got out of relationships. His was very sexual. I'm not a sexual person, and he knows that. I want to be with him, but I'm not ready for another relationship, and I don't know if he ever will want to be more than friends.
Output: Given that both you and your friend recently ended your respective romantic relationships, kissing each other sounds like each of you satisfied a very natural need which for right now does not has a natural source of satisfaction.Suddenly being without a partner is difficult because a relationship absorbs and offers much of a person's energy. Stay focused on what you know about yourself, which is that you're not ready for another relationship.From what you describe about your friend, similar to you, he does not feel ready for a new relationship.If and when you feel ready to enter a new relationship and your friend seems attractive, then you'll be in a position to find out, either by approaching your friend as a potential partner, or by asking your question of his interest in you.Who knows?It is possible your friend will feel ready for a new relationship, approach you, and depending on your personal wishes to be or not be with who he has become, accept his offer.Good luck with Step One, becoming familiar with your new state of single hood, and sorting through the good news and bad news of your most recent relationship."
"Instruct: I just wanted to get to know one so I can hear about their college experience and the courses they took. I also wanted to know if they enjoy their job and how long they were in school.
Output: Mental Health is an exciting and rewarding field.  I hear you saying that you want to be a psychologist, and that is one path to working in mental health.  You could study psychology, social work or counseling to become a practicing therapist. I am a Licensed Professional Counselor Associate and a Licensed Clinical Addiction Specialist.  I currently provide assessments and supervise several counselors in a large clinic in Asheville.  I also have a private practice online. I studied Sociology and Interpersonal Communication as an undergraduate, and then I received a counseling masters degree.   My master's degree was comprised of several supervised practice courses and theory courses.    I really enjoyed my education, and I find my career equally rewarding and enjoyable. If you are considering working in the field, I recommend emailing several counselors, social workers, and psychologists in your area and setting up an informational interview.  Not everyone you contact will be willing to give you their time, but many may.   This will help you determine which path to therapy may be right for you.  Licensing restrictions and abilities vary state to state and a local practitioner may be able to provide you with a specific list of challenges/triumphs about their particular license and education.    Psychologists are usually PhD level practitioners and require more education to begin.  LCSWs , LPCs and LMFTS can practice with a master's degree.  Best of luck! This is an exciting time."
"Instruct: I find that I imagine things sexually, and I hate it because it puts strain on my relationship. I feel helpless and guilty. I want it to go away, and I want to make my woman happy again.
Output: It is completely understandable that you would like to find a way to make these intrusive thoughts go away, however, your feeling that you can't control having these thoughts is accurate. It's also understandable that you would feel helpless and guilty, given that you see how these thoughts are effecting your relationship, though I would encourage you to go easy on yourself and remember that you aren't choosing to have these thoughts. I'm sure that if there was a switch to turn them off, you would flip it.There is no magic technique or pill that can guarantee these thoughts will go away, however, therapy may still have a lot to offer. In working with a competent therapist, you may be able to gain insight into where these thoughts are coming from and develop new ways of relating to them so that they do not leave you feeling as helpless and guilty and can be more present with your partner. Though there is no guarantee that the thoughts will go away, this may also be a result of work with a therapist. Either way, you may be able to find a way to deal with the thoughts and show up in your relationship in a way that will be satisfying to you and your partner."
"Instruct: 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?
Output: Of course not. Counseling is a process, whereby you and your therapist will help you create goals- starting with issues that are most pressing and interfering with your daily functioning. When anxiety and daily stress is more manageable then you and your therapist can examine more deep rooted or more chronic issues."
"Instruct: I recently lost a friend to suicide.  I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: Let me begin by offering my condolences for your loss. I can understand how difficult this time maybe for you especially if you have several unanswered the questions due to the circumstances surrounding the death of your friend.  It's during this time, that you may experience the various stages of grief. This includes denial, anger, bargaining, depression and finally acceptance. In the bereavement process, there is so specific time frame or lengths of time for someone to work through each step. Its imperative to note  that one may express each stage with different levels of intensity. Also, the five stages do not necessarily occur in any specific order. We often move between stages before achieving a more peaceful acceptance of death. Just note that everyone greives differently, some internalize their feelings and emotions, others express it externally, while other avoid it all together.Coping with loss is ultimately a deeply personal and singular experience. Sometimes we feel that no one understands what we are feeling or going through, much less comprehend our emotional state of mind . What's important, is that you allow others to comfort you through the various stages. My recommendation is to allow yourself to go through the emotions and feel the grief. Avoiding or resisting may only delay the healing process. Reaching the acceptance stage of mourning is a gift not not everyone is awarded, but seeking the help of a Grief counselor may assist in deciphering your emotions and set you on a more positive path to achieve closer."
"Instruct: I have a severe back problem. I've had 3 major and several minor operations, but I'm still in constant pain. How can I deal with the depression from this chronic pain?
Output: Chronic pain at the back likely results from a few areas:L4-L5 kidney zone, most likely (lower back);Bone spurs, fused discs, and slipped discs, caused by connective tissue weakness, and calcium deposits used to neutralize highly acidic areas...The 'depression' will evaporate when the chronic pain is drained out, through natural means;Pharmaceutical means will simply extend the pain and cause it to deepen over time, not solving the problem;Remember, medical doctors suppress, natural doctors cure..."
"Instruct: My friend’s husband is bipolar and refuses to take medication for it. He has taken the wheels off her vehicle before to prevent her from leaving. He has held her a prisoner in her home. He has choked her, hit her, etc. She has almost divorced him a couple of times but always makes up with him, thinking that he is going to change. She and I went to a wedding out of town in September of 2014, and ever since she has been back, he is convinced that she cheated on him while we were gone. Now he is saying that I have also cheated on my boyfriend and has come to my house and told my boyfriend this.
Output: I’m glad that you  are seeking help and that you are supporting your friend. I’m sure this is all overwhelming and frustrating for you. The biggest thing you can do for your friend is to be supportive as you are already doing. Unfortunately there isn’t much you can do for her outside of that because it is up to her husband to change and up to your friend if she wants to leave. There are things you can do to support more: it might be helpful for her to have some information on a domestic violence non profit in her area because they can assist her in many areas if she wants to leave. They can also provide you with support while you go through this with her. The nonprofit can also safety plan with her and it might be helpful for you to do it with her if you want to. Another thing you can do is support her in decision to stay with her husband or not despite what she decides. Many victims decide to stay with thier abusive partner for many reasons. It is important to support her decisions, even if you don’t agree with them, because she may have very little decision making in her relationship. I would also encourage you to make sure you are taking care of yourself while you support her so you are not becoming too overwhelmed. Here is some info that might be helpful to you. https://abuseintervention.org/sandbox77/wp-content/uploads/2012/03/How-to-Help-a-Loved-One.pdf"
"Instruct: He owns his own business. Sometimes, he stays out all night but doesn't tell me. We have a son together, and I get to stay home with him. He says I complain too much about what he's doing. We've been together a year and a half. I got pregnant after being together for a month. We moved in together when I had my son in July. Everything was great, and then he started the staying out. He then started not spending time with either of us. I just don't know if I'm doing something wrong. We've talked and he says this is just how he is, but he wasn't like this before.
Output: Congrats on the birth of your son!Your situation sounds painful, lonely, and isolating.And, these features are eating away at your self-confidence.Start by believing in yourself.  The feelings and ideas you describe here would only be arising from within you because they are at the very least, partly true.Ask your boyfriend if he is willing to listen and understand your point of view.  If he does, then hopefully the two of you will more easily talk with one another about the truth of feeling overwhelmed by the quick pace of your courtship and becoming a family.If these discussions continuously include him blaming you for having your own feelings and expecting him to more actively be a part of your and your son's life, then you'll need to start valuing your feelings and what is best for you and your son, by yourself.I send you lots of good luck!"
"Instruct: We've been dating for two months now. I have a heavy past that gets him angry. Does he have a right to penalize me for things I did before I met him?
Output: Not in my book. You're only two months in? At this early stage, this is a bit of a warning sign. If he can't accept or feel comfortable with who you are and decisions you've made, there's already a level of discomfort here that shouldn't be ignored. No, he doesn't have the right to penalize you or punish you ...not just for past things...not for anything. What he does get to do it tell you how it affects him. Sure...if he feels uncomfortable or needs reassurance...listen to those things. But If he doesn't dig who you are, maybe he can walk the other way. "
"Instruct: After my fiancé cheated on me because of a miscommunication, I pulled myself away from him.    Now he says all he wants is be with me. I'm pushing him away mentally now because he cheated on me again. I make plans with him that I don't keep. I really do love him still and I care about him. Should I give home one more chance?
Output: People don't cheat bc of miscommunication.   People cheat bc they feel diminished regard for their partner.You pulling away doesn't explain his behavior.If the two of you still were a couple at the time he cheated on you, then there were many alternatives he cold have taken besides disrespecting you.Try to understand whether you are satisfied and happy in the relationship.  Your actions sound as though you are not either of these.Whether or not you decide to be together again many depend too on if the trust you had in him is restored.  Do you feel you can trust him again?If the two of discuss your relationship then if you don't trust him right now and the both of you talk about your dynamics, then tell him about your feelings.Trust is foundational to feeling safe and happy in a relationship."
"Instruct: I've become so jaded that I can't control my thoughts. I cannot focus on anything and been having anxiety attacks.
Output: I imagine that it's pretty disconcerting to feel as though you lost yourself.When you said that you are jaded, I'm not sure whether you mean that you are jaded toward someone, something, life in general, or some combination thereof.One of the difficult things about anxiety is that anxiety can lead to more anxiety because of being concerned about having another panic attack. Consider remembering that panic attacks usually only last a few minutes and the reason they don't go away right away is because of the way your brain releases chemicals because some part of your brain is reacting as if you are in danger in some way.As far as finding yourself, you may consider looking at what parts of each day you can control as a way to stay centered. You could also focus on something that makes you feel happy and/or comfortable.You may also consider the list of values here to give yourself an idea of what is most important to you, what it is that you are living by now, and what values you would prefer to live by. http://www.therapistaid.com/therapy-worksheet/values-clarificationIf this proves to be difficult, consider seeing a local therapist."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Lots of people do cry in session, but your therapist won't be uneasy with this.  Crying is a natural response and it also releases toxins, so some might say it's necessary!  Remember that you can be in charge of what you talk about in your session and if there's something that feels too uncomfortable, just say, ""I'm not ready to talk about that.""  Your counselor wants  you to feel at ease and will probably not push you right away to a very uncomfortable place.  As you get to know your therapist, you will feel more relaxed and even not worry so much about how you appear to them.  It's normal to be anxious going into a new situation especially when you might not feel in control of uncomfortable emotions.  Don't give up, go and put your best effort in! Hope that helps, Allison"
"Instruct: She's in her early 20s, and she has a toddler.
Output: It may be helpful to first have a discussion about what you are expecting and put a timeframe on it that if she is not doing certain things by a certain date, she will have to leave. If you don't know where she can go, there is probably a list of shelters for the county that you live in."
"Instruct: My boyfriend can't get over my promiscuous past. He says he loves me  but says the thought of my past is disgusting and a sexual distraction. He says he should have had more sex with different people. I don't know how to handle this.
Output: I am sorry to hear of your relationship struggles. One thing I wonder is did you volunteer the information about your past or is this something that he asked about?  In the future, it is probably best to leave details out of conversations like this.  I think it is common and natural for partners to ask about the sexual history.  For one thing, it is a good idea to be checked for STD’s before entering into a sexual relationship with someone, and it is fair to share that information with each other.  Partners usually want to know how many you have been with and what kind of sexual preferences you have or if there is anything you don’t like to do.  This gets into a gray area for some people.  I don’t necessarily want to know how many people my partner has been with and I certainly don’t want a whole lot of details.  Sometimes that is an image I just don’t want in my head about my partner.  Vague details are usually enough.However, I understand that your partner has the details and is not happy with your past.  This is a reflection on him, not you.  This shows insecurities on his part.  You cannot control how he will react to information that you provide to him and you cannot control how he feels about the information.  The past should remain in the past and not be held against you in the present or future.   If he cannot handle your past then it is going to cloud your relationship.  You can offer couples counseling to him and see if he will go with you.  I have seen relationships recover from some very serious problems such as infidelity.  It takes two people who both want it to work to make it work though. If your boyfriend cannot get over your past, you may have to let him go.  Don’t keep yourself tied to someone who is not right for you.  Constantly holding your past over your head and holding that against you is only going to bring you down and eventually you may start having insecurities or low self-esteem due to this type of treatment. I don’t see that you have done anything wrong.  If you aren’t cheating on him now and you answered his questions about your past honestly, how he handles that information is on him.  Ultimately, relationships have a tendency to come and go. Don’t fight to hold onto someone who is not right for you.  It is okay to be single and enjoy being the best you that you can be.  In time, the right person for you will enter your life."
"Instruct: It happens especially at me and my sister, and then she gets emotional and brings up the past. How should I deal with it? She is always stressed about her work and doesn't put her family first.
Output: You are very wise for a young person. You have already figured out that other people's behaviours...how they treat you...it's not about you...it's about them. I love that you don't blame yourself for your mom's behaviours. It's not your fault. She's getting upset because she doesn't know how to manage her emotions, and these emotions have to do with her past and her present stress. You're just the trigger. Yes, this is normal, but it's not necessary. She can find another way to manage her ""stuff"".Unfortunately, you can't help your mom a whole lot or even help her recognize this. But for yourself... remembering that her behaviours are her issue is the biggest piece of ""dealing with it"". You can always try some new strategies when you talk to mom...you can say ""I'll listen you better if you don't bring up past stuff"", or ""I'm worried about you mom. You seem stressed"", or even ""I don't like the way you talk to me"". Good luck!"
"Instruct: What are some difficulties that a counselor can encounter when dealing with a client?
Output: Each counselor will have their own list of ""difficulties"" in doing therapy work with a client.  Even if clinically trained similarly, since counselors are human then their response to your question will reflect their unique differences as humans.On my list is when the emotional pain I feel for someone describing some type of injustice or unfair treatment by another, feels very deep.Sometimes I feel like avoiding the pain I feel by asking questions which will steer the conversation away from the painful areas the client talks about.What in fact is necessary to clear out their pain, is to step further into so as to realize their emotional pain isn't greater than who they are."
"Instruct: My ex-girlfriend says she's bored and wants to experience life single. I treated her really badly and caused meaningless fights when she didn't do anything, I feel remorseful, and I'm willing to do whatever it takes to get her back. She's unhappy. When I called her, she was crying and said she will text me when she's ready.
Output: Were you happy with the ways she satisfied you?A relationship is happiest if each partner concentrates on the happiness of the other.Strange for someone who was treated badly to describe themselves as bored, rather than say they feel hurt.Is it possible you are being self-critical about your behaviors toward your ex girlfriend? Either she is unaware of her feelings or not being fully truthful with you about her feeling badly treated.Since she's putting up a barrier to communicating with you, better for you to respect this than contact her by phone again.Consider in a few weeks, so each of you has time to think over your happiness with the other person, to write her an email which states your interest to re-open the relationship.Who knows, you may even decide by the end of a few weeks, that you're fine without this particular relationship.Depending on her response to your email, you'll know whether and how much chance there is for the relationship to clear up the problems of the past and to continue."
"Instruct: Does counseling really do anything that can help people?
Output: I love this question! Some people shy away from counseling because they think since they already talk about how they feel to their relatives or friends they shouldn't need a counselor. However, if you are having a difficult time, counseling can be beneficial in helping you move forward and get your life back on track. Counseling is not like the kind of talking we do to people we know. For one, your counselor does not have a history with you and has no expectations of how you will act and what you will do. In that way, counselors come to a session without judgement and expectation. This gives you the platform to truly explore your thoughts and feelings. A counselor can also help you understand your motivation and help you integrate your past experiences and recommend coping skills that can help you if you are feeling overwhelmed by your emotions. Over time, as you work with a counselor you will get feedback and also be able to share new insights. The work you do is based on you and where you are at. Oftentimes, when we talk to friends they bring their own agenda to a conversation, and while they mean well they may offer solutions that work for them and not you. A counselor will help you uncover the solutions that work best for you and help you find the motivation to follow through with your plan.Best of luck to you!"
"Instruct: There is  just no communication at all between us.  She sleeps constantly all day (not at night).  She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat. 

She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health.

I don't know how to communicate with her.  She is not open to any suggestions. How do I get through to her?
Output: 1. She's an adult.2. She lives in your house? She follows your rules.3. What you're describing could be any number of things, but could potentially be a medical issue that needs attention. Thyroid issues, autoimmune diseases - there's a ton of medical possibilities for her symptoms. I'm not a doctor; this is a forum of therapists.4. I recommend the book ""Codependent No More"" which may help you navigate your rocky relationship with your adult daughter. You may be inadvertently making things worse by ""helping"" her which can instead enable her to continue her behaviors. Another book you may find helpful is ""Boundaries: Where you end and I begin"". You cannot control another person, especially an adult. The only person you can control is yourself. Tough love is sometimes needed, and she is an adult - treat her like one. Maybe then she'll act like one. If we were having this conversation in person, you would interrupt me at this point with a ""but..."" and then explain all the reasons why you can't tell her to move out, get a job, get up and cook or clean the house, etc. I already know that you have a myriad of excuses for things being the way they are. Yes, I said excuses instead of reasons, because that's what they are. You may feel stuck and like you have to take care of her, but you have choices - you just may not like them. I know that when children are small, parents' lives are focused around them (some more than others) and decisions are made around what is best for your child. But you said your daughter is an adult. The relationship dynamics must change if the relationship is to be a healthy one. I know how difficult it is to watch your child make life choices that you wouldn't want for them, no matter what that choice may be. As a parent, we want to force them to do what we think is ""the right thing"" but trying to do that only results in frustrations for everyone involved. Whether the issue is a hair color, a tattoo, a lifestyle choice, a job, or choosing not to work or take care of their health, or doing drugs, or drinking - the choice is theirs and theirs alone and so are the consequences of those choices. "
"Instruct: My roommate is a unapologetic person who doesn't care who she hurts. She never apologizes to me or my family. She made me lose my temper today to the point where I was using swear words in front of my mom and brother.
Output: You must be feeling frustrated about how to resolve this. Some people seem to really provoke emotional responses in us. One thing to learn for a quick review of yourself when you are provoked is to pay attention to your body. Notice your heart rate, fists clenched, some warmth going through your body and these are signs that the interaction is toxic for you. Move out of the room, say something calling to both of you and let things simmer down before responding. When you are able to calm your body, think of ways to bring the issue to her attention using positive words but holding your ground. If she doesn't listen ask someone to come with you to talk to her about it, If she still won't listen, reassess your expectations of her.Finally if you need to , you may have to consider changing the status of your rooming together."
"Instruct: My ex-boyfriend and I met over a year ago. We hit it off and fell in love pretty quick. However, he has trust issues and assumed I was cheating. When I found out I was pregnant, we had just broken up. Five months later, I lost the baby, and we did not speak for a few weeks. Now we are talking, and he says he loves me but is afraid I will hurt him ""again."" I just want to know where to go with this because I love him so much, and I want to get back to us being happy and a family.
Output: I'm truly sorry to hear that your relationship is causing you such distress at this time. When we are in relationships, trust is so integral to our satisfaction within the relationship.  Often, when we feel we are required to prove ourselves, feelings of resentment can replace those feelings of wanting to be supportive.  In situations like this, I often recommend being open and honest in your communication with your partner.  Your fears about his response are valid, as he made an assumption which you cannot disprove because you cannot battle against a shadow fact. If you feel comfortable doing so, you can always ask him why he is so concerned you are unable to remain faithful and challenge those beliefs with the facts that disclaim them.  You can also ask your partner what it is that he needs from you to help you to help him trust in your responses.  In the end, these are issues that you cannot conquer for him - you can only guide him and show him the path towards trust.  You may suggest couples counselling or that he seek out a professional to talk to, as well.  But in terms of your question, only you can decide whether you feel you can remain in a relationship in which you defend yourself against an uncommitted offense. "
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: Congratulations on your new job. Chances are, you accepted this opportunity knowing that sometimes, you feel heightened levels of anxiety while traveling (or at least, people are telling you this is true) Rather than working towards how to stop it from happening, it might make more sense to prepare for if it does: often, when we know how we might deal with a situation, the situation doesn't manifest. On a more broad scope, though, tools to minimize anxious feelings abound: there are apps (headspace or happify for example) therapy helps, and tools like yoga and meditation can help reduce anxious feelings too. Safe travels~"
"Instruct: My mom and I have been fighting a lot now, and I just want a good relationship with her.
Output: The best way to work on a relationship is for both people to engage with the problem and start communicating with each other more effectively.  One of the hardest things about this, however, is getting both people within the relationship to recognize that they are both responsible for the successes and failures within the relationship and remove all the all-or-nothing blame. The best style of communication is open and asking for clarification; why not try asking your mother why this particular fight/situation is eliciting such an angry response.  Often, the simple act of expressing that we don't understand the other person's point of view can open the doors to better levels of communication. The hardest part is trying to remain humble as we seek out that clarification and avoid the blaming language we are so used to using in such times. "
"Instruct: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.
Output: Hi, as an affirming gender therapist I like to let people know that like sexuality, gender is a spectrum too.  It's possible to look like a girl and feel more like a boy, just as it's possible to feel halfway between a boy and a girl, or anywhere else on a horizontal line with two points between it.  Some people use different pronouns or words to express their gender and that's okay.  It's up to you to find out what is most comfortable."
"Instruct: I tried telling my husband I was depressed, and he ignored me. He said ""you're always sad or depressed."" And he picked up his phone and ignored me. I said, ""Please don't exaggerate, that isn't true."" And he said, ""Whatever babe. You just want to be sad.""
   How can I get through to him so he will take me seriously?
Output: Oh dear.From what you write, your husband doesn't have any interest to know about you and your sad feelings.Stay clear in understanding that you already did your part by asking him to listen and care about the way you feel.In this example, he told you he doesn't care.Its up to him to open his mind and heart to you.Depending on how motivated to continue asking him to hear you, try until you feel satisfied that you've given him enough chances to know who you are.   At a certain number of tries at this, you'll either have success or not.Just don't try forever because doing so will increase your depressed feelings."
"Instruct: I've been feeling worthless, unaccomplished, and so frustrated. I want to break things, hit myself, run away, kick, scream, and cry. I just want to be happy and outgoing again. I want to be able to take care of my daughter and live comfortably.
Output: Philadelphia, there is help out there. For your daughter's sake, start somewhere. Feelings are only that; your worst fears about who you are are only based on a few moments that haven't gone well. Depression is so treatable, but you have to seek treatment from a professional.Here's a quick exercise for you to do that can show you how therapy might work... fear is telling you the worst possible story of your life, right? So... if there was an opposite story...the very best story that someone could tell about you and your life...what would that be? Who would be telling it? Someone who loves you? Someone who was around you when you were that outgoing person? Someone who's been watching your life from the start? God? Write that best story. I dare you to give it as much credibility as the worst one. Therapy is often about helping people reject their ""worst stories"". I invite you to start exploring with a qualified therapist whatever barriers stand between you and your best life. I hope you reach out soon. :)"
"Instruct: I have been in a relationship with my boyfriend for about six years now. In the past, our relationship was difficult and frustrating. We argued a lot, and due to that, there was a lot of tension between us. We stayed together because we love each other and wanted to make it work. I used to party a lot, and several times I got into situations where I would end up kissing someone else. These situations were never more than just kissing. I have come clean about these situations with my boyfriend, and he decided to forgive and move forward with me. I love him so much and want to work things out too, but I'm having a difficult time understanding how he can forgive me. I can't seem to forgive myself. I'm overwhelmed with feelings of guilt and unworthiness.
Output: Hi Cerritos,This is an interesting twist because it's more common for the person in your position to want to move forward, and for the person who was wronged to struggle with forgiveness. You are lucky to have a loving, compassionate partner, and your boyfriend is lucky to have a partner who takes full responsibility for their actions. My hunch is that you learned some things about yourself when you were younger that are playing a role here. Your sense of worthlessness seems out of proportion to the mistakes you made. You don't have to be perfect in order to deserve the love of a good man. You only have to have the maturity to recognise when you've hurt someone and work hard to make it better. Who in your life overreacted to small mistakes you made? Were you shamed as a child? Did you learn that you deserved to be punished? Did something bad happen that you thought was your fault? Is there a mistake you made long ago that you need forgiveness for? There is a younger person inside you waiting to be forgiven for something they weren't entirely responsible for. The bar is too high for you. If I was your therapist, I would work with you to find the source of the shame, and address that wound. If you want to move forward and be with your boyfriend, your job will be to forgive yourself. Forgiving doesn't mean ""it was okay""; forgiving simply means that it happened, that you can't erase it, and that you don't want to carry it around or punish yourself for it anymore. You have done many things here that you can feel proud of! You've 'come clean', you've been honest, you've taken responsibility for your actions, you've not tried to minimize what you did, and you've chosen to be more loyal and aware of how you impact your boyfriend. These are all things you can use to build your sense of worth. You are acting very honourably. It's time to put your past mistakes away on the shelf knowing that you've learned from them and are a better person now. It's not our mistakes...not our worst moments that define us...it's how we handle them afterwards.I wish you growth and happiness."
"Instruct: 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?
Output: Your patience with his pace of accepting your past, is the factor most in your control in this situation.Everyone accepts a new understanding at their own particular rate.  Yours may be faster than his pace.Since it is possible he may accelerate his pace of accepting your past if he knows that this is a priority for you, tell him about your own discomfort .Even if knowing how you feel does not motivate him to a quicker pace of accepting your past, you will have the peace of mind to know you gave him all the information you possibly had to give."
"Instruct: I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I’m unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do?
Output: You should be able to get a replacement ID card either from the Personnel Office on your local base (the actual name of this office will vary depending on which branch of the military it is). You may also be required to go to the Military Police or Security office on base to report the loss of your old ID card."
"Instruct: We weren't long distance until he joined the military.  I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?
Output: You're wise to be aware of possible changes to your relationship once your bf is away from you for extended time periods.All you both can do is state your intentions and wishes, keep in contact as much as possible, and wait to see how your relationship unfolds.To a large degree, each of you is relying on faith that if the relationship is meant to last for a while, then it will.   The military may add stress.This doesn't necessarily mean the stress will dissolve the relationship.Sometimes all anyone is able to do, is try."
"Instruct: I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?
Output: Hello there.  Thank you for sharing your heart here.  I want to start off by saying, in kind of an ironic way, your struggle is something many people go through, I might say quite often.  Many feel alone with one another quite frequently.  THe reasons for feeling alone vary much between person to person.  In reading how you presented things, I will just respond from how this strikes me.  Sometimes feeling alone might be the result of not completing the second half of the equation; meaning that although people ""listen"" it wont necessarily equate the elimination of being alone. Instead, its when you follow up by inquiring and listening to others that you  may discover they feel and think and struggle just like you do. And as a result, you discover you really were never alone; when people discover common struggle and feelings, we are connected.  Second, we as humans are sometimes feeling alone because we may be lacking some self-acceptance.  Not fully accepting myself or situation , can be in the way of feeling the presence of others or the hearing the voice of others too. Or in other words, not bein 'ok' with myself makes it difficult being with others.  Third; feeling alone may be us not clear on what we are really needing from another person?   These are just some thoughts to consider.  Aloneness feels so real; and yet it has much to do with our perspective and view of things...  we are all alone in a crowded world until we speak and listen more closely.Kindly-keith hughes M.A.  keithcounseling.com"
"Instruct: I recently broke up with my boyfriend After being together for over 4 years. I truly believe I did the right thing, but omehow being single now has made me very needy and unsure of myself.
    I am seeing someone casually and I am losing my mind with anxiety about how he feels about me and this need for validation.
   How can I learn to be content and at peace with myself regardless of my career, relationship status, etc?
Output: Hello.  What you are experiencing is entirely reasonable for someone that is still trying to adjust to a new life and also leave behind a long term relationship.  It sounds like you lost touch with who you were as a person and need to start exploring that side of you again.  Spend time doing things that you have been putting off, or did not do because you were involved.  Take the time to become one with yourself before you get into another serious relationship.  Regaining self-confidence on yourself will help you with all other areas of life.  It is time to make you a priority and to start focusing on your mental and physical well being.  Get connected with your community and find things you would want to do that give you purpose and lift you.  Before too long you will be in your way to being content and in total control of your mind and at peace.  Best of luck. Mirella~"
"Instruct: My girlfriend's grandma passed away 5 months ago. They were very close. She took care of her till she died. Things kinda returned to normal few weeks later. Last month it feels like we hit a brick wall. Intimacy fell off. I asked what's up. She says she can't connect with anyone and that it's not me. She used to be very open and expressive. Now she gives short answers and has no interest in sex or any touching. When we did have sex in the last month, something felt really off. Now I'm very insecure about us and have thoughts of her cheating. She says otherwise, but I don't know. It just feels like something is really off.
Output: Grief has a huge impact on us and everyone's reaction is different. The one common reaction however is to shut down and distance ourselves. Her relationship with her grandmother was close, given she took care of her up until she passed. It sounds like she is working through a difficult loss and her ability to connect with you, or anyone else, is likely low right now. Trust what she is telling you and try to be there for her as she works through it. If she finds it too difficult to connect again, a good grief counselor can help her get back on track."
"Instruct: When I ask him who he is talking to, he tells me no one. But, it sounds like he is holding a conversation with someone. I have even accused him of having a secret cell phone. I ask so much, I feel like I am losing it.  Is he trying to make me question my sanity, or is he talking to himself?
Output: A rare topic & likely extremely troublesome for you... I would need to have more background information on the two of you before beginning to offer any insight. Feel free to email me.I would also like to add that aside from the reality of whether or not these conversations are actually occurring, as your partner, he should be just as concerned about something that is disturbing you to this level.  Partners need each others' trust and support, no matter who is right or wrong."
"Instruct: My mother and I have an okay relationship. I know she loves me unconditionally, and I love her the same. However, more times than not, I'm afraid to tell her anything personal because she either doesn't listen, she turns it around and makes everything about her, or she ignores things - even when they are about my mental health.
Output: Could you tell her ?  What would happen if you said ""Mom, I love you and I really want to share myself with you, but often I you get upset and I don't want that to happen. I really want to be able to talk to you."""
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: Although the marriage vows say in sickness and health, each person has the right to choose to stay or to leave, depending on their ability to cope and handle marriage challenges.  I know is hard not to focus on him and his choice, but the more you put the focus of attention on him the least support you will receive. Focus on increasing self-care activities and building a support system around you.  A therapist can help you to work with depression symptoms, build up your self-esteem, and developing coping skills.  Also, invite him to a therapy session so he can clarify any questions and concerns regarding your diagnosis.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.Mi esposo quiere divorciarse después que fui diagnosticada con depresión severa.El dijo que intentaría y nunca lo hizo.  Has pasado nueve meses, y esto me está haciendo sentir peor.   Hoy, el dijo que yo debo respetar la decisión que el tome.   ¿Es eso cierto? ¿SE supone que respete la decisión de irse porque él no puede manejar lo que yo estoy pasando y me deja llorando y preocupada cada noche?  El cambia de opinión todo el tiempo.A pesar de que los votos matrimoniales dicen en la salud y la enfermedad, cada persona tiene el derecho de decidir si se queda o se va, dependiendo en su habilidad de lidiar los retos del matrimonio.  Entiendo que es difícil evitar enfocarte en él y sus decisiones, pero mientras más enfocas tu atención en el, más vas a resentir la falta de apoyo.  Enfócate en aumentar el cuidado personal y en desarrollar tu sistema de apoyo.  Un terapista te puede ayudar a trabajar con los síntomas de depresión, mejorar tu autoestima y desarrollar mecanismos de defensa.  También puedes invitar a tu esposo a terapia para hablar sobre tu diagnosis y que aclare dudas sobre los síntomas y expectativas.Si te gustaría recibir terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478."
"Instruct: I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because it’s easier. I just want answers. I'm sick of feeling this way. It’s ruining my relationships with people.
Output: Hi Loyal, This is a common question. I suggest that you not diagnose yourself (only a physician can do that), but the symptoms you mention are certainly common signs of depression; rarely happy, emotional numbness, hopelessness, isolation. Depression is very common. Research suggests that one in three people may experience it in their lifetime and at any one point, ten percent of adults may be experiencing it.  Most therapists are very good at spotting the signs and treating accordingly, although only a physician can prescribe medication.The great news is that depression is treatable. Some people experiencing depression may benefit from medication (often to lift the heaviness of the illness enough so that one can focus on psychotherapy), and therapies such as cognitive behavioural therapy and behavioural activation therapy have demonstrated a clear ability to reduce symptoms of depression. Even if medication helps, seeing a therapist to look at the roots of your depression and to build coping skills is very important. A qualified therapist will help you look at the barriers to happiness in your specific case and suggest a course of treatment. You are not alone, and you don't have to suffer. Keep asking questions and you will find your answers!"
"Instruct: I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped.
Output: I'm sorry that you have tried several different things and not had much relief.I will say that there are several different types of medications that may help and each therapist is different, so it is quite possible that a different combination of things you've already tried may be helpful.I would encourage you to continue trying different therapists. I would say to give each one at least six sessions before you decide that the approach that they are using is not working for you. Also, most places have a certain sort of structured initial session that must be done, but after that, the decisions are largely up to what you and the clinician feel is helping. If something is or is not working, communicate this with your therapist. This is a big deal. Most therapists I know actually welcome this feedback.There is a fair amount of research into the idea that the therapeutic alliance (the relationship that you have in the context of working through the reasons that brought you into therapy) is very important. Also, sometimes anxiety and depression can make it difficult to go to therapy on a regular basis. If that is something with which you are struggling, I would encourage you to talk about that as well.In addition to a solid relationship with a therapist who you connect with, you may consider trying something like yoga or meditation. Mindfulness is sometimes helpful as well.Here's a link to questions for finding suitable therapists: http://www.pharmatherapist.com/12-tips-for-finding-a-suitable-therapist"
"Instruct: My boyfriend says I'm nuts. I need to get help because I get an overwhelming feeling that he is cheating on me. Whenever I try to talk with him about it, he always turns it around on me by telling me what I'm doing wrong. I know that accusing him does not help. When his whole demeanor shifts towards me, I can't help but think that something is wrong. Am I wrong for feeling this way? I try to talk with him to make it better. I let him know when I am feeling down. But I am not confident in these things.  Two weeks ago a girl texted his phone 3 times trying to hook up with him. He texted her back with ""Sorry, I've been working. I just read your message."" The girl was trying to get him to call her at a time when he was at home with me. He texted her back with ""Don't text me anymore."" I don't feel like I am way out of the line. But I can't talk with him if all that he will say is that I'm crazy and I need help. What should I do? How will I go about checking if there really is something wrong with me?
Output: Trust your intuition that your boyfriend is involved with other people.You gave examples which strongly suggest this.Quite commonly, a person twist someone's words to convince then of having problems in seeing or understanding their own and other's behavior.Your intuition is again working quite well in telling you that your problem is having a boyfriend who manipulates you, not that you're seeing things incorrectly.One way to check if you're totally misreading him, is to examine whether you feel similarly in other relationships.If no one else who knows you tells you that you're crazy, then this strongly points to your boyfriend twisting words so that you feel wrong.Also, a consult with a therapist would clarify the dynamics between you and your boyfriend.A therapist session would also allow you to think out loud in a confidential discussion, what to do with your newfound clarity!"
"Instruct: I use to be so happy. No matter what, I always was happy. I got into a relationship with this guy. I love him so much. We’re both teenagers. The week after his birthday, my mom made me stop talking to him. It broke me. He came to my house and talked to her, and she let us date again but not see each other. He comes up to my school every day and it tears me apart that I have to lie to her.
Output: I understand that this can be difficult when you care about someone. Have you had a discussion with your mom as to why she does not want you and this boy to see each other, and what her concerns are? It sounds as though you and your mom may be able to use some help with communicating, and compromising. It is understandable that you do not to feel comfortable having  to lie to your mom. It  would be helpful if she could understand that you having to lie to he is getting in the way of you being able to go to her with any issue and  feel she will hopefully understand or try to understand where you are coming from.  Have either one of you been in family therapy? This may be something you may want to suggest to your mom to help you both understand where each one is coming from. If your mood is sad, and your feeling worse, it is important that you reach out to an adult, parent, person at school whom you trust to share your feelings and help you feel understood and work through your problems."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: It is is absolutely normal to cry in therapy. I can understand wanting to keep everything together and put your best foot forward with everyone you come into contact with, but it can be such a powerful experience to cry with somebody that can hear you and accept you. It's so brave of you to go and share yourself with your counselor! I hope you will keep being brave as you begin healing."
"Instruct: I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?
Output: Hard to say a whole lot without knowing more. However, if you focus your attention on her, what she's saying, what she's feeling instead of trying to make yourself heard and understood first, that's often a good step. Also, work on building win-win agreements with her, and follow through on them. Those are the areas I see men fall short on most often. Hope that helps!"
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Yes, it is very normal to cry in therapy. Expressing your feelings is very cathartic and allows you togain a deeper understanding into yourself and how the issue is affecting you."
"Instruct: After 40 years of being straight, how could I now find myself interested in people of the same sex? I have had a few same sex encounters of my own doing.
Output: Few people are actually 100% straight or 100% gay.  Sexual preference exists on a continuum. Over the course of many years a person's sexual preference may shift."
"Instruct: I need help knowing how to deal with stress. What can I do?
Output: Something different works for each of us.There are the outward answers of self-pampering and making your home and work environment as pleasant as possible.A deeper level way to decrease stress is through exercise or alternative practices like yoga or tai chi.If the stress is more deeply rooted than temporarily feeling irritated for a few days, then give yourself some time to reflect and clarify what the meaning of the stress is to you.Self-understanding and appreciating your efforts to know yourself may decrease stress because you'll be more focused and attentive to who you are.  This will influence you overall to make good decisions for yourself and these will naturally be ones which decrease stress as much as possible."
"Instruct: I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal.

Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes.
Output: It is very hard to want a loving relationship, and either see or imagine all around you, the great times other couples are having. Extra hard is that other people's comments may start giving you the sense that you are letting them down to not have a relationship!All the fantasies that develop from viewing Facebook photos and imagining everyone or most people in ideal relationships, just augments any frustration of not being part of this group.Your post sounds like you're being true to yourself and honoring who you are really, by developing clear standards of what you'd expect from a relationship.For the longterm, whatever develops in your relationship life, you will always be able to look back and know you had self-integrity. By being your natural self, you're being attractive.   Probably very unlikely that a young woman who would like a relationship, will never have one.Maybe the young men in your school are not yet emotionally mature enough to know how to see and appreciate you.Even though it may be hard, have patience with bringing in someone who is good for you.  And, continue your keen insight of yourself because it is guiding you to be the best in all areas of living.Sending good luck in all areas!"
"Instruct: My boyfriend and I have been together for five years now. Throughout the entire first day that we met, he and I had the opportunity to interact quite a lot and instantly sparked a deep connection with one another. That same night, he and a friend stayed over at my house (without my mom's acknowledgment) and we kissed. The next two days were a repetition of the first day. On the third night, my mother finally caught us, and I was kicked out of my house. I left with him of course, and we went from meeting each other to being like a married couple. It was very hard for us. His stepdad also kicked him out of his home, and we were staying at cheap hotels and friend's houses with the little money we had. I quit my job and dropped out of school because it was hard to do anything without a stable home. There were times when we had nowhere else to go but sleep in the car outside a Walmart parking lot. Our honeymoon stage, as they call it, probably only lasted one month. After that, it was a downward spiral. We were constantly arguing about money, food, and our families. We kept having the famous ""you're doing it wrong—do it this way"" argument. After six months, we moved across the country only to live the same thing, and that's when the violence started. One afternoon, after a serious argument, he got into his truck and threatened to leave me. I was frightened that he would actually go through with his word, given that we had just moved to a place where we knew no one. He told me to let him leave or he would hit me. He had once promised he would never touch me, so I challenged him to do it. He slapped me, and ever since that time, when we have serious fights, he loses control and hurts me. I haven't had the courage to leave him, and there's really nothing stopping me now. I don't live with him, I don't depend on him, and we don't have children. We both haven't been able to let go of that deep connection that we still have and that has been damaged so badly. He always apologizes, and at the beginning, he was more willing to change. Now he just wants me to understand why he does it and how I don't ever make the effort to try to be okay. I've read enough about domestic violence to know that it's not my fault that he loses control, so that's not even an issue for me. I know he has to change that on his own. I just want to know if there's people who have gone through this and had the tables turned? Is there hope for a better future together?
Output: Hi Winters, I learned a long time ago that I can't ever predict who will change and who won't. I meet couples who seem to have all the ingredients but can't make it work, and others who have severe issues and they decide to make better decisions and things change. But in reading your story, the image of a slot machine came to mind. You're gambling your life away on the chance that this guy will change. Only you can decide how many years to give it. I see him giving you clear signs that he doesn't even believe in himself or want to change though. What are you waiting for?Although you say you know his behaviours aren't your fault, something tells me that you're hoping your love for him will turn the key that unlocks something and makes him want to change. It doesn't work that way. Just like the slot machine, you have no power to change him or make this work. You can only decide when you've paid too much. I bet there's someone out there who loves and misses you. He's not your only support. "
"Instruct: 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?
Output: You may intuitively be sensing what many professionals in the social sciences and psychology have already understood.Just Google ""psychopaths and leadership"" and many articles come up about boardroom politics and that psychopaths are very successful in these roles.Theoretically, is it terrible that corporate leadership qualities match those of psychopaths?  Well, yes.  And, I consider your question as a mark of your sensitive awareness toward other people.  Being able to recognize social dynamics, is a strength that you have.Psychopaths know how to be charming and to twist words so that others believe that their own interest is the same as the psychopath's.I agree with you about not being able to change people's minds who are attached to this person's interactions.The only way you can introduce a change in the relationship system of a psychopath is that if you are aware of illegal or law breaking activity, and you have evidence of this, that you contact relevant authorities.No one is allowed to break laws, including psychopaths."
"Instruct: She's in her early 20s, and she has a toddler.
Output: It may be helpful to first have a discussion about what you are expecting and put a timeframe on it that if she is not doing certain things by a certain date, she will have to leave. If you don't know where she can go, there is probably a list of shelters for the county that you live in."
"Instruct: I'm dating this guy, Peter. My friend Jennifer used to date him a while ago, and she's fine with us dating. My ex-boyfriend, Paul, broke up with Jennifer, and she's devastated about it. Peter and I are going through a rough patch in our relationship. All of a sudden, Paul is in ""love"" with me, and he wants me back. I don't know what to do because I can't hurt my friend or my boyfriend, but I think I might Paul again.
Output: Hello. The dynamics of having a romantic relationship with someone is not always clear. Sometimes we jump from one relationship to another without giving ourselves a chance to adjust and grieve for the one we had to leave behind. When you find yourself in a situation where a previous partner is coming back into your life and desires to be with you again, it is important to ask yourself what the motivations are prompting that return. Is the person afraid of being alone? Are they jealous of your current relationship? Do you feel the same way about this returning relationship as you did before it was ended? How long and/or how committed is the current relationship you are in now with your current partner? Does your former partner not like being ""dumped"" and maybe they just want to get back together with you so that they can ""dump"" you instead? Some of these questions you may not be able to answer, and some of them might require your own internal reflection.You likely want to make a good decision, and you also might want to consider who it will impact, and how that will happen. Other friends might be upset at this sudden change, and it could create a strain on your friendship. You will want to carefully consider the value of that friendship before you take any actions that could damage it. Also perhaps think about what led you to end the relationship with your previous partner in the first place. Has there been a change in events or behavior that would cause you to think of a valid reason to give that person a second chance? How it will it impact your current relationship?Going into relationships should be done with reflection, patience, and full awareness. Ultimately you choose who is in your life, so you want to make those choices based on appropriate decision making, and with the ability to protect yourself from harm. No one else can make this choice for you. However, gaining the insight of friends or family can be helpful, as can seeking out the counsel of a therapist. In your heart, you will likely find the right answer. Learn to trust that more, as that is where the core of emotion tends to be when you need it. Use your mind to analyze things, but allow yourself to also feel your way through the situation too. The answer will arrive if you let it."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Oh, crying in therapy is very normal! I have a stack of kleenex boxes in my office. Cry away, therapist are very used to it:) First time being in therapy is scary, but you'll soon know if you are a good match."
"Instruct: I'm always listening to my husband, but it feels like he never listens to me.    How do I get my husband to listen to me instead of me listening to him all the time?
Output: Thanks for writing. There are many different house of things that may be helpful here. I can give you some general ideas, but if some of these things don't get you to where you would like to go, consider seeing a therapist who specializes in couples:Remember that you can only guarantee change in yourself. You can ask him to make changes, but you can't control whether he does or not. You can control your reactions and what you do about your own thoughts, feelings, and actions in the relationship.If you're going to talk about something important or you really want him to listen, first ask whether this is a good time.Try to talk to him without blaming, finger-pointing, or asking him to change (this can be difficult, but it also opens a lot of doors for effective discussions).Be mindful of your packaging. By that, I mean that you may have a very important message that you're trying to get across. If you able to say it in a way that is clear and wrapped in such a way that he can hear what you're actually saying, that is helpful. If you are talking in ways that are angry, or as I sometimes say, wrapped in spikes, that can be difficult to hear and receive. Rather than hearing what you're actually trying to get across, he may just hear the fact that you are angry.If your husband is able to listen to you and/or restate what you are saying and get it right or close to right, let him know what that feels like to you and how important it is.If you're asking questions, try to avoid ""why"" question and use ""what makes, how, when, where, who"" instead. Questions starting with ""why"" can not only be difficult to answer, but can also trigger a lot of emotions that some people are not ready to deal with right away.Also, keep in mind that listening and being able to reflect what you are saying does not imply agreement. This may be something that would be good to discuss with your husband – just because he is hearing what you're saying doesn't mean that he's agreeing with you.Lastly, but importantly, some people really don't know how to listen effectively. There are people who just are not taught to do that until much later in their lives. Sometimes listening to someone can actually be very vulnerability-producing. It may be helpful to ask your husband if he knows what makes him struggle with being able to listen if you notice that he's really struggling."
"Instruct: 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?
Output: Breaking any habit is no easy feat.   Cutting down or cutting out cigarettes is very challenging, and there aren't any one size fits all solutions.  Fortunately, there are a lot of tricks and tools that you can use to stop smoking.  1. Many habits that we have are paired habits. If we do one thing, then we will do the other thing.  Think about the activities that you do when smoking and try to pair those activities with another activity other than smoking.  For instance, many people smoke while they drive.  Consider planning another activity to do while driving. (It might not be driving for you, but you get the idea! :)).  It might be taking a walk instead of smoking on your break at work.  2.  Create distance between you and the habit you are trying to break.  This approach could be used in a variety of different ways.  If you smoke first thing in the morning, consider leaving your cigarettes in a different room in your home.  Walking the extra couple of feet could help you decide not to smoke.   Leave your credit or debit cards at home and carry less emergency cash than a pack of cigarettes.  With this strategy, you are trying to create some distance between you the cigarettes so that you have to jump through extra hoops to get them.  3.  Consider cutting back before cutting out.  If you are smoking 10 cigarettes a day, try smoking 9. Then cut back to 8 and so on.  Having a plan to reduce harm may be more sustainable than cutting things out altogether. 4.  You could also talk to your doctor about the safety of nicotine patches. If you aren't already pregnant, this could be a great resource to help boost your success.  5. Focus on what you are gaining instead of what you are loosing. You may be losing cigarettes, but you are gaining money, health, taste buds, an increased sense of smell, lung capacity, a healthy baby etc.  You could plan small rewards/ treats with the money you save from decreasing cigarette purchases.  I recommend making these purchases small and frequent to keep up the momentum rather than waiting for a big payout a couple of months down the road.  Good luck! Cutting out cigarettes will be good for you and your baby.  "
"Instruct: I have been married for ten years. My husband is 29 years my senior. We have a young daughter. Ever since she was born, my husband has ""shut down."" We have no intimacy; he doesn't even kiss me. I've told him how I feel for years, and he swears he loves me and wants to make me happy, but I still have to literally beg for sex and affection. My self-esteem is gone, and I feel so alone. He has stranded me. He uses his passive-aggressive ways and ignores every comment I make. He refuses to talk to me in detail.
Output: Hi Smyrna,Your husband is avoiding dealing with this problem. I understand how lonely you must feel, not only sexually, but emotionally too.From what you describe, it seems that he wants to be there for you, but he clearly has barriers to engaging fully around this issue. My hunch is that he doesn't know what to do or how to talk to you. But I think he does have something to say.Your husband is 29 years older and you've been together for ten years...that puts you at around thirty perhaps and him at almost sixty? Has any wise older woman sat you down to explain that men sometimes have erectile issues or hormone-related low sex drive as they age? It's possible that your husband is bewildered, angry, grieving or anxious about changes in his sex drive or his ability to maintain an erection, and that he doesn't know how to talk to you about this. He may feel like he's letting you down, and he's scared it will get worse, so he's sticking his head in the sand. Of course, that doesn't help, does it?The worst case scenario is that you get angry or hopeless, that he senses danger or disapproval from you and pulls away even further in shame. Eventually, you stop chasing him, and you drift further apart. It's a bit of a conundrum...how to honour both your need for connection and honesty and his need for a safe place to explore his fears and insecurities. Maybe lower your expectations for a bit? Your husband will need to believe that you are a safe place to share his fears, and you would need to hold onto the fact that he's really scared, and that he's not rejecting you...just protecting himself.I would suggest having a gentle conversation that sounds something like ""Sweetheart, we both know that something's not right here. I think you've been trying to handle this on your own or hoping it would get better, but can we agree that it's not? I need you to either talk to me about what's happening, or please go see a doctor. What I need is to see that you are doing some little step to help us. Either of those things would show me that.""In the end, you need to know that he's heard you and that he's willing to look at the issue in some way. If he does neither, then at least you know where you stand and you can decide whether to live in a sexless marriage. I wonder if showing him this answer to your question might help? Just a thought."
"Instruct: I am currently living in a hotel and I don’t have a family.  I met a guy a month ago.  He is a bisexual.  He has a lot of gay friends on social networking sites. He would not help pay for the room.  When I asked for the TV remote control, he threw it elsewhere and asked me to get it. I slapped him and asked him to leave my room.  We recently just got back together.  One time I was sick.  He came to visit and feed me but left no money.  Then he texts me and brags about his house and car knowing that I have struggles living at a hotel.  He says that he has a whole house where he can put me in and orders me to text him whenever I need someone to have sex with.  He left his bath soap so he could come and get it.  I think that he is trying to find a way to come back.  Please help me.  What’s going on?  I am a good, loyal woman.  Why is he treating me like this?
Output: I am less concerned about this man as bisexual and having gay friends, than about how you feel is treating you.  You are in a vulnerable position because of social isolation.  If you have friends to talk to, please reach out.  While this man has money, it is not his job to take care of you financially unless the two of you have decided that together.  It sounds like he sometimes cares for you and other times you feel disrespected.  I would suggest you look for a man that is consistent in his love and care.  This is not your fault.  But you are in control of removing him from you life or choosing not to because he meets some of your needs.  Take care. "
"Instruct: I've been going through a rough time lately. I been into nothing but women. I’ve never thought about men until a week ago. I’m very upset and depressed about this. It's not normal to me. I looked at gay porn more than once to prove that I’m not gay. I get the same results each time, and I feel disgust. This is tough on me. I'm scared that I looked too many times. I keep thinking about it and shake all the time.
Output: Hi Brookfield, It can be unsettling when we feel something as fundamental as our sexual orientation shifting. I like that you're honest enough with yourself to say ""I'm struggling with this"". To accept that there is a question is a brave place to be. And...it doesn't necessarily mean you're gay.Unfortunately, we live in a culture that wants to put people in slots...male or female, straight or gay...we tend to not like those grey areas so much as a culture. The truth is that, if we grew up in a society where there wasn't this categorization...if we felt free to explore and grow sexually, we might be surprised at who we are attracted to. You don't have to put yourself in a slot. Our sexual preferences are more fluid than we think, and it can change over time.We also live in a culture where there is prejudice against homosexuality or ""differentness"" in general. The wish to not be gay can be powerful. Many people who are gay spend years believing they were heteroxual...fighting against, repressing  or ignoring their gay thoughts. This is needless pain. If you are gay, there is no shame in that and you can still have a glorious life filled with love and passion.Having said all that...just because you have thoughts about men or get turned on by gay porm doesn't mean you're gay. Many heterosexual people have thoughts and fantasies about the same sex; it's arousing because it's naughty...we're curious about the forbidden, or we're just curious. Becoming aroused by gay porn is normal for many heterosexual men. Sexual orientation isn't just about sex either. A different gauge of who you are sexually can be found in your emotions towards men or women. Are you drawn into emotional connections with men more than women? Who do you feel the urge to explore and be close to?Exploring your sexuality through being open to different experiences can help too. How does it feel to kiss a man, to touch a man, as compared with a woman...sometimes this feels like such a big and forbidden step that it's a barrier to discovering ourselves. We don't want to open that door. I wish you well as you do exactly what you are supposed to be doing...exploring and discovering yourself. It's an exciting journey and you might want to find a trusted person to talk more about this with."
"Instruct: He owns his own business. Sometimes, he stays out all night but doesn't tell me. We have a son together, and I get to stay home with him. He says I complain too much about what he's doing. We've been together a year and a half. I got pregnant after being together for a month. We moved in together when I had my son in July. Everything was great, and then he started the staying out. He then started not spending time with either of us. I just don't know if I'm doing something wrong. We've talked and he says this is just how he is, but he wasn't like this before.
Output: Congrats on the birth of your son!Your situation sounds painful, lonely, and isolating.And, these features are eating away at your self-confidence.Start by believing in yourself.  The feelings and ideas you describe here would only be arising from within you because they are at the very least, partly true.Ask your boyfriend if he is willing to listen and understand your point of view.  If he does, then hopefully the two of you will more easily talk with one another about the truth of feeling overwhelmed by the quick pace of your courtship and becoming a family.If these discussions continuously include him blaming you for having your own feelings and expecting him to more actively be a part of your and your son's life, then you'll need to start valuing your feelings and what is best for you and your son, by yourself.I send you lots of good luck!"
"Instruct: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.
Output: Have you said anything to your husband about the way you're feeling?Start with this.Sex is after all, a two person enterprise.If he would like to talk about the way you're feeling, great and wonderful.  The two of you already are continuing to grow trust in your communication and relationship.If he doesn't want to talk about how you're feeling, then you're facing a different problemYour feelings are real and need to be handled.If you end up facing your feelings of frustration about your husband not wanting to have sex with you, on your own, then does your husband give you a truthful sounding reason as to why not?Ask what explains his disinterest in having sex with you.If he doesn't want to address this question, then you are a little further down the rung of trust and care about you.Depending on how satisfied you are with his answers, will guide you on how much dissatisfaction you can live with and why, longterm."
"Instruct: I was anxious to go to middle school. I was afraid of what people might say about me, so when school started, I wasn't acting like myself. I was quiet, which I'm usually not. I didn't talk to anybody and didn't have any friends. Then a few years later, my grandma died. I really became depressed and stop going to school for a little. I hated myself and still do. I just need help. I need someone to care for me. I need someone to show that they care.
Output: I agree; you need more care and support. No one deserves to feel alone, or like they hate themselves. We're all wonderful, imperfect, complicated people and we're at our best when we're all helping each other. I'm glad you wrote this question, because a lot of people have this feeling sometimes. I can tell that you're smart, because you seem to sense that the two things you wrote about are connected...you ""not being yourself"", and then how you felt when your grandma died. When Grandma died, you needed and deserved extra love and support, but the people around you didn't seem to give it to you, maybe. My hunch is that they wanted to, but that they didn't know how much you needed it, or what you needed exactly. The older you get, the more you will have to take charge of letting people know what you need. Maybe this is one of the suckier parts of being mature, but that's how it works. When you started middle school, it sounds like you changed; you got more quiet, right? That must have felt weird, to not be acting like yourself. It sounds like fear tricked you into thinking people wouldn't like you. Fear can be silly. So then, fear got you to not show yourself, and when we don't show ourselves, people can't see who we are; they don't know us as well and then they don't know what we need and they can't care for us as well either. Fear of not being liked isolated you from the people who love you. It does that to a lot of us. So, where you're at right now is because of what fear did to you, and also because when Grandma died you were already isolated so people couldn't see your pain and know that you needed support. There's a simple solution, but you'd have to be brave enough to look fear in the face and say ""Get off my back!"". ""You're not helping me by telling me lies."" Can you be brave enough to go back to your old, louder, self? If you talk to the people closest to you...tell them what you think and how you feel, then they'll be able to give you the care that you want and deserve. I wish you well as you try this!"
"Instruct: I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them.
Output: Have you tried counseling?  Having PTSD from multiple abusive sexual experiences is very overwhelming for one to handle alone.  You may need the guidance, experience and support of a professional to identify all the triggers that effect you and obtain the best coping skills that would work for you.  "
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: It is difficult to implement healthy boundaries when the person is a parent or family member. I would encourage you to identify how it makes you feel after talking with your mother. Work on establishing healthy boundaries where you do not feel obligated to engage the complaining daily. Maybe setting a time limit to talk with your mother and practicing how to be assertive and not disrespect or aggressive. Helping your mother understand how you feel using  ""I"" statements  i.e  ( I feel _____ when you call to talk about my sister). Maybe asking your mom how can you be supportive of her during this time other than listening to her vent. It may also be helpful for your mother to get connected with support groups to help her cope with this life change. "
"Instruct: I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face. It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do.
Output: Check out my latest blog:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!"
"Instruct: I'm in my early 20s. I’ve been married once, and he cheated on me. Ever since then, I've felt ugly no matter what. I'm engaged, and I still feel ugly. I don't like to take pictures of myself.
Output: Sounds as though you're taking the blame for the bad actions of your former husband.He did an ugly action, and instead of feeling only your own emotions in response to being cheated on, you are holding his ugly behavior within you and feeling it.Does this sound like a possible explanation of why your feeling of ugliness started after the cheating incident?You may start feeling better by looking within your own heart for the full effects of having been hurt.  It is possible there is more suffering within you than you've realized until now.As you address all the emotional pain you've lived through, the feeling of ugliness may drop out all of its own. Because you'd be focused on you, not on any of the ugliness introduced into your life by your cheating ex husband."
"Instruct: 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?
Output: 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."
"Instruct: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone.    How can I deal with depression without telling anyone?
Output: It can be really tough to tell someone - anyone - that you're feeling depressed. But finding that supportive person that you can share with is a big part of the battle with depression. Depression thrives on being secret, it seems to grow the more we isolate ourselves and hide it away so I'm with Laura Cassidy, when she suggests finding that professional support person so you can start fighting back against your depression. If that feels like too big a step right now, maybe check out a book or two... I'm a big fan of a book called 'Feeling Good' by Dr. David Burns if you want some practical thoughts on tackling depression and on 'Radical Acceptance' by Tara Brach if you prefer something a little more spiritual."
"Instruct: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.
Output: I understand that at times it’s difficult to share with our parents what we have been trough, due to fear of judgment or punishment; but I have noticed that keeping our experiences secret, intensifies them.  And Post Traumatic Stress Disorder can haunt us for a long time if we do not learn to process the memories that cause those symptoms.  If you have been victim of a traumatic event that you are not prepared to share with your parents, it’s important that you seek help with a counselor, therapist or psychologist.  Trauma Focused Cognitive Behavioral Therapy is a great technique to cope with physical symptoms, you could also use Narrative therapy, Creative Therapy or Journaling as a way to express memories and process them with your therapist.  A psychiatrist can also prescribe medication to manage the symptoms, but is very important that you address the trauma so you can heal and go back to live your life.   Many organizations like the United Way (2-1-1 in many states) offer resources and referrals to put you in touch with mental health providers, you could also talk to your school counselor, doctor or church to find referral that could help. Tip: You don’t have to tell you story to each person you ask for help, you can just start by asking for a counselor referral. ¿Cómo puedo superar el Desorden de Estrés Post Traumático sin que mis padres se enteren?Comprendo que muchas veces puede ser difícil compartir nuestras experiencias con nuestros padres, muchas veces por miedo a que nos juzguen o castiguen; pero he observado cómo mantener un secreto, lo vuelve más fuerte y difícil de manejar.   El Desorden de Estrés Post Traumático puede ser una condición que nos persigue por mucho tiempo si no aprendemos a procesar las memorias que causan esos síntomas.  Si has sido víctima de un trauma que tal vez no estás listo(a) para compartir con tus padres, es importante que busques la ayuda de algún consejero profesional, terapista o sicólogo.  La Terapia Cognitiva Conductual enfocada en el Trauma, es una técnica que te ayudara a manejar muchos de los síntomas, también puedes utilizar diarios o Terapia Narrativa o creativa, para expresar memorias y procesarlas luego en terapia.  Un Psiquiatra también te puede proveer medicamentos que ayudan a manejar los síntomas del Estrés Post Traumático, pero es importante que atiendas el problema inicial para poder sanar por completo y volver a tomar las riendas de tu vida.   Muchas organizaciones como los Fondos Unidos (2-1-1 en muchos estados) tiene recursos que proveen referidos a consejeros o profesionales de la salud mental.  También puedes preguntarle a tu consejero escolar, doctor o en la iglesia.  
Sugerencia: No tienes que contarle a todos tu problema, solo pide que te recomienden a un consejero o terapista."
"Instruct: My husband and I would've been married for five years come June 2016. Our infant daughter just had her birthday. Shortly before, he told me he wanted a divorce. He has four other children, three of which are from his first wife. He decided to end that marriage when his youngest was an infant. The children do not have a good relationship with him now. He has another child from a woman he was dating. He decided he didn't want to be with her anymore when the child was an infant. 

It seems to me that there is a pattern. He easily detaches from relationships at the same time in the child's life but wants a relationship with them when they are older. I've tried to research online, but I'm not getting any answers. He also has an unhealthy dependency on alcohol and does not believe in mental health disorders such as depression and bi-polar disorder. He also does not believe in therapy or seeking help from professionals. Is there a detachment disorder or some form of mental block he could have? Where do you recommend researching this?
Output: This sounds really difficult and I can understand your motivation to get to bottom of why this behaviour has occurred - especially if your husband (who sounds like he is an ex-husband?) continues to have a relationship with you and your children. With that being said - relationships and mental health are very complicated and you are unlikely to find the answers you are looking for. In order for someone to be diagnosed with a mental illness or in order for them to identify what leads them to fall into particular patterns in relationship - they would need to be willing to seek help and honestly talk about their challenges, something that you say your ex is not willing to do.  While it might be a relief to understand what is going on with him - it might be more comforting for you to get support for yourself in processing your feelings and everything that has come up for you as a result of his choices. "
"Instruct: I'm a teenager. My dad has been jail for the last five years. It's tough, but my mom really tries to give a normal life to my two sisters, my brother, and I. I feel like I took upon a parent role when I'm the second youngest, and I'm not stable. My mother and sisters say I'm overdramatic. I’m just so hurt, and I keep breaking down.
Output: It sounds like you have a lot of weight on your shoulders.I'm not sure what you mean when you say you're not stable and you are breaking down. If you are crying because you're sad, that is okay. If you are crying a lot or having trouble eating or sleeping, that's different than just crying sometimes because you are sad. It may be helpful to talk with a local mental health professional in your area. They can help you to figure out what you could do differently to have the role in your family that you would like while also supporting yourself and what you want."
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: Hi.  This is an excellent question !   I think that the answer probably varies depending upon the particular therapist .  In my work with people , once we have met and I have gotten an idea of the person'a concerns and the issues they want help with , I spend the next few sessions gathering as much history and as much information about the client's current concerns in order to formulate some ideas about what may be causing distress .  I would then share my thoughts with the client to see if they feel I am understanding them and on the right track.  We would then discuss the best plan to address the client's concerns .  Usually I will suggest strategies that I think may be helpful and ask the client for feedback about whether or not they think my suggestions feel helpful .   I always encourage clients to be really honest with me about this.  I tell them that I would hate for them to agree to try things that they know they won't try just to avoid ""hurting my feelings"" or ""offending me.""  I want to be helpful and while I have the expertise as far as typically helpful  strategies, I really like to work collaboratively and have clients tell me what they do and don't like / agree with or not agree with when I share my thoughts about a treatment plan .  We the   work together to come up with a plan that will be helpful , but also realistic and then revise it and try new things if necessary as we go along.   If things aren't improving , I am very happy and willing to try something new ! I hope this is helpful for you ! "
"Instruct: I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
   What can I do to manage my stress?
Output: Being in this position is tough. If seeking another career opportunity isn't viable, there are a couple of things you can do to manage stress on the job.  1. Have a ritual to begin the day:  Consider setting a one sentence intention and plan tasks for the day2. Take the breaks you are offered. I know it can be difficult to step away from your desk to eat lunch or take 10-minute breaks during the day, but prioritize this if you can. Sometimes 30 minutes of downtime and fresh air can help you feel better. 3.  Have a ritual to end the day:  If you commute by car consider an end of the day playlist.  Take a walk. Light a candle.  Clear your desk and write tasks for the next day. Whatever it is, send a signal to your brain that it is time to end the day.4. If you do work from home or are expected to be available after hours, set boundaries where you can.  Set a timer for answering emails and stick to that.  Have phone free meals.    Try to engage in activities that are rejuvenating like spending time the friends and family.  5. Try to limit alcohol/ drugs.  Move as much as you can.  Get outside in natural sunlight.  These are just ideas/ suggestions.  Even doing one of these things could be a step in the right direction.  Best of luck!"
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.

People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: Anxiety can cause such a feeling of discomfort in our bodies that it can seem unbearable. The concern that I can hear in what you have written is that the thought of having some anxiety has now left you uncomfortable with any anxiety at all - and that can become a problem, indeed. As opposed to thinking about your anxiety as something much bigger than you, it could be helpful to start breaking it down. What are the things specifically that cause you anxiety about this new job? Is it being away from your family? If so, why? Once you start breaking down what causes you to feel anxiety into smaller ""mouthfuls"", then we are far better able to understand what has led to discomfort and start to problem solve the issue. "
"Instruct: Does counseling really do anything that can help people?
Output: 

I believe that counseling (and finding a GOOD therapist)
will be of significant help when the individual seeking therapy desires change,
improvement, and overall growth. Most counseling involves homework and a level
of commitment outside of session that also contributes to resolution of
problems and an ability to cope with stresses in a productive way. Here are
some of the key ways that therapy can help. 
1. Helps to define the problem and gain a clearer
understanding of where it originates. Many people seek counseling because of symptoms they are
experiencing. These can include feeling sad, increased sleeping, substance use,
panic attacks, self-harm, isolating one’s self, academic decline, etc. Often
times, people are not aware of what is causing these symptoms. Having a
therapist to help guide and explore why the symptoms are occurring and where
they come from will give individuals increased insight and awareness into their
problems. 
2. Allows for a safe outlet to vent.
Not everyone likes to share their problems with close
friends or family members. Maybe they don’t want others to know of their flaws.
Maybe they don’t want to burden others with their problems. Or maybe they just
are not comfortable talking about themselves. And in some situations people do
not have the option of talking with someone they know because they have no
friends or family. While talking with those we know can help bring some relief
it is also nice to talk with someone like a therapist who is objective and
emotionally removed from given situations. Counseling gives a safe outlet in
which one can express their personal feelings and thoughts without feeling
judged.
3. Counselors can offer various problem solving solutions.

A good therapist usually will not directly point their
client in the direction they need to go. Counseling is about growth and
teaching the client to identify triggers and use effective coping strategies
that will bring about emotional and psychological relief. Counselors will help
clients to explore the various options available in given situation, based on
the client’s needs, wants, and values and will help them to choose the option
that best fits with their desired outcome. 
4. Gives one the tools needed to cope with current and future
problems.
Many individuals that seek therapy have never learned
good coping strategies. Perhaps they did not have parents or caretakers to
model productive ways to cope or maybe the symptoms they are suffering from are
overbearing and take away the energy needed to cope. Different diagnoses
require different tools; however some are beneficial for any problem and any
individual. These include but are not limited to relaxation techniques,
breathing exercises, development of healthy routines, using mindfulness,
improving communication skills, and recognizing and changing maladaptive
thought patterns. A good counselor will teach clients how to use these tools,
will often practice them during session, and will assign homework for further
practice and mastery of the skills.
 
"
"Instruct: Every time my partner gets angry for anything, she takes it out on me. Nothing I do is right, and once she's mad, she calls me all kinds of names and is verbally abusive. She says it isn’t abuse, it’s just angry verbal bashing, and that it’s different. It gets worse each time. The names are very vulgar now.
Output: One thing you could try is to talk to your partner when she's not angry about the following:If she's angry, maybe she can talk with you about what she is angry about rather than calling you names.If she gets angry and then calms down a little while later, maybe one of you can take a timeout in the discussion and set a time when you will come back to it.Discuss what it is that you find acceptable for you to do during an argumentDiscuss what it is that you find unacceptable for you to do during an argumentDiscuss what is acceptable for her to do during an argumentDiscuss what is on acceptable for her to do during an argumentYour partner can answer the same questions related to herself and you.I can't emphasize enough how important it is to have this discussion when there is not an argument going on. Perhaps you could mention that you would like to talk about something that is really important and see if the current time is a good time. If not, consider when in the next 24 to 48 hours would be a good time.It may also be helpful to discuss these ideas with a local therapist. The therapist may also be able to help both of you figure out where the anger is coming from and where she has learned to react this way.If it is abuse, it may be even more difficult to have these important discussions. It may be helpful for you to see a local therapist by yourself to assess things like physical and emotional safety."
"Instruct: I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.
Output: As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C"
"Instruct: Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me.
Output: Realize that you are human, not perfect and will make the wrong decisions at times.   That is OK, we all have.  However, the best way is to say OK, I did it, learned from it, will not do that again.  EVER!!!  You can get pass it; grow from it.  Unfortunately, we forgive others faster than we do ourselves because we hold ourselves to higher standards or expected better behavior from ourselves.  It can be embarrassing, hurtful, almost unforgiving at times.  But how do you forgive yourself? Take a Deep Breathe..... and then acknowledge that you did something wrong, acknowledge it, and say to self,  ""I forgive me"".  Just like you would say to someone else.   This starts the process of forgiving. Also ask yourself these questions:   What lesson did I learn?  What would I have done differently?  What will be a trigger that will make me do that again, if I happened to be weak or tempted?  Avoid or prepare for those triggers....  Forgiving yourself will set you free from the prison you have put yourself in.  You would start back living."
"Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?
Output: The thing that confuses a child the most is for a parent to come and go from their life. Children have a way of making things their fault, even when they have done nothing wrong. Because of this, when parents cut off contact, the child thinks it's their fault. As hard as that already is for a child, it is even worse when a parent pops in and out of their life. This makes the belief even more strong for them. They start to think, ""why does dad keep leaving? What am I doing to keep making him go away?""I believe a child needs both parents in their life. Whether she used you for a child or not, that child still exists and never asked for this. They didn't ask to be born into drama and two parents that can't make things work. You can move on and start over while still maintaining a relationship with your child. If you start over far away, this may mean less visits but you'll still be a part of their life. Just make sure when you make a commitment to this child to stick to it. Every child deserves that much. Good luck to you! :-)"
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Absolutely normal! Therapy should be a place where you can feel safe to explore and express all of your emotions. Some clients may cry easier than others and there is no ""right way"" to do therapy. I have many clients who cry each session. And I have many other clients who cry periodically. And I have others who haven't cried once. Each person is different however therapy should be a place where you feel safe expressing yourself."
"Instruct: I know I'm ruining my life with a lot of the decisions I make. I consistently tell myself I need to make some serious changes in my life, but I just can't seem to even though I really want to. Why can't I force myself to change?
Output: Hello, and thank you for your question. Changing unwanted behavior is one of the hardest things a person can do. I agree with Sherry that being patient with yourself is important. Here are a few things I would suggest:1. Get clear on the behaviors you really want to change, and make sure they are behaviors that CAN be changed. Sometimes we will set a goal like, ""I want to be more confident"" but that is hard to measure and prove to yourself that you accomplished it. Saying you are going to accept a date or go on a job interview is something you can actually do, and something that you may consider to be demonstrating confidence. Whatever your change of behavior is, make sure it is something you can actually change. 2. If you are going to give up a behavior, decide what you are going to do in place of it. So, if you are going to stop showing up late for work, then you are deciding to be on time for work and demonstrating your value of being punctual. 3. If you are going to make changes, really nail down WHY you want to make them. What is it about making these changes that is important to you as a person? For example, if you have the goal of weight loss, the reason this is important to you as a person may be because you value self-care. Knowing WHY you want to make changes is both your motivation and your compass for getting there. 4. Once you know WHY you want to make these changes, I strongly suggest setting small goals. If you set too high of goals you may not accomplish them and just feel worse. So, make the goal small, realistic, and guided by the the things you want to be as a person. 5. As Sherry mentioned, finding a counselor is sometimes a good idea if you really feel stuck. Any counselor who does work with goal-setting and motivation can probably help. Be well,Robin Landwehr, DBH, LPCC"
"Instruct: I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them.
Output: I encourage you to seek out and work with a therapist who specializes in treating complex trauma.  Somatic Experiencing, Brainspotting, and Internal Family Systems Therapy are all highly effective treatments for people dealing with complex trauma.  If you are interested in reading a book that is supportive and compassionate, Bessel van der Kolk's The Body Keeps the Score is a wonderful book that discusses treatment options in depth."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: This is a great question. Finding the right therapist can be tricky because you don't really know how someone will be like until you meet them. A few ways to prescreen are to:- Visit the therapist's website, psychologytoday profile, social media, etc...- Have a phone call with the therapist prior to your first appointmentOnce you meet your therapist it is important to be clear with your wishes and expectations. We are trained in helping you thrive in your life but we cannot mind read so if you don't tell us, we won't know. Don't be shy about what you like and what you don't like. A good therapist will listen to your needs, process them with you, and create a customized plan that works for you and your life. A good therapist will also not take anything you say (even criticism) personally. Coming to therapy is hard and often times you might not want to go. What makes a good therapist is someone who understands this and tries to make you feel as comfortable as possible while you address uncomfortable topics."
"Instruct: What can I do to stop grieving my mother’s death?  When I am awake I just cry every day. I don't have anyone to talk to. I need help; I am still cry over her.  Will I ever stop crying? It’s been 3 years.
Output: I am sorry that you lost your mother. That is a really hard thing for someone to go through.There is really no set time for grief to be over, but I agree that if it has been three years and you are still crying every day then this is past the time for normal grief.  I do not know how old you are and if you are in school or have a job, but I would imagine that if by now you literally were doing nothing but crying every day all day, someone would have noticed and would have gotten you some help.  For one thing, bills have to be paid.There are typically five stages of grief and they can come in any order.  You can go back to another stage that you previously experienced. Denial, anger, bargaining, depression, and acceptance are the stages. At first, people are usually in denial over the fact that they lose someone or are losing someone.  This may mean that you deny they are ill or deny that they have actually died.Then comes bargaining, in which you may beg God that if you can only have this person back then you will do whatever. Depression is when the reality has settled in and when we cry and really feel the loss.  It sounds like you are stuck in this phase.Finally, acceptance is when we accept that it has happened and we pick up the pieces of our life and move on.When we lose someone we never forget them.  We may always have certain days that are tough, such as holidays or any special remembrance of your loved one.  But we do get to the place where we accept that death is part of life and that it is inevitable, and that life goes on.A therapist can help you explore the reasons for your extended grief and can help you with coping skills to better deal with it.  One suggestion I have is not to try to run from the sad feelings, don’t try to not feel them.  Embrace the feelings.  Let the feelings wash over you and accept them.  Trying not to feel something is not going to help.  Sadness is a part of life and needs to be felt just like happiness does.  Unpleasant feelings are not to be avoided.I am sincerely sorry that you lost your mother and that you have had such a hard time of it for three years now.  You deserve to be happy and to live a full life.  I am sure your mother would not want you being sad for so long.  I wish you all the best as you continue to try to heal from this loss and deal with your grief."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: This is actually more common then we often realize, and actually understandable, as he has gone through a trauma, an unresolved existential crisis.  He was taken care of by others and now is again left alone with his own internal, and rather horrific inner struggle.In my work with CCT, or Contextual Conceptual Therapy, (see www.suicidetherapy.com) I have learned how trapped suicidal people are in their own isolation, also called a ""mysterious isolation,"" a form of self protection which cuts the off from their Self, or spirit.  And unless they address this message from their soul, accompany a guide on a journey to discover their own missing information, that is to recognize how their own uncomforted emotional pain has resulted in a coping stategy which has effectively cut themselves off from their own beauty, their Self, and their ability to receive love from themselves and others. Their attempt to kill themselves is a cry from their soul or spirit that they cannot live the life they are living any longer.  They take this literally and try to end their life, when in fact what their soul or spirit is saying is they need to begin to live the life they came here to live."
"Instruct: I've been in a relationship for over a year. He's cheated and lied. I heard he's married, but he says he's not. Everything is very up and down; there's no trust. Recently, he went on a trip, and I promised him I'd behave and not drink because when I drink, I drink too much, and I tend to make poor choices. This time, I made a huge mistake: I drank too much, and I cheated on him. I slept with another man for about five minutes before realizing what I was doing is wrong. I told him and he just got really rude. He called me names and threatened me. I feel bad as I do love him. We just have so many issues. I'm not a bad person, I've just made a lot of bad mistakes. It’s unintentional, and I know right from wrong, but why do I still make the wrong choice?
Output: Hi Calgary (Canada!),  Let me get this straight...you're in a 'relationship', but he might be married. You both cheat and lie and he's abusive. The short answer is that there is too much wrong here for this therapist to try and fix it. Relationships don't heal us and they don't help us grow up. We have to be mature and stable enough to love someone before it's going to work. I'd recommend you focus on yourself alone for a while. You have a lot to sort out. I wish you the best."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: This is a really important question, because you don't want to waste your time and money with a therapist who is not a good fit for you.  I think the most important factor that makes a good therapist match is trust-- do you trust this person to be able to help you meet your therapy goals?  There are few things you can do upfront to test this out, without spending a dime.  First, ask for personal recommendations from friends or others.  If you know someone who had a great experience with a certain therapist, you'll feel more confident in that person right off the bat.  Second, do your online research.  Google the person's name and read everything you can find.  Many therapists are starting to develop more of an online presence because they know that's a way future clients can develop trust without even stepping in their door.  See if they have a blog, social media posts, or even just read the tone of the content on their website.  This might give you a glimpse of their therapy style.  Finally, you can call or email potential therapists and provide a brief overview of your presenting problem and describe what you're looking for in your ideal therapist.  It sounds like you have a specific idea of what you're looking for... most therapists will be honest if they don't feel they're going to meet your expectations.  Some therapists offer free short phone consultations which can help you both decide if you would work well together.  Do your homework upfront, and you'll be well on your way to finding a great therapist for you!"
"Instruct: Over the years, I have slowly lost everything: my jobs, my cars, my freedom, and my money. I am a stay-at-home mom who doesn't make any money, doesn't have a car, never goes out, and cleans all day long everyday.
Output: There are an infinite number of possibilities here. You included a lot of things that you don't have. Is there anyway that you can have some freedom for a few hours a week, at least? A lot of times stay at home moms have groups when they meet at different public places where their children can play together and they can talk together. I don't know how old your child or children is/are, but perhaps going back to work is something that can happen in the future.I wonder if you may consider who you have in your life who can support you. I don't know whether you have a spouse or parents or siblings who could help out with some different things. I wonder if you could consider where you would like to go if you had two or three hours that you could do whatever you wanted? If you can sort out some possible answers to that, maybe you can work together with friends or family to make it happen.Also, again depending on the age of your children, some parents can do things while the children are sleeping, even if you are in the same room. For example, if your children are sleeping for about two hours, maybe 30 minutes of that could be reserved for you and the rest could be for cleaning or other things you need to do."
"Instruct: My partner lives in Canada while I live in the US. We visit each other, but we go months in between visits. I have anxiety, and I'm always anxious about him cheating or still having feelings for an ex that he dated for three years. He doesn't understand my anxiety. How do I stop myself from worrying so much?
Output: Would you worry less if you and your partner had a plan as to when you will be together as a couple?Long distance relationships are not for everybody.   Some people need the daily or frequent interaction to feel secure.The question is not so much how to deal with anxiety that your partner is cheating on you than whether your own emotional and relationship requirements are satisfied with a long distance relationship.Anyway, cheating has nothing to do with distance since married people cheat while living together for years under the same roof!"
"Instruct: My husband and I are separated. He says he needs some time apart. He says he needs to get back the “in love” part of a relationship but doesn’t want to lose me. Should I wait or start over new?
Output: It's not uncommon for relationships to go cold over time. It is a matter of one or the other becoming complacent. If you and your husband have been together for quite some time it's likely that you are very comfortable and familiar with each other. While this is a good thing in some ways, it can also become boring and you run the risk of losing that ""in love"" feeling he is referring to. Couples simply become ambivalent. For some of the couples I work with in my practice, I find that helping to organize a time apart, which I call a ""Therapeutic Separation"" can do wonders for the relationship. I offer homework to be done during this time. Reading, worksheets and individual counseling helps people learn more about themselves and what they desire out of their relationship. It often times brings more appreciation for their partners. When the pair comes back together, we are able to push the reset button and begin a new chapter that is more fulfilling and exciting than before."
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: If your husband is changing his mind about whether or not he wants to stay in the relationship, I wonder if you both might benefit from seeing a therapist who specializes in couples. In my training working with couples, partners come into counseling with one of three goals in mind: strengthening the relationship, getting a divorce, or making a decision. The decision could be whether or not stay together or it could be any number of other things, such as what state to live in.When you ask whether you have to respect whatever decision he makes, respecting his decision does not mean that you have to agree with what he decides. While you do not have the power to change his decision, he also does not have the power to change yours or how you feel about it. Having said that, if he is changing his mind a lot, chances are that the only decision he has made is that he needs to make a decision. Weighing the options of an important decision (any type of important decision) can be anxiety-producing its own right.The fact that you said you were diagnosed with severe depression leads me to believe that you are already seeing a therapist. Perhaps he or she can assist you in navigating through this. I'm wondering how you feel when you are around your husband. I'm not sure whether you are saying that having him there is a source of comfort for you or that it leads you to feel more sad. Maybe it is a little bit of both."
"Instruct: After a domestic abuse situation, I went to a therapist, and then my husband went. The therapist discussed her assessment of borderline personality disorder with me. She then told my abuser the results of my tests.
Output: It sounds like it may have been a violation of confidentiality for your therapist to disclose information about you without your permission.  There are some exceptions to the general rule of confidentiality however.  For example, when a therapist has a reasonable concern that a client (or someone else) is in imminent danger, he or she is generally allowed to disclose confidential information to protect that person.If you believe your counselor has violated your confidentiality, you can always contact your states' counseling regulatiory board.  The board will then investigate the allegations and can take appropriate action."
"Instruct: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest.
Output: It sounds like your in quite a rough place, my recommendation just based on what you type might warrant a visit to a psychotherapist to resolve what may be going on, I am not entirely sure but it sounds like he might have a bit of a sex addiction problem. One thing you need to ask yourself is ""Am I happy?"", ""Do I feel loved?"", these are deep questions, but the answers to those questions will give you a direction to travel in."
"Instruct: I suffer from checking and cleaning OCD. Can counseling help me to get over it?
Output: Counseling can be very effective for OCD. In particularly, a kind of therapy called Exposure Response (Ritual) Prevention Therapy is considered the 'gold standard' for the treatment of OCD. What this is, is a specific protocol that helps you build relaxation strategies and to increase the amount of time between your checking/cleaning rituals while also helping you to face any of the fears that OCD given you until those rituals and fears are no longer interfering with your life. Research has shown that this kind of therapy may even be more effective for OCD than medication, https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.162.1.151"
"Instruct: My wife and I got separated because I asked about her contact with a male friend of hers. The next day, she kicked me out. She let me move back two days later. Yesterday, she said she wanted a divorce then quickly changed her mind. I asked if the other guy was a factor, but she says it's not my business.
Output: When ""threats"" of leaving, such as what you described in your question (""kicking you out, wanting divorce"") are continuous in your marriage, it can start to erode at the foundation of your relationship, impacting both partners. And, if you're concerned about the influence of another male in the relationship, and are unable to express your concerns or fears to your wife, it's extremely difficult to build a secure functioning relationship. From the information provided in your question, it seems as if there is some avoidance evident in your relationship. Avoidance of being able to express yourself and have honest communication about your relationship. If your wife is willing, I would recommend seeing a marriage counselor to help you both during this time. Or, for you to talk with an individual therapist, if marriage counseling isn't an option."
"Instruct: I'm a Christian teenage girl, and I have lost my virginity. My boyfriend is a Christian teenager too, but things just got out of hand between us in a sexual manner. I planned to abstain from sex but I guess I wasn't clear about this because I was also tempted and led him on. We continued to have sex. Does it mean that he isn't the one God planned for me? We're so young, but that doesn't stop me from dreaming of a potential future together. I really do feel like he is in my life for an important reason. I'm incredibly happy for I was able to escape from several abusive relationships because of him. I love him very much.
Output: Having sex with your boyfriend is and was a mistake. Mistakes can be forgiven and you can make amends.But it is not the end of your relationship or God's will for you.Have a serious talk with your guy and get back on track with where you want to be. Talk to a counselor or your priest/pastor. Get someone to be your guide and mentor. Check in with them regularly.Getting back to square one could actually strengthen your relationship.Have a plan for the future where you will not be put into a place of temptation. Group dates, public places and no alone time where temptations might arise.Forgive yourself and move on."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basis, depending on the frequency of the appointments.  Once the therapy goals have been met, there is a closing session, the counseling relationship is ended, and the client can stop attending sessions.  In some cases, the client can also establish new goals and determine if I am a good fit for their therapy needs or if they need a new provider, in which case I provide multiple referrals.The counseling relationship could also end due to other factors like noncompliance= when a client is not committed to the agreed treatment process, or when the client’s or a counselor violates the counseling relationship.  Either the counselor or the client is able to end counseling.  Although, as mental health providers we need to provide a reason for terminating our therapeutic relationship and referral options, as a client no explanation is needed, a closing session is highly recommended.  ¿Cómo termina la terapia?¿Cómo un consejero decide cuando terminar las sesiones de consejería o terminar de trabajar con un paciente?Para poder determinar el final de la relación del consejero, debemos comprender las metas y parámetros de la terapia.  Usualmente durante la evaluación inicial se identifican metas a corto y largo plazo con el cliente, y se discute con el cliente como esas metas serán alcanzadas.  Durante el proceso de terapia el consejero revisa las metas mensual o trimestralmente dependiendo de la frecuencia de las citas.  Ya que las metas de terapia son alcanzadas, hay una sesión de cierre y el cliente puede terminar la terapia.   En algunos casos el cliente puede identificar nuevas metas para la terapia y determinar si el mismo consejero u otro consejero le pueden asistir. 
La relación de consejería también puede terminar por no conformar o violentar los parámetros  establecidos para la terapia.   Tanto el consejero como el cliente pueden terminar la relación de terapia.  Como proveedores de salud mental los consejeros estamos obligados a proveer un razón para la conclusión del tratamiento y proveer referidos según aplique, los clientes no necesitan proveer una explicación, aunque es recomendable discutirlo en una sesión de cierre."
"Instruct: I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are attractive, but not like before. I can also find men attractive now. I'm too ashamed to tell anyone.
Output: Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these
feelings and desires it could certainty shake everything you thought you knew
about yourself. 
My guess is that you becoming sick around the time that this
started is likely a coincidence, but I understand how you would make the
connection. 
I have a feeling that a few things may be going on here. It
is really hard to say since I don’t know you, how old you are, etc. But, I will
share you with you some thoughts. 
Some people, when they have undesirable thoughts that really
surprise them, have a really tough time getting rid of them. Our reaction to
the thought can be very strong and our tendency to try to block it out, stuff
it, avoid it, etc. is not always successful. In fact, it’s usually not. 
It’s like telling you not to think of pink elephants. I
would be willing to bet that you thought of a pink elephant just now. 
So, rather than fighting thoughts that you find confusing,
sometimes it is helpful to allow yourself to explore the thought with curiosity
and without judgement. Where is this thought coming from? What are my feelings
about it? Asking yourself these questions may help you come to a resolution
about what is going on. 
One possibility is that you have developed an anxiety about
your thoughts and now you are in the process of obsessing about them, but
another possibility is that you are legitimately exploring your sexuality and
gender. I get the feeling from your question that you do not want to believe
that it is second possibility. And that is okay. 
You can try some of my suggestions, but you can also see a
counselor who may be able to help you work through your confusion. I would
suggest someone who has experience working with sexuality issues. You can
usually find out what a counselor works with on their website. What is
important is that you find someone who is non-judgmental about what you are
experiencing. 
 
I wish you well.
Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a  female coworker. I don't know how to approach this situation. How do I ask him about it?.
Output: I agree with Sherry that in a close intimate relationship, you are entitled to ask questions about his relationship with significant others. These questions help couples to build connection and trust. It's based on the idea that if you reach out to him for whatever reason (support, openess, understanding, empathy), you can count on him and can expect him to be responsive. How he responds to your question will give you an idea whether he helps you to feel more emotionally secure and builds trust or if you feel that you cannot be open with him. If your partner responds in an open and understanding manner, it usually indicates that he cares about your feelings and values your importance. If he responds in a defensive manner, it could mean that he does not like that you are questioning your trust in him or that he has something to hide. Either way, you may wish to explain that building trust is something that is very important to you in a relationship and that talking to him openly helps to foster that. If he continues to be defensive or evasive, then there might be some bigger issues at stake and the two of you may benefit from couples counselling or having a discussion about the values that are important to you in the relationship and how the two of you will go about supporting those values with actions.Dr. Virginia Chowwww.PsychologyResource.ca"
"Instruct: Ever since I was little, I loved the idea of loving someone and spending my whole life with them. I treated everyone nice. For girls I liked, I would spend every second with them. It always ends the same way: “I like you as a friend,” or “I love your attention but not you.”
Output: Attention is often something that is both wanted and sometimes not wanted all the time. Maybe when you're in a relationship with someone you can discuss the amount of attention that you are both comfortable with and/or what you are both looking for as far as amount of connection."
"Instruct: Why am I so afraid of it? I don't understand.
Output: Why are you afraid of rape? Because it is a problem in the United States! The National Sexual Violence Resource Center reports that one in five women (0r 20%) will be raped (http://www.nsvrc.org/sites/default/files/publications_nsvrc_factsheet_media-packet_statistics-about-sexual-violence_0.pdf) and that 80% of women know their assailant. Given these statistics, it is perfectly logical to be afraid. However, there are things you can do to reduce the risk of rape, such as being aware of your surroundings, and limiting the use of drugs or alcohol.The Enhanced Access, Knowledge, Act program for college-aged women has been shown to reduce the risk of rape by more than 50%. (http://www.blueprintsprograms.com/factsheet/eaaa-enhanced-assess-acknowledge-act-sexual-assault-resistance-education) You may want to see if a program like this is available in your area. Another great app for when you need to walk somewhere alone, is the Companion App (http://www.companionapp.io). Friends or family can track your progress from one point to another via the GPS in your phone.In addition, talking with a counselor about your fears would also be a good idea. Sometimes fears are rational and reasonable. Sometimes they are over-reactions and unreasonable. When then are over-reactions and unreasonable, they can have a negative impact on your life. In this case, a counselor could help you understand why your fears are unreasonable, and how you can stop them from negatively impacting your life."
"Instruct: My dad refuses to acknowledge my anxieties about going to parties, dinners, etc. Whenever I have an opinion it gets shut down. My mom and everyone else behaves likewise. For my father who heads a company, this is normal. He has to be right all the time. He blatantly refuses to even try to see it from my angle. 

Recently however, it's been getting to the point where I feel pressured and unable to speak my mind. It isn't possible for me to get professional one-on-one help. He tells me to grow a pair and get over it. I recently have been developing more severe body image and self-confidence issues, which I have had all my life. I feel invalidated by my dad.  I have been more paranoid lately as well. I can't turn on location services anymore on my phone because of a past incident. He makes me feel guilty about it.  I feel rather worthless more often than not, unfortunately.  What do I do?
Output: I'm sorry to hear that you are unable to get through to your parents. It sounds like you are experiencing a great deal of anxiety that needs to be addressed by a professional (despite the fact that you are unable to at the moment). I would recommend talking with another adult such as a  school counselor that can offer you support in this area. Perhaps they can work with you on your anxiety issues and schedule a meeting with your parents so that he/she may help mediate the conversation with them.If you are unable to reach out to a school counselor maybe you can try a member of the family such as an aunt or an uncle that feels comfortable addressing the issue with your parents. Sometimes it helps hearing it from a third party before the situations is taken seriously enough.Good luck!"
"Instruct: 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?
Output: I think there are many different directions we could go as far as answering your question.  I think the first and most important question you need to ask yourself is do you truly believe in your heart that you can forgive him and trust him again?  Once you answer that question honestly then you can move in one of two directions.  First, if you truly love this guy and see yourself being with him long term and for the ""long haul"", so to speak...and you genuinely want to forgive him and trust him again, that is completely do-able and possible if you both put in the work.  But, there's a greater issue here that needs to be addressed.  You say your relationship is ""good"", but there's been a sexual disconnect between the two of you and that usually indicates some type of emotional disconnect is at the core.  Would you agree with that, or what are your thoughts?  Were you giving him less sexual attention than you normally do or were you guys never on the same page about sexual needs and having compatible sex drives?  If you are more of an emotional person than he is, you may have been less interested sexually because he hasn't been meeting your emotional needs.  For instance, if you hadn't been feeling loved, cared about, validated, appreciated, cherished, and special to him than you may have felt less connected physically and been less interested.  This is a common issue with couples, and can easily be addressed if the communication in your relationship is strong and you can find a way to express to him your frustrations.  In essence, many women tend to have more emotional needs than men, this is the way we are hard-wired, and there are exceptions to this of course, but if you have been feeling neglected emotionally than your lack of interest in sex is actually completely understandable and NORMAL!  Until he understands this, and can learn to tune into your needs emotionally, you may struggle with feeling you are out of sync emotionally (and sexually).  This leads to you both being frustrated, but if all this is ringing true to you, he seriously probably has no clue what's going on and may not know how you're feeling.  You need to communicate your needs to him; if you are super lost with how to do that, there's an awesome book called The Five Love Languages.  It's not that long, and it's very approachable and easy to apply the concepts to your relationships. Invaluable resource for relationships and truly eye opening; really!!This is a long post, I'm sorry!  But this is such an important issue that is very common and many people feel lost about how to handle it.  So back to the second direction you can go....you feel very betrayed, you aren't sure if you can ever trust him again and you see yourself perhaps being paranoid forever and never being able to completely get over this.  For instance, if he says he is working late, or if he doesn't call or text right away when he usually does, you may immediately jump to the worst case scenario that he is cheating again.  Of course, it may not be true, he may have legit reasons for his behaviors, but the point is if you are going to be in paranoia-mode OR you just will always be unsure whether he loves you and is committed to you and only you, then the trust may not be able to be re-built.  You need to think long and hard about this, and if you decide you have the capacity to forgive him and rebuild your foundation of trust and honesty, then you need to let him know very explicitly what you need him to do to earn that trust back.  You can't just tell him vaguely ""I need to trust you again""; if he wants his family back and he's willing to do the work, you need to line out exactly what he needs to do and he needs to do it.  But, be prepared that he might throw out there that he cheated because he felt you weren't attracted to him anymore (or he tries to put the blame on you somehow because he says you weren't meeting his physical needs)...if he throws that out there, but you weren't showing him the affection because you were frustrated emotionally, then it all starts with you communicating that to him.  Get that book!In conclusion, if you feel in your heart there is no way you will be able to trust him again and you will always wonder if he's cheating when his behavior isn't spot on, you will be a nervous wreck and perhaps cutting your losses now would spare you the continued heartache.  There is certainly a way to work through this, but you both have to be motivated and you have to get to the source of why the cheating happened in the first place.  Rebuilding trust can be a long process, maybe even years, and for some people, they may never be able to fully trust and let go of the past.  I truly recommend starting with the book, and then going from there.  If you decide you want to stay with him, you would really benefit from couples counseling, as it sounds like a professional could help you strengthen your communication and ability to trust again."
"Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.
Output: I would suggest possibly talking with a physician about all the different types of protection. They may be able to help you to know about all of the options that are available.It sounds like your partner is open to understanding your concerns. Perhaps until you have the chance to speak with someone about the effectiveness of different contraception and forms of protection, are either of you open to other forms of engaging in sexual intimacy (without penetration, but with use of vibrators, toys designed for sexual interactions, etc.)?"
"Instruct: Every winter I find myself getting sad because of the weather.  How can I fight this?
Output: One theory is that instead of ""fighting"" your feelings, accept your sad feelings and work with them.   Feeling sad may open many doors to reflect and make peace with the source of your sadness.Also, I believe fighting against the natural cycle of rest and hibernation may not even be possible to succeed.   Winter for most creatures is a time of withdrawal and slowdown.  Our bodies and moods are part of nature as well.  Fighting what is part of nature seems like a tiring fight which the person will lose.Last point, there are the winter holidays to break up the dark and cold of winter.   Maybe you can invent some of your own winter celebrations so you'll have a few gatherings to look forward to hosting."
"Instruct: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole ""If you love them, let them go,"" but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped.
Output: Hi Fort Worth,  I applaud your awareness and insight into the relationship.  Most of us come into relationships carrying old baggage and although you can't change her,  what you can do, is change yourself.  We can usually begin to understand ourselves better in the context of our own upbringings.  That is where we learn what a relationship looks like and it is often not the best teacher.  I wonder about your jealously, insecurity, feeling trapped and a lack of trust.  Has that ever showed up anywhere before?  It has more to do with you and less to do with her.   Your relationship with her is tapping into unresolved issues within yourself.  That is really where you want to focus. Once you understand it and resolve it, you will no longer need to ask anyone else what to do, because you will know.  You are young and just getting started in the relationship world and the healthier you are, the better you will know what healthy looks like.   Know yourself, understand yourself and love yourself.  The rest will take care of itself.  Finding a Therapist can be a big help in this process.  You are asking the question, so I suspect you are ready to look at the man in the mirror.  I believe in you and am wishing you all the best.Sandra Cooper, RN, LPCMH"
"Instruct: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore.
Output: It sounds like you have been thinking about how past hurts have influenced you, and when you try to talk about these hurts with people in your life, you are feeling invalidated. It also sounds like current conflicts are continuing to leave you feeling hurt and devalued. In working with a therapist, you may be able to get some clarity about your past, who you are, and what kinds of boundaries you want in your relationships, so that you can lead a life that is more satisfying to you."
"Instruct: My mom made a lot of mistakes a couple years back, and I can't seem to forgive her. I want to say that it's okay, but I can't. I feel like even if I did forgive her, I wouldn't be able to say it to her face.
Output: Hi Cleveland, I think I get what you're feeling. You're scared that if you forgive your mom, that would mean it wasn't so bad, or she'll think it's okay to do it again, or she won't realize how hurt you are. I invite you to look at forgiveness in a different way. Forgiveness doesn't have to mean what she did was okay. Not at all. Forgiveness can mean ""I accept what she did, and I don't want to live in her worst moments constantly. I want to put it down and move past it because I want her in my life, because fear and resentment interfere with my relationship with her, and mostly because I'm tired of carrying them (fear and resentment) around constantly.""You can forgive your mom for yourself, not for her.  If there is evidence that your mom wants to respect you moving forward, then it might be worth it to risk putting down the resentment and the grudge that you think you need to protect yourself.  Your ability to draw boundaries with her in the present is your biggest protector; let her know in the present what hurts you, and notice her responses.You don't have to say it to her face. Saying it to yourself is more important. Again, forgiving your mom helps you...it reduces your own burden of fear and resentment, leaving space for better things."
"Instruct: I have been pushing people away all my life. I finally have a great boyfriend who loves me, but I keep pushing him away and I don't want to. I need to learn to open up.
Output: Figuring out the space we need between ourselves and others is an ongoing and unsolvable task.  But it sounds like you may be feeling stuck in a pattern of pushing people away and are wanting to change that.  Pushing others away may be your way of surviving relationships and may have proven to be very helpful at one point in your life.  Or it may be serving some other purpose.  One helpful way to consider changing that is to seek out a therapist.  Psychotherapy can provide you with a relationship that is in tune to you and that can provide the reflection and supportive challenges to help determine the function the 'pushing away' is serving.  It also may be helpful for you to take time to reflect on the moments when interpersonal guardedness snuck its way into the interaction.  What were you feeling right before this?  Did it provide relief?  Reflecting on what was happening just before and right after can provide some clues as to what purpose the 'pushing away' serves.It may be helpful to communicate to the boyfriend how you experience intimacy and the discomfort it can bring you at times.  This may help him be as sensitive as you need him to be about the pace of the relationship, and to understand what may be happening when you push him away."
"Instruct: My husband and I would've been married for five years come June 2016. Our infant daughter just had her birthday. Shortly before, he told me he wanted a divorce. He has four other children, three of which are from his first wife. He decided to end that marriage when his youngest was an infant. The children do not have a good relationship with him now. He has another child from a woman he was dating. He decided he didn't want to be with her anymore when the child was an infant.    It seems to me that there is a pattern. He easily detaches from relationships at the same time in the child's life but wants a relationship with them when they are older. I've tried to research online, but I'm not getting any answers. He also has an unhealthy dependency on alcohol and does not believe in mental health disorders such as depression and bi-polar disorder. He also does not believe in therapy or seeking help from professionals. Is there a detachment disorder or some form of mental block he could have? Where do you recommend researching this?
Output: This sounds really difficult and I can understand your motivation to get to bottom of why this behaviour has occurred - especially if your husband (who sounds like he is an ex-husband?) continues to have a relationship with you and your children. With that being said - relationships and mental health are very complicated and you are unlikely to find the answers you are looking for. In order for someone to be diagnosed with a mental illness or in order for them to identify what leads them to fall into particular patterns in relationship - they would need to be willing to seek help and honestly talk about their challenges, something that you say your ex is not willing to do.  While it might be a relief to understand what is going on with him - it might be more comforting for you to get support for yourself in processing your feelings and everything that has come up for you as a result of his choices."
"Instruct: I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?
Output: Hello. Being a teenager in our society today can cause depression quite easily. We look at the world in which we live, and the doubts we have about being able to make a contribution, or to have value and worth with the people around us, and we begin to internalize those messages of self-worth. If that alone were not enough, you are trying to figure out where you want to go in life, and who you are supposed to be in the world. Teens are faced with pressures of being judged by your peers for how you present yourself; following current fashions; possessing the trendy things; and hanging out with the ""in crowd."" Here's a ""secret"" that might help with most of those issues: Not much of those problems I've just described will really matter as they might seem to right now, in the real world. If you are feeling depression because you feel you lack some of those things that are seen as important by others (like your peers), I can assure you that being someone who is kind; compassionate; understanding of another person's suffering; and the effort you make to be the best person you can become in the world, will far outweigh anything you experienced in your teen years.When we are young, we judge everything based on what our peers have, what they say, the way they dress, who's popular, who's not popular, and for the most of it, all of that is external. So the question becomes, are you trying to fix the feelings on the inside (the internal stuff), with the trappings of all the stuff on the outside (the internal)? That is to say, do you feel that if you had what your friends have, you would be happy and less depressed? Depression is usually a symptom of something much bigger, it is not typically a problem by itself (just as a person who experiences a high temperature may likely have a cold). So fixing the symptom requires looking at the possible causes. In your post, you mentioned that you live with your dad. Are your parents divorced or separated, or has your mom passed away? Either of these circumstances could certainly cause depression. Finding out when you started feeling depressed, might be able to pinpoint the trigger that caused it, which requires looking at when you last felt really happy. It is also important to keep in mind, that as a teenager, your emotions are often being experienced very randomly, and sometimes without cause. It is part of your emotional development, but as you grow older can learn how to manage those emotions better and practice doing things that help you feel better (without causing harm to yourself).Have you tried talking to your dad about your feelings, or maybe another relative if you feel safer doing so? Do you have a friend who is your best friend...someone who is there for you no matter what? If not, there is a service you can use that is a national number for teens to talk with teen peer counselors. They are teens like yourself, but they have some insights that might be helpful. Its called Teen Line (https://teenlineonline.org/). It helped me when I was in my teens, and has helped lots of other teens as well. You might find a place to get some referrals to other local services in your area. If you want are in Washington state and would like to connect with me directly, you call link to me via my profile page. Or perhaps finding a counselor in your local area might be useful. Most towns and cities have some form of low cost counseling. You might also check with your school for assistance.Don't be afraid of not always knowing how you are supposed to feel. Adults don't always have a handle on it either. Being a teenager carries a lot stress, fear, and uncertainty. But you are not alone, and there is help if you reach out for it. I wish for you the very best, and bright future."
"Instruct: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.
Output: If you're feeling like your gender is different than the gender you are born with, and there are many different terms to help describe that. Gender is actually looked at on a spectrum. Transgender is just one of those terms, but looking at the information here may help: http://www.transequality.org/about-transgender. I'm not saying that you should use the term transgender to describe yourself because that may not accurately describe what you are experiencing, but I'm just trying to point you to some more resources.As for what to say to someone who asks your gender, that becomes a question with a lot of different parts. This is probably something that would be best talked out with someone else who you trust. I don't know whether that is your family, friends, and mental health professional, and member of the clergy, or someone else. There are many different things than you could say and they are all related to how much you already to share with other people about how you feel regarding your gender.Generally, I would suggest it would be important to become comfortable with how you feel yourself and possibly tell some people whom you really trust first. Also consider that once you tell someone something, it's not possible to undo it, so if you tell someone, they may tell someone else. Then there is also the matter of people having very different reactions related to different genders and not everyone will be supportive. I hope that you are able to surround yourself with some people who are willing to understand and work through this with you so that you have some ideas how to react if you come across someone who does not understand.Please remember that there is always someone to talk with."
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: Thank you for sharing. It seems like since the ""winter blues"" happens to you every year it may also be impacting your quality of life and possibly relationships. What you report sounds like you may be experiencing Seasonal Affective Disorder (SAD) and is quite common to many from about fall thru winter seasons; but, also can impact folks during the Spring and summer months.The best care and treatment for SAD includes discussing it with your PCP (primary care physician), integrating light therapy (full-spectrum lighting) throughout home and workplace (where possible), psychotherapy, and possibly medications (e.g. Wellbutrin XL, Aplenzin).Be sure to exercise good self-care and checkout the Mayo Clinic's website for SAD here: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: I appreciate that you are concerned about your husband's emotions and want to support him as best you can right now. I imagine that you must be going through your own difficult time too. You've had a complicated shock and trauma in your life and in your marriage; it's normal for both of your emotions to move from hope to despair to fear, anger, gratitude... there is no wrong way to feel and there is no particular pattern your emotions or his will follow. Try not to assume what he is feeling but ask him instead. ""How are you doing today?"" is something that can be asked over and over again and your love and compassion for him will come through. If he has a hard time talking, you can share your observations. ""I notice you're more withdrawn. This worries me."" Certainly it will help you if you know what he's thinking and feeling because he hid his intentions to hurt himself. It's normal that you want to know. If there is depression and hopelessness, this likely was part of what led to his initial despair. There is help out there. Depression is treatable, and seeking that treatment is important right now at this vulnerable time. This is the kind of complex situation that can be assisted by a therapist who is qualified to help you both understand and manage your emotions. Whether your husband seeks help or not, I hope that you do."
"Instruct: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole ""If you love them, let them go,"" but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped.
Output: Are you possibly mixing up an impulse to nurture and protect someone, such as by offering housing, and your own need to feel loved and appreciated as a romantic partner?Maybe your feeling of jealousy is really your awareness of a reasonable need to be loved by a partner.Even though you are quite detailed in your description of your partner, one piece which is missing, is whether you feel you are loved by her.Maybe too, what she considers your insecurity, is really her unwillgness to love you.It's always easier to put distance between two people by insulting them.I hope this gives you a few new ways to look at your situation.A few therapy sessions, either by yourself or together w your gf, would give you more chance to know more deeply what it is you are facing."
"Instruct: 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?
Output: 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."
"Instruct: My mom made a lot of mistakes a couple years back, and I can't seem to forgive her. I want to say that it's okay, but I can't. I feel like even if I did forgive her, I wouldn't be able to say it to her face.
Output: How someone feels when they forgive another, is at peace with themselves and their understanding of what went wrong, who was responsible for what in the situation, and clarity on their own motivation, actions, emotions including pain, regret, resentment, sadness.These steps ideally allow a new door to open in order to develop new paths in the existing relationship or accept that this will not be possible due to either person's way of handling themselves.The long answer would be that you're not yet through with this process.I commend you on being truthful with yourself about yourself.You're on the right track by expecting to feel resolved when you've reached resolution, and not before.Finding patience with the unpredictable amount of time needed to thoroughly examine all the details of the incidents you mention, sometimes is a frustration of its own.Keep up your good work of knowing your own life.It is a worthwhile endeavor!"
"Instruct: I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal.

Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes.
Output: I think one of the first questions that springs to mind for me is, ""what's the rush?""  Just because other people in your circle have had experiences that you are still warming up to does not mean that there's something wrong or something to be ashamed of.  If anything, I want to commend you on the self-respect you have in wanting to wait and share this most intimate of experiences with someone that will feel the same way about it.  One of the most common distortions in our thinking is when we try to directly compare ourselves to others; while these people and even those in your family share a level of closeness to you they are not exactly like you - they don't see or feel things in the exact same way as you nor do they share the exact same perspective. It's important to be making choices for you and for your own desires and life goals.  Once you stop comparing your happiness, you may find that you are already experiencing it and allow more of your guard to fall down. "
"Instruct: I'm in a relationship with my fiancé and I currently found out that she's been cheating on me with a co-worker. I was very upset none the less. I understand what she did was wrong, but I want to spend the rest of my life with her. So I'm willing to forgive and move on. We have been together for a little over 9 years, and we have a son. At the beginning of our relationship, I was unfaithful and she caught me cheating. She forgave me for what I've done to her and since then I been completely faithful. I'm worried about our relationship and want to move forward  but its been very unsettling. All I can think about is her with another man. I don't know what to do or where to go for advice?
Output: My first question for you would be to see if you've talked with her about it yet? You mentioned you found out....and I know this can be so painful. It can also be frightening to bring up the experience when it hurts a lot, when you feel so unsettled as you mention. But you can look at this as a vital and important piece of information about what's happening in your relationship, and an invitation to get really honest and genuine with each other. You have a long history, being together 9 years, and a son, so you are very bonded no matter what changes happen in your relationship. It may be incredibly helpful to find a counselor you can both go talk with. Having a third party who is neutral and cares about your process and hers can be such a relief when you need to discuss things you feel scared about. Even just a few sessions can make a huge difference. If this doesn't feel possible for you right now.....ask your fiancee for time to set aside for a meaningful heart-to-heart talk. Say you'd like to set it up on the calendar, and make sure you have a babysitter for your son. Set aside at least 4 hours. Let her know that you'd like to hear her honest truth about what's going on, and share with her your truth as well. It's not a time for criticizing or condemning, and I don't sense that is your intention at all--you have a great deal of love for her. Speaking honestly and listening openly is an amazing gift, both for yourself and for your partner. You can do it."
"Instruct: I've been experiencing a lot of anxiety and panic attacks lately. I was recently diagnosed by my psychiatrist with obsessive-compulsive disorder. Lately, I've been questioning everything from my career to my relationship. My boyfriend and I just moved in a few months ago. All of a sudden, I don't feel as comfortable around him as I used to, although I can't seem to find a reason as to why I feel this way.
Output: Hi New Jersey,You talk about two very big changes in your life that have happened lately; the diagnosis/anxiety, and the moving in together. That's a lot!I love how you recognise that you been 'questioning everything'. I think anxiety's got its toe in the door and it's pushing you around, wanting some power over you. Fear and anxiety try to convince us that we need protection and that it's best to either pull away or fight. But letting anxiety control how you see your relationship isn't the answer here. I think you know that already.You must have moved in with him for a reason, and it's appropriate now to simply trust that, to ask him for some patience, and to focus on learning to manage the anxiety rather than questioning this decision to move in. Fear is getting in the way of you trusting yourself and your decision. You can figure the anxiety piece out while living with your boyfriend.When you're in a bit of a crisis is not the right time to make a major change. I suggest you use a therapist who works with cognitive behavioural therapy to learn to manage the anxiety, and then the relationship will likely seem more clear."
"Instruct: For some reason I feel very uncomfortable with my girlfriend showing off her body in certain poses on social media. I know she is proud of her body and I respect that, but I dont feel comfortable with her openly showing off her body the way she does.
   Anytime I bring it up to her she thinks Im calling her a whore. How can I deal with my girlfriend showing off her body on social media and not hurt her feelings?
Output: Ask her to consider your feelings not only her own defensiveness that she is called a whore by you.Clearly since you're writing on a site which offers psychological and emotional support and guidance, you do not consider your gf to be a whore.She may not realize or considered that you are somewhat protective of who sees her body.   In the end she may not want the privacy over her body which you are encouraging her to have.At least you will have the satisfaction to know you stated your actual reasons for your request, and did not rely on the ones she imagined you have."
"Instruct: For the last year, my adolescent son and daughter have been driving me nuts with fighting. I'm at my wits end. How can I get them to stop and get along?
Output: That is a good question. Unfortunately there is no generic answer with this one. Kids fight for different reasons - wanting attention, wanting respect, feeling jealous, wanting space and to be left alone, or a whole bunch of other reasons. Regardless of the underlying motivations for fighting, most conflicts result from misunderstandings and assumptions about the motivations of others and one of the best ways to start figuring out what is going on is to sit them down and have some conversations with them. These conversations should be centred on getting a better understanding of why they are angry with each other and really understanding them. It is important that they each know that you are committed to understanding their experience rather than simply sitting them down and lecturing them about what they are doing wrong. The more they are able to understand each other and feel understood the more likely they will be cooperative and considerate of each other. One exercise for doing this that can be very helpful is ""active listening"" where one person speaks and the other person reflects back what they heard the other person say and then checks for understanding. This is hard to do but it often illuminates where the misunderstandings and assumptions are. If this doesn't work it may be time to get a family therapist or counsellor involved who can help facilitate dialogue and resolve conflict. "
"Instruct: We’ve been together almost three years. We argue and he ends it by telling me he doesn’t love me. It's hurtful because I am all about resolving the problem, and he dwells on the issue even if I drop what he's done and just swallow my pride and say I am sorry. How can this be resolved? We have kids, and I don't want a broken family because we can't communicate.
Output: You can't fix this by yourself, but I applaud you for trying. One person working hard in a relationship can make things better for a while., but in the long haul you need two people giving some effort. I'm reading between your lines here and I wonder if your need to keep the family together is getting you to apologize when you've done nothing wrong and ignore things you've felt hurt by. I sense that you're doing all the work...that it's not balanced. I have worked with many couples and I've learned never to underestimate what kind of change is possible; anything is possible. But in order for change in a couple to occur, you need two people who are both willing to own their choices and behaviours, and who have empathy. Your boyfriend doesn't appear to have these components; he pushes you away and blames you when he's done something hurtful.Can you be honest with yourself about what's happening? I encourage you to sit down with a trusted friend or therapist and look at what you have here and what your options are. I wish you well. "
"Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?
Output: If you have a good relationship with your child then you have already accepted and been accepted as this child's parent and you have a commitment and an obligation to play that role.  If you suddenly absent yourself from this child's life then you may be doing real damage. Working out an arrangement with the child's mother for regular visits the child can count on and committed to by both parents will serve the best interest of the child, which I assume is what both parents are truly concerned with.  The visits don't have to be every day, once a week, even once a month, is better than hit and miss with long absences in between.  Best of luck to you, and the fact that you asked the question says volumes about your parenting potential.  Feel free to follow up with me, on line or in person."
"Instruct: 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.
Output: Check this blog out:  Four-ways-add-self-esteem-friends-listHope you find a few nuggets of helpfulness in this."
"Instruct: Every once and a while, I think about my ex-boyfriend from four years ago, and my current friend. It’s like I can't get past it, and I need some kind of closure. I keep thinking about how we had something, but it got cut off due to parental intervention. Nothing was ever wrong with it. Now we've become friends, but there's this huge sexual tension between us, or at least I feel it when we're physically in the same place.
   Two summers ago, we saw each other casually for a while, but we never had sex then or while we were dating, which was only for two months three years ago. I'm now in my 20s, and my current boyfriend is amazing and in his 30s. Despite the age difference, I know we're a really good match. We've never really fought and are able to make compromises and talk everything out. I tell him everything. Also, my ex-boyfriend has a girlfriend now as well. He’s been seeing her on and off for the past two and a half years, besides when they broke up and we had our casual thing. That summer, I told him I didn't want anything serious and broke it off. Only a week later, he had gotten back together with his girlfriend. His girlfriend is kind of mean spirited. I'm sure she may be different around him, but I worry about him committing to her in the long run. They're supposed to move in together soon. But still, I feel this connection with my ex-boyfriend, and I feel like he does too.    I don't know what to do. I need some closure or I'm not going to be able to move on from this. I don't know what it is, but it's driving me crazy. I’m so happy with my current boyfriend, and I know he will do everything in his power to make my life beautiful and fulfilling. He’s such a good person. I also know my ex-boyfriend smokes marijuana and does other things, but I can't get it out of my head. I'm trying to take a nap right now between classes, but I can't sleep because my mind is racing. I've never been so hung up on something for this long ever.
   I want to just talk it out with my ex-boyfriend, but I don't know if that's a good idea because of the possibility that it could blow up in my face. If he told his girlfriend, everything could go wrong because she hates me. If my current boyfriend knew, he would be crushed. On one hand, I want my ex-boyfriend to say no to having feelings for me, but I would be terrified of what to do if he said he has feelings too. Where would I go from there? On the other hand, I feel like I can't move forward in my relationship with my current boyfriend without closure from this. Sometimes I wish I could just cut off everything that had to do with my ex, but I don't want to.
   Please help me, because I really have no idea what to do.
Output: If you're in a relationship and you're having strong thoughts about someone else, it's important to pay attention to that. Although you say you're happy, I'd suggest looking really carefully at the relationship you have and whether you're getting everything you need. Is there a physical connection with your ex that you don't have with your current boyfriend? It could be that your boyfriend is marvelous in many areas, but that you just don't feel excited about him for some reason. That's a pretty important element to be missing.It may be that, even if you are happy with your current boyfriend, you still hold something special for your ex. If you feel the need to see what is possible there, I think you have to tell your boyfriend about that and end it with him first. You can't have everything.If you truly feel that you want to be with your current boyfriend, you will do well to stop thinking about and focusing on your ex, because thoughts of him will interfere with the growth of your current relationship. The grass isn't greener... A therapist can help you to focus your energies and thoughts on the present, rather than an imagined version of the past or future."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: The most important agent of change in therapy is your relationship with your therapist. It is so important for you to find a therapist that you trust and feel comfortable enough to just lay everything out there and be vulnerable with. Therapy is really building a safe and healthy relationship with a professional that can then help guide you in some of the most intimate and emotional parts of your life. This relationship does take time to build, but usually you can get a sense of a therapist's personality and approach from their bio and website. Once you have found someone that you think you could really connect with, then it's about looking at do they have the expertise you need. Do they have training in relationship counseling or in working with anxiety, depression, or trauma? It is important to find an expert in the field so you are getting the best care possible...just like if you were to go to a general family doctor versus a specialist. I hope that is helpful!"
"Instruct: If I tell him I don't like certain things, he does when it pertains to me. He tells me it's not like that. He never has anything to say about me until I tell him something about himself.
Output: It sounds like there are issues with communication between you and your husband.  Your perceptions of interactions that you are having don't sound like they match up.  It would probably be helpful for you both to work on communicating using ""I"" statements (I feel----when you---).  This is a more effective way of communicating your needs than directly criticizing the other person.  If you work on communicating in new, less critical ways you both may learn more about your spouse's feelings and perspective."
"Instruct: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.
Output: Depending on your daughter’s age, this could be a learning disability.  I suggest contacting the school counselor and asking for an evaluation, once she is evaluated and depending on the diagnosis, she could be provided with treatment recommendations like occupational therapy, reading glasses, or assistance in class. These and more accommodations are enforced under the 504 act. Consider if the observations that you have done are affecting her performance in school only, or also in other settings.  Observe her behavior and or her emotions and see if they change as well.  Discuss these with your daughter’s counselor as well.¿Tiene mi hija un desorden mental?Mi hija está en la escuela elemental.  Ella no puede colorear dentro de la línea.  Mezcla las palabras cuando escribe, a menos que tenga grandes espacios, o brinca las líneas.Dependiendo de la edad de tu hija esto puede ser un problema de aprendizaje.  Te sugiero que contactes al consejero escolar y solicites una evaluación, dependiendo de la diagnosis, ellos pueden recomendar tratamientos como: terapia ocupacional, lentes para leer o asistencia en clase.   Estos acomodos son provistos bajo la acta 504.  Considera si las observaciones que has hecho afectan el desempeño de tu hija en la escuela, o en otras áreas, también observa su conducta y emociones y repórtaselo al consejero escolar."
"Instruct: In particular during family gatherings (such as funerals), where there are different customs.
Output: I think the best thing you can do is be respectful of each family member's wishes. Although everyone may not agree with one another, the most important thing you can do for each other is to respect their faith and beliefs instead of trying to sway them in a certain direction. There are many families that are united despite their differences. For example, a mother may be Catholic and the father Jewish. By introducing the children to each faith until they are ready to decide for themselves can be beneficial. Also, it's not uncommon for views to change as one ages or faces different life experiences. So don't get too discouraged if your child wants to explore different avenues. Creating a loving and accepting environment is most essential."
"Instruct: I would like to be able to have more positive relationships in the present.
Output: Take one day at a time!!!  Each day do things that make you happy, moves to a positive place, focusing on the future, give you a sense of fulfillment and accomplishment.  Journal at the end of the day of how well you did that day in focusing on these things.  Each day should be a step better than the previous day.  You will have days that you didn't do as well....that is human and OK.  Just get back on track the next day....At the end of the week, review how well you did and give your self a grade.  If did well, you deserve ice cream, etc.  If not so good, OK....tell yourself next week ""got to focus one day at a time"".  You can do it....it takes practice but will get better each day,  I wish you happy days and happy future..."
"Instruct: I am so angry. I feel like the arguments with my parents have caused me so much anxiety and stress, and I don't know what to do. I want to sit down with a psychologist, but I cannot afford one, nor do I have my own health insurance. I can feel myself starting to get violent. I throw things of value when I start to get mad. I have punched holes in my wall. I can feel my aggression getting worse.
Output: First off, it is great that you recognize that some changes need to be made. It is also really good that you understand where the source of your anxiety and stress comes from. Fortunately there are many self help books and internet sources that provide free tools to help you cope with life's obstacles, including anger management. There are several strategies that you can try to help control your anger, but the ones that I would recomend first are the following:1. Try a different way of communicating with your parents. Since arguing with them is a great source of anger for you, learning more effective ways of communicating with them will likely be of great benefit. Choose a time to talk with them about ""heated issues"" when everyone is calm and emotions are not heightened. Use ""I phrases"" by telling them how the arguments effect you, as opposed to placing blame on them. Validate what you hear your parents say in order to allow them to know that you understand their point of view.2. When you feel yourself becoming angry, take a break. Simply excuse yourself from the situation, find a quiet place to be by yourself, and do some deep breathing. Close your eyes, slowly count to four as you inhale, and exhale even slower, counting to 6. Focus on nothing except for your breathing and do this for 5 minutes.3. Stop any negative thoughts in their tracks. Often times when we get upset, we catastrophize and do not see things clearly. When you catch yourself thinking negatively stop the thoughts and ask yourself if your thinking is logical and rational. If you cannot find much or any evidence that your thoughts are valid, then let them go and replace them with realistic, logical thoughts.4. Finally, find a friend or someone to talk to and/or keep a journal. Keeping your emotions to yourself will not help you. Being able to express your feelings and problem solve will allow for some relief when feeling sad or angry.I wish you all the best!"
"Instruct: I'm unemployed just relocated. I can't get approved for a place to live because of past mistakes which follow me to this day. I'm depressed and on the verge of loosing my partner because I'm overwhelmed and have trouble functioning on a daily basis. I see no light at the end of this tunnel and need some help. I see no point in this chaos infested joke some call life.
Output: It sounds like you are feeling like things are hopeless and out of control and you're not sure what to do about it. If you can find a competent therapist to work with, together you may be able to come up with some strategies for alleviating the overwhelming distress that you are experiencing and gain some insight into what may be contributing to these challenges. Additionally, a therapist may be able to support you in getting back on your feet in regards to work, a place to live, and showing up with your partner in a way that will be more satisfying to you."
"Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.
Output: I would suggest possibly talking with a physician about all the different types of protection. They may be able to help you to know about all of the options that are available.It sounds like your partner is open to understanding your concerns. Perhaps until you have the chance to speak with someone about the effectiveness of different contraception and forms of protection, are either of you open to other forms of engaging in sexual intimacy (without penetration, but with use of vibrators, toys designed for sexual interactions, etc.)?"
"Instruct: I have had a crush on this guy for years. I last talked to him a few years ago when we graduated from high school. We left off on a good note. Should I message him and see how he is doing, or is it too late?
Output: It's never to late to let a person know how you feel.  You never know where it will take you.  You don't want to hold this regret of not letting your feelings known and wondering ""what if"" for the rest of your life.   That can be torturous.   Now prepare for whatever..if his feelings are the same or if they are not.  If they are the same...great.  If they are not, feel good that at least you let a person know they hold a special place in your life and wish him love, peace and happiness in his life."
"Instruct: My therapist is gay so there are no sexual issues here. However, my therapist for six years has made me believe that he cares about me and that we are friends. I have loaned money to him many times, and he always paid me back.
   I had a medical emergency last weekend and I was heavily medicated. I knew that this therapist came into my home and wrote down my credit card information so he could pay back what he owed me, but this therapist dropped me off and never came again. I don't know what to do.
Output: Therapists, regardless of the discipline (i.e. licensed professional counselor, social worker, psychologist) are expected to put the health and well-being of the client first. Each professional discipline does have a code of ethics as well as a licensing board in each state. In order to get licensed the therapist must agree to abide by the highest standards of conduct including state, local and federal regulations in addition to the code of conduct. You do have the option of reporting this person to the appropriate licencing board in your state. The other concern is if this person has unauthorized access to your credit card. If you did not give it to him or authorize use this becomes a legal matter that you can also report to the legal authorities in your city or town. Therapy and counseling are effective because professionals gain the trust of the client. Betrayal of that trust by crossing boundaries and developing a relationship outside the therapist/client relationship is hurtful. Please know that the vast majority of counselors are highly ethical individuals who put the welfare of the client first."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Hopefully both the client and counselor would together decide when to terminate counseling sessions. It's really helpful for the client to leave counseling with a solid sense of what he or she has accomplished in counseling, so it can be a good idea to spend some time acknowledging that in the last session or sessions. Sometimes, however, a client has needs beyond the scope of the counselor's expertise. That's a good time for a conversation about those needs and ideas of  how best to meet them, whether by adding in care with an additional mental health professional or transferring care entirely to a new mental health provider."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: I'm thankful to read your husband found care and that his suicide attempt wasn't successful.   While he was hospitalized, and prior to his release, your husband would've been provided in writing a self-care action plan. This typically includes things like committing to a contract 'not to harm' and what to do if he felt overwhelmed by his anger, depression, and hopelessness (e.g. call 911, call therapist, go to nearest hospital emergency department). Additionally, his protocol would've provided instructions for his taking medication(s) as directed, having a follow-up appointment(s) with his psychiatrist/psychologist/clinical social worker, and participating in some form of small group support.  If your husband's struggling as you describe, and you are feeling overwhelmed or frightened for his (your) safety, I'd encourage you to seek immediate assistance."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Yes, definitely crying is normal during therapy.   Anyone in the midst of new awareness of how they've been hurt, or feel despair or great sadness from burdensome life situations, naturally will feel tears come up.Therapists are familiar with people crying during a session and will know how to be present for you while you sort through your painful emotions."
"Instruct: Does counseling really do anything that can help people?
Output: Yes, Counseling provides an area for people to speak to an unbiased professional about their concerns to address their unique needs. While length of time varies, counseling is a process and can be done from as little as one session to multiple sessions. Counseling provide a safe, non-judgmental, empathetic atmosphere from a professional helper provide the service "
"Instruct: What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation?
Output: This sounds like a potentially serious situation. The most important thing is to make sure the child is safe.  If you suspect that a child is (or has been) harmed, I would strongly recommend that you report your concerns to your local law enforcement or to Child Protective Services. If you don't think that a child is in danger, you can still report your suspicion of counselor misconduct to the state regulatory board."
"Instruct: My fiancé and I recently had an argument over finances. He gives me the money each month to pay his automobile insurance. He no longer has one of the vehicles on the policy. He realized he was still paying for the coverage and asked why I was allowing him to continue to do that since I was physically paying it for him. My response was that he was giving me the money, and I just made the payment. I didn't think of the coverages. He was angry about it. I still can't figure out that anger.
Output: I'd be more worried generally about a fiancee who assumes you are responsible for tracking what in fact are his responsibilities, than about the anger per se.What you describe holds the seeds of classic abusive behavior, which is blaming the partner for what in fact are the person's own responsibilities.Start by withdrawing yourself from paying his bills.If he is on his own in terms of tracking what and when is due regarding his auto policy, then surely the only one for him to blame will be himself.Stay clear of involving yourself in doing favors for him if the favor involves something that he is the one accountable.Tell him it is so the relationship remains fair for each of you."
"Instruct: Sometimes 3 times a night.
Output: 
That's a difficult question to answer. Dreaming is a normal (and healthy) part of the sleep cycle. The current thought is that we all generally
experience roughly the same number of dreams - the difference often is just
whether we remember the dreams or not.An increase in the number or frequency of distressing dreams
(or nightmares) can be a symptom of stress, anxiety, or PTSD.  If the dreams are disturbing to you, talking to a local
counselor could help. If the dreams themselves
are not troubling, you may just be remembering them more than most people do."
"Instruct: My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this?
Output: Yes, certainly your mom's difficulty in having meaningful conversations with people results from the Alzheimer's disease process which weakens her brain function.Feeling a sense of guilt in relation to a parent, is pretty common for everyone.This is because as little kids and babies, we had a strong reliance on a parent and believing every word they sad and wishing to follow each action they ask or demand, was for the benefit of our own survival.One way of coping with your feeling of guilt is to examine it.Ask what it is you're feeling guilty about?Chances are that your sense of guilt is less due to what you're currently saying or doing to help your mom.Very likely, your guilt feeling is awakening the sense of obligation that you and all of us feel toward a parent simply because parents seem to have unquestionable power when we are very young.After all, you're thoughtful enough to write a question, so chances are great that you're already actively involved in caring for your mom."
"Instruct: I need answers to my anger, possessiveness, and urges.
I am angry all the time. I push people away so much that I actually blow up on people now because they ask me how my day is or was. I have a possessiveness to someone who is not even mine. I have these urges to hurt someone really bad. I want to see them beg for me to stop hurting. I want to hear their agonizing pained-filled voices. What is wrong with me?
Output: What result are you hoping to get from the behaviors you describe?Maybe start by comparing the results you see yourself receiving from your current interactions, with how you would wish to feel from relating to others.Since you ask, ""what is wrong with me?"", there is a disconnect between what you are doing and what you'd like in return.This is true even with imagining doing harm to others.What are you really trying to accomplish for yourself by hurting others?Besides the unethicalness and criminality of this and legal consequences of arrest for such behaviors, what gain which is not evil, do you expect from overpowering and imagining you control another human being?"
"Instruct: I'm in a relationship with my fiancé and I currently found out that she's been cheating on me with a co-worker. I was very upset none the less. I understand what she did was wrong, but I want to spend the rest of my life with her. So I'm willing to forgive and move on. We have been together for a little over 9 years, and we have a son. At the beginning of our relationship, I was unfaithful and she caught me cheating. She forgave me for what I've done to her and since then I been completely faithful. I'm worried about our relationship and want to move forward but its been very unsettling. All I can think about is her with another man. I don't know what to do or where to go for advice?
Output: My first question for you would be to see if you've talked with her about it yet? You mentioned you found out....and I know this can be so painful. It can also be frightening to bring up the experience when it hurts a lot, when you feel so unsettled as you mention. But you can look at this as a vital and important piece of information about what's happening in your relationship, and an invitation to get really honest and genuine with each other. You have a long history, being together 9 years, and a son, so you are very bonded no matter what changes happen in your relationship. It may be incredibly helpful to find a counselor you can both go talk with. Having a third party who is neutral and cares about your process and hers can be such a relief when you need to discuss things you feel scared about. Even just a few sessions can make a huge difference. If this doesn't feel possible for you right now.....ask your fiancee for time to set aside for a meaningful heart-to-heart talk. Say you'd like to set it up on the calendar, and make sure you have a babysitter for your son. Set aside at least 4 hours. Let her know that you'd like to hear her honest truth about what's going on, and share with her your truth as well. It's not a time for criticizing or condemning, and I don't sense that is your intention at all--you have a great deal of love for her. Speaking honestly and listening openly is an amazing gift, both for yourself and for your partner. You can do it."
"Instruct: I'm a teenage girl, and my dad is an alcoholic. I hate being at home with him because he just stresses me out. He can be picking me up from basketball practice or piano lessons, and half of the time, I don't even know if he's sober or not. I refuse to get into the vehicle with him and walk home sometimes. I've either been barely sleeping or I over sleep, so I'm always tired. I live in a small town, so there's no one I can really talk to because I'm not really that close with my family.
Output: 
Hello, and thank you for your question. You are clearly a
resourceful young person to reach out like this to find help. Good for you. I
have a few ideas and perhaps some other counselors will add some thoughts, too.

First, good for you for taking care of yourself and making
really good decisions – such as not getting into the car with dad when he is
intoxicated. It is really important that you consider your safety above all
else. 
To answer your heading question, yes, it is quite common for
people to blame themselves for other people’s actions. There are various
reasons why we do this. For one thing, someone may tell us that their behaviors are our fault. And depending on things like our relationship to that
person, past experiences, and our self-esteem, we may actually start to believe
it. What is important to remember is that your parents have the responsibility
to be sure that you are safe and
cared for, not the other way around. 
As for the other things you mentioned, I am concerned about both
your physical and emotional safety and well-being. It sounds like your father
has an alcohol abuse problem, and living with someone who is struggling with
addiction can be hard for anyone, let alone a teenager who is also trying to
deal with things like school. 
You may want to see if your school has a counselor or
someone you can talk to about what is going on. I will tell you that in some
states, what you have told me may be something that a counselor would have to
report to child protection services, but not necessarily. If you are concerned
about that, ask the counselor what they are obligated to report. 
If you don’t know a counselor, think about any other adult
that you would feel comfortable talking to. They may have some ideas. 
Sometimes individual states have non-profit chat lines or
hotlines for teens to call if they are struggling with things. You may be able
to find something like that in your state. I do warn your about doing random
searches, not every website is good, so be careful. 
This is clearly a tough spot for you to be in, so one of the
things that I encourage you to do while searching for support is to focus on
taking care of yourself. Sometimes things like this can really bring us down and
we stop doing the things we enjoy. Try really hard not to let that happen. If
you have interests, do them. If you catch yourself thinking too hard about
things, try to find something fun to do to distract yourself. Try to take care
of yourself in other ways, such as eating well. Exercise can really help when
we get stressed. 
I hope some of this was helpful. Good luck.
 
Robin J. Landwehr, DBH, LPC, NCC 
"
"Instruct: She's my stepmom. I'm pretty sure she's illegally buying the drugs and hiding them from my dad.
Output: I would suggest having a conversation with your dad and then having a conversation as a family with your stepmom.  Usually there are other signs of use that can often be missed.  Be aware of behavior changes and mood swings.  Be supportive and ready to listen often times individuals suffering from addiction will deny use until they are ready for help. "
"Instruct: I had to go to the emergency room today to get an X-ray of my spine. My boyfriend didn't want to sit there and wait with me. Instead, he wanted to go do things for his friends while I waited. When I was done, he was twenty minutes late in picking me up. He doesn't understand why I'm mad, and we keep bickering at each other over the smallest things. He thinks I don't have a reason to be mad, but I believe that I do.
Output: It is extremely frustrating when our significant other doesn't understand our points of view. Often times, arguments are not the best opportunities to try and make a point, as strong emotions can get in the way of understanding others' perspectives. Try having a discussion with him about what is bothering you during a time when neither if you are upset or arguing. Communicate how you feel without placing blame and without yelling. Addionally, give him ideas of what he can do differently so that he understands what your expectations are. Lastly, consider seeing a couple's therapist who can assist with teaching more effective communication techniques. Best of luck."
"Instruct: I have been in a relationship with my boyfriend for about six years now. In the past, our relationship was difficult and frustrating. We argued a lot, and due to that, there was a lot of tension between us. We stayed together because we love each other and wanted to make it work. I used to party a lot, and several times I got into situations where I would end up kissing someone else. These situations were never more than just kissing. I have come clean about these situations with my boyfriend, and he decided to forgive and move forward with me. I love him so much and want to work things out too, but I'm having a difficult time understanding how he can forgive me. I can't seem to forgive myself. I'm overwhelmed with feelings of guilt and unworthiness.
Output: Hi Cerritos,This is an interesting twist because it's more common for the person in your position to want to move forward, and for the person who was wronged to struggle with forgiveness. You are lucky to have a loving, compassionate partner, and your boyfriend is lucky to have a partner who takes full responsibility for their actions. My hunch is that you learned some things about yourself when you were younger that are playing a role here. Your sense of worthlessness seems out of proportion to the mistakes you made. You don't have to be perfect in order to deserve the love of a good man. You only have to have the maturity to recognise when you've hurt someone and work hard to make it better. Who in your life overreacted to small mistakes you made? Were you shamed as a child? Did you learn that you deserved to be punished? Did something bad happen that you thought was your fault? Is there a mistake you made long ago that you need forgiveness for? There is a younger person inside you waiting to be forgiven for something they weren't entirely responsible for. The bar is too high for you. If I was your therapist, I would work with you to find the source of the shame, and address that wound. If you want to move forward and be with your boyfriend, your job will be to forgive yourself. Forgiving doesn't mean ""it was okay""; forgiving simply means that it happened, that you can't erase it, and that you don't want to carry it around or punish yourself for it anymore. You have done many things here that you can feel proud of! You've 'come clean', you've been honest, you've taken responsibility for your actions, you've not tried to minimize what you did, and you've chosen to be more loyal and aware of how you impact your boyfriend. These are all things you can use to build your sense of worth. You are acting very honourably. It's time to put your past mistakes away on the shelf knowing that you've learned from them and are a better person now. It's not our mistakes...not our worst moments that define us...it's how we handle them afterwards.I wish you growth and happiness."
"Instruct: I am so angry. I feel like the arguments with my parents have caused me so much anxiety and stress, and I don't know what to do. I want to sit down with a psychologist, but I cannot afford one, nor do I have my own health insurance. I can feel myself starting to get violent. I throw things of value when I start to get mad. I have punched holes in my wall. I can feel my aggression getting worse.
Output: I'm sorry you have so many arguments with your parents.  Ideally parents are people who tolerate that their kids are people with their own unique characteristics.Everyone likes feeling loved by their parent.   Do you feel loved even though you and them have clashes?Anger is a symptom of a problem.The real question is knowing what feels like its being hurt inside of you.I agree with your idea of talking with a psychologist or some other type of licensed professional therapist.See if your area has a family service agency in it.  Generally the non-profit sectors offer sliding scale fees, and if you qualify, your cost per session would be financially comfortable for you.One possibility is to tell your parents that you'd like starting therapy because of feeling so much stress from the family arguing.They may very well be surprised to learn of your maturity in assessing your level of stress and be willing to make a positive contribution to this by offering to authorize therapy through their health insurance. They may even decide on family counseling so all of you work together to relate in more loving ways.Last, if you aren't ready to speak with your parents about wanting counseling, think about speaking to your school guidance counselor.  This person may have some recommendations for your specific geographic location."
"Instruct: Example would be homecoming? I was at my high school's home football game on Friday, and I left because I felt uncomfortable with all the people there and I just wanted to be by myself. Why is that?
Output: Hi! I'm Amelia. Oh, that is so frustrating! Have you ever heard of social anxiety? Sounds like you may be suffering from it. Here is a link to a quiz... https://www.psycom.net/social-anxiety-test/.Besides being a therapist, I am a Mom to 10 kids. A couple of my kids are very uncomfortable with crowds and become very anxious. Find yourself a therapist who can assess you and spend time with you to address these issues and to help you learn tools to help you navigate these emotions.I am wishing you the best!"
"Instruct: I keep having these random thoughts that I don't want.  Things like ""you aren't worth anything.""  I know they're my own thoughts but it feels like someone else is saying it.

What is wrong with me, and how can I stop having these thoughts?
Output: Talking to a licensed profession who can discuss this in greater depth can be best. As a general information, in short, I can say that our thoughts are greatly influenced by our early life experiences. Our thoughts are processed through schemes, these are mental images or templates by which we make meaning of the world around us.  While our upbringing has a great influence on the way we see and interact with the world around us as adults, However, we are not condemned to abide by them for life, in psychotherapy, you learn to change negative schemas with positive ones. Yeah, if you had less than optimal childhood you would have some sort of negative schemas that unconsciously lead to self-sabotage your efforts for success and happiness. The research in the field of interpersonal neurobiology suggests that without conscious awareness and reflective practices we tend to interact with the world by repeating old habits of mind. On the other hand, in psychotherapy you can learn helpful strategies to increase your conscious abilities to stay in control of your mind in the present moment and reduce intrusions of negative mind habits. Yoga, meditation, and tai chi are also found to increase self-awareness and lessen the intrusions of negative self-judgment on one's psyche. "
"Instruct: I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.
Output: As far as I can tell, you received unwanted attention, but you didn't do anything wrong.  What did your instructor say? Anything? If the outfit was not appropriate then the instructor should tell you--If he/she didn't then assume the swimsuit was okay, but the gentleman in the class wanted your attention and took it upon himself to comment, in order to get that attention.  If you don't want his attention then you have a couple of choices--wear a shirt  over the swim top, find an inexpensive swim top to replace the one you have, or wear what you have as long as the instructor doesn't say anything, and if you get unwanted attention say in as confident, slightly loud, voice as you can muster.  ""I don't appreciate your critique of what I'm wearing, we're here to take a class, let's just focus on that. Then,  Turn on your heel and walk away."
"Instruct: I have a problem with binge eating, especially during times of stress. I binge eat and feel so overwhelmed with shame and disappointment that I end up going to the gym and trying to exercise the calories off. I am in my late 20s, and I have been dealing with this since I was a teenager. Are there any coping mechanisms I can use to break this cycle?
Output: The fact that you are aware of the issue and what causes it is a step in the right direction.  You can absolutely break the cycle but it takes a lot of effort.  Much like growing a physical muscle, developing coping mechanisms must be practiced (exercised) in order to gain strength.  Find healthy activities that you like to do that can help you deal with stress.  It appears that you are already going to the gym which is awesome; you want this to be a healthy experience not one done out of guilt.  Is it possible for you to incorporate food items that are healthy for you? Remember any changes you make must be practiced and developed over time.  You should seek professional help to assist you with getting to the root cause of your emotional connection to food. Normally these issues date back to childhood experiences however this is a generalization and I have little information to go on.  Above all else BE KIND TO YOURSELF! Shame is counterproductive. If you want something to grow you give it love and attention. Well wishes!!!!!!"
"Instruct: 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?
Output: 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."
"Instruct: I have been having horrendous nightmares this whole month.
Output: Are you facing any type of overwhelming situation in your waking life?Dreams and nightmares are the non-logical ways in which we make emotional sense of what goes on in our everyday waking world.Besides having some type of relaxing bedtime routine to set a peaceful mood for your sleep, and avoiding viewing violent films and video games as entertainment, maybe even avoiding news stories which sometimes have similar themes of violence, the content of our dreams and nightmares is out of our direct control.Your nightmares may offer useful clues as to what you're trying to resolve in your life.  Pay attention to the story of your nightmare because it reflects how you feel in waking life.If you feel helpless and silenced in your nightmare, or taken advantage of, or whatever dreadful situation goes on during your nightmare, then look for where in waking life, you may feel similar.In this way, you'll become clearer about stressors in your life that you may not have realized existed were it not for the stress of nightmares."
"Instruct: In this argument my friends are all against me so I'm wondering if I'm exaggerating my feelings. I feel like I'm being attacked and that is making me blow things out of proportion and taking the role of the victim, when in reality I'm the one being unreasonable and I am simply annoying my reasonable friends. Or are they really being insensitive and not respecting me in our friendship?
Output: Conflict is a tricky beast and shows up in every one of our relationships. What I'm reading is that you find yourself in a loop of  seeking validation of your thoughts and feelings from your friends rather than validating yourself. Am I right? If you aren't validating yourself, no one else will be able to either.  Try finding a small nugget of truth in the feedback your friends give you, this will help to lower your defenses and help your friends hear what you are really sharing.  And then if you are still feeling vulnerable, share that too..."
"Instruct: I don't know what to say. I have never really known who I am.
Output: Three years ago I attended a week long meditation retreat. By the fifth day I noticed I was light headed and felt very strange. I began to realize within my own being an experience of no separation. I would see others at the retreat and smile. I loved them all. I could feel the connection with this awareness I had read about but never truly understood until that moment. I remember understanding all the teachings I had learned throughout my life about a god who existed outside of me. I realized I had all these answeres within my own being and so did everyone else. I began to see everyone as not just capable but powerful loving beings. Since this experience it has been my desire for everyone to become conscious within whatever experience they wish. I do this in many ways. At our studio we combine Mental Health with yoga and meditation as well as nutrition counseling to help people come to their optimal selves. To truly come into a state of ""finding yourself,"" is to start to know and own who you are from a state of solid being. In this there is nothing new under the sun, and it is very simple. I would love to teach you and anyone interested in coming into a state of awake conciousness.  The more awake we are the more joyful we are. I live in this state of being and demonstrate it in my daily life."
"Instruct: I told her that if daddy dies, we will never see him again. She started crying because I wouldn't make her daddy die.
Output: Children often have a difficult time expressing emotions accurately. It is also very likely that your daughter does not understand  the permanence of death. Having said that, she is using some very specific ideas here and I would recommend contacting a local mental health professional with some experience working with children.I would also wonder where she is getting this idea. Sometimes children hear things on TV or from an adult and we are not even aware of how much they are remembering.It may be helpful to teach her things that she can do when she is angry, like say that she is mad because she cannot have the toy that she is asking for.I'm curious as to how long it is that she stays mad like this and whether she talks to her dad after she is no longer angry. Does she say the same sorts of things about you?It may also be helpful for you to work with a mental health professional (possibly the same one who is working with your daughter) so that you can have some support with this as well."
"Instruct: I had a head injury a few years ago and my mind races all the time. I have trouble sleeping and have a lot of anxiety. Every medicine I have been on my body rejects; I get sick to my stomach and get blisters in my mouth. How can I calm my self down? I'm a wreck.
Output: You didn't say what or how many medications you've tried. Certain anxiety medications can make you feel nauseous, but I haven't heard of any that cause mouth blisters, so there may be some other underlying medical issue there. I would definitely talk to your primary care physician and whoever has prescribed the medication as well as a neurologist if you've suffered a severe head injury. There are so many medications available for anxiety or insomnia or even depression that there may be others with lesser side effects.But beyond that, have you tried any other treatments such as deep breathing or meditation? Meditation can be very effective, but it takes practice and you don't have to sit cross-legged for hours chanting ""Ohm"" to meditate. It's about focusing on your breath, rather than all the thoughts that are racing through your head. And when they do take your mind off your breath, simply refocus (and refocus and refocus). Like I said, it takes practice, so don't give up. You can find many sites offering different ways to meditate, so look around and see what works best for you. Like medication, you just have to find the one that works best and that might take some experimentation.I hope this helps and best of luck to you."
"Instruct: I've been going through a rough time lately. I been into nothing but women. I’ve never thought about men until a week ago. I’m very upset and depressed about this. It's not normal to me. I looked at gay porn more than once to prove that I’m not gay. I get the same results each time, and I feel disgust. This is tough on me. I'm scared that I looked too many times. I keep thinking about it and shake all the time.
Output: Hi Brookfield, It can be unsettling when we feel something as fundamental as our sexual orientation shifting. I like that you're honest enough with yourself to say ""I'm struggling with this"". To accept that there is a question is a brave place to be. And...it doesn't necessarily mean you're gay.Unfortunately, we live in a culture that wants to put people in slots...male or female, straight or gay...we tend to not like those grey areas so much as a culture. The truth is that, if we grew up in a society where there wasn't this categorization...if we felt free to explore and grow sexually, we might be surprised at who we are attracted to. You don't have to put yourself in a slot. Our sexual preferences are more fluid than we think, and it can change over time.We also live in a culture where there is prejudice against homosexuality or ""differentness"" in general. The wish to not be gay can be powerful. Many people who are gay spend years believing they were heteroxual...fighting against, repressing  or ignoring their gay thoughts. This is needless pain. If you are gay, there is no shame in that and you can still have a glorious life filled with love and passion.Having said all that...just because you have thoughts about men or get turned on by gay porm doesn't mean you're gay. Many heterosexual people have thoughts and fantasies about the same sex; it's arousing because it's naughty...we're curious about the forbidden, or we're just curious. Becoming aroused by gay porn is normal for many heterosexual men. Sexual orientation isn't just about sex either. A different gauge of who you are sexually can be found in your emotions towards men or women. Are you drawn into emotional connections with men more than women? Who do you feel the urge to explore and be close to?Exploring your sexuality through being open to different experiences can help too. How does it feel to kiss a man, to touch a man, as compared with a woman...sometimes this feels like such a big and forbidden step that it's a barrier to discovering ourselves. We don't want to open that door. I wish you well as you do exactly what you are supposed to be doing...exploring and discovering yourself. It's an exciting journey and you might want to find a trusted person to talk more about this with. "
"Instruct: I don't remember when the voices in my head started, but I remember Hearing them when I was little. 

I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop.  They've been here so long and I want them gone. How can I make the voices stop?
Output: You are right. It is not normal to hear voices that aren't your own but the fact is some people do. In my experience, medication seem to help. It is also important to understand when you hear voices the most - meaning it is important to understand what the triggers are. It is also important to understand when the voices are the least - meaning what helps you deal with the voices better. My clients have reported that their triggers are being in social gathering or around strangers or for some even the TV. Trying to identify your triggers is helpful for some people. Clients have also reported that listening to music, watching TV, being with friend or family helps them deal with their voices. Every individual is different and you need to figure out what works for you and what triggers your voices. My suggestion is to see a therapist / health care provider and then go from there.I hope this helps.  "
"Instruct: About a month ago, I went through my boyfriend’s phone and found him messaging his ex-girlfriend that he was dating before me. He gave her a promise ring when they were together, and he still had it hiding in his memory box in our son’s room. I found many things on his phone, but that broke my heart the most. He deleted all the messages but two. I can't help thinking they were talking about the old times together or something like that. It really kills me, and I can't stop thinking about it.
Output: Your sense of hurt is very understandable.Do you and your boyfriend have an agreement on looking through each other's phones?I ask because the overall problem sounds like lack of trust and that there may be a difference in what each of you wants and expects from your relationship.Probably if the two of you talk about these topics and you each become clear as to the commitment status of each of you to the other, you'll have more clarity as to what either of you would like from the other.With this new level of clarity, his  past relationship involvements will likely be less meaningful .Once you have clear definition of the two of you as a couple, who he was as a past partner to someone else, will matter very little."
"Instruct: 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?
Output: A car accident can be a traumatic event. Especially,  if it was serious, you could have feared for your life, felt everythingvwas out of control and had normal reactions to an abnormal situation afterwards. This may or may not be related to the traumas that you experienced in the military. If it is then it is possible that you will see a direct effect in triggering off PTSD symptoms. Even if it didn't, it is possible that the complexity of the two situations will interact inside you to be a combined response. Having already been diagnosed with PTSD, this might be a good time to reconnect with the help system you had around military experiences and explore it a little bit about the new experience. The right exploration does not have to make things worse and can be a good source of prevention."
"Instruct: 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.
Output: Hello, and thank you for your question. While counselors work closely with medical providers, and sometimes have discussions about medications with people, we rarely make recommendations about how much or what type of medication a person should be taking. This is because prescribing and advising on medication is out of our scope of practice. The only exception would be if a counselor is also a physician, nurse practitioner, physician's assistant, etc. Having said that, I certainly understand that anxiety is a real serious problem that many folks struggle with. If you are currently not in therapy to help you with these panic attacks, you should consider it. Medications can be helpful for anxiety, and medications like Xanax may help for immediate relief, but they do nothing to deal with the root of anxiety and may not help with anxiety long-term. Therapists who have experience in exposure therapies would be good people to start with. Exposure therapy has good outcomes for people with anxiety disorders and panic attacks. If you are interested in speaking with your provider about the Xanax, I think explaining it the way you did on here is just fine. The provider will then decide if they feel comfortable increasing your medication. Please remember that medical providers are not trying to give people a hard time. Medications like Xanax really are highly addictive. The more you take, the more you may feel you need. The more often you may feel you need to use it. Depending on the frequency and amount of use, some people suffer serious withdrawal symptoms when they do not take the medication. It is a good idea to talk to medical provider about all of those things so that you can partner on right course of action to manage this anxiety. I certainly hope that you get some relief.... I know anxiety is awful.Robin J. Landwehr, DBH, LPC, NCC "
"Instruct: My husband took a job out of state for the next year and seems to be a different person. Before, he worked and slept, and on off days, he'd stay home because he didn't want to do anything else. Now he's going out with friends several nights a week while I'm still home working a 50 hours a week job and taking care of two kids by myself. He's suddenly saying he misses me and wants me to be his adored wife, but the whole time, I'm remembering how I've been emotionally starving for the last five years.
Output: It seems that you have been very disconnected from each other which naturally  could contribute to symptoms of saddness and even depression. Obviously something has shifted which you do not understand. Therefore,  perhaps you should consider attending Couples therapy to help work through your concerns and feelings?  It would also be beneficial to assess if in fact any depression or other underlying issue is going on. Communication is so important in any relationship and the manner in which we express ourselves to our partner can either invite curiosity and emotional connection, or shut down connection. IMAGO dialoguing is a helpful tool for couples for communication as it teaches  validating and empathic listening to better heal disconnection."
"Instruct: I'm depressed and recently went through a break up. It’s like every guy I like only wants me for sex. I think I'm ugly, and sometimes I just want to die. I have a son, and I got really big when I was pregnant. I have stretch marks on my stomach.
Output: If you are currently feeling as if you want to die, please call 800-273-8255 and talk to someone.One way to work on not always thinking so negatively about yourself is to surround yourself with people who are more positive toward you. Do you have friends or family who are supportive?Can you find one part of you that you do not think is ugly?If your stretch marks are still bothering you, talk with a pharmacist or your primary care physician. Sometimes there are creams or lotions you can use to decrease stretch marks and they should be able to guide you in the right direction.You mentioned mostly physical things here. I wonder if you can find one small thing each day that is going right and build from there. Perhaps your son makes you smile?"
"Instruct: 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?
Output: Finding out about an affair is quite an emotional experience. It's usually jarring. I encourage you to give yourself some compassion about emotions that you have.You asked whether it is possible to get past the cheating and the answer is that it can be. It depends on many factors.I would recommend that you see a therapist who specializes in working with couples. There are certain ways that both of you could learn more about yourselves and each other that may actually serve to make your relationship stronger. Sometimes there are motivations for having an affair that can be discussed in therapy in a way that you become more aware of what each other is experiencing and where you want to go from here. It could be that learning to communicate differently would be helpful.Regarding whether you should ""just move on,"" I recommend talking about with a therapist as well. At the very least, you can discuss more about what you are thinking and feeling and what your choices are as far as where you want to go from here."
"Instruct: I've been experiencing a lot of anxiety and panic attacks lately. I was recently diagnosed by my psychiatrist with obsessive-compulsive disorder. Lately, I've been questioning everything from my career to my relationship. My boyfriend and I just moved in a few months ago. All of a sudden, I don't feel as comfortable around him as I used to, although I can't seem to find a reason as to why I feel this way.
Output: Hi New Jersey,You talk about two very big changes in your life that have happened lately; the diagnosis/anxiety, and the moving in together. That's a lot!I love how you recognise that you been 'questioning everything'. I think anxiety's got its toe in the door and it's pushing you around, wanting some power over you. Fear and anxiety try to convince us that we need protection and that it's best to either pull away or fight. But letting anxiety control how you see your relationship isn't the answer here. I think you know that already.You must have moved in with him for a reason, and it's appropriate now to simply trust that, to ask him for some patience, and to focus on learning to manage the anxiety rather than questioning this decision to move in. Fear is getting in the way of you trusting yourself and your decision. You can figure the anxiety piece out while living with your boyfriend.When you're in a bit of a crisis is not the right time to make a major change. I suggest you use a therapist who works with cognitive behavioural therapy to learn to manage the anxiety, and then the relationship will likely seem more clear."
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: There are many different ways that can be approached in your situation.1. I would recommend a complete medical examination including blood test. i would want to know if there are any medical issues in your low sex drive.2. Where is your husband in this situation? Is he resentful, accepting, demanding or neutral?3. What is your past sexual history? has this had an affect on your current issue?4.Has there been problems in your past with abuse of any kind?5. Understand that intimacy is more than sex. What other ways can you be close to your spouse?6. It sounds like there is some confusion about sexual intimacy from both of you.Couples counseling would be a great place to start. All of these areas need to be explored before any treatment goals can be established.You need to talk with a professional counselor to explore how to better connect with your spouse."
"Instruct: I feel like I am not at a good state of mind. I'm very unsettled in my soul. I'm not happy with myself or the decisions I make, which makes me not happy with anyone else. I feel like a failure most of my days. I don't feel like I'm good at anything anymore. I feel like less of a person.
Output: It seems like you may be experiencing depression symptoms, they could be the triggered by unexpected life changes, or building up throughout time.The important part is that you have identified them and wanting to change them.  The first step is to establish a self-care routine that will help you to feel centered and motivated: go for walks, or make any physical activity that you enjoy ( be kind to yourself, anything helps at this point), eat balanced, add whole grains and fibers to your diet, make a point to rest at night and avoid naps, practice a hobby that you love, or look for a new one that you are curious about. You mentioned that you feel unsettled in your soul: explore your spirituality, meditate about what makes your soul at peace, and find ways to practice that or surround yourself by those activities.If you find it difficult to begin, talk to your therapist to identify roadblocks and ways to find motivation. Suicidal and homicidal thoughts are common but serious depression symptoms, discuss them with your therapist, contact your doctor or psychiatrist, and call 9-1-1 if its and emergency.Once you feel stable, you can focus on exploring the source of the problem and see if you need to make changes or learn coping skills that will help you manage it.  It will also be a good time to explore your spirituality and your purpose in life, that may help you to feel better with yourself and then happier around others.¿Cómo puedo volver a ser la persona que realmente soy?Siento que mi mente no está bien.  My espíritu está intranquilo.  No me siento feliz con las decisiones que tomo, lo cual me hace infeliz con los demás. Me siento como un fracaso la mayoría del tiempo.  Siento que ya no soy bueno para nada. Siento que soy menos que los demás.Al parecer estas experimentando síntomas de depresión, la cual puede ser causada por cambios recientes en tu vida o estarse acumulando a través del tiempo.Lo importante en este momento es que tú reconoces los síntomas y estas buscando cambiar la situación.  El primer paso sería trabajar en restablecer una rutina de cuidado personal que te ayude a sentirte emocionalmente estable y motivado: Sal a caminar o hacer alguna actividad física(ten compasión contigo mismo, cualquier cosa funciona para comenzar), comienza a comer balanceado, especialmente granos y fibras integrales, , procura descansar en las noches y evita las siestas, y practica algún tipo de actividad que hayas disfrutado en el pasado o que te de curiosidad.  Mencionaste que tu espíritu esta intranquilo, explora tu espiritualidad, y que te ayudaría a encontrar la paz, busca la manera de hacer esa práctica una rutina.Si te cuesta mucho trabajo iniciar estas actividades, será bueno buscar a un consejero para que te ayude a identificar formas de estar motivado o obstáculos que te estén deteniendo.  Es común tener pensamientos que atentan en contra de tu vida o la de otros, discútelos con tu terapeuta, con tu medico primario o psiquiatra, y llama al 9-1-1 si es una emergencia.  Ya que consigas estabilidad, puedes comenzar a trabajar o explorar la causa del problema y ver si hay cambios mayores que debes hacer o destrezas que debes aprender para manejar el mismo. También es un buen momento para explorar tu espiritualidad mas profundamente y tu propósito en la vida, cuando encontramos un propósito y como ejercerlo, tendemos a ser más felices con nosotros mismos y con los demás."
"Instruct: I keep being mean to my best friend, and I don't know why all the time. I did come to maybe some kind of conclusion that it is because my mother is mean to me all the time. Could that be a cause?
Output: Hi Morristown,There's a saying that goes ""hurt people hurt people"". It's possible that your aggression towards your friends is connected to your mother's behaviours. When we are treated poorly, especially as children, it affects how we ourselves, others, and the world. It's also powerful modelling of aggressive behaviour. The good news is that you have this lovely awareness and I think a desire to learn about yourself and grow in your ability to be respectful to people you care about. I recommend you consider sitting down with a therapist and exploring these ideas and moving forward on that path you seem to want to be on. Good luck!"
"Instruct: My husband’s ex-wife married a man who was charged with seven felony counts of pandering involving a minor. He, by his own admission, is addicted to child pornography. My step-daughters are now all teenagers. They do not know. My husband’s ex-wife has kept this information from my step-daughters. The step-father has had issues regarding his pornography addiction recently. The ex-wife minimizes it by saying that he has ""repented."" It is a constant strain on my husband, knowing that his girls are living with a man who is addicted to child pornography. My own therapist believes the girls should be told. The ex-wife says her therapist says the opposite.
Output:    The information from the other therapists here is sound and prudent. There are what sounds to be real legal (is this man a RSO [registered sex offender]; is he prohibited from being in proximity to minors? use/possession of child porn violates any # of state and federal statues...) and safety issues at play here. Your husband's daughters have an immediate ""need to know"" and this can be done developmentally-contextual, factually and in a non-shaming fashion. I would further counsel that you and your husband (his daughters welfare is at stake) seek immediate legal counsel. The ex-wife here seems to be between a ""rock and a hard place"" of her own creation -- she desperately needs care, treatment for herself. Resources for Your Consideration: 1) http://www.missingkids.com/home; 2) https://www.justice.gov/criminal-ceos/citizens-guide-us-federal-law-child-pornography"
"Instruct: How does a person start the counseling process?
Output: Great question. Too often people search for the help they need via a phone book or a basic internet search. When looking for a new person to add to your team, whether it be a Counselor, Plumber, or Mechanic, it is important to know as much as you reasonably can about the person. I generally take the following steps: 1.) Know what is important to me in finding help. 2.) Ask for referrals from my trusted friends, family, and colleagues. 3.) Search for online reputation (Better Business Bureau, Yelp, etc). The absence of an online reputation is not necessarily a bar to consideration. However, a predominantly negative review may warrant further research. 4.) Finally call the Counselor and ask a few questions. Let the Counselor know what you are looking for. Trust your gut. For example, if you feel rushed or do not receive thorough answer, move on to the next. Taking the time to defining and conveying your requirements about what you are looking for in counseling can save you a lot of work down the road."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: Oftentimes we can change our feelings about ourselves by building a better relationship with ourself.  It sounds like there is a very critical aspect of your self that is alive and taking over.  Sometimes when we are stuck it is because a part of ourselves, a way that perhaps we learned to cope with difficult situations earlier in our lives, has decided to run the show.  Like a highly critical part that may actually be desperately attempting to protect us from a past hurt. Slowing down and even forming a relationship with this critical internal part will help you get some space from it.  When we can begin to observe parts of ourselves, be curious about them, get to know them like a new friend, then we have room for other ways of being.  Beginning therapy could be a great way to change this feeling of worthlessness.  Beginning to build a better relationship and understanding of yourself will deeply influence the relationships around you.  This first step may feel hard, to reach out to someone, and it could be the beginning step to a path of radically shifting your relationship with yourself and others in your life."
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: Wow that is tough. There is nothing worse than fearing abandonment when you are already struggling with depression. It sounds like you are still wanting to work through whatever challenges you and your husband are having but your husband may not be on the same page. I would encourage you and your husband to seek professional support if you haven't already. While depression can put real strains on a relationship, relationship problems can lead to or contribute to depression and there may be some real benefits to both of you in doing some couple therapy. With that being said - if your husband is not willing to do therapy or is clear that he wants the relationship to end, then I can't see what choice you have but to ""respect his decision"" as you mentioned. This doesn't mean that you have to feel okay with the decision - as I'm sure you wouldn't - but ultimately loving one another and staying in committed relationships is a choice that we each have to make. If he is wanting to leave - this could make things a lot tougher for you. I would encourage you to seek professional support for yourself and reach out to lots of friends and family. You do not need to face depression alone - nor should you have to. We all need support at tough times like these. "
"Instruct: I was raped repeatedly when I was younger. I told my parents and action was taken, but now that I’m an adult, I suffer from extreme anxiety.
Output: While anxiety can come about for many reasons, trauma is definitely one of the factors that makes anxiety a possibility both immediately following a traumatic event and later in life. When we have experienced such scary violations of our bodies - we may experience residual effects of fear for many years to come. This is normal, natural and in many ways helpful - at least initially. This fear is in some way a sign that your body/mind is taking good care of you - trying to keep you on your toes in order to protect you from anything terrible happening to you again. However, as it sounds like you know, anxiety feels awful and there are certainly ways of learning to reduce anxiety. In order to get the tools you need to manage anxiety and also understand where it comes from and how it works in your life, I would encourage you to seek professional help and check out anxiety resources online.  "
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: When you are at your lowest, you have an opportunity to learn not just about the people around you and who you can depend on, but also, so much about yourself and why you have come to the place that you have. Take this time to do some introspection and learn yourself. It will give you the power to recover from whatever it is that has broken you. We'd love to talk with you. Please contact us sometime."
"Instruct: I'm in my early 20s, and I've been seeing my boyfriend for a year now. My boyfriend has always been the sweetest guy until recently. He has made comments such as “you would look better as a Tumblr girl"" or ""you should start doing more squats."" It's really hurtful.
Output: My first thought was that I wondered what changed recently. Is he open to having a discussion about this so you can ask questions such as that one?It's possible that he does not understand the degree to which it hurts you.Try asking if there is a time that would be good to have a discussion that is important. I don't know how well the two of you have communicated over the last year, but if you are concerned about this turning into an argument, you may consider asking him to just listen to your point of view and see if he is able to summarize it correctly. Then you can listen to his side of the concern."
"Instruct: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
Output: Fears are not that difficult to deal with, first you need to train yourself to relax using some relaxation strategy, once you are able to employ that in your daily life, you then need to start facing your fear, for instance I'll use an example of a man who has a fear of driving over a bridge. We would build a hierarchy of fears, that is a list of fears ranging from least to most, for example the man may want to start by looking at a picture of a bridge while employing his relation technique, then he may want to see a real bridge from a distance while employing that same relaxation technique, then moving closer to the bridge, then maybe standing on a bridge, all the while moving closer to his fear while relaxing, until you come to most fearful proposition which is crossing that bridge, or you can also engage in flooding which is for example, if you were scared of an elevator, go into an elevator until you are not panicking anymore, in the movie Batman Begins, Bruce Wayne who has a great fear of bats, goes into this cave and allows himself to be surrounded by bats until he is no longer fearful of them. Secondly, look at your fears, do they even need to be worked on, some fears are healthy, for example if i was a therapist in New York City and someone came to me and said ""I'm scared of snakes"", I would probably say that is OK because there are very little snakes left in ManhattanHope that helps C"
"Instruct: I no longer carry expressions on my face, and my emotions are decreasing the more I have fights with my fiancée.
Output: Sometimes when we fight a lot with our partner, it becomes more uncomfortable to share emotions because it feels like it will lead to another flight or disagreement.You could try having a conversation when you're not fighting and starting it out by saying that you would like to discuss something important to you and see if your fiancée is open to that.Something else is that you could have an agreement that if one of you is having a really strong emotions in a difficult conversation and would like to break from the conversation, you could agree (ahead of time) that you'll say that you would like a ""timeout"" and will come back to discuss the issue in a certain amount of time (usually about an hour) and then try to resume the discussion. The reason this can work is it can give you a chance to calm down and then still go back to the discussion rather than not talking about it again. This only works if both of you agree to that before something starts, though."
"Instruct: I was a victim of an incident. I've been made fun of and have been beating myself up for it because I don't feel anyone honestly believes me. There are so many other factors I deal with on a daily basis. I ignore my problems when I'm with my friends, but it’s scary when I’m alone.
Output: As you seemed to have learned, the impact will not just ""go away"". Treatment of trauma is like surgery, it requires a skillful clinician to help resolve it. While you are contemplating getting help, you can focus on calming techniques like meditation and yoga. They will aid you when you begin the therapeutic process."
"Instruct: The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says ""here lays my emotions. R.I.P."" I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?
Output: It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets. I do not know what all is going on in your family, and I cannot answer for your dad’s actions or his reasoning behind this.I would recommend that you focus on developing healthy coping skills. We cannot change what others do but we can change how what they do affects us. If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress. It is really good to have a wide variety of interests such as friends, hobbies, games, etc. Develop other things that you care about and are passionate about.Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don’t have healthy ones, you may develop some very unhealthy ones. You have to cope somehow, right? Developing unhealthy ways of coping with life is only going to make life more difficult for you.I don’t know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe. Both of these environments can lead you to develop some unhealthy ways of coping with life. Please talk to a trusted adult about your feelings before it gets any worse."
"Instruct: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.
Output: Kids develop in different ways and different speeds. It can sometimes feel like your kid has a delay because of these different ways of development. If you have concerns about your child’s development then addressing it with the school is the best solution. They will be able to provide a full assessment if needed with an academic diagnosis as well as academic support."
"Instruct: I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone with my dad the whole time. I also forget things a lot.
Output: With the way you described your anxiety, it sounds like you have different types of anxiety. I'm not sure whether you have anxiety of public places, large crowds, being alone  (sometimes called separation anxiety), or some combination thereof.One thing that would be helpful would be to track your anxiety and see how anxious you are (on a scale of 1 to 10) in different situations. Also, if you know what leads up to your anxiety, it would be good to know this as well so you can look for patterns.As for forgetting things, you could be anxious because you are forgetting things or you could be forgetting things because you are anxious. When you are having anxiety, certain parts of your brain are overactive because you are in a kind of protective mode. It's also possible that forgetting things and anxiety are not related.Something else to try would be to notice where you feel your anxiety in your body and put your hand there is a way of giving yourself comfort.Another thing about anxiety is that having anxiety can lead to more worry about having more anxiety. One thing that helps for some people is to go to the regular primary care doctor to make sure that there are no physical problems (just for the regular physical) so they know that there are no physical problems and that the anxiety will lessen in a few minutes.Also, if you are able to notice your feet on the floor or your hips in the chair, this is helping you to be mindful of your body and connecting you to your surroundings. During this in combination with naming your emotions can be soothing as well. For example, in the grocery store, if you are feeling anxious, you could say to yourself ""I'm anxious right now and I'm okay"" while gently shifting your weight from one foot to the other. No one around you would notice what you were doing and the motion may be soothing to you.Anxiety can have a lot of different causes and things that trigger it. If it is difficult for you to work it out on your own (which is very common), consider talking with a local therapist so you can have more specific ideas.Also consider making a list of people who you trust and what it is about them that makes you feel comfortable."
"Instruct: Ever since my mother passed away my family has treated me like a stranger. Now I'm concerned that my father will need to go into a nursing home. If that happens I think I'm going to be on my own to handle it.    What should I do? I'm going to need my family's help and support.
Output: Understandably you'd like support from those who know and love you.From what you write, your family members do not offer you your very reasonable expectation.Start by telling particular family members with whom you feel you'd have the most likely chance of success in their meeting your expectation by loving you.This way you are able to tell yourself you've tried what is reasonable to try.Don't give up on expecting loving support for yourself!If your family members are unwilling to give you this, then start to give yourself loving attention and care.Gradually you will bring yourself in contact with new others who will love you.Loving yourself makes you attractive. so others will find your willingness to be loved."
"Instruct: I have been with my boyfriend for more than a year. He recently got a new job and travels a lot. I’m not used to him being gone all the time. I feel as though he has forgotten about me because he does not talk with me as much and doesn’t keep me up to date on everything that he does throughout the day, which he used to.
 I feel lost, sad and unwanted. This is really a tough new challenge. I just want to break up with him, but I love him so much. I don’t know why he is acting this way lately. I believe I have separation anxiety. Is there anything that I can do to help me cope with this while he is out of town?
Output: First step is to tell your boyfriend the reasons you feel upset.This way he has a chance to answer your questions as to why he doesn't keep in touch.His responses will guide your next steps.There is a difference between his unavailability due to a heavy workload or because he has less interest in the relationship.In order to work with his current behavior you first need to find out why it is happening."
"Instruct: A girl and I were madly in love. We dated for over a year and were even talking about marriage and future plans together. She moved away for school, and we attempted a long distance relationship. We eventually broke up. It's been a year now, and I still haven't lost my feelings for her. I still love her the same way I did. I've suffered from depression ever since the breakup and have been unable to connect with anyone else. It's damaging me and my life.
Output: Hi Boise, I'm sorry that you've lost this love. The fact that you were planning marriage and a future tells me that you meant something very special to each other at that time. It's different now...you're not together anymore, but you can't accept this, right? Good for you for identifying that this situation is damaging your life. You've been grieving for longer than you were together. Oh, but really you've not been grieving...you're stuck still loving her instead of moving forward. Unrequited love is a recipe for eternal heartache. Let's look at some possible blocks to moving forward.It could be that there's something unfinished for you. Maybe you felt hurt and you didn't have the chance to say so, or you felt you hurt her and you didn't have the chance to make it right. Maybe there's a burning question you need to ask or something else you need to say. Maybe you want to tell her you've never stopped loving her, and see if she feels the same way. If this is the case, you have two choices, right? You can reach out and say what you need to say, or you can stop ruminating on that question and let it go. If you reach out, there's no guarantee it will go well or that she'll even respond. Maybe write her a letter and don't send it (or send it...it might be worth the risk). Use the next paragraph to help you decide. Do you know how she feels? How did it end? Did she end it? Was it ended just because of the distance, or are there more differences between you that didn't work? Sometimes people are so in love that they can't clearly see that the other person isn't in love with them anymore. Use the information you have about what she wants for her life...can you honour what she says she needs? If she's asked for distance, you would do well to honour that.A key to moving forward: look at your thoughts and where they're getting stuck. Write it down. What bad thing can happen if you let it go? Or ""If I move forward, that will mean...""  Keep going...what would be the worst part of that?  This kind of exploring can help you identify your stuck place.It is possible that you've turned this ending into some kind of negative meaning about you or your future. As in ""If this person doesn't love me, then I'm unlovable"", or ""No one will ever love me as much as she did"". So your need to cling to her in your heart is your way of rejecting that negative message about yourself or the future. Can you find another way to reject that message? Try saying these things to yourself:I know she loved me. There is evidence of that.I was a good partner. There is evidence of that.It's part of life to fall in love and then have to move forward...I can do this and learn from it.Many people like me...that's how I know I'm lovable.It's normal to feel sad. I'm grieving a lost love.I want to move forward and not stare in the rearview mirror.I know more love awaits me if I can get fear out of the way.If this person loved me, others can too, (but not if I'm clinging to some old memory)These are the kinds of things a therapist would explore with you. I wish you well!"
"Instruct: 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?
Output: "
"Instruct: She has chronic inflammatory demyelinating polyneuropathy, and I’m her caregiver. All she does is complain, hit me, call me names, and say things happened that didn’t. When I tell her, she explodes. I didn’t always hate her, but now every little thing she does irritates me, and I don’t have the means to live on my own.
Output: It sounds like you are hating some of the things that your mom does rather than hating her.Something you may be able to do is call the area agency on aging for the county where you live and ask for information about having other people help to care for your mom. I don't know how old your mom is, but if she is younger, they would probably have resources to other ways that you could have help. If you are both open to the possibility of someone else helping out, this may help with some of the difficulties between you if you are not spending quite as much time together. Do you think your mom is able to actually recognize how what she does and says affects you?From whom do you have support during all of this?"
"Instruct: I have known her for years. She was dating my brother-in-law when we met. My kids think of her as their aunt. On Halloween 2014, I lost my mom to cancer. My mom and dad were still married when she passed away. My friend was there for me through that and my own cancer diagnosis. She has been a very big part of both me and my kids’ life, but now last month, my dad told me that he really likes my friend and wants to marry her. She’s like a sister to me. My kids hate the idea.
Output: How are you measuring whether or not your dad understands your wish?Your dad understanding your wish does not mean he will necessarily follow through with what you want.Based on what you describe about your relationship to the woman in question, your discomfort with the idea of your dad marrying your friend, is reasonable.Have the conversation with your dad that includes your viewpoint, and also ask him for his impression of your feelings.Its even possible he already has considered your feelings and hasn't yet told you.It is also possible that a conversation on the subject, as well as your dad following through with his decision to marry your best friend, may develop in a very positive way.Part of the current uneasiness you feel may be from fear of how a change in circumstances and introducing new relationship dynamics might feel.Given that the person who died was your mom, maybe your emotions are not yet ready seeing your dad with a replacement spouse. Try to see the situation from the point of everyone, including yourself, who is involved in this major change.  Maybe having a family discussion about acceptance and readiness to accept a new partner for your dad, would open new empathy for all of these family members."
"Instruct: My spouse visited the red light district a couple of years back in Amsterdam. After he got back from the trip he got me tested for stds. In the aftermath he has provided multiple versions of what happened, from having a total blackout to being touched by a prostitute. How do I know if he had sex?
Output: The answer lies in what the outcome will be. How will things end if you find out he had sex with a prostitute? Will you leave? Will you try to work things out? The multiple versions are concerning. He seems unable to be truthful and this is damaging your relationship. Before considering marital therapy, please find a counselor for yourself. The right therapist can help you uncover what is right for you."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: 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"
"Instruct: I would like to be able to have more positive relationships in the present.
Output: Hi Chapel Hill, I like your goal; research is telling us more and more that one of the most important keys to happiness is having healthy relationships. If we feel successful in that area, it can give us the confidence and hope to tackle anything life throws at us.There are personal barriers we all have to having healthy relationships; it's our ""stuff"", our ""baggage"" (not a steam trunk, right...you have a cute little Gucci bag!). You hint that people may have hurt you in the past. Maybe fear says ""stay away...hold onto resentment or you will be hurt again!"". Resentment, or simply focusing on the past is certainly a barrier to improving any relationship. Learning to forgive ourselves and others is so important. And remember...forgiveness isn't about saying something was okay; it only means ""It happened, I can't change that, and I don't want to carry it (anger, hurt, resentment) around anymore, so I let it go."" Or...sometimes fear tells us that people won't accept us; this keeps us isolated for sure! But really, all fear wants is power over us. Fear is a trickster! It tells us that if we let go of the past, we will be rejected or hurt. It says ""I'm trying to protect you!"", but what it REALLY wants is to paralyze and isolate us all so it can feel powerful. Once you pull the sheeps clothing off of fear, you can see that it doesn't help you at all!Once you see where your personal barriers are, and you start to refute those thoughts in your mind, you can begin to build new ideas about yourself and other people that are based on compassion instead of fear... Everyone deserves forgiveness and compassion.No one deserves to be judged by their worst moments.If I look in the rearview mirror, I can't move forward.We are all beautifully imperfect.I can't change the past, but I have the power to make the future good.I wish you the best on your journey!"
"Instruct: I’m in my early 20s. My ex’s parents are friends with them and have told them bad things about me. I left my ex due to an abusive situation, and they are making me look like I was the bad one.
Output: Maybe you can talk with your partner about this first look at the different elements of a possible conversation in the future. If you are at a place where you are willing or able to disclose the reason that you left your ex, that could be one element of the discussion, but it doesn't have to be.I don't know how long we have been together with your current partner, but perhaps his or her parents would see you for who you are and make their own opinions over time. That may be a discussion to have with them as well.Hopefully your partner will be a good sounding board before these conversations."
"Instruct: I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.    Currently I'm going through anxiety and my thearapist is not available. How do I handle this?
Output: At age 17, I think you are old enough to decide which parent you want to stay with full-time. I would gently and lovingly tell your father that you've decided to stay with your mother. You can offer to visit him regularly, if you'd like. Parents often have a hard time letting go and, especially in divorce situations, your dad might feel as though he's ""lost the battle"" if you go live with your mom. He might also feel he's lost you. If your dad is unrelenting and the situation unbearable, you can ask a judge to modify the custody agreement."
"Instruct: 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?
Output: 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!!"
"Instruct: I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before. 

I feel like I don't  want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered  ""wrong"" by a lot of people.

How can I get myself to just move on?
Output: One of the most challenging areas for people to deal with is getting over the the person you have loved so much. It's a catch 22. You know mentally that it's not healthy to think about them. However, your feelings are still there. Moving on is tough. It takes time for feeling to go away. That's the thing, it's not the person you're trying to get over, it's the feeling and the idea of them that is that makes it difficult. You've learned a lot from the relationship and time will help. Activity will also help. Are you actively living your life? If not, go out and maybe it's time to date and find new love. Grow with new relationships and it will help create focus on someone who may even be better than the love you previously experienced. You can do it!Earl Lewiswww.RelationshipsGoneRight.Com "
"Instruct: I've been getting told lately by my partner that it’s embarrassing that I'm so antisocial around his family and friends. I believe it's because I'm not as social as him.
Output: Hi Buffalo, I think you're right; your partner's reactions are about him. I have to say it's a cruel thing to say to someone you love...that you're ""embarrassed by them"". The subtext says ""You're not good enough"", and I love that you can reject that false message.You don't have to be different for anyone. If he can't accept you for who you are, what is he doing with you? Your social habits (unless they are extreme...like you refuse to go anywhere) aren't a reflection on him; it's just you being you. Also, and I'm sure you've found this...the more he judges you, the more difficult it is for you to be the confident, outgoing person he wants you to be...so his method of trying to change you doesn't even work!I think that's the crux...he's trying to change you. What does that make you want to do? "
"Instruct: She treats me like I'm not in her presence. She’s always yelling at me for no reason. She gives more respect to my brothers than me, but only my brothers fight her while I respect her.
Output: Attention is not equal to love and being valued. It may be precisely because your brothers demand so much more your mom's attention through fighting with her that she pays more attention to them. It is a common situation in families where the ""squeaky wheel gets the grease"" and the siblings or family members who don't demand as much attention end up feeling invisible. It sucks to feel invisible and it is important that there is attention for you and that you know how much your mom loves and values you.  This sounds like an important conversation to have with your mom and if she is not able to really understand or help you address this concern you may want to suggest doing some family therapy where a skilled therapist can help you and your family work this out."
"Instruct: I have been diagnosed with general anxiety and depression by my family doctor. They wrote a prescription for me to have an emotional support dog, I have the paper work, and I gave it to my apartment manager. They said I can't keep the ESD because I'm not disabled. What do you suggest I do?
Output: This can be a difficult situation.  Typically, only animals that are specifically trains to accomplish a specific task are legally protected as Service Animsls. Even though that can be very helpful, emotional support animals are not generally protected in the same way.You might not be able to make your landlord accommodate you. If possible, you may want to consider a different apparent that is more animal friendly."
"Instruct: What makes my step child, an 8 year old boy, choke my daughter, a 6 year old girl? This has been going on for 4 years. The boy tells my daughter not to tell on him. He knows it's wrong; we have did time out, spanking, taking away toys, and sitting on the wall. I am afraid for my daughters safety!
Output: I can see why you are alarmed. That is a scary situation for a parent. Do you know if the child has been evaluated by a mental health professional? Early treatment is often the key. A professional will be able to help the child learn how to control their anger and mend the troublesome actions into more appropriate responses. Have you addressed your concerns with the child's other parent? There could be contributing factors in his life that could be causing these issues (exposure to violence, sexual/physical abuse, drug use, stressful events in his life, etc.). It is important that these factors are identified so that they can either be eliminated and/or reduced. I wouldn't hesitate to have him evaluated (if he hasn't been already) and to ensure that he is getting the help that he needs whether it be medication and/or therapy. Until then, I would make sure that he is always supervised under an adult's care."
"Instruct: I was born a girl, but I want to be a boy. Because of my religion I can't tell my family. I know they won't accept me. What do I do?
Output: I understand that this must be a difficult time for you with
many adjustments. If you feel comfortable enough to ask your parents to see a
Life Coach or a therapist, this may be an excellent place to start. You don’t
need to tell them the reason why maybe say that you simply need someone to talk
to for support with school or homework etc. The Life Coach or therapist would
be the optimal person to advise you on how to proceed with providing support
and guidance. There may be someone at your school whom you could talk to for
confidential support and guidance as well. Be confident in the fact that you
are not alone and there are always responsible adults available to guide you
through any difficult process you may experience in life. Talking to family
about personal issues can be difficult for anyone, even adults. I recommend
getting help from a trusted, professional adult before you decide what to do."
"Instruct: I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time because before our child she said she was raped by a family member but she never went to the hospital or the cops. Now me and my family don't talk. She's always telling me I'm annoying and just belittles me. Nothing I do is right.

She says I work you watch the baby. On her days off she never cooks or cleans. I have no friends or family and a couple months ago she was confiding to some guy, but says he's not any thing to her. What do I do? I don't want to leave.
Output: It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more beneficial for you and your child to move out.On the other hand, if you are just wanting the relationship to work out despite its current state, you need to evaluate whether the relationship is worth salvaging. It seems as though you are very unhappy and undervalued in this relationship. Although your question revealed just a short bit of information, I didn't read about any positives in the relationship. Sometimes it's extremely hard to leave a relationship even though you know that the relationship itself is harmful for you. However, with time and focus you can do it. Each day will get a little easier and you have to trust yourself that you are making the right situation for you and your child.However, if you really feel that you want to stay in the relationship, you have to be upfront with her. You need to tell her exactly how you feel and give her specific examples of how she is hurting you. This gives her a chance to render the situation. If after this there is no improvement, I suggest that you start reconsidering your decision to stay.I also think it would be valuable for you to start engaging in things outside of the home that make you happy. Are there any hobbies you enjoy? Are there any groups in the area that you can join such as playgroups that will allow you to engage with other parents? Start looking into these options and finding an avenue for you to do something for your own benefit.It is certainly not healthy for you to isolate yourself from friends and family. You need to have additional support networks besides the one with your girlfriend, especially since this has not been a healthy environment lately.Thank you for reaching out. I wish you the best of luck with your relationship."
"Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.
Output: Maybe you'll feel less fear by understanding that whoever told you sex was dangerous, was wrong.If this message came from your upbringing, then it may a deeply embedded belief.Since the belief itself instructs to avoid risk, and overturning this belief requires taking the risk to believe the logic that reasonable safe sex measures are adequate protection, give yourself time to absorb this new understanding.Talk w your partner about your psychological difficulty bc their patience will help you."
"Instruct: I am on the track and softball team. My school is small, so I play all four sports it offers. I feel obligated to do track because I'm not a horrible runner, and my dad wants me to. The catch is is that the days before a track meet and the morning of, I get sick and cry.
Output: Does anyone notice that you get sick and cry on track meet days?Have you told anyone?From what you write, as much as you would like to please your school and dad, something within you doesn't quite want to fully follow through.Step one in life always is to know what you want and what your limits are.   It already is difficult to avoid listening to your body.Try understanding what is difficult in telling your father that you'd like doing as he wishes, only are not able to do so because you are emotionally and physically distraught on the days you have track.After finishing the season for this year with your school's track team, then expect to concentrate on taking care of your own need to not do track.Hopefully your father will understand and care about your problem.   If he does not and track is more important than your well being, then you have a different problem entirely."
"Instruct: It takes me a long time to fall asleep; I’d estimate about two hours. I often have nightmares, starting with being eaten by a monster, and I often wake up frightened and unable to breathe. I believe I started losing sleep after breaking up with a girlfriend of 8 years. Also, my father’s business went bankrupt and my mother has a chronic condition. I was under a lot of stress, and life lost meaning. After improving my life and developing a habit of running and exercise to release stress, my symptoms improved. However in the past couple months, I started losing sleep again and having nightmares without warning. How can I solve this issue?
Output: You’re noticing that as you lie down to go to sleep, there
is quite a bit going on, which may be anxiety related. It sounds like the
dreams and difficulty sleeping are reminiscent of previous experiences you had
around the time of your break up, the difficulty with your father’s business,
and your mother’s health issues. These connections to past events may be
important insights to continue exploring in addition to finding out more about
what your dreams may be trying to tell you. There is no exact science to
dreams, but many people find it fruitful to explore the content as it relates to
significant themes in their lives. I think that exploring these issues further with
a therapist could help you resolve whatever is causing you the stress, trouble sleeping, and frightening dreams."
"Instruct: She has lied about every aspect of her life. She's created three fake relationships. The most recent one is concerning because she has fake photos, phone calls, and text messages, and it’s with a married man with kids. Her lying is becoming dangerous because she could ruin lives.
Output: Is being friends with this person safe for you?Liars don't generally distinguish who they bring down with them or in service to themselves.Step one is to understand a true friendship, which is based on trust, is probably not possible with this person.If you'd like to offer words of advice to protect her from herself then try gently pointing out that some of her actions which you know about, may come around to harm her.There is only a small chance she will be open to hearing you.People who lie are also very fearful of trusting others, including themselves.  She may prefer to keep status quo than open her own emotional pain to understand what created the need to lie in the first place."
"Instruct: I'm dealing with imposter syndrome in graduate school. I know that by all accounts I am a phenomenal graduate student, and that I am well-published. I am well liked by students and faculty alike. And yet I cannot shake the feeling that I'm going to be found out as a fraud.    How can I get over this feeling?
Output: I'm sorry you're feeling this way. You've probably read articles already about impostor syndrome, but still didn't get the answers you were looking for; you probably know that lots of people feel this way, that it happens to lots of successful people in professional settings. Not helping, right?Think about people who succeed at big tasks: an Olympic athlete has a defined goal that they need to meet: cross the finish line, say, faster than anyone else. That success is remarked upon, and - until someone does the event better than they did - they are 'the best.' Grad school, however, is not so great at discrete goals and celebrations of success. You got a good grade on an assignment, but what about the next one? You and 6 other people in your class probably got the same grade, so does that make you a success or average? It falls to you, then, to identify ways you are sure you've succeeded. If your grades and peer admiration aren't hallmarks of success enough, perhaps pull your measuring tool inward: measure your achievements against your own progress- ie: I got a 93 on my last assignment, I got a 97 this time! You might find those feelings fading soon~"
"Instruct: I often get the feeling that I'm being watched, like video cameras are hidden wherever I am, even at home. I feel like people can see all that I do and are reading my thoughts. Things I read or hear on the radio seem to be about (or meant for) me, and people are talking about me when they whisper.
Output: It sounds like you are feeling pretty overwhelmed with worry about being continuously monitored, with no privacy even in your own mind, and as if people are constantly saying things about you in whispers on in the media. It's hard to say from a post online what is at the root of this experience, but you may be able to get insight into that, as well as develop ways of coping with the distress of feeling this way, with the help of a good therapist. There is no pill or technique that can guarantee that this experience will go away, though it might, however, there are things that you can do so that you can understand it better and so that it does not have such an impact on your ability to lead a satisfy life."
"Instruct: What are some difficulties that a counselor can encounter when dealing with a client?
Output: Yes, just like some relationships outside of our work are more difficult than others. But, I would not say that the ""client is more difficult,"" rather the dynamic between myself and the client, which constitutes a relationship, might feel more difficult. And that's okay (sometimes things that feel like the most challenging end up with profound shifts and outcomes.) It is often helpful to understand difficulties that exist, because they can illuminate for a therapist something with which a client might be struggling, and when it takes place in the therapy space, it can be experienced and then worked through.It's hard to necessarily say what some difficulties are that a counselor might encounter, but I would say that not showing up, like in any relationship, is one of the hardest things for me. And not just physically not showing up (though that is certainly frustrating), but not being open to the work is a form of not showing up. While not every client is as ""motivated to change,"" it's helpful to my therapist-client relationships that the client try. It might be hard for them, but the effort even to say ""this is tough for me"" can go a long way in these kinds of relationships."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: It sounds to me like your daughter is anxious to be perfect and has a low tolerance for failure.  As her mother one of the most important messages you can share with her is that she need not be perfect, nor is it necessary.  As a matter of fact, failure and making mistakes are only opportunity to learn and grow.  Give her permission and more importantly she needs to give herself permission to be a perfectly flawed human.  It may be a good idea to see a therapist to help her learn how to reframe some of her negative beliefs so she can form healthier thinking habits. Warm wishes."
"Instruct: I have bipolar disorder, paranoid personality disorder, posttraumatic stress disorder, anxiety and obsessive-compulsive disorder. I last self-harmed a week ago. When I am stressed, overwhelmed, hurt, or angry, the urge to self-harm is all I can think of. I am trying to seek help.
Output: Seeking professional help does not mean that you will necessarily be admitted into an inpatient setting - though  to be honest, that can become an option if you feel unsafe or if you are unable to plan for safety. However, many clients who struggle with self-harm can find help in outpatient settings - particularly those which offer a treatment called Dialectical Behavioral Therapy (DBT). Looking for a DBT professional or group therapy setting may be particularly helpful, but a skilled professional can help you to figure out how to identify other options even when you are experiencing overwhelming emotions. Without knowing your location, I also recommend searching to find your local helpline or suicide prevention hotline. The volunteers on the other end of the line can be very helpful even if your intention is not suicide and they are likely also to be able to connect you with resources in your area. Calling into the helpline may also be a first step alternative to self-harming when you're feeling overwhelmed. "
"Instruct: I have family issues, and my dad was both violent and a cheater.
Output: I can imagine how incredibly difficult this must be for you. Having past traumatic experiences creap up on you without warning can be very scary and stressful. You may be suffering from symptoms related to post-traumatic stress disorder. Getting evaluated by a professional would be a good step to take next. By seeking treatment and having a therapist who you trust and can connect with, you will gain the ability to think about your experiences without it significantly interfering with your daily functioning. A therapist can also help you to develop new coping stragies to be used during recall of these experiences and help you to adopt healthy thought patterns. I would also recommend that you seek support from loved ones. Sometimes just talking about your experiences and associated feelings will alleviate some of the emotional troubles you are suffering from. Lastly, you may find meditation or mindfulness work to be of great benefit. Having the ability to live in the present moment should reduce the effects of your traumatic experiences interfering with recalling your past or looking forward to your future. I wish you all the best!"
"Instruct: I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are attractive, but not like before. I can also find men attractive now. I'm too ashamed to tell anyone.
Output: 
Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these
feelings and desires it could certainty shake everything you thought you knew
about yourself. 
My guess is that you becoming sick around the time that this
started is likely a coincidence, but I understand how you would make the
connection. 
I have a feeling that a few things may be going on here. It
is really hard to say since I don’t know you, how old you are, etc. But, I will
share you with you some thoughts. 
Some people, when they have undesirable thoughts that really
surprise them, have a really tough time getting rid of them. Our reaction to
the thought can be very strong and our tendency to try to block it out, stuff
it, avoid it, etc. is not always successful. In fact, it’s usually not. 
It’s like telling you not to think of pink elephants. I
would be willing to bet that you thought of a pink elephant just now. 
So, rather than fighting thoughts that you find confusing,
sometimes it is helpful to allow yourself to explore the thought with curiosity
and without judgement. Where is this thought coming from? What are my feelings
about it? Asking yourself these questions may help you come to a resolution
about what is going on. 
One possibility is that you have developed an anxiety about
your thoughts and now you are in the process of obsessing about them, but
another possibility is that you are legitimately exploring your sexuality and
gender. I get the feeling from your question that you do not want to believe
that it is second possibility. And that is okay. 
You can try some of my suggestions, but you can also see a
counselor who may be able to help you work through your confusion. I would
suggest someone who has experience working with sexuality issues. You can
usually find out what a counselor works with on their website. What is
important is that you find someone who is non-judgmental about what you are
experiencing. 
 
I wish you well.
Robin J. Landwehr, DBH, LPC, NCC
 
"
"Instruct: I suffer from adult ADHD, anxiety disorder, and depression. It has been difficult to find a doctor in my area and my primary physician won't help. I am unemployed and overwhelmed. What would you suggest I do?
Output: I would check out agencies that offer affordable counseling based on your income or very low cost counseling sessions, i.e., Pacific Clinics, Hathaway Sycamore, Pasadena Mental Health Center, Burbank Family Center. If you google affordable or low cost therapy in your particular area you will find resources to help you. "
"Instruct: 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?
Output: Sorry for so much emotional pain from the combination of the divorce and your sister not supporting you in the way you wish.When you feel ready and if you feel this would help, then consider to talk to your sister from perspective to improve the relationship the two of you have.Since the ex is gone and the sister is an ongoing person in your life, this particular incident is only one in many which the two of you will have with each other.The disappointment you feel now as to how she handled herself, is a point to bring up to her for the sake of clarifying the type of relationship you each would like to build with each other.As to your specific question as to why she did what she did, she is the only person who has the answer.Start with finding out if she wants to improve the relationship altogether.   Then you can use her lack of support with the ex, as an example of how meaningful her support of you is to you."
"Instruct: I am a survivor of domestic violence from a past relationship. Even after seven years, I still have horrible nightmares. I wake up in sweat, and the dreams feel so real.
Output: Hello, and thank you for your question. First things first, I am so glad that you are alive and very sorry that you had to endure such a terrible experience. Now, let's talk about these nightmares. The first thing I want to tell you is that you are NOT losing your mind. Many people start to think that may be the case if they are still suffering from the affects of something that happened a long time ago. That's not the case. There is no time set time for which we should be ""over"" something like this. I am not sure if you received counseling after what happened to you, but that may be something to consider. Bad nightmares could be the sign of something like Post Traumatic Stress Disorder (PTSD), which would include other symptoms like being startled easily, re-experiencing the event, or avoiding places that remind you of it. There are other symptoms, as well, so if you believe this may be something you have you may want to seek counseling. There are good treatments for PTSD. If you cannot seek counseling at this time, there are some things you can do to try to manage the dreams on your own. I would encourage you to look up ""sleepy hygiene"" and try to make your bedtime rituals as relaxing as possible. You can also Google search ""Nightmare re-scripting"" or ""Nightmare Exposure"" and get some ideas on how you may be able to change your dreams. It may be a good idea to attend a domestic violence support group and get ideas from other survivors who no doubt have had sleep problems related to their experiences, too. Hope this was helpful. Be well. Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1.
Output: I do not think there is such a thing as a psychotic seizure, however, there is something called a pseduoseizure or psychogenic non-epileptic seizure. Basically, this is when a person shows signs of a full-on seizure (such as falling and convulsing) but they are not producing brain waves consistent with a seizure. Psedoseizures tend to be brought on by high stress, emotional challenges, and trauma history. You can learn more here, https://www.ncbi.nlm.nih.gov/books/NBK441871/ Still, the best way to now what your doctor meant would be to ask them! :)"
"Instruct: It's really hard to not have negative feelings about friends who don't put any effort into nourishing our relationship.
Output: One thing I would ask is ""why are you still hanging with those {friends}?"" A relationship needs to be nurtured by both parties, it is a dynamic fluctuation between two people. I would ask you to question why you continue to remain together as friends, I always believed that a relationship should emit positivity towards all parties involved, if your in a relationship that is one-sided, it is inevitable that it will start to de-compensate. Never travel with the circus, never travel with fools, everything in life should have some positive payout, will things at times be negative, of course they will, but in order to keep something or someone in your life there should be more positivity than negativity.Hope this helps, C"
"Instruct: We're not together, but I’m still doing things for him and we are intimate. He’s not there for his son.
Output: You didn't ask a direct question because I feel from what you wrote you already know the answer.  I hate to sound harsh but I am a therapist that call it how I see it so brace yourself...You will always continue to have problems with letting your child's father go as long as you:Don't love or respect yourself first...Don't love and respect your son...Don't demand respect as a woman and mother...Give up the goods regardless of what he does for you or your son...Don't hold your son as a priority in your life....Have self worth of a $1, etc.I have a feeling you are saying...I do love my son and hold him as a priority even if you don't do it for yourself...I would ask...Are your actions of allowing such disrespect from his father proof of that?I know what I have said may have gotten under your skin...I want it to.... because I feel that you have a conscience, want to do better, know you and your son deserve better and you can do better.  Believe in yourself and that you and your son DO desire better and it starts with you setting boundaries with his father.  You can do  it!!!"
"Instruct: I have no self control over food. Most people stop when they've had enough, but I keep eating for the pleasure of it. Especially with sweets - I'm never done eating dessert.
Output: Hello! I'm so glad you decided to write in today. This is such a great question and I'm sure many others will relate to exactly what you're describing. There are a few different ways we can look at in understanding your concern. First, I think it's important to understand food is just food. Food is meant to nourish our bodies, provide us with energy and yes, sometimes reserved for special occasions and celebrations. But in many cultures, we place a LOT of emphasis on food. We have food at every gathering and every celebration. What's more people have come to almost EXPECT food to be present at any and every get-together. And if it's not? Well, then forget about it! I see this time and time again with my clients. Donuts appear in the office, and it's almost like donuts have never been there before! Must eat one (or two)! However, we need to remind ourselves that this occurrence, or similar ones, will not be the last time we can enjoy this particular food. It is likely the office donuts have happened before, and they will be there again on another day. During these moments, I like to have my clients employ a Stop-and-Think method. Stop-and-Think about your goals before you eat. Is this donut getting you where you want to be? Also, I have my clients ask themselves how special is this donut? If the donut really is a special donut (from the best bakery in town and you've never been there before) then now might be a time to have the donut. But if not, it would be wise to pass and wait until that ""special"" donut. Another aspect we need to remember about food, is to think about what we're getting from overindulging or overeating. Are you trying to drown out other emotions? Are you trying to feel better and the food gives you that feeling for a brief moment? What ELSE is going on? This can be determined by utilizing what we describe as a Thought Record. A Thought Record involves tracking and identifying thoughts and feelings associated with food triggers. By targeting the emotions, we can then determine where they're coming from, as well as how to decipher them. A therapist can also help you with understanding your emotions related to food and will be helpful in assisting you with the Thought Record.The most important thing to remember is that ""food addiction"" can be a real problem for a lot of people. If food is taking over your life and you are preoccupied and overwhelmed with knowing where to start, please seek out help. Binge eating is the most common eating disorder and impacts the lives of thousands. There are lots of free resources and information on my website at www.maddenwellnessky.com. In addition, I offer individual coaching and counseling through my website and I would love to help!- Amber"
"Instruct: I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least.

I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me?
Output: Sometimes it's helps to have a name for a problem - it can make you feel less alone as in, ""oh there's a name for this and other people have this experience too."" On the other hand naming the problem can also make it stick around longer as in ""now I have a special problem that has a special name, and that's an important part of who I am.""Bottom line, whether it's a disorder or not, you would like life to be easier and not have to be pulled so much by other people's energy and feelings. You might want to try imagining that you have a volume dial on your empathy (just like the volume dial or button on the tv) that you can gently turn down to the point where you still feel what's going on but it's not so ""loud"". You can also try imagining pulling your own energy back as if you were drawing your energy back home to the center of your own body and being, letting go of the other people or characters that pulled your energy out so far. This is a way create better boundaries and protect your own vulnerability. Just like on an airplane where they tell you to put on your own oxygen mask first before helping anyone else, your empathy will most likely not really help others if you allow yourself to be depleted."
"Instruct: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest.
Output: There is a lot of information out there right now about how porn is harmful...to a person's brain chemistry, to a relationship and one's ability to love, and to how men see women and sex in general. Your partner demonstrates a clear disregard for your needs. There is evidence, as you suggest, that there is addiction here. I recommend seeing a therapist who can help you sort out where to go from here. "
"Instruct: 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?
Output: 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."
"Instruct: They discontinued treatment for no apparent reason after they thought to diagnose me with schizophrenia.
Output: The general rule against medical abandonment says thst whenever healthcare providers discontinue treatment with you when you still need it, they are legally required to make sure that you have access to another provider of equal or higher ability.In this case, if your treatment team decided to discontinue your treatment based on a diagnosis of schizophrenia, they still will likely be required to provide you with a referral to someone who can provide you with treatment. If you haven't already done so, I'd recommend that you explicitly ask for a referral."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: I believe that the right counsellor will help you feel empowered, supported and understood. You should feel comfortable opening up and not be concerned that they will judge you for what you say or decide to do. I find this important to let my clients know during intake that they will never be judged for the decisions they decide to take while going over options in sessions together with me. In terms of what you need from treatment, please feel comfortable to open up to your therapist and tell them what you need from them. For example, do you prefer them to challenge you with questions, listen to your story and ask questions throughout or near the end, give you work to do outside of sessions? The therapy sessions will work best for you if you can help them support you in what will work for you.It can sometimes take a few trials of different therapists to find the right one so please do not give up if you feel disheartened! You should feel proud of yourself for taking the first big step in asking for help, that is not easy to do and you are on the right track already!"
"Instruct: I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?
Output: What an important question, and the fact that you're asking it is a big step in the right direction. To answer in detail would require having quite a bit more information about what ""relationship problems"" have occurred  that woke you up to the fact that you're not listening as well as you could and that you're running the risk of losing her.Given that I don't have all that information, I'll offer one simple suggestion. Your girlfriend is the expert on what she needs and wants in relationship. You could simply say to her that you know you still have a lot to learn about how to have a good relationship and you realize you're not yet understanding what she needs and you really want to. Then take a deep breath, settle down, and listen. Don't argue, don't interrupt, don't judge... listen. Let her know what you understand and that you're open to hearing more, learning more if you're not quite getting it yet... and then listen some more. Be present and curious about this person you love dearly and don't want to lose. This is the first step toward intimacy."
"Instruct: 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?
Output: Hi, people who have only a few issues and people who have several issues are perfect for therapy. There is no such thing as having too many problems for therapy. Therapy is great because it will help you process all that you are going through, heal from past and present pain, and gain clarity."
"Instruct: My mother and I have an okay relationship. I know she loves me unconditionally, and I love her the same. However, more times than not, I'm afraid to tell her anything personal because she either doesn't listen, she turns it around and makes everything about her, or she ignores things - even when they are about my mental health.
Output: How can I get my mother to listen to me without her freaking out?Communication with our loved ones can be tricky, but it is the key to maintaining a healthy and functional relationship with them. At times, it seems difficult to communicate with our family because many feelings and “undercover” messages are attached. Especially with our mothers, who often provide advice and feel responsible for us, it may feel like they are making everything about themselves as they express their worries and concerns.So what to do? First will be important to practice active listening skills, to ensure that you are receiving and understanding the message, without filtering it trough your own emotions or preconceptions of the person who speaks.  Second, learn and practice assertive communication skills.  Those will help you to communicate a message clearly and in pieces.  It also emphasizes using I-statements to express how you feel at times when emotions become affected by the interaction.  Third, you should practice, by writing your I-statement or role playing with your counselor.   The trick with communication skills is that we need to practice them as often as possible until you to master them.  You can also contact a family therapist to improve those skills if it becomes challenging, or contact a mediator if more issues arise.¿Cómo puedo lograr que mi mamá me escuche sin alarmarse tanto?La comunicación con nuestros seres queridos puede ser dificultosa, pero es la clave para mantener relaciones saludables y funcionales con ellos.  A veces, nos parece aun más difícil comunicarnos con nuestra familia, porque hay muchos sentimientos y mensajes envueltos en la comunicación.  Especialmente nuestras  madres,  pueden hacer parecer que están convirtiendo el asunto en algo personal, cuando se sienten preocupadas y responsables por nosotros y nuestras acciones.¿Y qué hacemos?  Primero debemos aprender a escuchar activamente, para asegurarnos de que comprendemos el mensaje, y que no lo estemos filtrando a través de nuestras emociones e ideas de la otra persona. Segundo, aprende y practica comunicación asertiva.  Esto te ayudara a comunicar un mensaje claramente y en pedazos.  También te ayudar a aprender expresiones del Yo, para identificar sentimientos afectados durante la interacción.  Tercero, es importante que practiques estas destrezas, ya sea escribiendo o con tu consejero.  El secreto está en practicar las técnicas de comunicación cuantas veces sea posible, hasta que las uses espontáneamente.  Si tienes dificultad aprendiendo estas técnicas, o el conflicto con tu mama es uno muy difícil de resolver, puedes contactar un consejero o mediador familiar para que te asista. "
"Instruct: Or how to send him somewhere that can help him, something like The Baker Act.
Output: 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. "
"Instruct: Does counseling really do anything that can help people?
Output: Yes, counseling can help people.How this happens is bc the counselor can guide the person or couple into deeper areas of their thoughts and emotions than the person or partners would typically avoid or not even realize they are avoiding.Also, a counseling session offers emotional safety because the therapist will intervene with thoughtful questions if someone's strong emotions overwhelm them.This is different than in everyday circumstances.  When someone feels overwhelmed by their own or someone else's feelings, there is no one who asks reflective questions.Last, people get better in therapy because often therapy is the first time the person has a chance to trust someone with their confidential information and know this information will always be protected."
"Instruct: I am married, but I had sex with my friend. I feel guilty, but I feel not guilty too. Do I need to feel guilty? It's my body, and I have full rights to do what I like.
Output: I don't think there's anything that you're supposed to feel. Some people feel tremendously guilty when they cheat, and others not at all. It could be that your partner doesn't know about the cheating and you haven't had to face his/her emotions and reactions. When something we do is hidden...a secret...it's easier to avoid feeling guilty. I wonder if you're avoiding your own emotions. But let's put that question aside for now. There are better questions.What do you want? Do you want your marriage? If not, this may be why you don't feel guilty. Do you want to be able to sleep with your friend? It's unlikely that both are possible (keeping the marriage and the affair). Yes, you get to do whatever you want with your body...and...there may be consequences. Affairs almost always get discovered. Who do you want to be? What kind of partner do you want to be? What might your partner feel if they knew? How might you feel then? Would you care? Has something happened that's affected how much you care about your partner?I suggest that these other questions might be a place to start. Exploring it with a therapist is something to consider maybe. I wish you the best as you sort it out. :)"
"Instruct: I start to think of an issue that doesn't even matter or something bad that happened years ago. Then, I cry, pull at my hair, plug my ears, hit myself, and throw things. In loud public places, I get on edge and start being sarcastic and moody. I have an awful fear of people leaving me (which normally ends up happening) and I feel like I'm too clingy.
Output: There is a reason you are having breakdowns. I can't agree that they happen for ""no reason at all"".   Finding out the reason is going to be your biggest challenge because that may require you to dig deep into your past, uncover hurtful experiences, or recognize something that would be extremely pain.  However, if you don't find professional help to carefully guide you through whatever you may confront, the symptoms mentioned will continue and may even get worse.  There is a light at the end of the road but you need some help to find the right road to get on so you can see it."
"Instruct: I was raped by multiple men, and now I can't stand the sight of myself. I wear lingerie to get my self excited enough to have sex with my wife.
Output: Hello Utah, thank you for writing with your question. Sexual assault or sexual abuse is a very traumatic event that affects victims in many ways. Your difficulty in feeling sexually engaged and your description of the shame and self-loathing you feel are normal responses to the rapes you experienced. A good therapist can help you to process your traumas and understand that you did nothing wrong to cause the rapes; the shame is not yours. It takes a very patient and loving partner, but you can make progress towards a healthier sexual relationship with your wife. These are issues that I cannot address more fully here other than to recommend that you seek the assistance of a qualified professional."
"Instruct: I don't know what's with me. I'm almost constantly angry. Even when I'm happy, I still feel anger inside me. When I acknowledge it, it ruins my mood and takes over. I get angry at the littlest things. Even if I think someone said something they didn't, it infuriates me. Something perfectly normal can make me go off. When my anger flares up, I get a terrible pain in my chest that lasts for a while. It's like there is a fire constantly burning in my body, and anger is gasoline.
Output: Hi Nashville, I'm glad you want this to be different. It doesn't feel good to be angry all the time, and it's stealing your energy as well as affecting relationships, I'm sure.Working with a therapist, you can learn to recognise the deep emotions that lie underneath the anger. It's likely to be either powerlessness or worthlessness, and what happens is this... a small moment in the present touches on an old, tender, bruised emotion that we've simply felt too much of or too strongly in the past. We develop ways of avoiding these vulnerable emotions, and anger is one way of doing that. So, when someone looks at you in a certain way, or says something, you'd rather be angry than feel powerless, or unimportant (or whatever your kryptonite feeling is). In that moment, your instinct is to blame whatever happened, no matter how small, because that's the thing that happened just before you got mad. You fail to recognise that the problem is not the look on that person's face, or the shoe that someone left in front of the door...it's that you can't stand feeling something and you want to avoid it like you want to stamp your foot out if it's on fire.I suggest finding a therapist to work with. You can learn to take responsibility for your old emotions and find new ways to manage them. :)"
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: Many peope uffer from changes in mood when the winter time comes. The amount of daylight hours decreases significantly. Most times it is dark when you go to work and dark when you return home. There are special lights that can be used during the winter season to counteract the ""winter time blues."" Also, paying attention to self care. Are you sleeping enough, attending to physical illness? Exercising and eating a balanced diet? Make sure to schedule fun activities and spend time with loved ones."
"Instruct: 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.
Output: 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."
"Instruct: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone. 

How can I deal with depression without telling anyone?
Output: Love yourself more and treat yourself kindly, with empathy and compassion.Usually when people feel depressed they also feel lonely and isolated.  Since at this time you wouldn't want to tell anyone about the way you feel, which includes the possibility that a few of the ones whom you tell would offer you emotional support, give this to yourself.Also consider to make a goal of eventually telling someone whom you are reasonably sure would understand and empathize, about your depression.This will help alleviate the sense of shame, unworthiness and pervasive guilt which often comes along with depression.Sending you good luck!"
"Instruct: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.
Output: If you'd like to ask a question, then go ahead and ask!Boyfriend/girlfriend is a close relationship and it is usually understood as an exclusive relationship.  You're definitely entitled to know if your wishes to not have him texting another woman, are being respected.Often people are afraid to ask because they fear the truth will hurt them.In the short term this is definitely true.In the long term, knowing you are getting what you want and at the very least stating your expectations to your boyfriend, will clarify for him, what is meaningful in your relationship."
"Instruct: How do I ever trust another woman? I have found myself constantly reading between the lines with every other woman that I meet. I am having a difficult time making any sort of connection to anyone because of her deception and willingness to say and do literally anything in order to control my emotions.
Once the ""relationship"" was over, she became extremely abusive and has attempted to intimidate me into silence regarding the many false claims made on her immigration application.
Output: I'm sorry to hear about that situation. If the woman was your therapist (or had been at one time), this could represent a significant ethical violation when she created a dual relationship with you.Even if you were not her client, this might still be an ethical violation. Counselors are held to a high standard of conduct and honesty at all times.In a situation like this you might consider filing a complaint with the state regulatory board."
"Instruct: For the past year, I have been feeling pressured to do well in school, and it put a ton of stress on me. I have been bullied for five years, and for some reason, it is now sinking in, and I can't stop it. For some other reason, I can't find a hobby I can see myself doing without thinking bad about myself.
Output: Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this provides a few nuggets of helpfulness to you!"
"Instruct: I want to live with my mom. My dad gets angry and makes me feel like everything is my fault. I still talk to my mom although My dad tells me that I'm no allowed to. I'm scared I will make the wrong decision and that my dad will hate me.    How do I tell him that I want to live with my mom?
Output: Yes, from what you wrote, your dad doesn't accept responsibility for the way he feels and blames you for his feelings.I'm glad you recognize he's handling himself less as a grown person and more like a young child.I also understand your hurt and frustration that your father handles himself in a way which shows for now that he is unwilling to respect your wishes.Your decision is not surprising since most people wouldn't want to live with a parent who shows little interest to respect their kids' decisions.In terms of how to tell him your choice, do this in simple and most basic information terms.   ""I've decided for now to live w mom"".I suggest to not offer reasons to him bc he doesn't seem interested in hearing them.   Giving him reasons would likely trigger him to rebut them.If he asks questions, answer them as simply as possible.If and when you feel he is more willing to understand and know you, then you'd feel more free to have genuine dialogue with him.Right now he doesn't seem very ready to handle this."
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output: A lot of times when you're experiencing nightmares and flashbacks, it can be a sign that you haven't fully processed what happened. Our brains tend to replay scenes in our life that we wish had turned out differently or  in an effort to desensitize us to it.  If you are comfortable with it, you may want to consider sharing what you're experiencing with your current partner so that he is able to understand what's going on. Also, you may want to consider  what parts of your past relationship you blame yourself for. This can be a difficult task to undertake on your own, and the help of the therapist may be necessary to sort through the memories in a safe way.  Typically however, flashbacks and nightmares are a sign that the trauma  of what you went through needs to be addressed.  it's a great thing that you were able to have the courage to get out of that relationship and you should be proud of yourself for that.  You may want to  begin therapy to address these traumatic memories and help you to sort through any conflicting emotions you have about it (i.e.  Feeling like it's your fault for not recognizing the abuse or getting out of the relationship sooner, blaming yourself for being  "" The kind of person who gets into an abusive relationship "",  or believing that you somehow caused your ex to abuse you in some way.)  These types of beliefs and feelings can prevent us from moving past traumatic experiences and a trained therapist can certainly help you sort through them."
"Instruct: I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me. Why do I feel this way?
Output: It is normal to seek other’s attention and noticing that some people would not be interested.  After all, we belong to a social environment where we constantly receive other’s feedback, which at times validates us, makes feel important and useful, like we belong; but also at times makes us feel isolated, different and neglected, which we could interpret as hate.The key is to be aware of what you think about what people think of you.   Got it?  This part can be tricky at times, because, what others think about us does not really affect us, what really affects us is what we decide to believe, internalize, and make our reality.  For example, I could choose to ignore a person’s comment about me, or I could decide to focus on it all day, analyze why they said that and what have I done to them to get to that conclusion.  Eventually, since we became so focused on that thought, we may end up believing that what the other person said about us was true, even if we did not agree to begin with.So how can we fix this?  Awareness is the key!  It is important that you understand the way you internalize external inputs, like comments, and to go through a process of discarding negative ones.  It is also helpful to talk to your counselor about how you process feedback and validation so you learn to balance your positive traits from negatives and how that affects your relationships and self-esteem.¿Cómo me puede importar menos lo que la gente piensa?Siempre siento la necesidad de impresionar a otros, ya sea mi familia, la gente de la escuela o extraños.  Y sé que no importa lo que haga o cuanto haga, siempre habrá personas que me odian.  ¿Por qué me siento así?Es común que busquemos la atención de otros y notemos que algunas personas no están interesadas.  Después de todo pertenecemos a un ambiente social donde constantemente recibimos comentarios, que a veces nos validan, alagan y nos hacen sentir como parte importante y funcional de la sociedad; pero en otros momentos nos hacen sentir aislados, ignorados y diferentes, lo cual lo pudiéramos interpretar como odio.La clave es estar conscientes de lo que pensamos que los otros piensan de nosotros. ¿Me sigues?  Esta parte puede ser algo confusa, porque lo que piensan otras personas de nosotros, no nos afecta directamente, lo que si nos afecta es lo que decidimos creer que otras personas piensan de nosotros; y luego lo internalizamos y hacemos parte de nuestra vida.  Por ejemplo,  podemos decidir ignorar lo que una persona dice de nosotros, o podemos decidir enfocarnos en ello todo el día, analizando en detalle porque lo dijeron y que hemos hecho para hacer que ellos piensen así. Eventualmente nos enfocamos tanto en ese pensamiento, que terminamos creyendo que es verdad, aun cuando originalmente no lo creíamos así.¿Entonces como lo arreglamos? La clave es concientización.  Es importante entender la manera en que internalizamos las opiniones de otros, y que pasemos por un proceso de discriminación, donde descartemos los comentarios negativos, hasta que aprendamos a ignorarlos. También ayudaría hablar con un Consejero sobre como internamente validas y descartas los comentarios y opiniones externas, y como eso puede estar afectando tus relaciones y tu autoestima."
"Instruct: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?
Output: Hi,When we can't stop doing things that we know are wrong, it can help to take a closer look at how we make our decisions. Usually we are getting something good out of these bad behaviors, such as feeling excited or taking our minds off of bad things. It is really hard to change these things without helping us get the good effect in a more healthy way. I hope this helps."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Hello. The end of the counselor/client relationship is one of mutual respect and engagement. Counseling sessions can end for any number of reasons. Among them are the client's inability to make forward progress in therapy; the clinician's inability to help the client (for a variety of reasons); a mutually agreed upon time frame for a number of sessions to be provided; or the financial challenges of the client who decides that they need to put their resources elsewhere. In this last case, a counselor should never cancel sessions with a client simply on the basis of the client's inability to pay. That is traditionally seen as an unethical practice. Other arrangements can be made to provide care to the client, which in itself should be paramount.When the client and therapist decide that services are done, it is best if there is at least one or two more sessions to allow a case file review to occur, and to bring an appropriate psychological sense of closure to the client (and vicariously to the clinician as well, those this is perhaps not as important). This transition gives both a sense of having reached the end of a journey...rather than some abrupt departure from it. (An abrupt ending in therapy can have a varying level of impact both emotionally and psychologically on the client and therapist). Sometimes the closure of therapy is the result of a program of therapy being formally completed, in which there is a mutually known (albeit perhaps approximate) date of when that program will be finished. In this case, the client is likely feeling that impending closure and has time to prepare mentally and emotionally from a place of being the client in therapy, to a place of healing, growth and situational resolution.I have always worked in therapy with the following slogan (if you will), that I learned years ago during graduate school: ""Not every therapist is good for every client, and not every client is good for every therapist."" It is perhaps one of the most important guiding views I hold in working with clients. The therapeutic relationship is driven by mutuality - the desire of the client to get better at living life, and the therapist's desire to truly see the client heal and grow. When there is a block in this process from either side that prevents that synergy from occurring, the relationship that should be established may not be able to form. Or, if already formed, may at some point be unable to move forward. In these instances, referring the client to another type of service or clinician is appropriate. Usually, this can be seen pretty quickly by either party, though sometimes it is not always clear.Ultimately, the client and counselor need to work together to discover if the needs of the client (which is paramount) are being met in the therapeutic engagement with their current counselor, or if other arrangements need to be made to go elsewhere. If both are observant in this process, they can work together to maintain that sacred space and continue to reach the goals that have been set. Eventually, therapy will end, but hopefully based on the client's successful journey to the place where they wanted to go, and thus opening the next chapters of their life to a space that is more whole and brighter."
"Instruct: I am in high school and have been facing anxiety issues lately. Whenever I get close to being in a relationship, some kind of anxiety takes over and keeps me from the relationship. This anxiety causes me depression at times and even makes me want to vomit. While a semi-relationship should be joyous, for me, it’s an emotional nightmare I can’t get to the bottom of. I’ve had this before and had to leave the semi-relationship to avoid throwing up every time I made contact with my crush. What could be the reason behind this? Is it massive nerve problems? Is it a fear of a bad relationship?

While I’m not quite ready to be in one anyway, I want to get to the bottom of this for a brighter future in which I can be in one. I don’t take medications and have no desire to, I have read forums, and I’ve talked about the issue with my sister who has faced similar problems.
Output: Hi Helena,I felt a bit sad when I read this. This is a new term for me... ""semi-relationship"". What does it mean? I know that today's culture for young people is more of a ""hook-up"" culture than a dating one. Maybe that means that you develop connections to people but you keep yourself from hoping for a full relationship because no one is doing that anymore. That makes me feel sad. I hear a lot of young women (I'm not sure you're female, but that's my guess) say that they struggle with hook-ups because they can't let themselves hope for a phone call after a hook-up. Research tells us that, after a hook-up, college age women tend to feel used and unworthy, and men tend to feel guilty. I think this scenario works better for men than women, but many of both genders are left unsatisfied in the end.This is only one possible explanation for your anxiety...that your gut knows that it wants to feel fully coupled with someone but you struggle with whether it's okay to want or expect that.Maybe take a moment and listen to anxiety. Anxiety tends to try to convince us that something's wrong with us or something bad's going to happen. Anxiety sometimes prefers to stay vague (it's more difficult to refute it then), but you can try to clarify it's whisperings by asking yourself these questions: What am I afraid of? What is the worst thing that might happen here? Then what might happen, and what would be the worst part of that? Keep going until you find the very worst thing that might happen? Might someone not want you...might you feel rejected...or feel not good enough...you might get hurt?Then when you find that core fear, you can look at your life and I bet you'd find a place where that idea or fear originated. A big moment (or many smaller ones) when you actually DID feel or get rejected or abandoned or hurt. In the end, it's a feeling you're trying to avoid (not life or relationship), and anxiety is trying to help you avoid it by making you overcautious. But this doesn't work for you! Good! With the help of a qualified therapist, you can learn to talk back to anxiety and move forward in life and love with calm. confidence."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: This is a great question. There could be a few ways to “know”
that you’ve found a good fit and you and your therapist are therapeutically compatible.
First, I would recommend listening to your intuition and pay attention to how
you feel, if there are feeling-indicators that you are comfortable, feel safe
and willing to open up and share your story. 
Second, do you feel the therapist you are considering will support and challenge
you in ways you need.  Some therapist
offers a free consultation.  This might
be a good opportunity to take advantage of.Stephanie C, MA, LADC, LPCC (pre-licensed) www.stephanietherapy.com"
"Instruct: 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?
Output: The first step is realizing your value and establishing firm boundaries. When your parents cross that boundary and are verbally abusive, you have to have a plan to stand your ground and act upon it. That plan may include a better job to afford a place of your own, a domestic violence shelter if you are unable to provide for your needs, a firm talk with your parents about your parental authority, or other. Whatever you do has to be firm or consistent, a boundary that you allow someone to cross is no boundary. There is always a way, if you have no where to go, ask yourself why is that the case(which I am sure you have considered already) and what can I do about it. If you choose not to take any action then you are enabling your parents to remain abusive. Ask yourself too, why am I not acting on my situation. Am I too dependent on them? Do I not want to change? Is it easier just to let them provide for me? Be honest with yourself. You need to work on your self esteem, and things that empower you. Support groups in person or online, Church groups or organizations, friends, books, music, etc.... but think on things that will empower you. Are you stuck financially because of the need for a job? Do you need to go back to school? Do you need training in a new field? There are a myriad of possibilities and answers. Action, think action and Change, what can I change?"
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output: EMDR therapy has shown great results for work with PTSD symptoms which are similar to what you described. If you are unable to find a local EMDR specialist then I would suggest some meditation and journaling in addition to talk therapy to process your trauma. Your anxiety response centers int he brain are in hyper vigilance mode and retraining to turn down that response could be helpful for you."
"Instruct: I start to think of an issue that doesn't even matter or something bad that happened years ago. Then, I cry, pull at my hair, plug my ears, hit myself, and throw things. In loud public places, I get on edge and start being sarcastic and moody. I have an awful fear of people leaving me (which normally ends up happening) and I feel like I'm too clingy.
Output: There is a reason you are having breakdowns. I can't agree that they happen for ""no reason at all"".   Finding out the reason is going to be your biggest challenge because that may require you to dig deep into your past, uncover hurtful experiences, or recognize something that would be extremely pain.  However, if you don't find professional help to carefully guide you through whatever you may confront, the symptoms mentioned will continue and may even get worse.  There is a light at the end of the road but you need some help to find the right road to get on so you can see it."
"Instruct: My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt ""ehh"" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way.
Output: Hi Seattle,While it's normal in many relationships for there to be a difference in sex drives, I believe that your wife has a major barrier to having a healthy sexual relationship. I'd be curious about what it was like at the beginning for you both, but these things can change. Sometimes people with sexual barriers are very active for a period when they're young because they're trying to prove something or overcome a fear. Right now, you can both accept that there is a barrier and it's hers and she can explore that in a safe relationship with a therapist and perhaps a doctor. It's possible she's asexual (not interested in sexual activity but very interested in love), or that a trauma has affected her. It's for her to explore. Tell yourself that it's not your fault, stop expecting it to change, and encourage her to seek treatment with someone who specializes in sexual issues. Good luck."
"Instruct: As a child, my parents injured my brother, so they went to prison. I was there when he had gotten hurt, but I can't seem to remember. I also can't remember being with them quite well. It's a blur.
Output: Sorry to hear of having witnessed violence within your family when you were very young.Your blocked memories are a self-protection from the enormous emotional pain and feeling de-stabilized by realizing that the people whom you expected to trust, are harmful.Already you are at the first step, which is to know that memories exist about the disturbing events concerning your brother.Probably the best way of finding your way back to those times, is by paying attention to all of who you are today.The more intently and with loving interest you are able to notice yourself, you will be gradually dissolving the layers of protective thoughts about intimacy being unsafe.Basically, you will be teaching yourself how to slowly trust yourself.Since trust is what was violated while you were young, you will be developing a new model for trusting yourself and others.Then, more of the memories of your painful and overwhelming times will make themselves available to you.They are simply waiting for you to be strong and trusting enough within yourself, to tolerate them!"
"Instruct: My boyfriend and I recently broke up. One week, we were fine, and the next, he told me he needed space. He completely deleted me out of his life. He does have an opiate addiction. He claimed he was sober, but since we've split, I've heard many lies from him. Could he be using again, and does this addiction affect the mind?
Output: Studies have proven that addiction affects the brain, there are many coping skills that addicts use to enable their addiction as well.  I would recommend that you speak with someone abut your relationship and your concerns.  Not only so you can have more clarity in the situation but we often tend to gravitate around or toward the same types of individuals.  Being more aware of your relationship will help you in the future when re-engaging in personal relationships. "
"Instruct: My mother and I have an okay relationship. I know she loves me unconditionally, and I love her the same. However, more times than not, I'm afraid to tell her anything personal because she either doesn't listen, she turns it around and makes everything about her, or she ignores things - even when they are about my mental health.
Output: How can I get my mother to listen to me without her freaking out?Communication with our loved ones can be tricky, but it is the key to maintaining a healthy and functional relationship with them. At times, it seems difficult to communicate with our family because many feelings and “undercover” messages are attached. Especially with our mothers, who often provide advice and feel responsible for us, it may feel like they are making everything about themselves as they express their worries and concerns.So what to do? First will be important to practice active listening skills, to ensure that you are receiving and understanding the message, without filtering it trough your own emotions or preconceptions of the person who speaks.  Second, learn and practice assertive communication skills.  Those will help you to communicate a message clearly and in pieces.  It also emphasizes using I-statements to express how you feel at times when emotions become affected by the interaction.  Third, you should practice, by writing your I-statement or role playing with your counselor.   The trick with communication skills is that we need to practice them as often as possible until you to master them.  You can also contact a family therapist to improve those skills if it becomes challenging, or contact a mediator if more issues arise.¿Cómo puedo lograr que mi mamá me escuche sin alarmarse tanto?La comunicación con nuestros seres queridos puede ser dificultosa, pero es la clave para mantener relaciones saludables y funcionales con ellos.  A veces, nos parece aun más difícil comunicarnos con nuestra familia, porque hay muchos sentimientos y mensajes envueltos en la comunicación.  Especialmente nuestras  madres,  pueden hacer parecer que están convirtiendo el asunto en algo personal, cuando se sienten preocupadas y responsables por nosotros y nuestras acciones.¿Y qué hacemos?  Primero debemos aprender a escuchar activamente, para asegurarnos de que comprendemos el mensaje, y que no lo estemos filtrando a través de nuestras emociones e ideas de la otra persona. Segundo, aprende y practica comunicación asertiva.  Esto te ayudara a comunicar un mensaje claramente y en pedazos.  También te ayudar a aprender expresiones del Yo, para identificar sentimientos afectados durante la interacción.  Tercero, es importante que practiques estas destrezas, ya sea escribiendo o con tu consejero.  El secreto está en practicar las técnicas de comunicación cuantas veces sea posible, hasta que las uses espontáneamente.  Si tienes dificultad aprendiendo estas técnicas, o el conflicto con tu mama es uno muy difícil de resolver, puedes contactar un consejero o mediador familiar para que te asista."
"Instruct: I'm in my late 20s, and I've never had a boyfriend or even been on a date. I have no friends. I hate Facebook because everyone else has kids and a great husband and great paying jobs. I work in retail, and I can't find a job. I have an Associate degree. No one is not giving me a chance, and I'm getting upset and frustrated. I feel worthless and feel like everyone hates me. I feel like a failure, and I still live with my Dad. It's very embarrassing!
Output: In case knowing this helps you, there are many more people in similar circumstance as you than you may realize.Similar to you, they are not on FB for the reasons you list.  Plus, no one wants to go on FB and tell the world they don't have a fantastic life.  Everyone on FB is happy, even when they're miserable they're happy telling everyone about it.First, yes it is painful to see all around you what appears as joyful living.  Please keep in mind that the life you imagine these people have, is not necessarily the true life they are having.  I've been a therapist for a long time and have seen repeatedly how people who are married with kids by age 30, start having problems by their mid-thirties.Second, respect your unique identity.  For whatever reason, you have more sensitivity, possibly more depth, more complex standards and expectations, of yourself and others.As hard as it may sound or actually be, take time to hear your intuition and what it tells you, you need for your own growth and development.Feeling embarrassed can also be turned into a positive.  Consider it as motivation for the long term to develop new ways of reaching your goals.I hope this helps!"
"Instruct: I feel like my time is going too fast
Output: Thank you for reaching out! That is a great question! As an American, I can truly say that I spend way too much time on the go! It is a proven fact that Americans live in a fast paced environment compared to Europe! I often ask myself, what if I only had one day left on this Earth? What would I do? Well, that is an easy question. I would spend it with my family! Easier said than done when we are living in a tomorrow kind of World, right? Its hard to focus on the now when we are so consumed in what tomorrow shall bring.Time management is a very important factor when learning to ""live life to the fullest""! In fact, this is a required course in undergraduate college now. Everyone manages their time differently and it is up to you to decide how you would like to do this. Personally, for myself I like to keep a calendar with a to-do list. I always place my most important tasks at the top of the list. That way, if I do not get through the list, I am not stressing over the little things. When planning your day, it is important you schedule work, eat and play. A much as it is hard not to work after getting off work, it must be done. There is discipline involved in this process. If you have trouble with this, then maybe seeking out some accountability such as including a coworker to make sure you do not bring work home once your shift is over or your spouse/partner reminding you that this is a time for play and not work.These are just some ideas that I am throwing out there. Again, everyone has their own style on time management. I hope this was helpful for you. Please don't hesitate to reach out for anything further!"
"Instruct: I shake and have panic attacks.
Output: One way to understand panic attacks is as a sign of feeling insecure or lacking confidence in a certain area or characteristic of yourself.The insecurity can sometimes feel overwhelming and this starts the sense of panic. One way to build your sense of security within yourself is to have a simple life and a slow paced life.   When there are many activities or involvements to pay attention, then it is easy to not give full attention to all of them.  This may trigger a sense of insecurity since in fact you may not have had sufficient time to study and know your own opinion about all of what your life is immersed in.A simpler life of fewer activities allows more time to know and understand your own inner feelings and reactions.To know more about yourself may help build your confidence and security in your ability to know and live what goes on in your life!"
"Instruct: My mother and I have an okay relationship. I know she loves me unconditionally, and I love her the same. However, more times than not, I'm afraid to tell her anything personal because she either doesn't listen, she turns it around and makes everything about her, or she ignores things - even when they are about my mental health.
Output: Could you tell her ?  What would happen if you said ""Mom, I love you and I really want to share myself with you, but often I you get upset and I don't want that to happen. I really want to be able to talk to you.""  "
"Instruct: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them.
Output: Taking accountability for your actions and seeking help is an excellent first step. I wonder where the anger is coming from. Learning what is at
the root of it can shed some light on what the problem is and can provide some
relief in itself. I would also suggest doing some self-exploration and see a
therapist for individual sessions in order to gain a clearer insight as to what
the cause is. There are also several actions you can take on your own to help
control your anger and communicate more effectively. Here is what I would recommend
you try:
Take time outs: When you feel yourself becoming upset, excuse yourself and
take a time out to either think about the most appropriate course of
action or redirect your thoughts all together. Often when we become
angry, it is difficult to see the issue clearly, as our emotions get in
the way. 
Do deep breathing exercises: Close your eyes. Breathe in slowly to the
count of 4. Breathe out even slower to the count of 6. Practice this for about
5 minutes, 3 times a day and focus on nothing except your breathing during this
time. Once it becomes routine for you, it will be easier to apply during
situations in which you are angry or upset.
Change negative thought patterns: Try and recall or be aware of your
thoughts, particularly when you are feeling angry. What are these thoughts
telling you? Are they valid or logical? Is there factual evidence to support
the negative thoughts? Often the answer is ""no."" Learn to stop the
negative thoughts and replace them with logical and more positive
ones. 
Communicate effectively: As a speaker, you want to use ""I""
statements by telling the other person how you feel instead of blaming him/her
by using ""you"" statements. For example, you might say something such
as, ""I feel sad when you don't come home at a decent hour and I don't get
to spend time with you"" versus ""You always stay out late and don't
even care about me."" The speaker should also avoid using black and white
language such as always, never, etc. As the listener, you want to validate what
you hear so that the other person knows that you are listening. You will also want
to be responsive and offer fair solutions.
I wish you luck in using these tools and learning about where your anger comes
from."
"Instruct: My therapist is gay so there are no sexual issues here. However, my therapist for six years has made me believe that he cares about me and that we are friends. I have loaned money to him many times, and he always paid me back.
   I had a medical emergency last weekend and I was heavily medicated. I knew that this therapist came into my home and wrote down my credit card information so he could pay back what he owed me, but this therapist dropped me off and never came again. I don't know what to do.
Output: I'm sorry to hear that this has happened. Counselors are legally and ethically required to make sure that they always put the wellbeing of their clients above their own interests. In addition, counselor ethical rules, and the laws in just about every state, make it illegal for counselors to take advantage of a client financially. A counselor borrowing money from a client (even if the counselor pays it back) would usually be considered to be taking advantage of the client.There are a few options you have at this point if you can't (or don't want) to continue to try to contact him directly. You can file a complaint with your states' regulatory board and let them know what has happened.  An investigator will then look into the situation for you.  Another option would be for you to find a different counsleor who can provide you with an independent and netural point of view to help you figure out how you want to handle this situation."
"Instruct: Hello, I have a cousin in my family who has been making me feel belittled, insecure, and frustrated during her stay here in the city. I know she comes from a place of love, but she has always been short-fused and highly temperamental if something doesn't work out the way she planned it. I have tried my best to coordinate plans with her, but she always ends up frustrated about the lack of communication I seem to have on my part and then makes condescending comments about my character that include: inconsiderate, negative, oblivious, and self consumed.    I have tried to talk to her openly about this, but it always comes back as an attack on my character and I have never heard these comments from anyone else before. I have been thinking a lot about her comments and whether I truly am an inconsiderate person who is not thoughtful, spatially aware of surroundings/people, or positive, but in the end, I am feeling awfully hurt about how this has affected our relationship.    What can I do?
Output: Do you have a close friend or relative who's opinion you trust? Ask them for their honest feedback and if they see you like your cousin does. If they don’t see these qualities in you, then it may be your cousin’s issue and she’s taking it out on you. You can always ask her what would be the best way to communicate plans with her so you know, specifically, what she is expecting. Then if you meet these expectations and she still blames you and comments on how inconsiderate you are, it's her issue and she is not coming from a place of love.Even if you do resemble her comments, the way it sounds like she approaches this problem is not out of love. The fact that you're introspective enough to consider your own behavior suggests the problem is not with you."
"Instruct: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?
Output: First thing that you must realize is that most people only post the ""best parts"" of their lives on Facebook, some people even go so far as to make their lives seem better or more interesting and post mostly false views of their life. Facebook is watered down, candied version of our life, you put on there only what you want people to see. The questions you should ask is ""How have I grown from this?"", Is my marriage currently in a good place? I really wish there was some form of magic that could be performed to solve peoples issues and help them sort out their emotions and troubles, however there is not, the closest we can get is by using {time and insight} to heal our wounds."
"Instruct: My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.    Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?
Output: This is certainly an important issue to look into, It is always helpful to speak with the child's pediatrician since they are most familiar with the child's developmental history. Also, children tend to regress behaviorally when facing events and interactions they feel to have no control over, this can be as simple as a loss of a pet, a recent move, death in the family,  and/or as serious as sexual abuse, and other things. If you have not spoken to the school that can be a good starting point."
"Instruct: He goes out with her to dinner/brunch/movies when we are not together (we live 2 hours apart).
Output: Would you have the same desire to meet this friend if she were a he? If you are concerned that their friendship is a substitute for you when you aren't present, talk to him. It sounds like you are concerned that he is building an emotional intimacy with her and spending time doing the sort of things with her that you'd otherwise be doing with him. Help him understand why this bothers you but try to also be open to allowing him to make friends. Is the issue that he hasn't introduced you? Is there another reason you don't trust their friendship? "
"Instruct: Why am I so afraid of it? I don't understand.
Output: Why are you afraid of rape? Because it is a problem in the United States! The National Sexual Violence Resource Center reports that one in five women (0r 20%) will be raped (http://www.nsvrc.org/sites/default/files/publications_nsvrc_factsheet_media-packet_statistics-about-sexual-violence_0.pdf) and that 80% of women know their assailant. Given these statistics, it is perfectly logical to be afraid. However, there are things you can do to reduce the risk of rape, such as being aware of your surroundings, and limiting the use of drugs or alcohol.The Enhanced Access, Knowledge, Act program for college-aged women has been shown to reduce the risk of rape by more than 50%. (http://www.blueprintsprograms.com/factsheet/eaaa-enhanced-assess-acknowledge-act-sexual-assault-resistance-education) You may want to see if a program like this is available in your area. Another great app for when you need to walk somewhere alone, is the Companion App (http://www.companionapp.io). Friends or family can track your progress from one point to another via the GPS in your phone.In addition, talking with a counselor about your fears would also be a good idea. Sometimes fears are rational and reasonable. Sometimes they are over-reactions and unreasonable. When then are over-reactions and unreasonable, they can have a negative impact on your life. In this case, a counselor could help you understand why your fears are unreasonable, and how you can stop them from negatively impacting your life. "
"Instruct: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.
Output: I recommend that you make a list of all the reasons you should change your life and all of the reasons you shouldn't change your life. Can the problem you are in be fixed? Is there others you can lean on for support? Are there other people you know who have been through a similar experience and are willing to share their story with you? It is important to rely on your support network to help you get multiple points of view. If you believe you need additional help, I suggest seeing a professional."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: It is usually time to end counseling sessions when it is clear to both the client and the counselor that therapeutic goals have been reached and enough improvement has been made that the client can continue without that support. There are exceptions to this rule, but for the most part this is when counselors begin termination. For some clients, this is an easy process that marks the achievements they have made in working through their emotions and difficulties. For some other clients, however, this is a difficult process in which they are losing a valuable support and are understandably anxious about what life will be like without the frequent meetings. Ultimately, termination is different for everyone, and there are many ways that termination can be healthy and helpful."
"Instruct: 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?
Output: Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that you are not giving up, that you are working to figure this out, and make this work, it sounds like you are engaged and motivated to receive support from a professional, your continued  dedication and motivation will take you far. I would first start by asking if you have discussed this with your therapist, if you feel comfortable enough telling your therapist what is going on, maybe inform the therapist that  that you feel nervous and shaky. I am a firm believer in open communication between the client and therapist as this builds a healthy therapeutic relationship that yields positive outcomes, if this can be obtained and well received. This is YOUR time for healing and therapy should be a safe, supportive environment to not only process but to seek support and guidance from a professional who can help you move past the barriers. If you feel you are comfortable and able to speak to your therapist, that would be my first suggestion, is to tell he or she how you are feeling. If they know then they can help determine the potential cause and allow you to process and move forward. If this is left un resolved it will be hard for you to move forward. If you are not comfortable discussing this with your therapist, this may be something to take into consideration and worthy of thinking about: why you are not comfortable speaking to the therapist. I understand this is difficult. If I may offer one more suggestion, breathing exercises are very beneficial. Remind yourself what you are working to achieve, close your eyes in a safe moment and breathe in and out slowly, in slowly through your nose and out through your mouth with pursed lips. Breathe in for approximately 5-10 seconds, then let it out slowly. Be sure and do this when you are in private, and feel safe environment. When you begin, I suggest putting your hand on your stomach, over your belly button to feel yourself actually taking in those deep breaths. I know it may sound kind of silly but they really work and are incredibly helpful. We often forget to breathe, especially when we  are feeling anxious. You are supported here and try taking yourself through the above thought process and breathing and practice the breathing several times a day. I hope this shaky and uneasy feeling eases. Wishing you the very best!Laura Cassity, LMSW, LMAC"
"Instruct: Hello, I have a cousin in my family who has been making me feel belittled, insecure, and frustrated during her stay here in the city. I know she comes from a place of love, but she has always been short-fused and highly temperamental if something doesn't work out the way she planned it. I have tried my best to coordinate plans with her, but she always ends up frustrated about the lack of communication I seem to have on my part and then makes condescending comments about my character that include: inconsiderate, negative, oblivious, and self consumed.    I have tried to talk to her openly about this, but it always comes back as an attack on my character and I have never heard these comments from anyone else before. I have been thinking a lot about her comments and whether I truly am an inconsiderate person who is not thoughtful, spatially aware of surroundings/people, or positive, but in the end, I am feeling awfully hurt about how this has affected our relationship.    What can I do?
Output: It sounds like you are feeling pretty criticized by your cousin and at the same time you are wondering whether or not there is some truth in what she is saying. It also sounds like you would like to see if you can find a new way to relate to your cousin, so that your relationship can be more satisfying. If you can find a competent therapist to work with, there may be a great deal of opportunity to learn more about how you relate to people in the world and to learn strategies to show up in your relationship with your cousin in a way that feels right to you."
"Instruct: I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.
Output: Depending on your relationship with your parents, inviting them to have a conversation might be a good first step.  If they consent then you can have the opportunity to discuss your concerns with them.  Inviting someone to a conversation and getting their agreement is a great first step. I would then make sure your location of the discussion is conducive to the conversation and once all that is considered it might be beneficial that you make a list of your concerns prior to the meeting.  this can help keep you on point. "
"Instruct: 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?
Output: This is a great question! I personally don't believe that any client could ever have too many issues for counseling. In fact, that type of thinking may be stopping you from seeking counseling, so it may be hindering you from getting the help you need. In fact, all of what you described points to the importance of you seeking help in order to cope with the many challenges in your life. If you seek counseling, it will be important for you to understand that you may need to remain in counseling for a sustained period of time in order to work through each of these issues. All of these issues won't be able to be solved right away or in a brief period of time. Counseling will take commitment and hard work, but it is possible for you to recover and heal from all of the issues you described.Many clients come into counseling with numerous issues rather than just one particular thing. Most of the time, the issues relate to and exacerbate each other. We call these ""comorbid"" conditions, which means that two or more mental health problems exist at one time. A lot of the times, when you start to work on one issue, the other issues get better as a result.I encourage you to find a professional therapist that can help you learn how to cope with all of the mental health difficulties that you described. You deserve the help just as much as anyone else."
"Instruct: I blame my past relationship for it. I know it is bad to be this way. I want to get past it.
Output: We humans are social beings. We learn how to BE in relationship as children. The caregiving you received (or didn't receive) set the stage for how you show up in all your adult relationships. Insecurity in relationships often has much to do with feeling unheard or unseen, perhaps feeling like you don't matter. There are many ways to rewire these relational patterns, the first step of which is taking pause and noticing that you are feeling insecure - so congrats on that because clearly you are already there!  Next I'd suggest finding a relationship therapist to help you sort through your insecurities, either as a couple or individually."
"Instruct: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time.
Output: Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wanting to know what the rules are, and all you have to do is show her clearly where the lines are. I'll give you some tips.First, remind yourself that it's her job to learn what the rules are, and where her power is. Don't be so surprised when she wants it her way. If we go through our days being ready and prepared for these beautiful creatures to have minds of their own, we're less caught off guard when it happens. Avoid situations that invite power struggles. Any time you tell your daughter ""do this now"", you set up a power struggle. The good thing is that she's young enough you can pick her up; now is the time to teach her that mom's (or dad's) word means something. So, if you say ""let's get you dressed"", then be prepared to pick her up right away and show her that when you say something will happen, you can make it happen. And I'm talking about gently picking her up here...not roughly. Pick your battles; only give instructions when you have the power to make it happen.Give her choices, so she can see her power. Instead of opening her drawer and asking what she wants to wear, give her two choices. Here's an example...she's on the ipad and you say ipad time is over. She says ""no"". You can say ""ipad time is over. If you put it down, you can play later. If I have to take it away, you don't play it later."" The choice is hers. Then follow through.""When...then"" statements are really helpful. Your child asks for something. Instead of saying no, try ""as soon as the toys are picked up, we can have a snack"". You're simply a pleasant parent who wants the same thing they do...but they have to earn it. Staying calm yourself is the key, because then at least you will feel in control of yourself, which is the ultimate goal. Use self-talk to calm yourself. Remind yourself her behaviour is normal and healthy. Breathe through a moment in which you would have reacted, and it will be over by the time the breath is done. You can give yourself time to think before you make parenting decisions. Time is a useful tool not enough parents use. Good luck!"
"Instruct: She cried because she lost all trust in me. Now I feel disgusting and like my heart just got stabbed, what do I do?
Output: You felt bad when you lied, so you told the truth.  I imagine your mom was really shocked and upset - both of those things tell me you are a pretty honest person.  It's possible that your mom had a big reaction simply because she has learned that her child, from whom she always assumed honesty, was capable of being dishonest.  That's not awesome, but it's not the end of the world.  You made a mistake - you'll make more of those in your life, just try not to make the same ones over and over again.It sounds like you and your mom are close so I can see why it would feel so awful to have her distrust you.  Since you are a fundamentally honest person, the way back to being trusted is going to be simple, but may take a little time.  The ""recipe"" is easy - say what you are doing/going to do; do only that unless change is necessary, in which case you inform others involved, and repeat.  And cut yourself some slack.  Your mom will recover and so will you.  It's an important and painful lesson about integrity, but once learned it will serve you well."
"Instruct: I am currently suffering from erectile dysfunction and have tried Viagra, Cialis, etc. Nothing seemed to work. My girlfriend of 3 years is very sexually frustrated. I told her that it is okay for her to have sex with other men. Is that really okay?
Output: Hi, First and foremost, I want to acknowledge your efforts to gain (your) ideal erectile function. If the medications are not working and you have taken them as prescribed, I would encourage you to seek the help of a sex therapist as the dysfunction may be due to a psychological and/or relational issue rather than a physical/medical one. As for your question, only you can answer this. Is it OK? Are you OK with her sleeping with others? Have you thought through what this may look like, feel like, become for you and her? Opening up a relationship is a choice only the people in the relationship can answer. Even then, the answer may change at any point by either of you. I encourage you to also determine what the intention is underneath your telling your girlfriend she could sleep with others. Be clear with the intention and then together have continuous conversations about the expectations of opening up (i.e.: are there any kinds of sex that is off limits, areas of the body where touch or intimacy is not allowed, are uses of safer sex required or not, do you want to know the details or not, so forth). An excellent resource would be the book ""Opening Up"" by Tristan Taormino. I wish you the best of luck!Dr. Lily Zehner, MFT-C"
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: Thinking whether or not you have the right therapist can be overwhelming if you are not sure what you want or need. But think of this, you feel safe and comfortable that you share what you’ve never told anybody. You feel understood and listened to. You feel their support.  You trust them. Do you believe they can help you? If you do not, then that might make it hard for you to want to open up.As far as how would you how to train your therapist to help you. If you know what you need all you have to do is share this with your therapist.  If you don’t know then therapy is a collaborative process so both you and your therapist will work together to figure out your needs and how to best meet them."
"Instruct: 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?
Output: What you are experiencing is extremely normal. Opening up to someone you don't know from a can of paint can elicit some uncomfortable feelings and make you feel shaky. With time and building trust with your therapist, you will eventually start feeling less apprehensive before sessions. Consider bringing this up to your therapist as you both can process this experience together and figure out ways of coping with this anxiety before you come into the therapy room."
"Instruct: 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?
Output: 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!"
"Instruct: 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?
Output: Hi there, Thank you for your question. It's absolutely ok to feel nervous going to therapy. I have experienced anxiety going to see my own therapist. There can be a few reasons why you might feel this way. First, it is always unnerving to see a person who is a stranger and to share intimate things with that stranger. You mentioned it has only been a couple of sessions. Your anxiety might subside as you continue to see your therapist and grow more comfortable with him/her. Another reason why you might feel particularly nervous is perhaps you are not comfortable sharing things. As children, we might have bad experiences opening up to others. Someone might bully or ridicule us, and that experience can stay with us for a long time, making it extra scary to share our intimate feelings and thoughts with others. If this the case, as you continue with your sessions and have positive interactions with your therapists, this anxiety will subside with time and you will re-learn that it is safe to share. And the last thought why you might feel the shakes is perhaps you know that you need to talk about some past experiences or memories that are uncomfortable and difficult. Regardless of the reason, it might help you to bring up your nervousness in your session and share how you feel with your therapist. Having an open dialogue about your anxiety with your therapist can help you resolve some of that anxiety and built greater trust with your therapist. "
"Instruct: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.
Output: I agree with Sherry that in a close intimate relationship, you are entitled to ask questions about his relationship with significant others. These questions help couples to build connection and trust. It's based on the idea that if you reach out to him for whatever reason (support, openess, understanding, empathy), you can count on him and can expect him to be responsive. How he responds to your question will give you an idea whether he helps you to feel more emotionally secure and builds trust or if you feel that you cannot be open with him. If your partner responds in an open and understanding manner, it usually indicates that he cares about your feelings and values your importance. If he responds in a defensive manner, it could mean that he does not like that you are questioning your trust in him or that he has something to hide. Either way, you may wish to explain that building trust is something that is very important to you in a relationship and that talking to him openly helps to foster that. If he continues to be defensive or evasive, then there might be some bigger issues at stake and the two of you may benefit from couples counselling or having a discussion about the values that are important to you in the relationship and how the two of you will go about supporting those values with actions.Dr. Virginia Chowwww.PsychologyResource.ca"
"Instruct: I'm always listening to my husband, but it feels like he never listens to me.    How do I get my husband to listen to me instead of me listening to him all the time?
Output: Unfortunately you can't directly change another person's behavior. However, you can give him feedback on how his not listening impacts you. The best way to provide feedback is in 3 parts. The first part is telling him the emotion you are experiencing when he doesn't listen, such as hurt, sad, and unloved. I would stay away from feelings such as frustrated, angry and irritated and use a more vulnerable emotion. The second part is what he does specifically to make you feel that way, be specific! Example: when I get home and tell you about my day and you don't look away from the tv. Be objective as possible when you describe his behavior. And the last part is the most important, tell him what you want him to do, and again be specific! Example: I would rather you turn off the tv, give me eye contact and reassure me about my day. Here is an example with all 3 parts together: I feel hurt when you don't say anything to me when I tell you about my fight with my friend, I want you to hug me and tell me you understand how I feel. Hope that helps!!"
"Instruct: My spouse decided he no longer wanted me six years ago. Things have deteriorated so badly that we have separated but still live in the same house. He says he despises the sight of me, wants to be with other women, and divorce. What I don't understand is that he says constantly that I have no feelings for him and gets absurdly jealous if I speak to another male. Why does he constantly do these behaviors? I might add he has been diagnosed with borderline personality disorder and as a narcissist.
Output: It sounds like this is quite difficult.It sounds as if sometimes your spouse want you to be a part of his life (which could be a part of where the jealousy comes from) and sometimes he doesn't. Talking about this would likely be a delicate conversation and from what you mention he has been diagnosed with, I'm wondering if he has a therapist. If so, do you know whether he would allow you to come to one session so you can learn more about how he feels? Maybe he would be to use more of it because in the contained environment of an therapy office. This way at least you would know where he's coming from. You could also ask whether he is able to hear what you want, wish for, or desire between the two of you.Remember, just because you hear or follow what he is saying does not imply that you agree with him, although that concept in itself could be a subject of discussion because not everyone is aware of it.I hope that you are able to hold onto who you are and what you want throughout this."
"Instruct: I find that I imagine things sexually, and I hate it because it puts strain on my relationship. I feel helpless and guilty. I want it to go away, and I want to make my woman happy again.
Output: It is completely understandable that you would like to find a way to make these intrusive thoughts go away, however, your feeling that you can't control having these thoughts is accurate. It's also understandable that you would feel helpless and guilty, given that you see how these thoughts are effecting your relationship, though I would encourage you to go easy on yourself and remember that you aren't choosing to have these thoughts. I'm sure that if there was a switch to turn them off, you would flip it.There is no magic technique or pill that can guarantee these thoughts will go away, however, therapy may still have a lot to offer. In working with a competent therapist, you may be able to gain insight into where these thoughts are coming from and develop new ways of relating to them so that they do not leave you feeling as helpless and guilty and can be more present with your partner. Though there is no guarantee that the thoughts will go away, this may also be a result of work with a therapist. Either way, you may be able to find a way to deal with the thoughts and show up in your relationship in a way that will be satisfying to you and your partner. "
"Instruct: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. 

How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it.  I wonder if i should stop or if I should continue to do it since it makes me happy.  What should I do?
Output: Keep doing the crossdressing since you like it.Your problem sounds more a matter of timing and reason to tell the girl about it.Not keeping a secret is a good attitude regarding meaningful parts of your life.  Usually our relationship partner is someone whom we trust as a safe person to know all about us.Once you feel at ease with your potential partner then bring up your crossdressing.  Based on their handling of this intimate part of your life, you will know more as to whether or not you feel more or less drawn to them.Secrets held within a relationship usually get worse with time.   The person who feels unsafe in truly being and stating themselves eventually will end up feeling ashamed of parts of them which prior to the relationship, felt good or at least not worrisome."
"Instruct: I feel really uncomfortable when I have people's attention.  It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety?
Output: you can learn lots of skills/techniques to feel more confident in what you need to do that will decrease your anxious response for sure! :) And  you can also learn how to work with your personality that may not like the attention. You may find that ""talking"" to others through the internet is more comfortable and you are great at it, or that you love one on one talking but aren't really made for group talking. There is a place in this world for you either way! Public speaking skills can be practiced in speech class, or toastmaster group, they will give you practice in a safe environment where the cool kids or cutest boy aren't ready to laugh at you.  What topics are you interested in and what groups can you do a little speaking up? Maybe in your small group at church try and raise you hand to share your opinion, or maybe your Girl Scout troop? Look around for a peer and one adult who you like to hear speak out, ask them to share with you 2 things that help them feel comfortable speaking in public. Check out some Ted Talks and see how they share in groups. Social anxiety is a difficult concern and picking apart what is your awesome personality and what needs skill building and mindfulness/anxiety  help are important steps. Good luck!"
"Instruct: I have been dating my ex-boyfriend’s cousin for a few years. We have gotten pretty serious. He wants to cut it off because people are giving him a hard time that our kids will be related to my ex.
Output: Does your boyfriend agree with the other people's opinions or is the problem that he feels that doing what they want will be an easy way to stop hearing them say what he doesn't like hearing?Talk through whether he actually believes what the others are telling him or figures that complying will make them stop bothering him.Once the two of you understand what, if any, the differences are in the opinions you each have on the double relationship status, you'll be more clear whether the differences can be aligned somehow."
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for.  Is there anything I can do to feel reconnected?
Output: Absolutely. Your question shows that you are going through a lot of pain and I'm sorry for that. Many couples go through this disconnect and hope to come to reconnect before things get to a breaking point. What I think can help is the following: 1.) Understand what his primary concern is2.) Understand what your primary concern is3.) What would you like to see different?4.) What would he like to see different? 5.) Be honest about your concern with him having friends (Be ready for honesty)6.) Help him understand you feel alone without him feeling guilty.7.) Let him know how committed you are to making this relationship despite the two of you drifting apart.8.) Sometimes if you just acknowledge the elephant in the room.9.) Couples/Marriage Therapy"
"Instruct: I'm not suicidal and wouldn't take my own life, but sometimes, I've wished for an accident to occur and take it. I feel like I just shouldn't be here and wish I wouldn't have been born so I didn't have to go through life. For me, it's a chore, but I don't know if that's normal or a sign of something.
Output: Sounds like a sign of great unhappiness, or sadness, or insecurity.The real way you'll find out what this feeling is about is to ask yourself your own question.  Inside you are the only one who will feel when you discover the true answer to your question.Everyone feels some amount of discontent in their lives once in a while. Its normal to not feel entirely happy all the time.Try to accept your unhappiness as motivation to learn more about who you are, what you like, whom you like.Study yourself bc this way you increase the chance to find a road which feels right and happy."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: In my therapy practice the decision to end therapy is mutually made together with the patient.Otherwise, the person can end up with a sense of tremendous rejection and abandonment.The way you'll both know therapy is coming to a close is that the discussion will feel lighter and move easily.The person's mood will be better, they will smile more, sit in their seat in a more relaxed way, look more at ease, take better care of their appearance.One of the ways to end therapy is to gradually decrease the frequency of the sessions.Sometimes people who are in my practice start to come each three weeks, then monthly, then every three months.This gives a sense of security, friendliness, and casualness to the therapy, and de-medicalizes it as though the person was treated for a medical symptom and the symptom stops completely one day.Talk therapy is about life and life problems usually end gradually.I end my therapy in a way which mirrors the life process in which many interaction and situation problems show their effects gradually and show different effects over time."
"Instruct: I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair.
Output: It may be helpful to have this emotionally impactful conversation in the context of couples therapy.Whether or not you should get a divorce is not the first question that comes to mind for me, but more along the lines of do you want to be together and what kind of relationship do you want to create?For some people, polyamorous relationships (those involving more than two people) are acceptable. This does not work for everyone, but if each of you agree that that is okay, it may work for you and your husband. If it is something that you are both open to, it is often beneficial to have more than one discussion about the details of what is acceptable for each of you.If you want to be devoted only to each other, what does that lifestyle look like for each of you? What can you start or stop doing right now to move your relationship in that direction?Neither of you can make the other partner change. That does not mean you cannot talk about what each of your goals are together and support each other in working toward those goals you have for yourselves.Sometime having discussions like these is easier when there is a structure and/or someone in the room (like a therapist) who can help keep the conversation on topic and work on having each of you communicate in a way that expresses your wants, wishes, and desires in a way that is not blaming of your partner.If either of you wants a divorce, that could be part of the discussion. Divorce is not the only choice here, depending upon what each of you wants and is willing to accept, learn, and grow from as it relates to yourself and your partner."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: Finding the right therapist for you is very important and can sometimes be tricky. It can sometimes take a number of sessions to get a good sense of whether you and your therapist are the ""right fit.""  The first couple of sessions are generally spent on gathering information, formulating a plan of treatment, and building the client/therapist relationship. The client/therapist relationship will be very different from other relationships you have experienced.  You will know you have found the right therapist when you notice there is a good rapport between the two of you.  You will get a sense that the therapist ""gets you"" and understands the issues being presented. If you feel that you can trust your therapist and feel comfortable opening up and providing feedback during your sessions then you know it is a good fit. In terms of ""how to train your therapist how to give you what you need from treatment"" the therapeutic relationship is collaborative so the two of you will be working together as a team. During your sessions, the goal is for you to feel comfortable giving feedback about what is working and what is not working in your sessions. When you express your needs to your therapist then the two of you will discuss the best ways to get those needs met in order to maximize the effectiveness of your sessions."
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output: Ending an abusive relationship is often very difficult, especially if you were very close initially without the presence of abuse.  If the abuse included verbal or psychological condemnation, you will often have a negative self-image that you may ""know"" is not true but often feels very true. This negative self-image and fear of being abused again can activate protections in you that were needed at the time you were abused but now create a ""wall"" in your current relationship.  The fact that you were able to end the relationship and know that you made the right decision is a great acknowledgement that you have solid internal resources to draw upon in healing from the abuse.  Good for you!Nightmares and flashbacks are a strong sign of memories, including associated beliefs, emotions, and physical sensations, that have remained unprocessed and therefore unhealed.  There are likely reminders (called triggers) of the past abuse that are being activated in your current relationship that are allowing these unhealed memories to come to the surface and affect both your sleep and your waking experiences.  This is certainly not something you are purposefully doing but is the result of what happened to you.  However, you likely feel as if you are not in control.    The goal is protect your current relationship, evaluate your self-image for flaws in beliefs and feelings, and begin working on healing your memories of abuse. In many cases, my use of EMDR (Eye Movement Desensitization and Reprocessing) would be helpful in reducing the emotional strength of your abuse memories, reduce or eliminate triggers, bring healing, and allow you to enjoy being in the present with your current relationship.  I would recommend discussing with your current partner your harmful past experiences, your decision to pursue counseling, and your strong desire to be healthy for your current relationship.  With a good support network in place, healing is very possible."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: The right therapist is [a] man or woman with whom you see an immediate and continual improvement in your issue, up until the point when you no longer need them anymore.Think of them as a mechanic who should be able to fix your car relatively quickly; and, if he doesn't fix it, you fire him :)"
"Instruct: I've been going through a rough time lately. I been into nothing but women. I’ve never thought about men until a week ago. I’m very upset and depressed about this. It's not normal to me. I looked at gay porn more than once to prove that I’m not gay. I get the same results each time, and I feel disgust. This is tough on me. I'm scared that I looked too many times. I keep thinking about it and shake all the time.
Output: Hello. Coming to terms with the idea that you might be of a sexuality other than the one in which you were socially raised to be, can be emotionally disturbing, and quite unsettling. It creates anxiety, maybe even panic, and leaves us feeling confused and uncertain about our own sense of identity. It becomes important to first ask yourself how you feel when you are thinking of being intimate with guys, or if you desire them to be intimate with you. It is important to know what impact this has on you, because it can determine your level of follow through and desire in pursuing sexual activity with someone of the same sex. I am not going to pass judgment on you either way - even for having the thoughts. I have worked with the lesbian, gay, bisexual, transgender, queer (LGBTQ) community in various ways over the years. Many I speak to, say they had to struggle to come to terms with this awareness about how they see themselves sexually. Maybe you are bisexual, and don't have an exclusive attraction to the same sex. You might consider doing some searches online for community support groups in your area, to explore the feelings and issues around this topic. Talking to someone who you trust can be helpful too. Running from your feelings is not a good idea, and others in a support group for sexuality issues, might be able to relate to you and what you're going through right now. This will offer you perspective, as you think on how this plays out in your life.Counselors are typically well trained to provide clinical services to clients who are experiencing feelings and thoughts much like the ones you are having now. I encourage you to consider reaching out for help. You are not crazy or insane for thinking of working with a counselor, nor of having feelings of same sex attraction. If you decide you are indeed gay, then know that you are not alone and never will be alone in that feeling. There is a huge community of support for you. Additionally, we all need help sometimes dealing with all sort of issues. A counselor can work more in depth with you to examine the motivations behind the feelings, and help you come to terms with them more directly. I hope that you come to a place where you feel less alone and more secure with yourself as you examine this area of your life. No matter what, do not fear being yourself. Again...you are not alone, I promise.Warm regards,Shawn Berthel, M.S., LMHC"
"Instruct: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.
Output: Feeling rejected and frustrated is a reasonable reaction to your experience with your husband. I want to encourage you that his actions may have little to do with you, and regardless of outcomes, I hope you find the help you need to process through your pain and still have hope for your marriage.   If your husband was to work with me I'd explore with him his understanding of, and experience with, intimacy in relationship with others. Furthermore, like other male clients of mine, I'd challenge your husband to secure an updated full medical exam from his PCP (primary care physician) and/or urologist in order to identify or rule out any organic issues which may be causing his apparent lack of desire for sexual intimacy. If there are no physical issues, per se, I would encourage your husband to process further his family of origin story-line regarding rules, roles, sex, and sexuality along with working through his sexual and trauma histories."
"Instruct: 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?
Output: 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"
"Instruct: How does a person start the counseling process?
Output: Honestly, don't :(Talk with your close friends, first (y'know, the ones you actually can tell sh*t to, not the more surface level ones, god-bless-their-souls...Be with your family; should you have a fine relationship with them, tell them and utilize them; they gave you life and that bond (especially between a mother and son) is unbreakable.Go with your faith; as often as various faiths have been blasted and lambasted around the world, understand that they're ultimately trying to get you closer to God :) And, ain't that a big thing.Go with those around you FIRST that actually MIGHT GIVE A CR*P about you, FIRST, before going to a total stranger you've never met before, that is just as damaged, stupid, and imperfect as we all are."
"Instruct: I nanny a three year old. When he wakes up in the morning he calls out for someone to come get him. If I am the one to go get him out of bed he gets really upset and refuses to let me near him. He screams that he wants his mom or dad (they work from home).    The rest of the day he loves me. But not in the mornings.
   What can I do?
Output: It is very likely the child is upset by the fact that the parents have left, more than that he hates you in particular.The fact that by afternoon he is happy with you shows more likelihood that he reacts to the parents departure more than who you are."
"Instruct: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
Output: Biologically, fear is designed to protect us from harm. Fear is not always a bad thing, and in fact can be quite healthy and appropriate depending on the situation. A phobia, however, is different. You used the term ""fear"" rather than ""phobia"". A phobia is an irrational fear - meaning it is not rational for you to fear that thing. If your situation is a phobia, exposure therapy can help. This consists of gradually exposing yourself a little at a time to the thing you are afraid of. Some people with phobias find that the irrational fear interferes with their life and they do need to overcome it. Someone who is afraid to drive over bridges may go to great lengths to avoid routes that have bridges. People who are afraid of elevators may always use the stairs instead, which may not always be feasible. If overcoming a phobia will improve the quality of your life, then by all means, seek professional help to overcome it.Everyone has fears, or things that make them nervous. Public speaking, asking a person out, fear of failure. Examine what your fear is and try to determine the reason for the fear. When you can get to the root cause of the fear, you can deal with that issue. A lot of times, it is a self-esteem issue. You may be able to peel back the layers of the fear and find out what's causing it and deal with the real issue. Some fears are caused by trauma. Someone with PTSD is going to have an exaggerated fear response and will find themselves being kicked into ""fight or flight"" mode over things that someone without the trauma experience wouldn't notice or react to. In cases like this, exposure therapy would be the wrong approach and could actually make things worse. If there is a possibility that a past trauma is the cause of your fear, I strongly urge you to seek a therapist - not just any therapist, but one who is trained to work with trauma and abuse victims."
"Instruct: There is just no communication at all between us. She sleeps constantly all day (not at night). She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat.    She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health.
   I don't know how to communicate with her. She is not open to any suggestions. How do I get through to her?
Output: 1. She's an adult.2. She lives in your house? She follows your rules.3. What you're describing could be any number of things, but could potentially be a medical issue that needs attention. Thyroid issues, autoimmune diseases - there's a ton of medical possibilities for her symptoms. I'm not a doctor; this is a forum of therapists.4. I recommend the book ""Codependent No More"" which may help you navigate your rocky relationship with your adult daughter. You may be inadvertently making things worse by ""helping"" her which can instead enable her to continue her behaviors. Another book you may find helpful is ""Boundaries: Where you end and I begin"". You cannot control another person, especially an adult. The only person you can control is yourself. Tough love is sometimes needed, and she is an adult - treat her like one. Maybe then she'll act like one. If we were having this conversation in person, you would interrupt me at this point with a ""but..."" and then explain all the reasons why you can't tell her to move out, get a job, get up and cook or clean the house, etc. I already know that you have a myriad of excuses for things being the way they are. Yes, I said excuses instead of reasons, because that's what they are. You may feel stuck and like you have to take care of her, but you have choices - you just may not like them. I know that when children are small, parents' lives are focused around them (some more than others) and decisions are made around what is best for your child. But you said your daughter is an adult. The relationship dynamics must change if the relationship is to be a healthy one. I know how difficult it is to watch your child make life choices that you wouldn't want for them, no matter what that choice may be. As a parent, we want to force them to do what we think is ""the right thing"" but trying to do that only results in frustrations for everyone involved. Whether the issue is a hair color, a tattoo, a lifestyle choice, a job, or choosing not to work or take care of their health, or doing drugs, or drinking - the choice is theirs and theirs alone and so are the consequences of those choices."
"Instruct: My ex-boyfriend boyfriend and I lived together. He had a two year affair with a girl and had three pregnancies with her. One was an abortion, another was a miscarriage, and then she had the third baby. They are not together, but he continues to contact me and wants me back. He has nothing to offer me.
Output: Hi Attica,This is a question I think a lot of people deal with...they feel confusion about why they can't forget about or get over (or stop connecting with) someone who they absolutely know isn't good for them. In your case, part of the problem is that he keeps trying to get back in touch with you. For some people, honestly, it's a game... to see how much power they have over you or it's their need to control you. If you don't want contact from this person, it's really important to give him clear messages about boundaries (""Don't contact me again""), and then ignore all of their communications. Any interactions or responses from you at all will feed their behaviour. Remind yourself why you don't want to be with them. I hear you doing that already when you say ""he has nothing to offer me"". That's great self-talk.But let's get back to the question of why we have a hard time letting go of people like this. Sometimes it's because we still hope they will change. Maybe we remember who they used to be or how they used to treat us, and we think it can go back to the way it felt in those ""good old days"". The problem there is that, over the first few years, as intimacy grows, people tend to show more of who they are, not less. So what they're eventually showing you is who they are and what they're capable of. People do change and grow, but it won't happen at your pace. Accept that person for who they are and stop expecting them to change. Another reason we can't let go is because we picture our ex with someone new in the future and we wonder if they will be a better person for the next partner in their life. This is a normal... but not a healthy... thought. It's as though we want them to stay, maybe apologize, and heal our hurts; maybe make up for past mistakes. You deserve that healing, you deserve better than you got, you deserve apologies, but to expect that from the person who hurt you and hasn't demonstrated that compassion as yet is probably foolhardy. It is my belief that underlying some of the above scenarios is the deep belief that we must somehow be responsible for the hurts our exes have caused. If you blame yourself in any way for someone's poor treatment of you, you will be dancing around trying to do things differently so that they can treat you better. It will be impossible to let go, because you blame yourself for their behaviours.Draw a line. Their behaviours are about them, not you, and the only solution is to challenge and reduce thoughts of them, and create physical and emotional distance. These things plus time will help the events of the past fade from importance. "
"Instruct: I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.
Output: Understandably the idea of someone who tries to control you, is good reason to feel sad.Your feelings sound like they are very strong and meaningful in your life.Keep in mind that your feelings about others has more to do with one's own self-view than with what the other person is actually doing.Unless the people in your family are actually interrupting and impeding your life in practical ways or by intimidation or other verbal ways to inhibit you, then there is a great chance your feelings of being controlled by other family members has more to do with your fears to be who you are than with any family members' actions."
"Instruct: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
Output: This answer could be very different depending on the fear, the degree of it, and what it connects to.I wonder the following:On a scale of 1 to 10, how upset, anxious, or scared to you get when you think about overcoming this? If it's more than a 5/10, I would definitely recommend talking with a therapist in your area.A lot of fears that we have come from something that at one time was self-protective and important. Do you know where your fear started? If you think it is still protecting you or helping you in some way, talk with someone (like a therapist) about it.If it is something that you know is irrational (for example, fear of being hurt by static cling from winter clothing), is there some part of that that you are not afraid of?I really encourage you to consider whether your fear has a lot of emotions connected to it or if it ties from something in your past that was very emotional for you at the time. If it does, consider working with a therapist to establish emotional safety before taking away the fear or anxiety that may actually be helpful to you.Also, the fact that you notice that you are afraid of something and you don't want to be afraid of it anymore is a big step in the forward direction."
"Instruct: My spouse visited the red light district a couple of years back in Amsterdam. After he got back from the trip he got me tested for stds. In the aftermath he has provided multiple versions of what happened, from having a total blackout to being touched by a prostitute. How do I know if he had sex?
Output: It sounds like you've been living with this uncertainty for those couple years since this happened.  The reality is you won't ever ""know"" - mostly because of the various versions your husband has provided you.  Infidelity, though painful, does not have to kill a marriage.  Secrecy and dishonesty certainly will though.   I encourage you and your husband to seek therapy together with someone who specializes in couples work.  The longer you wait to do so, the more damage is done to whatever connection you have and the greater the distrust will become. Please get qualified help, for your and your husband's sake."
"Instruct: I have anger issues that have worsened over the years because I’ve never dealt with my emotions. My anger has never been expressed physically until the past year. My girlfriend has had to endure these episodes. I love her, and I think I’m about to lose her, if I already haven’t. I throw things at her when I’m angry, and sometimes I hit her. I may not hit her enough to cause harm, but I still physically lash out at her. I don’t want to lose her, and I don’t want the situation to worsen. I am a lesbian in my early 30s, and I have been dealing with anger since my childhood. I'm ready to change. I need help now. I'm about to explode.
Output: Good for you for recognizing that a change has to be made quickly. Regardless of whether or not your girlfriend leaves your relationship, taking control of your anger needs to happen sooner than later. If left unresolved, it will follow you into any relationship you have. Have you talked to a therapist? I would suggest you take that step first. A therapist will help you explore the source of your anger and teach you new, adaptive ways of dealing with your anger. Until you're able to get some professional help, I would advise that you start recognizing when your emotions are becoming escalated and take a time out before the anger turns into aggression. If you feel yourself becoming heated, excuse yourself from the situation, go to a quiet place or on a walk, and practice some deep breathing. Clear your mind of the problem and focus only on your breathing as you inhale slowly counting to four and exhale slowly counting to six. Don't get discouraged if it doesn't work right away. Deep breathing takes practice! Return to the situation or your girlfriend only once you have calmed down and are confident that you are not going to hurt anyone. You might also want to ask your girlfriend to remind you to take a break when she recognizes that your emotions are escalating. Know that with help and support, especially from a therapist, the issues you have can be resolved and new ways of coping can be learned. Good luck!"
"Instruct: I tried telling my husband I was depressed, and he ignored me. He said ""you're always sad or depressed."" And he picked up his phone and ignored me. I said, ""Please don't exaggerate, that isn't true."" And he said, ""Whatever babe. You just want to be sad.""
   How can I get through to him so he will take me seriously?
Output: This is so hard. It is hard for someone to understand what depression is without having experienced it themselves. Unfortunately people without depression sometimes mistake it as feeling sorry for ourselves or just moping around, which is not what depression is at all. Sometimes I think that it is easier for family members to see it as a choice than to admit that someone they love is hurting and they dont know what to do. If  he is willing, I wonder if there may be a depression support group in your area such as NAMI or DBSA where he could hear from from others living with depression and their families. If not, I wonder if you all might watch a documentary together such as No Kidding Me Too or Call me Crazy. If not that, ive sometimes encouraged folk to just leave some information on depression and how family can help like a pamphlet or handout on a table or around the house. We tend to get curious and read things we find on the table. Wishing you the best!"
"Instruct: I have this weird fetish that I'm afraid to open up about it. What should I do?
Output: This is difficult to answer because you don’t tell us what the fetish is.  I do understand that this is something that is bothering you though. The first thing to ask yourself is if this is something that is illegal or not.  If this is illegal to engage in, then you need to seek counseling help immediately to control the urges.However, if your fetish is not something illegal and you just feel that it is something odd, a therapist could still help you deal with these feelings.  You may find that it is something very common and not something to be ashamed of.  You may find other people have the same interest as you.  Find a therapist that you can trust and tell them.  Don’t hold back with your therapist.  Trust me, they have heard and seen it all by now, and they can help you either stop the behavior that is causing you distress, or help you come to terms with accepting the behavior as part of who you are.  There is no need to suffer with this alone. "
"Instruct: 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.
Output: Hello! Thank you for your question. I have a worked with many people who have become addicted to benzodiazepines, like Clonazepam. It is a difficult road for people who are trying to become clean. It is also a very difficult road for those who love the person and are trying to be supportive. During those times, it is important to remember to take care of yourself, too. As for taking your friend's pills, my concern would be the legal ramifications that you could face should you ever be caught with someone else's prescription medication, and especially these types of medications. Our laws have become much more strict surrounding prescription drug sales and possession due to the increase in prescription drug abuse. In addition, people who are in active addiction are likely to find some other means to get their drug, so it would do little to help the overall problem. I don't know about your friend's family situation, but they may be a better route to take if you are concerned about your friend. They may already be involved, but with your help you may be able to convince your friend to go to treatment willingly. That is usually better. In many states, there are also involuntary committal processes where a person's family may be able to convince a court to force the person into treatment. This varies from state to state. If your friend's family is not aware of this option, it may be something to look into. It usually does take a relative, or a medical provider, to begin this process if it is available. I hope this was helpful, and I wish you and your friend well. Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is. 

Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?
Output: Good for you to know your daughter's friendship circles and to notice when these have changed.While friendships are key relationships, they are not the only indicator of someone not developing normally.Is your observation and opinion that your daughter isn't normal based on other factors or just this one?If this is the only factor then start with reflecting on what circumstances may be influencing your daughter to socialize with younger kids.Has she ben ostracized or bullied by her peers and may be retreating to avoid further emotional hurt?Is she keeping up with her school work?Sometimes kids who feel overwhelmed by schoolwork will regress into conditions in which they feel more success and control.Are there family circumstances such as the death of someone with whom your daughter felt close?  Or, is there a new younger sibling in the family or a younger sibling who due to their own circumstance receives more attention than your daughter may wish for herself.Once you've reflected on which areas may be affecting your daughter, gently ask her some questions about her comfort with what you theorize may be the source of the problem.Its also possible that offering her your extra time and interest may increase her sense of self so that she feels secure enough to increase her social time with her age group."
"Instruct: I get very nervous and anxious/scared before sex.
Output: Tell your partner about this so that ideally the person has a chance to be supportive and reassuring, as well as listen to your specific worries and fears.Initiate this type of discussion at a time which is removed from the time you’re about to have sex.This way you and your partner both have a chance to realize the two of you are having a discussion,  not a prelude to sex.If you meant in your question that you feel anxious about having sex w a random partner, then maybe you are less interested in hookup sex than you imagined."
"Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone.

My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?
Output: Hello. Even though legally you are an adult, it is a matter of courtesy to respect the homes of your parents. As long as you live there, you should be considerate of their needs. At the same time, there should be conversation about what each of you considers appropriate as it pertains to communication between a parent and an adult (even though you are still her offspring). This will require openness, honesty, and a willingness to give from both sides in a respectful way. Healthy boundaries can be established and honored when each is willing to do their part in this new relationship. Your mother knows you are an adult, but has not had as many years of treating you like one. So mentally and emotionally this will take some time for her to adapt. Share your concerns with her, and see if you can come up with a set of rules that you both can honor. It will be a great stepping stone for both of you as you move into this new chapter together as you begin relating a little differently.Reach out for help to a counselor if needed. You don't have to sort this out on your own. And lastly, take good care of yourself in the process. You are moving through some exciting times in your life. The more you can have support as you explore new events, the better you might feel less stressed.Warm regards."
"Instruct: I don't know how to have emotions. I never had any from my birth. Being human, I think of myself as a monster. I enjoy pain. I cut myself for my climax during sex. I think most of the time, I lie, even when sometimes it would have been easy just to tell the truth. I was in rehabilitation for four year. I have made love with both men and women, but it made no impact in my emotions. The books that I enjoy reading H.P. Lovecraft and Edgar Allen Poe. I go hunting every Saturday. I feel powerful. I don't enjoy the killing of the creature, but the hunt of it and to eat and drink the flesh and blood of the creature.
Output: I'm not sure that you don't feel emotion or that you are frightened of the depth of your emotions. From what you write, the context of your growing up years had people telling you to not feel.  Little kids and babies don't remember whether or not they had emotions since birth.  This is information someone told you or was part of your family system.Possibly your family was afraid of their emotions or of you knowing yours.Similarly, your comparison of being human means being monster like, is not an obvious connection.  Besides, monsters are an idea, they aren't real.  They embody what someone considers the worst qualities of themselves or the human species.  Again, I wonder whether you've taken on stories you heard growing up about how unacceptable and bad you are.A way to start learning your emotions is to start in simple, basic ways to ask yourself what you are feeling in the situations that you believe emotions would belong.If on the first bright sunny and warm day of the year, you remind yourself to notice what you're feeling in response to this, you'll be taking one step toward awareness of your emotions.If someone buys you a birthday present, be aware of how you feel.  Keep adding awareness to situations and see if this builds an ease with feeling emotions."
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: Wow that is tough. There is nothing worse than fearing abandonment when you are already struggling with depression. It sounds like you are still wanting to work through whatever challenges you and your husband are having but your husband may not be on the same page. I would encourage you and your husband to seek professional support if you haven't already. While depression can put real strains on a relationship, relationship problems can lead to or contribute to depression and there may be some real benefits to both of you in doing some couple therapy. With that being said - if your husband is not willing to do therapy or is clear that he wants the relationship to end, then I can't see what choice you have but to ""respect his decision"" as you mentioned. This doesn't mean that you have to feel okay with the decision - as I'm sure you wouldn't - but ultimately loving one another and staying in committed relationships is a choice that we each have to make. If he is wanting to leave - this could make things a lot tougher for you. I would encourage you to seek professional support for yourself and reach out to lots of friends and family. You do not need to face depression alone - nor should you have to. We all need support at tough times like these."
"Instruct: My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?
Output: Yes, screaming and cussing at your child is considered abuse.Here are two points I suggest you consider for your situation.If your dad is ever calm when you and him are with one another,  ask for some time to talk about your relationship with him.Schedule it for sometime in the near future from your request.   This way he has time to consider his points of view on his relationship to you.  Even if he does no thinking about your relationship at all, he will not feel pressured by the surprise of suddenly being expected to talk about a topic he may prefer to prepare himself.My second point to you is to keep steady in your own views of who you are.  When a parent demeans and mistreats a child, the child is affected in a negative way.  Concentrate on loving yourself and keeping people in your friendship circle who care about you."
"Instruct: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.
Output: Unfortunately, ptsd is not something that can be cured.  Ptsd can be managed through therapy.  Mindfulness can assist in redirecting thoughts and gaining further control over paranoia. Therapy is confidential and there are different ways you can obtain treatment.  Mental health professional have availability to provide therapy online,  on the phone or in person. "
"Instruct: I recently lost a friend to suicide.  I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: Suicide is a very traumatic loss and affects survivors significantly. Everyone deals with their grief in different ways. One way I recommend to deal with the loss of a loved one is to write letters to them. Some people like to keep the letters in a jar, maybe fill the jar with sand so the letters are buried. I recommend writing the letters as often as you need to. You will notice over time the need to write the letters will decrease and the intense feelings of loss will decrease. I also recommend finding a survivors support group in your area. You can find more information on www.afsp.org."
"Instruct: We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?
Output: Hello. You are asking a very good question about how to sustain a long-distance relationship. Although maintaining a long-distance relationship has its challenges, with the proper communication, commitment, and understanding, many long-distance couples are able to thrive and maintain a close connection. Without knowing more about the ""complicated"" nature of your relationship, I wonder whether your boyfriend has given you reason not to trust him that makes afraid that he will find someone else. Has he cheated on you in the past and has shown romantic interest to another person that made you fear losing him?  Or, is your thought just a fear but not based on evidence? Knowing that distinction is important because if it is the latter, you may benefit from refocusing on the wonderful qualities about your partner that makes you feel good about him and the relationship rather than focusing on the unknown or uncertainty of the future. The more you focus on ""what if"" situations, the more you may feel anxious about a reality that is not accurate and make you act in ways that are insecure. However, if there is reason for you to question his fidelity, you may have to speak to your boyfriend about how to build trust in the context of a long-distance relationship. To help the conversation, you may need to consider what you may need to experience or receive as support to feel safe in the relationship to build trust. Is that you wish him to contact you regularly, or to include you more in his life, or to make a clear commitment? For many of my clients in my private practice, that may include talking to their partner often and using a variety of modalities including text, phone, and Skype. It's hard to believe in a relationship when you never talk to your partner, and it's hard to build a relationship when you don't know what's going on in your partner's life. Other times, it is Making sure they talk often to their long-distance partner so that they can participate in each others lives and to feel their presence.. Regular communication, understanding and caring is the key to sustaining any relationship, but this is especially true for long-distance ones. Dr. Virginia Chowwww.PsychologyResource.ca"
"Instruct: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven.  When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety.  Am I crazy? I don't think these thoughts are normal.
Output: Hi California, What you're experiencing is indeed anxiety; it's very common. Through research we know a lot of things about how to reduce anxiety. I'll get you started and it's a great idea to connect with a therapist who can build on these ideas and get to know you well.It's natural to have random thoughts that unsettle us. Our brains are complex, wonderful things. Fearful and anxious thoughts are a part of this picture; their purpose is to prepare us for the future and to help us make sense of the past and learn from it. But what happens sometimes is that our alarm systems get out of whack and get set off too easily. We often spend TOO MUCH time worrying about things that happened or might happen. When these thoughts take away from our enjoyment of life, it becomes a problem. So, while fear and anxiety try to protect us, they also seek power and will take any power they can get.In general, fear and anxiety try to tell us one or both of two things: that something is wrong with us, or that something bad will happen (or that something bad will happen because there's something wrong with us). They will use anything they can as evidence to convince you. For example... ""That person looked at you funny. You're strange looking"". Well there are dozens of possible explanations for the look on that person's face, and it's unlikely it had anything to do with you. For you personally, your thoughts are about the afterlife...about living forever. What does fear tell you will be uncomfortable about living forever? What would the worst part be? A therapist would help you dig deep to find the core of what you fear. It might be that you have no control over who you are or where you go. It might be that you fear going to hell because you're ""bad"". Search for that deepest fear.I invite you then to picture that thought as a glass of water on a shelf. It's a heavy glass, and if you held it in your hands for a while and stared at it, it would get in the way; you'd be uncomfortable and unable to focus on your life. That's what's happening now. I suggest that the problem is not so much the thought you're having; we all have random silly thoughts that usually aren't true. The problem is how long you're holding it in your hand. You could have that thought (pick up that glass) a hundred times a day and, as long as you put it right back on the shelf, it's not a problem. The trick is to get it back on that shelf.Right now, you're using distraction to do this. You're trying to focus on other things around you, but I think the glass is still in your hand. It's not enough; you're looking for more tools to get that glass back on the shelf.  And the key is in your thoughts. Once you find out what fear is trying to tell you, then you can ""talk back to"" fear. So, as an example, if fear is saying to you ""you have no control over anything"", then you can work to accept the pieces you don't have control over, learn to tolerate that feeling, and claim back the pieces you CAN control. You CAN control the extent to which you let fear take you over. With a therapist you can learn to ""refute"" fears' ideas. You can learn to look for concrete evidence of fear's lies and gain back control over your thoughts. I wish you the best!"
"Instruct: I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal.
Output: As far as the formal diagnosis of depression goes, it would be hard to determine without more information. It sounds like you are noticing that there is a significant difference between how you are feeling on the inside and how you express yourself outwardly. Part of you is quite distressed and yet it remains invisible to the outside world, almost as if it is trapped inside of your body. Many people who are depressed experience such things as intrusive thoughts, emotional numbness, difficulty expressing themselves, and bodily tension (caged animal?). In working with a competent therapist, you may be able to get more insight into what you are going through, the nature of the disconnect between you inner feelings and outer expression, and eventually gain relief from the distress as well as a greater sense of connection with yourself and personal freedom."
"Instruct: I'm a 40 year old male and having erection problems. Still have the desire for a woman. Awfully frustrated. Any suggestions? My Doc doesn't want to discuss it.
Output: Hi there, first off I have to commend you for reaching out. It takes a lot for a man to reach out for help when it comes to erection problems. Believe it or not, this problem is very common for men and women. There are some things that you can try naturally, before resulting in medication, such as your eating habits and exercise. I would suggest taking a look at what you are consuming throughout the day. Do you consume a healthy diet and do you exercise regularly? How much caffeine and sugar do you intake daily? These are just a few common things to look at. You would be surprised of how much pressure what we consume puts on our bodies. Our bodies are like a car. You have to maintenance it, in order for it to continue to run. If you would like to get further natural advice and/or suggestions on eating healthy and exercising, I would recommend you see a nutritionist. A nutritionist specializes in maintaining a healthy diet. As far as your Doctor, I would recommend looking into getting another Doctor. I have never heard of a medical professional not wanting to talk about anything. That appears to be a personal issue on their part. I hope I was helpful and I wish you the best of luck!"
"Instruct: What makes a healthy marriage last?
Output: A resource I think is helpful to learn more about ""what makes a good marriage"" and steps toward doing so is Dr. John Gottman's book: ""Seven Principles for Making Marriage Work."" Dr. Gottman is a leader in this field and has done extensive studies with couples to determine what behaviors are key in making a marriage work and what behaviors could predict divorce. I think this book might be a good start if you're wanting to learn more about how to have a long lasting relationship."
"Instruct: I have PTSD from childhood events and other traumas as an adult. I have panic attacks, nightmares, anger, and at times depression. I feel like I'm always on the edge or just apathetic. Can I fix this by myself?
Output: When it comes to trauma, especially in the event that it has caused you to develop PTSD, there can be a lot of difficulty in attempting to resolve these issues on your own simply because of how strong your urge to avoid it whenever thoughts of the traumatic experience come up. PTSD is best treated with the help of a mental health professional and if using the Cognitive Processing Approach can be treated in as few as 17 weeks. As for your other concerns, many of these can be treated independently if you have the motivation to manage your way through. Panic attacks and depression, specifically, often respond well to self-help treatment manuals. The Centre for Clinical Interventions is a great online resource for workbooks to help you learn to manage the depression and panic attacks. Whether you decide to work through these concerns on your own or in professional therapy, just know that your panic attacks must be managed prior to addressing your trauma. Hope this is helpful and if you have any other questions don't hesitate to ask."
"Instruct: My fiancé and I broke up. He cheated on me numerous times. I kept forgiving but questioning his every move. He got tired and left.
Output: There is a grieving process after losing a relationship (or any other major loss, such as a job, a house, etc.). One of the things to consider is give yourself a chance to go through the tasks of mourning:To accept the reality of the lossTo process the pain of griefTo adjust to a world without the person who has just leftTo find an enduring connection with that person in the midst of embarking on a new life. This could mean a lot of things, but it could be holding certain memories as your own.You may also find things that make you feel happy or comfortable. It's also helpful to have people who you can talk to about your feelings and people who may be able to recognize things about you that you cannot see right now (such as how you are honest, committed to your work, a good listener, etc.).This takes some time. Try to be gentle with yourself."
"Instruct: He's been losing feelings and he doesn't know why. I love him very very much. He sometimes thinks I'm obsessed when I'm not at all. I give him his space and I make sure he's okay but  sometimes I think if me and him saw each other more it would be better?
I truly want me and him to get better, it's kind of hard not to stress about it, because the love of my life is losing feelings which is a sad feeling. He's a great guy! I just don't know why he's been losing feelings towards me. He's starting to put less effort in talking to me.
At this point I'll do anything to just make us better as a couple. I tried talking to him but he doesn't like talking about it much. Advice on what to do?
Output: I'm willing to bet that this isn't what you are hoping to hear, but I'd suggest giving him space. Ooph, that's a tough one, right?! I know. But here's the thing, when you keep trying to process and talk it out with him you keep pushing him away. He needs to feel like a solid and whole person (as you do too) to be able to be fully in your relationship. It's the work of being in relationship to learn this. I get that this is tough stuff. I wonder, outside of being with him, how do you soothe and calm yourself? That's the stuff for you to tune into and focus on right now."
"Instruct: I'm in my mid-twenties now, and my boyfriend of seven years and I want to start a life. My mother is 100% codependent on me and is extremely manipulative. She suffers from type 1 diabetes, which she uses to guilt me if I ever leave her. The problem is that I will feel guilty.
Output: Focus more on your own life and less on the very heavy descriptors you wrote to describe your mom.All the words you wrote represent psychological conditions which are either lifelong or take a lot of motivation and effort to change.Since the only person who can change how your mom handles her life, is your mom, and you are the only one who can do the same for yourself, devote more energy and time to living your own life fully, despite the emotions you feel regarding her."
"Instruct: My husband and I got into a huge dispute. He said he wanted a divorce, and I left. I still come home a lot and see my kids, and he has not filed yet even though he still said he is. What does that mean for our marriage?
Output: In any relationship, including marriage, each partner will be better able to do their part, by understanding their own interests and wishes.Concentrate more on what you'd like from your marriage.  This will naturally raise the questions and criteria of what to talk with your husband about and what to ask of him.Think over whether you wish to divorce or not.Since he hasn't taken any action, then for the moment, you can assume he is not sure of what he wants.Once you feel a little more clear on your opinion about your marriage, including feeling uncertain if you'd like it to end or continue, then you will be able to tell your husband the suggestions you have for resolving the dispute matter and emotions.Try to re-direct your speculations about, ""what does he want"", ""I wonder what he's thinking"", back to answering these very reasonable questions, about yourself.This will strengthen your own purpose in clarifying where to start and guide a discussion with him.Good luck!"
"Instruct: How does a person start the counseling process?
Output: Hi! Great question! My suggestion would be to google therapists in your area.  One great website is called Psychology Today, which is a National site.  You can search for therapists in your zip code and search more specifically for the issue you are seeking support about.  It's a great way to find out if they therapist has a speciality, accepts insurance and whether they offer a free phone consultation. I would then make a list of the ones that may be a good fit and then give them a call!  :)  Hope this helps. Remember you get to ask anything you need to, to determine if someone is a good fit.  Don't be afraid to ask anything!  :)  Best of luck!"
"Instruct: Does counseling really do anything that can help people?
Output: Hi!  Great question.  I believe counseling does help people! Of course, I am a therapist, so I would think that! :)  Seriously - I think therapy and counseling allow us to understand ourselves, our motivations and the things that bring us happiness and discontent.  Therapy can create opportunities to try new skills and enhance positive attributes that are already present in someone.  I like to think of therapy as an unbiased ""aerial view"" of our lives. Someone outside can often help us notice things we might otherwise miss. Hope this helps! "
"Instruct: 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?
Output: 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!"
"Instruct: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?
Output: This is not totally unusual behavior, but the fact that you would like to stop and cannot seem to be able to points to something deeper. That cannot be unpacked online, but I'm glad that you're in this space and asking this question. Try to find a therapist who seems like a good fit and begin to get to work on this issue and what all is going on for you. You're not alone!"
"Instruct: I feel so alone. I have so many people around me, but it seems as they just listen and dont understand.  They say it will all be okay, or they don't listen to me st all.  Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?
Output: Hello there.  Thank you for sharing your heart here.  I want to start off by saying, in kind of an ironic way, your struggle is something many people go through, I might say quite often.  Many feel alone with one another quite frequently.  THe reasons for feeling alone vary much between person to person.  In reading how you presented things, I will just respond from how this strikes me.  Sometimes feeling alone might be the result of not completing the second half of the equation; meaning that although people ""listen"" it wont necessarily equate the elimination of being alone. Instead, its when you follow up by inquiring and listening to others that you  may discover they feel and think and struggle just like you do. And as a result, you discover you really were never alone; when people discover common struggle and feelings, we are connected.  Second, we as humans are sometimes feeling alone because we may be lacking some self-acceptance.  Not fully accepting myself or situation , can be in the way of feeling the presence of others or the hearing the voice of others too. Or in other words, not bein 'ok' with myself makes it difficult being with others.  Third; feeling alone may be us not clear on what we are really needing from another person?   These are just some thoughts to consider.  Aloneness feels so real; and yet it has much to do with our perspective and view of things...  we are all alone in a crowded world until we speak and listen more closely.Kindly-keith hughes M.A.  keithcounseling.com "
"Instruct: I've hit my head on walls and floors ever since I was young.  I sometimes still do it but I don't exactly know why, 

I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it. 

How can I help myself to change my behavior?
Output: The best way to handle anxiety of this level 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 anxiety.  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. You will learn to recognize when and why you perform the behavior of hitting your head, help you deal with the underlying cause of this, and replace the behavior with a more positive behavior. You'll learn coping skills.You mention having a rough childhood. Anyone who has experienced trauma like this, especially long-term ongoing trauma from abuse of any kind, definitely does not need ""exposure therapy"", which is what is recommended for phobias. You need a therapist trained specifically in trauma informed therapy.You are on the right path by recognizing there is an issue and what it is. Good luck with your healing journey!"
"Instruct: I get an uncontrollable swallowing that is repetitive and then somewhat out of body feeling that lasts no more than a minute or two. It usually happens in bed at night, but I occasionally experience this during the day. I have a benign brain tumor, but the doctor said it is not associated with this.
Output: I'm not entirely sure whether this relates to something in the mental health realm or if there is something else happening. I know you said that your doctor said it is not related to your physical condition, but have you tried speaking with your primary care physician? I've seen people with many different symptoms that end up being related to acid reflux or something of that nature. As far as the out of body experience, there are different stages of sleep, so if this is happening in the middle of the night and you are waking up from a dream, you may not be fully awake when it's going on. These are just some thoughts, but I think talking to your primary care physician would be a great place to start."
"Instruct: I feel really uncomfortable when I have people's attention.  It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety?
Output: Since anxiety usually about anticipating a bad result, or fear of being judged negatively, as though having failed some sort of test, consider what would give you the feeling of anticipating a good result from talking to an audience?Maybe, for example, if you prepared and rehearsed your talk more than what you typically would, you'd feel more secure in speaking  in front of an audience.Once you sort through your particular reason as to the source of your discomfort, it may feel more manageable.Yes, social anxiety can change.  You may naturally prefer smaller groups than an audience.And, it is possible to decrease anxiety in what may always be somewhat uncomfortable for you."
"Instruct: A lot of times, I avoid situations where I am to meet new people because I have a fear of embarrassing myself. I often avoid large groups of people, like parties, because I think they all constantly judge me.
Output: Why not accept and tolerate that you naturally are a shy person who doesn't like large groups?This is not necessarily something to get over if it is part of who you are.People have the capacity to judge others regardless of whether the group is large or small.If you aren't afraid of being judged in small groups then study the factors which allow you to feel safe in small groups. Possibly you can generalize your findings to large group venues.If you try the and aren't successful, then likely you simply aren't naturally someone who cares for large group settings.Not everything a person doesn't like is a symptom of something is wrong w the person!"
"Instruct: She's busy because her mom makes her clean all the time and go out places with her family. We don't talk much because of it. Also, we have little fights. We want to work it out but we don't know how.
Output: Maybe you can start with having 15 minutes per week that you know you will be spending time with each other (even if it needs to be on the phone). Because this much time could be scheduled ahead of time, at least you would know there was that time that was set aside. That may also help you to rekindle some conversations between you.As far as your little fights, consider spending five minutes with one of you talking about one issue that is a concern and the other partner asking questions that are open-ended (cannot be answered with just yes or no) and listening as an investigative reporter to try to learn more about what the other person is experiencing. Then, once the partner who started speaking thinks the listening partner is understanding where they are coming from, switch. It's also good to restate what you think you are hearing. Then you know what each other is truly following about this. Also remember that following or understanding what someone is saying does not imply agreement, just that you are recognizing what they are saying and able to see where they are coming from.Also consider noticing what makes you feel valued, special, loved, or appreciated. Think of the same for your girlfriend. This could be a great discussion to have as well."
"Instruct: 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?
Output: As a relationship therapist I work with couples all the time that are in the repair phase of their relationship after infidelity. The short answer to this, is not only is it possible to have a satisfying and fullfilling relationship after infidelity, it happens more often that we may know. The current rate of infidelity is high, while it's not important to go into many reasons, it mau be important to know you aren't alone in this! My biggest suggestion for you would be to seek out a professional counselor that specializes in working with couples healing from infidelity. Best of luck! "
"Instruct: I need help dealing with stress. How can I handle it all and feel less stressed out?
Output: There are many causes for feeling stressed out. Between a demanding job, family responsibilities, and everything else that can come up, stress becomes more and more part of our everyday life. One of the best ways to combat the toxic effects of stress on our bodies, social lives, and overall well being is to engage in self-care. But not the self-care that most people think of like vacations or massages. The best self-care is the kind that helps you live the life that you already have rather than escape it. You see, the reason why vacations and massages don't work long term in reducing stress is that they allow you to escape from what is causing the stress without truly fixing it so you just return to what already stressed you out. So, instead you need to find ways to help live with the stressors that you already have. They can be things like creating a more manageable schedule, introducing healthy eating or exercising, financial planning, and even learning a few simple relaxation skills. The key to combatting stress is to make small but consistent changes to your life so that it becomes more manageable and more enjoyable."
"Instruct: I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?
Output: If we were in my office together, I would offer that most likely you are feeling somewhat depressed. It's most important for me to impress that you ""don't have to live like this...""  Other helpful information: Have you experienced similar symptoms before?  Anyone in  your family been depressed before?  Based on other physiological signs, like quality of sleep, appetite, energy/motivation, I would present you with some treatment options, one of which would be to consult with a medication management provider to assess your symptoms and provide additional information for you to consider."
"Instruct: I'm a teenage gay girl, and I'm in love with a girl a few years older than me. She loves me too, but we're not physically together at the moment. I've been thinking about being transgender soon too, but my family doesn't accept me, so I honestly don't know what to do about that because I feel like I have to constantly hide the real me. It hurts so much to hide the real me. What can I do?
Output: Many people do not accept the reality of gender beyond male and female.Obviously if your family doesn't accept your questioning status then this feels painful.All you really can do is continue your self-examination and know you're in a non-supportive family of doing so.To know the truth about your surroundings is much better than to not know, and also much better than pretending you are not in your current phase of gender expression questioning."
"Instruct: We rent from from my boyfriend's parents. His father drops by unannounced and stays for long periods of time. He lets himself into our home when we aren't there on a daily basis and takes our dogs to his house. He picks up our mail. He has NO boundaries.    He's an opinionated, rude pushy person. He expects to spend every weekend around us, gives unsolicited advice on child rearing and does not respect our privacy at all. He barges in with no warning. He has a key and lets himself into our house without asking permission. I need help. How do I address this?
Output: You're expecting reasonable behaviors from your boyfriend's father.Since the father is his, your boyfriend is the person in position to speak directly with his dad about the expectations you and he have of the father.If your boyfriend has a good relationship w his dad, which is not what this sounds like, then great!If your boyfriend has a stressed and tense relationship w his dad, then somehow he needs to develop or be coached and encouraged by the people in his life who truly care about and know him, a way to state the very reasonable standards you describe here.If all else fails, then a new living space is always another possibility!"
"Instruct: I’ve been in a long distance relationship with my girlfriend for just over a year. This past week she admitted to me that she has feelings for another guy. She says it’s “just a crush” but I don't know how to cope with it.    How should I deal with this?
Output: Often, communication is the key within relationships. When faced with our significant other telling us about a “crush”, it can create or highlight feelings or thoughts that can promote feelings of insecurity. Talk to your partner about their crush and use the conversation to strengthen your bond."
"Instruct: I feel as though I'm suffering severe abandonment issues stemming from childhood. I convince myself I'm not worthy of happiness, and I’m always afraid I'm doing something wrong. It's as if I create little scenarios in my mind, and I start to believe them.
Output: I would like to offer my compassion that you are struggling with with these feelings. With the information provided and not knowing what your childhood was like or what you've experienced, I will say that from my experience working with people, these feelings are normal, and a normal part  of the process  of healing and just by posting your question tells me you're aware and desire to change this. Very good! I commend your strength. Your feelings are not uncommon and the feelings of abandonment, or second guessing or loss of happiness are also not uncommon.  It's also not uncommon for these issues to arise and trickle into our adult life and relationships. Again, with little information about your situation, it is hard to give an exact answer. However, those who have experienced a dysfunctional childhood or trauma, often present with the issues and feelings you've described. The great news, is that with good therapy, you can regain your happiness, self worth and begin to feel  empowered, you deserve to be happy. Be patient, gentle and kind  to yourself. I would encourage you to begin with searching for a licensed therapist in your area, maybe go for a consultation session  and simply see how your feel about it. Therapy can be incredibly helpful and life changing. I wish you the very best! Laura Cassity, LMSW, LMAC"
"Instruct: I've been having this ongoing problem for most of my life now. I am a young adult, and right now, driving and even being a passenger gives me terrible panic attacks and anxiety. I can't ride in the backseat or the front seat with the safety belt on. I have to lean the seat back a bit because the pressure on my back terrifies me. I miss so many opportunities to go places with friends and family because of my fears of having a panic attack. My family offers little to no support. They think it's fake or ""all in my head."" It makes me feel guilty and at times depressed to the point where I'd rather never wake up anymore. I am not self-harming, I just feel meaningless. This constant fear has taken over my thoughts and my life. I was such a happy person. I want my life back. I want to travel with my friends and family again, but I don't know how. I've almost given up hope on getting better and just accepting the fact that I'll live with this anxiety forever.
Output: Not having support from your family for such a significant problem, is a problem itself.How about your friends, are any of them nurturing or treat you kindly when you bring up that you've got this problem?Are any of your friends willing to accommodate the fact that right now you've got panic attacks from driving and being a passenger?Maybe being and feeling accepted while you're in this current phase of your life, would help diminish the panic attacks.If no support is coming to you, then a next step would be to evaluate the relationships in your life and to develop standards and expectations of others, especially that they are considerate of your great need at this time.Its possible you are bearing the emotional burden of a lot more people in your life than yourself.If no one wants to show they care about this situation, then release yourself from trying to please and satisfy everyone's wish that you be better, while they ignore your need for their support.Be realistic in what you're able to give back to people who want to be blind to your emotional need.Thinking this way will at first raise your anxiety level from fear of losing everyone.  Eventually, you'll stabilize within yourself and know that all you're asking for is some support for having a tough time. Hopefully, the others will be more responsive to you.If they don't you still know that you're being reasonable for what you'd like."
"Instruct: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?
Output: A mediated safe talk session between. You and your sister.Then, you and your husband have a mediated safe talk.  So both hear what you feel in the respective relationships. Possibly the last step is a mediated  safe talk with sister, husband and youcoversation, in the future."
"Instruct: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. 

How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it.  I wonder if i should stop or if I should continue to do it since it makes me happy.  What should I do?
Output: Thanks for asking this question. I think the most important part of what you mentioned was that you do it because it makes you happy. For that reason, I would encourage you to keep doing what makes you happy.As far as telling girls or keeping it a secret, I don't really think that it's necessarily one or the other, at least not the first time that you meet. In other words, one part of your decision-making could be whether it is something that you always want to address in the first date, or perhaps something that you address after you've known each other for a couple of meetings. The answer to that question may also change depending on who you are dating. I would imagine that each person that you are with mainly due to a different decision this was when to disclose this. It sounds like this is an important part of you, so I would think that if you were going to date someone long-term, you would want them to know about the most important parts of you, including that.I also encourage you to remember that if you meet someone who is not comfortable with this, that does not mean that there is anything wrong with what you are doing, but rather something that the other person is in some way deciding not to continue learning about or choosing to have someone they are dating like to cross-dress.I'd also ask you to consider this: Are the people who you say this to expecting it? My guess is that the answer is probably not. Along with that, Are they going to have questions? I would imagine so.Are you comfortable answering questions?I wonder if you could figure out yourself or with friends (or perhaps even with a therapist) how you would answer these sorts of questions:What exactly is cross-dressing?Does that change the gender that you're attracted to?What does it mean to you?Why is it important to you?And what you want your listening person to know about you related to cross-dressing.There could even be ways that you can start the conversation by asking them to be open to listen to you and ask questions about what they are thinking before they make any quick decisions about you or the relationship.I certainly hope that you find the right person for you. I imagine that having this conversation could be stressful, especially considering the idea that you have had some negative reactions in the past. Remember that talking this through with a therapist could be very helpful."
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: Change your total daily routine, different route, different lunch, different afternoon.  Sit outside for 10 minutes three times every day, use a therapy light during the day, aroma-therapy oils for stimulation, but....keep your routine bedtimes and wake up times......and exercise at least 3 times per week,  if after several weeks you are not feeling better....talk with your doctor."
"Instruct: An organization admitted to implanting thoughts in my head with technologies. The study was to implant a fantasy other people are having, but to me, it's a nightmare. I lost my kids, my job, and all that. I was an unwilling participant. I no longer trust a therapist.  I'm too afraid to go under hypnosis or anything.
Output: Given your experience of being imposed upon against your will, and all the personal and professional loss that has come since, your fear of what will happen if you undergo treatment and trust a therapist is understandable. There is no technique or pill that can guarantee these thoughts will go away or be reversed, however, there are things that you can do which may help you to change your relationship to the thoughts and to the distress that they cause. I understand that working with a therapist sounds risky, given your experiences, and at the same time a good therapist may be a beneficial resource in helping you deal with the intrusive thoughts, cope with and alleviate the stress that they create, and perhaps even lead to the alleviation of the thoughts themselves. A therapist may also be able to help you discover strategies to work towards any goals you have around reconnecting with your children and working again. If therapy feels too unsafe at the moment, I would recommend looking into workbooks on how to deal with intrusive thoughts and coping with stress. Some popular approaches that you may want to look into are mindfulness techniques, Acceptance and Commitment Therapy, or Cognitive Behavioral Therapy. You may even be able to find some of these resources at a library, if affordability is an obstacle."
"Instruct: I've only been married three months. Every week, we argue about something, and it seems to be getting worse.
Output: One key factor to consider is, are you able to repair after your arguments? It seems from your question that repair is lacking after any disagreement or argument. When couples are able to repair after an argument, they have an opportunity to learn more about each other's needs moving forward. I'm also curious if you're having the same type of arguments over and over? If you're stuck in a particular pattern, and can start recognizing what happens between you when this pattern happens, then you can start to name it. Once you name it, then you can take a break to cool off and come back to each after your nervous system has had a chance to calm down (about 30 minutes). The key here though is to make sure you have a plan in place - when things are good between you - an agreement between you that when you both start to get escalated, you'll name it or have an agreed upon code word to signal you don't want to continue this cycle, and then agree to cool off and come back together at a later time. That way, when this is enacted during an argument, nobody feels abandoned during the cool off time. Rather, both partners know they will return at a time when they can truly hear each other and hear their needs. "
"Instruct: 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?
Output: Hopefully you feel you have the time to follow this procedure.1. For a week - log when you smoke - time, place and activity2. Plan on cutting back 10% for a week.Cut out the easiest times.3.Next change the times and and activities for 3 days - consider water or candy or gum if it is very tough. 4. Cut another 10% each week until you are done. "
"Instruct: What should I do when we see each other?
Output: I am so sorry this happened.  Sharing a part of your private life without your permission can be so painful.  I might suggest (depending on your relationship) reaching out to your sister and discussing this (or setting boundary that you don't want to discuss your private life).  I might also speak with your wife and share how hurt you are and what you need to happen moving forward to begin to heal."
"Instruct: Tonight, my husband seemed to put our son down through an incorrect approach. His approach was perfectly wrong. I found myself defending my son. I told him that what he did was not the way to encourage our son.
 Instead of watching my husband’s harsh behavior I decided to sit beside my son and, together, we worked on his science assignment in order to encourage him to study. My husband got upset and he was swearing at me. He threatened me. I knew that he was not joking. His words scared me a lot!
Output: I have had these many cases, but in situations like this.... If it does get out of hand, the police do need to be involved. Sit down and talk to your husband when he is calm and collective."
"Instruct: I snap easy and push people away. I need help before I push my boyfriend away.
Output: Meditation may be able to assist you in dealing and looking at your anger differently. Anger is not usually just anger. Behind our anger may lie rejection, grief, loneliness, a longing to reconnect, etc. When we ignore or repress our anger, we are always ignoring these other emotions as well.Meditation is the midpoint between expressing and repressing anger. It allows us a space to stay present with it as it arises and recognize the many faces of anger. By doing this, we are able to become aware of our feelings to learn more about them and not be swept away by them. Learn more here: https://www.therapybyshannon.com/blog-2/2019/4/26/meditate-to-manage-anger"
"Instruct: Sometimes 3 times a night.
Output: Dreams are our chance to make sense of our waking lives.If you've got a lot going on in your life then your dreams are your assistants in understanding these happenings and dynamics."
"Instruct: I'm a female freshman in high school, and this question is for my male best friend. At the start of freshman year, we dated for about a week before his parents ended it because they said he is too young to date. He has been dating a really sweet senior girl for a month or two. I have nothing against her except for the fact that she has Tim's heart. He is convinced that they are in love, and maybe they are, but I don't really believe him.    Lately, Tim had been expressing concern about what is going to happen when Sally leaves for college at the end of term this year. He's been asking me to help him with Sally and what girls like to show her how much he loves her. But he's also been thinking about breaking up with her just so they won't have to deal with it when she leaves. He seems really torn up about it, and I want to know what to say to him and how to help him once she leaves.    He knows that I still crush on him. He doesn't rub it in my face. He's a good guy, but I want to actually help him out and recover before we think about maybe another relationship between us. How do I do that when the time comes? How do I support him and show him that I'm here without wanting to hook up? How do I make him feel better? He is convinced he's never going to be able to love anyone ever again, which I think is ridiculous.
Output: First off, I think it is great that you are willing and able to help out your friend with issues regarding his current relationship, despite the fact that you have feelings for him. I think that the best thing you can do is let him know that you are there for him if he wants to talk about things. You can also help by presenting options that he has and help him weigh out the pros and cons of his decision, but ultimately he has to decide what to do. Know that you won't be able to heal the pain he feels when his girlfriend leaves but you can be a friend to him by simply listening, validating his feelings, and understanding. Regarding your question about being there for him without wanting to hook up....I'm not sure if that is possible. If you care for him on more than a friendship level, then that desire will likey be there for you no matter what. Be careful that you take care of yourself and don't jeopardize your own happiness while trying to help him with his issues. Good luck to you!"
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: A good therapist will discuss what brought you to therapy in the first place and devise a therapy plan with you on some of the things that you may want to work on.  The plan is not set in stone as things may arise during your therapy sessions. You also agree on how often and when you would like to meet. "
"Instruct: Often times I find myself thinking scary thoughts and sometimes  I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out.  How can I stop these thoughts?
Output: Such a great question! I'm so sorry you are struggling! You may be experiencing Intrusive thoughts.  These are thoughts that seem to come from no where and victimize us.  I can strongly recommend a book called ""When Panic Attacks"" by Dr. David Burns.  It helps you to identify the thoughts, and the help you create ways to counteract them!  There is another technique, called Thought Stopping. Thought Stopping can be as simple as saying ""Stop!"" loudly (if you are alone) or in your head, if you are in public.  It's a quick way to distract you from the distressing thought, and allow you to refocus.  I recommend using this technique, followed by some deep breathing, while visualizing something that helps you feel relaxed (a favorite place, a pet, etc.).  These three things in conjunction can be of great assistance. One key component in addressing anxious thinking is building the skill of relaxation.  I recommend an App called Headspace which teaches relaxation through some simple guided mediation. Super easy to do, and a great way to begin to build relaxation skills.  Plenty of sleep and reducing caffeine intake can also be things to explore. Hope this helps!  "
"Instruct: I love him, but he doesn’t show me love. He talks badly about me to his friends.
Output: So many questions comes to mind when I read your words...Do you love yourself?  What do you LOVE about him?  What are you getting from this relationship that is good for you?  What are you lacking in yourself that you allow yourself to be treated this way?....I can go on..If you can answer these questions, maybe you will answer your own question of WHY are you with your husband or even better, WHY you ALLOW your husband to be mean, show no love, disrespect you?  You seem to lack self-worth...seek a professional to help you with this."
"Instruct: I'm very depressed. How do I find someone to talk to?
Output: If there is no one in your life with whom you feel comfortable, I would recommend identifying someone on this site, psychology today or goodtherapy.org who is in your area, then give that therapist a call to see if you would be a good match."
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: This sounds like a possible boundary issue. Boundaries are important in relationships. They are invisible lines that we will or will not cross. It is up to us to create and hold them. We have the ability to rethink them and change them as needed. It sounds like you have thought it through and would like to makes changes in the relationship between your mother and you. In the main question, you want to avoid the family member, however in the following comment, it sounds like you may just want the avoid that conversation, not so much your mother. Once we review the issue and decide what we need (create the boundary), I suggest opening talking with the person when everyone is calm (not in the middle of a stressful moment when we often are unable to focus and hear the other person). Always understanding that we had time to think about this issue and the other person has not (catching them off guard). State clearly your need. Such as ""I am not comfortable with hearing about my sister. It stresses me out. I would appreciate it if you would not bring it up anymore. If you do, I will not respond and I will change the subject "" It is important to use ""I"" statements. I feel"" this way"". I will ""do this"". We only have power over our actions. Also when we use ""you "" comments, the other person can become defensive and unable to hear what we are saying. Once we let ourselves know what we need, then let the other people know our new boundary, then it is up to us to follow through. We will make mistakes. Not follow through every time with our boundary. That is okay. Start again. It gets easier with practice. It is also appropriate to reconsider and change your boundary as needed. Just let the others know when you need to change it. Remember, they can not read our minds. I wish you much strength and hope the best for you and your family.www.parishhealthandwellness.com"
"Instruct: How does a person start the counseling process?
Output: Most counselors are very approachable and many offer a 15 minute chat by phone to allow you to talk about your issue, and to get a feel for the counselor.  If you like what you hear by phone, the next step is to set up a face-to-face meeting. Studies show that the most important element in effective therapy is that you feel a connection with your counselor.  Trust your instincts and if you don't feel comfortable, let him or her know that you don't think it's a good fit.  Many counselors list on websites like Psychology Today and Good Therapy.  Visit these websites to learn more about therapists in your area."
"Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?
Output: I am very sorry to hear that you are going through this!
While animals can be a wonderful way to experience emotional support, you may
want to consider opening up to a Life Coach or therapist to discuss some of
your concerns. You are not alone, and many people are experiencing very similar
anxieties. A Life Coach or professional therapist could help to guide you
through these emotions and refer you to additional professional help if needed.
It sounds as though you want to address some of these issues by first asking
the question. Finding additional support from a trained professional whom you
feel comfortable with could be the best way to get the help that you need. I
wish you the best of luck on your journey!"
"Instruct: My boyfriend and I recently broke up. One week, we were fine, and the next, he told me he needed space. He completely deleted me out of his life. He does have an opiate addiction. He claimed he was sober, but since we've split, I've heard many lies from him. Could he be using again, and does this addiction affect the mind?
Output: Studies have proven that addiction affects the brain, there are many coping skills that addicts use to enable their addiction as well.  I would recommend that you speak with someone abut your relationship and your concerns.  Not only so you can have more clarity in the situation but we often tend to gravitate around or toward the same types of individuals.  Being more aware of your relationship will help you in the future when re-engaging in personal relationships."
"Instruct: I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
   What can I do to manage my stress?
Output: Ugh!  We spend so many hours at work, so if it's a tough environment it can really drag you down.  Is this your ""dream job"" gone sour or a ""just pay the bills"" deal that has gotten stale?  It makes a big difference in terms of next steps.For example, if this job is a step on the way to a bigger goal, it might be time to assess whether you need to be moving along to then next phase.  Have you learned what you needed to learn to make this a helpful experience?  Or do you sense there is more to learn, but you feel stuck in some way? If this current job is part of a bigger plan, then you need to practice some good self care, set up ways to remind yourself why you are doing what you are doing, and make sure you are including some ""carrots"" along the way.  That might mean spending some time each week networking (preferably live but online works well too) with peers in similar situations (entrepreneur groups, skill building trainings, etc).  Big dreams require small steps, but we all need support along the way.If , however, this is ""just a job"", then you really have to reassess your situation.  If you are burned out and not getting paid your worth then  look around for other opportunities.  You are employed, not owned.  You mentioned anxiety, and while I don't want to minimize the very real issues anxiety presents, is it possible that some of your anxiety can be seen as ""revving your engine""  and readying you to move on?  Or is it that pervasive feeling  of never being able to finish your work, feeling like you will be ""in trouble"", or dreading every single moment of your workday?  The first is a potentially positive motivator, the second is just bad for you.   See the difference?In order to feel any satisfaction with your job, it needs to be financially rewarding (to a level that makes sense), be a good atmosphere to learn, be supportive and/or be a step on the way to a bigger plan you have.  If your job isn't fulfilling any of those criteria, you need to move on.  And finally, if the only reason you have this job is to pay the bills, and you truly see no way around keeping your current position for now, remember why you are there - this is a job, not a family.  You rent your brain and body to your employer, not your heart and soul.  Those belong to you and you are responsible for feeding them.  That means good self-care, making sure you have social engagement (face-to-face, not just online), move your body, feel the sun on your face daily, creating ways to refresh your body and mind and generally taking care of your whole being.Discomfort exists for a reason - it primes us for change, gives us the necessary motivation to take reasonable risks, and pesters us until we do so.  The first step is to figure out what change is realistic, and take action."
"Instruct: I've felt this way for  two years. I feel so much better now then I did when it started, but it is still there in the back of my mind at all times.
Output: Best answer that I can give to you is that some level of de-personalization is quite normal for everyone, it will come and go throughout life, kind of like being on a roller-coaster, ""here it is, then it's gone not to return for quite some time"", like many things, the more that you fixate on it, the more stress it will cause you, consider it part of life, accept it, and move on, now if your having many, many ,many of these episodes or have some auditory or visual hallucination or disturbances or emotional unbalancing that accompany it than that is definitely something to look at, but for the most part nothing to worry about. Hope this helps,C"
"Instruct: I shake and have panic attacks.
Output: One of the first things I would suggest is to see if you can keep track of what is leading you to feel anxious. If you shake all the time, consider talking with your primary care physician. Sometimes that can be a hormonal imbalance or another chemical imbalance (such as thyroid).One of the most difficult things about anxiety is that having anxiety (particularly panic attacks) can lead to anxiety about having more panic attacks. Also remember that panic attacks are typically part of your brain's protective response to what it considers to be some sort of threat. You may have heard of the fight or flight response. When you have an anxiety attack, your body is preparing you to react to something that isn't actually a threat, so it's almost as if you're fight or flight response is overactive. Here is an image that may be helpful: http://psychology.tools/fight-or-flight-response.htmlThere are many different things you can do. You can practice breathing, mindfulness, meditation, or yoga techniques. If you decide to try some breathing techniques, try breathing in for a count of five, holding for a count of five, breathing out for a count of five, and repeating five times.Also remember that it is easier to learn these techniques when you're not having a panic attack. At that point, it can be really difficult to use methods to not panic. Also remember that panic attacks typically last 5 to 10 minutes. Using techniques to slow your breathing or become focused on the room around you is probably most helpful when you first start to feel anxious.Here are some other techniques that may help to decrease anxiety: http://psychcentral.com/lib/9-ways-to-reduce-anxiety-right-here-right-now/As you figure out what is leading up to your anxiety, also consider asking yourself what is making that certain issue a big concern for you. Another important question could be when you have felt that way before."
"Instruct: 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?
Output: ""Normal"" can be an insidious word to use because it can undermine your sense of worth.  It implies there's one particular way you should be behaving and can leave you feeling crappy and ""abnormal"" if you're not behaving according to that prescribed standard.  Instead, what I'd recommend is to pay attention to your emotional experiences when you're attending therapy.  Explore your feelings and thoughts without judgement and try to reflect and understand what's going on that's causing you anxiety.  Once you figure out the underlying meaning of the anxiety, you can figure out a way to handle it and action steps to take to diminish it.  "
"Instruct: They discontinued treatment for no apparent reason after they thought to diagnose me with schizophrenia.
Output: The general rule against medical abandonment says thst whenever healthcare providers discontinue treatment with you when you still need it, they are legally required to make sure that you have access to another provider of equal or higher ability.In this case, if your treatment team decided to discontinue your treatment based on a diagnosis of schizophrenia, they still will likely be required to provide you with a referral to someone who can provide you with treatment. If you haven't already done so, I'd recommend that you explicitly ask for a referral."
"Instruct: How does a person start the counseling process?
Output: Hello, There are many ways to approach a counselor and starting the process, however they all start with picking up the phone.  It's most definitely an uncomfortable feeling, but once that first step is taken it is often met with a wave of relief. My recommendation is always to call and speak with a therapist over the phone before scheduling an appointment. Listening to how they converse, use their tone and inflection, may give you a brief insight to how they will respond to you and increase your comfort right away. You may also discover, rather quickly, that this therapist is not the right match for you.Regardless of how you go about it, I like to remind all people who call, email, text or walk-in, therapists are a bit like pizzas - if you don't like the toppings, send it back! There are hundreds of therapists offering all kinds of styles of therapy - take the time to pick one that suits you. "
"Instruct: I've been with my boyfriend over 3 years. He cheated on me and the woman is now pregnant. He is physically and mentally abusive towards me. I have attempted to talk with him in order to resolve our issues; however, he never wants to talk and often blames me for everything. I’m always there when he needs my help. He tells me although I help him doesn’t mean that I am a good person. He always discredits me as a woman and it’s hurtful. I spend most day crying and feeling lonely. I am unhappy and unsure of what I need to do.
Output: That sounds like a very hurtful situation. Unfortunately, without a batterers intervention course or a desire to change, the abuse cycle is unlikely to stop. I do not recommend that you try to leave on your own due that being the most dangerous time when in an abusive relationship. As an abuser, his goal is to control you whether it's through mental or verbal means. I recommend that you contact a domestic violence shelter in your area. I have worked closely with Harbor House of Central Florida and know they provide housing, transportation, and any other needed resources to women leaving an abusive relationship. There is help out there and you are not alone. If you need any additional resources in your area, please don't hesitate to contact me."
"Instruct: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven. 
When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety. 
Am I crazy? I don't think these thoughts are normal.
Output: Many people generate intense anxiety with obsessive thinking.  While the nature of your obsession about the afterlife and eternity appear very powerful and unique to you, the pattern of obsessing about one thing/area is common.  I suggest that you consider counseling to help you with your anxiety.  If you are so inclined, there are also medications which may bring relief.  Obviously, I can't diagnose you from one paragraph, so it would be wise to visit an experienced mental health professional (either a counselor or an MD in your area) to help you with disengaging from your self-destructive thoughts.  CBT, Cognitive Behavioral Therapy, is a very effective counseling approach for obsessive thinking.  If you'd like a see a top notch CBT therapist, visit www.AcademyofCT.org.  And of course I suggest you pick up my book, LIVING YES, A HANDBOOK FOR BEING HUMAN, which includes CBT concepts and many more tools which will help with obsession and anxiety.As for believing yourself ""insane"" (or ""crazy"") this is not a mental health term but a legal one (or a slang).  So as long as you don't commit a crime, no professional can legitimately call you insane or crazy!Take it slow!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)"
"Instruct: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.
Output: Sometimes changes make sense. It may be helpful to talk to someone who you trust to get a sense of whether the changes that you are making are those that are considered adaptable or important changes that allow us all to grow. Another possibility is that you are changing things in an effort to get away from something that is uncomfortable or difficult. There are many other possibilities along this continuum.I would ask you to consider the following:What is leading you to want to change your job?What feelings are associated with this change? (Happy, sad, scared, anxious/nervous, confused, motivated, etc.)How is the job that you are looking to transfer to going to be better or different? Are the concerns that you have now going to travel with you?If you are hesitating to get another perspective (from trusted friends or family or some sort of career advisor in your area), where is the hesitation coming from?"
"Instruct: My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this?
Output: It's a good question man, and it must be terrible to see your mother in the state she's in.Understand that Alzheimer's is due to under-performing function of kidneys, adrenals, and connective tissue strengtheners; all of which may be corrected with appropriate protocols that are inexpensive and generally simple to follow.Imagine it like a flower that is not fed properly:  A once, beautifully blossom flower APPEARS to be wilting, but it's life-force, spirit, and essence remain fully there and present.  And your mom hears you.Let's clean her out, and see her smile return."
"Instruct: I have three siblings. My mom loves them and not me. She’s always yelling at me, but when it comes to my siblings, she talks to them. I’m always crying in my room.
Output: Have you ever tried talking with her about this when she's not angry? While I hear you saying that it feels like she doesn't love you, there could be a lot of other pieces to this. Have you ever told her about how much she means to you (when she's not angry)?"
"Instruct: I been having anger problems a lot lately. It only takes one word wrongly said to set me off. I use to not be like this until I got with my soon-to-be husband. I think his mood and rage/anger problems have rubbed off on me a lot. I don't get nearly as bad as he does, but I yell almost constantly and I can't seem to just stop. I have two young babies that have to hear this, and I don't want my girls growing up with a mommy like I have been lately. I just don't know how to get back to my old self.
Output: My gut says that your own rage is being triggered partly because you feel trapped or shutdown by your fiance's moody/angry/rage responses and powerless to stop it. You can start by accepting that this is who he is and you won't change him. You can only change your own behaviours, and I see you taking responsibility for those, which is great. You want to protect your girls, and that's appropriate; children are greatly affected by this type of home environment. I urge you to see a therapist so you can understand your own emotions and sort out the choices you have to make, knowing that your fiance has to make his own choices about his behaviours. "
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: Hi there, Thank you for your openness about the challenge you are experiencing in your relationship. Sexual intimacy is an important part of many people's life, but how much importance is placed on it varies from couple to couple. The first step would be to have an open conversation with your husband. It's important you are both open about what you desire from sexual intimacy and how much intimacy each one of you wants. For example, asking your husband how often does he want to have sex/ week or /month. When having this conversation, it's important that you are both respectful and open with each other. The point of the conversation is to get to know each other and not to solve a problem, yet. There are couples who enjoy fulfilling platonic/friendship relationships with minimal or no sex because both partners are not interested in it. If you are both on the same page - lack of sex might not be a problem. If there is a difference in your sex drive and frequency of desire, I would recommend seeing a professional relationship & sex therapist as a couple to help you explore your current sexual dynamic, what's creating it, what's getting in a way of connecting sexually and to assist you and your husband in finding creative solutions."
"Instruct: I'm a teenager. I get random spurts of anger, like complete, pure rage. I figured it was hormones, but others notice it too. I get self-destructive. I used to cut but stopped. Now when I get mad, I bite my arms and fingers, pull my hair, scratch my face, or punch my thighs. Basically, I do things I can hide instead of breaking anything in my room and having to explain it to my mom. I don't live in a bad household. I have a great family, a great relationship with my boyfriend, and a good job. I have no idea what this is and I don't know how to control it. It's over any little thing. Tonight, it was because I couldn't get my earrings out. This happens maybe two to three times on a good week, and it's always over stupid, petty things.
Output: Hi. I'm glad you wrote. In general, when a small thing bothers us (and this happens to all of us), it's because the small thing triggers an emotion in us that we have felt ""too much"" or ""too intensely"" in the past, and we don't know how to manage that emotion effectively...we just want to avoid it as quickly as possible. Cognitive Behavioural Therapy with a qualified therapist can help you to understand what is being triggered in you and learn how to manage emotions productively. You say that your behaviours are self destructive, and I agree. It sounds like you have developed a habit of channelling your distress towards self-harm, and this is a separate and potentially more serious problem. This is a choice you make that points to shame being an issue for you. Again, a good therapist can help you learn what's behind your shame and self-harm. Your feelings are normal, and you can learn more healthy ways to deal with them with qualified help. "
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder.  How do I move on?
Output: Relationships can be extremely enjoyable and satisfying.  When relationships end, however, it can be devastating.  It is normal to go through a grieving process after a breakup.  Denial, bargaining, sadness, anger and eventually acceptance are all normal stages of grief.  You may experience these feelings all at once or one at a time.  Allow yourself time to grieve by expressing your emotions - talk to a friend or write in a journal.  Take care of yourself during this time by exercising, eating and sleeping well and spending time with friends.  After some time you should start feeling better.  If you feel like you're not feeling better and you don't know what to do, you can see a therapist to help you get through this difficult time."
"Instruct: I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single.
Output: Hi there! It sounds like you have already started to answer
your own question by stating that you love cross dressing very much, and I am
glad you enjoy it! Cross dressing is something many people enjoy, and there is
no harm in it whatsoever. My question to you would be: What is making you feel torn
about it? There is unfortunately still a lot of negative stigma associated with
people who express their gender or sexuality in ways that differ from the
majority. (And sometimes certain sexual interests are actually very common or
even in the majority, but because people carry shame about being different when
it comes to gender and sexuality we assume we are all alone!)Being a sexual or gender minority or someone who
participates in kink or expresses their sexuality or gender identity in a
unique and personal way often means suffering from something called
""internalized oppression"". We grow up being exposed to certain
assumptions and beliefs about what is ""acceptable"" behavior and even
face consequences sometimes if we don't ""fit in"" the way others tell
us to. Even if those assumptions are harmful and wrong, we still internalize
them and feel guilty about who we are. There is nothing wrong with us, but
feeling stigmatized and isolated can lead to feelings of shame, embarrassment,
or like something is ""wrong"" with us.But there is absolutely nothing wrong with you, so be proud
of who you are and what you enjoy. You can continue to simply enjoy it
privately, or maybe you'd eventually like to share it with a partner or maybe
even join a community with similar interests. I'll leave you with a quote from
comedian Eddie Izzard, who identifies as, in his own words, a ""straight
transvestite"": ""They’re not women’s clothes. They’re my clothes. I
bought them!"" Take care, and thanks for your question!"
"Instruct: I'm a teenage girl, and my dad is an alcoholic. I hate being at home with him because he just stresses me out. He can be picking me up from basketball practice or piano lessons, and half of the time, I don't even know if he's sober or not. I refuse to get into the vehicle with him and walk home sometimes. I've either been barely sleeping or I over sleep, so I'm always tired. I live in a small town, so there's no one I can really talk to because I'm not really that close with my family.
Output: Hello, and thank you for your question. You are clearly a
resourceful young person to reach out like this to find help. Good for you. I
have a few ideas and perhaps some other counselors will add some thoughts, too.

First, good for you for taking care of yourself and making
really good decisions – such as not getting into the car with dad when he is
intoxicated. It is really important that you consider your safety above all
else. 
To answer your heading question, yes, it is quite common for
people to blame themselves for other people’s actions. There are various
reasons why we do this. For one thing, someone may tell us that their behaviors are our fault. And depending on things like our relationship to that
person, past experiences, and our self-esteem, we may actually start to believe
it. What is important to remember is that your parents have the responsibility
to be sure that you are safe and
cared for, not the other way around. 
As for the other things you mentioned, I am concerned about both
your physical and emotional safety and well-being. It sounds like your father
has an alcohol abuse problem, and living with someone who is struggling with
addiction can be hard for anyone, let alone a teenager who is also trying to
deal with things like school. 
You may want to see if your school has a counselor or
someone you can talk to about what is going on. I will tell you that in some
states, what you have told me may be something that a counselor would have to
report to child protection services, but not necessarily. If you are concerned
about that, ask the counselor what they are obligated to report. 
If you don’t know a counselor, think about any other adult
that you would feel comfortable talking to. They may have some ideas. 
Sometimes individual states have non-profit chat lines or
hotlines for teens to call if they are struggling with things. You may be able
to find something like that in your state. I do warn your about doing random
searches, not every website is good, so be careful. 
This is clearly a tough spot for you to be in, so one of the
things that I encourage you to do while searching for support is to focus on
taking care of yourself. Sometimes things like this can really bring us down and
we stop doing the things we enjoy. Try really hard not to let that happen. If
you have interests, do them. If you catch yourself thinking too hard about
things, try to find something fun to do to distract yourself. Try to take care
of yourself in other ways, such as eating well. Exercise can really help when
we get stressed. 
I hope some of this was helpful. Good luck.
 
Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.
Output: It's hard to tell from the information that you were able to provide here, but talk with her elementary school a guidance counselor. Someone working with the school (usually a school psychologist) should be able to evaluate her to see if she needs extra help and to tell you more clearly what may be happening."
"Instruct: I try to do everything right just so we won't argue, and it doesn't help the only time he is calm is when he is drinking alcohol. I get anxiety over having fights with him.
Output: Because of the way that you say your boyfriend is only calm when he is drinking and you have concerns about flights, it would probably be most helpful for you to speak with a local therapist so you can have specific conversations about what happens during these fights.When you do ""everything right,"" are you saying that you don't argue? It sounds a bit as though you are trying to read each other's mind without being able to communicate effectively. I recommend working on this with a therapist, though (even if you end up going without your boyfriend to sessions), so that you can talk about specific strategies and what you can do when he is not calm."
"Instruct: Ever since my ex-boyfriend and I broke up, I can't seem to get close to anyone else. I know I'm completely over him, but I just can't break down my walls and let someone new into my life.
Output: Hi Bend, You're scared, right? That makes sense. Each time we have a break-up we are a bit more in touch with how much is at stake in this whole love and relationship business. We are falling in love and letting someone close to our hearts and there's a vulnerability in that; we can get hurt. Who you partner with long-term is a big decision and it determines 90% of our happiness in life. The good news is that when we're just starting to get to know someone, we can take it slow. I think maybe you are slowing yourself down instinctively here, and that's okay. We are naturally people of attachment and it won't likely last if you are normally an open and accessible person who doesn't put up walls. So part of what I want to say here is don't pressure yourself too much. Take the time to heal naturally and listen to your instinct that is telling you to take things slow. :)As well, there are a few things you can do to make sure that the walls do eventually come down, or will come down for the right person. First, think about the lessons you learned from this past relationship. What do you feel proud of? What do you need in a partner? What mistakes did you make? Use this experience to grow in your awareness of how you work in a relationship and what you need from a partner.Look at your thoughts. Are you having generalized negative thoughts like ""No one will ever love me again?"", or ""I'm going to get hurt again"", or ""I can't trust myself""? If so, write down what these thoughts are, and then ask yourself what evidence supports these thoughts. Fear tries to convince us that there is either something wrong with us or that something bad will happen, but it does so with little or no evidence of this ever happening!! It sells us a line based on no concrete evidence. Then ask yourself what evidence supports the opposite thought. What is the evidence that I am lovable... that there are safe, good people out there... that I can trust myself? Eliminate the negative thoughts, and add the positive ones. It's simple but very powerful.Lastly, take concrete and careful steps to act as though there are no walls. What is the evidence of the walls? Can you take purposeful baby steps in the direction of lowering those walls? When we act as though something is true, we start to feel it and believe it more.I hope you will find yourself back on track eventually, with time. :)"
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: If your husband is changing his mind about whether or not he wants to stay in the relationship, I wonder if you both might benefit from seeing a therapist who specializes in couples. In my training working with couples, partners come into counseling with one of three goals in mind: strengthening the relationship, getting a divorce, or making a decision. The decision could be whether or not stay together or it could be any number of other things, such as what state to live in.When you ask whether you have to respect whatever decision he makes, respecting his decision does not mean that you have to agree with what he decides. While you do not have the power to change his decision, he also does not have the power to change yours or how you feel about it. Having said that, if he is changing his mind a lot, chances are that the only decision he has made is that he needs to make a decision. Weighing the options of an important decision (any type of important decision) can be anxiety-producing its own right.The fact that you said you were diagnosed with severe depression leads me to believe that you are already seeing a therapist. Perhaps he or she can assist you in navigating through this. I'm wondering how you feel when you are around your husband. I'm not sure whether you are saying that having him there is a source of comfort for you or that it leads you to feel more sad. Maybe it is a little bit of both."
"Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.
Output: I am wondering who is telling you that sex is dangerous.  Is this medical advice, or is this someone’s
opinion trying to scare you from having sex? 
And if so, how old are you? Is it ok to have sex, do you want to have
sex?  It sounds like you want to make
your partner happy, and that you are taking care of protecting yourself and
your partner, but maybe you are forgetting to consider what do you really want.  Having sexual relations is a very personal decision;
you and your partner have to consent.  It
is also important to talk about the possible consequences and being responsible
for them as well.  But sex should be something
that you enjoy, not that you should be fearful of.  A therapist can help you to process those
negative thoughts and feelings that may impair you from enjoying your sexual
life. ¿Cómo puedo superar mi miedo de un
embarazo no deseado y poder tener sexo otra vez?Estoy
aterrorizado de tener sexo porque me han dicho una y otra vez que el sexo es
peligroso, inclusive cuando yo y mi pareja usamos dos métodos de protección.  Mi pareja no está contenta y simplemente
quiere más sexo, y honestamente, yo quiero darle lo que ella quiere.Me pregunto quién
te está diciendo que el sexo es peligroso. 
¿Esto es aviso medico, o es alguien intentando asustarte para que no
tengas relaciones?  ¿Y si es así, que
edad tienes?  ¿Es apropiado que tengas
sexo a tu edad?  ¿Quieres tener sexo? Me
parece que estas enfocado en hacer feliz a tu pareja, y te estás protegiendo y protegiéndola,
pero tal vez están olvidando analizar que tu quieres realmente.  Recuerda que tener una relación sexual es una
decisión personal, en la que tú y tu pareja deben de estar de acuerdo.   También es importante hablar de las posibles
consecuencias de tener relaciones, como un embarazo, y discutir sus opciones e
intenciones, si eso ocurriera.  Ya que
han tenido comunicación al respecto, el sexo debe ser algo que disfruten,  no que temen. 
Un terapista te puede ayudar a procesar esos pensamientos negativos y
los sentimientos que te pudieran impedir disfrutar de tu vida sexual."
"Instruct: My boyfriend and I have been going out for about a year. I suddenly find myself jealous when I see him talking to other girls. I have never been this way before. I don't like these feelings. He said that my jealousy would cause our relationship to have problems. I told him I can't help these feelings. I don't know where they are coming from, but this is how I feel, I tried to stop, but I can't. I really like this guy, but I'm afraid that I'm messing up the relationship. It's just stupid.
Output: Trust is at the top of what makes a healthy relationship.  It sounds like you may benefit from personal counseling to explore where this jealousy comes from and what keeps you from having complete trust in your boyfriend.  This is not stupid, this is your mind telling you that there is something that needs to be worked through.  Sometimes we need to talk to someone like a counselor who is disconnected from our life to understand our feelings and what they mean in our relationships."
"Instruct: How do I ever trust another woman? I have found myself constantly reading between the lines with every other woman that I meet. I am having a difficult time making any sort of connection to anyone because of her deception and willingness to say and do literally anything in order to control my emotions.
 Once the ""relationship"" was over, she became extremely abusive and has attempted to intimidate me into silence regarding the many false claims made on her immigration application.
Output: I'm sorry to hear about being taken advantage of by your former wife.On the positive side, think of how much you learned by going through this very painful time.Maybe you are naturally very generous and caring, to the point of expecting very little from the other person, for example.Consider yourself in a favorable position to not feel like going out right now and meeting a new person.   Your spirit is guiding you to stay put and recuperate from this ordeal, review for any signs you may have been more trusting than merited by the person's behavior.There's a natural flow to what we're able to handle and when we have renewed capacity for new adventures.There's no reason to assume that you'll never trust another woman again.  The first step is re-building trust in yourself to step into a new relationship.   There is no designated time line.  You'll simply feel more ready than you feel now.Very unlikely that you'd ever place yourself in a similar situation to the one you're currently recovering from.Good luck!"
"Instruct: How can I get to a place where I can be content from day to day?
Output: It's important to take a look inside and see what's going on with you to cause you to have these feelings.  Please contact us in whatever way is most comfortable for you and we can get you set up with someone who will help you figure out this space in your life."
"Instruct: I've only been married three months. Every week, we argue about something, and it seems to be getting worse.
Output: One key factor to consider is, are you able to repair after your arguments? It seems from your question that repair is lacking after any disagreement or argument. When couples are able to repair after an argument, they have an opportunity to learn more about each other's needs moving forward. I'm also curious if you're having the same type of arguments over and over? If you're stuck in a particular pattern, and can start recognizing what happens between you when this pattern happens, then you can start to name it. Once you name it, then you can take a break to cool off and come back to each after your nervous system has had a chance to calm down (about 30 minutes). The key here though is to make sure you have a plan in place - when things are good between you - an agreement between you that when you both start to get escalated, you'll name it or have an agreed upon code word to signal you don't want to continue this cycle, and then agree to cool off and come back together at a later time. That way, when this is enacted during an argument, nobody feels abandoned during the cool off time. Rather, both partners know they will return at a time when they can truly hear each other and hear their needs."
"Instruct: I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.
Output: Thanks for your question. I'm glad you realize that you need extra support and are being proactive. Simply explain to your doctor the feelings you have been experiencing and how you feel that speaking with a mental health therapist would be beneficial. However,  keep in mind that you do not have to go into detail about your personal feelings. You can simply state that you are feeling down, overwhelmed, stressed, or whatever it may be. I'm sure your doctor will be glad to direct you from there. Best of luck you you! I hope that you will be feeling better soon! "
"Instruct: I believe it is wrong for men to look at inappropriate content. The father of my child has agreed to respect my beliefs. His co-worker sent him an inappropriate video. He got mad because he does not think he should tell his friend to not send him things like that.
Output: The offspring are your Property;If you require that no other man show inappropriate content to them, then require compensation for use and enjoyment of your Property, without your consent;Send them a bill;When they do not pay it, activate the local Sheriff, take them to small claims court, and win a judgment against them for failure to compensate for the use and enjoyment of your Property;I wonder what might happen after that... learn to act as man :)... and watch the magic happen..."
"Instruct: My girlfriend and I have broken up and gotten back together numerous times in the past two years. We recently just broke up again last night on New Year’s Eve. When we break up, the very next day, she calls me and acts as if nothing has happened. She acts like everything is alright. This has been going on for two years. I do love her and care about her and her children a lot, but she seems really demanding as far as what she deserves from a man. She is always telling me that she deserves this and that from a man. It makes me feel like crap because I cannot give her everything that she wants. She told me one time that she wants a man who is going to be afraid to lose her. Is that a normal thing that women want, or should I just move on already? I am in my 30s and she is in her 40s.
Output: Love is not enough to keep a relationship together.The people need to get along happily too.Let's start with knowing more about your happiness in being with your partner.The frequent break ups happen for a reason.  Try understanding more of why you go back together again.You state a few very clear reasons to not continue this relationship, such as ""feeling like crap"" and not liking that your girlfriend hopes her  partner will feel afraid to leave her.Trust your intuition telling you that these feelings matter.Sometimes men aren't sure whether following their instinct is a right action to take.It is.Also, hoping a partner will fear losing them, shows a wish to control a person.Control has nothing to do with love and trust, and these are basics of a relationship.Good luck!"
"Instruct: I easily recognize this but have no control over it and need suggestions for managing my anger.
Output: I suggest that you work on emotional awareness. Emotional awareness basically means knowing what you are feeling and why.Emotional awareness also means that you can identify the link between the way you are feeling and your actions. In other words knowing that your feelings dictate what you do.Often feelings of hurt or insecurity can come out as anger if we cannot properly identify and express the feelings.Being emotionally aware also means that you are able to express your feelings to others.  Being unable to do so leads to feelings of frustration and being misunderstood.Many people for many different reasons are not in touch with their emotions.  For example, men traditionally have been brought up taught to not express sadness or weakness.  Therefore, many men learned to turn feelings of sadness, insecurities, or fears into anger and express these feelings as anger.  Being taught not to feel a certain emotion does not make that emotion disappear.  Instead it makes us learn how to express it in other, incorrect, ways.  If a man never learns to say “I am sad” or “that really hurt my feelings” and instead lashes out in anger, then the response they get from those around them will be to the anger and not a response to the underlying true feeling, which will leave the man feeling alone and misunderstood.You can control yourself and not explode.  Walk away, remove yourself from the situation, do whatever you have to do to not lash out.  Instead of reacting the way you normally would, go somewhere by yourself and think about what just happened and try to understand why such a “simple” thing upset you.  What is the real feeling driving these outbursts?  Maybe you can begin to recognize an underlying pattern. It might help to keep an anger journal.  Write down everything that gets you upset.  That might help you see a pattern and pinpoint what may be setting you off.  Talking with a therapist about this would be beneficial in helping pinpoint the underlying cause of the outbursts you are experience. "
"Instruct: I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?
Output: If you have already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder, can you go back to the people who diagnosed you with those things?It may be that your parents would be open to you talking with someone because it sounds like you have done this in the past. I don't know whether you have a specific reason that you are thinking they may have some hesitation, but if you are comfortable saying that you would really like to talk to someone because you are feeling sad or anxious (or whichever of your concerns you feel comfortable revealing to them), that may be a way to start the process. As for how you tell them about the fact that you have harmed yourself in the past and used to be suicidal, a therapist may be able to work together with you to discuss the best way to tell them about that.I'm not sure if you have told anyone about what you have been experiencing, but if you have some support there, perhaps they would be able to give you feedback about ways to talk with your parents as well.You mentioned that sometimes you hear voices. This can happen for a variety of reasons, but if the voices that you hear are giving you directions and you feel as though you might follow them, that would be a time to ask for immediate help, before you follow through with what they are telling you, perhaps by calling 800-273-8255. They may be able to connect you with local resources and they can definitely talk with you in the moment that you call."
"Instruct: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.
Output: Contact your daughter’s school and ask for an occupational therapy evaluation. An occupational therapist can determine if your daughter struggles with eye-hand coordination, visual processing or sensory motor difficulties. The therapist will develop a plan of care if your daughter demonstrates delays or difficulties in learning. OTontheGo.org mobile therapy that comes to you! Accepting most insurance."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: For a therapist, deciding to end counseling sessions or terminate working with a client is a thoughtful and intentional decision. One that is not entered into lightly. While there are many considerations counselors take into account, to help answer this question, I'll offer an example of two areas that counselor's take into consideration when ending counseling sessions:Does the client need different or more specialized care than the current counselor can provide? This requires the counselor to determine whether referring the client to another therapist or health care provider is needed.And, has the therapeutic relationship reached treatment goal(s)? While this question is specific to the counselor, I'd like to also add that a client, at any time, can end counseling."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: Therapy is essential for those that are feeling depressed and worthless. When I work with those that are experiencing concerns related to feeling of depression and issues with self esteem. I generally work with my client to help build coping skills to reduce level of depression and to assist with strengthening  self esteem, by guiding my client with CBT practices. CBT helps with gaining a better awareness of how your thought process influences your belief system, and how your beliefs impact your actions and the outcome of your behaviors.  This process isn’t easy but it helps teach an individual that we don’t always have control over what happens in our lives but we can control how we interpret, feel, and behave. CBT is good for individuals dealing with depression, anxiety, toxic relationships, stress, self esteem, codependency, etc."
"Instruct: I have secrets in my mind, and I don't know what to do with them. I don't want to tell my wife and mom because I don't want to hurt them. But I'm not sure how long that I can keep the secret to myself. What should I do? It's becoming annoying and making me anxious. Help me out
Output: It sounds like keeping the secrets has become a problem for you now. There are several things to consider before you make a decision.- You mentioned that you don't want your wife and mom to know because you don't want to hurt them – why would it hurt them? - Is it necessary for them to know this information?- What are the consequences of either telling them the truth or not telling them? (for you and for your wife and mom).- Once you have considered these, think of what you would tell your friend if they were in your exact situation?- Also, if your wife or mom were in your situation right now, what do you think they would do themselves?- If your wife and mom were in this situation, how would you feel? Would you want to know the secrets?- How has keeping these secrets affected your own mental and physical health?Once you have looked at the problem from all angles, you will be able to better make a decision on whether it is right to tell them or not."
"Instruct: 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.
Output: Thank you for sharing! It can be very disorienting not to know what you want and where you are headed. Sometimes we are so focused on something we haven't achieved yet or on comparing ourselves to others that we lose touch with what we actually want and need. At times like this, it's important to go back to basics. Try out this simple exercise, take a few minutes to write down all your present responsibilities. For example: make meals, complete homework...etc.  Then in the column next to it, write down the things that you do for yourself to recharge yourself and to enjoy your time. Is your list of responsibilities way longer than your list of stuff you do for yourself? It is easy to get lost in the sea of responsibilities and disconnect from what you want and need. To fix that, write another list of things that you enjoyed doing in the past for yourself and start incorporating them into your schedule on a regular basis. This will help you re-connect with yourself, and bring focus and clarity to your life."
"Instruct: He's lied about his past/present situations. Since time has passed, he has changed, but I still have my doubts. I have no idea if I should stay or go, but I hate this feeling. I don't trust him all too much, but yet he hasn't done anything for me not to trust him recently.
Output: Your doubts about your dating partner need to be addressed and solved so you can fully believe him again.Otherwise how would you actually know whether he's lying to you now or not?Start the conversation with him about wanting to trust him and asking for whatever details you feel will give you confidence he is telling you the truth.If he really wants to clear your doubts then he will be willing to invest in answering your extra questions or wanting to look through his phone or whatever areas you felt were violated by him in the past."
"Instruct: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them.
Output: Congratulations on making your way to Step One, self-observation and deciding to change a feature about how you understand and relate to others.There is extraordinary strength in being willing to notice your effect on others and consider what changes are possible.Start on the inside track of your own heart and mind.  Once you're able to understand what is driving your emotions to the point where the only reasonable way of handling them is to curse and offend people, you'd have gotten a long way in knowing your own expectations of others and how far off the mark from this in your mind, they are.For example, if you expect others to always be accepting, tolerant and happy about situations with your boyfriend, and you're hearing otherwise from people, then you can prepare yourself for possible, less than positive comments about your relationship, or you can ask people to not comment to you about your relationship at all.Basically, the more you know about yourself and are willing to accept your right to ask others to respect your views, the easier and calmer time you'll have in handling comments from others that you're not glad hearing.Also, this is a long process because you'd be trying to change long time and deep patterns of interacting.Be patient with your own learning curve and certainly consider therapy for yourself in order to have some outside guidance and support for the process you're placing yourself."
"Instruct: My son stole my debit card and lied about it. It's not the first time he has lied. I don't know what to do anymore. I don't know if I should punish him or make him do something. I've tried talking to him and asking if anything was wrong. I have grounded him, but nothing works. What should I do?
Output: Hi Enid, You sound like a sensitive parent; I like that you talked to your son to see if anything is wrong. There is some key information here (I don't know your son's age, whether he spent any money, whether he put the card back, or how many times he's stolen), and my answer might be different depending on those details, but I'll give you my thoughts.I see it as every child's job to figure out the rules and find where their power is in the world. In order to accomplish that, many of them test limits. ""What can I get away with?"" is a question they have to find the answer to. If a child knows the rules, they're much more likely to not test limits (because they already know the limits). So, part of testing limits is experimenting with stealing and lying. Not all kids steal, but I would say pretty much every child lies at some point. It's a normal behaviour, and most of the time it's about small things that don't matter and we don't even find out. Stealing a debit card is a bit more serious, and I'm not surprised he lied about it. If you absolutely know that he took it, it's okay to tell him that you believe he did this thing and also lied about it. It's appropriate to give a consequence for this type of behaviour, so that the child doesn't do it again. The consequence should be as natural and logical as possible. The behaviour (stealing) was harmful to you, so doing you a favour with extra chores might be a good idea. It's funny, because as parents we try to tell our kids that lying is bad, but they know they'll get a consequence if they tell the truth so there are natural deterrents to being honest (we don't want people to know our mistakes). It's a dilemma. If you really want to focus on the lying part, you can tell him that you won't give him a consequence for the lying if he decides to come clean with the truth within one day. That gives him incentive to come to you with truth. It sometimes works with kids to give them a chance to come clean and then reward them for telling the truth. You can set your child up for success and train them to tolerate honesty. Put a cookie on the counter. Tell your child to take the cookie at some point in the day. Then ask them later if they took the cookie. You're making honesty fun. Kids love games. Basically, there's as much power in rewarding the positive behaviour as punishing the negative. If this is the first serious offence for your son, don't make a big deal of it; consequence him and see if he learns. If it's a pattern, that's different and you may want the input of a therapist. "
"Instruct: I'm dealing with imposter syndrome in graduate school.  I know that by all accounts I am a phenomenal graduate student, and that I am well-published.  I am well liked by students and faculty alike.  And yet I cannot shake the feeling that I'm going to be found out as a fraud. 

How can I get over this feeling?
Output: First step is to remove the label of your behavior as a syndrome and instead understand the reasons for it.""Imposter syndrome"" sounds like a name someone made up to write a book and have lots of people buy it bc it gives the feeling they know themselves by calling themselves this name.Instead, consider your own unique qualities including your fears of being recognized as adding value to people's lives.If you were told growing up that you're worthless, or if your chosen career goes against family advice and expectations, or if you simply are a shy person, then these would be the starting points to understand your reluctance to believe in yourself.The more you understand yourself and trust the truths you find as to who you are, the less you will feel fraudulent.Good luck in your career work!"
"Instruct: I got involved with my best friend who is married but has been very unhappy for the last five years. We both fell in love and have been together for eight months. He left the house and filed for divorce. He decided to tell her about our relationship, and she is willing to forgive and work on things. This shook him. They have two kids together. He decided to put the divorce on hold. He left town for a month to get clarity on the situation and see a therapist.
Output: Hi Miami, I feel your sadness; you might have planned a future with your best friend. We live in a world where we are constantly exposed and connected to people who intrigue us and to whom we might feel a connection. I believe that our ability to protect our relationships from the risks involved here has not developed fast enough. Your friend came face to face with what leaving the marriage meant...huge changes and many intense emotions. He is wise to consider his choices carefully; especially if you have children, there is good reason to work at a relationship that is less than fulfilling. Therapy can help.So you fell in love with a man who was in an unstable place. He's taking the steps to create some stability for himself and that leaves you ""on hold"", not knowing what his decision will be. I love that you seem willing to give him the space he needs to figure it all out. This decision is his. For yourself, you can accept that being ""best friends"" with a man might not be a wise thing. Many marriages don't fair well when friendships like that exist. You flirted with danger; both of you. You fell in love but he wasn't free, really. I'm sure his love for you is real and powerful, but it's not a competition. It's one man choosing his life path. You can focus on thoughts like this:He has the right to choose his life.We flirted with danger by being best friends.I know he does love me; this is not a reflection on my worth.I can feel really good about giving him patience and the space he needs.I feel proud of his honesty.I feel proud if he's willing to fight for his marriage; lucky her...lucky kids.Acknowledge and allow yourself to feel that sadness, that grief. It's real.If you have told anyone about the affair, seek the support of that trusted person and know you have to grieve this in silence because it was born in silence. I wish you well, and for the record, I'm proud of the maturity you show in this situation. :)"
"Instruct: My depression has been reoccurring for a long time. It all started when I was being bullied in high school. In ninth grade, my principal told me I needed to stay home for a couple days to protect myself while she spoke to my classmates. I needed professional help for my stress because I was having crying spells from the stress of going to school and confronting my classmates. After that, I was fine for a couple of years. I entered my first year of college in a really tough program with high demands of expected work. I believe my depression re-booted from there with the stress. I began to cut myself because a friend of mine at the time told me how she used to do the same and it used to feel good for her. Obviously, that wasn't the right choice. I regret ever doing that, seeing as even though I'm not self-harming anymore, I always look back at that time whenever I feel very stressed. I have a big problem with handling problems in life. Whenever a problem arises, I get stressed and I feel hopeless, as if it's not going to get better. I get way too stressed from my problems, which leads to overreacting a lot (especially when talking to others), which then leads to depression. I have a hard time coping with stress because I know that if I could handle it easily then I wouldn't be sad all the time, and I would say and do the right thing instead of overreacting to my loved ones.
Output: I couldn't help but notice that you did not specify your age, so I am unable to set the total chronological order and length that you have suffered in this way, but I want to start by commending you on seeking out additional coping techniques on your own.  Unfortunately, it sounds like you were offered some that were more dangerous than helpful, but be proud that you were able to curb those before they caused too much harm. From what you have written, stress has always been a difficult thing for you to manage.  Often, when I am working with those who offer the same concern, there is a degree of people pleasing that comes with that stress.  When we are trying to make others happy, especially when we are unable to distinguish the proper ""rules for success"", it can make even the simplest of tasks overwhelming. Stress management is just that, management; of our own anxieties about the needs of others, about our skills and the ability to complete a task and having multiple requests at any given time. Each of these aspects requires a separate sets of ""tools"" to manage them accordingly. For example, assertiveness communication training could aid in communicating with your colleagues to manage their expectations of your deadlines and abilities, but it will not assist you with managing your own anxieties. Try to separate the different areas of the problem, in order to help yourself to find a solution and work on them in their own time. Perhaps keeping a journal will help you to better understand why you are so easily overwhelmed by stress and help you track some of your less-helpful responses to stress. For example, does a certain person's style of communication always make you feel undervalued and therefore push you to finish their requests first? Is there a certain time of the day where you start to fall off in productivity?  Is that the time fo the day where you also tend to pile up your requirements?Try to ask yourself some of these harder questions and see where they lead you."
"Instruct: Whenever I don't tell my friends or anyone what I did or stuff that's not really important, I feel terrible, like there’s a hole in my stomach. It only goes away when I hurt myself.
Output: Sorry to hear of your situation.Possibly you are overlooking that your own Self is someone worth talking to as well.None of us are ever really alone because we are always with ourselves.Self-talk is a major part of what guides our decisions and how we make sense of relationships and situations.    Even after telling people the stories or activities, hearing their comments, it is always within ourselves that we decide if the way we were received by these others, the comments we heard back, feel right and accurate to our lives.I hope the feeling of a hole in your stomach would decrease by enjoying your Self.    I am guessing that hurting yourself makes the stomach hole feel less bad because the physical pain you create in yourself distracts you from feeling it.Enjoying your Self by talking kindly, loving, and having inner dialogue may very well decrease the feeling of a hole, altogether.Sending lots of good luck!"
"Instruct: My boyfriend and I have been dating for almost a year. We go to different schools, and we don't see each other that often. I just feel very paranoid that there's someone else or that he could be hiding something from me.
Output: Have you spoken to him about your fears? Perhaps you can explain this feeling to him and let him know what might lead to feeling more secure.  Also, it is important to trust your intuition!  Perhaps there are good reasons to feel concerned. It may not be paranoia - it may be based in reality!  "
"Instruct: I nanny a three year old. When he wakes up in the morning he calls out for someone to come get him. If I am the one to go get him out of bed he gets really upset and refuses to let me near him. He screams that he wants his mom or dad (they work from home).    The rest of the day he loves me. But not in the mornings.
   What can I do?
Output: It doesn't sound like he hates you, just misses mom and dad in the mornings. You could validate his feelings by saying something like ""I know you want to see mom and dad right now, but they are working"" and then give him a couple options of things that may take his mind off of it. This could be choosing what he has for breakfast or playing a game of his choice. If possible, it may also be helpful if you could create a routine in which he stops by mom and dad to say good morning. If this is routine, he will come to understand that he will be able to see mom and dad for a minute and not become anxious about seeing them."
"Instruct: My grandson's step-mother sends him to school with a pink Barbie backpack as a form of punishment.
Output: Parents are to teach discipline to children, not punishment.   Punishment is another word for wanting to cause hurt.  There is a different in discipline and punishment.  Punishment could have long term affects on a child's self image and growth.  It can lead to others issues such as bullying from peers as well.  Whatever your grandson has done, there is a much better way of getting him to understand that his actions are not acceptable.  Punishment is not one them.  Encourage the step-mother to build a positive relationship with him, this way he will learn to respect and trust her.  His actions would improve.  She may need to attend a parenting class for blended families.  "
"Instruct: I was married to a narcissist sociopath for 10 years. During that time I was a general manager. I used to help him financially and in other ways when we were together. But things began to change. He emotionally and sexually drained me. I lost my spirit. I used to be a very happy person but now I am a loner. I left him and moved to another state. Currently, I'm working as a server which makes me believe less in myself. I feel pity for myself a lot but don't know what to do. When I have money problems, he does not help me. He actually enjoys seeing me have a hard time in my life. I need help.
Output: Congratulations on leaving your marriage!It is ok and natural to feel sadness, loss, uncertainty in direction, hurt, resulting from ending the marriage.Possibly what you consider ""pity"" is a combination of these feelings.Be kind and caring toward who you are since you just put yourself through a major separation and need time to clear out the old emotions that connected you to your ex.There is very, very little chance of him helping you since he lacks compassion and empathy.More likely any help he gave would be in order to manipulate you.Maybe for now your server job is ok do you have more time to concentrate on taking care of your emotions.You were a manager once, you can be a manager again when you feel ready for doing so.Good luck!"
"Instruct: 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?
Output: Your situation is a difficult one, but I would encourage you to start considering how to set boundaries for yourself and your family members. Often, times we believe we have to allow a certain behavior because a person is family. This is not true. It sounds like you could use some help understanding finding your voice and asserting yourself with your family members."
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: This is actually pretty common. When winter hits, we tend to find ourselves huddled inside from the cold. Not to mention the sun is out for a much shorter time. It will be helpful to get as much sunlight as possible. Get outside when you can. Open up the blinds and drapes. Use a sunlight if you want to (amazon has some for reasonable prices). Stay connected to friends and family. Try to engage in activities that make you feel positive, productive, and connected."
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: First of all, congratulations on your new role! Transitions can be challenging, and it sounds like you are experiencing a lot of change.  This would be difficult for many people, and it seems that you have an added layer of challenge.  I recommend visiting a therapist to determine the root cause of your anxiety and working to unravel those causes piece by piece. I know seeing a therapist can be challenging when traveling, and online counseling could be a good solution. In the meantime, here are a few of my favorite anxiety stopping strategies.  1. Grounding Exercises: When you feel your anxiety increasing, take a deep breath and begin things in your room (or where ever you are) that have things in common. For example, name all of the blue things that you can see.  You can also do non-visual grounding exercises like naming all of the hte sports teams you can think of or all of the state capitals.  This will get your mind off of your anxiety and connect you to space.  2. The pretzel: This is a seated pose that will stop any anxiety attack in its tracks.  Start in a seated position and cross your dominate leg over your nondominant leg. Then, stretch your arms out in front of you with the back of your hands facing one another.  Cross your arms in front of each other so that your palms are touching.  Flip your arms into your body.  You will end with your elbows by your side and your hands crossed under your chin.  Close your eyes and take long breaths in through your nose and out through your mouth.  This calming pose will help you get through even the toughest of panic episodes. 3. Bilateral stimulation and visualization: Start in a seated position with your hands placed on your knees. Tap each knee in an alternating pattern. Close your eyes and begin visualizing a peaceful setting. The combination of bilateral stimulation and visualization will help calm your body and mind.  I could go on and on, but these techniques should get you started.  These techniques should help you manage anxiety in a pinch.  Best of luck!"
"Instruct: He is always telling me our fights are only and all my fault, he bashes me to our young child, and he is addicted to a few substances.
Output: The behaviors you describe are boundary violations.  You can not change your spouse, but you can respond to his behaviors in ways that protect your boundaries and ensure your safety.  This is very hard to do without support.  Finding a therapist who understands the dynamics of abusive relationships may be helpful.  If you are not ready to do this, I recommend the book ""Boundaries"" by Dr. Henry Cloud and Dr. John Townsend.  It's a great resource for helping one recognize boundary violations and learning how to respond to them in ways that are constructive!"
"Instruct: Every winter I find myself getting sad because of the weather.  How can I fight this?
Output: There can be lots of different factors contributing to this. Here are some possible tips:Consider if you know anything about what specifically is making you feel sad? If you're looking for activities because you cannot participate in what you like to do in the warmer months, consider finding some indoor winter activitiesConnect with others. One idea is to join a group (such as a book club) that meets regularly. This could give you something to look forward to regardless of the colder weather.Enjoy the sunshine from indoors. You may notice that sometimes looks are deceiving women is bright and sunny outside, but is also quite cold when you open the door. If you are staying inside for the day, consider allowing yourself to enjoy the sunlight without specifically considering that it is also cold.Consider using a light box. Certain types of light boxes are designed to help with the ""winter blues."" You can find more information here: http://www.mayoclinic.org/tests-procedures/light-therapy/home/ovc-20197416Recently, one of the nurse practitioners that I work with has been checking a lot of vitamin D and vitamin B12 levels and she says the lower levels of these vitamins can contribute to feelings of less motivation or energy than is desired.Each of us has days when we are not thrilled about the weather and may be feeling sort of ""bummed"" or ""down."" If you find yourself having these days frequently or for several consecutive days in the above strategies are not helping, consider talking with a therapist about more specific strategies that may be of help to you. Also, because  if everything you would see is likely to live in your area, they would be familiar with the weather patterns where you are and may have some tips that they use for themselves or With other clients."
"Instruct: I have a relative who is in his twenties.  He was in a drug rehabilitation program and got kicked out for using drugs again. No one informed family that he was using drugs again.  He subsequently overdosed and was found dead.
Is their accountability of counselors, therapists or the halfway house for not reporting that he had relapsed? Is there a legal case for failing to report?
Output: I'm so sorry to hear of your loss.  This sounds like a really difficult situation for the whole family.  Since the answer to this question will depend a lot on the applicable state laws, I would suggest talking with a local attorney.  That being said, I see two competing issues here.  On the one side is the duty of confidentiality the counselors owed to your relative.  On the other side is the duty the counselors had to act reasonably to protect your relative from harm.  Generally there is not a requiremt for substance abuse treatment centers to notify family members if an adult client relapses.A local attorney will be able to provide more specific guidance on the legal obligtions and liabilities in this situation."
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?
Output: Communication opens up what is called ""cognitive space"" for your partner, and allows them to do the same for you. The more you know about each other, especially your everyday lives, creates a bond between the two of you. Much like the saying goes in the military, the same is true for a couple; ""Complacency Kills"". It is important for both of you to invest in each other on a regular basis. I regularly recommend that both of you take the 5 Love Languages Assessment and start using each other's top love languages to help show each other the positive affection that you feel (or at least want to feel) for one another. Start asking about your husband's day, trying to learn about all the interactions that he has at work, and feel free to ask questions so that he knows you really want to know about him, and know him intimately again."
"Instruct: I have an eating disorder of binging. I've had gastric sleeve surgery. I need help with issues of abuse as a child, addiction, and abusive men. I have been in therapy for five months and get no feedback from my therapist.
Output: It can be really frustrating to feel like your counselor is not providing you with the help you need.My recommendation in a situation like this would be to let your counselor know how you feel. Specifically tell Your counselor that you don't seem to be getting the amount of feedback you would like.If this doesn't help, then you might want to look for another counselor who will be a better fit for you."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: Your daughter is suffering from extremes of perfectionism. She needs to know that God accepts her as she is. I can provide her with a knowledge of her God-given, inborn temperament to help her find her God-esteem."
"Instruct: Now that the other girl is out of the picture, our sex life isn't the same. Is it because he is still thinking about the other girl?
Output: Or...better yet... Is it you still thinking about the other girl?  I am sure his cheating hurt you emotionally and may have affected your sexual performance as well.  Make sure the other girl is out the picture on your end as well.  Sounds like something the both of you need to have a calm and adult conversation about.  "
"Instruct: I suffer from adult ADHD, anxiety disorder, and depression. It has been difficult to find a doctor in my area and my primary physician won't help. I am unemployed and overwhelmed. What would you suggest I do?
Output: Look up online what the local hospital offers to people.  Also, google some of the key words you just wrote here, like depression and counseling, low-cost counseling.Did your primary physician tell you their reason to not help you?  If not, then ask the person to tell you their reasoning.  Even if the specific doctor won't help you, by understanding their reason, you may be able to work with the answer you hear."
"Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
Output: It is incredibly frustrating to not be trusted when you know you are doing nothing wrong. If the lack of trust on your husband's end has to do with something you did in the past, then be patient and give it time. Once trust is broken it takes time and effort to gain it back. Try seeing the situation from your husband's perspective, as often times looking at situations from different angles, gives us new understanding and insight. Remember that you can't change how he feels, but you can help him to regain the trust by asking him what he needs and responding to his needs as best you can. Seeing a couple's counselor is never a bad idea and it would also be beneficial for you and or/your husband to seek out individual therapy. There may be other unknown factors that you are unaware of that are contributing to the trust issues and inability to resolve them. Hope everything works out for you!"
"Instruct: How does a person start the counseling process?
Output: Hi! Great question! My suggestion would be to google therapists in your area.  One great website is called Psychology Today, which is a National site.  You can search for therapists in your zip code and search more specifically for the issue you are seeking support about.  It's a great way to find out if they therapist has a speciality, accepts insurance and whether they offer a free phone consultation. I would then make a list of the ones that may be a good fit and then give them a call!  :)  Hope this helps. Remember you get to ask anything you need to, to determine if someone is a good fit.  Don't be afraid to ask anything!  :)  Best of luck!"
"Instruct: I have been with my boyfriend for more than a year. He recently got a new job and travels a lot. I’m not used to him being gone all the time. I feel as though he has forgotten about me because he does not talk with me as much and doesn’t keep me up to date on everything that he does throughout the day, which he used to.
 I feel lost, sad and unwanted. This is really a tough new challenge. I just want to break up with him, but I love him so much. I don’t know why he is acting this way lately. I believe I have separation anxiety. Is there anything that I can do to help me cope with this while he is out of town?
Output: Consider talking with your boyfriend about times that you may be able to talk together while he is away. This way, you have an idea when you'll be able to contact him. Does he recognize the feelings that you have while he is away? How do you feel when you are together with him and he is home?I'm also curious as to how the level of your anxiety (on a scale of 1 to 10, perhaps) changes during the parts of his trips. Maybe there are certain parts that are more or less related to anxiety for you. Perhaps you have less anxiety while working or involved in a specific activity, for example, spending time with friends.When you are both in the same area (when your boyfriend is not traveling), do you do some things independently with friends? Do you know what leads to your anxiety when he is away? I don't know whether it is a general feeling of wanting him to come back or anxiety that something specific will happen to you or him.Do you ever recall feeling this way in your past? If so, what was happening then?What do you have that makes you feel very safe and comfortable?Consider working with a mental health professional in the area. Perhaps it would be helpful for the two of you to meet with a therapist who specializes in couples to see what kind of relationship you want to have and what you can each do to contribute to that relationship. There could be things that you could both start or stop doing to help your relationship move in the direction where you would like it to go. As an example, perhaps you would like a text before your boyfriend goes to bed, no matter what time zone or time of day it is. Perhaps he would prefer a good morning text or call/voicemail from you."
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: There are probably no two therapists alike because first and foremost we are human beings!And...our personalities may somewhat guide how we go about getting to know you, identifying what you would like to be different in your life and developing a plan to get where you would like to be. The very most important thing that will determine a successful outcome is the healthy therapeutic relationship between you and your therapist.  If you don't feel safe, comfortable and ready to work together, then it is likely not a good fit. And that's OK...speak up and the therapist should assist you in finding someone you can readily work with."
"Instruct: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.

I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility. 

Do I have the rights to be able to sign my brother into mentalhealth facility?
Output: Thanks for asking this question. I know it can be really difficult to deal with issues like this.To answer your question, you might be able to get you brother some mental health help, even if he doesn't recognize that he needs it. In most states, an individual can request a mental health evaluation of a family member if that family member poses a danger to themselves or someone else, or if they are unable to take care of their own basic needs.You can always call 911 if you are concerned about his immediate safety (for example if you find him sleeping outside in below freezing weather.  As an alternative to calling 911, you might also be able to request an evaluation from an authorized mental health provider.  The deatsils of who you would contact vary from state to state. Here's a link with some additional resources:http://www.treatmentadvocacycenter.org/someone-i-know-is-in-crisisHe's lucky to have a brother who cares for his wellbeing as much as you do."
"Instruct: I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I’m also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?
Output: It sounds like you are noticing yourself becoming overwhelmed with anxiety, feeling more irritable, and struggling to sleep consistently. There are many possibilities, in regards to what may be contributing to these things you are noticing, and a competent therapist may be able to help. In therapy, you may be able to gain insight into these experiences as well as develop strategies for coping with and eventually alleviating anxiety, irritability, and inconsistent sleep."
"Instruct: I've hit my head on walls and floors ever since I was young.  I sometimes still do it but I don't exactly know why, 

I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it. 

How can I help myself to change my behavior?
Output: Give yourself a lot of empathy and care for having had a rough childhood and realizing that life can be better than how you were treated when growing up.Be patient with yourself too bc lasting change takes time. Alternatives to hitting your head require constant gentle reminders to do these new behaviors, or if you've discovered a satisfying alternative in one moment, time is required for you to repeat this alternative until it feels natural.Anxiety usually means someone did not feel well understood growing up and was rushed to comply with the wishes of others who were a regular part of their lives.Anxiety lessens as the person starts to know and accept their wishes and needs as valid.  Allow yourself to learn who you truly are in the spirit of accepting whatever you discover about yourself.The behaviors will naturally change with your new understanding and self acceptance.Good luck and enjoy this self discovery project!"
"Instruct: My daughter didn't see her biological father for the last three years. She doesn’t want to see him because she remember really bad things from him such as domestic violence and child abuse. The visitation is with supervision, but she refuses to see him. Is it better to take my daughter to the therapist and try to see him after the therapy?
Output: Has the father or the visitation supervisor contacted you regarding why your daughter hasn't shown up for the past three years' worth of supervised visitation?Or is the supervised visitation a new development for the bio dad and your daughter?If no one is pressuring or expecting your daughter to show up, no one has even asked where she is, why she isn't present, then I don't see any reason for you to offer more effort by your daughter, than the father is willing to make for seeing her.If your daughter is willing to talk with a therapist, then let her find out first hand if the sessions seem useful or not.The one move I'd avoid is to force your daughter to go to a therapist since growing up in a household in which child abuse took place, being forced may remind her of her own feelings from this past, of feeling no one heard or cared about the way she wanted to be treated."
"Instruct: I'm a teenage girl. I don't know if I'm straight, bisexual, or gay. I've been straight all my life, but a sudden rush of questions have come over me, and I don't know anymore.
Output: Being open minded about the type of sexual connection which feels true and real, is a solid starting point.Having questions is a very valuable way of more clearly defining your sexuality.Write one or two of your questions if you'd like a more specific focus to your general search about your sexual preference."
"Instruct: I use to be so happy. No matter what, I always was happy. I got into a relationship with this guy. I love him so much. We’re both teenagers. The week after his birthday, my mom made me stop talking to him. It broke me. He came to my house and talked to her, and she let us date again but not see each other. He comes up to my school every day and it tears me apart that I have to lie to her.
Output: Hi Los Angeles, I can tell you have a moral backbone because it's hurting you to lie to your mom. I always say that a little bit of guilt is healthy because it teaches us who we want to be. Listen to that voice. You don't have to lie to your mom to get what you want.Now, you don't say how old you are, so part of my answer is going to be a bit vague. There's a big difference between being thirteen and your mom telling you what to do and being nineteen and your mom telling you what to do. The thing is that moms and dads start out making all your decisions for you when you're small, and they're supposed to, very gradually, give that control over to you. Different parents do this at different speeds, but in general you have to earn that freedom and trust...it's not just gonna be handed over to you. You might not like this part...your parent has the right to make the rules. My guess is there's a reason why mom is holding you back. Even if it doesn't make sense to you, breaking her rules isn't going to get you what you want...which is freedom, right? I guarantee you that mom wants you to eventually earn freedom...but she's not supposed to give it to you until you're ready because her first job is to keep you safe. I like that your mom has limits for you. Too many parents are sort of looking the other way, busy with their own thing. Whether you know it or not, you need protection like all kids do (appropriate for your age, of course).It sounds like what you want to say to your mom is ""I want to make my own decisions about who I spend time with"". That's a normal wish, and I encourage you to say that to her. Depending on your age and whether you've earned it, she might listen. So, you're sending her that message that you want to send, but you're doing it in a sneaky way, and that's not going to go well when she finds out. It's called ""passive aggressive"" when you say something with a sneaky behaviour rather than with words. It's not a very healthy way of sending a message, because people feel disrespected. My guess is that your best bet is to be honest with mom, stop the sneaking around and come up with a detailed plan of how you're going to earn your freedom...eventually. She might listen to that."
"Instruct: 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.
Output: 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. "
"Instruct: I just got married with my husband. I have four kids of my own, and he accepts me with my kids. I am thankful he loves my kids even though they’re not his. Now we are having problems in our relationship because of my past. I know all marriages have problems, but sometimes I feel it’s not going to work out if there’s no trust. It’s hard for me to let go because I love him, but I am getting tired.
Output: Hi Louisiana,You say that the problems are with your ""past"", but my hunch is the problems are about his insecurity and his personal barriers to trust (unless you've recently revealed details of a sordid past?). You don't mention ever having hurt the trust in the relationship.Trust is the first stage in a relationship. Moving forward before they develop trust is a common mistake couples make, and now you two have involved children in a relationship that's missing a crucial element. But you didn't see this coming, did you? That's because only as we become emotionally intimate do our deeper fears and insecurities come to the surface. I give you credit for wanting it to work, and I believe you would benefit from the support of a therapist in working through the kinks related to trust. Good luck!"
"Instruct: My boyfriend and I have a terrible sex life after three years of dating, and I don't know what to do. I have this lingering fear of pain during sex after having two partners previously who weren't careful. How can I stop projecting this onto my current boyfriend?
Output: Without knowing much about your situation, I would encourage you to seek out either a sex therapist who is trauma-informed or a trauma therapist who has knowledge about sexual concerns.  Even consensual sex can be experienced as an intrusion if a partner was not careful or insensitive to your pain.  It would be normal to have some difficulties with sex after such an incident."
"Instruct: I feel lazy and numb. I have no interest in things.
Output: Maybe right now it is time for you to rest before the next wave of new activity comes along.To have ""no interest"" may mean you are already so saturated with recent situations and their meaning that you are naturally withdrawing in order to regain your energy."
"Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
Output: It is incredibly frustrating to not be trusted when you know you are doing nothing wrong. If the lack of trust on your husband's end has to do with something you did in the past, then be patient and give it time. Once trust is broken it takes time and effort to gain it back. Try seeing the situation from your husband's perspective, as often times looking at situations from different angles, gives us new understanding and insight. Remember that you can't change how he feels, but you can help him to regain the trust by asking him what he needs and responding to his needs as best you can. Seeing a couple's counselor is never a bad idea and it would also be beneficial for you and or/your husband to seek out individual therapy. There may be other unknown factors that you are unaware of that are contributing to the trust issues and inability to resolve them. Hope everything works out for you!"
"Instruct: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
Output: Biologically, fear is designed to protect us from harm. Fear is not always a bad thing, and in fact can be quite healthy and appropriate depending on the situation. A phobia, however, is different. You used the term ""fear"" rather than ""phobia"". A phobia is an irrational fear - meaning it is not rational for you to fear that thing. If your situation is a phobia, exposure therapy can help. This consists of gradually exposing yourself a little at a time to the thing you are afraid of. Some people with phobias find that the irrational fear interferes with their life and they do need to overcome it. Someone who is afraid to drive over bridges may go to great lengths to avoid routes that have bridges. People who are afraid of elevators may always use the stairs instead, which may not always be feasible. If overcoming a phobia will improve the quality of your life, then by all means, seek professional help to overcome it.Everyone has fears, or things that make them nervous. Public speaking, asking a person out, fear of failure. Examine what your fear is and try to determine the reason for the fear. When you can get to the root cause of the fear, you can deal with that issue. A lot of times, it is a self-esteem issue. You may be able to peel back the layers of the fear and find out what's causing it and deal with the real issue. Some fears are caused by trauma. Someone with PTSD is going to have an exaggerated fear response and will find themselves being kicked into ""fight or flight"" mode over things that someone without the trauma experience wouldn't notice or react to. In cases like this, exposure therapy would be the wrong approach and could actually make things worse. If there is a possibility that a past trauma is the cause of your fear, I strongly urge you to seek a therapist - not just any therapist, but one who is trained to work with trauma and abuse victims."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: From the very beginning of counseling sessions I emphasize that the work will and must end at some point.In counseling there is an arc to the process. A beginning, middle and end. I am always digging, searching and exploring. There comes a point where things come to there natural ending.I always leave an opening for continuing counseling in the future. At least as a check in."
"Instruct: My dad doesn't like the fact that I'm a boy. He yells at me daily because of it and he tells me I'm extreme and over dramatic.
   I get so depressed because of my dad's yelling. He keeps asking me why I can't just be happy the way I am and yells at me on a daily basis. Is this considered emotional abuse?
Output: Maybe this is emotional abuse.It certainly is irritating and annoying to be yelled at for being yourself.Maybe at a time when he's not yelling you can bring up the topic of your own willingness, if this is true, to discuss questions he has about your gender.There's no guarantee he won't start yelling midway through a dialogue like this.  Only then you will be on firm ground to excuse yourself from the conversation since you already explained that you're willing to talk with him and not to be yelled at by him."
"Instruct: Does counseling really do anything that can help people?
Output: Counseling is a collaborative process which involves the development of a confidential, unique, therapeutic, helping relationship. This relationship is unlike any other as the counselor will act as a facilitator in helping you better understand yourself, the world around you, your feelings, and your behaviors.As is the case with most things in life, there are both benefits and risks while participating in counseling. Counseling may improve your ability to relate with others, provide a clearer understanding of yourself, your values, and your goals, and it often helps relieve stress immediately.Along with these benefits, counseling will also involve discussing the unpleasant parts of your life, and you may experience uncomfortable feelings during these moments. But remember that using the awareness of one’s pain can aid the healing process and result in better relationships with yourself and others."
"Instruct: 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?
Output: I would ask you first what made you give him another chance after he repeatedly lied and broke every promise to you?  I would imagine if he repeatedly lied to you that it will damage your ability to trust him now.  Is he in therapy? Does he recognize that he has a problem and is he trying to repair it?  Even if he truly forgot to tell you about the woman at work I think the real issue here is TRUST.  I am not saying that he doesn't have a lying problem.  Instead of asking someone else if you should be upset, ask yourself how you truly feel about him and this situation.  "
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.

People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: First of all, congratulations on your new role! Transitions can be challenging, and it sounds like you are experiencing a lot of change.  This would be difficult for many people, and it seems that you have an added layer of challenge.  I recommend visiting a therapist to determine the root cause of your anxiety and working to unravel those causes piece by piece. I know seeing a therapist can be challenging when traveling, and online counseling could be a good solution. In the meantime, here are a few of my favorite anxiety stopping strategies.  1. Grounding Exercises: When you feel your anxiety increasing, take a deep breath and begin things in your room (or where ever you are) that have things in common. For example, name all of the blue things that you can see.  You can also do non-visual grounding exercises like naming all of the hte sports teams you can think of or all of the state capitals.  This will get your mind off of your anxiety and connect you to space.  2. The pretzel: This is a seated pose that will stop any anxiety attack in its tracks.  Start in a seated position and cross your dominate leg over your nondominant leg. Then, stretch your arms out in front of you with the back of your hands facing one another.  Cross your arms in front of each other so that your palms are touching.  Flip your arms into your body.  You will end with your elbows by your side and your hands crossed under your chin.  Close your eyes and take long breaths in through your nose and out through your mouth.  This calming pose will help you get through even the toughest of panic episodes. 3. Bilateral stimulation and visualization: Start in a seated position with your hands placed on your knees. Tap each knee in an alternating pattern. Close your eyes and begin visualizing a peaceful setting. The combination of bilateral stimulation and visualization will help calm your body and mind.  I could go on and on, but these techniques should get you started.  These techniques should help you manage anxiety in a pinch.  Best of luck! "
"Instruct: 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.
Output: 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!"
"Instruct: I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single.
Output: If you enjoy cross-dressing and are comfortable with how you feelaand aware of your own thoughts and feelings about it in private as compared to in public,  I see no problem with that.If you would like to become more comfortable with it or express more feelings about it, I recommend that you  see a local mental health professional, not because there is anything wrong with what you are doing, but so you can learn more about yourself in the process. You may find  that doing this in private and having a partner  who accepts that is your view of how you would like things to be. You may discover that you would like to do this in public.I appreciate your honesty."
"Instruct: I have absolutely nothing to do with my life but lay in bed on my phone or hangout with my one friend. I don't have a job, my family doesn't include me in anything, and I don't have many friends. I have nothing to do besides go on my phone. I miss talking to people in person instead of online. I don't even talk to my family in person even from the other room.
Output: It sounds like you are feeling pretty stuck, lonely, and hopeless; like you have a desire to be more connected to people and to find purpose in life, but are not sure what to do. I am glad to hear that you have at least one friend and I think it is great that you are reaching out for more connection. If you can, working with a therapist who is competent in treating depression may be a huge benefit to you and help you to regain a sense of meaning, motivation, and connection. Additionally, anything you can do to give yourself a little break from the feeling of pointlessness and any ruminating thoughts you may be having may be of help. I know it may sound pointless in the moment, and you may feel a great deal of inertia in doing so, but you may find that if you force yourself to do something small that is pleasurable, like taking a walk for example, there's a good chance you will be glad that you did so after the fact. Thank you for reaching out."
"Instruct: 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?
Output: Therapy does not work overnight, oftentimes it is a lifelong struggle, the therapists job is not to ""cure"" you or to remove something but rather to make you strong enough to live your life with your own peculiarities and struggles, remember we are human and constantly fallible. Another important thing to note is that although you go to therapy, that is just a room, most of the magic and work takes place in your real life outside of that room."
"Instruct: I self-harm, and I stop for awhile. Then when I see something sad or depressing, I automatically want to self-harm.
Output: In a way, self-harm can present somewhat like an addiction.  According to new research within the field of neuroscience there is a valid explanation for this.  When a person cuts or uses other forms of self harm, the body produces endorphins to help make a person feel better.  If a person was dealing with depression or high anxiety, that might be misinterpreted by the brain as a way to help oneself feel better and a new neural network or map might form (addiction) that would utilize this new behavior.  Another way to look at it would be thru a behavioral lens, a positive reward for a behavior, even though the behavior has other long term negative consequences.  Consider working with someone who can both have you work on and address those items that trigger your behavior and the root causes, in this case sadness or depression, and second find someone who can help give you alternatives that take into account the neurological requirement by replacing the behavior with another behavior (such as snapping a rubber band on the wrist) and working to extinguish the unwanted behavior.   Someone who is trained in Dialectic Behavior Therapy and/or Interpersonal Neurobiology would most likely have the skills and means available to address this with you."
"Instruct: I want us all to get along, but feel that I am not being respected. Of course I do have some insecurities because he was with his ex for 8 years. He wants to see his step daughter and ex makes it so he has to go there to see her, but she doesn't want me around. She has a boyfriend, but mine fixes their vehicles, goes over once a week and hangs out with the ex and does family things with her. Since he works nights, I only see him parts of Friday-Sunday and we live together. He won't let me use his phone when I forgot mine, says his ex used to mess with it. I don't think he's cheating, but he will lie about what time he actually left her place to come home or about going over early to be with them. I feel like the other woman. She has tried to mess with holiday plans by restricting when he can see the child. He only dated once person before her, so this could be why. I don't feel he has let go enough. He is a wonderful boyfriend other than this.
Output: How much of your unhappiness with your boyfriend's way of handling himself regarding his ex, have you told him?The topics that upset you are the core of any intimate relationship.The good news is your own awareness of priorities and expectations from a partner.There may not be any bad news, depending on whether your boyfriend has the interest to adjust what he does regarding the ex.Talking the matters you list, may open a lot of emotion and become sidetracked very easily.A couples' therapist, whose focus is on the couple, not either of you as individuals, may be useful to you and your boyfriend so that you are able to complete your discussions without getting lost by the emotions raised."
"Instruct: I don’t love my sister. I would never wish her harm, but if I could, I would wish for us not to be related. Is this cruel? Why must blood mean we have to be friends? Am I being unreasonable and is there a way to fix this? I do care about her, like I do every human being, but I’d rather be with my friends than be with her at all. It’s not just a ""teenager phase."" I still love my mom and dad, and I’m very close to them. However, it’s my sister I don’t love or have ever really liked at all.
Output: Hi. My guess is there's a lot of deep history here that I don't know about. Have you felt hurt by your sister in the past, or are you just 'different people'? It's a common feeling people have about siblings; that they're very different and they wouldn't choose them as friends, but most people stay connected to family unless there's a good reason not to. We don't choose our family, do we? Your feelings are normal and they don't make you cruel. If you were mean to her, that might be a different thing. It might be considered cruel to cut her out of your life for no reason, but choosing to not hang out with her a lot isn't cruel, in my mind. Perhaps you at least owe your sister kindness and respect (if she respects you), but not necessarily friendship. How you respond here is up to you; there are no rules. You get to decide how much 'family' means to you and how much time you spend with friends or family. This may shift at different times in your life though. Cutting all ties with a sister now (you haven't said you want that though) might mean she won't want to be there for you in the future when you need her. Also, how you treat your sister affects your other family members as well. There are many things to consider here, but the bottom line is that you get to surround yourself with the people you want in your life."
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output: One thing you could try to do on your own is to focus on the partner who is in front of you now. If you are able to connect with them via touch or focusing on their tone of voice, that may help to center you. Tried to stay grounded and/or mindful. That is being aware of your position in the room, your feet on the floor, your hands in your lap, or your hips in the chair. Being mindful of the environment you are currently (for example, noticing what is around you) may be helpful. Try to use all your senses. For example, you could focus on hearing your husband's voice, feeling his hand in yours, being wrapped in your favorite blanket, seeing a comforting photo, using a comforting sense or candle, or tasting an apple that reminds you of times when you have enjoyed yourself in the kitchen.It also sounds like you are having a very specific reaction that could very well be related to trauma. I would recommend that you talk with a local mental health professional.Remember, just because it was the best decision of your life, that doesn't mean that what happened to you or in your presence automatically leaves you when you leave the relationship. Our brain is actually hardwired to remember things that have caused us pain or great emotional distress as a way of protecting us from them happening again. This is a very natural response and the reactions you have as far as nightmares and flashbacks are the past coming forward and your brain trying to make sense of it all."
"Instruct: I’m facing severe depression and anxiety and I just feel like I’m going through a lot. This really distracts me and I cant get my mind off the things that are bothering me.    How do I overcome this anxierty and depression?
Output: Meditation may be able to assist you in lowering your anxiety and depressive symptoms. Meditation…Breaks Anxious Thought PatternsA common symptom of anxiety is having racing negative and obsessive thoughts that create a vicious cycle of worry within your mind. Meditation can reduce rumination and the break negative thought patterns by increasing your control over random unwanted thoughts and decreasing your tendency to worry by altering the way your brain responds to stress. For example, instead of following your negative thought down the rabbit hole, you learn to view your thoughts differently and recognize it for what it is – a thought – and let it go. Thank goodness to neuroplasticity and your brains endless capacity to change! Balances Brain ChemicalsAnxiety is brought on by various factors (personality type, emotional trauma, genes, prolonged exposure to stress…) and sometimes causes an imbalance of chemicals within the brain (GABA and serotonin). A meditation practice can assist in restoring the balance of neurotransmitters within the brain by increasing GABA (neurotransmitter connected to feeling happy and relaxed) and serotonin (another neurotransmitter connected to being happy) and decreasing cortisol (stress hormone).Builds A Healthier BrainBased on research and scans, individuals who have a regular meditation practice show dramatically larger amounts of gray matter, the volume of the hippocampus, thickness of the cortex, increased blood flow to the brain, improved neural connections between various parts of the brain and decreased size of the amygdala (controls autonomic responses associated with fear, arousal, and emotional stimulation). View full article here: https://www.therapybyshannon.com/blog-2/2019/4/16/meditate-to-lower-anxiety-levels"
"Instruct: Every time my partner gets angry for anything, she takes it out on me. Nothing I do is right, and once she's mad, she calls me all kinds of names and is verbally abusive. She says it isn’t abuse, it’s just angry verbal bashing, and that it’s different. It gets worse each time. The names are very vulgar now.
Output: One thing you could try is to talk to your partner when she's not angry about the following:If she's angry, maybe she can talk with you about what she is angry about rather than calling you names.If she gets angry and then calms down a little while later, maybe one of you can take a timeout in the discussion and set a time when you will come back to it.Discuss what it is that you find acceptable for you to do during an argumentDiscuss what it is that you find unacceptable for you to do during an argumentDiscuss what is acceptable for her to do during an argumentDiscuss what is on acceptable for her to do during an argumentYour partner can answer the same questions related to herself and you.I can't emphasize enough how important it is to have this discussion when there is not an argument going on. Perhaps you could mention that you would like to talk about something that is really important and see if the current time is a good time. If not, consider when in the next 24 to 48 hours would be a good time.It may also be helpful to discuss these ideas with a local therapist. The therapist may also be able to help both of you figure out where the anger is coming from and where she has learned to react this way.If it is abuse, it may be even more difficult to have these important discussions. It may be helpful for you to see a local therapist by yourself to assess things like physical and emotional safety."
"Instruct: My spouse decided he no longer wanted me six years ago. Things have deteriorated so badly that we have separated but still live in the same house. He says he despises the sight of me, wants to be with other women, and divorce. What I don't understand is that he says constantly that I have no feelings for him and gets absurdly jealous if I speak to another male. Why does he constantly do these behaviors? I might add he has been diagnosed with borderline personality disorder and as a narcissist.
Output: What a burden for you!Your husband cannot seem to make up his mind on his viewpoint and doesn't seem to care whether or not you're affected by speaking out of two sides of his mouth.Keep yourself protected emotionally from him.   There's no good which can come by arguing with a person who  flips their position.Live as separately as possible from him and stick to roommate type matters such as groceries, bill paying and housecleaning as discussion topics.If he cannot make sense of what he thinks and feels, then certainly you will face similar difficulty trying to do so!"
"Instruct: Often times I find myself thinking scary thoughts and sometimes  I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out.  How can I stop these thoughts?
Output: I'm sorry you're going through this problem of scary thoughts in your mind.None of us are able to directly stop thoughts from coming.What is possible is to question their value, accuracy, and believability.Maybe if you examine the thoughts which upset you, you'll be able to feel better by understanding that the thoughts are not very relevant to your actual life.Also, another choice of what to do with the upsetting thoughts, is to redirect them.  When a stressful or frightening thought shows up in your mind, give it a happy resolution.   Basically, turn the fright into something pleasant or at least bearable.I hope this helps you at least a little bit!"
"Instruct: I don't remember when the voices in my head started, but I remember Hearing them when I was little. 

I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop.  They've been here so long and I want them gone. How can I make the voices stop?
Output: How is your life going overall?Since you hear voices since you were young I wonder whether you mean the thoughts each of us has about what to do, our opinions, including self-criticism and praise.I try to understand how severe a problem these voices are if you've managed to get to a point in life of awareness about the voices.Usually when mental health people hear about voices the immediate thought is you need drugs bc you are psychotic.Since this is going on for a number of years, I wonder if the problem is something different."
"Instruct: Whether it's to a guy or girl, I always feel insecure talking, and I am afraid of embarrassing myself and not being good enough. Even when I am walking, I worry about my appearance and facial expression and such.
Output: I want to add that one way therapy can help with social anxiety is to give you a corrective experience.  Each week, you sit across from someone who genuinely cares about you, who doesn't judge you, and who you can voice your concerns to.  Over time, you show them more and more of yourself, and as they get to know you, they still care about you, they still don't judge you, and they still think you are amazing.  Find a therapist you connect with."
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: This relationship with your step dad sounds very challenging. It is hard to to be told over and over again how not good enough we are. Let me offer you this, frequently when we say harsh, mean, nasty things to others, we are simply projecting our own thoughts about ourself. I am not advocating that this is ok, it seems like your stepdad could also use some support. You get to make your own empowered choice around this, this is your life and if you find yourself in a situation that does not suit you make a change."
"Instruct: I keep feeling paralyzed and unsure during interviews. Previous jobs have fired me for lack of performance, and five employers have rejected me after extensive personality tests and interviews. I'm afraid of continuing because my depression is getting worse. I'm already humiliated working for temp agencies and doubt my self-worth as a provider for my family.
Output: It sounds like you are feeling pretty overwhelmed and stuck between wanting to improve your work situation and worrying that you won't be able to. It is possible that the paralysis, uncertainty, and self-doubt that you describe are contributing to your difficulty in getting  and maintaining a satisfying job as employers generally like to see that a potential employee is confident and can think on his or her feet. With a competent therapist, you may be able to get more understanding of the roots of these feelings and learn how to move forward in your search for a better work life in a way that leaves you feeling confident and capable."
"Instruct: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.
Output: Developmentally, there are ages where not coloring in the lines, writing words that are jumbled together, and leaving big spaces or skipping lines are completely normal.  I have seen children in 3rd and in some cases, 4th grade who do not have learning disabilities write in the manner you have described.  There is, however, a type of learning disability called Dysgraphia which can present in the ways you have described. If you suspect that your daughter might have Dysgraphia, then the best thing to do is to have educational testing done.  You can request testing by going through your school system and asking for an IEP (Individualized Educational Plan) meeting.  Your school is required to honor your request for an IEP meeting.  At the meeting, you can ask the school to do educational testing that will be at no cost to you.  I will say that depending on where you live and your school system, it can sometimes be difficult to get the school system to do testing.  If that is the case, you can go to a psychologist or find an agency near you that can also perform this type of testing as well (some will accept insurance and others will not.)  There are also educational advocates that you can hire to help you if you ever have difficulty getting your daughter properly assessed by the school system.  I also highly recommend seeing a developmental ophthalmologist and/or a developmental pediatrician.  They can be great resources in helping you to determine if your daughter does have a learning disability.I always say that a parent should ""trust their gut"" and if you feel that your child is struggling and that there may be a learning disability then there is no harm in getting your child evaluated.  The best case scenario is that your child is completely on track and what you are seeing is developmentally appropriate.  On the other hand, if your child does have a learning disability, then you have caught it early enough where she can receive services that will help her in the long run. Either way, it is a win, win."
"Instruct: Is this something I should be worried about? Should I do something about it?
Output: The answer depends on how the other areas of your son's life are doing.Is he happy or does he seem happy, playing alone during recess?Does he have friends in other social circles besides the students whom he's with at recess?How is his academic progress?How is his social integration among his classmates?Are there any special or unusual circumstances in the home and family environment?Go through this list to form a fuller idea of whether your son simply likes alone time and takes this option during recess, or if any if the above areas show stress or difficulty for him and which need to be further understood and handled."
"Instruct: My husband and I have been together since high school. We have been married going on for nearly ten years, and we have three beautiful children. A few weeks ago, my husband decided he need some time apart and moved over to his dad’s for a while. He comes home to see the kids and acts like there is not too much wrong. Can this marriage be saved or is it too late? He said he would go to counseling, so I don't think he has given up.
Output: While it would be impossible for me to say whether your marriage can be saved it sounds like you are both willing to give it a try and to get professional support. With appropriate professional support for your relationship a lot is possible. I'm not familiar with the resources available in Jackson but I'm sure there are some good local couple therapists and there may be some agencies that specialize in couple counselling and family therapy. So often the challenges that we have in relationships result from rather small habits in relating that lead to greater feelings of distress, loneliness, anger and resentment. I commend your willingness to put effort into creating the strong loving relationship that you want for both of your sakes and of course for your children. The following links provides more information regarding common behaviours that predict staying together or separating and also videos and other resources that can help you get started. Wishing you and your family all the best on your journey of healing and discovery. "
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Hi there, There are a number of reasons why a therapeutic relationship might end including, but not limited to the client reaching their goals, the client reaching a place of acceptance where they wish to remain or even a breach within the relationship.  The last aspect should likely be taken to supervision in order to be fully processed.  All of these things could happen, and usually happen organically (again, except for the last example). Your question, however, was about the counselor ending treatment. This is a bit more difficult and can be very nerve-wracking.  It may be beneficial to take this with you to supervision, as well.  It's important to understand why you feel the need to end or terminate with the client, as well. Do you feel that they would be better suited for another therapist, have they achieved their goals or is it something else?In regular, open-ended sessions, I try to make a point of checking in with the clients fairly frequently. In these check-ins, I use the time to ask the client how they feel about the sessions and if there is anything they wish to focus on more astutely.  I also ask if they have any immediate goals that they would like to prioritize.  In goal-oriented sessions, I check in more frequently to ensure that both the client and I remain focused and, should they wish to shift their focus, that they recognize it is part of my responsibilities to make sure we move back to the desired goal. Often, especially in longer term therapeutic relationships, we as clinicians can see that the client has reached their goal, however they are apprehensive about ending therapy.  This is actually a great place to go with them; why would they feel unable to handle issues in their external or internal environment without you? Often, having this open discussion can increase empowerment and mastery. That said, it could also highlight other issues which the client may have been apprehensive about going into within therapy and now, as the relationship seems to be ending, feels more confident in bringing these up. In the case where the relationship is a toxic one, terminating with a client may be the best option for both of you. It's a difficult conversation, but recall that part of the role of the therapist is to model that these discomforts can be managed. I hope that this brief response can assist you going forward!"
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Yes, it is normal to cry during therapy, it is a time of catharsis, letting things out, shedding our skin, dropping our weights and just to let you know, even therapists sometimes feel like crying in sessions. Although people often cry or become upset, it is in no way a measure of ""good therapy"". C"
"Instruct: He is in his late thirties and I am in my mid twenties. We have been together for about 5 months. I really like him. He says he cares about me and is willing to fight to make things right. He has been very apologetic and expressed he did it out of fear. I don't know if it's worth giving him a second chance.
Output: Cheating is often a sign that something is amiss in the relationship. His fear may be full of information. While it's possible to repair relationships after a betrayal it's also challenging to do, especially so early in your relationship. I can't tell you if you should/shouldn't give this relationship a second chance but I will tell you to tune into your own intuition (and follow your own fears in doing so, they often are incredibly informative when we don't push them away with denial)."
"Instruct: I'm in my early 20s. I’ve been married once, and he cheated on me. Ever since then, I've felt ugly no matter what. I'm engaged, and I still feel ugly. I don't like to take pictures of myself.
Output: Sounds as though you're taking the blame for the bad actions of your former husband.He did an ugly action, and instead of feeling only your own emotions in response to being cheated on, you are holding his ugly behavior within you and feeling it.Does this sound like a possible explanation of why your feeling of ugliness started after the cheating incident?You may start feeling better by looking within your own heart for the full effects of having been hurt.  It is possible there is more suffering within you than you've realized until now.As you address all the emotional pain you've lived through, the feeling of ugliness may drop out all of its own. Because you'd be focused on you, not on any of the ugliness introduced into your life by your cheating ex husband."
"Instruct: I’m a man, and I’m soon to be married. I have been messing around with other men on the side. It started as a once in a while thing, but it’s been happening a lot. I don't know what to do.
Output: If you are happy with the person that you are about to be married to and are also enjoying time with other men, it could be possible that you are attracted to people of more than one gender.Having said that, some people have feelings toward people of more than one gender that are not really related to romance or attraction, but any number of other feelings, such as trust and communication. I don't know whether your use of the phrase ""messing around"" was related specifically to being romantically or sexually involved with the people who you are or referring to or if you are saying that you are enjoying spending time with them. These terms have different definitions for almost everyone.I would definitely recommend speaking with a local mental health practitioner in your area, not because there is anything wrong about the way you are feeling, but because there are a lot of different parts of what is happening in your life right now and it may be helpful to talk about the feelings and thoughts with someone who can help you to learn more about yourself and the people are most important in your life (yourself included).I also suggest looking at a few things that you love and appreciate about yourself."
"Instruct: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out.    How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do?
Output: Your happiness and healthiness is key.  I would not suggest that you hold back and keep it a secret.  You should be up-front about it, but perhaps gently bring it up on a date.  When thinking about whether or not you should stop, think about how it makes you feel.  Perhaps try to be social at more accepting affirming locations in your area.  The people who will accept you for who you are are out there.  You may not be looking in all of the places you have available to you."
"Instruct: My dad cheated on my mom for 13 years. I cannot stop obsessing over the fact that my boyfriend might be cheating on me even when I know he isn't. I have full access to his phone, social media, and e-mails. I never find anything, but I'm obsessed with constantly checking just in case. How do I stop this? It's driving a wedge between us.
Output: Hi Greenville, I respect that you're owning your own overreactions, and that you want to give your boyfriend the respect he deserves. The truth is that some people cheat, and some don't, and our partners deserve the benefit of the doubt unless they show signs they can't be trusted.The answer here is in two different areas. Basically, if you want to feel differently (more trusting, in your case), you look at your thoughts, and your behaviours.Your thoughts are stuck... like tires in deep ruts in the road. These thoughts are only habits, they don't reflect the truth. Fear is probably whispering in your ear things like ""everyone cheats"", or "" you're not enough for him"". Once you figure out what fear is trying to tell you, picture those words in red next time they come up. Ask yourself what the evidence is that supports that thought (there won't be much...perhaps none), and what is the evidence that doesn't support it (I know lots of good men, I know I deserve love and loyalty, there is no sign of infidelity...). You're learning to refute the thoughts that are connected to the fear. That's the first half. Practise these thoughts.The rest of the work is in your behaviours. Act as though you trust him. Force yourself to not check or interrogate, and the less you check, the less obsessive and untrusting you will feel. Acting ""as if"" something if true strangely helps us believe it.It's possible to change the way we think, and this is turn changes the way we feel. Try this to start, and see a therapist for support and cognitive behavioural therapy if you want to dive more deeply into why this is happening and how to stop it. Good luck!"
"Instruct: We are the legal guardianship of our grandson. He has been acting out, and he wants to talk to his mom that has not talked to him since before last year. How are we to handle this?
Output: Hi Boone, This depends a lot on his age and the situation. The younger the child is, in general, the more I would see this as your decision, not his. A child of any age should be listened to carefully about these matters, but just because a child has unresolved issues about a parent doesn't necessarily mean that having contact is a good solution. Some questions... Was the parent harmful to the child? Is the parent likely to be harmful to the child? How likely is it to be a positive experience? Do you have any contact with the parent? You may want to speak with the parent first to determine whether they are in a stable enough place to allow this to happen.  I would start by asking the child more about what is on his mind. What does he want to get out of a visit with the parent? Is it to see them and know the parent is okay, to get an apology, to apologize for a perceived hurt, to have regular contact, to find out if they are loved...? What does he hope mom or dad might do or say in the visit? There are many possible goals this child might have in mind. This will give you a sense of what's missing for the child; what need are they trying to fill. Once you know the need, try to determine the likelihood of that need being met successfully through contact.Once you determine the risk of the child's need not being met, then you decide whether it makes sense.  The older the child, the more able they are to determine this with you or for themselves. There are other options than a face-to-face. He can write to his mom or dad, text or email. It's likely that the child is looking for a sense that he is loved, wanted, worth some effort. When a child is separated from a parent, they tend to blame themselves. Whether he sees the parent or not, he will need extra love, attention and support than a child who has two loving, present parents. I wish him the best and I'm grateful for the love and support you continue to give your grandson. You're very special!"
"Instruct: 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.
Output: Your good intentions to help your friend stay clean, are very caring about her.Unless your friend feels like stopping pills,  taking them away will mean she finds them some place else.The problem that anyone who is addicted to pills has, is that the person is psychologically and at least with xanax, physically addicted.Taking pills has basically become a standard part of your friend's life.Her problem is bigger than your ability to care.If you haven't already done so, tell your friend directly about your opinion on the way she is using pills.This is not a guarantee that she'll stop.It isa way of you showing that you care about her.Offering love and advice are the only things you can do for her.Meanwhile, knowing she is hurting herself is probably hurting you.Be sure to keep a sense of balance within yourself.  Offer your concern and know she is the one who must decide to stop using."
"Instruct: 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?
Output: This is your experience, your feeling and you are wondering if it is normal, which means is this common or the rule. This question about how you feel about your third child leads me to believe you are dis- turbed [etymology: agitated or stirred up].  Feelings are messages from our soul or spirit that something is not right.  So, though  it might be normal [common, the rule]  to look forward to a one year olds nap time when you have a three year old a nine year old, the dis- turbance or stirring up in you, is important and requires your attention, your listening, if you will to your higher self.     "
"Instruct: 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.
Output: 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."
"Instruct: I like getting attention from men. I don't have sex. I lead them on to thinking I might want to. I like to tease, I like for men to chase me, and I like to feel wanted.
Output: Hi Michigan, Good for you for recognising a destructive pattern. This behaviour, although it might get you the attention you want initially, will ultimately drive men away because it's not respectful of them. My gut says that you learned early on in life that your value is in your sexuality alone. That's a powerful thought. You are certainly acting as if this is true. If you believed in your value as a person, you would be less afraid of deeper relationships and intimacy in general. If I were your therapist, I'd have many questions for you and I would need to understand a lot of things about you and your past to help you sort out where this idea about yourself came from. I'd suggest reaching out to a qualified therapist who can help you get to the root of this behaviour. Good luck!"
"Instruct: We've been dating for two months now. I have a heavy past that gets him angry. Does he have a right to penalize me for things I did before I met him?
Output: Not in my book. You're only two months in? At this early stage, this is a bit of a warning sign. If he can't accept or feel comfortable with who you are and decisions you've made, there's already a level of discomfort here that shouldn't be ignored. No, he doesn't have the right to penalize you or punish you ...not just for past things...not for anything. What he does get to do it tell you how it affects him. Sure...if he feels uncomfortable or needs reassurance...listen to those things. But If he doesn't dig who you are, maybe he can walk the other way."
"Instruct: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest.
Output: It sounds like your in quite a rough place, my recommendation just based on what you type might warrant a visit to a psychotherapist to resolve what may be going on, I am not entirely sure but it sounds like he might have a bit of a sex addiction problem. One thing you need to ask yourself is ""Am I happy?"", ""Do I feel loved?"", these are deep questions, but the answers to those questions will give you a direction to travel in. "
"Instruct: What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.
Output: As a relationship therapist I work with a lot of people who feel similar feelings to some degree or another and almost always find that the origin of these feelings point back towards childhood. How did you caregivers express (or not express) love towards you? How did they express (or not express) love towards one another. These early messages become your template for how you have learned to see yourself and what you expect from others. In his book Wired for Love, Stan Tatkin, PsyD writes “We learn to love ourselves precisely because we have experienced being loved by someone. We learn to take care of ourselves because somebody has taken care of us. Our self worth and self-esteem also develop because of other people.”  This could be very fruitful to explore in individual therapy with a relationship therapist who really gets it, you may have to interview a few to find the right fit; that's OK. Maybe you'd even want to read that book I linked above. :) Noticing this pattern is HUGE, it's where transformation begins. And now that you have be kind with yourself, it begins there too."
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: The numbers you write are low compared to how much sex many other people would be satisfied having.The key is your and your husband's satisfaction with the amount of sex you are having.And, know if there are reasons besides low sex drive that possibly explain this.Knowing the other possibilities matter because a low sex life may mean one of you is being satisfied sexually outside the marriage or that one of you prefers sex with a same gendered partner.If you've ruled out these possibilities, and you are satisfied with your emotional and financial life in the relationship, then a low sex drive may simply be the norm for the two of you."
"Instruct: I sleep a lot. Music changes my mood. I cry every Wednesday. My mind is like a maze that even I get lost in. I don't usually feel my true emotions, but instead, I get fake mirrored ones.
Output: What happens in your life on Wednesdays that you feel like crying?   Crying is natural.  Crying on Wednesdays may also be natural if some type of regular event or situation comes up for you then that you don't like, feel oppressed by and have no way of avoiding.Maybe you would qualify for a diagnosis for depression.This matters less than what you will do with a diagnosis.  Very often people feel some type of relief from hearing a professional tell them what they ""have"".Don't let yourself get talked into taking pills because now you ""have something"".  Pills change your mood.Only you can change your life.The diagnosis matters so the therapist gets paid from insurance.It is a good sign that you know whether you feel true emotions or fake ones.  This is a clear sign of knowing about yourself.Your mind feeling like a ""maze"" is a little too vague to know if you mean there are too many thoughts at once so that you have difficulty knowing which ones to examine first, or if ""maze"" means you don't know what your thoughts are and  feel lost for this reason.Depression which is addressed by a person can become quite liberating because you will remove what bothers you so much in your life that it weighs you down and depresses you."
"Instruct: I recently lost a friend to suicide.  I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: I'm so sorry to hear about your recent loss.  There is such a large feeling of uncertainty that befalls those of us left to sort through these emotions of such a loss, and it's never easy.  I think it's important to remember that there is no ""right"" or ""wrong"" way to deal with loss and the ""best way"" for you may not be the best way for someone else.  The fact that you are aware that you are smoking more marijuana and drinking more, and the fact that you can recognize that these may not be the best coping techniques, is a very good step towards giving yourself some better support at this time.  Marijuana and drinking are type of coping techniques that can numb us to our emotions, but they do not really help us to work through those emotions. When it comes to grief, often one of the most helpful ways to move through the phases of grief is to use your social supports; talk to your friends and family, see your mutual friends and commiserate with each other on the loss and the uncertainty.  The more we talk about our feelings, the more we are okay with them being ours. The more we express our loss, the better we become at accepting such a loss. In talking with your supports, you may also decide ways in which you may want to remember your friend; ways you can do so on a personal level (writing a poem, planting a tree, etc.) or ways you as a group can remember and memorialize them (a special day where you get together to share your memories, starting a charity, etc.) We never truly ""get over"" our losses, but we can learnt o accept the losses and what it means to us now...but that also takes time. "
"Instruct: Every winter I find myself getting sad because of the weather.  How can I fight this?
Output: Light therapy is very helpful. You are not alone. The name for the condition is Seasonal Affective Disorder (SAD). You might want to see a therapist to assist you putting in place a behavioral program to help change the way you feel."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: When you find the right therapist, you will feel understood on a deeper level.  You'll feel that they not only understood what you were saying, but that they were also able to catch the ""in between the lines"" part and put into words what you have not been able to.  The relationship with your therapist should be collaborative, there should be a fundamental element of safety and trust.  A strong relationship with your therapist takes time to cultivate, but by the second or third session, you'll know if that therapist genuinely see's the world from your perspective and has a plan to get on how they will support your growth through this journey."
"Instruct: There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.
Output: My wife won't do things she used to doThere are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.Like we often hear, communication is the key to a good relationship.  Intimacy in the marriage is something we take for granted, and we rarely communicate about it. I noticed how you mentioned that she had “once agreed to try” things; did you ever asked if she enjoyed those things or would want to repeat them.  Have you asked if she would like to try new things as well?What if, you work on improving your communication with your wife? One thing to consider is the status of your relationship.  Are you in good terms with each other? Are you or your wife going under a stressful situation?   Many times when we have problems we reflect it in multiple areas, including our intimacy or lack of it.  Listen to her; ask how you can support her.  Find ways to reconnect as a couple, relax, have fun, and do things that you used to enjoy, or discover new interests together.Then you can focus on having conversations about your intimacy.  You could star by letting her know that you are concerned about your romantic life, and ask if you do anything that she likes or dislikes.  Remember this is a two-way street, you should be ready to listen and ready to share.  Take in consideration what she mentions, and work on resolving those issues.  It is important that you praise each other as you progress and do this in a loving and supportive way, avoiding hurtful comments. If you continue to struggle, or seems difficult to engage in communicating with your wife, consider couples therapy or individual therapy to work on communication skills.Mi esposa no hace las cosas que solía hacerHay cosas intimas que ella hacia al principio de nuestra relación, y cosas que alguna vez ella estuvo de acuerdo en probar y que ahora no hace.  Yo  me paso pensando en eso todo el día.  Me siento rechazado y pienso que me case con la persona equivocada.Como tanto escuchamos, comunicación es la clave para una buena relación.   La intimidad en el matrimonio es algo de damos por hecho y rara vez nos comunicamos al respecto.  Noté como mencionas que alguna vez tu esposa “estuvo de acuerdo en probar” algo.  ¿Alguna vez le preguntaste si le gusto lo que probo, o si quería repetirlo?  ¿Le has preguntado si ella quisiera intentar algo nuevo o diferente?¿Y qué tal si trabajas en mejorar la comunicación con tu esposa?Un aspecto a considerar es si hay alguna tención en el matrimonio.  Si están pasando por una situación tensa en su matrimonio o algún otro aspecto de su vida, lo pueden estar reflejando en su intimidad, o la falta de la misma.  Escúchala, pregunta cómo puedes darle apoyo.  Encuentra maneras de reconectar en pareja, relajarse, divertirse, y hacer cosas que antes disfrutaban, o descubrir nuevos intereses juntos. Si demuestran que son importantes uno para el otro y apoyan sus necesidades, se unirán más y disfrutaran de su tiempo intimo.Luego trabaja en tener conversaciones sobre la intimidad.  Puedes empezar por dejarle saber que te preocupa la vida romántica preguntarle si hay algo que a ella le agrada o desagrada al respecto. Recuerda que esto será beneficioso para los dos, tú debes estar preparado para escucharla, y compartir tus preocupaciones.  Toma en consideración lo que ella mencione, y trabaja en resolver o eliminar esas conductas.  Es importante que se alaguen y animen en el proceso, que este sea un proceso de apoyo y crecimiento y que continúen teniendo esta conversación frecuentemente.Si continuas teniendo dificultad o no sabes cómo comunicarte con tu pareja, considera terapia de pareja como una alternativa, o incluso consejería individual para trabajar en tus destrezas de comunicación."
"Instruct: My fiancé and I broke up. He cheated on me numerous times. I kept forgiving but questioning his every move. He got tired and left.
Output: There is a grieving process after losing a relationship (or any other major loss, such as a job, a house, etc.). One of the things to consider is give yourself a chance to go through the tasks of mourning:To accept the reality of the lossTo process the pain of griefTo adjust to a world without the person who has just leftTo find an enduring connection with that person in the midst of embarking on a new life. This could mean a lot of things, but it could be holding certain memories as your own.You may also find things that make you feel happy or comfortable. It's also helpful to have people who you can talk to about your feelings and people who may be able to recognize things about you that you cannot see right now (such as how you are honest, committed to your work, a good listener, etc.).This takes some time. Try to be gentle with yourself."
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?
Output: What you are describing is something I often refer to as ""living with your roommate"" phenomenon. This is the idea that you feel like you are living with a roommate and no your partner or spouse . It is not uncommon for members of a couple to report to feel both physical and/or emotional distance. When we don't feel connected within relationships, this can be isolating and lonely. The emotional distance often makes us wonder: am I important to the other? These types of feelings need to be better understood in the context of your own background and upbringing I.e., who you are and also better understood in the context of your couple. Feeling reconnected can occur-- but there is not a ""one size fits all"" solutoon. As a first step, do you or your partner have any ideas of how to feel reconnected? Have you considering talking to your partner about the emotional void? Or how about discussing  solutions , together, that might help-- from individual therapy to couple therapy to a weekly date night to inquiring about one another's personal interest to starting off the conversation of what both of you want and can do to re-establish feelings of connectiveness. If this is too frightening I.e., to address the lack of connection between you and your spouse.  a fist meeting with a couple therapist can likely help unpack what the possible solutions for your couple."
"Instruct: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a  female coworker. I don't know how to approach this situation. How do I ask him about it?.
Output: I think honesty is the right approach in this situation. Share with him that you looked at his phone, as well as sharing with him any fears or concerns that you're having about the long distance relationship. Trust is the foundation of any successful relationship and when doubt & distrust creep into a relationship it can undermine the long term health of the relationship. Hopefully, he will understand your concerns and appreciate your honesty. This also might be a good time to seek couples counseling to work on relationship & communication skills."
"Instruct: 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?
Output: Certainly."
"Instruct: I have been seeing this guy for a little over a year. Back in August, he asked for us to step back for now. Since then, he has still been in contact with me every day. We spent some time together over the holidays, but then I was gone for New Years with family. I came to find out that he put himself on a dating site. When I found out, I asked him about it, and he responded with this: “My apologies if I got my signals crossed, or if I wasn’t honest with you. You have helped me tons this past year and I am glad you are in my life. I didn’t realize you were still interested in dating. Again, my apologies.” Also, is it better to say that I want him in my life or that I want him as part of my life?
Output: It sounds like there is a bit of confusion regarding how you two feel about each other. Do you know what type of relationship you want with him? A friendship only, casual dating, or an exclusive relationship? I would encourage you to first figure that out and then communicate to him how you are feeling. Ask him to be honest with you about how he feels and what he wants from your relationship as well. Be mentally prepared for a variety of responses from him so that there are no major surprises. By clearing the air and learning what your own and each other's desires are, you can then move forward with a plan. Without that clarification, there will likely be false assumptions, unanswered questions, and confusion. "
"Instruct: What am I doing wrong? My wife and I are fighting all the time. What can I do? We don't agree on anything and she usually jumps to conclusions, which are usually wrong on how I feel. She is very family-oriented while all of my family left me on my butt, abused, ignored and messed up with me mentally. I'm not a family-oriented person. I only have two people in my life - my best friend and my wife.  

My mother forced my father out of my life so I do not know who he really is. We've gotten in contact but he just makes comments on how much I look like her when in fact I look more like him.  This makes me mad because I don't want to look like my mother. I hate her. All that she did was bring me down and make me homeless, which she was successful at.  I need guidance in my life.  I don't want to lose my wife but we need to have a space because we usually hit each other and it's not healthy. I'm dying to make our relationship healthy. I've never wanted anything more than this. Please help me. I need your advice.
Output: Hello. It sounds to me like you are carrying an enormous amount of emotional weight, and maybe even an equally enormous amount of guilt and feelings of failure about your marriage. I cannot imagine how challenging this is for you right now. Marriages take lots of work, and often the only examples we tend to have are of those we saw when we were young - good, bad, or indifferent. There are no easy answers to your questions, and I won't presume that my response to you will be the linch-pin that heals all your pain. But I can maybe give some thoughts and reflections. First and foremost, cut yourself some slack. No one is perfect. We fail more often than we succeed, but in the end we learn, and that learning helps us grow. Yes, you're right, the abusive aspects of your marriage are not good, and need to stop. You probably are doing more harm than good in that regard, and this will quickly destroy anything you have in your marriage that is even remotely in your favor. Seeing a therapist for yourself, and then seeing a therapist as a couple is a good approach. You have issues that you need to resolve, that, while they impact your marriage because they are part of the history of your life, they are separate from your marriage in many respects.Joining a marriage support group can also be helpful. You can find these through local counseling resources. Sometimes your local crisis numbers can provide services in your area that can be helpful. If you belong to a religious or spiritual community, then you might see if there is any type of counseling offered for free or at a reduced rate. Sometimes pastoral support is focused on the spiritual side of any issues addressed, so if you feel this is important it might be a viable option for you.Lastly, parents are imperfect. Yep...its true. They had no more of a guaranteed parenting success manual than you do at having chances for a perfect marriage. We limp along and do our best. Having said that, we can still take the best from our past and apply to our future, no matter how small or insignificant it might be for us. The bad stuff serves as lessons of what to avoid, and we are each responsible and accountable for our actions in this life. Both with ourselves, and toward other people. So this becomes a guiding principle in our actions. It may be that you discover that the marriage you are in is not a good fit.  I am sure that remains to be seen, but either way you both must be involved in saving it. If only one of you cares, then 100% of the energy to salvage the marriage rests on the shoulders of one person. That's not fair. So be sure you have a clear understanding from your wife about what she wants, and work to create an amicable solution. All of this said, seek out supportive friends, and actively work to do your part to make the changes you want to see in your life. One way or the other, you will benefit from it.Be well."
"Instruct: On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs. I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest.    How do I fix this?
Output: I get how you feel; you wish your body looked different and you're embarrassed that you tried to make it look different and people may notice. You don't say how old you are. It's likely that, if you are young, your body will change as you mature, but in general, we're given the bodies we're given and I'm glad to see that there may be a desire in you to accept your body the way it is. You seem to want to stop disguising it. Bodies come in all shapes and sizes and every woman knows how it feels to struggle with accepting what her's looks like. Many men go through this as well, although women are more often targeted with cultural messages about how we're supposed to look. Young people often believe that others are noticing and judging them. In fact, other people are far more preoccupied with who might be judging them than whatever's going on with you. I suggest you wear whatever bra you want to wear, and if someone is rude enough to comment on it, you can ignore them and talk about the weather or the latest pop song that you love and they'll get the hint. But my bet is they won't even notice. :)"
"Instruct: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them.
Output: Hi California,I'm happy to hear you want to get a hold of this problem. Relationships don't tend to last when we treat people poorly. It is very possible for you to learn different ways of relating, with some strong effort. I would highly suggest working with a therapist, and I will give you a few things to think about in the interim.Sometimes anger is there because we feel something is unjust or unfair, but many times, anger is a ""secondary emotion"", and it's simply there to protect us from other, more vulnerable emotions that we would rather not feel and will do anything to avoid. Discovering what vulnerable emotions you are protecting yourself from is important. Perhaps you feel powerless, or unloved, or unimportant. It may take some time before you recognise this emotion. Once you do, you can ask yourself about the other times in your life when you have felt that emotion. Where did it originate? At what age did you feel ""too much"" of that feeling...so much so that you can't stand it even in tiny amounts?You will learn in therapy to identify the thoughts you have that are connected to that feeling. They are typically incorrect thoughts, like ""No one lifes me"", or ""People will always hurt me"". Fear tends to generalize and predict bad things that aren't likely.Your habit is so strong that you likely have a poor sense of self-worth and you don't believe people will love you...so you hurt them to keep them at a distance. This happens in a subconscious level. Do you see how that would help you to keep people off balance or afraid or a distance away if you didn't believe in your worth? So, it's backwards really, because you think you're getting mad at people who ""piss you off"", but you're really just not wanting to face how mad you are at yourself.In addition to this work, you can start to purposely treat people more kindly. Find out what respect is, make amends and  resolve to spreading peace. It might sound too simple, but if you act as though you're a person of peace, you will start to feel more peaceful.But I hope you do contact a therapist. It will take time and support to reach your goal."
"Instruct: I have friends, family, I live in a good home, I go to a nice high school, and I get pretty good grades, but I don’t know why I'm so unhappy. These friends are my best friends and they’re all amazing people, and yet I'm sad all the time and feel alone.
Output: I wonder if you have moments where you feel happy?You say you have amazing friends. I wonder if you get along with them and feel as though you can be yourself around them.Sometimes we put a lot of pressure on ourselves to do really well at everything all the time and this can be overwhelming sometimes. Where do you have support? I hope you can tell someone that you are feeling sad so that you can talk about your feelings.Sleeping can make a big difference as far as feeling sad as well. If you're not sleeping well at night, that could be a big part of feeling sad a lot.Perhaps you could try to find a person or two who makes you feel totally safe and comfortable and try to talk with them."
"Instruct: 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?
Output: 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."
"Instruct: From the moment I wake up, I hear what I think is my voice in my head. Even now, I hear it saying every word I’m thinking. When I lay down to sleep, I think of weird and crazy things, and the voice will never stop talking. I don’t know if it’s me thinking. It never stops. I’ll lay in my bed for hours just thinking about weird stuff. I should mention that I talk to myself a lot: mostly in my head, but out loud as well.
Output: First let's make sure that the voice is not one you hear outside your head and that it is not giving you commands.  If either are the case, please visit a psychiatrist for an accurate assessment.I believe you asking for some support in order to quiet your reactive mind (also called self-talk, automatic thoughts, mind talk, etc.)  When anxious, these thoughts tend to start racing.  The battle inside heats up even more when you start judging the thoughts themselves.  It sounds like the idea of the racing thoughts is giving you extra stress, and you have created a feedback loop.  In CBT (Cognitive Behavioral Therapy), there are some excellent BEHAVIORAL interventions to break free.  Start by doing behaviors that are distracting, fun, and healthy, such as calling a friend, going to a movie, or getting some exercise.  You may also do behaviors that slow your heart rate like deep breathing and yoga.  It's amazing how well slowing the body can slow the mind.  There are many other behavioral techniques for calming the mind.  Pick up a mindfulness meditation book for more ideas.Then there is the COGNITIVE aspect of your question.  This is the idea of recognizing how the thoughts are distorted and to challenge them rationally.  For example, if you do some of the behaviors just mentioned and you get some benefit, your stated idea that ""it never stops"" may not be accurate.  And your comments that the thoughts are ""weird"" or ""crazy"" are arbitrary judgments that you are making against yourself.  These are examples of cognitive distortions.  By challenging them, you may slow down the chatter inside your head.Of course, my book LIVING YES, A HANDBOOK FOR BEING HUMAN, is filled with ideas for both behavioral and cognitive improvement.  I evan have a chart (p. 57) which shows the different characteristics of the ""worldly voice"" and the ""sacred voice"" inside.  Learn more about Living Yes at www.LivingYes.org.  You may also want to find a qualified CBT therapist in your town by searching the top clinicians who are listed on the www.AcademyofCT.org website.I hope you find peace soon.  Keep breathing calmly and get some rest.  ~Mark"
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: This sounds stressful.You mentioned that you want to learn how to avoid them. I'm not sure whether you want to avoid them overall or if you would like to ask your mom to maybe only talk to you about it for a few minutes about your niece in each conversation that you have.Maybe you can connect your mom with some support. It sounds as if she has lost part of herself and/or is very stressed out and in talking with you about it because she trusts you enough for you to be someone she can speak openly, you are becoming stressed because of things that you cannot directly change. This is the presumptive based on the amount of information that you posted, but it sounds like there is a bit of a circle of stress here.I also wonder who you could talk with when you are stressed.It may be helpful to see a local mental health professional to help redefine some boundaries so you can have the type of relationship with your mother that you want without necessarily feeling stressed out by it every day."
"Instruct: A girl and I were madly in love. We dated for over a year and were even talking about marriage and future plans together. She moved away for school, and we attempted a long distance relationship. We eventually broke up. It's been a year now, and I still haven't lost my feelings for her. I still love her the same way I did. I've suffered from depression ever since the breakup and have been unable to connect with anyone else. It's damaging me and my life.
Output: Hi Boise, I'm sorry that you've lost this love. The fact that you were planning marriage and a future tells me that you meant something very special to each other at that time. It's different now...you're not together anymore, but you can't accept this, right? Good for you for identifying that this situation is damaging your life. You've been grieving for longer than you were together. Oh, but really you've not been grieving...you're stuck still loving her instead of moving forward. Unrequited love is a recipe for eternal heartache. Let's look at some possible blocks to moving forward.It could be that there's something unfinished for you. Maybe you felt hurt and you didn't have the chance to say so, or you felt you hurt her and you didn't have the chance to make it right. Maybe there's a burning question you need to ask or something else you need to say. Maybe you want to tell her you've never stopped loving her, and see if she feels the same way. If this is the case, you have two choices, right? You can reach out and say what you need to say, or you can stop ruminating on that question and let it go. If you reach out, there's no guarantee it will go well or that she'll even respond. Maybe write her a letter and don't send it (or send it...it might be worth the risk). Use the next paragraph to help you decide. Do you know how she feels? How did it end? Did she end it? Was it ended just because of the distance, or are there more differences between you that didn't work? Sometimes people are so in love that they can't clearly see that the other person isn't in love with them anymore. Use the information you have about what she wants for her life...can you honour what she says she needs? If she's asked for distance, you would do well to honour that.A key to moving forward: look at your thoughts and where they're getting stuck. Write it down. What bad thing can happen if you let it go? Or ""If I move forward, that will mean...""  Keep going...what would be the worst part of that?  This kind of exploring can help you identify your stuck place.It is possible that you've turned this ending into some kind of negative meaning about you or your future. As in ""If this person doesn't love me, then I'm unlovable"", or ""No one will ever love me as much as she did"". So your need to cling to her in your heart is your way of rejecting that negative message about yourself or the future. Can you find another way to reject that message? Try saying these things to yourself:I know she loved me. There is evidence of that.I was a good partner. There is evidence of that.It's part of life to fall in love and then have to move forward...I can do this and learn from it.Many people like me...that's how I know I'm lovable.It's normal to feel sad. I'm grieving a lost love.I want to move forward and not stare in the rearview mirror.I know more love awaits me if I can get fear out of the way.If this person loved me, others can too, (but not if I'm clinging to some old memory)These are the kinds of things a therapist would explore with you. I wish you well!"
"Instruct: I'm just an extremely paranoid person. I constantly feel as though I am in some sort of danger, like as though I live in a horror movie with no resolution. It worsens at night. It gets to the point I'm scared in my own home more so than anything. I have no access to the help I need so I'm desperate.
Output: One approach is to be more accepting of yourself as someone who has fears.It is much easier to manage a problem when you're not fighting yourself for having a problem.Once you are willing to accept this quality within yourself you may start to feel a little more relaxed about handling the fears when they arise.One answer is to examine the facts about the fears.   Ask yourself fact based questions as to how you would handle the worse case scenario of your fears.Feeling prepared, whether or not the circumstance is highly unlikely to happen, may increase your peace of mind with living the great fears within your mind."
"Instruct: A few years ago I was making love to my wife when for no known reason I lost my erection, 

Now I'm In my early 30s and my problem has become more and more frequent.  This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage. 

I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to. 

What could be causing this, and what can I do about it?
Output: When I'm working with men with this type of situation, I always suggest a medical examination to rule out any type of organic reason for a difficulty in maintaining interaction. In cases where there is no medical reason for the loss of erection, I find that many men have a similar situation in experiencing negative intrusive thinking during lovemaking. My counseling approach for this situation is to incorporate the use of mindful sex."
"Instruct: I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?
Output: A good way to start is the language or ""self talk"" that is happening inside your mind.  Looking at your question, when it is said that the presentations ""make me feel stress"" you are giving the responsibility of the stress to the presentations and taking that away from your self.  The presentations cannot give or take away your stress, that's something only you can do and you can do it!   What language can you change in your self talk?  For example, are you saying ""I can't speak in front of an audience! I'll fail?""  That sounds a lot different than ""I studied my butt off and if I practice speaking out loud, I can ace this presentation!""  Although this is a short answer, I do believe that counseling will help you overcome these stressful feelings and bring out your inner confidence."
"Instruct: Everything just makes me upset.
Output: Anger often comes with a lot of other emotions. Consider what else you may be feeling at the same time and keep track of your different mood changes. You may be able to notice patterns, such as being more frustrated when you don't sleep well. If you do feel as though you are mad all the time, can you think of any exceptions so you can see what is different in those times?"
"Instruct: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.
Output: This could have many different origins. Have you tried asking him about it? Sometimes starting with asking whether he would be open to having an important discussion can be a good beginning. If that starts well, perhaps continuing with something like ""I've noticed that we haven't been together intimately (or whatever phrasing works for you) as much lately. Can you tell me more about what it's like for you?""When asking questions like this, it usually helpful to not overuse (and perhaps try to avoid using) the word ""why."" That word tends to trigger really strong emotional reactions in people. Try starting with ""what makes"" Instead. For example, ""what made you choose not to do that?"""
"Instruct: I would like to be able to have more positive relationships in the present.
Output: Remember, the past no longer exists and the future is just an illusion as we don't know what will happen tomorrow, so take the present as your guide. That is all we can do, so keep saying this to yourself and try to help someone each day.  The happiness is helping others to feel a bit better."
"Instruct: My new daughter-in-law just informed me that she is smoking marijuana while pregnant because of her morning sickness. I’m in shock and I don’t know how to respond. I just lost my mom, and she was good with advice.
Output: Have you reached your own conclusions and reasons for these, regarding the topic?   When you feel confident in your own reasons for your conclusions, then obviously ask your daughter in law for some time together and tell her what you think and your reasons for opinions.Plan for this meeting according to the type of relationship you have with your daughter in law.Since your son will also be affected by the prenatal conditions of his child, he may also be interested in being part of this conversation.Also, during your discussion, find out the exact ways the morning sickness affects your daughter in law.It is possible that scheduling adjustments in routines can be made so your daughter has more time to rest or fewer responsibilities for a while until she feels better.Maybe you and other family members can lighten her daily routines so she has more time for herself to manage her morning sickness in a less risky way.Sending Good luck!"
"Instruct: 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.
Output: Sexual orientation is not always something that is clearly definable. Some people look at it on a continuum where being attracted to only boys is at one end, only girls is at the other, and bisexual is in the middle. Anywhere in between those points can be any amount of attraction to boys or girls.If you don't know whether you are gay or bisexual, that is okay. A lot of people don't know for quite some time. In addition to that, after people do know who they are attracted to, a lot of times they do not use the terms ""gay"" or ""bisexual"" for quite a while.It's okay not to know.Think about what sorts of expectations you have for your ideal relationship. Some examples may include trust, respect, availability for conversation or connection, etc. Whatever it is that you find important in a relationship is likely what matters most.If you are struggling with learning what it is that you would like in a relationship or any other feelings connected with what you are thinking and feeling, I would suggest connecting with a local therapist so you have a place to talk about what you are experiencing."
"Instruct: Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me. 

He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard.  I want to end this relationship, but I don't feel like I can. How can I let go?
Output: Hello, and thank you for your question. Boy, ending relationships is tough, isn't it? Sometimes it's tough even when we are 100% sure that it is the right thing to do!I am going to give you some of my thoughts, and hopefully some colleagues will add some others. One of the things that I want to point out is that ""letting go"" is not really a thing. In other words, it's not really something you can reach out and grab. It's more of a process. This is good news, because you don't necessarily have to be at the end of the process to end an unhealthy relationship. We just have to accept that there will be feelings that come up even after the relationship is over. For example, someone can end an unhealthy relationship today, but then be reminded of the good times on what would have been their ""anniversary."" This could make the person very sad. They may even regret ending the relationship for a little while. It would important, then, for the person to remind themselves why the relationship needed to end, and that they are healthier because of it. This is relevant for you. It's hard to walk away from a relationship. We fear all kinds of things, including being single! Sometimes it's helpful to compare what you are getting out of the relationship to what you want from a relationship. It's helpful to be honest about what we have given up for an unhealthy relationship. It's fine to admit uncertainly about ending things. It's okay to be afraid. It's okay to have moments of doubt and sadness along with a dash of guilt. And even with all of that, someone can still leave if it is the healthiest thing for them. They can have sadness later on, and still not go back.It sounds like you are feeling responsible for making sure he is okay because of this divorce. The truth is that there is not necessarily a ""perfect"" time to end any relationship. There would be no guarantee that he would be doing any better after the divorce. Sometimes NOT making decisions stresses us out A LOT more than making a decision and living with the consequences, both good and bad. You may be at that crossroads. Be well..Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: I started dating a guy I met online. He told me that he registered sex offender but he didn't do anything. He took a plea to always register as sex offender and he did two years. That was more than two decades ago. Nothing on his record since.
I always believe the past should be left in past. But my roommates, their family and my son are unforgiving. Should I forgive this man that I'm falling in love with or should I dump him? If I stay with him I will never see my family and granddaughter again.
Output: Thank you for your question. Trust is a huge thing in relationships and when that is broken, or perceived as being broken, it takes a long time to repair. From what you shared, it sounds like your boyfriend took steps to correct the situation and has shown to be trustworthy since. Unfortunately, no matter how much we apologize for something we did or for something others perceive we did, there will always be those with hardened hearts and will not forgive. If you feel confident in your relationship, then trust your inner wisdom. We cannot control others but only ourselves. Respect your families wishes to remain in unforgiveness while at the same time, ask them to respect your wish to believe in him and be in this relationship. Good luck to you."
"Instruct: I'm very depressed. How do I find someone to talk to?
Output: Great that you realize talking with a professional counselor about how you feel, would be helpful!If you'd like a very fast response by phone, then google ""depression hotline"" for where you live.  And, if you have a specific topic which upsets you then google around with this topic to see if there are services specific to your interest.If you've got time to invest in looking for the best fit therapist for yourself, then google ""therapy' or ""therapist"".There will be many, many names which come up.I know I sound like I work for google only it is the easiest way to find lots of information.I send you good luck!"
"Instruct: I've been with a man for four years. For the last year, he has said he is done, but he still talks, texts, visits, and has not moved on with anyone else. His words do not match his actions. I love this man, but it's hurting so much.
Output: This can be difficult and confusing.If you think your boyfriend would be open to having a discussion, try asking him for a time when he is willing to have an important discussion. When that time matches with a time that is good for you, try discussing the type of relationship that you each want to have and what you can start and stop doing to get there. He may want to be really good friends. He may also be trying to figure out what he is feeling. If you end up talking over one another, try letting one person be the one who is talking about their feelings for about five minutes and during that time, try having the other person asked questions to gain more understanding of their experience. Then you can switch. Also consider asking questions that cannot be answered with yes or no, but lead to more explanations.Questions that start with the words how, what, when, who are usually better than questions starting with ""why"" because they can be emotional triggers for some people.If this is difficult to do between the two of you, consider seeing a therapist who specializes in couples."
"Instruct: He told me he started to back away because I was asking for too much in the relationship. The more I tried to fix things, the worse it got. I want to make us better again, but I don't know how.
Output: Have you asked your boyfriend directly this question?It is a good question and possibly would open a necessary clarifying discussion as to what each of you expects from the other."
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for.  Is there anything I can do to feel reconnected?
Output: What you are describing is something I often refer to as ""living with your roommate"" phenomenon. This is the idea that you feel like you are living with a roommate and no your partner or spouse . It is not uncommon for members of a couple to report to feel both physical and/or emotional distance. When we don't feel connected within relationships, this can be isolating and lonely. The emotional distance often makes us wonder: am I important to the other? These types of feelings need to be better understood in the context of your own background and upbringing I.e., who you are and also better understood in the context of your couple. Feeling reconnected can occur-- but there is not a ""one size fits all"" solutoon. As a first step, do you or your partner have any ideas of how to feel reconnected? Have you considering talking to your partner about the emotional void? Or how about discussing  solutions , together, that might help-- from individual therapy to couple therapy to a weekly date night to inquiring about one another's personal interest to starting off the conversation of what both of you want and can do to re-establish feelings of connectiveness. If this is too frightening I.e., to address the lack of connection between you and your spouse.  a fist meeting with a couple therapist can likely help unpack what the possible solutions for your couple."
"Instruct: I just lost my grandpa and i'm having a rough time with it.    I need some help to deal with the loss, but I don’t think I can pay for counseling. Where Can I get help?
Output: I'm sorry you lost your grandpa.  Some things that may help you through this tough time are to journal or write about special memories you have of your grandpa.  You could also journal about your feelings of loss and how you miss him.  Another thing that might help is to talk with a friend or family member.  Sharing special memories of the person you lost can help you to grieve.If you would like to pursue counseling I would suggest doing an internet search for grief groups in your area.  Sometimes hospitals or hospice centers will offer them for free or low cost.  You can also do an internet search for non-profit counseling clinics in your area.  Many cities and towns will have a non-profit clinic that can provide low cost counseling, it might be worth checking into."
"Instruct: I decided to stay and work it out. I just don’t want to sit on the couch. Other than that, I have been getting over the situation. I don't feel it is fair that she expects me to sit on that couch and won’t leave me alone about it. I can move on and continue to love, laugh, and play with my wife. I just don't want to sit on that couch.
Output: Houston, It's normal for this kind of thing to be a trigger, so I get why you don't want to sit on it, but to keep refusing keeps the affair alive. Am I to assume that you can't afford a new one? Ideally, she buys you a new couch, but it certainly would be a gesture of love for you to do it too and it will help you both move forward. t will be interesting to see if there's anything else that keeps the problem alive after the couch is long gone."
"Instruct: Is this something I should be worried about? Should I do something about it?
Output: Humans are social creatures so this can be an alarming thing for a parent to deal with, just like adults children are not the same and some children are more social than others, if he plays alone at recess (all the time) it would worry myself as well, however recess is only one domain of life, does he have friends outside of school or daycare? Does he socialize in other situations or is it just at recess where this occurs? If this is a global problem occurring at other social times it may be indicative of something deeper going on, if perhaps it is occurring ""just during recess"" it could be something else altogether. I would request reports from all teachers and caregivers concerning socialization and make a choice on whether or not to evaluate further.Hope this helps,C"
"Instruct: I feel like I have to be promiscuous in order to keep people around? It started after I got raped by my ex-boyfriend.
Output: I recommend that you seek professional services to address the trauma you experienced. EMDR has been proven to be very effective in treating trauma. In addition, a support group might be helpful to find a more stable support network. Either a support group for victims of rape or sex/love addiction www.sa.org sound appropriate. Whichever group resonates the most with you will be the most helpful. If you have any additional questions or concerns, please feel free to ask."
"Instruct: My issue isn't resisting angry urges; it's the anger itself. My rage is extreme and vastly disproportionate to the direct stressor. It causes violent thoughts, but I never act. I stay lucid enough to know the rage is violent, not me. I don't want to drown myself in anger and resentment.
Output: Knowing how you feel and also being able to stabilize yourself to act upon the tremendous anger you feel, are fine qualities.Anger, whatever the magnitude, generally reflects emotional pain that has not yet been placed into words.Try thinking over your growing up years because maybe you will discover certain repeated dynamics which upset you and that no one helped you feel secure through such times.Also, if either of your parents drank too much and raged when they were drunk, you may be repeating their patterns of how to respond to situations.   Even without drinking, the response patterns of yelling and throwing things are frightening enough to leave a permanent memory.If this describes part of your childhood, then it is possible you are becoming angry because it was the only emotion that either of your parents was able to express."
"Instruct: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.
Output: It sounds like it might be worth asking the school for an evaluation to determine whether your daughter has any learning disabilities such as dysgraphia or dyslexia or seek an evaluation through an educational neuropsychologist.  I would also suggest having her vision checked by a developmental optometrist."
"Instruct: I find myself being very outgoing most of the time, but there are some times when I don't know what to say. I don't even want to talk at all. It's like, I search for the right thing to say and nothing ever comes out. I don't know if I'm outgoing only to fill the void of not knowing what to say. I don’t know if people like that about me. I'm very self-conscious and always think people are talking about me, so it makes me have a cold shoulder and not want to talk.
Output: Would you feel more secure in conversations if instead of talking soon after meeting someone or entering a social situation, you simply listened attentively to the other people?This way you'd have a more secure idea of what topics the group likes talking about and whether you like talking about these topics as well.Maybe you simply are in groups or situations in which you don't care for the people or focus.Start by trusting your own evaluation of your true interest in being among the groups in which you are.Maybe you simply need new and different groups."
"Instruct: 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.
Output: It is possible that you could have or be developing an anxiety disorder. There isn't really enough information provided here to suggest a particular disorder, but it might be worth meeting with a counselor or therapist to do a formal assessment. Some of the questions they might ask could be what other kinds of physical symptoms you experience, how frequently these physical symptoms happen, what's going on for you when they tend to happen, and how frequently/intensely you find yourself worrying in general. Anxiety itself is a really natural thing - it's just when it starts interfering with your ability to ""do life"" the way you want that we start to consider potential disorders. It might be that for the most part, the anxiety you feel is normal and you simply have some triggers that intensify it more than usual. Working on your own or with the support of a counselor/therapist to both address those triggers at the root and also to develop ways of managing the actual anxiety symptoms. This two-fold approach can be really helpful for not letting anxiety keep you from engaging in life the way you'd like."
"Instruct: What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation?
Output: I will admit I am confused about this question. Are you the other parent in question or a concerned coworker of this therapist? Therapists do not prescribe or have access to medication. Most therapists won't even get involved in a custody battle. They know there is a good chance of their records ending up in court and that they themselves will have to testify in court. Of course, therapists are human and can make mistakes, but I find it highly unlikely that a therapist would knowingly and willingly do something like this that is such a major ethical violation. Not only are they losing their license to practice by doing this, they are going to face criminal charges and jail time. If their clinical judgment is that the other parent is a danger to the child, they don't have to resort to illegal means to try to prove this. If you have concrete proof that this has happened then there is a process in which you can file a report against the therapist with their licensure board. Every therapist is licensed in their state. There are different types of licensures so you would need to know this therapist's licensure.Most accusations from the other parent are expected in a custody situation because people do tend to get quite ugly. Don't accuse the therapist or the parent of anything just to try to make yourself look better and them look bad. Have evidence of wrongdoing before accusing them of this. If this has really happened then of course it needs to be reported, but don't try to ruin someone's career unless you are sure this occurred."
"Instruct: I’m a man, and I’m soon to be married. I have been messing around with other men on the side. It started as a once in a while thing, but it’s been happening a lot. I don't know what to do.
Output: Divorce is expensive emotionally and financially. If your fiance is not ok with an open marriage, it would be a good idea to seek the help of a counselor before you get married."
"Instruct: 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?
Output: Hello. I'm sorry that this happened to you, and that you are struggling with making a decision about this. In my experience, a couple can absolutely overcome cheating and get back to the relationship they once had. Hopefully, the other relationship is over, and you can work on rebuilding the trust that has been broken. It will be difficult for the both of you to move past this, and getting professional help as you navigate rebuilding your relationship is a good idea. Just know that you can get past this, many couples do.Good luck!"
"Instruct: My husband’s ex-wife married a man who was charged with seven felony counts of pandering involving a minor. He, by his own admission, is addicted to child pornography. My step-daughters are now all teenagers. They do not know. My husband’s ex-wife has kept this information from my step-daughters. The step-father has had issues regarding his pornography addiction recently. The ex-wife minimizes it by saying that he has ""repented."" It is a constant strain on my husband, knowing that his girls are living with a man who is addicted to child pornography. My own therapist believes the girls should be told. The ex-wife says her therapist says the opposite.
Output: Lorain, you're correct that your husband's ex-wife is (seriously) minimizing this problem. I have a very strong opinion here. In my book, the safety of children trumps potentially insulting or hurting the feelings of adults. Of course the girls should be told, because they have the right to know. Their voice is not the only one I'm concerned about here though. I believe your husband has the right to insist that his daughters be in a safe home, and there is clear evidence this man is not safe. This woman is putting her own comfort (she simply doesn't want to deal with her partner's situation, her own fears, or anyone else's needs) above the safety of two vulnerable girls. Honestly, if it was me, my kids wouldn't be even visiting that home with that man present, ""repented"" or not. It's not worth the risk. If she decides to stay with him, the natural consequence of having a known perpetrator in your home is not having access to vulnerable children in that same home."
"Instruct: I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?
Output: First of all, way to go in stretching yourself out of your comfort zone! You are sure to grow through all of this practice presenting to your peers, and that in itself will help to grow your confidence over time. In the meantime, do whatever you can to help yourself feel prepared for each presentation. Do your work ahead of time so that you feel well-informed on your topic, and then spend the days leading up to your presentation practicing. Do your presentation in the mirror, while you are driving (if it won't distract you from the road), and practice in front of a friend. On the day of the presentation, eat a balanced meal, get a pep talk from a supportive friend, use deep breathing to keep your body calm, and remind yourself that you are prepared. You got this!"
"Instruct: We do communicate but one of us has trouble accepting what the other person says. How can I fix things?
Output: Being able to accept your partner's influence is a key relationship skill. And it's very two sided.  Chances are if you don't feel your partner is being influenced by you, they likely don't feel you are being influenced by them either. The best fix you can practice is to soften yourself into your partner and see how much more open you can be to their influence.  Play with it."
"Instruct: I believe it is wrong for men to look at inappropriate content. The father of my child has agreed to respect my beliefs. His co-worker sent him an inappropriate video. He got mad because he does not think he should tell his friend to not send him things like that.
Output: From what you write, it sounds like you're reaching quite far into your child's father's way to handle his friendships.There's a difference between an agreement between you and the child's father to not view porn, and with you monitoring and setting standards for your child's father's way to handle his social life.Try to accept the limits of your request extends to you and the child's father, not the way the child's father wants to handle his relationships with other people.Also, pushing too hard or setting your expectations of the child's father too wide for him to tolerate may end up backfiring on you.Who knows, maybe he'll decide ""enough is enough"" and withdraw from the otherwise reasonable agreement to not watch porn."
"Instruct: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.
Output: I think honesty is the right approach in this situation. Share with him that you looked at his phone, as well as sharing with him any fears or concerns that you're having about the long distance relationship. Trust is the foundation of any successful relationship and when doubt & distrust creep into a relationship it can undermine the long term health of the relationship. Hopefully, he will understand your concerns and appreciate your honesty. This also might be a good time to seek couples counseling to work on relationship & communication skills."
"Instruct: How does a person start the counseling process?
Output: The first thing to do is to reflect on what you want to seek counseling. Search online and then set up a phone consultation. A person can find out a lot about a counselor and the services that they offer over the phone. After a consultation then set up an intake questions. The overall goal is to make sure that you are comfortable with the counselor and the services they can offer."
"Instruct: I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years.
   How can I deal with being bullied at school when the teachers won't help?
Output: To be bullied is very painful.I'm glad you know the bullies are doing the wrong thing and whatever they are telling you is pure meanness.Depending on how independent you feel, why not tell either your classroom teacher or schedule an appointment with the vice principal?Bullying other students is taken very seriously in some states and schools are expected to address the bullying until the victimized student feels safe.If you hesitate to do this on your own, then would you ask either of your parents or even a friend of yours who is also in the school, to report the problem?In case you are afraid the bullies will retaliate for reporting them, then tell this to whatever school authority you decide to ask for help.You're entitled to be protected by your school."
"Instruct: I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
 I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
 I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?
Output: You may be interested in reading my most recent post, Intimacy Begins With You. In it I offer 7 expert tips to help you get started on a path of self connection and discovery. This is important stuff to do in order to work through that stuff that's holding you back from the relationships you desire. You may find that it's especially helpful to do this work with the alliance of a skilled individual therapist."
"Instruct: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?
Output: Thank you for asking this important question. I find that there are three steps to getting ready for treatment. Step one is expressing interest in wanting to receiving treatment for the outcome of positive behavioral change. Congratulations you did the first step! You are showing your readiness to start counseling by asking this question. Now the second step is to find a counselor who specializes in treating clients with Anxiety and Depression. The therapeutic orientations I have found to be helpful in treating clients with  Anxiety and Depression are a combination of Cognitive Behavioral Therapy with Mindfulness, and Solution Focused Brief Therapy. Receiving meditation for your symptoms if part of the treatment, and the other part is receiving counseling to increase your resilience for future events. Research has found that medication and psychotherapy treatments together shows the most effective outcome for Depression.  The third step is to increase your positive self-talk to motivate yourself to attend treatment. As counselors, we are aware of the anxieties and fears that are associated with talking to a new professional for the first time. However, remind yourself that you are doing this to improve your well being. I hope this was helpful, and good luck with your treatment journey."
"Instruct: 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?
Output: Hopefully you feel you have the time to follow this procedure.1. For a week - log when you smoke - time, place and activity2. Plan on cutting back 10% for a week.Cut out the easiest times.3.Next change the times and and activities for 3 days - consider water or candy or gum if it is very tough. 4. Cut another 10% each week until you are done."
"Instruct: 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.
Output: You're probably not going to like my answer.Your question says a lot about what YOU want rather than what she wants or what may be best for her. Sometimes, what's best for a person is the hardest thing to do, and may be completely opposite of what YOU want.Addictions don't happen in a vacuum. If you've had any experience with addicts at all, then I'm sure you've heard the term ""enabler"". A lot of the times, when people think they're ""helping"", they're actually enabling the addict to continue their self-destructive behavior. Tough love and clear boundaries are needed in a lot of situations, but especially with addictions. Family and friends are often the biggest contributing factor to someone choosing to use/drink, continuing to do so, or relapsing back into it.You said she recently quit. You said she is depressed. She wants to move. When a person receives counseling for addictions, they are encouraged to make changes like this. They need to break the habit, and this means removing people from their lives at times. It means moving to new locations. Anything that may trigger a relapse needs to be identified and removed. Not only that, but the addict needs to do a lot of personal reflection to figure out WHY they use/drink in the first place, and not only break the physical addiction to it, but deal with whatever is the root cause that led them to use in the first place. She may need some time alone to figure out who she is as a person, time to make some decisions for herself and do what she needs to do to be healthy.Don't pressure her to stay. Let her have the freedom to do what she needs to do. If she stays, the decision needs to be hers and hers alone. It doesn't need to be made under pressure. That will only lead to resentment. Support her, but don't try to change her or make her do anything, especially for selfish reasons. Let her go. It sounds like she needs some time to focus on herself right now. It wouldn't be a bad idea for you to do the same."
"Instruct: I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?
Output: This happens slowly and can be done.You already are at the first step of realizing that you hate yourself, not that the feelings of self-loathing are the best of what you're able to expect from life.A way to start building confidence is to pay close attention to the way you handle interactions and make decisions.If you start to notice what you'd like from an interaction, and afterwards, reflect on how well you handled yourself, especially with any unexpected circumstances, you'll build confidence in your ability to be good at something.Do you know why you hate yourself?This answer may help you address within yourself , a new type self talk which has more positives in it than what you've been accustomed to telling yourself."
"Instruct: 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?
Output: Everyone has topics to discuss when they start therapy.   There is no correct number of topics.youSometimes people go to therapy for one specific area of their life.   Not everyone has the time or interest to utilize therapy just when a significant topic arises in their life.Since you are one person, no matter how many or few topics you would like to address in therapy, all the topics relate to you.Possibly the result of your therapy will be more transformational than if you talked only on one topic.  Lucky you, to be on the cusp of clearing and resolving many vulnerabilities at once.   You will feel brand new by the time you finish your therapy work!"
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?
Output: It is not the case of being right or wrong, in my view. If you are asking, I believe you truly care for your boyfriend. It seems like he is having difficulties in establishing trust in this relationship. The ideal would be to come closer to his upsetness and to show him that you are there for him. I hope all goes well. Rossana Mag."
"Instruct: I am divorced and happily remarried. Our blended family of children are in their 20s. My youngest, age 20, continues to call me crazy and favors her dad. He was abusive to me, and I left with injuries. He never wanted kids, and I did. He paid child support only through forced wage earners. Now my daughters favor him after all the sacrifices I made for them the past 15 years as a single mom. I don’t deny them a relationship with their dad, but to be called crazy and then watch them hang out with him hurts me to the very core. I’m not sure how to handle this.
Output: Hi, I understand what you're going through. Your daughters favor him because he has done no wrong in their eyes. Im guessing they lived with you? Growing up I was the same way.. I favoured my dad, thinking he has done no wrong. He also abused my mother multiple times, and that never came to mind. kids like their other parent more mainly because they don't see them everyday, and they usually buy them everything they want, because all he does it pay child support (by force) and then spoil their kids to make them happy. You seem like a great mom, don't doubt yourself. "
"Instruct: I'm fine when we start becoming intimate, but out of nowhere, I will get a flashback of what happened to me in the past. I start hysterically crying and freaking out when my boyfriend obviously has done nothing to hurt me.
Output: Have you sought the support of a therapist really qualified in working through sexual trauma? It can take some work, but healing is possible. If you feel able to, it may also help to open a dialogue with your boyfriend about what you need from him when you have these flashbacks. Let him know what some helpful responses may be. "
"Instruct: I'm depressed. I have been for years. I hide it from everyone because I'm scared of the reactions I'll get. Last time I tried telling my parents, it was a huge argument about me being too young to be depressed (I’m a legal adult), calling me ungrateful, and telling me that if I can't handle things now, it's only going to get worse in the future (which is turning out to be true). It's exhausting pretending to be okay, and I don't know how much longer I can try. I'm just really tired, and sadly, I can't afford the help I need on my own.
Output: Don't think that you can't afford the help you need on your own.  There are several counselors that see people on a sliding scale that can be as low as $5 (based on your income).  Find a center that is non-profit, they have great counselors as well. It sounds like you know what you are experiencing and know that you need someone to talk to, someone that is willing to listen.  Your parents may not understand what your are feeling right now and that is not totally abnormal.I would encourage you to seek help immediately so you can live the best live you can...which is not being depressed.  "
"Instruct: I'm in college currently, so I am not a direct victim anymore. My father is very abusive with his words and actions, and my siblings are getting treated horribly.
Output: Yes you can help!  Emotional and verbal abuse can cause a negative impact in your family.  It is important that you encourage your siblings to seek assistance with a therapist, and maybe help them find one, they should have school counselors available and if not our college counselor may help you to get referrals.  It’s also a good idea to talk to your mom about the issue and ask her if she would like help as well.  If you are concerned about your siblings' safety, contact Family Protective Services in your state, they will investigate and refer your father to classes or therapy as needed. It takes courage to do the right thing, you can do this!¿Hay algo que pueda hacer para ayudar a mis hermanos a escapar de nuestro emocionalmente abusivo padre?Actualmente estoy en la universidad, así que no soy victima directamente.  Mi padre es muy abusivo con sus palabras y acciones, y trata a mis hermanos horriblemente.¡Tu si puedes ayudar!  El abuso emocional y verbal puede causar daños graves en la familia.  Es importante que motives a tus hermanos a visitar e incluso encontrar a un terapista, la escuela debe tener uno disponible, y también puedes pedirle referidos a tu Consejero universitario.  También es buena idea que hables con tu mama al respecto y le preguntes si a ella le gustaría buscar ayuda.  Si te preocupa la seguridad de tus hermanos, contacta a el Departamento de Protección a la Familia en tu estado para reportar el abuso.  Ellos investigaran y determinaran si el hogar es un ambiente seguro par tus hermanos y recomendaran terapia o clases para tu papa.  Hay que ser valiente para hacer lo correcto, ¡tú puedes hacerlo!"
"Instruct: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?
Output: Your question is actually thoughtful and reflects a true interest to know more about life.No one knows if god is a lie because ""god"" is a concept in which people either make up their own definition of this concept, or believe one of the concepts of what god is, handed down by religions.All the religions exclude the other god concepts, and expect loyalty to believing in their particular version of ""god"".Probably god is real in the sense that most people want to believe there is guided purpose to what goes on in life.This is as definite as what we can know about ""god"".""God"" is not a lie because it is not a fact.  Beliefs aren't provable. "
"Instruct: 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?
Output: It is totally normal - you have a lot riding on this and you're invested! Think about why you feel so shaky - is it something about the therapist or their style? If so, it would be a good idea to talk with them about it so you feel more at ease. In any case bringing up your feelings about therapy in therapy is totally appropriate and even necessary. Good luck!"
"Instruct: I love him so much, and I don't know what to do.
Output: Hi Savannah, This is a pretty common issue; one person feels that they are doing a great job of being loving, yet their partner doesn't feel loved. There's a great book ""The Five Love Languages"" by Gary Chapman. He explains that there are five main ways to give and receive love, but we don't necessarily all speak the same ""love language"" as our partner. You might feel that by going out to work and earn money, you're being loving, but if your partner's main love language is quality time, you're not hitting that bulls eye because you're not home! The five languages are words, quality time, acts of service, gifts and touch. I recommend couples grab this book, sit down and figure out what their love languages are, and then...slowly...you start to ask for the kind of love you want, and you start to speak your partner's language a bit better. You may never be fluent, but you can get better. The most important part is to understand each other better and to know that there's nothing wrong with either of you, you're just speaking different languages. You can help your boyfriend to get really specific about how he wants to be loved. I bet he just needs you to ""speak his language"".  :)"
"Instruct: 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.
Output: 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. "
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output: One thing you could try to do on your own is to focus on the partner who is in front of you now. If you are able to connect with them via touch or focusing on their tone of voice, that may help to center you. Tried to stay grounded and/or mindful. That is being aware of your position in the room, your feet on the floor, your hands in your lap, or your hips in the chair. Being mindful of the environment you are currently (for example, noticing what is around you) may be helpful. Try to use all your senses. For example, you could focus on hearing your husband's voice, feeling his hand in yours, being wrapped in your favorite blanket, seeing a comforting photo, using a comforting sense or candle, or tasting an apple that reminds you of times when you have enjoyed yourself in the kitchen.It also sounds like you are having a very specific reaction that could very well be related to trauma. I would recommend that you talk with a local mental health professional.Remember, just because it was the best decision of your life, that doesn't mean that what happened to you or in your presence automatically leaves you when you leave the relationship. Our brain is actually hardwired to remember things that have caused us pain or great emotional distress as a way of protecting us from them happening again. This is a very natural response and the reactions you have as far as nightmares and flashbacks are the past coming forward and your brain trying to make sense of it all."
"Instruct: I am lazy. I am very aware of the problem and try to talk myself out of it all the time, but I never seem to shake the habits. I try to think of what it is doing to me and my future, but no matter what, I keep creating excuses for myself to continue the procrastination. All I'm ever left with is regrets and a low grade. I am at an all-time low in my life, and I'm not even that old. I've always been a straight-A student, but now I'm getting C's and F's, and it hurts me to know that I am way better than that. It's not even like the work is hard.
Output: Possibly laziness is not the true problem and is only what appears as the problem.Since you describe your laziness as an observable quality, I assume you've not always felt or handled yourself this way.Quite possibly and more likely, the particular conditions of your current life are not ones that are optimal for feeling good about yourself and your involvements.One suggestion is to see if there is any purpose to what you're doing in all the areas in which you see yourself acting from laziness.If you're not able to notice any good purpose, then you may be mistaking ""laziness"" for a significant amount of stress in your life.Stress can be opened and understood.  If stress is what underlies what appears as laziness, then you define the contributors to your stress.Not feeling enough support in your life, financial uncertainty, arguments w people who are close in your life, feeling misunderstood overall or by particular people, all are possibilities.Good luck in learning more about who you are!"
"Instruct: 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.
Output: Thank you for sharing! It can be very disorienting not to know what you want and where you are headed. Sometimes we are so focused on something we haven't achieved yet or on comparing ourselves to others that we lose touch with what we actually want and need. At times like this, it's important to go back to basics. Try out this simple exercise, take a few minutes to write down all your present responsibilities. For example: make meals, complete homework...etc.  Then in the column next to it, write down the things that you do for yourself to recharge yourself and to enjoy your time. Is your list of responsibilities way longer than your list of stuff you do for yourself? It is easy to get lost in the sea of responsibilities and disconnect from what you want and need. To fix that, write another list of things that you enjoyed doing in the past for yourself and start incorporating them into your schedule on a regular basis. This will help you re-connect with yourself, and bring focus and clarity to your life."
"Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?
Output: You can ""move on and not live in the past"" in the context of your ex-relationship, but that does not mean moving on from your child. ""Moving on"" then would involve accepting the end of the relationship and developing a civil relationship with your ex-partner as far as is possible for the sake of your child's development.Generally, it's good for a functional (non-abusive) parent to spend time with his/her child, but only insofar as that doesn't cause your child unnecessary stress. That requires the two adults to act like adults with each other for the sake of their child.What's confusing for children is seeing their parents act uncivilly or manipulatively. Children also do well with routines so regular dependable visitation is preferable to random visitation or, worse, not following through on commitments.But if one person is exploiting their child to harm their ex-partner, then visiting your child in that context may be stressful to him/her (depending on what you mean by using your child as a pawn). When dealing with a hostile ex-partner, your first challenge is to negotiate rules and boundaries with your ex-partner about appropriate behavior for the good of your child. If you cannot come to an agreement, a counselor can help mediate a conversation. If that's not an option, then it may be possible to turn to family court to stipulate visitation rules (for which you'd have to consult with an attorney)."
"Instruct: I have a mother who is still running my life even though I'm almost 30 years old. I want to move out and live my own life, but it feels like as long as I do what my mom wants our relationship is okay. It's never okay if I don't do what she wants. 

I don't know how to start making my own decisions and not worry about  whether it's right in her eyes.  Would it help for me to talk to someone about this?
Output: If the only way the relationship you have with your mother feels ""okay"" is when she is the only one who makes decisions concerning your life, then this only seems ok.In fact it is not okay for one person to be the authority for another person unless the one for whom this is being done, does not have their own ability to think for themselves.Separating your own wishes and way of handling life matters, from your mother's point of view, may be difficult.First, realize you need to get familiar with feeling at ease with the idea of deciding matters for yourself.You'll need practice until you feel comfortable.Unless, if you've been thinking through decisions you'd like to make and the idea of your mother's anger is the only point which stopped you, then you may almost instantly start living in a liberated way of running your own life.Basically, it is right and fair for you to have the chance to live your life the way you feel is best.   Be prepared that your mother may disagree with you and that her disagreement is not a reason itself to not do what you believe is in your best interest."
"Instruct: My partner and I have had an amazing relationship and connection for over two years. We're very committed to each other and are planning a very long life together. However, he recently was very open and honest that he isn't interested in having sex with me anymore. He says this has happened in every past relationships and has ended it as a result. He knows it's because it's the ""same person"" feeling, but how can he get over this?
Output: I wonder how long ""anymore"" will be for your boyfriend.Since you both are planning a long life together, instead of his custom of ending relationships when he feels bored with the sex, he will be facing the situation of being in a relationship and not having sex with his partner to whom he is committed.What are your own views on the meaning of sex in a relationship?Knowing this will help you be better able to collaborate with your boyfriend on finding ways of balancing what you each would like."
"Instruct: I have been in a relationship with my boyfriend for about six years now. In the past, our relationship was difficult and frustrating. We argued a lot, and due to that, there was a lot of tension between us. We stayed together because we love each other and wanted to make it work. I used to party a lot, and several times I got into situations where I would end up kissing someone else. These situations were never more than just kissing. I have come clean about these situations with my boyfriend, and he decided to forgive and move forward with me. I love him so much and want to work things out too, but I'm having a difficult time understanding how he can forgive me. I can't seem to forgive myself. I'm overwhelmed with feelings of guilt and unworthiness.
Output: So wonderful to have a boyfriend who is able to understand and forgive you. What do you think that he sees in you that allows him to do that? Does he see someone who like other humans makes mistakes? Does he see someone who despite hurtful choices is a good person committed to being a loving respectful partner? The compassion and understanding that we can often extend to others can be difficult to extend to ourselves. We often hold very unrealistic and perfectionist expectations for ourselves which may even lead to our poor choices in the first place - as a ways of letting off steam or rebelling against our high standards. Regardless of the reasons, we all make mistakes and imperfection does not make someone less loveable - it just makes them human. If your boyfriend is able to start clean with you, there must be a reason. What you do from here on out will define the kind of partner you are to him. Can you treat him with the kind of respect that you would want? Can you help him to feel loved and safe in the relationship? Can you allow yourself to be imperfect and afraid and still worthy of love and acceptance. When you are feeling ashamed of your behaviours - try to imagine extending that scared part of you the same love and acceptance that you might extend to other people who have made mistakes. It is not easy to forgive ourselves but it is important in order to allow ourselves to be loved and to truly love others."
"Instruct: My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying ""whatever"" and ""leave me alone."" But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore.
Output: Hi Rockford, While no relationship is ""perfect"", and it's natural for the passionate beginnings of a relationship to lessen with time, because we have established the trust and love needed as a foundation and we don't have to smother each other with attention anymore, your situation sounds like something different. ""He has no time for me""... yet you don't fight. Hmmm...Is it that you don't fight because you don't bring up what's bothering you? Are you avoiding conflict? Many people do. What do you fear would happen if you let him know how you feel about his recent pulling away? As an engaged couple, now is a really good time to see what happens when you bring a concern to your fiance. Better to find out now what happens when you rock the boat by being real. Or maybe you have spoken to him about it. If so, what happens? Does he listen and help you understand him better? Or does he avoid and reassure you...or maybe dismiss you? This is really important data to gather about how your fiance handles conflict and how you work together. He says ""leave me alone"". That's a pretty bold statement about what he wants. He doesn't seem to have the same idea that you do about what marriage is, and how close you want to be. Plus, I have to say, those words sound more like what a closed-off fourteen year old would say to a parent than a loving fiance to his bride to be! Giving him the benefit of the doubt, it could be that your fiance is scared about getting married and this is a temporary reaction that will change. But if this is true, he needs to tell you that so you can understand. So, I suggest that the fact that when you're together you're ""okay"" is perhaps not the best barometer for how you're doing as a couple. Listen to your gut. I encourage you to be really open with your fiance about what your feelings and fears are. This may get rockier before it gets better, but until you face what's not working, you won't know who you truly are as a couple.  When you're engaged, it's a really cool time to see a therapist too...to get some conflict resolution skills down before you're a married couple. "
"Instruct: I blame my past relationship for it. I know it is bad to be this way. I want to get past it.
Output: How did you come to the conclusion that you are acting needy?Is this what your partner told you or are you feeling this way about yourself?The difference is that what you'd like from a relationship may be very reasonable, only that your partner is not someone who wants to meet your needs.One way of evaluating whether you're actually needy is whether you feel that you give yourself love, take good care of yourself when you're in situations that are not connected to being part of a couple.If being by yourself feels uneasy most of the time, then probably practicing self-love, consciously treating yourself with consideration and thoughtfulness, may help you feel less needy of others.This way, when you're with a partner, the time together will be in enjoying the partner, not getting love because of not figuring out a way of giving love to yourself."
"Instruct: I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I’m unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do?
Output: Do you have any other form of identification? The first place to stop would be the Visitor’s Center or whichever department issues passes. They are located outside of the gate so you do not need a military ID to enter. If you have another form of identification it’s possible that they can give you a pass in order to go and obtain a new military ID. If you do not, you could always ask someone else to sponsor you on (a friend, coworker, etc.) that have military access. Depending on the threat level, they may not need your ID as long as you are with someone that has access. Keep in mind that currently (6/11/15) all military bases are on Bravo which unfortunately means you will need your own ID.Finally, if all else fails, call your doctor and explain your situation. I’m sure they would be more than willing to discuss your options.Also, it’s important to make sure that you report your wallet being stolen if you haven’t already. Security Forces on base can help you with this and to ensure your ID doesn’t get into the wrong hands. Good luck!"
"Instruct: There is  just no communication at all between us.  She sleeps constantly all day (not at night).  She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat. 

She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health.

I don't know how to communicate with her.  She is not open to any suggestions. How do I get through to her?
Output: I'm sorry for what sounds like a frustrating situation.For how long has your daughter lived the way you describe and did it start all of a sudden or more gradually come on?What you write sounds like a major depressive disorder and this can start for a variety of reasons and improve in just as many different ways.Start with how you are feeling about the situation.  Ask yourself for how long you will be able to tolerate the way your daughter lives and if you feel any satisfaction in your mother daughter relationship.If she is of legal age, and you don't want her to live with you,  you've tried convincing her to get medical care for its own sake and to more clearly see her emotional and psychological health, and she is unwilling to take care of herself, you can discuss your options with the adult protective services agency in your state.The first step is to know what exactly is her problem so you can decide if its own you are willing to take care of or not."
"Instruct: 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.
Output: 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"
"Instruct: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
Output: This answer could be very different depending on the fear, the degree of it, and what it connects to.I wonder the following:On a scale of 1 to 10, how upset, anxious, or scared to you get when you think about overcoming this? If it's more than a 5/10, I would definitely recommend talking with a therapist in your area.A lot of fears that we have come from something that at one time was self-protective and important. Do you know where your fear started? If you think it is still protecting you or helping you in some way, talk with someone (like a therapist) about it.If it is something that you know is irrational (for example, fear of being hurt by static cling from winter clothing), is there some part of that that you are not afraid of?I really encourage you to consider whether your fear has a lot of emotions connected to it or if it ties from something in your past that was very emotional for you at the time. If it does, consider working with a therapist to establish emotional safety before taking away the fear or anxiety that may actually be helpful to you.Also, the fact that you notice that you are afraid of something and you don't want to be afraid of it anymore is a big step in the forward direction."
"Instruct: 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?
Output: Speaking with a licensed therapist will help you figure out if indeed you have a problem or not.  I would say the first question you should ask yourself is why you are drinking? The second would be why you feel the need to drink in excess? It may be due to a life event or the crowd you are running with.  Either way a therapist will be able to help you through this as you already made the first step in admitting you are having a difficult time."
"Instruct: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?
Output: Let's just start with acknowledging that trust is huge and betrayal hurts. You're entitled to your feelings; all of them and you need to know that your husband understands you. That said some ways are more effective at rebuilding and repairing relationships that others. I am a big fan of The Gottman Method for couples therapy, especially following infedienity. You can read about this approach in Gottman's books: ""The Science of Trust"" and ""Making Love Last"" and/or you can seek a Gottman Certified couples therapist here: https://www.gottman.com/private-therapy/ "
"Instruct: How does a person start the counseling process?
Output: Phone or email a counselor whose profile you've read and which feels right for you.Ask to get a feel as to the way the person would handle your problem and work with you.In my practice I offer a phone consult which generally continues for twenty minutes.I feel it is only fair that a prospective patient has a feel for the service they are about to purchase before they can be expected to pay money for a service which may not be to their liking at all."
"Instruct:  such as not enough sleep
Output: 0"
"Instruct: I have family issues, and my dad was both violent and a cheater.
Output: In general, our past is always somewhat alive and does inform our present experiences.  All past experiences, both positive and negative are what have brought you where you are today, physically and emotionally.   That being said, your father's behavior does not have to define you or your future.  You have power over your life and your future.  By learning more about yourself, you can learn to incorporate your past into your present life, without being defined by past traumas.  The best way to grow and learn how to do this is to talk with someone about your experiences.  By talking about your past and present struggles with a trusted confidante or helping professional you will hopefully learn how to be at peace with your past."
"Instruct: What makes a healthy marriage last?
Output: This answer varies based on you relationship. However, I do believe their are some basic fundamental areas that are beneficial for a healthy marriage:1.) Effective Communication2.) Trust3.) Love/Passion4.) Loyalty. 5.) Unconditional Positive Regard. Everyone has their favorite qualities they feel best fit a marriage. However, these are what I think are great starting points."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Crying in
therapy is definitely normal. A lot of people, if not most, cry in therapy. Why
does it happen? During therapy you'll explore your thoughts and emotions. Some
of them will be pleasant: joy, hope, excitement, etc., so you will smile and
laugh. Others may be more unpleasant, such as grief, sadness or anger, so you
may feel like shouting or crying. It's healthy to accept and feel all your
emotions and to express them in appropriate ways. Crying is a good way of
expressing sadness, disappointment and helplessness. If you try to cut off some
of the ""negative"" feelings, you are likely to also cut off your
positive ones and feel numb as a result. Crying in therapy speaks to your
ability to relax and let go in the presence of another human being (essential
for healthy relationships!) and it also speaks to your therapist's skills at
making you feel safe and comfortable. Good for you! It's your therapy and you
can cry if you want to!"
"Instruct: Whether it's to a guy or girl, I always feel insecure talking, and I am afraid of embarrassing myself and not being good enough. Even when I am walking, I worry about my appearance and facial expression and such.
Output: I want to add that one way therapy can help with social anxiety is to give you a corrective experience.  Each week, you sit across from someone who genuinely cares about you, who doesn't judge you, and who you can voice your concerns to.  Over time, you show them more and more of yourself, and as they get to know you, they still care about you, they still don't judge you, and they still think you are amazing.  Find a therapist you connect with."
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: Buy the book ""Boundaries: Where You End and I Begin."" Read it. Apply it.Seriously, I'm not joking. You're not wrong to ""not want to hear it anymore"" but if you don't maintain healthy boundaries, you will allow your family to make you feel guilty for ""not wanting to hear it anymore"". That's not fair to you.Give a copy to your mom, too. No, I didn't write the book nor do I have any affiliation with it - I simply recommend it because it's a wonderful book and it helped me out a lot. I recommend it to a lot of people. It should be required reading!"
"Instruct: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?
Output: No, that's perfectly normal. You're under 18, too. You're only a year older than she is. This is absolutely normal. What would be wrong is if you did anything to her against her will. Always remember that NO means NO, respect her, respect yourself, and be a normal teenager! Have a healthy relationship. Holding hands, kissing, and more should only be done when both are comfortable with it and agree to it. Although it is frowned upon by a lot of people, it's no secret that teenagers do have sex (even if their parents and perhaps religion would definitely not want them to do it). Only you can make the choice that is right for you. Just be responsible in the choices you make. Some states have laws on what age is old enough for consensual sex. You'd be surprised how young those ages are. A 14 year old having sex with a 20 year old would be against the law, but someone the same age as her, or just one year older is not. ""Wrong"" can be defined in a lot of different ways, though. Is it against the law? No. Is it against your religion? I can't answer that for you. You can, however, have a relationship that is not physical in any way. It's okay to just be with her and enjoy her company. You can hang out, watch movies together, go on dates, do whatever it is that both of you enjoy doing. Your relationship can be anything you want it to be."
"Instruct: I feel that I am struggling with undiagnosed bipolar disorder, and it is making my day-to-day life extremely difficult.
Output: It sounds like you are experiencing a great deal of distress and you're wondering if it may meet a diagnosis of Bipolar disorder. There are a few different types of Bipolar diagnoses in the DSM (diagnositc and statistical manual) and the best way to find out if your experiences would meet that diagnosis would be to meet with a mental health professional. You can also look up the diagnosis online and see if what you are going through meets the criteria.One question that I would have for you is, what would it mean for you to find out that you meet the criteria for such a diagnosis? It sounds like whether or not you do, you are suffering and working with a therapist may help you get into a better place."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: The ""right"" therapist is a combination of expertise in the areas where you require, and fit as far as how comfortable you feel in speaking and sharing with that person.  People generally are quite good at determining whether or not someone fits well with their personality and style; and another key to know whether therapy is working is to ask yourself:  ""Do I see that changes have come about since working with this therapist?""  Do I feel better? Am I reaching goals that I set at the onset of therapy?  Are difficult situations becoming easier by how I handle them? Training a therapist really isn't necessary, as all it requires is open and honest communication in order to give effective feedback that will in turn be helpful to you and your goals."
"Instruct: What makes a healthy marriage last?
Output: This answer varies based on you relationship. However, I do believe their are some basic fundamental areas that are beneficial for a healthy marriage:1.) Effective Communication2.) Trust3.) Love/Passion4.) Loyalty. 5.) Unconditional Positive Regard. Everyone has their favorite qualities they feel best fit a marriage. However, these are what I think are great starting points. "
"Instruct: How does a person start the counseling process?
Output: Phone or email a counselor whose profile you've read and which feels right for you.Ask to get a feel as to the way the person would handle your problem and work with you.In my practice I offer a phone consult which generally continues for twenty minutes.I feel it is only fair that a prospective patient has a feel for the service they are about to purchase before they can be expected to pay money for a service which may not be to their liking at all."
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?
Output: Hello. There are a number of factors playing into this situation. A former romantic partner coming back onto the scene during a current relationship; you spending alone time (and spending the night) with that former partner; and the uneasy feelings experienced by your current partner (boyfriend). Now those are the ones you have openly expressed. There are very likely other issues that prompted this behavior on your part. You ask if you were wrong. It is not a question I will be able to answer, because it is not one I am meant to answer. It is up to you to find that truth. Now, if you are feeling guilty, was it because of some sexual engagement occurred when you spent the night? If so, you might want to look at why that happened. Do you feel secure in your current relationship? Is this the relationship you want, or do you want to be with the former boyfriend?Important questions, but ones you need to ask and answer. Odds are, there is something that triggered this event to occur and it becomes a focal point in discovering any unexplored discomfort or other issues with your current boyfriend. Seeking relationship counseling can be effective in sorting this out, so be open to that possibility to help you clarify your thoughts and feelings.Best of luck to you."
"Instruct: I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?
Output: I'm so sorry you've been hurt.  It's very normal to stop feeling emotions as a way to protect yourself after experiencing a traumatic event.  You can think of it as emotional shock-- you experienced something that was so awful that you have numbed yourself (mind and body) as a way to stop the emotional and physical pain of the event.  It's actually pretty amazing that our selves know how to do this automatically.  And, I hear you saying that you'd like to get some feeling back now.So here are some ideas for how you can change this:I think it would be a great idea to find an experienced therapist you like and trust and/or a good support group so that you can have some allies as you go through this process.  You also could try journaling.  If you're not sure what to write then check out this list of prompts to get you started (it's for teachers, but I really like it).  There's also art journaling.  Pinterest has lots of suggestions.Meditation could be useful.  There are lots of apps available that offer guided meditations.Yoga, tai chi, or chi gong might also help.I have lots of other ideas, but without knowing more about you I'm reluctant to make suggestions that could accidentally make you feel worse.  IThis protective mechanism of numbing yourself kicked in for a good reason and as you get your feelings back, you may find some pretty challenging reactions coming up.  I guess my final piece of advice to is encourage you to trust yourself and gently go at your own pace in your healing.  I hope this was helpful."
"Instruct: Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her.  When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand?
Output: Do you know why your girlfriend doesn't believe you?It is strange that your girlfriend prefers you to take the phone call of another woman.Have you blocked the unwelcome phone calls?Has your girlfriend said she doesn't believe you or is this your interpretation?Find out the answer and then ask your girlfriend to tell you her reasons behind her thoughts.It is much easier to help someone understand a situation if the person is engaged in a conversation.Whether or not she understands is up to her.All you can be responsible to do is to offer your explanation, which sounds like you've already substantially offered.Keep or reintroduce the topic for the two of you to talk about again."
"Instruct: I have PTSD. The side effects are really bad and have impacts on sex, anger and my relationships. I even lost my job month ago.    How can I get my life back?
Output: It is brave of you to speak out, PTSD is not a joke and it can quickly take a toll on all aspect of life. Please, know that you are not alone and with the right help you can overcome these challenges. Living with PTSD can be very emotionally exhausting, but you can learn ways to cope with its challenges and find fulfillment in your life again. This means being proactively involved with the process, learning about the problem and positive ways to manage it can be a good start. This can also mean seeking professional help. It is important to address the problem both at the physiological and psychological level, this can mean using medication that is prescribed by a MD to reduce the intensity symptoms and also working with an experienced licensed professional. Having healthy life habits such as good sleep hygiene, healthy diet, staying away from self-medicating with drugs and alcohol, and exercising can help reduce the intensity of the symptoms as well. Please, consult with a licensed professional close to you to get more information on resources you can possibly find helpful to you."
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: In order to develop a better intimate connection with your husband, it's important to first cultivate a strong connection with yourself.  I would take some time to explore your own body, notice what feels pleasurable, and play with different ways to achieve orgasm on your own.  Explore your own willingness to be open emotionally, sexually, and to play and have fun.Once you've engaged in a process of self exploration, I would check in with yourself and be honest about why you're not enjoying sex.  Are there specific reasons you're not enjoying sex with your husband?  Sometimes the reasons might be of a sexual nature and other times there could be emotional blocks (or anxiety) or other reasons that prevent you from wanting to be fully open and let go with your partner.  From a sexual perspective, I would explore what you can do to increase your own pleasure, learn ways to communicate your needs in a loving way, and focus on pleasure and play (rather than outcome and orgasm).   Begin by taking the pressure off orgasm and enjoy a naked massage together-- focusing on exploring what feels pleasurable.  Lastly, if you're wanting to learn new skills, check out a local sex workshop.   "
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: In my therapy practice the decision to end therapy is mutually made together with the patient.Otherwise, the person can end up with a sense of tremendous rejection and abandonment.The way you'll both know therapy is coming to a close is that the discussion will feel lighter and move easily.The person's mood will be better, they will smile more, sit in their seat in a more relaxed way, look more at ease, take better care of their appearance.One of the ways to end therapy is to gradually decrease the frequency of the sessions.Sometimes people who are in my practice start to come each three weeks, then monthly, then every three months.This gives a sense of security, friendliness, and casualness to the therapy, and de-medicalizes it as though the person was treated for a medical symptom and the symptom stops completely one day.Talk therapy is about life and life problems usually end gradually.I end my therapy in a way which mirrors the life process in which many interaction and situation problems show their effects gradually and show different effects over time."
"Instruct: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.
Output: There's a quote I love that says, ""Wherever you go, there you are"" and the book by the same name by Jon Kabat-Zinn may be very helpful for you. The thing about changing things up when they get tough is that they often aren't the things that need changing. The awesome (and challenging) thing about it is that when you work on the internal aspects that may need attention, you can learn to find a sense of centeredness that comes with practicing mindfulness and asking yourself who you really are and want to be. Through this deeper work, you can actually be in the midst of chaos and still feel that calm and peace within yourself. If you look for support in this journey from a counselor or therapist, I'd recommend looking for someone offering Acceptance and Commitment Therapy (ACT) or Mindfulness-Based Cognitive Behavioral Therapy (MCBT). Also helpful may be the online program of Mindfulness Based Stress Reduction (MSBR) found here. There are in-person programs across the country, but this online self-guided version is free and a great resource!"
"Instruct: 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?
Output: Absolutely not.  I strongly recommending working on one issue/need at a time.  In therapy you will set smart goals and objectives that will help you reach your goals.  I see you as a survivor and not a victim.  Best wishes to you."
"Instruct: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. 

How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it.  I wonder if i should stop or if I should continue to do it since it makes me happy.  What should I do?
Output: While this might not be the first thing you want to discuss when you meet someone, it is important for you to be yourself.  It's better to weed out 10 people who can't accept you to find that one who can.  "
"Instruct: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?
Output: Let's just start with acknowledging that trust is huge and betrayal hurts. You're entitled to your feelings; all of them and you need to know that your husband understands you. That said some ways are more effective at rebuilding and repairing relationships that others. I am a big fan of The Gottman Method for couples therapy, especially following infedienity. You can read about this approach in Gottman's books: ""The Science of Trust"" and ""Making Love Last"" and/or you can seek a Gottman Certified couples therapist here: https://www.gottman.com/private-therapy/"
"Instruct: I feel like I'm trying to convince myself that I'm okay when I'm not. I'm always blocking out the bad things and forgetting. I also feel like nobody cares for me and they never will. I feel truly alone.
Output: I'm glad you're aware of how you honestly feel.  Knowing one's personal truth is always the first step in finding what is necessary to be and develop.Reflect a little more on the type of care you'd like in your life.""Care"" means anything from checking in on someone to deep, intimate connection between two people.Knowing your own definition of ""care"" is the first step to know what is necessary for you to recognize what you'd like attracting.It is much easier to attract what we'd like if we are clear on what this is."
"Instruct: I keep having these random thoughts that I don't want.  Things like ""you aren't worth anything.""  I know they're my own thoughts but it feels like someone else is saying it.

What is wrong with me, and how can I stop having these thoughts?
Output: Many people have thoughts like those you describe, and often it feels like someone else is saying it because they are things that may have been said to you when you were very young.  When young children hear negative things about themselves they tend to internalize these negative ideas and to form negative core beliefs.  The good news is we can learn to stop these thoughts and to replace them with healthier thoughts.  The first step is to catch yourself when you are thinking these thoughts, and to stay ""stop!""; then replace it with another thought.  So for instance, maybe you fail a test or get rejected by a romantic interest.  You catch yourself saying ""you aren't worth anything"". Stop this thought, and replace it with ""You didn't do as well on that test as you would have liked.  Let's figure out how you can do better next time.""  Or ""she may not want to go out with you, but someone else will"". So the idea is to develop a voice of a ""friend"", who can tell you the kind of things you would say to your own best friend.  You might also pick up the book, Feeling Good, by David Burns. He gives many tips for how to change Negative Self Talk."
"Instruct: 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?
Output: Firstly, I would like to say how amazing that you have been able to live through breast cancer, sexual abuse as well as your depression and anxiety. You are stronger than you may believe at this moment for being able to continue to grow and live through these experiences. Take a moment to acknowledge your strength and know that this strength will be an asset during the therapeutic process that you will be able to tap into to find increased self esteem and more strength to address the concerns you are having. There are never too many concerns to address in therapy sessions. I hope you can find a great therapist who you can trust to listen and work with you to identify and address
the most concerning issues first. Once you begin to do this you may find an alleviation of symptoms and feelings which could allow you to grow your capacity to manage difficult feelings and situations and address additional concerns. Before you even realize it the issues you are having will begin to feel more manageable."
"Instruct: 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?
Output: Thank you for sharing your question.  I imagine it feels overwhelming and discouraging at times if you feel like there are too many issues to address in a counseling session.  I would encourage you to share these concerns with a counselor because a counselor can help you organize the concerns into a list of specific goals.  For example, a list of goals may look similar to this:1.  ""I will learn about the effects of medication on the symptoms of depression and anxiety.""2.  ""I will learn about the factors that affect insomnia.""3.  ""I will learn about resources and support groups in my local area to help me cope with my traumatic experiences.""4.  ""I will practice self-care exercises each day and write about my thoughts and feelings in a journal so I can measure whether or not I""m making progress.""This is an example of some of the possible goals a counselor can help you work toward each week.  Working toward a specific goal can lead to a feeling of accomplishment once you've completed it, and this may have a positive impact on your self-esteem.  I hope this information helps, and I wish you all the best!"
"Instruct: My boyfriend and I have a terrible sex life after three years of dating, and I don't know what to do. I have this lingering fear of pain during sex after having two partners previously who weren't careful. How can I stop projecting this onto my current boyfriend?
Output: Without knowing much about your situation, I would encourage you to seek out either a sex therapist who is trauma-informed or a trauma therapist who has knowledge about sexual concerns.  Even consensual sex can be experienced as an intrusion if a partner was not careful or insensitive to your pain.  It would be normal to have some difficulties with sex after such an incident."
"Instruct: I'm not the same anymore, I don't know how to get back to who I am. I'm sad and confused and angry and tired. I don't sleep well.
Output: Being tired can really affect almost everyone's ability to work through things that make them sad, confused, or angry, among other emotions. If you're having difficulty sleeping, try to get into a habit of going to bed and waking up close to the same time every day. Also consider only using the bed for sleeping so your brain knows that it's time to sleep when you are in bed. If you are not sleeping while you are in bed, consider getting up and reading a book or doing something to make you tired before going back to bed. Hopefully you'll be able to establish a pattern.Sometimes sadness and other emotions make sleeping very difficult as well. Try keeping track of your moods to see what is leading up to the changes.If you're still struggling, consider talking with a therapist about the specifics and/or maybe talking with your primary care physician. There are natural sleep remedies that he or she may recommend for you."
"Instruct: I am a peaceful person, but I often find myself having thoughts about killing people. Eventhough I like the thoughts at the time, they make me cry. Why do I feel like this?
Output: Hello, and thank you for your question. Clearly this is something that has you very concerned. Sometimes thoughts are just thoughts, and they are pretty harmless. Many people have thoughts of killing someone, but they would never actually do it. They really don't even want to do it, they are just having a thought. Other times, thoughts are a sign of something more serious, and we should receive help when they start to worry us. I would recommend meeting with a counselor to discuss these thoughts. It is usually a safe environment where you can get advice with little judgement. Now, If you begin to start thinking about killing someone specific and making a plan to do it in reality- you should call for help immediately. By help, I mean 9-11, or a family member or friend. You would want to get help before doing something to harm yourself and others. Again, none of this is to judge, but rather to encourage you to get the help you're seeking. Either way, when we become concerned about some aspect of our behavior, seeking counseling is usually a good choice. Be well, Robin J. Landwehr, DBH, LPCC, NCC"
"Instruct: I have bipolar disorder, paranoid personality disorder, posttraumatic stress disorder, anxiety and obsessive-compulsive disorder. I last self-harmed a week ago. When I am stressed, overwhelmed, hurt, or angry, the urge to self-harm is all I can think of. I am trying to seek help.
Output: Seeking professional help does not mean that you will necessarily be admitted into an inpatient setting - though  to be honest, that can become an option if you feel unsafe or if you are unable to plan for safety. However, many clients who struggle with self-harm can find help in outpatient settings - particularly those which offer a treatment called Dialectical Behavioral Therapy (DBT). Looking for a DBT professional or group therapy setting may be particularly helpful, but a skilled professional can help you to figure out how to identify other options even when you are experiencing overwhelming emotions. Without knowing your location, I also recommend searching to find your local helpline or suicide prevention hotline. The volunteers on the other end of the line can be very helpful even if your intention is not suicide and they are likely also to be able to connect you with resources in your area. Calling into the helpline may also be a first step alternative to self-harming when you're feeling overwhelmed."
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?
Output: The most important thing to ask yourself here is, ""how did this action affect my relationship, and is it worth the consequences?"" Regardless of your intentions in this action, your boyfriend is uncomfortable with this type of behavior. From here, we can objectively decide if spending time with your previous partner (because that is likely what your boyfriend sees them as) is worth harming the relationship you currently have. It is very rare that a person would be comfortable with their partner spending more than a very little amount of time with their exes. Many times, it just gives the wrong impressions. It is very possible that your partner may believe that since you spend so much time with them, that they are still a contender for the most intimate relationship you have to offer, and truth be told, they kind of are. The best intimate relationships, are friendships first and foremost. It is also a good thing to consider what you are getting out of the relationship with your ex that you are not getting out of the relationship with your current boyfriend. If you go to this person for emotional support before your boyfriend, then it is very likely you're involved in some ""emotional infidelity"". When we turn to others instead of our partner, it is as if we ""ran into another person's arms"" instead of theirs. No matter who you are, that hurts. "
"Instruct: 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?
Output: A person never has ""too many"" issues to address in counseling. Participating in counseling with a licensed professional offers a safe place and therapeutic relationship where healing can occur. A trained therapist can help a person unpack and process past and/or current wounds (or events) which may  negatively impact day to day living. They can also help make sense of thoughts and emotions that sometimes feel overwhelming and confusing.  If you want to experience more emotional freedom and gain some tools to help understand and cope with depression and anxiety, I'd encourage you to schedule an appointment with a therapist in your area."
"Instruct: I'm dating a guy I really love. We have our problems, but I could see myself with him long term. But there's this other guy who I've had feelings for for awhile now. He gives me butterflies when we talk, and my heart beats fast when I see he's texted me, which i never felt with my current boyfriend.
Output: There are different types of attraction.  You said that you've never felt this sort of feeling of your heart beating faster with your current boyfriend. Depending on how long you've been together and if you're looking at different ways of making a life together and getting to know each other on a deeper level, that's a different stage in a relationship and sometimes it feels different. Some people look at it as a difference between levels of passion and compassion, but there are many different terms to try to talk about it.Perhaps with this guy that you really love, you could talk about ways to keep things new and different in the relationship. Maybe you can leave notes for each other during the day or have a small surprise at random intervals (maybe an invitation to a picnic, for example).As for the other guy who makes your heart beat faster, what do you see in him? You said you really love the other guy, which is why I'm asking.What do you look for in the person who you want to be with long-term (whoever that is)?"
"Instruct: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a  female coworker. I don't know how to approach this situation. How do I ask him about it?.
Output: If you'd like to ask a question, then go ahead and ask!Boyfriend/girlfriend is a close relationship and it is usually understood as an exclusive relationship.  You're definitely entitled to know if your wishes to not have him texting another woman, are being respected.Often people are afraid to ask because they fear the truth will hurt them.In the short term this is definitely true.In the long term, knowing you are getting what you want and at the very least stating your expectations to your boyfriend, will clarify for him, what is meaningful in your relationship."
"Instruct: 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?
Output: This is a difficult situation to be in, as it sounds like you are feeling very isolated from both your family and your friends.   I don't know your age or gender so please excuse any incorrect assumptions about you being under 18 and use what is useful from the ideas if you are older.  One idea is to research online to find a therapist or a local clinic that has a therapist who is a ""Gender Therapist"" or a ""Gender Specialist.""  Most therapists who are transgender affirmative also have other specialties and do general therapy.  Though I don't think lying to your parents is a good idea, if you feel you truly can't talk to them about your gender, then perhaps you can find a therapist with a specialization in gender identity who can help you cope with your gender dysphoria.  You can let your parents know that you would like to see that particular therapist for other reasons, such as anxiety/worry, and that you researched them and liked their website.  Work to find a therapist who takes your parents insurance if you can.  You can also talk to the therapist on the phone first, before you talk to your parents about scheduling the first therapy visit. Therapists can help you learn some ways to manage feelings of worry, shame, and fear related to gender dysphoria. Depending on your family situation, many therapists will work to help you learn skills to safely communicate with your parents about what is troubling you.  Your parents may actually surprise you and be more accepting than you think.  Usually when parents learn that you are suffering, they want to be open to learning how they can help you, even if awkwardly at first.Reframing is a tool that helps you think about your situation from other perspectives.  It's kind of how you can look at the same picture with a different picture frame and it makes the same picture look a little different.   Keep in mind your situation is probably temporary and think about in the context of your whole long life (can you tolerate another 2 to 4 years living like you are if you have another X number of years to live?).  If you are living at home, you will eventually be more independent and be able to make more of your decisions about your gender expression. Keep the idea in mind the concept that is popular in mindfulness classes I teach, that ""This too shall pass"" or ""This is only for now"" when you start to feel hopeless. If you start to over focus on your gender or body issues, try to distract yourself with things that make you feel happy (your pet, music, art, sports etc) or stay busy.  If you can, find any GSA or LGBTIQQ youth group that you can attend confidentially, further away from home, to get some support.  Work to find an ally, one person, that you can talk to about what you are feeling. Making new friends online through social media can sometimes be a start in breaking down the isolation you feel. Another idea, if you are under 24 years old, there is a phone line (866-488-7386)  to call in case you are ever feeling you are in crisis.  You can also text chat! Trevor Project: http://www.thetrevorproject.org/There is also a trans teen online chat group if you are 12-19 http://www.glbthotline.org/transteens.htmlIf you are an adult you can get numbers to call in your state if you start to feel suicidal:http://www.suicidepreventionlifeline.org/Day to day, can you creatively work on your gender dysphoria?  Yes!  Are there ways you can focus on parts of your body you love?  Can you focus on that when you look in the mirror?  Are you a writer?  Can you write stories or poetry about the life you imagine for yourself in the future?  Can you do small things that help you get more in touch with your gender day to day like making small choices about your clothing, like wearing clothes that are more unisex,  that only you know are gender related but others won't notice?  You cannot force others to accept you but you can work on your self-acceptance and self-compassion. That work is something that is best done in the company of others like you as well as with at least another person who gets you and whom you can trust.  Good luck to you!"
"Instruct: 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.
Output: I would suggest keeping a log of those days when you are having a hard time. Items to write would be what were you doing before you felt this way, did you eat and what, what time of day is it, how much sleep did you get that night, etc... This can help you identify any triggers. Further assessment can be made by a health care professional. It does sound like you are experiencing some symptoms of anxiety."
"Instruct: I'm very depressed. How do I find someone to talk to?
Output: The first step, which you've taken, is actually wanting to talk to someone. It's a great sign that you are seeking to reach out for help. And there are therapists everywhere (there are even therapists online, so you don't have to be that close to them or their office.)There are several sites that I refer people to to begin the process of looking for a therapist. I usually have them start with psychologytoday.com. Once there (there is a therapist directory), you can narrow choices down by ages that they work with, insurance they accept, depression as an issue they focus in, etc. You can also narrow down by therapist's modality, but that can get complicated if you aren't too familiar with the various theoretical approaches. It's important that you find someone that you feel understands your situation. That might mean that they identify an issue you are having in their profile, or on their professional website. But, you should try to meet a couple of different therapists if you aren't quite sure. It can be challenging that first session, but your best (note, not ""THE best"") therapist will help you feel comfortable (or as comfortable as possible, given therapy can be uncomfortable especially at first) and understood from the get-go.I have found that asking friends or family for names and recommendations Is also a common way to find a therapist, because it can come from a trusted referral source. But remember that we are all different, so what works for one might not always be a good fit. And again, it could take a couple of first sessions with different therapists to know if someone is a good fit (sometimes, it can take a few sessions.) And if there is no one around that can give a name or two, then searching online is quite common and can yield positive results.And try not to give up! Finding a therapist is not easy, but finding a good one for you is extremely rewarding."
"Instruct: 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?
Output: The obvious answer is no, it's not okay.  There are other you should be asking though.  You said your fiance ""seems afraid"" of her ex.  Did you ask her about that?  Is there a reason he still has a key to the  home?  Has there been any discussion of appropriate boundaries?  I work with a lot of people parenting from different households and the stickiest spots are the ones that have not been discussed.  There is obviously conflict there or they wouldn't have split, but your fiance and her ex do need to stay aligned for the kids and that can't happen if she feels fearful or resentful.  If she doesn't have a problem with his barging in, clearly you do (and who wouldn't?  He's not YOUR ex!), so you and she need to have some agreements around his access to the home.  If she is afraid to bring up the discussion then I strongly recommend that she and the ex get some help with a good therapist.  The kids health, your health and hers, and the health of your relationships in the family depend on it!"
"Instruct: 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?
Output: If you have only been to a couple of sessions, it makes sense that you might still feel apprehensive at first. Therapy is hard work! You may be talking about some things that you never talked to anyone about before. Opening up to stranger can be scary. After you feel comfortable with your counselor, and trust has built up and you feel understood in session, you should feel more relaxed. I would encourage you to talk to your counselor about feeling a little shaky. Sharing what the process is like for you is important in your work. If you still feel unsure about sharing after several sessions, it is important to take a look at that and try to understand where that may be coming from. For example, are you and the therapist not a good fit? But, again if you are just starting out in working together, feeling a little bit nervous makes perfect sense, and I encourage you to give it a bit more time and to talk to your therapist about how you are feeling."
"Instruct: I started dating my fiancé two years ago. My first cousin is married to my fiancé’s sister. There has always been a communication issue between my uncle and aunt and my cousin and his wife. My uncle goes to my mom instead of talking to my cousin, and it upsets my mom.
Output: Based on the information provided, this is an issue with boundaries.   Sounds like your uncle goes to your mom and possibly your mother takes the issues to you.  I do not like to assume so I will direct you to information regarding families dealing with enmeshment and triangulation.  Enmeshment is the concept of diffused boundaries in families and other personal relationships.  Triangulation is two individuals relaying information to a third party what cannot be said directly to each other.  From someone who has dealt with both these issues on a personal level, being informed about family dynamics is beneficial and can help you develop healthy boundaries for yourself within your family structure.  You may need assistance with developing healthy boundaries.  Although it is possible, it is not easy to change the way you have been operating for any extended amount of time.  Hope this help!"
"Instruct: 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?
Output: 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!"
"Instruct: I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?
Output: I love that you are so thoughtful and proactive about this!  If only every client came in as solution focused as you, my job would be so much easier. I would second Robin's suggestion of reading ANYTHING by Gottmann. He's fantastic. Other favorites of mine are:“Getting Together and Staying Together: Solving the Mystery of Marriage” by Dr. William & Carleen Glasser“Eight Lessons for a Happier Marriage” by Dr. William & Carleen Glasser“Hold Me Tight” by Dr. Sue Johnson“Divorce Busting: A Step-By-Step Approach to Making Your Marriage Loving Again” by Michele Weiner-Davis, M.S.W.“The Five Love Languages” by Gary Chapman“The Flight from Intimacy: Healing Your Relationship of Counter-Dependency – the Other Side of Co-Dependency” by Drs. Janae & Barry WeinholdI'll also add to Miriam's assertion that your partner is the expert on her. You can help things along by becoming a better expert on you as well. What is it that you are craving and likely trying to get your need met in potentially unhelpful ways from your girlfriend or in ways she doesn't understand or vibe with?  If you can better explain your own needs while trying to understand hers, you all have a recipe for great success! When both partners seek to serve one another and stay curious about each other in the process, intimacy abounds!Best of luck my friend! And if you get stuck, of course seeking help from a professional is always a great idea too. ;)"
"Instruct: I get angry and act out. It scares my wife and child.
Output: Anger is a normal emotion, no different than joy, elation, or sadness. It's not anger that gets us in trouble it's the overtness of the emotion or how we allow it to manifest that gets us in trouble. Being able to control your temper depends on several variables: how you saw anger acted out as a child in terms of your primary caregivers and what you internalized as being normal in terms of managing conflict, and your communication style regarding how you confront problematic situations. There are some whose anger takes on a volcano effect whereby they don't readily address problematic situations but rather they continue to stuff their emotion until the right trigger causes them them to explode, and then there are those who are very impulsive in terms of how they react to stressful situations, they don't take time to think out situations or to make sense of them, they just impulsively respond. I would encourage you to seek anger management from a therapist who utilizes a Cognitive Behavioral approach in order that you may explore how your irrational thinking related to certain situations may be influencing your problematic behavior. In addition, I would encourage you to engage in activities that promote stress reduction if your blowups are indeed related to being overly stressed. The first step is recognizing that you have a problem that you need help in understanding and addressing, which you have, now take the next step in finding a therapist in order that you may learn to control your temper and undo some faulty wiring that may be related to how you process emotion, and communicate that you're angry. Remember, anger is the overt expression of some other emotion (i.e., disappointment, hurt, frustration, etc..) Hope this helps..."
"Instruct: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?
Output: First of all, my heart goes out to you. Infidelity is an extremely challenging obstacle to overcome. There are some things that you should consider. First of all, did he seem truly remorseful? If you felt in his heart that he was truly sorry for what he had done, it will give you a piece of mind that it was a  mistake. Secondly, was he forthcoming with this information? How about with answering your questions after the truth was uncovered? If you found that he was still lying or not forthcoming, the sting is even more painful. He should be able to answer any question you have honestly and without hesitation.Thirdly, has he shown a positive difference after this experience? At this time, he should still be proving his faithfulness to the marriage, you and the children.Keep in mind that experiencing infidelity is a form of grief. It is not a quick process that can easily be overcome. What you are experiencing is 100% normal. My best suggestion would be to see a marriage therapist. Find out what drove your husband to cheat in the first place and decide if this aspect in his life has been resolved. I know its important for you to keep your family together but children can sense anger and frustration, this is not a healthy environment either. If you decide that you can no longer remain in the relationship, a therapist will also be able to help you cope with the separation along with addressing your children's needs.Please know that you are not alone and that unfortunately, many relationships have endured this very thing. It may also be helpful to reach out to people who have experienced similar obstacles. The web is a great resource to find groups whether online or in person to use as a support or sounding board.Best of luck to you and your family!"
"Instruct: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.
Output: I would recommend that you talk with a mental health professional near you about the details so you can have some really specific support for what you are going through.I don't know if you can understand when the voices are saying, but I wonder how you feel about what you are hearing? If the voices are just at night, is it possible that they are part of a nightmare or a dream? If you recall your nightmares, consider writing them down so that you can remember their content and work with a mental health professional to look for patterns.One thing that may help you while you are awake is to try to stay connected to the room you're in. For example, take time to notice your feet on the floor, hips in the chair, and shoulders against the back of the chair. You can also try mindfulness techniques, such as noticing what is around you or changing your breathing patterns. These ideas may help in the meantime prior to having more specific ideas from someone near you.Thanks for reaching out!"
"Instruct: I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: First of all, I am very sorry for your loss, and I can understand the urge to drink and smoke to try and cope. As I'm sure you understand, alcohol and marijuana may take the edge off of the pain in the short run, but in the long run they may prevent you from being able to work through the thoughts and feelings that you have about the loss of your friend. Grieving is a process that is unique to each individual and each relationship that may involve difficult, confusing, and even contradictory seeming thoughts and feelings and a competent therapist can help you work through this process. It also may be useful for you to add other ways of coping, such as taking care of yourself through exercise, doing healthy activities that you love, and spending time with people that you love. Self care is often most difficult when we need it the most. Thank you for reaching out."
"Instruct: After 40 years of being straight, how could I now find myself interested in people of the same sex? I have had a few same sex encounters of my own doing.
Output: During these encounters did you feel safe? accepted? Where you able to experience something new in your life? It is natural to feel attraction to all people. As young children we love everyone. It was as we got older that the social constructs had us make a ""choice"". It could have been that you were always attracted to the same sex, but now are allowing yourself to feel and explore. But also know that life is interesting as we grow and mature we find that we like things we never liked before, things we said we would never do now seem appealing. What is the story you are telling yourself about having these interests? Try to not overthink your attractions. See where they take you. You are on a journey to discover yourself."
"Instruct: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
   I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.    Do I have the rights to be able to sign my brother into mentalhealth facility?
Output: Thanks for asking this question. I know it can be really difficult to deal with issues like this.To answer your question, you might be able to get you brother some mental health help, even if he doesn't recognize that he needs it. In most states, an individual can request a mental health evaluation of a family member if that family member poses a danger to themselves or someone else, or if they are unable to take care of their own basic needs.You can always call 911 if you are concerned about his immediate safety (for example if you find him sleeping outside in below freezing weather.  As an alternative to calling 911, you might also be able to request an evaluation from an authorized mental health provider.  The deatsils of who you would contact vary from state to state. Here's a link with some additional resources:http://www.treatmentadvocacycenter.org/someone-i-know-is-in-crisisHe's lucky to have a brother who cares for his wellbeing as much as you do."
"Instruct: I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face.  It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do.
Output: This is so very common in this crazy looks-obsessed world! I meet so many beautiful people who can't see their beauty. Is there something getting in the way for you? Was there a time in your life when people teased you or told you something hurtful, or did something to you that made you feel ugly? If so, this can be addressed first. Sometimes stories are told about us when we're young and the best thing we can do is see the author's evil or careless intent and not take that on. A therapist can help you with this part.Once you've addressed any past barriers to feeling confident, you can focus on a few simple things. First, your thoughts. If you keep telling yourself that you don't like what you see, then you will never feel okay about your looks. Experiment with telling yourself something different. Look in the mirror and I dare you to find something that's lovely about your face. Focus on that. Describe what you see? If you were your own best friend, what would you say about your face? Eliminating those negative scripts and building new positive ones will help you feel more accepting of how you look. You can't change your face, but you can change your attitude towards your face. Confidence is the things that will make you beautiful!Accepting how you look is important. Without going to plastic surgery (the popularity of which is a testimony to how nuts this whole thing has become), you were born with that nose, those eyes, those lips. Accepting yourself and knowing it won't change is a good idea, because wishing it were different won't make it so!Looking good is also about minimizing flaws and building on your assets. Are you in a rut about hairstyle or makeup? Ask a good friend to give you a make-over. Play with your features and wardrobe. There are plenty of average looking people who know how to make themselves shine because they are creative! "
"Instruct: I think I'm annoying and bothersome, but my girlfriend says I'm just fine. I don't think so, I think I'm stressing everyone else out
Output: I think you have identified something important here. It's not unusual to experience feelings that don't seem to match up with what your rational mind recognizes. In this case, it sounds like a part of you recognizes that the people around you do not find you ""annoying and bothersome."" Despite knowing that people like you, it seems that there's still a part of you that feels like you're a bother.Finding a local counselor who can work with you to process those feelings might be just the help you need."
"Instruct: What makes a healthy marriage last?
Output: In my mind, a healthy marriage has two participants, meaning both people participate equally in the intimate connection of marriage. An unequal participation comes in many forms, such as one person checking out of conversations when it becomes emotional, or speaking over and for each other in these conversations. Couple’s should strive for engagement and support, but doing it in a way that works for each person individually. I hope this helps."
"Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone.

My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?
Output: Unfortunately you seem to have yourself in a double bind. By living with your mom she is not going to stop her attempts at what you perceive as ""controlling"". There is no use in trying to debate or get her to ""see your point"". As long as your there and you personalize her attempts at control, then you will find yourself frustrated and resentful. Try to find an extra job or a roommate so that you can do the natural process of moving on out.www.lifecounselingorlando.com"
"Instruct: I have not had a friend since I was 19. I don't go anywhere, and I have no job, all because I'm afraid of people.
Output: Individual and/or group therapy can be a powerful antidote for social anxiety. Often in therapy, the things that tend to get in the way of our securing satisfying and lasting personal relationships will appear in some way in the therapy relationship and a competent therapist will be able to help you work through this anxiety, in a sensitive way, and eventually encourage you to seek out the personal relationships that you want. In group therapy, you have an opportunity to have a relationship not only with the therapist, but several other people who are all in the group in order to give and receive mutual support to one another."
"Instruct: I've become so jaded that I can't control my thoughts. I cannot focus on anything and been having anxiety attacks.
Output: Maybe your thoughts require your attention and the best course would be to pay attention and follow them!If you're in an especially stressful or uncertain time in your life, then the best way through is to understand the tension you feel.It keeps trying to get you to know whats going on deep within you.Anxiety is a sign of stress and weariness.  Your thoughts are a chance to simply rest and know what they would like you to know.Then, when that process is finished your anxiety will no longer be necessary and will most likely leave you alone."
"Instruct: It's not entirely true to say I enjoy being sad, but I always find a way to feel that way. I listen to sad music, read tragic stories, and, in a twisted way, like how bad it makes me feel. I focus on negative aspects of my life even if they aren't legitimate or I just make it seem negative.
Output: It sounds like you are noticing that you are drawn towards sad and negative content and it's hard to understand why. This may sound counter-intuitive, but sometimes we do things that on the surface may look problematic (or even cause us some real problems) because it serves us in some unseen way. A simple example would be somebody who is addicted to a substance; their addiction may be causing serious problems in their life, and they may even know it, but the addiction serves them by helping them to avoid painful feelings that they anticipate having if they quit using. Now I am not saying that what you describe is an addiction, it is just a really illustrative example of the unseen benefit.One thing I would be wondering about is what is the unseen benefit of seeking out sad and negative content? I'd also be wondering what your relationship is to other feelings. These are things you may benefit from exploring with a competent therapist."
"Instruct: My grandson's step-mother sends him to school with a pink Barbie backpack as a form of punishment.
Output: Absolutely not! It is never in a child's best interest to use humiliation as punishment. This can lead to issues in the relationship between parent and child as well as the child's social relationships. Kids have a hard enough time. To then go and cause them embarrassment is unconscionable. The entire job of a parent is to prepare their child to become a successful, healthy adult. You do this by using healthy ways to teach a child when they make a mistake. Discipline shouldn't be seen as punishment. It should be seen as a way to teach a lesson. What lesson could this possibility be teaching him? Absolutely nothing. Meanwhile, she is most likely damaging her relationship with him and causing great distress in his school day and peer interactions. She should be one of the people he can come to when he's hurting; not someone who causes him pain."
"Instruct: I am a female, and I am afraid of having sex. I am afraid of disappointing my partner by being inexperienced. I think he thinks I'm not a virgin. I am also scared that he will be disappointed with my naked body. I don't want my partner to think differently of me because I am afraid of having sex.
Output: These fears are completely normal. Almost everyone has the same fears you do, to some degree, especially if they lack experience. Men also feel far more of these fears than you realize. That can help...to remember that we're all a little scared and looking for safety and approval.You mention a partner, but I'm not sure if you currently have one. Having a partner you can trust with your fears and who you feel safe with is so important. When you're really confident someone cares deeply for you, this can help the fears to go away or diminish. How well do you know your own body? Getting to know how you like to be touched and how different touches feel...getting acquainted with your body yourself first...this can help build sexual confidence. In general, our partners care less about our fat and wrinkles than they care about how we make them feel in bed. Being a generous lover who is confident enough to put fear aside...ironically this is what makes you ""good in bed"". But be patient with yourself. Your confidence will grow with experience, and that doesn't have to happen until you are ready. There's not rush. :)"
"Instruct: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone. 

How can I deal with depression without telling anyone?
Output: Hello,It is completely understandable that you would not want people to know about your depression. I would first like commend you for realizing that you need to help with your depression by reaching out here. That is a great start, and you've taken the very first courageous step. Depression can feel debilitating and overwhelming. Depression is also a very personal thing and no one has know but you and the therapist. The best way to begin learningand dealing is to pick up the phone and call a therapist or email a therapist and schedule a session. The great news is that with professional help you can feel better and you will learn how deal with and manage the depression. There are many ways to help with depression that a therapist can teach you and help guide. You do not have do this alone. Asking for help and going to therapy is a strength! This can be done in a private and confidential setting.Depression should be treated by a therapist, in a safe, confidential office setting. The therapist can then discuss your depression with you in more detail to figure out the underlying cause, how long you've been feeling this way and identify what brings on these feelings. There is hope and depression can be treated with great success, you CAN feel good again. Depression can be managed appropriately by seeing a licensed therapist. Often times therapy will offer relief because you would have someone there simply to listen to you, validate your feelings and listen to your story. The therapist will be able to offer professional insight and perspective on the situation and help you think outside the box. The therapist can do many things with you, provide insight and offer many ideas to help you learn new coping skills and ideas of things you enjoy, encouraging you to re engage in hobbies you once enjoyed or even discover new things you may enjoy. There are creative ways to learn to cope too!Your therapist will also be there to support you, without judgement, at your pace, through the entire process. But the first step is finding a therapist and beginning to identify the cause your depression. Healing is possible and getting your happiness back is also possible.Feel free contact me for additional help or informationLaura Cassity, LMSW, LMAC"
"Instruct: 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.
Output: 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."
"Instruct: I don't know how to notice or express my feelings besides anger. That's really the only one i feel.
Output: Well, then give yourself some credit for noticing that you recognize at least one feeling that you have!What is your own theory as to what is difficult to know your feelings?  Your answer will give you clues as to unearthing your willingness to be aware of the way you feel.Sometimes the family in which someone grew up, did all they could to stop the kids from knowing who they were.In some families there were very severe consequences if a child spoke up with an independent mind.  By knowing where your difficulties started, you may very well be able to release the situation in which you learned to suppress your feelings.Also, spend some time with yourself just enjoying who you are.  Often, people who have difficulty in expressing themselves, suffered shame and humiliation as a child.  They have a chronic sense of worthlessness, and feeling worthless certainly works against self-expression.  By having a good time being with yourself, you may increase your self-appreciation and this will go a long way to believing that your feelings are worth knowing and stating."
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?
Output: I can think of several things that may help you to reconnect. I don't know how much time you actually spend together, but one thing you could try is to spend 15 minutes a week together talking about common interests or other things that make you feel connected.Have you considered a date night or anything (doesn't have to cost a lot of money, but could make each of you feel special)?Something else you could try is to consider talking to each other in a way where you summarize what you are hearing and reflect back to make sure that you got it right rather than just assuming so. Communicating this way can feel awkward at times, but it could reconnect how you are listening and deeply connecting with your partner. Also, you may discover that you are on two different pages about things on which you thought you understood what each other felt, wanted, or desired.Consider what makes your partner feel loved, valued, appreciated, or special. Can you name a few things and get them right according to your partner when you check in? Can he do the same for you?You could also try doing two things every day that would be appreciated by your partner without either of you having to ask for it. There is some more information here, although what you do for one another does not necessarily need to be on this list: http://www.couplesinstitute.com/tracking-success-by-doing-the-daily-double/Reconnecting is a bit of a process. Try to praise yourself and your partner for attempts that you make and recognize that you're not going to get it right 100% of the time. You may also find this book to be helpful (or there are other similar ones by the same author): https://smile.amazon.com/Love-Languages-Secret-that-Lasts/dp/080241270X/ref=sr_1_1?ie=UTF8&qid=1471479801&sr=8-1&keywords=Love+languagesIf this still seems difficult, consider seeing a local mental health professional. As one more thought, recall that this relationship involves both of you. If you are both committing to change your level of connection, change will likely not be a steady uphill climb (there could be plateaus or even some dips back in a negative direction) and each of you may change at a different rate.Best wishes in your quest for connection!"
"Instruct: My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him.  I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.

How can I feel more comfortable around other people?
Output: I would look at  getting engaged with a support network of individuals who may also have autistic children.  They will understand some of the things that you are experiencing at home and you may also find someone who feels that same way as you. If you have not sought professional counseling for the abusive relationship I would seek out a therapist who can help you process through it so you do not repeat similar choices in your next relationship. "
"Instruct: I have attention-deficit/hyperactivity disorder, posttraumatic stress disorder, anxiety, anger, and memory problems. I can't work. I have no income. I'm on medicine, but I feel worthless. I want to be normal.
Output: I am so sorry to hear that you are struggling.  It sounds like you've had a traumatic experience that has impacted your life in many ways.  Without knowing much about your history, I wonder if the trauma you suffered has lead to the anxiety, anger, and memory problems you are dealing with, in addition to PTSD.  I would encourage you to look for a trauma therapist who offers a sliding scale or pro bono services.  There may also be community mental health services in your area that offer free therapy if you are eligible for grant."
"Instruct: I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them.
Output: I'm glad you're willing to keep optimistic about life improving and offering better relationships than some of the ones in which you greatly suffered.One suggestion is to develop patience with yourself and the process of regaining your willingness to trust other people.Sexual intimacy engages all of who we truly are.   Being cautious as to who and how much you allow someone into your life, is natural for anyone recovering from trauma.Allow yourself to withdraw when situations feel dangerous.   Your sense of danger is most likely on higher alert than had you not been victimized.Be attentive and cooperate with your own sense of readiness to engage in conversation, discussions and sex with your partner.Explain all this to your partner so the person can develop their own patience with your recuperation process."
"Instruct: I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal.
Output: It sounds like you are trying to find a label to help you to understand why you are feeling the way you are feeling.  Sometimes there are no labels for how we feel.  Sometimes there is no name for the emotions that we are experiencing. Regardless, you do not have to continue to feel this way, no matter what you call it.  If you are seeking to experience an internal calmness such as your external calmness, you may want to try some mindfulness practices or meditation.  However, being able to get at the root cause of what you are feeling may be what you need to help you release this feeling for the long term.  I recommend seeking support for this to allow this internal screaming to get some air and begin to breathe. "
"Instruct: When I'm sad and alone, I want to cut myself.
Output: Try doing something physical. If you haven't exercised before, it is a good idea to get your doctor's approval first, but this can be helpful.The more you can find out about when you want to cut, the easier it will be to figure out what else you can do. If you are feeling sad or angry or nervous, look at what is leading up to those feelings and talk to someone about that.You said you are alone. I would see if you can find someone that you can trust to talk with about what you are going through. This could be a parent, a friend, someone at school, a coworker, or any number of other people."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: As parents, it's hard not to have ""freak out"" moments when our children are being bullied, stressed, or exhibit other symptoms of teenage angst. We walk a delicate balance of letting go and giving autonomy to our teens get older. Adolescents are learning how to be functional adults and it's important to allow them to try (and sometimes fail) in managing their emotions. Grades are a pretty good indicator of how a student is doing, overall. If your daughter has a 4.0 and there's no pattern of ""crying and freaking out"" I'd offer gentle support and encourage her to find ways to relax when she's stressed. If her grades start to decline and her crying spells become more frequent, a call to a counselor who specializes in teens might be in order. Good luck!"
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Ideally, termination should be a mutual process. It's not that the therapist kicks the client out at some point and says, ""Okay, you're done."" Rather, over time the client will decrease the frequency with which he/she comes to session so that it may start off as weekly, then decrease to biweekly, then perhaps once every three weeks, then once/month and so on. Throughout this process, the therapist and client should have had regular check ins about progress toward goals. If the client feels good about where he/she is in life, he/she might decide to suspend therapy for now. That being said, the therapist should make it very clear that if the client ever decided to return for ""maintenance"" therapy or a check in, he/she would always be welcome. There is no hard and fast rule to ending or a particular time period in which it must end. What matters most is that the client feels good about it and knows that the therapist will always be there should he/she wish to return."
"Instruct: I don't know what to say. I have never really known who I am.
Output: The older I get, the more I believe that our real task isn't to 'find' ourselves. We're already 100% ""there."" What we do have to do is become more mindful of the times when we feel the most alive, most happy, most creative, and most fully engaged with life. It is in those moments that we find ourselves.For example, I couldn't help loving the people or things I loved, no matter who tried to talk me out of them. All I needed to do was notice when my heart opened and I felt the most alive--not because I was afraid or addicted, but because in those moments, I was in contact with my highest self. On the flip side, I needed to recognize the people and activities that consistently brought out the worst in me--the ones that made me feel controlled, constricted, dishonest, resentful, or afraid--and be honest about them. Mindfulness of ""what already is"" is the key to finding yourself. Align yourself with the people and activities that matter most to you. Don't let old habits, crappy jobs, or mean-spirited people define you. Just stumble your way forward as best you can, with greater self-awareness followed by affirmative action..   "
"Instruct: 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.
Output: These types of symptoms can be very disruptive to life!  Anxiety often presents in two key ways:  1) physical symptoms such as: racing heart rate, sweaty palms, dry mouth, shaking or trembling or nausea - often these physical sypmtoms are categorized as a Panic Attack.  2) mentally anxiety presents itself as worry.  Worry that spirals out of control, worry that dirsupts your life and concentration.  Worry that keeps from being present in your life.  Anxiety when it begins to spiral out of control either with disruptive mental or physical symptoms, needs to be addressed formally.  I urge you to see a counselor and/or a psychiatrist soon to begin to address these issues.  Good Luck, Sitka Stueve, LSCSW"
"Instruct: I have these dreams of men, and they always seem to try to hurt me. It's gotten so bad that I first wake at 4:30, then 4:45, and finally stay awake by 6:00. I'm always the last one to fall asleep and the first to wake. I hate falling asleep. The longest I've went without sleep is three days.
Output: The good news about your dreams is that your fears are right at the surface of your mind so you can study them and release some of the harm from the terrifying experiences you had which created these bad memories in the first place.The bad news is the feelings themselves are sickening.Probably a therapist would be very helpful for guiding you to unfold these uneasy feelings and their source.This type of deep work is easier with emotional support from someone.  A therapist can give you this plus is knowledgeable about dynamics of someone having been emotionally harmed by another.Or, read a lot online and find out which articles resonate with your emotions.Luckily people are willing to express personal stories of recuperating a sense of peace and safety after being violated by someone."
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?
Output: Feeling alone in your marriage is one of the most painful feelings. Wanting connection with your spouse yet feeling the all too familiar distance that's keeping you apart can be so hurtful. But, change is possible. You might be able to move closer toward each other on your own but since there has been two years of distance, I would suggest looking into couples therapy with a trained couples therapist. They are trained in helping couples begin to examine what's been happening that has caused a drift in your marriage. I'm also curious if there was a significant event that occurred around the time you started feeling distant. If there was something that occurred during this time that is hard for you both to talk about, couples therapy can help with this also. It can provide a safe and supportive space for you both."
"Instruct: What should I do when we see each other?
Output: I am so sorry that this happened.  Nobody deserves to be outed without their permission.  I would encourage you to get in touch with someone who is supportive and accepting and plan to touch base with them after you see your wife's sister.  You can also plan to take some time for self care after you see her.  For example, if you enjoy bike rides, plan on taking a bike ride afterward.  Plan to do something that feels nurturing and caring.  Best of luck!"
"Instruct: My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt ""ehh"" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way.
Output: Have you guys ruled out medical disorders. There is new data that post part depression starts in the pregnancy before baby is delivered. There maybe those factors .Please check out those arenas, firstly. Then consider marital therapy services. Relationship changes with the time passing and with the time and care deposits of investment onto the relationship bank account.  Thanks for this opportunity to answer some of ya.alls. relationship intimacy concerns."
"Instruct: I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?
Output: Here are some things I'm wondering:Do you have close friends that you can talk to, trust, and who can be around sometimes when you're in between relationships?What do you like about yourself? What are your strongest points?Do you think you have been in relationships with controlling than in the past because it makes you feel as though you are worth something to them?What kind of relationship you want to be in?What are the top three or four attributes of the type of partner you want?What can you do to make yourself emotionally safe during your typical daily activities?Can you notice a list of things that you can control throughout a typical day? For example, you probably choose what to wear, what to eat, how to talk to others, how committed you are to school or work, etc.It also sounds as if it may be helpful to discover more about yourself in addition to what you look for in a partner.As far as emotional abuse, it may be useful to develop communication skills that you could use prior to their relationship progressing to the point that it is emotional abuse.Thank you for reaching out to ask questions. If the questions that I've asked here are difficult for you to answer or are overwhelming, talking with a local therapist would probably be something I would suggest."
"Instruct: I have no sex drive due to medical issues. I’ve shut down completely and closed everyone out. I’ve even told my husband that I wanted a divorce since that’s what I thought he wanted to hear. However, it devastated me when I learned he's seeing someone else.
 I’ve since told him that I wanted to work things out but he’s not sure I actually mean it. He thinks the only reason I want him back is because I’m jealous. How do I show him I’m serious?
Output: I’m sorry to hear about your current situation. My heart goes out to you during this time.First of all, it is of vital importance that you discuss your symptoms with your doctor. Regardless of whether you are able to mend your relationship with your husband, you need to address the physical issues you are experiencing. More than likely he/she will be able to help you relieve some of these symptoms.Secondly, you must be upfront and honest with your husband. Intimacy is a large part of a relationship and it is unfair to your husband that you did not disclose how you were feeling. I think he would appreciate knowing that it was your medical problems causing the lack of sexual desire as opposed to the reason being him.If you explain to him that you are addressing your sexual issues with your doctor in order to enhance your relationship, he may be more willing to see that you are serious in wanting to mend the relationship. The conversation will be hard to explain to your doctor and your husband since it is of such a personal nature but it will be extremely beneficial. And please note that the reason for the feelings you were experiencing (or lack thereof), was not your fault.Best of luck to you and your husband!"
"Instruct: My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying ""whatever"" and ""leave me alone."" But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore.
Output: Your situation sounds a little painful.Have you brought up any of these topics for discussion with your fiancé?Now is a good time for finding out if and how your future husband is interested and addresses the way you are feeling.Until the two of you open up what bothers you, all you or anyone who talks to you about the situation, can do is take guesses as to what is driving your finance's behaviors.Also, in the moment of when your fiancé texts you words you find surprising or startling, you can tell him this.   Maybe by being clear and truthful about how what he writes affects you, then next time he will change what he tells you.And if he doesn't, then you know that you explained yourself, he had this information about you and that , he isn't that willing to consider what you told him. Really, the best first step is to open up all the topics you wrote about here, with him.  This way you'll give each of you to discuss how to care about one another in a meaningful way."
"Instruct: I was raped repeatedly when I was younger. I told my parents and action was taken, but now that I’m an adult, I suffer from extreme anxiety.
Output: Hi. Even though (thankfully) your parents responded well to you telling them, and you received treatment, it's possible, and very normal for sexual abuse trauma to affect you in different ways as you age and develop. Please see a therapist, who can help you find the root of the anxiety."
"Instruct: I'm always listening to my husband, but it feels like he never listens to me.    How do I get my husband to listen to me instead of me listening to him all the time?
Output: Thanks for reaching out. This is a great question. Communication is definitely a 2-way street. One person cannot participate in a discussion. It takes a talker and a listener. Furthermore, communication will breakdown if each party is only focusing on his or her agenda and is not open to what the other person is saying.  since I can't ask you questions about what is going on, I am going to make a guess at one situation that comes up a lot when I work with couples. One person focuses more on solving the issue, than listening to their partner.  This can be frustrating for the partner who wants to just be ""heard.""I understand that you are working really hard to listen to him and he might not be putting as much effort into listening to you. That can be really frustrating and difficult and I want to acknowledge you for wanting to improve your relationship.One of the best strategies to gettting heard, is actually to BE A GOOD LISTENER to someone else. I know you are probably already a good listener and for you to work on listening skills may seem counterintuitive, right? You want to get heard and now you are the one doing the listening. But this can really create more effective communication if you invest time working on doing some active listening in your relationship because then you get to model those skills for your husband and allow him to see what it feels like to be listened to and then you can even teach him some of those skills. In other words, you practice specific techniques that you can use and then teach later on. Here are some skills for you to use consciously and then you can teach:Pay attention and use your body language to convey that you are in the conversation. No texting or distractions. Lean in. Focus.Listen for content and for emotion. Clarify what you don't understand. Try to understand the person's underlying emotions. Don't rush to judgement or to changing what is going on with the person. Sit in a place where you are really curious and want to understand what is going on. Encourage the other person to continue speaking, Nod and vocalize that you hear what they are saying.Ask questions to get to understand the other person's point of view.I believe when we can model these kinds of listening skills, and the other person feels heard, they will be more likely to listen to us. If you don't find that this doesn't spill over in that way, then have a discussion about what you are practicing and that you are learning these skills to be a better listener so you can understand him better. Then explain how it might be helpful if you both tried it. If there is push back from him, set up a trial period to just try the skill, perhaps for 2 weeks and see if it helps. If communication is really breaking down, then it might be time to work with a counselor who can help with these skills.Best of luck to you!"
"Instruct: I am currently suffering from erectile dysfunction and have tried Viagra, Cialis, etc.  Nothing seemed to work.  My girlfriend of 3 years is very sexually frustrated.  I told her that it is okay for her to have sex with other men.  Is that really okay?
Output: Hello, and thank you for your question. I completely agree with Dr. Zehner. Many couples are in open-type or polyamorous relationships where one or both partners engage in sexual relationships with others. The key thing about this is that it really does have to be something that both people are okay with. Now, as Dr. Zehner indicated, what may be okay today may not feel okay tomorrow, so good communication is essential. The truth is, even in polyamorous relationships where partners are in agreement, jealousy does sometimes happen. Here is a good article about polyamorous relationships and the issue of jealousy: http://everydayfeminism.com/2016/02/polyamorous-dealing-jealousy/This site has many other articles about polyamory. If you type in ""polyamory"" in their search box, you will find some good information. I wish you well,Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: 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?
Output: Hello there.  You ask about being nervous and shaky walking in to your therapy session and want to know if its normal? ...  I realize there a few ways to look at this.  I presume you weren't anticipating feeling this way; and probably hoped to feel the opposite..  Well, my initial response is yes, sure, it can be within reason to feel this way.  Have you been in therapy before? Is this somewhat new? That could be part of the reason. But either way; new or not, I think when are entering into a meeting that holds potential evaluation of deep things about you and your heart and soul, it can cause anyone to tremble. The soul can be anticipating some things could be shaken up here, and it can feel scary to look at these things and then change.  Looking deep at our life can feel daunting and scary; so your response just might be regards to potential growth trying to happen.   OR, is there something about the therapist you don't feel confident about?  This too might be in play as a reason for your feelings...  Maybe you lack confidence in that therapist ?  Have you let your therapist know how you feel?  That would be good to explore...I would like to encourage you to look at these ideas.  Hope it helps.   Let me knowKindly,keithkeithcounseling.com"
"Instruct: I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
   What is wrong with me, and how can I stop having these thoughts?
Output: Those  critical thoughts most likely came into your mind as the way you understood what one of your parents or some other adult who was very meaningful to you, at a very young age.When we are too young to distinguish whether what a grown person tells us, feels accurate, we absorb their opinions as our own.Your question shows you've reached the point of emotional maturity to know that your opinion about yourself is not the same as what is inside your emotional brain and stored there since you were too young to know that someone else's opinions are not necessarily your opinions.Nothing is wrong with you, everything is right with you to wonder how to more firmly establish your own point of view.Start the habit to revise any viewpoints about yourself which don't feel true.Then replace these thoughts with better ones which you decide on your own.After a while of doing this you'll either automatically think the more positive thoughts about yourself or at least be in the habit to know that negative viewpoints about you are not necessarily true."
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: Its understandable to have anxiety when transitioning to a new job/career or any other major life change. Doing some mindfulness activities such as deep breathing exercises, grounding, or mindfulness meditation can help center and calm yourself in moments of anxiety when being away from your family.It may also be helpful to make a list of your concerns or fears about being away from your family. What are you afraid will happen while you are away? Once you've identified those fears you can challenge them and determine whether they are based on fact or your emotions."
"Instruct: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.
Output: I'm sorry you feel so alone and isolated, those feelings in and of themselves can lead to depression, stress and anxiety.  So job one is finding someone you can talk to.  A good friend or an open parent can be as helpful as a professional counselor, but if you don't have those, then by all means call your local Mental Health Association, suicide prevention, or go see your school counseling department. There are many of us now who do on-line, FaceTime, phone counseling so that is an option to consider in your situation.  On the other hand,  If you want to script a conversation with your parents (I'm a great believer in scripting) not that you're going to read it to them, but if you write down exactly what you want to say, read it over a few times before you're ready to have the conversation.  Why?  You'll be much more likely to do it if you're prepared, and you'll  have a better chance of saying everything you want to say in a calm but forceful way.  The same with your friends--you are probably a great listener and therefore attract people who want to talk--so you need to let these friends know you need something in return.  If you practice asking for equal talk time, then perhaps these friends will respond and surprise you, or if you make those demands you'll start attracting people who are looking for equality in friendships.  Now back to that script--first decide do you want to talk to both parents at once, or one at a time.  Then begin to write down the points you want to make such as:   I love you, and I know you love me but I don't feel as though I can trust your love to be unconditional enough to tell you who I really am, and how I really feel.  Find your own words to describe your own feelings.  If I can help, get in touch. You are right to reach out starting here, there are no prizes for suffering in silence and, as you already know, little joy in going it alone. "
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: This sounds stressful.You mentioned that you want to learn how to avoid them. I'm not sure whether you want to avoid them overall or if you would like to ask your mom to maybe only talk to you about it for a few minutes about your niece in each conversation that you have.Maybe you can connect your mom with some support. It sounds as if she has lost part of herself and/or is very stressed out and in talking with you about it because she trusts you enough for you to be someone she can speak openly, you are becoming stressed because of things that you cannot directly change. This is the presumptive based on the amount of information that you posted, but it sounds like there is a bit of a circle of stress here.I also wonder who you could talk with when you are stressed.It may be helpful to see a local mental health professional to help redefine some boundaries so you can have the type of relationship with your mother that you want without necessarily feeling stressed out by it every day."
"Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?
Output: What you are experiencing is totally normal and these emotions mean you are human! Humans are social creatures who were created to be in connection with others, but sometimes our life experiences or genetics can make that more difficult for some of us. It is possible that these reactions are based on negative reactions you have had with others in the past, maybe your family, or other traumatic interactions with others. It is also possible that they are caused by an underlying condition such as anxiety or depression, which may cause you to be more uncomfortable around others or annoyed by others. Some people are also more bothered by crowded spaces, loud interactions, and the actions of others. Of course you prefer animals (me too!), they provide unconditional love and support, do not judge you, and do not require you to have conversations with them. The fact that you have conversations in your head at night tells me that although you say you do not like people, you are craving some social connection. What is probably the case is that you were never really taught how to interact and have those conversations. The good news is that there is nothing wrong with you, you just need a little help learning how to have these conversations and taking some healthy risks to initiate conversations and that is something that I help many of my clients with in therapy."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: I love to see tears! There's an old saying, ""The eyes are the windows to the soul."" External emotions are a pretty good indicator of what's going on inside the person, and if tears are present, that often means the person is processing (i.e., moving forward) through their emotions! I'm more concerned when I don't see tears from my clients because that can mean the client is ""stuck."" So, don't feel bad for crying! You are moving through your emotions to a place of healing!"
"Instruct: My fiancée is always letting me know how I am a horrible/evil person, or I just don’t care enough when it’s about her feeling or when she is having an off day.
Output: One thing you could try is to have a conversation when neither of you is upset so that you learn what makes each of you feel cared for and valued. It could be that you are showing caring in a way that doesn't quite match what she is really looking for in that moment. For example, having an in-depth conversation could be something that you want, but she may just want a hug in that moment. I don't know if you heard of Gary Chapman's book about love languages, but it may be helpful."
"Instruct: I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.
Output: I am so sorry you are struggling!  I do think it's a good idea to share your feelings with your parents and perhaps get some help connecting with a counselor or therapist if you feel that might help.  There are lots of ways to tell them, depending on your relationship.  Maybe saying ""I wanted to tell you guys something.. sometimes I worry that I might be depressed."" Or, some folks will write a letter, or even send a text.  The most important thing is that you tell someone you trust so you don't feel so miserable. I hope this helps.  Best of luck."
"Instruct: Over the course of a few days, my wife was unsure about her feelings for me due to constant intimacy issues. After she thought things through, she came to the realization that she is no longer ""in love"" or attracted romantically to me. She instead has more of a platonic love and just cares for me as just ""family."" At that point, she said our marriage was over. Now over the course of the last few days, she has taken a ""friendship"" from a coworker. She insists there is nothing more than friends, but she has spent all her free time with him.
Output: Hi Portland,This must feel like your world is turned upside down, for your wife to declare her confusion, followed closely by resignation, followed closely by a new ""friend"". I get how upsetting this is.If I was your therapist, I'd want to explore this a good deal, because there are several possibilities concerning what might be happening. Be careful not to jump to conclusions. Sometimes people have been slowly ""falling out of love"" for a long time, and often this is due to some (perhaps unnamed) unmet need in the marriage. She may have been coming to this point over a period of time, and has only finally said so. It's also possible that your wife is going through some temporary crisis...she's changing and personally unhappy and blaming the marriage for it. Only she can help herself through this (she could get the help of a therapist, but it's not your place to tell her to do this). Or, it's possible she's met this new ""friend"" and her attachment to him has clouded her view, or clarified something for her.  Right now, it's important that you respect your wife's decision to separate, if she's asking for that. We can't trap people in a marriage. If she needs separation, or distance, then it's respectful to give her that.That doesn't mean that you have to give up on the marriage right now. I would seek the support of a therapist who can help you sort out what YOU want; whether it's to move on with your life, or wait patiently for a period of time. I can't predict what will happen here. But you can find out what the best path for you is. I wish you the best."
"Instruct: Every time my partner gets angry for anything, she takes it out on me. Nothing I do is right, and once she's mad, she calls me all kinds of names and is verbally abusive. She says it isn’t abuse, it’s just angry verbal bashing, and that it’s different. It gets worse each time. The names are very vulgar now.
Output: I’m glad that you are reaching out for help. What you are going though sounds overwhelming and  exhausting. Here is a link that talks about the signs of an abuse relationship if you are questioning  whether or not you are experiencing an abusive relationship https://www.helpguide.org/articles/abuse/domestic-violence-and-abuse.htmThis maybe a lot of information to take in so if you feel overwhelmed I would encourage you to talk to a therapist.  Also every state has a domestic non-profit that can assist you with support or resources. If you are struggling to find one in your area I can help you. They can help you safety plan and give additional information that might be of assistance.  In abusive relationships, unfortunately there is nothing you can do to change your partners behavior. It is up to her to make that decision.  A lot of time in abusive relationships  asserting  your boundaries can put you at risk for more abuse. I would encourage you to use your gut in this situation because you know your relationship better then anyone else.  The best thing for you to do is to keep yourself emotionally and physically safe. I would encourage against couples counseling because it can also become unsafe in an abusive relationship. You are making a big step in looking for help."
"Instruct: I recently broke up with my boyfriend After being together for over 4 years. I truly believe I did the right thing, but omehow being single now has made me very needy and unsure of myself.
    I am seeing someone casually and I am losing my mind with anxiety about how he feels about me and this need for validation.
   How can I learn to be content and at peace with myself regardless of my career, relationship status, etc?
Output: Possibly you haven't completed your phase of mourning the recently passed relationship and lifestyle which surrounded it.Relationship breakups mean a person's entire life goes through an adjustment since the relationship impacted all areas of your life.Give yourself some patience to restore yourself from the old relationship. When you feel whole again then more than likely you will lose some of the anxiety wondering what your new casual partner feels about you.And instead of wondering,  you may simply decide to ask the person your question!"
"Instruct: After he got home from the hospital he was angry, then for a time wonderful.  Now he is depressed and hopeless again.
Output: Since as husband and wife your lives are closely joined, how your husband feels greatly influences the way you feel.Give yourself some time to concentrate on how you've been affected by your husband's suicide attempt.   Even if you decide against immediately telling him how you're feeling, knowing this about yourself will guide how and the topics you bring up with him.Is your husband talking easily with you?Do you have some ideas as to what is creating his feeling of hopelessness?The ideal approach would be if the two of you are able to discuss what bothers him and what bothers you.Depending on how far away you each are from such a position, you may benefit from speaking with a licensed professional therapist who can guide you and or you and your husband on opening up for discussion what feels stressful enough to merit taking one's own life."
"Instruct: 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.
Output: Though I don't know for sure, it sounds like anxiety to me. I think it would be helpful if you work with a therapist who specializes in anxiety disorders. "
"Instruct: 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?
Output: Hello, and thank you for your question. I am so glad that you reached out for help. I know that the dysphoria can feel nearly impossible to handle, especially since you have limited support from people who accept who you are. You may already know some of these resources, but I am going to share a few. 1. The website www.letsqueerthingsup.com is a blog from a very good writer that I know. His name is Sam Dylan Finch, and he is transgender. He writes about mental health, transgender issues, and many other topics. I know he has frequently written about gender dysphoria and ways to manage it. You may want to check out his site and do a search on there. 2. The website www.everydayfeminism.com employs many transgender writers and several have written about gender dysphoria and have given ideas for managing it. If you search for gender dysphoria on their site, many articles pop up. It may be a good resource for you, especially if you ever feel lonely and start to forget that there are others out there who are like you and have your back. 3. I am not sure where you live, but there are counselors who specialize in affirmative therapy, which is what is recommended for folks who are part of the LGBTQ community. So, if you decide to see a counselor about the dysphoria, try to find one that specifically says they have been trained in the affirmative approach. In addition, feel free to ask questions of the counselor before agreeing to see them for counseling. An ethical counselor would have no problem answering them before having you come in. 4. If there are some LGBTQ resource centers in your area, try to reach out to them and see if there are support groups. Gaining more support from others would be helpful. Sometimes LGBTQ-friendly counselors leave their contact information for people in resource centers. 5. Finally, I know you have not mentioned being depressed or suicidal, but I also know that it is very common for people to consider suicide when they are struggling with dysphoria, dealing with transphobia, etc. If this ever happens to you, please call 911 or the Trans Lifeline. It's free at 877-565-8860. Visit their site at www.translifeline.org. I hope some of these ideas help. Feel free to send another message if you have a follow-up question.Be well....be YOU.Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: 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.
Output: 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!"
"Instruct: I’m a senior high school student. I’m also five months pregnant. I got pregnant by my boyfriend of three years. My parents don’t want us to communicate with each other. He can’t even come to visit my gynecologist. My mom goes to attend all of my doctor’s appointments. She’s supportive of me. I wish, though, that my boyfriend was next to me and be able to see his daughter on a sonogram, at the very least. My family does not understand that he deserves that much. I cry all the time because I feel lost and hopeless.
I need guidance and I believe that you can give it to me.  Am I wrong for wanting him around? Are they right for keeping him away from the appointments and not letting us communicate with each other even though we are the parents? I do everything that they ask of me. I just want him to be around. When I ask my parents to let him be here, they call me a selfish person. Please help me.
Output: You're not wrong for wanting to be with your boyfriend of three years who is also the biological father of your child.Do your parents object to you and your boyfriend continuing to see each other in person?  Or, do they object only to electronic communication and don't want him involved in his child's life? Ask your parents what their reason is for forbidding you to communicate with your boyfriend.  Ask them also to understand your point of view.Now is also a good time for you and your boyfriend to plan whether and where you will live as a family and how to financially and emotionally support one another once your baby is born.Your mom and dad are definitely making fatherhood difficult for your boyfriend and motherhood stressful for you.Consider bringing up the topic during your next obgyn visit.  Your doctor may ask your mom to explain her reasons and address these.Look online for women's resources to see if there are clinics or agencies that would help you advocate for your position in this matter.Good luck with the remainder of your pregnancy, labor and delivery!"
"Instruct: She has lied about every aspect of her life. She's created three fake relationships. The most recent one is concerning because she has fake photos, phone calls, and text messages, and it’s with a married man with kids. Her lying is becoming dangerous because she could ruin lives.
Output: To be honest, I think more information would be really important here because what you are asking could have a lot of different meanings. Consider making an appointment with a local therapist to discuss what you are going through."
"Instruct: They're calling me names like hypocrite and a baby even when they act in the same manner as I do. I'm tired of being called names. What should I do?
Output: It sounds like your confused as to why your friends would be calling you a hypocrite when they act in the same manner, correct? Communication is key to any relationship. I would recommend speaking with your friends face-to-face to address why they feel your behavior is concerning. In-person contact is the best method of sorting out differences considering texts, emails or any written response can be misconstrued. Be upfront with them and let them know that being accused of hypocrisy is hurtful and you feel it is unfounded. If after speaking with them you feel that they have valid reasons for the way they are feeling, maybe you can consider modifying your behavior accordingly. Especially if this friendship is valuable to you. However, make sure they are aware that there is a respectful way to address these issues and name calling is not one of them. On the other hand, if you feel that their reasons are indeed unfounded, it may be best to distance yourself from the relationship. Not all friendships are healthy ones. And it is important that you surround yourself with people who are an asset to your self esteem as opposed to those that hinder it.I hope you are able to get this matter sorted. Best of luck!"
"Instruct: After I told them, they yelled at me.
Output: I'm sorry your family had such an upsetting response to your news.Maybe eventually they will come around to greater acceptance of you.   If this was the first time they heard this fact about your sexuality, the information may have overwhelmed them.It is up to the family members now to realize they handled their reaction in a way which may have upset you.Whether or not they do this, you still can be sure you did what was necessary and in your hands to tell them such key information about you."
"Instruct: I don't understand why this is happening. Why do I feel this way?
Output: The first step to answer your question is to reflect on what is going on in your life overall.  If you're in the midst of severe stress, whether within your relationship or effort to establish a relationship, upheaval in family dynamics, some type of significant loss like a job or someone with whom you feel closely attached, then you may simply be creating the solitude which is necessary to better understand and absorb the meaning of these changes.I assume you mean you are by yourself when you are indoors.What you write sounds like you're not happy with this recent urge rather than that you and someone or others are having great and fun times together.One way to encourage yourself to go back outdoors is to connect w a friend or search for an interest within you to develop.This way with either of these, you'd feel a little bit of motivation to join and get more involved with either of these."
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder.  How do I move on?
Output: Initially, everything is a reminder because there is a trace of that other person present in everything in your life. When we lose someone, we're saying goodbye to what we thought our future was going to be.  Accepting that's changed and allowing ourselves to envision a new future is necessary to ""move on"". Start learning something new or try a new activity that you've always wanted to do.  Find whatever is ""good"" about being out of the relationship and focus on those things.  This can be an exciting time of transformation for you.   As time goes by, you'll add new things in your life that aren't entwined with this relationship and those things will begin to crowd out those things associated with the relationship.  Give yourself a little empathy, no one goes through a breakup without being sad.  It's ok to be sad.  It's even ok to feel devastated.  Loss of a relationship touches a primal need we have to belong.  It makes us feel insecure, unanchored.  In truth, we are ok, safe even.  This experience will open different perspectives for you.  There are lessons you'll take from it that will add another facet to you as a person.  Maybe in time, you'll even appreciate this experience.  I'm sorry you're hurting right now.  Best wishes to you, Allison "
"Instruct: I just got out of a two year relationship. I broke up with my boyfriend because he wasn't showing any affection at all. He was talking to other women and lying about it. It pushed me away and hurt me, but I'm still in love with him. A couple days after our breakup, he was talking to someone new. He told me he wasn't sure if he loved me. I cried for several days, lost my appetite, and couldn't sleep. Our whole relationship was only us. We didn't have friends. It was me and him against the world. We didn't talk to anyone else because we only wanted to talk to each other. We hung out constantly and Skyped to sleep every single night. Then, when I cut myself, we talked on Skype. He cried and told me ""I'm still in love with you, I never stopped loving you,"" and I cried tears of joy. I asked multiple times if he loved me and asked to make sure he wasn't just saying that because of me being so depressed. He promised and assured me he loved me. He came over after that, and we had sex because he wanted to. He went the home that night and told me he didn't love me, and he lied because he was scared. He told me I wasn't attractive, I wasn’t beautiful to him, and that I changed. He also told me he was 100% sure he'd never love me again. I'm still in love with him. Why do I love him? How do I stop? Just knowing that someone else is with him hurts me. That I wasn't good enough and that I'm no longer beautiful hurts me. I think I need a therapist, but don't know if I should.
Output: I am very sorry for the pain you are suffering. Losing the most significant person in your life is extremely painful and breakups are often equated to a death. There will certainly be a grieving process that you go through and time passing will allow the hurt to subside. With that being said, seeing a therapist is highly recommended as it sounds like continuous support may be necessary for healing to take place. Anytime sadness causes thoughts of suicide or self harm, it is important to get help immediately. A therapist can help you by validating your feelings and what you are going through, while also working with you to move through the grieving process, adopt new hobbies, social outlets, and goals for your future. While starting over and trying out new ways of being may seem like a daunting task, it will only make things easier and give you a sense of hope and purpose for your future. With the new year right around the corner, this could be viewed as a good time and opportunity to get reaquainted with yourself and set goals related to living a more fullfilling life. Hang in there. With a support system in place and a healthy mindset, things can only get easier. Best of luck to you!"
"Instruct: I'm very depressed. How do I find someone to talk to?
Output: Hi,Reaching out here is a great start! I recommend looking for somebody in your area that works with people experiencing depression. After you've chosen somebody to try, feel free to call them for a consultation! A lot of counselors and therapists offer free consultations, and remember that your counselor is working for you, so make sure they are a good fit! I hope this has been of some help."
"Instruct: My ex-husband told my two adolescents that Santa doesn't exist on the day before Christmas. They are desperate to hold on to the magic of Christmas, but I don't know if it's right for me to lie to them and tell them that Santa is real. I don't want to let them down and make them lose out on those memories, but I also don't want to lose their trust.
Output: Well Boise, the cat's out of the bag now, isn't it? I love that you want to help your kids keep the magic of Christmas. They must want that too if they still believe in Santa into their teen years, which is unusual, I believe. I wonder if they had already figured it out anyway?But they know now, and your ex had the right to tell them if he felt it was best. So it's time to explain to them what a loving and magical thing it is that parents do, and Christmas can still be magical in so many ways. Really, who says they have to stop believing in Santa? Santa is very real as a spirit of surprise, generosity and love. "
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: First, congratulations on your new job.  Apparently your employers think highly of you, since they hired you!You say that ""people keep telling"" you that you have ""anxiety"" - how do they know?  Have you told others you are sometimes upset or nervous?  Have you been treated for anxiety?  Or is that a perception that others have that you haven't been able to counter?It's a new job, and it requires you to do new things, in new places, with new people.  Being nervous is not just normal, it may actually help you be on your toes and do a good job.  Unless YOU think you have anxiety, do not let others predict your future.If you believe you are anxious, get in to see a therapist and address it.  Anxiety is very treatable, and you don't have to suffer with it - but you do have to acknowledge it and work towards health.However....If, in  your experience, this is more a nervous energy than an anxiety issue, there are things you can do to address it:  Make sure you take good care of yourself, especially in the first month or two of the new job.  That means eating well, getting adequate rest, moving your body (walking, swimming, dancing, etc) every day, and staying in touch with friends and family who are positive and supportive.Below is an article I wrote that might give you more tips too.A quick way to combat stressDo you ever feel like your brain is""bouncy"" and won't settle down? Your brain, that magnificent machine, is notmuch different than the brain that kept your ancestors alive in dangeroussituations.  Today, though you may notneed to worry about a mountain lion having you for dinner, other stresses areperceived and processed just you’re the physical dangers your ancestors faced.That means a looming deadline or a fight withyour partner creates the same ""fight/flight/freeze"" response thatsaved your ancestor way back in the day. If you ""burned off"" that adrenaline and cortisol cocktail byrunning or fighting off a predator, you would feel the relief and exhaustionbut you would have also metabolized the stress chemicals that are meant to keepyou alive. However, when there is no physical response tothe stressor your body is ""all wound up with no place to go"".  Over time this creates not only the""bouncy brain"" feeling of distractibility and distress, but canmanifest itself in physical ailments.It’s impossible to avoid stress forever, butsometimes you just need a way to relieve the pressures of life for a moment.Here's a quick way to settle your brain into a feeling of rest instead ofdistress:Put one hand on your chest at collarbone leveland one on your belly just under your naval. Now, take a slow deep breath filling your abdomen with air, just likeyou would fill a glass with water...from the bottom up.  When you are full of air, pause for just amoment and really feel the fullness. Then slowly exhale, just like you would pour water out, from the topdown.  Pause again at ""empty""and feel the relief of space.  Repeat for5-10 cycles.If you find yourself feeling stressed anddistressed too often, and you are a California resident, let’s talk!  Book a complimentary 15 minute video consulthere: abalancedapproach.com"
"Instruct: As a child, my parents injured my brother, so they went to prison. I was there when he had gotten hurt, but I can't seem to remember. I also can't remember being with them quite well. It's a blur.
Output: It's important to know that there are counselors who are trained in working with survivors of trauma and you can get help.  The ""blur"" in your memories is your brain's attempt to protect you from the experiences in your past.  To recover them can be a slow process done by a trained professional that you trust.  When you are ready and feel safe, those memories can be recovered and can be integrated with other memories.  This will help to lessen the potency of the memory, help to make sense of what has happened, and allow you to begin the healing process.  Check into therapist who are trained in EMDR (Eye Movement Desensitization and Reprocessing).  "
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: For most:  When the money/insurance runs out.When best:  When the job is done... and you're feeling much better."
"Instruct: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.
Output: Teenage years are rough for anyone, and this is a time for self-discovery and experimentation. Having older parents can certainly pose challenges. Most kids feel like their parents don't understand them, but yours are older than the average parents of teenagers. They're from a completely different generation than you are. It sounds like they love you, but may not understand you. The problem here is the generation/age gap, and there's not a whole lot you can do about that. What you can do is accept the situation and perhaps look at it a little differently. It seems like you're looking for affirmation from them, looking for their approval and understanding. It's never a good idea to look to others to define who you are or to get a self-esteem boost. Who you are and how you feel about yourself needs to come from inside, not from outside. One way you can have a better relationship with your parents is to stop looking at all the things you aren't getting from them that you want, and rather look at all the things you are getting from them. Yes, this is a glass half full or half empty point of view, but it works. The negative will overshadow the positive if you let it. Start looking for the good things in your relationship with your parents and your feelings towards them will become more positive.I'm not sure how your friends/peers made you feel like your childhood has been taken from you. That's a curious statement, and requires a deeper conversation to understand where that came from. However, I do understand feeling different and out of place, especially in high school. Find the strength within yourself rather than looking to others in your life to make you feel better or feel like a complete person. It helps to have friends and loved ones, but you can never rely on them to fulfill all of your needs. Set some goals for your future, work towards them. Focus on being the best YOU that you can be, and the right people will enter your life at the right time. "
"Instruct: 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?
Output: 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."
"Instruct: We kissed and he grabbed my boobs and we exchanged some texts and a few calls. It went on for about 8 months. Just when we were all together and our spouses were out of the room. Once I met him for lunch to tell him that we needed to stop. We ended up kissing after lunch and then I sent him a few more texts that day telling him I was serious and that was the end of it. His wife (my good friend) saw us kiss once and told my husband. I told him a couple of things then and we got over it. A year later she told him a couple of other things. Same story. It's been about 3 years since. They are now divorced and my husband and I have been happy. A few weeks ago the wife called me and said that her now ex told her more stuff we did. I decided to just tell my husband everything. We are trying to work things out. But he is having a really hard time believing that he knows all of it. How can I help him believe me?
Output: The issue at hand here is that you're betrayal broke his trust. In order to repair your relationship you will both need to confront the infidelity. And both of you will need to honor yourselves by communicating your feelings and ensuring that those feelings are heard and validated. It would be really helpful to do this work with a Gottman or Emotionally Focused Couples Therapist. Gottman's The Science of Trust and What Makes Love Last would both be helpful reference books to guide you along."
"Instruct: My husband and I have been together for seven years now. I will be honest: I have a problem lying to him about stupid stuff. I recently stupidly lied to my husband about an accident because I was afraid to tell him what happened. Ever since then, he gives me the cold shoulder. He gets so mad and ignores me for days. He's really verbally and emotionally abusive. He tells me all the bad things about me and calls me awful names. Should we call it quits? I'm tired of crying, but we have a toddler together.
Output: Hi Texas, Thanks for your honesty; it helps me know where to go in answering you. What strikes me in your question is that you describe several ways in which your husband is hurtful/abusive/controlling with you, and then you ask ""Should we call it quits?"". We? I wonder if maybe the first step is for you to start seeing this decision as yours, rather than yours together. The way your husband treats you is not your fault, Texas. Your lies are a natural and normal way of you avoiding situations and encounters that feel unsafe for you. The problem is not your lying. The problem is that you don't feel safe enough to be honest with a person you're supposed to be able to trust.There's an analogy that I sometimes use; I don't know if this is scientifically true or simply a useful story, but it's powerful either way, so I will tell it to you.If you take a frog and drop it into a pot of boiling water, the frog will jump out immediately, knowing instinctively that if it stays in the pot, it will die. If you take a frog, however, and put it in a pot of cold water, and slowly, slowly, heat it to boiling, the frog will boil to death because it will fail to recognise the moment when it no longer has the energy to jump out of the pot; by the time it realises it's dying, it has lost its strength. It's called ""learned helplessness"". When your power or your voice has been taken away for a long time, you get used to that, and you fail to see the options that are available to you. You have a toddler, and you may be under the impression that staying in the marriage is best for the child. In my experience, and what research backs up, is that children first and foremost need a safe environment and parents who are happy. You are likely underestimating the effects on your child of living in a home with woman abuse. This is a complex picture, and if you were my client, I would want to get you to a stronger place emotionally where you're seeing the situation clearly and gathering resources and supports before you make any big decisions, but I do see that there are decisions that are there for you to make that can lead to a happy life for you and your child. I sincerely hope you seek professional help, with either a shelter for abused women or a therapist. I wish you the best."
"Instruct: We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?
Output: Loving someone in the military is hard. My husband and I joined the USAF two months after we got married! How long do you expect to be apart? Do you have access to Skype or something similar? How far away from each other are you? Can you meet half way periodically? I have a number of military friends who have dates over the miles with facebook live. They pick a restaurant, order, and talk about their day. It's super cute and sweet. What are some things that you have tried?"
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: About 3 million people in the United States suffer from seasonal affective disorder. Seasonal affective disorder or seasonal depression occurs during the same season every year. You might have feel feeling depressed the past two winters, but cheered up during the warmer months. Or you may have felt down during the summer.Everyone could get seasonal depression, but it tends to be much more common in :People who have families who have SADWomenIndividuals between 15 and 55 years oldIndividuals who live in an areas where winter daylight time is very shortNo mental health experts are exactly sure of what specifically causes SAD, but many think lack of sunlight is a big trigger. This lack of light could mess up your circadian rhythms or cause problems with serotonin which is the chemical that affects your mood.You might be wondering if you have seasonal depression or SAD. Here are the symptoms:Feeling grumpy, sad , nervous of having mood swingsAnhedonia or lack of pleasure in things you normally loveEating much more or less than usualGaining weightSleeping a lot more than you normally do, but still feeling sluggingDifficulty concentratingIt is so important to look at SAD in a holistic manner before getting diagnosed. In addition to therapy, it's crucial to see your doctor so she or he can run blood tests to rule out any other conditions that may be making you feel blue. One of these common ones is hypothyroidism or low thyroid. At Makin Wellness, we could do the mental heath assessment .TreatmentThere are multiple ways to help treat seasonal depression. Light therapy can be used, but counseling is one of the most effective ways of treating SAD. Cognitive behavioral therapy with a skilled therapist can help you learn more about seasonal depression , how to manage your symptoms and ways to prevent future episodes. Medication can also be prescribed and taken to help alleviate some or your symptoms. Antidepressants such as Zoloft, Effexor and Wellbutrin are most commonly prescribed for SAD. Be sure to talk with your doctor and therapist about any side effects from your medication."
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: You are not hopeless, as you can see there are many people who care about your well being and believe you can overcome this.  I would suggest that you first get evaluated for your alcohol consumption.  Alcohol is one of the addictions that you may need to seek inpatient treatment for.  If not inpatient then be monitored by a doctor.  Once you are evaluated and or complete inpatient treatment I would suggest you participate in a form of outpatient therapy on a consistent basis.  "
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: Dear Concern Mom, Sadly, kids nowadays stress a lot about school and compete with one and another.  Determine Career-minded students, tend to be very hard on themselves and can eventually become very anxious about things.  Whereas, it is a good thing to be driven it can break you down too.  Therefore, I recommend that you find your young daughter someone that can help her find ways to cope with her strong desire to doing well in school. Getting ahead of it now before she gets worst is the best thing you could do for her.  Best of luck to you and your daughter.  Sincerely, Mirella~Image and Likeness Counseling"
"Instruct: She's busy because her mom makes her clean all the time and go out places with her family. We don't talk much because of it. Also, we have little fights. We want to work it out but we don't know how.
Output: Maybe you can start with having 15 minutes per week that you know you will be spending time with each other (even if it needs to be on the phone). Because this much time could be scheduled ahead of time, at least you would know there was that time that was set aside. That may also help you to rekindle some conversations between you.As far as your little fights, consider spending five minutes with one of you talking about one issue that is a concern and the other partner asking questions that are open-ended (cannot be answered with just yes or no) and listening as an investigative reporter to try to learn more about what the other person is experiencing. Then, once the partner who started speaking thinks the listening partner is understanding where they are coming from, switch. It's also good to restate what you think you are hearing. Then you know what each other is truly following about this. Also remember that following or understanding what someone is saying does not imply agreement, just that you are recognizing what they are saying and able to see where they are coming from.Also consider noticing what makes you feel valued, special, loved, or appreciated. Think of the same for your girlfriend. This could be a great discussion to have as well."
"Instruct: My grandma and brother both passed away 11 years ago and sometimes at night I just can't stop crying while thinking about the good memories we had but won't have ever again. I can't sleep at night when the memories and tears come I'll be fine all day then at night...boom! it's like waterfalls from my eyes. Why can't I stop crying?
Output: Because you're sad and miss the relationship you had w grandma and your brother.The academic point that grief takes a different length of time to lift for each person, is true.Also, from a spiritual perspective, your grandma and brother are still here in loving relation to you, just not in physical body.  Pay attention if you have a sense of talking to them within your mind.  This may lessen your feeling of loss.When you're done crying about missing them, your grief will simply disappear on its own!  It cannot be forced to leave."
"Instruct: 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?
Output: Yes, it is completely normal to feel anxious about therapy. Therapy often explores topics and feelings that are uncomfortable. The ultimate goal of therapy is to feel better but the process itself can be uncomfortable."
"Instruct: I feel like I'm trying to convince myself that I'm okay when I'm not. I'm always blocking out the bad things and forgetting. I also feel like nobody cares for me and they never will. I feel truly alone.
Output: As social creatures, we humans all long for deep human connection. To know that we belong and are part of something larger. It is so important to us that when we feel alone - it can feel almost unbearable. You are not alone in feeling alone. While it can take time to build deep relationships there are moments in each day where we have the opportunity to interact with other people who may also feel lonely and scared and want to be seen and acknowledged. I wonder what it might be like for you if you took on an experiment of trying to really see the people around you and make little attempts to acknowledge and connect with them - fellow humans on this journey of life. A ""good morning"" at the bus stop or really looking at the person who you buy your groceries from or thanking or complimenting someone for something that you notice and appreciate. While this is not a substitute for close relationships these moments of real connection with the people who we share our communities with can go a long way to realizing that we are not as alone as we may have thought."
"Instruct: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven.  When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety.  Am I crazy? I don't think these thoughts are normal.
Output: Many people generate intense anxiety with obsessive thinking.  While the nature of your obsession about the afterlife and eternity appear very powerful and unique to you, the pattern of obsessing about one thing/area is common.  I suggest that you consider counseling to help you with your anxiety.  If you are so inclined, there are also medications which may bring relief.  Obviously, I can't diagnose you from one paragraph, so it would be wise to visit an experienced mental health professional (either a counselor or an MD in your area) to help you with disengaging from your self-destructive thoughts.  CBT, Cognitive Behavioral Therapy, is a very effective counseling approach for obsessive thinking.  If you'd like a see a top notch CBT therapist, visit www.AcademyofCT.org.  And of course I suggest you pick up my book, LIVING YES, A HANDBOOK FOR BEING HUMAN, which includes CBT concepts and many more tools which will help with obsession and anxiety.As for believing yourself ""insane"" (or ""crazy"") this is not a mental health term but a legal one (or a slang).  So as long as you don't commit a crime, no professional can legitimately call you insane or crazy!Take it slow!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)"
"Instruct: I believe it is wrong for men to look at inappropriate content. The father of my child has agreed to respect my beliefs. His co-worker sent him an inappropriate video. He got mad because he does not think he should tell his friend to not send him things like that.
Output: In my book, this is a boundary issue. Although you do not like inappropriate content, it is not up to you what your child's father looks at or what his friend sends him.  It is really hard not to monitor other people's lives, but in the end, your rights begin and end with you."
"Instruct: My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.    Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?
Output: Your daughter is fortunate to have an observant parent, who is willing to seek out help in this regard. Regression can be indicative of some stress in your child's life, so the issues she is facing should be examined. Seeking advice from your daughter's pediatrician, as well as a practitioner familiar with adolescent issues or perhaps play therapy can equip you with insight into the causes of the behavior, and give you tools to assist your daughter in learning age appropriate social interactions."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: The therapeutic relationship should be collaborative.  The client is the expert on their life, and the therapist is the expert on helping the client to develop their sense of being. Growth occurs as a result of challenges. Therefore, I would suggest not looking to train the therapist, but rather to find one that will help you develop into the you that you desire to be. Finding the right therapist is like finding a pair of black heels. Not just any black heels will do. But when you find them, you just know that your search is over. It is also wise to expect that they won’t always feel comfortable."
"Instruct: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore.
Output: Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective of those with whom you have shared your concerns, it might be assumed that based on where you are in life and who you are now, that you have already worked through any issues from your younger years. Some of our deepest scars in life are indeed invisible and suppressed. We have to get to the place where we can take care of the inner child that is still hurting, by recognizing that those who hurt us - however they did, might have had their own challenges which prevented them from functioning and behaving in ways we might have deeply needed. Those who have directly hurt you, may not be capable of acknowledging and understanding how you were affected by their actions - even in the worst of cases. They themselves may be doing what they can, either out of shame or heartbreak for their own actions, to work on forgetting how they behaved toward you all those years before. How are they behaving toward you now? Can you find it in your heart to forgive those who have hurt you? Forgiveness is the gift we give ourselves, and isn't dependent on an apology from an offender. By forgiving (even in the absence of any apology), we are releasing the weight of the burden we are carrying that reflects the offense we feel was committed against us. Sometimes therapy can be helpful in this process. Talking with someone who can be non-judgmental and reflects an empathetic position toward you might be what you need right now. Seeking out a therapist to help you work through these negatives feelings and thoughts is much easier, than trying to go it alone. I would encourage you to reach out and find someone who resonates with you on that journey, so that you can begin a path toward healing.Warm regards,Shawn Berthel, M.S., LMHC"
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: I will work with clients and continually review progress with them and determine if counseling is helping.  If a client appears to have less to talk about in sessions, appears more stable for a period of time and has reached therapeutic goals I will talk about termination.  Some clients however I may continue with on a monthly or bi monthly process to allow for check-ins to see how they are doing and if they need more help at that time."
"Instruct: How do I stop those thoughts?
Output: The thoughts you are having are just thoughts.  Not actions.  It is your choice whether you act on these thoughts.  If you decide to explore having sex with adults of different genders that is great.  If you find yourself obsessed with sexual thoughts, you may want to see a cognitive-behavioural therapist.  Take care. "
"Instruct: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?
Output: You are not a pedophile. You are both under 18 and your age is appropriate for a relationship. There would be a possible problem if she was 10 or younger. Pedophelia, is a whole other problem that you probably should not be worried about. I would be happy to talk with you in more detail about this."
"Instruct: For my whole life, I’ve been very unconfident, insecure, and self-questioning. I'm super quiet because I'm scared of what people will think of me. I avoid all social situations as it causes me great anxiety. It is how both of my parents have always been, and I feel like I'm doomed to that life also. It makes it super hard for me at work as the other employees try to use me and walk all over me because I’m too nice. It causes me depression and brings me down. I’m in my early twenties, and I really need to create a better life for myself. I've been like this for so long, so how do I change?
Output: One of the greatest ways that we can promote ourselves s by learning how to assert ourselves.  Despite what most people think of when they hear the word assertive, assertive communication is one of the best ways to manage interpersonal conflict as well as maintain personal boundaries.  Once we become comfortable with acknowledging our boundaries, there is usually a follow-up whereby we realize that we have the right to those boundaries.  In effect, assertiveness communication becomes it's own self-motivating force in managing positive self-esteem. You may want to invest in a workbook that can help you to develop these skills on your own, or work directly with a therapist to develop them in a safe situation.   One of the Workbooks that I have found to be very helpful is, ""The Assertiveness Workbook: How to Express your Ideas and Stand Up for Yourself at Work and in Relationships"" by Randy J Paterson."
"Instruct: My husband and I are in our 40s. We’ve been married 17 years. Three weeks ago, he said he loves me but is not in love with me. He was going to leave me, but he said he thought about it and decided to stay. I don't know how to feel any more. How should I take what he said and not feel so hurt? He has been very blunt, and hurtful words just come out of his mouth. He makes me feel like I'm nothing, but I so dearly love him with everything in me. He said it wasn’t a mid-life crisis.
Output: I get it. Your husband tells you that he's not in love with you, but oops, he's changed his mind and will tolerate you for a while longer? Excuse me? My Dear, it's okay if you expect more than that from a marriage. Maybe the question has shifted from whether he is happy in the marriage to whether you are happy in the marriage. You say you love this man,  who makes you ""feel like nothing"". I say it might be time to sit down with an individual therapist and look objectively at your marriage and whether it's working for you."
"Instruct: My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this?
Output: You have the answer already. It is not your mom's fault. Always remember that in spite of the disease, that human being you call mom is still there. To cope with the feelings of frustration, anger, and guilt, practice accepting what is at this time. Bring peace to these feelings and commit to move on to provide your mom love. If you can, use mindfulness meditation to stay focus and calm your brain."
"Instruct: I feel insecure in my life. I don't think my wife truly wants our relationship even though she says she does. I have turned to drinking to help relieve my repressed stress about this and other issues. I have had a drinking problem for a few years. I feel the reason I drink is not just because I like to, but because I have lately been on edge. I’ve been very oddly emotional when watching movies that I have been watching for years. I’m paranoid about driving on main roads. I’m very jumpy at the slightest noises.
Output: Sorry hearing about the big amount of stress which you are feeling at this time.Since a lot of your stress is directed to uncertainty of whether your wife is happy being with you, would you consider continuing the conversation with her about your understanding of her answer to you?Your observation that she says one thing and behaves in a different way, is meaningful.Bringing your point to her attention would at the very least demonstrate her interest in showing and explaining her viewpoint about you.Basically, you'd be expecting her to care about you and how she handles herself with this question, may clarify what you're trying to find out.The good news about your relationship with alcohol, is that you realize you're overdoing it.From what you write, the emotional pain and helplessness you feel currently, seem too much to know about all at once.One possibility is to accept your feelings of hurt and insecurity.  This is the first step of working with them.   If they start feeling overwhelming, then maybe too, you can distract yourself for a while from the intensity by engaging in an activity that is not self-harming.After all, you are the most important person in your life, so keep yourself safe and healthy!"
"Instruct: Her father and I have been dealing with this problem for quite some time now. She is an adolescent, and the problem is mostly food. She is now overweight, and we just don't know what to do anymore. She can be disrespectful and doesn't listen to or respect what we say.
Output: I would be curious about there potentially being some emotional or physical trauma in your daughter's history that she is struggling with. Physical trauma is usually easier to identify, but emotional trauma can be feeling a lack of emotional connection in her important relationships, having experienced bullying, or some other emotional injury. The fact that there are some defiance symptoms going on suggests that she might be in need of a safe place to process what she's going through, and the potential issue with control or meeting emotional needs with food is also concerning. I would recommend looking for a therapist/counselor who works with children/adolescents in the area of addressing trauma for an assessment. They may be able to ask the right questions to see whether trauma is truly the issue. "
"Instruct: I have been falling into a deep depression where I can no function during the day and night. The only time I am at peace is when I’m asleep. If I am with friends, family, at work, and mainly alone, I cannot think straight. I no longer feel like myself.
Output: I don't know how long ago your breakup was, but I would suggest that you reach out to friends or family that you trust and perhaps a local mental health clinician.I'm not sure what you mean when you say that you are not able to function during the day and night. If you are having trouble sleeping for more than a few nights, consider talking with your primary care physician. Not sleeping can really make changes in your emotions seem much larger.Can you find anything in your life that is the same as it was before the breakup? This may be a starting point for you. I wonder if you could think of and moment or two each day when you feel emotionally at peace while you are awake. Also consider looking at things that you can control, such as when you choose to wear, eat, and who you talk to about your deepest feelings.You mentioned that you have friends and family. I wonder if any of them are supportive to you.Please reach out and talk to someone about the details. I get the sense that you feel that you are alone in this, and having someone there to help you sort out what you're feeling sounds like it would be a gift to yourself. "
"Instruct: 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?
Output: Hello. That must be very frustrating for you to feel that you to be reminded of constant wrongdoing in your relationship, especially when you feel that your wife does not admit to any fault. This could lead you to feel inadequate in the relationship that can harm your relationship in the long-term. Based on what you are reporting and without knowing your wife's side of the story, I would say that you are raising 3 different concerns. One is that there seems to be some concern of infidelity from your wife that you feel is not justified. It may bear clarifying how each of you define ""infidelity"". Currently, there is no uniform definition of infidelity because it can emcompass a hook-up, chatroom texting, extensive phone calls to a female friend, viewing pornography, a massage with happy ending, physical intercourse, or intimate emotional sharing. Depending on whether any of these circumstances have occured, you may need to reflect whether there is any truth to what she may be accusing you of and for you to share with her your reasons for engaging in these activities. If there is no truth to it, then my clinical intuition is that she may be accusing you of infidelity as a way of saying, ""I feel you distancing from me."" In other words, it's not so much about whether you are actually unfaithful but a statement of how she feels as she witnesses your distancing from her. Often times, accusing a partner of cheating is likened to a cry or a yearning for closeness. If so, what you want to do is to reflect to her that perhaps she is saying that you are unfaithful because she senses that you are moving away from her emotionally. If this is true, you may wish to share with her why you are pulling away and then discuss the kind of support you may need to feel closer to her again. Otherwise, if the focus becomes about who is right and who is wrong, the conversation will never touch at both of your core emotional needs. The second issue touches upon how to interpret calling someone a ""sweetheart."" The term has been loosely used in a variety of contexts to mean ""you're so sweet and kind"", ""my dear"", or in a flirtatious manner to mean ""sweetie."" The intention behind the use is known only to the speaker. You may want to reflect in what context you meant to use the term and share it with your wife. If your wife overheard the comment not knowing your intentions or context, it is possible that she may have misinterpreted what you have said.  If she finds the term disrespectful, it may be her way of expressing, ""I want to be the important person in your life and if you call someone else a sweetheart it means that I am not valued as much."" Therefore, arguing about who has the right or wrong interpretation may be missing the mark. Rather, the issue is about how do you wish to treat or show consideration of each others feelings? You may wish to explore how do you show her that you value her and that she is important to you? Is saying ""sweetheart"" to another woman conducive to that or is it sending mixed messages to your wife? That said, if you have expressed and shown her that she is important to you on many occasions with open discussions and by understanding, accomodating and prioritizing her needs, then her actions may be a reflection of her personal insecurities. She may need to speak to a therapist about her feelings and her fears.The last issue you raised concerns your wife never admitting she's wrong. Indeed that must be frustrating for you to hear often that you are doing something wrong. In the absence of her admitting to any faults, it could seem like you are the one with the problem. Unfortunately, blaming invites defensiveness and a withdrawn behavior because most people who feel blamed do not feel good about themselves and wishes to distance themselves from the person who is making them feel unhappy. This pattern can also trigger the partners' insecurity as they witnesses the distancing, which could make them angrier and more accusatory - creating a vicious cycle. Finding a healthy way of reaching out when your partner is in turmoil to help calm her emotions and being able to speak about your own feelings and needs is at the heart of a very secure attachment. This kind of conversation can be guided by an experienced professional to help both of you to express your feelings and needs in a safe and secure way to foster a secure bonding. We sometimes take for granted the simple expression of, ""I'm sorry."" However, it requires a certain comfort with being vulnerable to express that. In my practice, when a client tells me that his or her partner never says ""I'm sorry"", I am often observing the first partner to see if they are able to express vulnerability. If neither of them express it, then it makes sense to me because why would one risk being vulnerable and then getting hurt if they open up if the other partner doesn't do it.? These insights in therapy can sometimes lead to a different relationship building conversation, which can help couples to to feel safer with each other rather than blaming and alientating. For more information about these services, you are welcome to read my materials on my website at www.PsychologyResource.ca or to contact me at (514) 690-2469."
"Instruct: I don’t love my sister. I would never wish her harm, but if I could, I would wish for us not to be related. Is this cruel? Why must blood mean we have to be friends? Am I being unreasonable and is there a way to fix this? I do care about her, like I do every human being, but I’d rather be with my friends than be with her at all. It’s not just a ""teenager phase."" I still love my mom and dad, and I’m very close to them. However, it’s my sister I don’t love or have ever really liked at all.
Output: Not liking someone is not cruel - even if it is a family member. There is nothing wrong with you for not liking your sister. Some people are fortunate to have siblings that they get along with really well, other don't. We all have different personalities and we are not going to like everyone - even if they are related. In fact, sometimes being related makes it harder because you know all of each other's flaws and imperfections. With that being said - it may be worth it to make an effort to talk about the things that get in the way of having the kind of relationship that you might ideally want with your sister. Sometimes it is hard to like someone if we have a lot of old frustration and resentment and being able to talk about it in a constructive and kind way can lead to more understanding and respect, and sometimes actually liking each other. "
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: There are a lot of different things that could be playing a role here.First, different people have unique levels of sex drive, and sometimes there is a hormonal imbalance.Because you say both that there is a possibility that neither one of you ""actually knows what you're doing,"" and you want to be better connected with your husband, consider having some time where you sit together and touch each other in nonsexual ways and communicate about what you like and don't like. One person would be doing the touching and the other would be communicating. Then the rules would switch. After you both become comfortable with that, you could try the same thing with touching that is sexual in nature.Dr. Tammy Nelson is a therapist who specializes in relationships and sexual issues and she has several books and lots of other resources on her website: https://www.drtammynelson.com/There are actually therapists who specialize in sex therapy and if you are interested in that, you would want a therapist who is a CSAT (certified sex addiction therapist). This does not mean that they only specialize in sexual addiction, but they do have special training in discussing sexual elements of relationships and their training is quite extensive.In addition to connecting sexually, you may consider discussing with your husband whether each of you are aware of things that make you feel valued, special, loved, and appreciated. It may be that making positive changes related to your sex life would also improve your relationship, and vice versa."
"Instruct: I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
 I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
 I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?
Output: Here are some things I'm wondering:Do you have close friends that you can talk to, trust, and who can be around sometimes when you're in between relationships?What do you like about yourself? What are your strongest points?Do you think you have been in relationships with controlling than in the past because it makes you feel as though you are worth something to them?What kind of relationship you want to be in?What are the top three or four attributes of the type of partner you want?What can you do to make yourself emotionally safe during your typical daily activities?Can you notice a list of things that you can control throughout a typical day? For example, you probably choose what to wear, what to eat, how to talk to others, how committed you are to school or work, etc.It also sounds as if it may be helpful to discover more about yourself in addition to what you look for in a partner.As far as emotional abuse, it may be useful to develop communication skills that you could use prior to their relationship progressing to the point that it is emotional abuse.Thank you for reaching out to ask questions. If the questions that I've asked here are difficult for you to answer or are overwhelming, talking with a local therapist would probably be something I would suggest."
"Instruct: 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?
Output: You are right that his insecurities are at the root of the issue.  You cannot change that for him.  He will have to do the work to handle those emotions on his own.  What you can do is reassure him in whatever ways possible, but always recognizing that you can't ""fix"" this for him.  When I work with people who struggle with their partner's past experiences, I always frame it like this:  Everything that you've experienced has resulted in you being the person you are today.  The person they claim to love.  If you had not gone through some of those experiences, you would not be in the position you're in now, ready to commit to him and know that you're satisfied with that.  Just as when bad things happen to us, we have to find a way to appreciate the lessons learned your fiance has to accept that you're the person you are today because of what you have gone through.  Celebrate that you have moved through that and have landed in this perfect position with him!Hope that helps, Allison"
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: It is not uncommon to be a bit nervous meeting your therapist (or another person) for the first time. Your therapist understands that calling and getting an appointment was a big step for you and will do their best to put you at ease. Providing a safe environment for our clients includes not judging them and being comfortable with the information and emotions that they share with us. It is ok to cry and to trust that the therapist will honor this as part of your process."
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: I work with many couples that experience a wide range of sexual and relationship challenges. The one aspect I tell many folks that I work with, is this: Every person and relationship is different. There really isn't a ""normal"" amount of sex a person should have or want to have. If having sex 4 to 5 times in the course of your relationship is satisfying to you and your husband, there is nothing wrong with it. If you or your husband would like to have sex more often, I suggest talking with a counselor about this to find ways to engage in a sexual life in which you are both satisfied. The aspect of connectedness is an important one. While sex can be very connecting for many couples, it isn't the only way to connect. I find that communication about the matter of frequency of sex, checking in to see how you and your husband feel, as well as communicant about your needs for connection are an important start to fulfilling this need."
"Instruct: I am in my mid 30s. I feel I have used only 5% of my potential. I am in film making, but everything is stuck. I've never had a serious relationship. I had worthless jobs. I do a lot of meditation to try to fix it.
Output: Being stuck in life is difficult, especially when you are feeling it in many different areas of your life. So you if you are ready for a change... time to make one! Make a list of the resources in your area--community colleges, friends, free classes, volunteer opportunities etc. Make a list of your passions and absolute ""no way"" things in life. Make a 5 year plan... where do you want to be in 5 years... then start breaking it down ... what do I need to do this year to make it to next year. Break that down into months... check in with friends/families/co workers etc to see what they see in you both good and bad. Take a deep breath and choose 1 thing to work on to get better in life according to them. Seek out any free training/counseling on career changes and life changes. You already began this by asking this forum for help Awesome! Use the peace and calm you find in meditation to spring board you to make some changes in your behavior--try new things, change poor choices etc. Use the meditation to give you peace while you make the changes. Good Luck!"
"Instruct: I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.
Output: Having this kind of conversation with a doctor can feel difficult. But remember, you are the expert on you. Any good medical professional will recognize that.You are absolutely right to think about the importance of being your own health care advocate. Generally, the best approach is simply to be honest. Let your doctor know what you are concerned about and tell your doctor what you think might help. If there is a specific issue that you’d like to address in counseling, let you doctor know about it. And don’t hesitate to directly ask for a referral.I know this may all feel a little overwhelming. It might help to bring a family member or significant-other with you to provide support when you talk to your doctor. It’s great that you’ve already taken this first step to reach out. You’re on the right track."
"Instruct: I found messages between my boyfriend and this girl on social media. He was asking her for naked pictures and then hung out with her once, but nothing happened. I didn’t find out about the messages until last month and that was six months after it happened. I can’t trust him anymore and I'm just wondering if I ever will. He admitted that he wanted to have sex with her but he didn't. He was only talking with her because he thought we were going to have a break up. My heart is completely broken. I feel like I'm in competition with every girl on the planet for my boyfriend’s affection. I'm afraid that he doesn't like me anymore, but without me he's homeless and without a car. I love him so much. It's been tearing me apart. I don't feel pretty anymore though. I don't feel good enough for anyone or anything. I thought I knew him as well as I knew myself. Then all of a sudden my world was flipped upside down. I'm still trying to figure out which way is up.
Output: I'm sorry for so much stress in your relationship life.In what ways does your boyfriend express his commitment and positive feelings about you, to you?From what you write, you feel more aggravation, stress, loneliness and insecurity, than satisfaction by being in this relationship.Does he care that you don't trust him?Very often people stay in relationships from fear of knowing who they really are.  The feeling is of needing a partner in a way that is similar to how a fearful child needs staying nearby a parent.My suggestion is to think over how much your sense of need for a partner, may be preventing you from actually seeing the amount of love and investment in your relationship, your boyfriend actually has.These realizations are sometimes painful and frightening to understand, especially if you grew up in a family that largely ignored or didn't adequately nurture you as a child.A therapist for your Self may be a good investment of time and cost in giving yourself a safe and trustworthy space to think deeply about your best interest."
"Instruct: I've pretty much been on my own since day one, I'm a middle child of five, and I can't seem to put my trust in anyone. It took me four years to finally open up a little to my best friend. Every time I realize that I have feelings for someone, I freak out and never talk to them again. I really want some help.
Output: One way to concentrate is that if your mind starts to wonder then remind yourself to bring your attention back.Start with short time spans of expecting yourself to concentrate.  You'll more likely succeed with concentrating with small time spans than longer ones.Once you start seeing your success, this will motivate you to try increasing the length to expect yourself to concentrate.The task of self-reminding is the same, whether for long or short time periods.Also, before starting this exercise ask your medical doctor if the problem can be related to a physical health problem.If there is, then have the possibility ruled out that your difficulty concentrating comes from the mental ability to concentrate, and not some medical reason preventing this.Before someone can engage their psychological will there must be a clean medical body and mind with which to work."
"Instruct: How do I ever trust another woman? I have found myself constantly reading between the lines with every other woman that I meet. I am having a difficult time making any sort of connection to anyone because of her deception and willingness to say and do literally anything in order to control my emotions.
Once the ""relationship"" was over, she became extremely abusive and has attempted to intimidate me into silence regarding the many false claims made on her immigration application.
Output: I'm sorry to hear about being taken advantage of by your former wife.On the positive side, think of how much you learned by going through this very painful time.Maybe you are naturally very generous and caring, to the point of expecting very little from the other person, for example.Consider yourself in a favorable position to not feel like going out right now and meeting a new person.   Your spirit is guiding you to stay put and recuperate from this ordeal, review for any signs you may have been more trusting than merited by the person's behavior.There's a natural flow to what we're able to handle and when we have renewed capacity for new adventures.There's no reason to assume that you'll never trust another woman again.  The first step is re-building trust in yourself to step into a new relationship.   There is no designated time line.  You'll simply feel more ready than you feel now.Very unlikely that you'd ever place yourself in a similar situation to the one you're currently recovering from.Good luck!"
"Instruct: What are some difficulties that a counselor can encounter when dealing with a client?
Output: Each counselor will have their own list of ""difficulties"" in doing therapy work with a client.  Even if clinically trained similarly, since counselors are human then their response to your question will reflect their unique differences as humans.On my list is when the emotional pain I feel for someone describing some type of injustice or unfair treatment by another, feels very deep.Sometimes I feel like avoiding the pain I feel by asking questions which will steer the conversation away from the painful areas the client talks about.What in fact is necessary to clear out their pain, is to step further into so as to realize their emotional pain isn't greater than who they are."
"Instruct: 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?
Output: It's very admirable that you are trying to stop smoking for the sake of your health and your child's health.  The mental aspect of quitting a drug can and usually is the hardest part.  First, it can be helpful to change the focus of your thinking so you are focusing on the healthy behaviors you will start/improve rather than only focusing on the behavior that you are trying to stop.  The reason for this is that our brains hear the main topic of our thoughts.  That is, when you tell yourself ""quit smoking, quit smoking, quit smoking"", your brain hears ""smoking, smoking, smoking"".  So we need to put together a self-care plan that addresses your thinking, emotions, and behaviors (nutrition, physical activity, and other stress reducing activities).  The idea is to have an effective plan in place to both prevent yourself from feeling intense stress (which increases cravings) and to have a well-placed plan for when the intense cravings inevitably present themselves.  And lastly, and possibly the most important; You have to believe you deserve to be the healthiest version of yourself.  Think about the times when you are most vulnerable to smoke (stressful situations, after meals, when drinking, social situations, etc.).  The use of affirmations is also an important resource as what we say to ourselves effects our mood.  Repeatedly telling yourself ""i am healthy, ""i am getting healthier, ""my lungs are becoming clear and healthy"" or other affirmations like this.  Even if you don't believe them at first, continue saying them.  This step is important to improve cognitive flexibility which trains your brain to be open to change.  Think about activities that you like to do or that you would like to try and replace smoking with those activities.  Any activity that can make you laugh (time with friends, watching comedies, etc.) will evoke a calming response because when we feel happy, we typically don't feel stressed out simultaneously."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: It is normal to feel an array of emotions in therapy. Most people use therapy as a way to process their life's struggles and often times this results in them crying during session. Crying is a way to release those negative emotions and to cope with what is happening in life. We have come to believe that crying is something bad at times and so have conditioned ourselves to avoid crying out in public places. In therapy though, where there are no such expectations and where you can be open and honest about how you are feeling it is normal to cry."
"Instruct: I'm depressed. I have been for years. I hide it from everyone because I'm scared of the reactions I'll get. Last time I tried telling my parents, it was a huge argument about me being too young to be depressed (I’m a legal adult), calling me ungrateful, and telling me that if I can't handle things now, it's only going to get worse in the future (which is turning out to be true). It's exhausting pretending to be okay, and I don't know how much longer I can try. I'm just really tired, and sadly, I can't afford the help I need on my own.
Output: Hi Georgia, There's a really good lesson here. People tell us things, and we tend to think that's the truth...but it's not! I'll do some translating for you...""You're so ungrateful"" means ""I need you to be successful and happy in order for me to feel I'm a good parent"".""You're too young to be depressed"" means ""I don't want to deal with your mental health issues right now. I'll pretend it's not happening so I don't have to face my fear and shame"".""It's only going to get worse"" just means ""I don't know how to support you beyond scaring you into wanting to at least fake happiness for my sake"".Your parents are being unsupportive, not because you're not suffering, but because this is all they're capable of right now. They are not where you will find the support you need, so keep looking for it in other places. It's out there. If might be an aunt or a friend, or a friend's aunt. It might be a therapist or a bus driver or your family doctor. Keep looking for someone who will hear you. I hope you don't ever give up. :)"
"Instruct: 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.
Output: since you realize your sense of trust was broken, withdrawing from close relationships, makes sense.This may be your Self giving you natural time to recuperate from emotional pain.Also it is your chance to think over how to handle yourself differently in future relationships.Maybe this process requires more time than you'd like.Having patience is very difficult when a person feels hurt.A therapist of your own may be a good idea so you have someone for guidance and to chart your progress w you.This may feel less lonely and help you tolerate the waiting period till you're better"
"Instruct: I love my boyfriend and everything that leads to sex, but when it comes to the actual penetration, I hate it. I don't know why, but I just want it to be over. I feel like crying. I don't know why I don’t like it because all of my friends enjoy it.
Output: Although I am not entirely sure why you might be struggling in this area, an initial question I have is do you want to be sexually active at this time or is this something that you feel pressured into doing.?  If you feel pressured into being sexually active by your friends or boyfriend it is understandable that you want it to be over.  I would encourage you to ask your boyfriend to be patient with you at this time  until you figure out what is going on.  I encourage you to then think very deeply about what your reservations, if any,  about being sexually active.  Do you fear pregnancy?  Are there problems in the relationship?  Are you afraid of the emotional intimacy? Another question that comes to mind is whether or not you have any history of sexual activity that you did not consent to that might be getting in the way.   When these types of traumatic events occur,  people can essentially become triggered negatively by anything that reminds them of past trauma.  Such events can cause an aversion to sex even if there is now a loving relationship whom one wants to be sexually active with.  If this is the case I strongly recommend individual therapy to begin working through some of these issues. A final area that you might explore would be whether or not you are experiencing pain with penetration.  If so, I would recommend that you schedule an appointment with a gynecologist to rule out any type of medical issues that might be causing these problems.  Although pain can also be associated with emotional issues, it is always good to rule out possible physical causes.  I hope that these ideas help to point you in the right direction.  Take care."
"Instruct: I just had a newborn. When I brought him home, my mom told me to leave. Now I'm in a women's home. I don't see my boyfriend that often because he works. The women's place is helping me find an apartment so I can go back to work and get child care.
Output: Congrats on the birth of your son!Was your mom's request for you to leave her house, one which she asked awhile ago or was this her greeting when you walked in the door?My question is whether your mom had some changed circumstance in her life, whether she and you discussed living arrangements prior to your son's birth, or whether nothing was talked about, you assumed you'd be living with her, she assumed you wouldn't, and the two of you didn't speak to one another about any of this.Depending on the answers, there may be clues as to handling future expectations of others, especially your mom.From what you write, the women's home is supportive of your basic daily living needs.   It is good news that the people who run this home know and offer community resources.In your interactions with the staff of the women's home, ask all the questions necessary so you'll have a clear understanding of the apartment lease, anything at all that is on your mind about becoming employed and finding childcare.The point is to have all the major steps you're about to start, addressed.This way, you'll be minimizing the possibility of any sudden bad news by the women's home, told to you.Sending lots of good luck!"
"Instruct: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?
Output: A mediated safe talk session between. You and your sister.Then, you and your husband have a mediated safe talk.  So both hear what you feel in the respective relationships. Possibly the last step is a mediated  safe talk with sister, husband and youcoversation, in the future."
"Instruct: Does counseling really do anything that can help people?
Output: Counseling can go a long way in improving your mental health. Counseling helps you to get new perspective on your life and problems.Talking about your problems with a counselor gives them substances and something to get a handle on. Talking about your problems gives you a chance look at your situation from a new angle to help solve your problems.The counselor is a neutral listener that can help give direction and answers to your needs.Counseling can help you solve your problems but also can set up a plan for the future. Counseling can help you to deal with things before they get out of hand.Give counseling a try."
"Instruct: I panicked over a minor parking lot mistake. It was totally my fault, but due to another insurance issue, I left a note with an illegible phone number. Guilty over this, I got an envelope containing several hundred dollars. Unfortunately, by the time I returned, the other driver had seen my ersatz note and drove away. Since I cannot make this up to that individual, how do I atone for my cowardly act? I have been trying to do random acts of kindness in hopes that karma will somehow even out.
Output: Thanks for sharing as it shows your humanity and that you have a sensitive conscience. In your example here I'd encourage you to always think, ""safety first""; and never offer a stranger at the accident scene ""...several hundred dollars"". Why? Because it could go badly against you (i.e. extortion, robbed, or would this be considered a bribe).   To the point, I'm reminded of Steps Eight and Nine in many 12-step programs regarding making amends. In your specific example since the injured unidentified party departed, and by your own admission you've been doing random acts of kindness, it seems to me you've acted in reasonable good faith fashion to make amends. Well done.   I'm not a karma expert but as a therapist I would invite you to explore the deeper story behind your use of the words ""cowardly"", ""guilty"", and what it does for you to engage in ""random acts of kindness"". What a fascinating journey this could be for you. Best wishes."
"Instruct: I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?
Output: There are many possible issues to consider as depression  social anxieties, even medical illness.  For some, even grief creates a sense of isolation, pains from relationship break up.  Also, obsessive thinking can be debilitating.  Seeking at least one trusted friend or family member can be a start towards increased personal support.  Some persons may simply feel connected by spending time with someone as this, even if not talking directly on issues, just being around another is positive.  Obviously there is more to explore on this question, given minimal information from two sentences."
"Instruct: I have an ex-boyfriend who just lies about everything. He is super lazy. He lies to everyone that he has a good job, builds trust, and then start borrowing money—and large amounts too. It has come to the point where he has gone through several group of friends. He is leaving a trail behind full of friends in debt because he would put on a sob story, borrow money, then disappear. He refuses to work, so he sits at home playing games all day and either lies to his mom for money or lies to his friends. I used to think his lying was due to his drug habit, but now I'm hearing from other ex-friends of his that this started even before the drugs got into his life. He would borrow anywhere from $5,000 to $50,000 from everyone and it would all disappear. He's in debt with bills. He doesn't gamble, but he spends his money on random stuff.

Although he has this habit of lying compulsively and spending money, he seems to be a good person. He'll always give a homeless person all his change no matter what. My brother has epilepsy and is really antisocial—my ex-boyfriend makes an actual effort to socialize with my brother. He takes him out to the movies and plays video games with him. He drives me to school and work every day and picks me up—just basically the small things that add up to the fact that he's not totally a horrible human being. Is he just simple a pathological liar or is there something that could possibly be deep down in there?
Output: It sounds like you have some ambivalent feelings towards your ex-boyfriend that are difficult to sort out. You notice that there are both desirable and undesirable things about him, and this is true of everyone to one degree or another. One question that I would have for you is, are you satisfied with your relationship with him as it currently stands? Are you happy with the boundaries between the two of you, or would you like them to be different? Negotiating through conflict and establishing different boundaries are definitely things you could work on with the help of a therapist. Another question I would have for you is, what would it mean for you to find out what motivates his behavior? Discovering the roots of such behavior is something that he would have to work on in his own therapy and not something that you and a therapist could discover without him."
"Instruct: We went out had great sex and I was really liking her. Then one day she says we should just be friends, but I can't stop thinking about her. She's always on mind and I want her back.
Output: It can be really difficult when someone you care about doesn't feel the same about you. The most important thing to remember is that you can not make her feel a certain way.  There is nothing you can do to force her to want to be in a relationship with you.In the end, if she ""just wants to be friends"" then she's probably not the right match for you.Remember, every relationship ends - until that last one that doesn't.  And that is how it's supposed to be"
"Instruct: I've always thought that there wasn't much good out there for me. Now that things are actually going well, it kind of scares me. I spent most of my life feeling unwanted and figured I would be alone. I recently met a great woman who seems to really like me, and I don't know how to process this. It's bothering both of us.
Output: This can be really anxiety-producing when you have not felt it before. It may be helpful to work through some of this with a local therapist so you can get more specific ideas.Some other things that come to my mind are maybe talking about spending about 10 minutes or so discussing how you are feeling and seeing if your partner is willing to listen. Then you could ask questions about how she would react if you were doing something she did not like. This allows you to react to information she is actually giving you rather than your perceptions that sound like they are different than what she is trying to tell you. This gives you the power to receive the messages that she is sending to you.I would also wonder where you have learned that there wasn't much good out there for you and how you can stay present in the moment when you are with your girlfriend and see that she wants to be there with you. Perhaps you could look at what makes you feel emotionally safe and trusting with her and focus on that. You could even remind yourself ""okay, I'm here with [name of girlfriend] and this is okay when I'm with her.""We all have different levels of defenses in situations in which different people. It's common for people to see these things as black and white (either totally open or very self-protective. In reality, it's much more like a rainbow and the different shades of color that are available in the rainbow spectrum of white light (it's not really Just red, orange, yellow, green, blue, indigo, violet that we all know, but an infinite spectrum of shades of colors that fade from one into the next). You can change your level of defensiveness with your girlfriend depending upon the location you are in, the mood you are both in, the subject, etc. There are infinite numbers of choices and you can experiment.Another thing that could help is to communicate about communication. If one of you uses a phrase that triggers something from earlier in your life or is really uncomfortable, you could discuss that. If she says certain things that make you feel really comfortable, you could discuss that as well.Hopefully you can learn more about yourselves and each other at the same time."
"Instruct: I'm a teenager. My dad has been jail for the last five years. It's tough, but my mom really tries to give a normal life to my two sisters, my brother, and I. I feel like I took upon a parent role when I'm the second youngest, and I'm not stable. My mother and sisters say I'm overdramatic. I’m just so hurt, and I keep breaking down.
Output: Each person handles themselves differently in any situation.Since you are willing to speak about how you feel, keep looking for blogs and forums on whatever topics you feel most describe your current circumstance.Your mother and sister, even though they are family seem to prefer the opposite method to yours.Find your own path of supportive other people and possibly a therapist.This way you’ll have understanding and validation which your mom and sister don’t want to give you right now."
"Instruct: My boyfriend is in recovery from drug addiction. We recently got into a fight and he has become very distant.  I don't know what to do to fix the relationship.
Output: I would first suggest you sitting down with him and voicing your concerns about how distant he has been, or more importantly you have felt that he is.  This will give clarification to the situation as we need to remember that everyone's perception can be different. Remember that relationships take work and take communication."
"Instruct: I have a problem with binge eating, especially during times of stress. I binge eat and feel so overwhelmed with shame and disappointment that I end up going to the gym and trying to exercise the calories off. I am in my late 20s, and I have been dealing with this since I was a teenager. Are there any coping mechanisms I can use to break this cycle?
Output: In dealing with an eating disorder you are far from alone.  It is more common than you might think and tied to so many variables that it is easy for an individual to become overwhelmed in trying to navigate the influences of such variables.  I have been working with individuals dealing with such challenges since 1998 and have found over the years that behavioral analysis is highly effective in helping you begin to isolate, understand and then be able to address many of these variable impacting your behavioral and cognitive choices.  Consider finding someone trained in Dialectic Behavior Therapy (DBT).  There is a large body of evidence supporting the use of this approach to alleviating many of the aspects you identified in your post as well of a wide variety of tools that you can choose from and utilize that are able to practiced and assimilated into your daily tool box of coping mechanisms that end up becoming new behaviors and ways of thinking about issues that become automatic, the best possible outcome you can hope for if you want the solution to be sustainable."
"Instruct: Tonight, my husband seemed to put our son down through an incorrect approach. His approach was perfectly wrong. I found myself defending my son. I told him that what he did was not the way to encourage our son.
Instead of watching my husband’s harsh behavior I decided to sit beside my son and, together, we worked on his science assignment in order to encourage him to study. My husband got upset and he was swearing at me. He threatened me. I knew that he was not joking. His words scared me a lot!
Output: I have had these many cases, but in situations like this.... If it does get out of hand, the police do need to be involved. Sit down and talk to your husband when he is calm and collective. "
"Instruct: 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?
Output: As a relationship therapist I work with couples all the time that are in the repair phase of their relationship after infidelity. The short answer to this, is not only is it possible to have a satisfying and fullfilling relationship after infidelity, it happens more often that we may know. The current rate of infidelity is high, while it's not important to go into many reasons, it mau be important to know you aren't alone in this! My biggest suggestion for you would be to seek out a professional counselor that specializes in working with couples healing from infidelity. Best of luck!"
"Instruct: 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?
Output: 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."
"Instruct: I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?
Output: Self-doubt and self-hatred are such common and unpleasant experiences and really worth  understanding! Therapy with the right person can really help. When in your life do you feel the most confident? What gets in the way of you accepting and loving yourself (big question!). You can and will uncover that confident self!"
"Instruct: How do I make myself happy without the people who made me happy? Now that they’re gone, I feel sad. It’s been two months now but I seem to be unable to stay okay and independent.
Output: Hello. So, someone made you happy but is no longer around? I am sure that feels devastating. As a counselor I usually have to ponder this kind of thought because it lends itself to suggesting that happiness comes from the external, rather than the internal side of a person's life. Happiness is formed within ourselves. All the external trappings of happiness are usually quite fleeting, and temporary. Even relationships fo not last forever. If we get to a place where we are reliant and dependent on those around us to create happiness in our lives, then we lose the opportunities for us to do it ourselves. We are entirely capable of finding ways to be happy. Sometimes this entails working out issues that are holding us back from reaching a place of peace, or resolution to a specific problem.What I would offer to you, is to find ways in which you can develop happiness for yourself. What do you like about your life as it is right now? What can you do to create change in your life to increase your happiness? These kinds of questions can be valuable to you as you seek out ways to make happiness an internal rather than an external event. Mourning the loss of a social connection (in whatever way that occurred), is part of the grieving process, but it is not permanent. It is a path to healing and moving forward. From this, you can seek out new sources of happiness. I encourage you to remember that happiness is independent of the external experience you have in the world. Happiness is an expression of the internal feelings, so that will be the source or the font of positive emotion from which you really draw. If you are lacking in happiness, then it becomes important to examine why that is, and what you can do about it to promote self-care. Seeking out a professional counselor can also be a good option as you move through the grief/loss process and examine the reasons happiness is not in greater supply.I wish you happiness for every day of your life.Best wishes."
"Instruct: I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal.
   Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes.
Output: Hi Winters, I'm so glad you wrote, because I think there are a lot of young women experiencing the exact same thing. You feel self-loathing for both being a virgin, and for being sexually active. Young women have always gotten crazy mixed messages about what they're supposed to be. They feel pressure to be pure, and they also feel pressure to be the vixen and please men sexually. But you can't be both, so you can't ever win if you buy into all that horse manure (excuse my language). This current hook-up culture puts added pressure on girls to expect nothing more than random sexual encounters that leave you feeling empty and used; perhaps desirable in that moment but mostly worthless. The stupid part is that research tells us that young men are also impacted negatively by this cultural norm that values sex and not relationship; they feel guilt, and loneliness.  I urge you to talk to other girls and women about your feelings. My hope and prayer is that they will echo my words here.Your value and power cannot ever be found in whether a man wants you, whether you turn his eye, or how he treats you. Your sexuality is a beautiful part of who you are, and it is to be celebrated. I love that you want to celebrate it with someone who cares. Who you are is so very much more than your sexuality. You sound like you have a lot of things going for you. Try to see all of those things when you think of yourself.There are many more virgins out there, and many are afraid, like you, that they don't fit in. We are all different, and you don't have to be anything but who you want to be; who you are. You don't have to have any kind of sex until you're ready, and that makes you brave and smart, not weird.You're tall and beautiful, and guys may be intimidated by that. It may take time for you to meet the right guy, but he's out there. The question is: How do you want to spend your time until he crosses your path? I hope you talk to someone soon and find out that your feelings are normal. I wish you the best."
"Instruct: I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single.
Output: Hi there! It sounds like you have already started to answer
your own question by stating that you love cross dressing very much, and I am
glad you enjoy it! Cross dressing is something many people enjoy, and there is
no harm in it whatsoever. My question to you would be: What is making you feel torn
about it? There is unfortunately still a lot of negative stigma associated with
people who express their gender or sexuality in ways that differ from the
majority. (And sometimes certain sexual interests are actually very common or
even in the majority, but because people carry shame about being different when
it comes to gender and sexuality we assume we are all alone!)Being a sexual or gender minority or someone who
participates in kink or expresses their sexuality or gender identity in a
unique and personal way often means suffering from something called
""internalized oppression"". We grow up being exposed to certain
assumptions and beliefs about what is ""acceptable"" behavior and even
face consequences sometimes if we don't ""fit in"" the way others tell
us to. Even if those assumptions are harmful and wrong, we still internalize
them and feel guilty about who we are. There is nothing wrong with us, but
feeling stigmatized and isolated can lead to feelings of shame, embarrassment,
or like something is ""wrong"" with us.But there is absolutely nothing wrong with you, so be proud
of who you are and what you enjoy. You can continue to simply enjoy it
privately, or maybe you'd eventually like to share it with a partner or maybe
even join a community with similar interests. I'll leave you with a quote from
comedian Eddie Izzard, who identifies as, in his own words, a ""straight
transvestite"": ""They’re not women’s clothes. They’re my clothes. I
bought them!"" Take care, and thanks for your question!"
"Instruct: I shake and have panic attacks.
Output: One of the first things I would suggest is to see if you can keep track of what is leading you to feel anxious. If you shake all the time, consider talking with your primary care physician. Sometimes that can be a hormonal imbalance or another chemical imbalance (such as thyroid).One of the most difficult things about anxiety is that having anxiety (particularly panic attacks) can lead to anxiety about having more panic attacks. Also remember that panic attacks are typically part of your brain's protective response to what it considers to be some sort of threat. You may have heard of the fight or flight response. When you have an anxiety attack, your body is preparing you to react to something that isn't actually a threat, so it's almost as if you're fight or flight response is overactive. Here is an image that may be helpful: http://psychology.tools/fight-or-flight-response.htmlThere are many different things you can do. You can practice breathing, mindfulness, meditation, or yoga techniques. If you decide to try some breathing techniques, try breathing in for a count of five, holding for a count of five, breathing out for a count of five, and repeating five times.Also remember that it is easier to learn these techniques when you're not having a panic attack. At that point, it can be really difficult to use methods to not panic. Also remember that panic attacks typically last 5 to 10 minutes. Using techniques to slow your breathing or become focused on the room around you is probably most helpful when you first start to feel anxious.Here are some other techniques that may help to decrease anxiety: http://psychcentral.com/lib/9-ways-to-reduce-anxiety-right-here-right-now/As you figure out what is leading up to your anxiety, also consider asking yourself what is making that certain issue a big concern for you. Another important question could be when you have felt that way before."
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: It is difficult to implement healthy boundaries when the person is a parent or family member. I would encourage you to identify how it makes you feel after talking with your mother. Work on establishing healthy boundaries where you do not feel obligated to engage the complaining daily. Maybe setting a time limit to talk with your mother and practicing how to be assertive and not disrespect or aggressive. Helping your mother understand how you feel using  ""I"" statements  i.e  ( I feel _____ when you call to talk about my sister). Maybe asking your mom how can you be supportive of her during this time other than listening to her vent. It may also be helpful for your mother to get connected with support groups to help her cope with this life change."
"Instruct: I have known I was always different. This year, in December, I found out that I never felt female. I did research and have identified myself as male but don't know how to tell my dad.
Output: I admire your courage.If you are concerned about telling your dad regarding your gender identity, I would suggest a couple of things. There are a lot of groups or other supports for people who are working through some of the same changes that you may be going through now. I don't mean to convey that everyone thinks, feels, or acts the same by any means, but rather that it may be helpful to talk to others who have had some similar experiences.I was trying to include some links for you, but that particular button isn't functioning window. If you search for ""transgender support"" on Google, you'll find GLAAD and PFLAG, both of which are national organizations. This does not mean that you have to identify as ""transgender,"" but researching that term may help you to find both national and local resources.As far as telling your dad, if that is particularly concerning for you, I suggest either talking through the details with a local therapist or considering if you have a trusted friend or family member (one who will respect your privacy with regard to who you would like to know about what you are experiencing at this time) so that you can talk with some people to have support. This may help with two things: allowing you to find some support for yourself as you work through the changes that you are going through now and also possibly talking with someone who knows your dad and may be able to talk with you regarding how or when to tell him.One thing that I tell anyone who wants to discuss something that is very important to them is to ask the person they want to talk to whether this is a good time for an important conversation. That way, you have greater chances of having the person's attention and/or not needing to end the conversation quickly. Also, please remember that you know yourself best, as each of us does."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: It is absolutely normal to cry in therapy. Therapy is a place to be honest about and explore your feelings without feeling judged. Honesty is the only way you will benefit from therapy and that means being willing to look at your true emotions rather than avoiding them."
"Instruct: My dad passed away when I was a teenager. I never got any help, and five years later, I feel like I can't handle it anymore.
Output: It's never to late to get help with grief.  Get help as soon as possible before you are feeling the same way 5 years from now.  You will always miss your Dad but getting help with coping with his loss will make life easier to live.    "
"Instruct: I have PTSD. The side effects are really bad and have impacts on sex, anger and my relationships. I even lost my job month ago.    How can I get my life back?
Output: Your feeling overwhelmed by emotion and finding it difficult to trust people.  This can be a really scary feeling.  It is a common reaction for individuals who have endured a traumatic experience.  Often, the aftermath of a trauma can leave people feeling constantly on guard, panicky, depressed, isolated, and riddled with nightmares and intrusive thoughts of the incident.  And while the signs and symptoms can feel complex and at times overwhelming, feeling better is more than possible.  Give yourself credit for the courage that it takes to reach out.  With trauma therapy, I would expect you will begin feeling better as we implement a compassionate and client-focused evidenced -based approach together. I've helped countless people to gain positive ground over their traumatic experiences in a safe, supportive environment.  I offer a variety of evidenced based traditional therapies as well as holistic modalities to best support you on the path to healing.  We will work together as allies in your treatment.  It would be an honor to work with you."
"Instruct: I've been with my boyfriend over 3 years. He cheated on me and the woman is now pregnant. He is physically and mentally abusive towards me. I have attempted to talk with him in order to resolve our issues; however, he never wants to talk and often blames me for everything.
I’m always there when he needs my help. He tells me although I help him doesn’t mean that I am a good person. He always discredits me as a woman and it’s hurtful. I spend most day crying and feeling lonely. I am unhappy and unsure of what I need to do.
Output: That sounds like a very hurtful situation. Unfortunately, without a batterers intervention course or a desire to change, the abuse cycle is unlikely to stop. I do not recommend that you try to leave on your own due that being the most dangerous time when in an abusive relationship. As an abuser, his goal is to control you whether it's through mental or verbal means. I recommend that you contact a domestic violence shelter in your area. I have worked closely with Harbor House of Central Florida and know they provide housing, transportation, and any other needed resources to women leaving an abusive relationship. There is help out there and you are not alone. If you need any additional resources in your area, please don't hesitate to contact me. "
"Instruct: My husband told me last year he never loved me and should have never married me. He's been talking about divorce, but he hasn't filed. Now he has a girlfriend and he abandoned me and his kids. He has no financial help, and he has been out of the home for four months. He became very angry and mean. He says it's all my fault, and that we're not compatible.
Output: It's hard to say that it is a midlife crisis stage..  could be... but so much more seems to be going on or have been going on to say with confidence that it is not much more.  "
"Instruct: 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?
Output: No, there are never too many issues to address in counseling.  Therapy would begin by prioritizing what you feel needs to be addressed first.  As one area improves, such as processing history of abuse you are likely to see improvement in other areas of your life...like sleeping better."
"Instruct: I have several issues like I don't like people. They make me sick. I have issues with talking to people. I feel like they are talking about me and making fun of me. I have felt this way for years. When I look people in the eyes I have voices that tell me to hurt them and if I don't stop looking at who I am talking to it gets so loud I can't hear what they are saying. I just stay away from people to avoid this. I look at people and think how I could hurt them. I feel like I am worthless and would be better off not in this world where I don't fit in. Every day I wake up it's like another day. Any info would be good.
Output: Sounds like you are dealing with a lot within your self which is causing you great pain.  I would suggest that first you get a full physical evaluation to make sure that you are ok physically.  Then getting a mental evaluation as well from a psychiatrist.  Seeing both would help rule out any physically or psychologically causes to your symptoms.    After getting these evaluations, your physician should be able to help guide you on what treatments would be the best to help with your everyday challenges your are facing.  Whether treatment includes medication and/or psychotherapist would be discussed.  Please consider doing both immediately so you can have the live you want everyday you wake up."
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?
Output: Thank you for submitting this question. I think this type of situation can be common for many couples struggling with how to keep friendships with past relationships while being in a new relationship. For me, more information is needed here...but given the information provided, the way I interpret the question is...I'm assuming your boyfriend didn't know you were going to spend the weekend with your good friend?  Working off of this assumption, I would suggest beginning an open and honest dialogue with your boyfriend about what specifically upset him? And to talk about your point of view regarding spending the weekend with him. I would also suggest talking about how you both envision your relationship when it comes to spending time with others. If you feel like you can't have this conversation without it going off track, please consider seeing a couples therapist. They can help you begin these important conversations that can help shape and develop the relationship you and your boyfriend long for.  "
"Instruct: My mother-in-law is mentally ill. She has been for most of her life. She cuts herself. She has been in and out of psychiatric hospitals for about 40 years. She has voices in her head that tell her to cut herself. She has had multiple shock therapy treatments, and she’s on enough medication to take down an elephant. Her parental rights for her two children were taken away from her when my husband was a boy—he is now in his late 30s. She doesn’t even have custody of herself. She hasn’t asked yet, but she has been insinuating that she wants to babysit my child. How do I go about saying no without creating an issue?
Output: Hi Fontana,Thanks for providing all the details needed in order to respond to your question. It seems very clear to me that ""no"" would be the appropriate response. I like your healthy boundaries, and I'll help you explore possible ways to respond to her. First, she hasn't asked yet, and you don't know that she will. Right now, you can pleasantly ignore her hints. They're not hurting you and if you ignore them, they're more likely to go away. You can address and reduce your own anxiety about the possibility of her asking by reassuring yourself that you have the right as parents to make this decision, and that if she's offended, that doesn't mean that you're being mean; it means that she has unrealistic expectations. So, the first goal is to put it out of your mind as a worry. You might never have to face that moment. But, I understand that you want to be prepared.As her son, perhaps your husband is the best one to answer the question, should it ever come. Is he willing to do this? But if you are comfortable, and if you're the one she asks, you can confidently give her a simple, honest response about why it won't happen. And I would suggest presenting a firmly closed door, rather than saying ""but maybe later"". No need to apologize or hum and haw...""We love that you want to be around Junior, and we definitely want you in his/her life. (try to leave out the ""but"" here). You're not in a healthy place, and we're not comfortable with you caring for him/her on your own.""If she pushes the issue, this is evidence of her denial or inappropriate boundaries. I'd let her know that it's not negotiable, that you understand if she's disappointed, but you're not open to discussing the issue. Really, there's nothing to discuss. Learning not to take responsibility for her emotions is part of having an ill person in your life. I wish you the best."
"Instruct: The father of my kids and I have been broken up for about three years now. We always found our way back to each other. He had a baby with someone else he's with but still shows the same love he showed when we was together when he's around. He even gets jealous, but he ignores my calls.
Output: Your story sounds like it gives you a great deal of tension and disappointment.You know you are not getting the amount of love and kind of relationship you'd like.It is almost as though you feel that ""something is better than nothing"".Reflect within yourself whether the balance of what you receive in this relationship is worth the sacrifice of not getting as much love as you wish.Depending on your decision you will know whether to drop this relationship or continue the same as its been."
"Instruct: 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?
Output: It depends on your definition of ""normal""!:) I would say that the average client I see feels some level of nervous energy when they come into their sessions, and especially at the beginning. I think that with clients who I work with that have difficult times in relationships, maybe being able to trust people is tougher for them given their life experiences, the expectation would be that they have a harder time moving through those nerves and feeling more at peace in sessions.In my opinion, a competent therapist could help you explore where these nerves are actually coming from (talking about yourself, relating to another, something else?) I encourage all of my clients to bring up whatever emotions are coming up for them in the moment, as it's helpful to the client to recognize the ""present moment"" emotion and then being able to process, learn from, and move through to a more peaceful place, if that is what is being sought."
"Instruct: I constantly have this urge to throw away all my stuff. It’s constantly on my mind and makes me feel anxious. I don’t sleep because I’m thinking about something I can get rid of. I don’t know why I do it. I started years ago when I lived with my dad then I stopped when I moved in with my mom. Years later, it has started again.
Output: Since you wrote that you noticed a change in your throwing away urge when you changed with which parent you lived, would you feel that throwing away things is connected to wanting to be done with certain areas of influence with either parent?Play in your mind with the metaphor of ""throwing away"" and whatever associations you feel toward this.  Are you feeling alarmed or freed, by throwing away things?  I'm only suggesting these, not telling you that they apply necessarily.Anxiety comes up when people feel helpless to manage a meaningful part of their lives.  So pay attention whether your stuff represents difficult scenarios or phases of your growing up years.   Possibly you are trying to rid yourself of painful feelings which were part of your early years' relationship with either parent.Basically, sounds as though you are trying to establish a clearer sense of who you are and the throwing away part is a means of discovering who you are, once all the clutter is released."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Lots of people do cry in session, but your therapist won't be uneasy with this.  Crying is a natural response and it also releases toxins, so some might say it's necessary!  Remember that you can be in charge of what you talk about in your session and if there's something that feels too uncomfortable, just say, ""I'm not ready to talk about that.""  Your counselor wants  you to feel at ease and will probably not push you right away to a very uncomfortable place.  As you get to know your therapist, you will feel more relaxed and even not worry so much about how you appear to them.  It's normal to be anxious going into a new situation especially when you might not feel in control of uncomfortable emotions.  Don't give up, go and put your best effort in! Hope that helps, Allison "
"Instruct: 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.
Output: You should start by speaking with her about what has her so down. Have their been some significant events in her life that have affected her? Have their been significant events in your relationship that can be affecting  you both? If she just stopped drinking, she may be struggling to finding an alternative and healthier behavior. This is something the two of you can explore together. Also, if need be perhaps she can speak to a therapist to discuss her feelings about quitting alcohol. It sounds like you really care and right now she could use all the support she can get despite her pushing you away. "
"Instruct: I had a dispute with my therapist regarding an appointment cancellation. Now, she is blocking me from seeing other psychologists at the same clinic (which takes my insurance), which is also where I get my psychiatric services. There is a strict 48 hour cancellation policy, and my appointments are at 3:00 on Tuesday. I called to cancel at 4:30 the previous Friday. I was late, so we contacted my doctor to tell her that I would be out of town. She said I could do a phone in session. The thing is we do double sessions.
Output: My recommendation would be to try to talk to your therapist about this  from your description, it sounds like you have a legitimate explanation for missing your scheduled session. Maybe if you could explain that to her she would be willing to work with you. If she is not willing to consider your explanation and if she is not willing to continue working with you, she still has an ethical obligation to provide you with referral resources to another therapist."
"Instruct: That phrase makes me crazy. It happens anytime I point out something to my husband that he needs to change, such as looking up from his iPad long enough for me to tell him the grandbaby almost pulled the shelf unit over or explaining to him that I got all the things he needs to bake a pie. Another example is when he opens the front door, the dog runs out if he doesn't pick him up. Over and over again, he lets the dog run out, and I am afraid he will get hit by a car.
Output: It's hard to say what is okay and what is not okay, as it depends on what you and your husband feel is appropriate in your relationship. If you are feeling like you need to walk on eggshells or that you can't speak your mind and say how you feel, then that sounds like a problem. I would recommend having an open discussion with your husband about communication between the two of you in general. Do this during a time when there is little or no conflict and emotions are not heightened. Let him know how you feel and give him specific ideas of how you would like him to respond instead of saying, ""enough."" Additionally, try and see his perspective and understand why he shuts you down. Perhaps, he feels like he is being told what to do constantly or that he gets little positive feedback from you. An open dialogue about how to discuss issues going forward will likely help. Seeing a couple's therapist will also greatly assist with teaching better communication skills and seeing if there are underlying issues that need resolution. Best of luck to you guys."
"Instruct: We don't have sex a lot. I cheat when we argue. I don't kiss or have unprotected sex with them. It's a one time thing, and I never see them twice.
Output: Hello, and thank you for your question. The question about
whether or not to cheat is based on personal values that can only be answered
by you. However, here are a few things to consider and questions to ask
yourself to help you find your answer:
1.    
Do you feel like you are violating your own
values or morals? This is important, because we all have different values and
morals surrounding sex, love, and monogamy. If you value monogamous
relationships and find yourself cheating on your partner, then you may feel
like you are living in contradiction to your values, and most people are not
happy when they do that. However, if monogamy is not something you value, then
perhaps it is time to re-evaluate the relationship and determine if it is still
right for you. Not all people want monogamous relationships, and that
is alright. Finally, if you value your husband’s feelings and know that the
affairs would hurt him, then your behaviors may again be in contrast to your
own values. That can only be determined by you. 
2.      Based on how you describe your relationship, it
sounds like you are not very satisfied with the way it is.  From the outside, it looks like the affairs
are a way to “get even” with your husband or to feel better after an argument. This
is something that can happen when mutual respect starts to fade in a
relationship and gets replaced with contempt. We can simply stop caring about
how our actions hurt each other, or potentially hurt each other. Perhaps the
question to ask here is, when you look out toward the future with your husband,
is this the pattern that you want to keep? The pattern of very little sex,
argument, and then satisfying the pain or dissatisfaction with affairs. 
 3.      What are your goals for this relationship? If we
start to become disconnected in a relationship, we can begin to do things on
autopilot. Get up, get the kids up, go to work, come home, and go to bed. None
of which requires any intimacy at all. Are you still able to see the hopes and
dreams you once had for this relationship?
 4.     
Have you considered seeking marital counseling? Not
having affairs won’t actually fix the part of the relationship that is leading
you to have them. If there is something broken, it sometimes requires some help
to get it fixed. 
 Hopefully these questions and thoughts will help you come to
some kind of conclusion about what is right for you and your relationship. I certainly
wish you well. 
 Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: 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?
Output: Usually people who struggle with depression also have symptoms of anxiety. These symptoms come about as a result of underlying causes. The obstacles you have been overcoming such as abuse, cancer and insomnia likely bring about similar feelings and emotions in you which affect your self-esteem. Counseling is meant to support people who have layers of difficulties. We see the difficulties as layers to an onion, peeling away the many layers."
"Instruct: I just lost my grandpa and i'm having a rough time with it.    I need some help to deal with the loss, but I don’t think I can pay for counseling. Where Can I get help?
Output: I am so sorry to hear about your loss. He must have been very special to you and it definitely makes sense that you are having a hard time with it. Counseling may be an option if you have a university near you with a graduate marriage and family therapist program. Graduate students provide counseling at a very low cost as part of their traineeship.  Here is an example... http://www.clucounseling.org/.  Another possibility is a support group for bereavement and loss. Many are free. I wish you the best towards healing your heart."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: I agree with your observation about your daughter feeling stressed.  Are you able to open this topic in conversation with her?Also, reflect on your own expectations as a parent.  It is possible that your daughter is trying to please you by getting consistently high grades.If your daughter prefers talking in confidence to a therapist, then this may help her regain a sense of balance in her life so that schoolwork feels less stressful.I wouldn't take her to a doctor because based on what you write, the problem is psychological and emotionally based.  While the stress may have physical symptoms, addressing the root cause of the problem has nothing to do directly with something being physically wrong with your daughter.Unless there is some other medical or physical problem that would explain your daughter's sense of stress,  I'd start first by bringing your areas of concern to your daughter, then possibly to a therapist."
"Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?
Output: If you have a good relationship with your child then you have already accepted and been accepted as this child's parent and you have a commitment and an obligation to play that role.  If you suddenly absent yourself from this child's life then you may be doing real damage. Working out an arrangement with the child's mother for regular visits the child can count on and committed to by both parents will serve the best interest of the child, which I assume is what both parents are truly concerned with.  The visits don't have to be every day, once a week, even once a month, is better than hit and miss with long absences in between.  Best of luck to you, and the fact that you asked the question says volumes about your parenting potential.  Feel free to follow up with me, on line or in person."
"Instruct: How does a person start the counseling process?
Output: A great place to start is at www.psychologytoday.com.  You can search by location and identify therapists who have expertise in your area of concern.  Once you find a few people that fit your criteria, read about them on Psychology today as well as check out their website if they have one.  Next, either call or email them to set up a time to talk for a few minutes.  When you speak with them, you want to know a few things: do they have a decent amount of experience in your area of concern?  Are their fees, insurance coverage and scheduling availability a good fit for you?  Most importantly, see if you feel comfortable when you speak to them on the phone!  If this person is a good match in these areas, schedule an initial consultation so that you can see if you are also a good match in person."
"Instruct: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them.
Output: 
Taking accountability for your actions and seeking help is an excellent first step. I wonder where the anger is coming from. Learning what is at
the root of it can shed some light on what the problem is and can provide some
relief in itself. I would also suggest doing some self-exploration and see a
therapist for individual sessions in order to gain a clearer insight as to what
the cause is. There are also several actions you can take on your own to help
control your anger and communicate more effectively. Here is what I would recommend
you try:
Take time outs: When you feel yourself becoming upset, excuse yourself and
take a time out to either think about the most appropriate course of
action or redirect your thoughts all together. Often when we become
angry, it is difficult to see the issue clearly, as our emotions get in
the way. 
Do deep breathing exercises: Close your eyes. Breathe in slowly to the
count of 4. Breathe out even slower to the count of 6. Practice this for about
5 minutes, 3 times a day and focus on nothing except your breathing during this
time. Once it becomes routine for you, it will be easier to apply during
situations in which you are angry or upset.
Change negative thought patterns: Try and recall or be aware of your
thoughts, particularly when you are feeling angry. What are these thoughts
telling you? Are they valid or logical? Is there factual evidence to support
the negative thoughts? Often the answer is ""no."" Learn to stop the
negative thoughts and replace them with logical and more positive
ones. 
Communicate effectively: As a speaker, you want to use ""I""
statements by telling the other person how you feel instead of blaming him/her
by using ""you"" statements. For example, you might say something such
as, ""I feel sad when you don't come home at a decent hour and I don't get
to spend time with you"" versus ""You always stay out late and don't
even care about me."" The speaker should also avoid using black and white
language such as always, never, etc. As the listener, you want to validate what
you hear so that the other person knows that you are listening. You will also want
to be responsive and offer fair solutions.
I wish you luck in using these tools and learning about where your anger comes
from.
"
"Instruct: I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before. 

I feel like I don't  want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered  ""wrong"" by a lot of people.

How can I get myself to just move on?
Output: It's difficult to move on and let go, especially when you've experienced things for the first time with someone, or feelings you've never felt before, as you said.I like the fact that you are looking at your situation ""logically"".  Feelings can take time to fade, but you seem to understand, even if it is subconsciously, that it's the feelings he stirred up in you that are keeping you tied to him, not necessarily the person himself. Realize that you can and will experience those feelings again with another person - the RIGHT person. Don't hold onto someone who is wrong for you just because of something like this. You're wanting those feelings and wanting a relationship - but with him necessarily? Or with anybody? You said you don't want to be without your love for him - not you don't want to be without him. In fact, you said you know you need to be without him. It seems like it's the LOVE that you can't let go of, and the feelings. Not the person. Trust me, you will find that again. Take some time to let this fade. Don't try to force him or anyone else into a role that is meant for someone else. Cherish the memories and the experiences you had. Sounds like it's been a valuable learning and growth experience for you, but you have your own reasons, and I don't know what they are, for thinking this person isn't good for you. Trust your gut instinct and be glad you've had this relationship. Not all are meant to last. But all shape you into the person you are and will become, and all teach us important lessons."
"Instruct: Hello, I have a cousin in my family who has been making me feel belittled, insecure, and frustrated during her stay here in the city. I know she comes from a place of love, but she has always been short-fused and highly temperamental if something doesn't work out the way she planned it. I have tried my best to coordinate plans with her, but she always ends up frustrated about the lack of communication I seem to have on my part and then makes condescending comments about my character that include: inconsiderate, negative, oblivious, and self consumed. 

I have tried to talk to her openly about this, but it always comes back as an attack on my character and I have never heard these comments from anyone else before. I have been thinking a lot about her comments and whether I truly am an inconsiderate person who is not thoughtful, spatially aware of surroundings/people, or positive, but in the end, I am feeling awfully hurt about how this has affected our relationship. 

What can I do?
Output: Do you have a close friend or relative who's opinion you trust? Ask them for their honest feedback and if they see you like your cousin does. If they don’t see these qualities in you, then it may be your cousin’s issue and she’s taking it out on you. You can always ask her what would be the best way to communicate plans with her so you know, specifically, what she is expecting. Then if you meet these expectations and she still blames you and comments on how inconsiderate you are, it's her issue and she is not coming from a place of love.Even if you do resemble her comments, the way it sounds like she approaches this problem is not out of love. The fact that you're introspective enough to consider your own behavior suggests the problem is not with you. "
"Instruct: I suffer from adult ADHD, anxiety disorder, and depression. It has been difficult to find a doctor in my area and my primary physician won't help. I am unemployed and overwhelmed. What would you suggest I do?
Output: I would check out agencies that offer affordable counseling based on your income or very low cost counseling sessions, i.e., Pacific Clinics, Hathaway Sycamore, Pasadena Mental Health Center, Burbank Family Center. If you google affordable or low cost therapy in your particular area you will find resources to help you."
"Instruct: I’m facing severe depression and anxiety and I just feel like I’m going through a lot. This really distracts me and I cant get my mind off the things that are bothering me.    How do I overcome this anxierty and depression?
Output: Working with a great therapist who can help you learn ways to cope might be beneficial to you.  Sometimes just the act of being able to talk about things with a nonjudgmental person helps take some of the burden off of you.  A therapist can help you change your thought patterns and teach you coping skills to reduce your symptoms."
"Instruct: I feel like every time I do something someone asks me to, I never fully meet what they want. I feel that when I finish it, they always think that they should have picked someone else to do it. I feel like  they just want nothing to do with me.
Output: As long as you try to reach others expectations you will never feel satisfied or accepted.  How about setting your own expectations for self and strive for those.  Make sure your expectations are reachable and realistic. "
"Instruct: I had a dispute with my therapist regarding an appointment cancellation. Now, she is blocking me from seeing other psychologists at the same clinic (which takes my insurance), which is also where I get my psychiatric services. There is a strict 48 hour cancellation policy, and my appointments are at 3:00 on Tuesday. I called to cancel at 4:30 the previous Friday. I was late, so we contacted my doctor to tell her that I would be out of town. She said I could do a phone in session. The thing is we do double sessions.
Output: My recommendation would be to try to talk to your therapist about this  from your description, it sounds like you have a legitimate explanation for missing your scheduled session. Maybe if you could explain that to her she would be willing to work with you. If she is not willing to consider your explanation and if she is not willing to continue working with you, she still has an ethical obligation to provide you with referral resources to another therapist."
"Instruct: I have known I was always different. This year, in December, I found out that I never felt female. I did research and have identified myself as male but don't know how to tell my dad.
Output: Hello, and thank you for your question. This is certainly a tough spot. I have a few thoughts and perhaps some colleagues will add some things. You may want to spend a few minutes calling to mind any conversations that you have had with your father about transgender issues, or if you have ever heard him talk about it. That may give you a small clue about how well he may accept this news from you. For example, if he has been watching the news lately, transgender rights is something that is being talked about a lot. Has he had an opinion? This won't tell you for sure if he would be okay with learning you are transgender, but at least you would know if there is hostility toward transgender people. To tell you the truth, the best way to tell your dad is whatever way feels right to you. There is no right or wrong way, best or worst. If you want to tell him when you are by yourself with him? That's perfect. Want to have a friend with you for support? Equally perfect. Whatever thing you need to do. And, of course, there is always the option of not telling him anything until you are comfortable doing so. Unfortunately, the response from your dad can't be predicted. Some parents are totally cool.... others not so much. This is one reason why having someone with your for support is sometimes a good idea. If things get heated, you have someone in your corner. There are therapists who specialize in affirmative therapy, and they may be very helpful to you in working out how you want to tell him. You can also Google some stories about how others came out.I refer many people to the www.letsqueerthingsup.com blog. It is a popular blog written by a trans man that I know. He writes on many topics related to trans issues. Hope some of these suggestions help. Be well... be you.. and good luck!Robin J. Landwehr, DBH, LPC, NCC "
"Instruct: After he got home from the hospital he was angry, then for a time wonderful.  Now he is depressed and hopeless again.
Output: A failed suicide attempt is commonly thought of as a “cry for help,” however it can also be a serious attempt to find a permanent solution to depression, hopelessness or other feelings a person feels are unbearable. It’s wonderful that you want to support your husband, but If your husband is feeling depressed and hopeless, you can best help him by getting him to a mental health professional. Feelings of hopelessness and depression, and previous attempts at suicide are all risk factors for future suicide attempts. With a mental health professional, or in the emergency room of a hospital, your husband should be evaluated for suicidal thoughts, intent and plan, and if he is a danger to himself he should probably be hospitalized again until he is stable. Without knowing the particulars, your husband may suffer from Major Depressive Disorder or some other illness on the depressive spectrum. In that case medication could help him immensely, at which point you can offer your support and encouragement him to practice gentle self-care. And do not forget to practice it for yourself.  Remember: a suicide attempt not only affects the person, but it is an immense stressor for his or her loved ones as well. As they say, “put your oxygen mask on first.” Then you will be better able to provide your husband with calm and loving care and attention.Kayla Schwartz, LMSWkayla@nyccounseling.com"
"Instruct: I have anger issues that have worsened over the years because I’ve never dealt with my emotions. My anger has never been expressed physically until the past year. My girlfriend has had to endure these episodes. I love her, and I think I’m about to lose her, if I already haven’t. I throw things at her when I’m angry, and sometimes I hit her. I may not hit her enough to cause harm, but I still physically lash out at her. I don’t want to lose her, and I don’t want the situation to worsen. I am a lesbian in my early 30s, and I have been dealing with anger since my childhood. I'm ready to change. I need help now. I'm about to explode.
Output: Good for you for recognizing that a change has to be made quickly. Regardless of whether or not your girlfriend leaves your relationship, taking control of your anger needs to happen sooner than later. If left unresolved, it will follow you into any relationship you have. Have you talked to a therapist? I would suggest you take that step first. A therapist will help you explore the source of your anger and teach you new, adaptive ways of dealing with your anger. Until you're able to get some professional help, I would advise that you start recognizing when your emotions are becoming escalated and take a time out before the anger turns into aggression. If you feel yourself becoming heated, excuse yourself from the situation, go to a quiet place or on a walk, and practice some deep breathing. Clear your mind of the problem and focus only on your breathing as you inhale slowly counting to four and exhale slowly counting to six. Don't get discouraged if it doesn't work right away. Deep breathing takes practice! Return to the situation or your girlfriend only once you have calmed down and are confident that you are not going to hurt anyone. You might also want to ask your girlfriend to remind you to take a break when she recognizes that your emotions are escalating. Know that with help and support, especially from a therapist, the issues you have can be resolved and new ways of coping can be learned. Good luck!"
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: People do cry in therapy sometimes, but it's not at all necessary to cry in order for most kinds of therapy to be helpful. When you start counseling you don't yet know your counselor very well, so it's normal to keep your feelings in check until you feel comfortable and a bit more relaxed with your counselor and with the situation. Sometimes, though, there are emotions that have been waiting and waiting to finally find someone who will listen with a kind ear. If you feel safe right away in the situation with your counselor, you might just cry in spite of your fears about it. Your therapist is used to people expressing how they feel and will keep strict confidentiality, so even though it's embarrassing, finally experiencing someone truly listening with empathy and kindness may just be worth it. It's okay too to let your counselor know right at the beginning that you're kind of freaked out about getting too emotional in front of another person."
"Instruct: I been having anger problems a lot lately. It only takes one word wrongly said to set me off. I use to not be like this until I got with my soon-to-be husband. I think his mood and rage/anger problems have rubbed off on me a lot. I don't get nearly as bad as he does, but I yell almost constantly and I can't seem to just stop. I have two young babies that have to hear this, and I don't want my girls growing up with a mommy like I have been lately. I just don't know how to get back to my old self.
Output: With me knowing that a healthy relationship usually includes respect, trust, appreciation, companionship, spiritual solidarity, domestic support, feeling of being cherished, and  sensuous affection, I am wondering if you are lacking in several if not all of these needs in your present relationship.  Before he becomes your husband, you should examine these areas and see if they are high in rating.  Otherwise, yes this relationship will affect your girls and you negatively.  I would suggest relationship counseling, specifically pre-marital.  Not be surprised if through the process you realize that this relationship is not the best choice for you and your children. "
"Instruct: I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
   What is wrong with me, and how can I stop having these thoughts?
Output: Life is beautiful without unwanted thoughts and stress. With proper strategies and tools it is possible to regain control over your thoughts. I guess you are just having ""thoughts"" and not actually ""hearing voices""? My suggestion is to see a therapist and go from there."
"Instruct: Every winter I find myself getting sad because of the weather.  How can I fight this?
Output: "
"Instruct: 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.
Output: If you are a people-pleaser type or a natural caretaker, you can slowly ""lose yourself"" over time if you are always tending to the needs of others and neglecting yourself.  If this sounds like a familiar pattern for you, this may have happened without you even realizing it if you were raised in a family where you had to pick up the slack alot.  Maybe your parents were addicts or they might have even just worked all the time and you learned to ""take care of everything"" because that is what you had to do to help the family run smoothly. Over time, a person who grows up in this type of environment learns that you put the needs of others before your own.  You might also be stuck in these types of patterns in intimate relationships as well; if you completely give yourself over to your significant other and you don't create a life for yourself with your own interests and supportive friends, you are at risk of losing what is unique and amazing about you.  If you grew up in a family where you learned this role out of survival or because it was needed to take care of your family, it's easy to re-create this in adult relationships.In both scenarios, if there is no awareness that this ""self sacrifice at the expense of others"" is going on, your identity is shaped around being a caretaker/enabler/people-pleaser and down the road it can lead to depression, low self esteem, and a confused sense of self.  Basically, you spend so much time helping other people that you don't make time for yourself or create a life of fulfillment.  Before you realize it, you have been living a life for others instead of yourself and you have no idea who YOU are.  Supporting loved ones and friends is important and certainly admirable, but if you are always that person that rescues, those that rely on you begin to take advantage of you and they will suck you dry if you let them.  In conclusion, learning to set boundaries with those in your life that are too needy becomes a really important part of the process when you begin to recognize that you are unhappy and unfulfilled in life.  It sounds like you may be at that crossroads right now.  Take one small step at at a time.  Identify the worst offenders in your life that suck time and energy, and limit your contact and/or set some strong boundaries with those people so you can refocus and do some soul-searching.  Meanwhile, engage in pleasurable activities with people you enjoy being with, get yourself outside in the fresh air, get some good sleep, and eat some nourishing food!"
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Oh, crying in therapy is very normal! I have a stack of kleenex boxes in my office. Cry away, therapist are very used to it:) First time being in therapy is scary, but you'll soon know if you are a good match."
"Instruct: I always feel like I'm doing something wrong. Everything I do is crappy. I want to cry all the time. I can't eat or sleep.
Output: You are describing some of the most common symptoms of depression: low self esteem, difficulty sleeping, changes in appetite, sad mood, feelings of hopeless and feelings of worthlessness. A full assessment/evaluation with a mental health professional is warranted to understand if indeed you meet criteria for a Major Depressive Disorder i.e.., are delressed. One thing I often tell patients is that ""Do you think you are depressed?"" People often answer yes or no, but many individuals respond with a question: How would I know? To that I often explain that if I stopped watching movies or better, stopped enjoying watching movies that would be a clear indication for me that I am delressed. It would be a sign that I have lost pleasure or interest in the activity that I typically enjoy most . I'll ask you to think of one activity which you really really enjoy.  It could be anything from reading, to being with friends, to skiing to watching tv.  I would like to now ask you if you have stopped enjoying that activity or can't find the motivation to engage in it? This is another symptom of depression: loss in pleasurable activities. The good news is that there are many effective, available treatment if you are indeed in a depression or simply, you want to modify/decrease your depressive symptoms i.e., you want to stop feeling so tired and so worthless. Treatment includes one or more of the following: psychotherapy, medication, exercise. Any one or combination of both of these can help to improve your mood. The even better news is that feeling that you are doing something wrong can diminish with appropriate treatment over time.  I hope you find this information helpful. The most important next step is to get evaluated by a mental health professional typically a psychologist or psychiatrist, and for both you and the professional to better understand your symptoms and your mood in the context of what is going on in your life."
"Instruct: I think I'm annoying and bothersome, but my girlfriend says I'm just fine. I don't think so, I think I'm stressing everyone else out
Output: Interesting:  How much of your issue is your own self-judging and how much of your perception is real?There are many ways to stop judging and self-judging using Cognitive Theory (CBT).  You could find a (CBT) counselor/ therapist to help you reduce your judgments.  In addition, I've written extensively about this in my book, LIVING YES, A HANDBOOK FOR BEING HUMAN (www.LivingYes.org).  I recommend you visit the webpage and pick up a copy.As to your own perception:  You seem okay being who you are, and your girlfriend agrees.  Instead, you appear to be upset by your own guess at what others may be thinking. That's a trap that stresses a lot of folks out.  Consider this:  Many happy people don't mind what others think of them.  And consider this:  Many heroic characters in literature and movies are unlikeable.  (""Colombo"" is annoying and bothersome, but we love him.  So is Johnny's Depp's Jack Sparrow and many of the roles played by George Clooney, Sandra Bullock, and Jack Nicholson.)  Would it be okay with you to be an ""antihero"" in your own life?  If you don't want to be an antihero, you have the power to be the person you want.  Your behaviors and thoughts are completely under your control.  What other people think of you is not under your control.  You are completely in the driver's seat here.  The choices are all yours.  Enjoy who you are, and use your will power to make yourself who you want to be!  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org)"
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: The first step to change is to admit that you have a problem that is in need of change.  Frequently our problems keep us in denial.  Although feeling hopeless is an uncomfortable feeling, it suggests to me that you know that you can not do this alone.  The best course of treatment for you is to treat all of these problems together.  Alcohol detox can be very dangerous so it is important that you do this under the supervision of a medical provider; preferably someone who specializes in addiction.  Know also that although marijuana may not appear to be as big as a problem as alcohol is, it will cause you to have an increase in alcohol cravings so complete abstinence from drugs and alcohol is needed. I really recommend an inpatient stay for at least 30 days for anyone who is dealing with addiction, whether combined with mental health issues or not.  If this is not a possibility, then the next best thing would be an Intensive outpatient program that treats both addiction and mental health issues.  Know that there is hope for what you are experiencing.  You can get control over these issues.  The next step is finding the team and/or facility that is going to help you do it."
"Instruct: I just had a newborn. When I brought him home, my mom told me to leave. Now I'm in a women's home. I don't see my boyfriend that often because he works. The women's place is helping me find an apartment so I can go back to work and get child care.
Output: Congrats on the birth of your son!Was your mom's request for you to leave her house, one which she asked awhile ago or was this her greeting when you walked in the door?My question is whether your mom had some changed circumstance in her life, whether she and you discussed living arrangements prior to your son's birth, or whether nothing was talked about, you assumed you'd be living with her, she assumed you wouldn't, and the two of you didn't speak to one another about any of this.Depending on the answers, there may be clues as to handling future expectations of others, especially your mom.From what you write, the women's home is supportive of your basic daily living needs.   It is good news that the people who run this home know and offer community resources.In your interactions with the staff of the women's home, ask all the questions necessary so you'll have a clear understanding of the apartment lease, anything at all that is on your mind about becoming employed and finding childcare.The point is to have all the major steps you're about to start, addressed.This way, you'll be minimizing the possibility of any sudden bad news by the women's home, told to you.Sending lots of good luck!"
"Instruct: I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal.
Output: As far as the formal diagnosis of depression goes, it would be hard to determine without more information. It sounds like you are noticing that there is a significant difference between how you are feeling on the inside and how you express yourself outwardly. Part of you is quite distressed and yet it remains invisible to the outside world, almost as if it is trapped inside of your body. Many people who are depressed experience such things as intrusive thoughts, emotional numbness, difficulty expressing themselves, and bodily tension (caged animal?). In working with a competent therapist, you may be able to get more insight into what you are going through, the nature of the disconnect between you inner feelings and outer expression, and eventually gain relief from the distress as well as a greater sense of connection with yourself and personal freedom."
"Instruct: 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?
Output: Therapy does not work overnight, oftentimes it is a lifelong struggle, the therapists job is not to ""cure"" you or to remove something but rather to make you strong enough to live your life with your own peculiarities and struggles, remember we are human and constantly fallible. Another important thing to note is that although you go to therapy, that is just a room, most of the magic and work takes place in your real life outside of that room."
"Instruct: I was in a car accident and totaled my car. I gave up my job of nine years to pursue school full-time to better myself. I failed a class, and my boyfriend that I live with thinks I’m stupid and wants to break up with me. I have nowhere to go, and I feel like I’m losing everything.
Output: When we feel overwhelmed by life situations, it is important to understand where the feeling is coming from.  Once we understand the source, it is important to normalize the situations that got us there and find balance in our lives.First, car accidents are common, and since they are accidents they are not a reflection of us.   When we have an accident we feel anxious, worried, and may have some trauma after the accidents.  If you have been experiencing anxiety since the car accident, talk to your doctor or therapist about it.  Second, a lot of people fail classes, tasks, deadlines, etc. but they don’t give up on their goal.  We have to remember that failing is part of the learning process, and having the courage to try again is what gives us determination and character.  Remind yourself what motivated you to leave your job, and the courage and determination that took to do so, then channel that energy back into school.  Third, when we have problems in our relationships, is helpful to look for ways to improve communication, discuss our concerns and how we want to resolve them, but it may be that the relationship needs to end if there isn’t enough interest in one of the parts or if there’s verbal or emotional abuse.  Consider talking to your boyfriend and set some boundaries regarding appropriate communication.At all times:  focus on being kind to yourself and improving your self-esteem: increase self-care activities, do more things that you enjoy, meditate in what gives you peace and make an effort to have more of that in your life.   At the end, you are the one in control of your life, and you determine who you become.¿Qué puedo hacer cuando siento que mi vida está fuera de control?Estuve en un accidente de auto, y fue pérdida total.  Deje mi trabajo de 9 años para completar un grado a tiempo completo.  Falle una clase, y mi novio piensa que soy estúpida, el quiere dejarme.  No tengo a donde ir y siento que lo estoy perdiendo todo.Cuando nos sentimos agobiados es importante reconocer donde estamos parados y entender de donde vienen esas emociones.  Ya que entendemos la fuente de agobio, es importante normalizar las situaciones que lo causaron, y volver a encontrar el balance en nuestra vida.Primero, los accidentes de auto son comunes, y por ser accidentes no son un reflejo de nosotros o nuestras destrezas.  Cuando experimentamos accidentes no s sentimos ansiosos, preocupados, y puede que experimentemos algún trauma.  Si sientes ansiedad, extrema preocupación habla con tu doctor o terapista al respecto.  Segundo, muchas personas fallan clases, tareas, fechas de entrega, pero no se rinden.  Tenemos que recordar que fallar es parte del proceso de aprendizaje, y tener el valor de intentarlo de nuevo, es lo que nos da determinación y carácter.   Recuerda que te impulsó a dejar tu trabajo y canaliza esa energía en la escuela.  Tercero,  cuando tenemos problemas en las relaciones, es importante comunicar nuestras preocupaciones y diferencias, pero puede ser que la relación termine si no hay interés mutuo o si hay algún tipo de abuso.   Considera hablar con tu novio y establecer límites respecto a la comunicación apropiada.En todo momento: enfócate en cuidarte a ti misma y mejorar tu autoestima, aumenta las actividades que te ayudan a sentirte bien, medita sobre lo que te paz y pasa más tiempo practicando esas actividades."
"Instruct: For my whole life, I’ve been very unconfident, insecure, and self-questioning. I'm super quiet because I'm scared of what people will think of me. I avoid all social situations as it causes me great anxiety. It is how both of my parents have always been, and I feel like I'm doomed to that life also. It makes it super hard for me at work as the other employees try to use me and walk all over me because I’m too nice. It causes me depression and brings me down. I’m in my early twenties, and I really need to create a better life for myself. I've been like this for so long, so how do I change?
Output: One of the greatest ways that we can promote ourselves s by learning how to assert ourselves.  Despite what most people think of when they hear the word assertive, assertive communication is one of the best ways to manage interpersonal conflict as well as maintain personal boundaries.  Once we become comfortable with acknowledging our boundaries, there is usually a follow-up whereby we realize that we have the right to those boundaries.  In effect, assertiveness communication becomes it's own self-motivating force in managing positive self-esteem. You may want to invest in a workbook that can help you to develop these skills on your own, or work directly with a therapist to develop them in a safe situation.   One of the Workbooks that I have found to be very helpful is, ""The Assertiveness Workbook: How to Express your Ideas and Stand Up for Yourself at Work and in Relationships"" by Randy J Paterson."
"Instruct: She is living with her boyfriend of seven years. He is in therapy for depression and social anxiety. He hasn't worked in all this time.
Output: Congrats on your upcoming grandchild!Does your daughter want you to break news of her pregnancy, to the family?Talk with your daughter first, whether or not she would like you to tell other family members.Also, given the other facts you mention in your post, if household and financial management are areas you feel your daughter is vulnerable, then bring up these topics too.Stay open minded about your daughter having views which are different from yours."
"Instruct: Does counseling really do anything that can help people?
Output: Counselling offers a number of ways to help one to improve their situation.  For some, this process can take a very long, winding path of self-discovery, while, for others, they are seeking a purposeful, solution-based way to approach and manage a specific problem. It's important to remember that there are different styles of therapy, some of which will work great with some, but poorly with others, specifically to help those to decide how they wish to move forward. I often recommend speaking with a number of therapists before beginning treatment to find out more about how they practice, in order to make sure their style aligns with your goals. On a more specific note, there is myriad research out in the world that indicates both counselling and medication can have an affect on changing our moods and behaviours.  However, medication is not an effective way of treating the problem, as it treats the symptoms of that problem (increased anxiety, lowered mood, etc.) and research has shown that the most effective route for better mental health care comes from a combination of counselling and medication. "
"Instruct: 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.
Output: Do you think you're abusing xanax?It is a highly addictive drug so maybe one reason you feel compelled to take more is bc you already are addicted.Drugs don't do anything helpful in solving life's problems.   Once the effect wears off, the stressful situation is once again waiting for you to address it.Think over your reason for not directly asking your psychologist about upping your dose.Also, do you ever talk about your life problems with this psychologist or only your need for drugs?    The more gradual path to a better life is to not need drugs in the first place. This consists of your willingness to face the matters that are creating such terrible feelings inside you."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: I am sorry to hear about your daughter. Many of the youth I see in my practice are going through similar behaviors and concerns. If she feels like she can talk to you about this I think that is a great place to begin. There are many life stressors that youth have to manage and seeing others on social media seems to exacerbate these feelings and can feel like even more pressure to strive for perfection. You may be able to offer her support by listening to and validating her concerns, reviewing all that she has accomplished and praising her for doing her best and not push that she needs to be ""the best.""If she feels she would like to speak to someone it may be good to find a therapist where she can vent her feelings and find a way to increase her coping skills. She may benefit from additional support outside the home where she can cry, learn to manage her worries and gain skills to triage the expectations of each day. She may benefit from skills that would help her to learn that she is enough already!"
"Instruct: Someone I care about told me I'm not teachable and I'm irritating. I just want to be happy and wanted to please the person, but I always fall short it seems.
Output: Pleasing someone certainly does feel satisfying.  If the other person does not appreciate your effort and good will then this feels dissatisfying.Offering happiness to someone does not include tolerating mean comments such as the ones you describe here.Tell the person that you are trying to please them and also tell the person that their comments are hurtful.If the person said their words with no bad intentions then next time they comment its reasonable to expect these comments to not hurt your feelings.Keep in mind that your good intentions may not be received in the way you intend them.  Some people, sometimes are insensitive or just plain not interested in being pleased by another person."
"Instruct: I'm a teenager and I get these really intense mood swings. 

My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out. 

Can you explain what's going on?
Output: Teenagers are prone to mood swings due to developmental and hormonal changes that are rapidly and intensely occurring in your body and mind - so some of this happens to many people in your stage of development. You are not at all alone.You've taken the first and very important step in regulating your moods by just identifying that you are having these intense changes instead of being completely submerged in them and unaware! The more you are able to be a witness to your emotions and thoughts, the more you can learn to manage them. Your question offers several clues for strategies that you can try - for example, identify the warning signs for becoming irritated and plan a response, such as taking a deep breath, informing the person you are becoming irritated and need some space, or find a distraction temporarily like listening to music or going for a walk. Since you are aware of blaming others for things not working out, you can proactively make a personal commitment to taking ownership or personal responsibility by just thinking about it and practicing thoughts such as ""I am responsible for my efforts"" and ""Blame is not helpful for anyone"" and other thoughts that you believe and can repeat related to this insight. When you practice thinking more rational, healthy thoughts, you are actually rewiring your brain, so practice is key!"
"Instruct: I had to go to the emergency room today to get an X-ray of my spine. My boyfriend didn't want to sit there and wait with me. Instead, he wanted to go do things for his friends while I waited. When I was done, he was twenty minutes late in picking me up. He doesn't understand why I'm mad, and we keep bickering at each other over the smallest things. He thinks I don't have a reason to be mad, but I believe that I do.
Output: It is extremely frustrating when our significant other doesn't understand our points of view. Often times, arguments are not the best opportunities to try and make a point, as strong emotions can get in the way of understanding others' perspectives. Try having a discussion with him about what is bothering you during a time when neither if you are upset or arguing. Communicate how you feel without placing blame and without yelling. Addionally, give him ideas of what he can do differently so that he understands what your expectations are. Lastly, consider seeing a couple's therapist who can assist with teaching more effective communication techniques. Best of luck."
"Instruct: Sometime when small thing happen, like losing a comb, I get furious. I even start throwing things. Do I have a problem?
Output: Anger does have its place.  When anger is experienced often or the magnitude of it does not fit the scenario, such as your losing comb, the question becomes, what does losing that comb mean to you?  In the very split second that you have realized the comb is missing, there is a reaction that occurs within you, accompanied by an image or thought that like lightening flashes so quickly that you may not be aware what it is.  As Sherry noted below, awareness.  Awareness is fundamental.  Becoming aware of ourselves and what is happening internal that sparks it off.  The next time you feel angry from a ""small thing"", stop and ask yourself, why am I angry that this is lost?  Find out what you are thinking or how you are speaking to yourself.  You will become aware and once you are aware, steps can be taken to alter the experience for the better. A professional can assist with that!"
"Instruct: A few years ago I was making love to my wife when for no known reason I lost my erection,    Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage.    I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to.    What could be causing this, and what can I do about it?
Output: Assuming there are no medical explanations for this issue, many men I've worked with on this come to see it as essentially a form of Anxiety. There is a phenomenon called the Yerkes Dodson Law (see below; source: Wikipedia), which basically states that if we feel either too much or too little stress, pressure, or nervousness about a task, it will adversely impact our ability to do carry it out successfully. The ideal amount of stress/arousal is right in the middle - not too little and not too much. This applies to more things than we might often realize - from giving a presentation, to ordering food, to making a free throw, to driving, to sexual intimacy as in this case. A common suggestion that many men find helpful is initiating open and honest conversations with their partners about this issue, and for a temporary period of time, agreeing to physical intimacy and sexual pleasure in other forms, and without the expectation of intercourse. There are many ways to go about that (which are outside the scope of this blog article), but this can be a path to connecting intimately and renewing physical bonding without unhelpful anxiety - and over time, can lead back to intimacy in all the ways that have become elusive. Best of luck."
"Instruct: I just lost my grandpa and i'm having a rough time with it.    I need some help to deal with the loss, but I don’t think I can pay for counseling. Where Can I get help?
Output: If you connect with your therapist and can say whatever you want to say and not be judged. If you feel like things, situations, your outlook are shifting for you."
"Instruct: What are the basic skills a good counselor needs to have?
Output: I think that the most important skill a good counselor has is the ability to empathize (whether that be natural empathy, or trained, empathy is essential.) A good counselor also knows the difference between identifying with their client, and empathizing with their client. An ability to not bring in our own baggage (we all have baggage and most are ""wounded healers"") into our work, as it's not about us. If it is brought in, it should be in only a way that can help a client.And to listen...specifically to what the client is needing."
"Instruct: Sometime when small thing happen, like losing a comb, I get furious. I even start throwing things. Do I have a problem?
Output: Anyone who asks whether or not they have a problem, usually feels at least partly, that they do have a problem.Your answer to the question is what matters.Since you already understand that your reaction is overstated to the events which trigger them, the reactions you're having are more than likely anger that is leftover from past events, either in the near or distant past.Be aware, consider, reflect on  how you usually handle feeling angry.  Based on your description here, it is quite likely that the anger you show toward what you call ""little things"" reflect anger at much bigger matters that are uncomfortable and not easy to understand.Knowing more about the more significant matters causing frustration for you, may very likely decrease reacting angrily toward smaller matters."
"Instruct: 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?
Output: 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."
"Instruct: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.
Output: What is the reason you wouldn't want your parents to know you are trying to find your way through PTSD?Would they believe that you've been traumatized?And, do you feel that your parents had a hand in creating your trauma?There is no need to tell your parents you have PTSD unless you feel that doing so will help you.   Maybe you intuitively realize that they don't want to understand or know about this.How did you come to the conclusion that you have PTSD?If you are working with a therapist, and a minor, then  the laws of your State dictate what information your parents can ask your therapist about you.If you are a grown person and working with a therapist,  you have complete legally protected privacy of what you talk about with your therapist.In any case, a good starting point is to know exactly your own reason for wishing to keep your psychological situation hidden from your parents."
"Instruct: Two years ago, I was separated from the military into my contract for medical issues. It has emotionally destroyed me. I now basically hate myself. It's embarrassing to be separated from the one place who takes anyone. My family has been in the armed forces, and it has always been my dream. I can't do this alone anymore, and now my family is even worried.
Output: It sounds like being separated from the armed forces is a major loss for you. It takes some time to work through the emotions related to this and it often takes longer if you are trying to work through it without a lot of support.Is there a task that you were doing during your military service that can in some way transfer into civilian life? I don't know what else your life involves, whether you have close friends or a romantic partner, a career, activities that you like to do, and many other things. You may be able to use some of the things that you still have today as a way to start moving forward in a different direction.Your military service will always be a part of you. Thank you for your service."
"Instruct: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?
Output: First of all, my heart goes out to you. Infidelity is an extremely challenging obstacle to overcome. There are some things that you should consider. First of all, did he seem truly remorseful? If you felt in his heart that he was truly sorry for what he had done, it will give you a piece of mind that it was a  mistake. Secondly, was he forthcoming with this information? How about with answering your questions after the truth was uncovered? If you found that he was still lying or not forthcoming, the sting is even more painful. He should be able to answer any question you have honestly and without hesitation.Thirdly, has he shown a positive difference after this experience? At this time, he should still be proving his faithfulness to the marriage, you and the children.Keep in mind that experiencing infidelity is a form of grief. It is not a quick process that can easily be overcome. What you are experiencing is 100% normal. My best suggestion would be to see a marriage therapist. Find out what drove your husband to cheat in the first place and decide if this aspect in his life has been resolved. I know its important for you to keep your family together but children can sense anger and frustration, this is not a healthy environment either. If you decide that you can no longer remain in the relationship, a therapist will also be able to help you cope with the separation along with addressing your children's needs.Please know that you are not alone and that unfortunately, many relationships have endured this very thing. It may also be helpful to reach out to people who have experienced similar obstacles. The web is a great resource to find groups whether online or in person to use as a support or sounding board.Best of luck to you and your family!"
"Instruct: I started dating my fiancé two years ago. My first cousin is married to my fiancé’s sister. There has always been a communication issue between my uncle and aunt and my cousin and his wife. My uncle goes to my mom instead of talking to my cousin, and it upsets my mom.
Output: When you're upset about something, the first question you can ask yourself is ""Whose problem is this?"" It is amazing how many problems will disappear right at that point, because you realize the problem isn't even yours. You can't fix everything in your family. You are starting a new family of your own, and it's time to create a protective bubble around your family unit that keeps other people's issues away. I tell myself ""Not my pig, not my farm, not my problem."" When you stop trying to take care of other people's problems, they are more likely to step up and deal with it themselves. :)"
"Instruct: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.
Output: Every area in a relationship, including intimacy,
experiences a decline after the initial honeymoon period.  Couples have to work to maintain the spark.  Find a moment to talk to your husband about
your concerns, and suggest ways to rekindle your sexual life, be open to listen
to his concerns and demands as well.  But
don’t forget that sex the fun part of being with someone, play, flirt, joke and
keep looking for ways to continue falling for each other.  Mi esposo solo tiene relaciones
conmigo una vez al mes o menos.  Me
siento rechazada y frustrada.  Esto no es
nuevo.  El primer mes que estuvimos
juntos, teníamos sexo casi todos los días. 
Luego se redujo a una vez por semana. 
Amo a mi esposo, pero esto me causa dificultad.Todas las áreas
de una relación, incluyendo la intimidad, sufren altas y bajas luego del
periodo de la luna de miel.  Las parejas tienen
que trabajar para mantener la chispa.  Encuentra
un momento para hablar con tu esposo sobre tu preocupación, y sugiere maneras
de reencender su vida sexual, está atenta a escuchar sus preocupaciones y
sugerencias al igual.  No olvides que el
sexo es una de las partes más divertidas de una relación, jueguen, coqueteen,
bromeen y continúen buscando maneras de enamorarse otra vez."
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: I'm sorry for the hurt you're feeling from your husband's decision.Keep in mind that if one partner does not want to be in a relationship and remains in it, then both people will be unhappy, dissatisfied and feel stressed.Imagine being in a relationship that you'd rather leave.All the negative feelings and resentment of being with someone whom you'd rather be without, would not leave very much energy to satisfy your partner.I'm glad you realize that you feel depressed.Depression is a mood that can change once you understand what is causing it.Depression is an area that very often therapists help their patients understand, and emotionally support and encourage them during the course this takes.For now, concentrate on decreasing the tension in your life.  Your husband's indecision may very well be adding to your stress.Only he can make up his own mind.As hard as this may be, all you really can do is take care of how you feel so that you will feel better.From what you write, your husband is too unsure to offer you the love and care you'd like from him.Learning to love oneself is always worthwhile.   At this stage in your marriage, now sounds like an ideal opportunity for you to teach yourself self-love."
"Instruct: I've been suppressing it for quite some time, but there are days when I can't make eye contact with her. I think she knows, and we both admitted there was some type of vibe, but the overall discussion was vague. I think she could possibly be dating someone that works with us. It's driving me crazy. As an act of expression, I have purchased a gift for her that's personalized. I haven't given it to her yet.
Output: Human attractions can be tricky things, and in this case - a power dynamic. In the workplace, a boss usually has the power to hire, fire, set schedules, approve vacations, and evaluate performance. Because of this power dynamic, most employee handbooks expressly forbid supervisors and their direct employees being in a romantic relationship. Perhaps you should check your employee handbook.  It is possible that if you or your supervisor act on your feelings, one of you might have to be reassigned, or if no reassignment is available, asked to resign. While you may be attracted to your boss, and your feelings may be strong, it might be in your best interests to resist acting upon them."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: The most important thing is it has to feel right.  While that sounds vague and not very scientific it is the most important part of therapy.  Us counselors call it therapeutic rapport and without it therapy is not very effective.  You want to know you can trust your therapist, that you are not being judged, that they respect your privacy, that you feel comfortable talking to them about the good and the bad.  You want to feel heard and know you therapist is genuine . Not all therapist are a good fit for everyone.  Go with your gut :) As an added note I recommend going with a therapist who has done their own therapy!"
"Instruct: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out.    How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do?
Output: It would be my professional opinion that the desire for you to keep it a secret at all, while yes I could see it as ""giving you a chance with a girl,"" is something that might be more about a discomfort for you. If you are comfortable with your kinks and fetishes (if I may call it such, not my intention to pathologize in any way though), then be as open as you want to be. But I also don't know that you need to be announcing it as part of your online dating profile (because you do say it ""bothers girls I ask out"" which to me implies that that is what you're leading with.) My hope is that people don't make dating decisions based on your kinky behaviors, but more likely that they would make decisions based on your own comfort and security with said kinky behaviors."
"Instruct: I've been with a man for four years. For the last year, he has said he is done, but he still talks, texts, visits, and has not moved on with anyone else. His words do not match his actions. I love this man, but it's hurting so much.
Output: Have you brought up the topic as to the way you're feeling?The best way for someone to understand us or to understand someone, is to directly talk about  the specific problem.To start the discussion w your partner, understand your own reasons for continuing the relationship.Given his stated disinterest in the relationship, your mood is probably affected by this.Once you are clear on how the range of your feelings, especially any fears on being alone, suggesting you may be staying w this guy simply to avoid such fears, then you'll be ready w your self-knowledge, to start a conversation w your partner about your relationship. "
"Instruct: When having sex I think of other men and want other men all day long. Been married 3 years, together 14. What do you think?
Output: Sustaining passion in marriage is tough stuff. It's a relatively modern dilemma you are facing with perhaps unrealistic expectations of what marriage ""should"" be. It sounds like your definitions of love and sexual passion have merged together, that's both common and confusing! Intimacy and sexuality within your marriage are bound to ebb and flow. Resparking your passion will involve growing. Using your sexual drama and fantasies as windows into discovering your needs (security) and wants (desires). Marriage is a people growing process; you mature into one another and to achieve fulfillment your continued development will be required. "
"Instruct: 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?
Output: It takes a lot of courage to go to therapy.  I have gone myself as a Counselor and know what that feeling is like. This is normal but hopefully you have become more comfortable with your therapist. This might be something to bring up to your Therapist and openly discuss (scary to do but its ok) this may even relieve some of your anxiety.  If it continues, you may want to consider trying another therapist as this one may not be the best fit for you."
"Instruct: 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?
Output: This is a difficult situation to be in, as it sounds like you are feeling very isolated from both your family and your friends.   I don't know your age or gender so please excuse any incorrect assumptions about you being under 18 and use what is useful from the ideas if you are older.  One idea is to research online to find a therapist or a local clinic that has a therapist who is a ""Gender Therapist"" or a ""Gender Specialist.""  Most therapists who are transgender affirmative also have other specialties and do general therapy.  Though I don't think lying to your parents is a good idea, if you feel you truly can't talk to them about your gender, then perhaps you can find a therapist with a specialization in gender identity who can help you cope with your gender dysphoria.  You can let your parents know that you would like to see that particular therapist for other reasons, such as anxiety/worry, and that you researched them and liked their website.  Work to find a therapist who takes your parents insurance if you can.  You can also talk to the therapist on the phone first, before you talk to your parents about scheduling the first therapy visit. Therapists can help you learn some ways to manage feelings of worry, shame, and fear related to gender dysphoria. Depending on your family situation, many therapists will work to help you learn skills to safely communicate with your parents about what is troubling you.  Your parents may actually surprise you and be more accepting than you think.  Usually when parents learn that you are suffering, they want to be open to learning how they can help you, even if awkwardly at first.Reframing is a tool that helps you think about your situation from other perspectives.  It's kind of how you can look at the same picture with a different picture frame and it makes the same picture look a little different.   Keep in mind your situation is probably temporary and think about in the context of your whole long life (can you tolerate another 2 to 4 years living like you are if you have another X number of years to live?).  If you are living at home, you will eventually be more independent and be able to make more of your decisions about your gender expression. Keep the idea in mind the concept that is popular in mindfulness classes I teach, that ""This too shall pass"" or ""This is only for now"" when you start to feel hopeless. If you start to over focus on your gender or body issues, try to distract yourself with things that make you feel happy (your pet, music, art, sports etc) or stay busy.  If you can, find any GSA or LGBTIQQ youth group that you can attend confidentially, further away from home, to get some support.  Work to find an ally, one person, that you can talk to about what you are feeling. Making new friends online through social media can sometimes be a start in breaking down the isolation you feel. Another idea, if you are under 24 years old, there is a phone line (866-488-7386)  to call in case you are ever feeling you are in crisis.  You can also text chat! Trevor Project: http://www.thetrevorproject.org/There is also a trans teen online chat group if you are 12-19 http://www.glbthotline.org/transteens.htmlIf you are an adult you can get numbers to call in your state if you start to feel suicidal:http://www.suicidepreventionlifeline.org/Day to day, can you creatively work on your gender dysphoria?  Yes!  Are there ways you can focus on parts of your body you love?  Can you focus on that when you look in the mirror?  Are you a writer?  Can you write stories or poetry about the life you imagine for yourself in the future?  Can you do small things that help you get more in touch with your gender day to day like making small choices about your clothing, like wearing clothes that are more unisex,  that only you know are gender related but others won't notice?  You cannot force others to accept you but you can work on your self-acceptance and self-compassion. That work is something that is best done in the company of others like you as well as with at least another person who gets you and whom you can trust.  Good luck to you!  "
"Instruct: My boyfriend has a child he gets every other weekend. He goes to see her twice a week or more. Every time she leaves, he gets into these funks like when his mom died. When she’s here, she’s disrespectful, and his answer is “Well, I don’t know what to tell you.” She swears and talks back, and he laughs. He and her mom have been apart for three years, and he blames her behavior on that and her being so young. We never have adult time when she’s not here. She’s the ""golden child,"" and he won’t listen to anyone.
Output: Hi Lockport, Building a relationship when there are already children involved is very tricky. You don't tell us whether you live together or not. If you do, your position is perhaps more difficult, because his daughter's behaviours affect you; you live in the home. A bottom line for me is you don't tell someone else how to parent. That's for your boyfriend to decide. When he's there, he's the parent, and he makes the decisions about how she is disciplined (or not). Even if you have good ideas or you completely disagree, or you think you see something that he's not seeing, it's simply not for you to interfere there. It sounds like your boyfriend is struggling emotionally and needs support. He has had a lot of losses in his life and maybe every time his daughter leaves he feels powerless and abandoned. Do you talk about these things? Can you find that line of supporting him but not telling him what to do?Although I suggest you leave the parenting to him, what you can do is tell him what you see, offer suggestions if he's open to it, and talk about the ways in which the situation affects you. It makes sense to say ""I see you struggling and I don't know how to help"", ""I've noticed that you seem afraid to discipline her. Are you aware that it's coming across this way? Do you need help?"", or ""I feel sad and frustrated when we don't spend any time alone together."" You sound a bit resentful of his daughter. Is it possible that your real struggle is about whether you're ready to be in a relationship with a man whose priority is his child?You have a voice, and it's great to offer support and ideas and let him know how you feel. Ultimately, however, you are wise to accept this man as who he is and accept the situation for what it is, and make your own decision about whether you want to be a part of it. :)"
"Instruct: About a month ago, I went through my boyfriend’s phone and found him messaging his ex-girlfriend that he was dating before me. He gave her a promise ring when they were together, and he still had it hiding in his memory box in our son’s room. I found many things on his phone, but that broke my heart the most. He deleted all the messages but two. I can't help thinking they were talking about the old times together or something like that. It really kills me, and I can't stop thinking about it.
Output: Your sense of hurt is very understandable.Do you and your boyfriend have an agreement on looking through each other's phones?I ask because the overall problem sounds like lack of trust and that there may be a difference in what each of you wants and expects from your relationship.Probably if the two of you talk about these topics and you each become clear as to the commitment status of each of you to the other, you'll have more clarity as to what either of you would like from the other.With this new level of clarity, his  past relationship involvements will likely be less meaningful .Once you have clear definition of the two of you as a couple, who he was as a past partner to someone else, will matter very little."
"Instruct: What makes a healthy marriage last?
Output: A resource I think is helpful to learn more about ""what makes a good marriage"" and steps toward doing so is Dr. John Gottman's book: ""Seven Principles for Making Marriage Work."" Dr. Gottman is a leader in this field and has done extensive studies with couples to determine what behaviors are key in making a marriage work and what behaviors could predict divorce. I think this book might be a good start if you're wanting to learn more about how to have a long lasting relationship. "
"Instruct: I live a normal life. I have tons of friends and family, but I feel lonely.
Output: This may be happening because you and the others are not connected to each other on a level which reaches your emotions.Loneliness may show the absence of feeling a variety of emotions when you are among others.How many friends you have doesn't affect whether you and someone else feel emotionally engaged with one another.Consider if you feel like concentrating your friendship on more intensively sharing your feelings with a few of your friends.This may lead to fewer friends who are also more meaningful to you and your feeling a decrease of loneliness."
"Instruct: 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?
Output: It is absolutely a typical response.  Many of my clients are nervous the first couple of times we meet.  This is essentially a stranger with whom you are sharing your feelings."
"Instruct: Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her.  When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand?
Output: Open and honest communication can go a long way in situations like yours. Your girlfriend may be suspicious if you don't give her enough information. Answer her questions fully. Ask for her suggestions as to how to handle this female friend. Ask for your girlfriend for help in getting the female friend to understand that you are not interested in continuing the friendship. If you are honest with your friend, your girlfriend will probably feel like you are being honest with her. "
"Instruct: When my boyfriend gets in a snit, he gives me the silent treatment for days. When I ask what is wrong, I get nothing: no reply, no phone call. If he does reply, it is something very sarcastic and hurtful. He never admits he is wrong and never apologizes.
Output: Try during a good moment between you to tell him you'd like to talk over something about your relationship and that you'd like to set a time with him to do so.When a person shuts down and withdraws, the only choice is to withdraw yourself.   If this continues on a regular basis, after a while the two of you will become increasingly distant and have developed the very unhappy habit of not clearing the air between the two of you.Good for you to recognize a problem and be willing to address it!"
"Instruct: 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?
Output: ""Normal"" can be an insidious word to use because it can undermine your sense of worth.  It implies there's one particular way you should be behaving and can leave you feeling crappy and ""abnormal"" if you're not behaving according to that prescribed standard.  Instead, what I'd recommend is to pay attention to your emotional experiences when you're attending therapy.  Explore your feelings and thoughts without judgement and try to reflect and understand what's going on that's causing you anxiety.  Once you figure out the underlying meaning of the anxiety, you can figure out a way to handle it and action steps to take to diminish it."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: For many people, crying is a stress-release valve. It is perfectly OK to cry in counseling!"
"Instruct: Every time I speak, he says I anger him. Also, when he’s mad at something, like work, he gets angry at me. I feel like we’re so distant from each other now. We used to laugh all the time, and I feel like he lets too much negativity in. What should I do? We've been married for two years but together for seven.
Output: Hi, Newark. It sounds to me like your husband is going through something, and I think you understand that. You might feel very helpless, sad, and disrespected at the same time. He's changed. It's unfair for him to blame you for his emotions. His mood issues are about him, not you, and he's either not recognising that or not taking responsibility for it. Are you respecting yourself here by drawing appropriate boundaries? You can let him know when you feel disrespected, and what's not okay with you.He may be experiencing depression, which often shows up as irritability in men. It could be that he's not telling you something, or he's unaware of his emotional processes. You can try a ""I'm really worried about you. You don't seem happy and I don't know how to help you. Some things are happening that aren't okay with me. Will you see a therapist?"" approach. Perhaps you could go with him the first time?  It's about a combination of compassion, self-respect and seeking professional help, I believe. I wish you well. "
"Instruct: I have been dating my boyfriend for a month, and we want a baby. We don't work or drive, and we haven't talked to our parents. What should we do?
Output: Hi Athens, When a teenager wants to have a baby, it's usually for a specific, and not healthy, reason. Do you maybe hope that a baby will cement your relationship? It doesn't work that way. Do you yearn for a person who will love you deeply? Babies don't give to us; we give endlessly to them. I urge you to talk to someone you trust about why you want to speed up your life by being a parent before you are fully grown emotionally. A relationship that is one month old is not stable enough to support a change like this. You're only starting to get to know each other. I wish you well and hope you talk to someone."
"Instruct: I am a teenager, and my brother is a few years older. He has a girlfriend who is always with him. He never hangs out with me anymore. We were really close, and it is making me really sad.
Output: Hi Zionsville. It's so sweet that you have a special relationship with your brother. You will ALWAYS have that, you know? He's doing what's natural at his age...spreading his wings and looking for love. You may be heading into that zone soon too, but I get that it's weird that he's there before you, and you miss him.Try to respect your brother's autonomy, wish him well, be friendly with his girlfriend, and it's also okay to say ""Hey, bro, I'm still here. When can we hang out!?"""
"Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?
Output: You're in a difficult situation and on behalf of you and your child, I commend you for trying to find the right thing to do.Short version: your child needs you as much as possible. period. Always. We used to think that children were almost always harmed by divorce, unless there was extreme conflict or violence. More recent data shows that children are not necessarily harmed by divorce if they keep both their parents. In other words, the damaging part is losing half of themselves and losing the value of being connected to everyone who loves them, especially the other parent, in addition to the extra benefit there is from the other parent's perspective, strengths and so on. The best thing for your child is for you to be available and loving and doing everything possible to allow the child to be whole - a person who incorporates BOTH parents. It's a tragedy for everyone to use a child to achieve adult aims, like getting back at a former spouse. In such a circumstance, your child needs you more than ever. If you and your wife have different rules and so on, your child will learn to adjust and adapt, just as they would if you remained in the household. A child quickly learns that they talk to mom about x,y,z or get away with whatever, but has different rules with dad. He/she will not be too confused in the long run. Please stay the course in dealing with a difficult ex-wife for you and your child's wellbeing. Best of luck to all."
"Instruct: 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.
Output: Anxiety and Depression are challenging experiences to live with and to manage on a daily basis. I would say that both are challenges to overcome but solutions to living healthy and well exist. Step 1: Talk about it. With friends, family, partners, counselors, and other trusted people in your life. Step 2: Create a plan with a counselor to learn new skills that help you recognize and manage your symptoms. Step 3: Don't give up. Working on yourself can be difficult and hard at the beginning. Stick with it and you will be able to find exercises, tools, and resources that help you live well. "
"Instruct: They're calling me names like hypocrite and a baby even when they act in the same manner as I do. I'm tired of being called names. What should I do?
Output: It sounds like your confused as to why your friends would be calling you a hypocrite when they act in the same manner, correct? Communication is key to any relationship. I would recommend speaking with your friends face-to-face to address why they feel your behavior is concerning. In-person contact is the best method of sorting out differences considering texts, emails or any written response can be misconstrued. Be upfront with them and let them know that being accused of hypocrisy is hurtful and you feel it is unfounded. If after speaking with them you feel that they have valid reasons for the way they are feeling, maybe you can consider modifying your behavior accordingly. Especially if this friendship is valuable to you. However, make sure they are aware that there is a respectful way to address these issues and name calling is not one of them. On the other hand, if you feel that their reasons are indeed unfounded, it may be best to distance yourself from the relationship. Not all friendships are healthy ones. And it is important that you surround yourself with people who are an asset to your self esteem as opposed to those that hinder it.I hope you are able to get this matter sorted. Best of luck!"
"Instruct: My girlfriend was abused as a child. Now, if I hug or touch her in any kind of way she says she feels as if she is being abused as a child. What might be going on?
Output: Thank you for your question.  I think it's wonderful that you are approaching this with openness and curiosity.  The reaction you are describing is extremely common in survivors of abuse.  What you said is insightful...when you touch her ""she feels as if she is being abused as a child.""  From your description, I would agree that in those moments she is re-experiencing something that happened in the past as if it is happening right now.  Re-experiencing or reliving traumatic experiences is a key symptom of PTSD.If you are seeking to better understand what is going on for her, I would highly recommend Bessel van der Kolk's book the Body Keeps the Score.  This book also discusses effective treatments for overcoming trauma.  Best of luck to both of you,Sarah"
"Instruct: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out.    How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do?
Output: While this might not be the first thing you want to discuss when you meet someone, it is important for you to be yourself.  It's better to weed out 10 people who can't accept you to find that one who can."
"Instruct: Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me.
Output: Hello, and thank you for your question. Guilt is one of those things that nearly everyone has experienced at one time or another, and it can feel like a huge weight around your neck. Unfortunately, it is unlikely that we can give you some words of wisdom that will make it all go away. However, I will give you some ideas and hopefully this will help.One of the things that we know about guilt is that it doesn't usually do much to help us in the long-run. People may make changes for a short-term period of time because they feel guilty about something they did, but usually they will go back to their old behaviors if they don't have something else to help them change permanently, such as a new skill. So, guilt doesn't necessarily help us. In fact, as I write this someone out there is eating an entire key lime pie because they feel guilty about falling off their diet. Someone may be drinking alcohol because they feel guilty about drinking alcohol. For whatever reason, this is just a common thing that we do. Now accountability is different than guilt. Accountability can actually be constructive.  When you hold yourself accountable you can admit that you have done something wrong. That it hurt others and you deeply regret it. That you are prepared to take steps to make sure it doesn't happen again. That you have done what you can to make amends, if necessary. That you are sorry. And then you move on. Why is moving on necessary? Well, for one thing, it doesn't usually help the people who you hurt. In fact, someone's guilty behavior may serve to remind the people who were hurt, over and over again, about what happened. Guilt is usually 100% about us, and not about those we hurt. Also, guilt can lead us to behave in ways that may even hurt people more. Having said all of that, guilt is a normal human emotion. Sometimes we experience it for a while and it goes away. Sometimes we need help to work through it. There are many self-help books about forgiving yourself. You can try Amazon to find some, or consider getting help from a counselor. Be well,Robin Landwehr, DBH, LPC, NCC"
"Instruct: I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?
Output: Family support is very helpful when having these symptoms.  I suggest looking for therapist within reach (school, through your insurance or the community, calling 2-1-1).  Once you schedule a session, you can inform them and invite them to come in.   I have found trough sceptic parents, that once they give it a chance they open up to the process of learning and healing.  I also understand that parents may become overly concerned and overprotective when hearing about your symptoms, and that’s why is important to discuss them with a therapist, normalize them, understand why you experience them, and learn how they could help you. ¿Cómo les digo a mis padres que yo pienso que tengo problemas mentales?Estoy seguro que tengo depresión  ansiedad.  También escucho voces en mi cabeza.  Tengo problemas para dormir también.  Y he sido diagnosticado con déficit de atención y desorden obsesivo compulsivo.  Me he auto flagelado y solía tener ideas suicidas.  Como les dejo saber y les pido ayuda.El apoyo de la familia es muy útil cuando se experimentan los síntomas que mencionas.  Te sugiero que busques un consejero (en la escuela, a través de tu plan médico, o en la comunidad, llamando al 2-1-1).  Ya que tengas tu cita, invita a tus padres.  He observado que aunque algunos padres son escépticos al principio, pero una vez le dan una oportunidad se abren al proceso de terapia y sus beneficios. También he observado que algunos padres se vuelven sobreprotectores cuando aprenden de los síntomas que sufren sus hijos, así que sería otro beneficio que aprendieran que pueden hacer para ayudarte y apoyarte."
"Instruct: I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.
Output: Depending on your relationship with your parents, inviting them to have a conversation might be a good first step.  If they consent then you can have the opportunity to discuss your concerns with them.  Inviting someone to a conversation and getting their agreement is a great first step. I would then make sure your location of the discussion is conducive to the conversation and once all that is considered it might be beneficial that you make a list of your concerns prior to the meeting.  this can help keep you on point."
"Instruct: Now I have anger and trust issues. How can I treat this and fix myself?
Output: I will assume that for whatever reason, you either do not want to or are not able to seek counseling for this. However, I highly urge you to do so because long-term childhood abuse does have negative consequences for your life as an adult, as it seems you are already aware. There are confidential and free crisis hotlines that you can call that deal with sexual abuse. Some/most also offer free counseling services in local areas. That would be a good place to start looking, especially if cost of counseling is an issue.The important thing to know is that what happened was not your fault and that you deserve to live a happy life free of the past. Having anger and trust issues after something like this is a perfectly normal reaction to what happened to you. Angry? Yes! At your brother for what he did, at your parents for not protecting you. Having trouble trusting? Of course! The very people who were supposed to love and protect you hurt you instead. Two books that might help you are Codependent No More and Boundaries: Where You End and I Begin."
"Instruct: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time.
Output: Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wanting to know what the rules are, and all you have to do is show her clearly where the lines are. I'll give you some tips.First, remind yourself that it's her job to learn what the rules are, and where her power is. Don't be so surprised when she wants it her way. If we go through our days being ready and prepared for these beautiful creatures to have minds of their own, we're less caught off guard when it happens. Avoid situations that invite power struggles. Any time you tell your daughter ""do this now"", you set up a power struggle. The good thing is that she's young enough you can pick her up; now is the time to teach her that mom's (or dad's) word means something. So, if you say ""let's get you dressed"", then be prepared to pick her up right away and show her that when you say something will happen, you can make it happen. And I'm talking about gently picking her up here...not roughly. Pick your battles; only give instructions when you have the power to make it happen.Give her choices, so she can see her power. Instead of opening her drawer and asking what she wants to wear, give her two choices. Here's an example...she's on the ipad and you say ipad time is over. She says ""no"". You can say ""ipad time is over. If you put it down, you can play later. If I have to take it away, you don't play it later."" The choice is hers. Then follow through.""When...then"" statements are really helpful. Your child asks for something. Instead of saying no, try ""as soon as the toys are picked up, we can have a snack"". You're simply a pleasant parent who wants the same thing they do...but they have to earn it. Staying calm yourself is the key, because then at least you will feel in control of yourself, which is the ultimate goal. Use self-talk to calm yourself. Remind yourself her behaviour is normal and healthy. Breathe through a moment in which you would have reacted, and it will be over by the time the breath is done. You can give yourself time to think before you make parenting decisions. Time is a useful tool not enough parents use. Good luck!"
"Instruct: I am constantly having problems with the same two people who will always be in my life. I had a daughter with my ex-boyfriend. I am now married, and my husband’s ex-girlfriend is involved with my ex-boyfriend. They also have a daughter together. My issue is that there is always drama. I am pregnant, and I told my ex-boyfriend that I don't want any drama or arguments. I want to get along as much as possible, and he agreed. However, we just had an incident where my ex-boyfriend started discussing drop-off details about my stepdaughter. I told him that he needed to ask my husband because I can't make decisions about my stepdaughter regarding the matter. That led to an argument. I told him all my concern is when I pick up my daughter. My stepdaughter’s pick-up details are between my husband and his ex-girlfriend. I especially told him I didn't want to be involved. Somehow, he turned it around and then wanted to change the schedule we agreed on. He threatened me and got ugly because I wouldn’t discuss my stepdaughter’s matters with him.
   The point is there is so much drama. I try my best to get along with everyone. I don't understand where I went wrong (besides replying back to his question). I feel like I'm going crazy because this is a constant battle where everyone’s frustrations are taken out on each other, and it's the children that are hurting. I had a party planned for my daughter’s birthday, and my ex-boyfriend told me to cancel those plans because he wouldn’t let me have her. In my eyes, it’s the child that is hurting. I was throwing a party for her birthday, and because of the problem with stupid pick-up details about my stepdaughter, which I have no control over, he took it out on our daughter.
Output: Hi. I appreciate your mature instincts and strong efforts to draw clear boundaries in this very complex situation. I agree that it sounds like the adult drama is unnecessary and potentially will affect the children. Children need adults around them to act maturely, cooperatively and peacefully even when they don't like each other; it helps them feel secure and lets them focus on learning and growing. Your ex-boyfriend seems more focused on his own needs. In fact, he demonstrates behaviours that are aggressive, controlling and manipulative, bordering on 'parental alienation'. I agree this is a problem.I also appreciate how protective you are of yourself at this vulnerable time with the pregnancy. It's not unusual for pregnancy to trigger a need to conserve energy and reduce stress. Honour this instinct you have. I will suggest a few things to you. First, to gather support around you, professionally if you need it, from family and friends, and certainly from your husband. If you two are on the same page regarding the children issues and your ex, that will help. He can help run interference when it comes to his daughter. It will help you feel supported.Know that your ex's behaviours aren't happening because you did anything wrong; it's the way he operates (and maybe this is why you're not with him?). You can't change him, but you can stop blaming yourself for his immaturity and aggression. You're correct that he will always be there, and you can both accept this fact and also find ways to manage the situation.Keep on defining clear boundaries! You might sound like a broken record (""You'll have to talk to my husband about that""), but that's okay. It's okay to ignore his efforts to pull you into an argument or power struggle. It's okay to not respond to texts or other communications that aren't vitally important. It's okay to not let him into your house if it makes you uncomfortable. It's okay to not engage with him more than is necessary.Regarding his manipulative behaviours that reflect a tendency to keep your daughter from you, I recommend you document these behaviours and incidents carefully and fully. Let him know what your expectations are, simply and clearly and in writing (""our agreement states X, and you are not following our agreement""). Your daughter doesn't have to be aware; I think you already understand that she needs to be protected from the adult conflict.A professional therapist can help you with all of this. I hope this helps get you started towards greater peace, at least within yourself. :)"
"Instruct: A year ago, the love of my life left me and never looked back. Our son was two months old at the time and it broke my heart. I miss her so much and can't seem to get over  being so heartbroken.
Output: I recognize that you say you are missing being with the love of your life. At the same time, I don't understand whether you are able to see your son. I'm curious as to the relationship dynamic between you and your son's mother.When you say that she ""never looked back,"" I imagine you are conveying that getting back together is not something that she is interested in.I would suggest that you talk with a therapist and your local area so that you have the ability to discuss the loss of this person who you love so much. Most people think of grief related to the loss of someone who has died, But it also applies to people who have a significant loss, whether that is a relationship, a job, or any number of other things.In the meantime, try finding something about yourself that you value and can focus on."
"Instruct: 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.
Output: Though I don't know for sure, it sounds like anxiety to me. I think it would be helpful if you work with a therapist who specializes in anxiety disorders."
"Instruct: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?
Output: My initial response:  consider a more comprehensive MH assessment to determine other factors. A medical evaluation is warranted to rule out poor health issues. Blood work is helpful. Review what hadn't helped."
"Instruct: I use to be so happy. No matter what, I always was happy. I got into a relationship with this guy. I love him so much. We’re both teenagers. The week after his birthday, my mom made me stop talking to him. It broke me. He came to my house and talked to her, and she let us date again but not see each other. He comes up to my school every day and it tears me apart that I have to lie to her.
Output: I understand that this can be difficult when you care about someone. Have you had a discussion with your mom as to why she does not want you and this boy to see each other, and what her concerns are? It sounds as though you and your mom may be able to use some help with communicating, and compromising. It is understandable that you do not to feel comfortable having  to lie to your mom. It  would be helpful if she could understand that you having to lie to he is getting in the way of you being able to go to her with any issue and  feel she will hopefully understand or try to understand where you are coming from.  Have either one of you been in family therapy? This may be something you may want to suggest to your mom to help you both understand where each one is coming from. If your mood is sad, and your feeling worse, it is important that you reach out to an adult, parent, person at school whom you trust to share your feelings and help you feel understood and work through your problems."
"Instruct: My mother-in-law is mentally ill. She has been for most of her life. She cuts herself. She has been in and out of psychiatric hospitals for about 40 years. She has voices in her head that tell her to cut herself. She has had multiple shock therapy treatments, and she’s on enough medication to take down an elephant. Her parental rights for her two children were taken away from her when my husband was a boy—he is now in his late 30s. She doesn’t even have custody of herself. She hasn’t asked yet, but she has been insinuating that she wants to babysit my child. How do I go about saying no without creating an issue?
Output: Hi Fontana,Thanks for providing all the details needed in order to respond to your question. It seems very clear to me that ""no"" would be the appropriate response. I like your healthy boundaries, and I'll help you explore possible ways to respond to her. First, she hasn't asked yet, and you don't know that she will. Right now, you can pleasantly ignore her hints. They're not hurting you and if you ignore them, they're more likely to go away. You can address and reduce your own anxiety about the possibility of her asking by reassuring yourself that you have the right as parents to make this decision, and that if she's offended, that doesn't mean that you're being mean; it means that she has unrealistic expectations. So, the first goal is to put it out of your mind as a worry. You might never have to face that moment. But, I understand that you want to be prepared.As her son, perhaps your husband is the best one to answer the question, should it ever come. Is he willing to do this? But if you are comfortable, and if you're the one she asks, you can confidently give her a simple, honest response about why it won't happen. And I would suggest presenting a firmly closed door, rather than saying ""but maybe later"". No need to apologize or hum and haw...""We love that you want to be around Junior, and we definitely want you in his/her life. (try to leave out the ""but"" here). You're not in a healthy place, and we're not comfortable with you caring for him/her on your own.""If she pushes the issue, this is evidence of her denial or inappropriate boundaries. I'd let her know that it's not negotiable, that you understand if she's disappointed, but you're not open to discussing the issue. Really, there's nothing to discuss. Learning not to take responsibility for her emotions is part of having an ill person in your life. I wish you the best."
"Instruct: 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?
Output: Hi there, Thank you for your question. It's absolutely ok to feel nervous going to therapy. I have experienced anxiety going to see my own therapist. There can be a few reasons why you might feel this way. First, it is always unnerving to see a person who is a stranger and to share intimate things with that stranger. You mentioned it has only been a couple of sessions. Your anxiety might subside as you continue to see your therapist and grow more comfortable with him/her. Another reason why you might feel particularly nervous is perhaps you are not comfortable sharing things. As children, we might have bad experiences opening up to others. Someone might bully or ridicule us, and that experience can stay with us for a long time, making it extra scary to share our intimate feelings and thoughts with others. If this the case, as you continue with your sessions and have positive interactions with your therapists, this anxiety will subside with time and you will re-learn that it is safe to share. And the last thought why you might feel the shakes is perhaps you know that you need to talk about some past experiences or memories that are uncomfortable and difficult. Regardless of the reason, it might help you to bring up your nervousness in your session and share how you feel with your therapist. Having an open dialogue about your anxiety with your therapist can help you resolve some of that anxiety and built greater trust with your therapist."
"Instruct: I need to speak to someone about sexual addiction and binge eating immediately.
Output: There are plenty of online providers within the mental health field that would me more than happy to speak with you immediately.  Many of them provide treatment on a sliding scale fee.  I would google online mental health treatment providers and that should lead you to a list of providers that can help you. "
"Instruct: How does a person start the counseling process?
Output: Hello. Counseling often begins way before the client ever actually calls the local therapist. There is often a tipping point in the internal struggle that the client experiences, where they can no longer deal with the issues on their own and thus giving the motivation to seek external help. That said, clients usually go seeking therapists based on what their insurance will cover, or what is likely to be more and more the case in the near future...what they are able to pay for out of pocket. That first phone call to a prospective counselor can often feel like torture, but it doesn't have to stay that way. Counselors are well trained to acknowledge the inherent goodness of all clients, and should be able to see and hear the sense of fear in the client of being judged or put down in some way. The counselor you select should be compassionate, caring, able to join with you on your journey to resolving your issues or concerns, and to do so without negative judgment of you as a person of worth.Once you have found a counselor you want to work with, you would then schedule an appointment to meet. That first session is often very low key. There might be some forms for you to complete, which will help the counselor address your concerns and learn a bit more about you. The counselor will typically provide you with what we generally call in the profession a professional disclosure or practice statement. This document (which may be several pages long) usually outlines the counselor's credentials; practice rules; forms of payment; office hours; emergency contact details; and confidentiality guidelines under state and federal law, among other details. All of this benefits you as the client, so that you are well informed and can focus your attention on why you are meeting with the counselor.In the first session, it is absolutely okay to be nervous. Here's a really big secret (which is important to keep in mind as counseling begins): Counselors are often as nervous (if not more) to meet a new client, as the client is to meet their new counselor. It's true. We as professionals are trying to put our best foot forward to impress you with our awesome counseling skills. While simultaneously hiding all the troubling unwanted issues that we ourselves have in our life too, and being worried that we might not know if we can help the client sitting in front of us. What makes it even more challenging, is that counselors are often put on a giant pedestal of perfection by clients (all while we as counselors tend to look at it like we're standing on a three legged stool). This is normal for us when seen from the eyes of the client. Counselors and clients are both human, and we both make mistakes. Coming from that place of understanding, might bring a sense of ease to both the client and the therapist as they seek to work together. Part of this perception of perfection held by clients toward counselors, is that the skills of the counselor might look like they have all the answers. We honestly do not, plain and simple. Counselors come from life experiences (where they might be farther down on life's road than you); they hold completion of various forms of training; and have advanced education. Yet we are in the end, imperfect beings struggling to help imperfect people. This makes it easier to be compassionate to new clients walking through our door with the hope that we will receive that same compassion in return. Very often, we can find ourselves reflected in our clients' lives with their struggles and can become more effective at helping if we have resolved similar issues in our own life. So as you begin to seek out a therapist, try looking for one who is aware of their own life issues and is actively working on them too. Someone who can meet you where you are at emotionally and can understand your sense of your struggle that you are facing at the present moment. That counselor may be a good example for you as you enter into therapy and build your own strength, and thus begin dealing with the issues more effectively you bring up in therapy."
"Instruct: I've hit my head on walls and floors ever since I was young.  I sometimes still do it but I don't exactly know why, 

I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it. 

How can I help myself to change my behavior?
Output: Hello. I have to wonder from a behavioral perspective if what you are doing is useful for you. In other words, does it serve a purpose in some way when you find yourself doing it. Yes, this could well be an expression of anxiety, or maybe some type of coping skill you have developed over the years to deal with stressful situations. Yet it sounds like you have developed a sort of knee-jerk behavioral conditioning that causes you to do this behavior during specific (or perhaps even non-specific) circumstances. Do you think it is a self-soothing behavior? Do you feel good after you have done it? The behavior itself is likely causing some form of slow physical damage, so I would recommend you have yourself checked by a doctor, to rule out any injury. If none exists, this obviously doesn't excuse the behavior, it just says that for the moment luck is on your side.When we do any behavior of any kind, it is good to ask if what we are doing has merit or value. Is the behavior helping us to solve our problem, or is it merely creating yet another problem by doing the behavior in the first place. In the same way that a person might drink excessively because they are stressed and need to cope with some unresolved issue, when they are done drinking the original problem will still likely be there, but now they are intoxicated. No closer to solving the issue. When we deal with things like anxiety or depression, we need to do things that work on dealing with the symptoms, but also get to the root issue that created those feelings and find effective solutions. So the things we do to cope with life events need to not be ones that cause us harm, but rather support us as we move forward and work to deal with what life throws at us.Sometimes seeking support from a friend or a counselor is a good idea. Being given the opportunity to express your feelings about what is going on around you and getting feedback and insight from others is much more effective than actions of self-harm, wouldn't you agree? So I would encourage you to find a counselor or a trusted friend who can help you find positive behaviors you can take to deal with your feelings, as you also work to find the answers to the day to day issues of living a life filled with promise and opportunity.Reach out if you need help...there will likely be a hand there waiting for you."
"Instruct: I'm a teenager. My dad has been jail for the last five years. It's tough, but my mom really tries to give a normal life to my two sisters, my brother, and I. I feel like I took upon a parent role when I'm the second youngest, and I'm not stable. My mother and sisters say I'm overdramatic. I’m just so hurt, and I keep breaking down.
Output: It sounds like you have a lot of weight on your shoulders.I'm not sure what you mean when you say you're not stable and you are breaking down. If you are crying because you're sad, that is okay. If you are crying a lot or having trouble eating or sleeping, that's different than just crying sometimes because you are sad. It may be helpful to talk with a local mental health professional in your area. They can help you to figure out what you could do differently to have the role in your family that you would like while also supporting yourself and what you want."
"Instruct: We weren't long distance until he joined the military.  I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?
Output: Hello. You are asking a very good question about how to sustain a long-distance relationship. Although maintaining a long-distance relationship has its challenges, with the proper communication, commitment, and understanding, many long-distance couples are able to thrive and maintain a close connection. Without knowing more about the ""complicated"" nature of your relationship, I wonder whether your boyfriend has given you reason not to trust him that makes afraid that he will find someone else. Has he cheated on you in the past and has shown romantic interest to another person that made you fear losing him?  Or, is your thought just a fear but not based on evidence? Knowing that distinction is important because if it is the latter, you may benefit from refocusing on the wonderful qualities about your partner that makes you feel good about him and the relationship rather than focusing on the unknown or uncertainty of the future. The more you focus on ""what if"" situations, the more you may feel anxious about a reality that is not accurate and make you act in ways that are insecure. However, if there is reason for you to question his fidelity, you may have to speak to your boyfriend about how to build trust in the context of a long-distance relationship. To help the conversation, you may need to consider what you may need to experience or receive as support to feel safe in the relationship to build trust. Is that you wish him to contact you regularly, or to include you more in his life, or to make a clear commitment? For many of my clients in my private practice, that may include talking to their partner often and using a variety of modalities including text, phone, and Skype. It's hard to believe in a relationship when you never talk to your partner, and it's hard to build a relationship when you don't know what's going on in your partner's life. Other times, it is Making sure they talk often to their long-distance partner so that they can participate in each others lives and to feel their presence.. Regular communication, understanding and caring is the key to sustaining any relationship, but this is especially true for long-distance ones. Dr. Virginia Chowwww.PsychologyResource.ca"
"Instruct: I haven't uttered one word to my boyfriend in days. Now I'm over it and don't know how to approach the situation?
Output: In any relationship, it is important to be able to say ""I'm sorry"" because it shows vulnerability and openness. I recommend that you sit and have a discussion with him now that you are calm about why you were upset and how you would like to handle such incidents in the future. If you find yourself becoming upset again, I encourage you to take a 20 minute break and then come back to the conversation once you are no longer heated. Studies show that talking or discussing arguments are more effective once you have cooled down and you are more likely to hear/understand what your partner is trying to convey."
"Instruct: I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.
Output: Which one gives you the most anxiety? List from top to bottom which one gives you the greatest anxiety and ask the question how come? From there, we can figure out the underlying factors of your anxiety."
"Instruct: My best friend and I were pranking her friend, and I told her to tell him that she likes him. She said no, but I forced her. After she told him, he told her that he likes her too. Their friendship is ruined because of me. She won't forgive me, and I feel really guilty. I feel like crying.
Output: This takes time. I don't know how long it has been, but perhaps if your friend is willing to discuss other things with you for a little while, you could discuss this at some point in the future.Hopefully the true intentions will become apparent (in the idea that it was a prank).Also, I encourage you to look at how this is affecting you and how you feel about yourself as well. If it was meant to be a joke and it did not work, that is not entirely your fault.I wonder how you could forgive yourself for what happened?Are you able to seek what you meant to do compared to what actually happened?Do you notice that not everything that has happened here is in your control?Do you recognize that even though you would like things to be better, if your friend is not ready or willing, you are trying to do your part to make it right?Maybe everyone who is/was involved in this can talk together all at the same time to set straight what is truth and what was misunderstood.I wonder if you can think of your own positive attributes (for example: honesty, compassion, trustworthiness, friendship, good listener, caring) and look at what truly exists within you rather than just one your friend is able to see right now.This can be really difficult for multiple reasons, not the least of which is that it involves more than just you, so it's important to focus on the idea that you can ask these other people who were involved to discuss it, but that is ultimately up to them.Best wishes for looking at the positive parts of yourself and your friendships."
"Instruct: I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
 I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
 I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?
Output: It is a good thing that you have recognized that you have been in some unhealthy relationships and that you are wanting to break this pattern. You seem to have some good insight into the situation.The type of behavior that you are describing is usually rooted in childhood issues with insecure attachment bonds with your caregivers, childhood trauma and/or abuse or neglect, or dysfunctional family issues that did not allow you to develop healthy boundaries for yourself or a sense of self. This is something that is going to take some time to work through in therapy. I recommend a book titled “Boundaries: Where you end and I begin” by Anne Katherine. Another book that might be helpful is “Codependent No More” by Melody Beattie. In the meantime, until you can work through your personal issues, absolutely do not enter into another relationship. Take however long you need to and work on becoming a whole, happy, emotionally healthy person on your own. Needing another person to define you is problematic. That’s too much to expect from any individual.For a relationship to be healthy and happy, both people in the relationship first need to be a whole person on their own. That means having a clear sense of self, knowing who you are and what you want, knowing how to set healthy boundaries, and knowing how to meet your own needs. It is unreasonable to expect your partner to meet all of your needs all of the time. There will be times that they won’t be able to meet your needs. You have to know how to meet those yourself. When you are working on becoming the best you that you can be, eventually the right person will come into your life. Then you can CHOOSE to be with someone because you want them in your life instead of feeling like you NEED them to complete you."
"Instruct: My mother is combative with me when I say I don't want to talk with her about my depression.    She hasn't been supportive of me in the past and she isn't someone that I feel comfortable opening up to. She constantly tries to instigate conversations where she asks me questions that I don't want to or can't answer. I tell her I don't want to talk and she starts arguments with me.    How can I get her to understand?
Output: Your situation sounds extremely frustrating.You're doing the right move to state you don't want to discuss your depression with her.I guess you could ask if she would like to know your reason to not speak w her about your depression.  If you feel she can handle a reasonable conversation, and you would like to tell her your true reason, then schedule this or bring up the topic at a neutral time, not in the middle of an argument.Having an unsupportive mom is difficult enough to accept.  You may feel greater success and peach of mind to meditate on accepting her lack of understanding than to engage in arguing when she starts this."
"Instruct: My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt ""ehh"" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way.
Output: I suggest seeking the support of an AASECT certified sex therapist to help work through much of the issues you address, you simply may need some really qualified support. Also, you might be interested in watching Esther Perel's ted talk on the secret to desire in a long term relationship, and/or you might want to sign up for my own 8-part-series on Reconnecting Parent Couples"
"Instruct: I have been diagnosed with general anxiety and depression by my family doctor. They wrote a prescription for me to have an emotional support dog, I have the paper work, and I gave it to my apartment manager. They said I can't keep the ESD because I'm not disabled. What do you suggest I do?
Output: This can be a difficult situation.  Typically, only animals that are specifically trains to accomplish a specific task are legally protected as Service Animsls. Even though that can be very helpful, emotional support animals are not generally protected in the same way.You might not be able to make your landlord accommodate you. If possible, you may want to consider a different apparent that is more animal friendly."
"Instruct: I'm a teenage gay girl, and I'm in love with a girl a few years older than me. She loves me too, but we're not physically together at the moment. I've been thinking about being transgender soon too, but my family doesn't accept me, so I honestly don't know what to do about that because I feel like I have to constantly hide the real me. It hurts so much to hide the real me. What can I do?
Output: They would probably be helpful to speak with a local mental health professional about this, not because there's anything wrong with the real you, but because having these conversations can be difficult and you may choose to talk about your real self in different ways with different people.Maybe you could talk about your concerns with your significant other and discuss different ways you may be able to discuss your relationship that fit with how each of you defines your love for one another.Because you are saying openly that you are gay, and it sounds like you already identify yourself as gay, as compared to considering being transgender ""soon,"" it may be worth considering disclosing the fact that you are gay now and disclosing the idea that you are transgender after you have worked through that yourself. I would like for you to be able to be true to yourself and show the real you. It could also be that you already know that you are transgender, but with the way that you  phrased it here, I'm not certain.Here is a link to a hotline that you may want to consider using. The Trevor Project is about helping teenagers who identify as LGBTQ: http://www.thetrevorproject.org/Here is another national site where you may be able to find a local chapter: https://www.pflag.org/I don't know what you mean when you said that your family will not accept you, but since you are concerned about your family's reaction, I would suggest that it may be helpful to have a therapist or some other support in place before telling your family. The decision of whether or not to wait longer to tell them is ultimately yours, but I wonder if you have a likelihood of explaining what you are experiencing in a way that would be truer to you and also perhaps easier for your family to follow if you had time to process it with supportive people first.Please remember that you are not alone in this. There are people in the world who can and will accept you for who you are."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: There are several reasons for a counselor to decide to end counseling.  A major reason to end counseling is if the counselor feels that he or she does not have the skills or experience to work with the client.  This may happen during the intake process or after working with the client for some time.  If the clinician feels that the client is not benefitting from the therapy, it is ethical to suggest that the client terminate the therapy.  The process of termination must not injure the client and, if necessary, the clinician may need to refer the client to other treatment modalities.  Another reason to terminate working with a client is if the client needs a higher level of care.  If the client has a crisis or is at risk of hurting himself or someone else, he or she may need a higher level of care.  In this circumstance, the clinician may need to involve outside services such as a crisis unit.  A third reason to terminate with a client is if the clinician feels that he or she cannot remain professional with the client relationship.  For example, if the issues that the client is working on bring up something significant for the clinician and the clinician feels that he is unable to separate that from the professional relationship.  In this instance, the clinician should refer the client to another therapist.  Finally, if the client has reached her goals for therapy and no longer needs treatment, the clinician and client should terminate treatment."
"Instruct: I’m in my early 20s. My ex’s parents are friends with them and have told them bad things about me. I left my ex due to an abusive situation, and they are making me look like I was the bad one.
Output: Maybe you can talk with your partner about this first look at the different elements of a possible conversation in the future. If you are at a place where you are willing or able to disclose the reason that you left your ex, that could be one element of the discussion, but it doesn't have to be.I don't know how long we have been together with your current partner, but perhaps his or her parents would see you for who you are and make their own opinions over time. That may be a discussion to have with them as well.Hopefully your partner will be a good sounding board before these conversations."
"Instruct: My husband and I got into a huge dispute. He said he wanted a divorce, and I left. I still come home a lot and see my kids, and he has not filed yet even though he still said he is. What does that mean for our marriage?
Output: In situations like this, in most cases, he probably will not fill anytime soon. It's more of the fact that he isn't ready to give that life yet... Now if you probably pressured him about it then yes, he would probably give in.. But if it hasn't been a big issue anymore or something you guys aren't talking about, then right now.. Everything is on a hold."
"Instruct: I have four children. One of them is in her 20s, and she cannot afford to go, nor can I pay for her. She went last year for two weeks by herself.
Output: I imagine you are trying to figure out a way to be ""fair"" to your adult kids.  The key word is ""adult"".  If your daughter can afford to join the family for a vacation that's great, she's welcome to come.  However, as you pointed out she took a vacation by herself last year - she chose to put her resources (time off work and money) into doing that.  Good for her - she did what she wanted.  If she wants to budget time and money for a family vacation she will.As for feeling guilty, let me echo the sentiments already offered - vacations are lovely, but not a survival need.  Your girl is in her 20s and it's her turn to provide for herself.  You did your parenting - now go enjoy your vacation with whoever can, and wants to, join you!"
"Instruct: I found messages between my boyfriend and this girl on social media. He was asking her for naked pictures and then hung out with her once, but nothing happened.  I didn’t find out about the messages until last month and that was six months after it happened.  I can’t trust him anymore and I'm just wondering if I ever will. He admitted that he wanted to have sex with her but he didn't. He was only talking with her because he thought we were going to have a break up. My heart is completely broken. I feel like I'm in competition with every girl on the planet for my boyfriend’s affection. I'm afraid that he doesn't like me anymore, but without me he's homeless and without a car. I love him so much. It's been tearing me apart. I don't feel pretty anymore though. I don't feel good enough for anyone or anything. I thought I knew him as well as I knew myself. Then all of a sudden my world was flipped upside down. I'm still trying to figure out which way is up.
Output: I'm sorry for so much stress in your relationship life.In what ways does your boyfriend express his commitment and positive feelings about you, to you?From what you write, you feel more aggravation, stress, loneliness and insecurity, than satisfaction by being in this relationship.Does he care that you don't trust him?Very often people stay in relationships from fear of knowing who they really are.  The feeling is of needing a partner in a way that is similar to how a fearful child needs staying nearby a parent.My suggestion is to think over how much your sense of need for a partner, may be preventing you from actually seeing the amount of love and investment in your relationship, your boyfriend actually has.These realizations are sometimes painful and frightening to understand, especially if you grew up in a family that largely ignored or didn't adequately nurture you as a child.A therapist for your Self may be a good investment of time and cost in giving yourself a safe and trustworthy space to think deeply about your best interest."
"Instruct: My mother has Alzheimer's and I can see that she has lost some of her intellectual abilities. Even though I know this disease is not her fault, I’m still finding it difficult to separate my own feelings of disappointment and frustration when my mom seems to ignore my opinions and wishes, and seems
Output: Good observation on your part, to distinguish that your feelings in relation to your mom are not necessarily connected to the way she handles her part of the relation toward you.Has your mom usually ignored your opinions and wishes in relating to you?If prior to the onset of Alzheimer's, she never examined her way of relating to you, and if both of you have never had an open conversation about your sense of feeling hurt by her attitudes and manner with you, then the relationship between you and your mom will change in ways other than rational dialogue.She may continue ignoring or overlooking your wishes because she's been stuck in this attitude for most of your life.The good news for you about this is realizing that who you are and your way of relating to your mom, has very little to do with the way she relates to you.This is a more profound disappointment because it shows that her disconnect from you has been for longer than when the Alzheimer's began.You can however, feel a little more free knowing that you're not deserving of being ignored."
"Instruct: 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?
Output: Absolutely not. It sounds like you have significant trauma and it will continue to impact your depression until it is dealt with. Everybody has issues, though some more traumatic than others yet it is best to just start somewhere. I would encourage you to begin counseling and work through some of your history at your own pace in order to begin to impact and reduce your depressive symptoms."
"Instruct: After I told them, they yelled at me.
Output: I am sorry to read that this happened to you. If your family is not supportive of you, this can be a huge challenge. Are you dependent on them in some way (financially, etc.)? This could affect choices you make at this point. Make sure you connect with a supportive community or people and organizations that are afforming of you and your identity. If you are unable to receive support from your family, you can lean on them if necessary. If you feel your family needs more information you can always refer them to appropriate websites and organizations that can help them to understand that this is natural and normal and learn the negative effects of non-affirming people in the life of LGBTQ+ individuals."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: Hello, you sound like you have so much on your mind! I am relieved to hear that you have never tried or have contemplated suicide, but not being able to sleep, feeling worthless, and like you shouldn't be here are big issues that need addressing.Please get around to counseling.  Having someone to listen to you is a gift to yourself. You deserve the help of someone helping you change your feelings of worthlessness. You have not been able to do this alone. It's time to reach out for help.  You can do this! Best to you!"
"Instruct: Every time my partner gets angry for anything, she takes it out on me. Nothing I do is right, and once she's mad, she calls me all kinds of names and is verbally abusive. She says it isn’t abuse, it’s just angry verbal bashing, and that it’s different. It gets worse each time. The names are very vulgar now.
Output: Ultimately it is only your partner who can decide whether to stop name calling or not.I would take very seriously that she doesn't show any willingness to hear and understand your point of view.In a relationship in which one person claims the right to verbally abuse the other, there isn't much genuine care and trust going on at all.It is never safe to open your heart to her since you can't tell in advance if you'll be treated with kindness or bashing.Think seriously how possible it is for you to enjoy your relationship if your partner is unwilling to accommodate your feelings.If the two of you are unable to agree on terms or discuss the problem as a mutual one, not just your problem, then you may wish to withdraw from the relationship."
"Instruct: What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.
Output: I'm sorry you are feeling uncared for. I'm sure there are plenty of people that care and love for you that you are not taking into consideration. Sometimes when we get upset we may think irrationally and see the world as all or nothing. However, take a deep breath, relax and start focusing on the positive relationships you have with others, regardless of how small or insignificant they may seem. I think you will quickly realize there are people out there that care a great deal about you.I also think it would help for you to surround yourself among people who you can identify with and share common interests with. Maybe you can attend a religious service, join an interest group (i.e. reading club, sports group, etc.) or start a group of your own. Most importantly, you need to tap into your interests and surround yourself with things that are beneficial for your own mental and physical health. From this, relationships will start to immerse. You may also like to talk with a therapist regarding your feelings of being unloved. This is an unhealthy way to think of yourself and I think with a little help, you can see that you are more than deserving of a great relationship. Thanks for reaching out and I wish you the best of luck moving forward."
"Instruct: I have four children. One of them is in her 20s, and she cannot afford to go, nor can I pay for her. She went last year for two weeks by herself.
Output: Of what do you feel you'd be guilty?Family vacations are not a basic human right to existence.  They are fun, ideally.  You're not violating a basic human right.  You wrote that you don't have enough money to pay for her to come along.You may find yourself feeling more guilty toward yourself if you give more than you reasonably can afford to give.My suggestion is to tell your daughter your reason for not taking her along. Maybe this will open more dialogue between the two of you."
"Instruct: I am a counselor at day camp where we have a child with severe autism. We try to keep him entertained by carrying cards around for when he starts acting up so we can get him to focus on something else. The day camp administrator has told us not to yell at him because he will zone out and not listen, so we just talk in a calm voice. However, other kids see the treatment as unfair.
Output: Behavioral interaction with someone who has severe autism requires highly specialized training, both for any professional staff involved with the person and for the family members.It is an unfair situation for both the person who has autism as well as the campers who do not, to expect both sides to get along harmoniously.In order to achieve this, the campers would need specialized training to know how to respond to distress in the camper who has autism.This would obviously stretch and burden the summer camp budget as well as provide an activity which usually isn't part of summer camp for children.What you can do which may be productive in helping the camper who has autism, is to point out the interaction difficulty to the summer administrators.Ultimately it is their problem to only take campers who are able to reasonably adjust to socializing together and from what you write, the administration has overreached whom they consider reasonable camper mates."
"Instruct: 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.
Output: First, be aware that each end every one of us has anxiety at some point. That certainly seems to fit what you're describing here, but that doesn't mean you have an anxiety disorder, necessarily. That's where there is a difference. Anyone who has a hard time with public speaking or feels uncomfortable in large crowds, for example, is experiencing anxiety.It sounds like it would be helpful to look at the differences between the days when you are more comfortable on the days that you are not. If you notice your anxiety is keeping you from doing things that you need or want to do, it may be helpful to talk with and mental health professional.I wonder also whether your appetite and sleeping patterns are the same or similar to how they were before you experienced this anxiety, when your anxiety started, and whether you feel more comfortable when someone you trust is there with you.If you have an idea of times or situations in which you feel anxious, consider carrying a small smooth rock or another object that makes you feel calm and centered. Perhaps you can keep it in your pocket and remember specific comfortable times while you have it in your hand."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: For most:  When the money/insurance runs out.When best:  When the job is done... and you're feeling much better."
"Instruct: I've been with my husband for eight years now. We have split twice before, and the first time was because he cheated. I took him back months later, and he really tried making it up to me by making a lot of changes. However, we continued to have issues because of my lack of trust. My insecurities and trust issues lead to physical abuse, which lead to us separating again. During that separation, he consoled himself by talking to the same girl he cheated on me with. But we then ended up back together and worked it out for a while until I got pregnant with our second child.
   The baby was a few months old, and he confessed to me about his secret relationship with her. He told me how he could never stop talking to her and how, during our issues, she has been and is the only women he's gone behind my back with (but on a friendship level because she's miles away). He confessed how he fought feelings for her and feels like he's possibly in love with her too. He said he feels like he's in love with the both of us now because this women has fallen for him, and she hasn't been able to leave him alone since. Even though she knows that he's still with me and happy with our family, she can’t help it, and he confessed how his feeling for her are mutual. Being that he loves me too, he wanted to be with the both of us at the same time. He wanted to have affairs with her behind my back by flying her out and staying at a hotels, but he didn't want me to find out, so he told me everything. He said he didn't want to continue to lie to me and so I can finally stop accusing him of being with other women when it's only been this one girl the whole time. He feels like my insecurities and trust issues are what pushed him closer towards her, and that no matter what he did to do right, I would still accuse him. He's caught up in his feelings and pretty much says that he wants her but doesn't want me to leave him because I'm the one he wants to be with for the rest of his life.
   I'm of course hurt and in shock. I feel like I have to make a decision on whether I want to allow it and deal with having to share him or walk away. Both of these decisions are really hard to make because I feel like whether I stay or go, my heart will still be torn apart. I have to make a decision quick because she will be flying out sooner than I thought.
Output: Hi Jayuya, I'm struggling in this moment with my own biases. I have biases that are about respect and every individual's need for and right to respect. Your husband lies, cheats and physically hurts you. He makes excuses and blames you for these behaviours and trains you to do the same. He demonstrates many controlling and abusive behaviours. And now, in an attempt to manipulate and silence you, he wants to have his cake and eat it too and suggests you should share him? There aren't many crumbs of this cake left for you, are there?So, my biases about respect don't make me want to rescue you or tell you what to do; I can't do that, and I don't think either of those things will help you. I'd like to ask you some questions though...Are you happy? Do you know what happy is? Do you know what respect is? Are your children safe? Are your children witnessing violence (because if they are, then they're not safe)? Do you have supports? Do your family and friends know what's happening in your life? Have you ever been to a women's shelter? Are you willing to sit down in an office with a professional who can help you think clearly? That's what I suggest. These are big decisions, you deserve some support. I wish you the best."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: If your therapist is attentive and compassionate to what you are sharing then you will know you have a true connection with him or her and that he or she is the right match for you. Having a therapist who has a good location and inviting office is also a good sign that you have the right one!"
"Instruct: I'm a teenager, and I just got my first job. I am a month and a half in. Yesterday, my boss pushed me to the point where I had to go to the restroom and cry. She didn't see me, and I'm glad, but when I went to talk to her about it today, I let a tear or two come out. I hate it. I feel like they're not going to keep me anymore.
Output: How sad for you!I'm sorry your first job is turning into a place of tension.Did the matter between you and your boss get resolved?Do you feel respected by your boss and does she listen to your point of view, even if afterwards, she disagrees?Keep an open mind over the next several weeks or few months on how you feel in your new work situation.Expect to be treated fairly and reasonably.If this is not the way you feel most of the time, then consider finding a new place to work."
"Instruct: I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: Let me begin by offering my condolences for your loss. I can understand how difficult this time maybe for you especially if you have several unanswered the questions due to the circumstances surrounding the death of your friend.  It's during this time, that you may experience the various stages of grief. This includes denial, anger, bargaining, depression and finally acceptance. In the bereavement process, there is so specific time frame or lengths of time for someone to work through each step. Its imperative to note  that one may express each stage with different levels of intensity. Also, the five stages do not necessarily occur in any specific order. We often move between stages before achieving a more peaceful acceptance of death. Just note that everyone greives differently, some internalize their feelings and emotions, others express it externally, while other avoid it all together.Coping with loss is ultimately a deeply personal and singular experience. Sometimes we feel that no one understands what we are feeling or going through, much less comprehend our emotional state of mind . What's important, is that you allow others to comfort you through the various stages. My recommendation is to allow yourself to go through the emotions and feel the grief. Avoiding or resisting may only delay the healing process. Reaching the acceptance stage of mourning is a gift not not everyone is awarded, but seeking the help of a Grief counselor may assist in deciphering your emotions and set you on a more positive path to achieve closer."
"Instruct: I am married, but I had sex with my friend. I feel guilty, but I feel not guilty too. Do I need to feel guilty? It's my body, and I have full rights to do what I like.
Output: I don't think there's anything that you're supposed to feel. Some people feel tremendously guilty when they cheat, and others not at all. It could be that your partner doesn't know about the cheating and you haven't had to face his/her emotions and reactions. When something we do is hidden...a secret...it's easier to avoid feeling guilty. I wonder if you're avoiding your own emotions. But let's put that question aside for now. There are better questions.What do you want? Do you want your marriage? If not, this may be why you don't feel guilty. Do you want to be able to sleep with your friend? It's unlikely that both are possible (keeping the marriage and the affair). Yes, you get to do whatever you want with your body...and...there may be consequences. Affairs almost always get discovered. Who do you want to be? What kind of partner do you want to be? What might your partner feel if they knew? How might you feel then? Would you care? Has something happened that's affected how much you care about your partner?I suggest that these other questions might be a place to start. Exploring it with a therapist is something to consider maybe. I wish you the best as you sort it out. :)"
"Instruct: I have manic depression and last summer was very very bad. I have recurring nightmares and I avoid anything that will give me a similar feeling as I did that summer.
Output: A PTSD diagnosis requires an event which occurred at least 6 months prior to the symptoms.   Depression is a common symptom of PTSD, but depression can come from many other sources as well.  In the end, diagnoses are systems of behavioral labels.  If you believe that one label (PTSD) is worse than another (Depression), you are creating a false hierarchy.   Consider consulting a CBT therapist, such as the fine clinicians listed in AcademyofCT.org.  You may also want to look at my book, Living Yes, for many ideas about challenging your thinking and improving you mood. www.LivingYes.org. I hope you feel better soon.  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org)"
"Instruct: I never get infections or scars or anything, and it doesn't bother me if it gets filled up with blood or something, but I'm concerned.
Output: Hi Houston, The fact that you're concerned says a lot. If I was your therapist I'd ask you questions about your worries and how this is causing a problem in your life. You're causing perhaps permanent changes (damage?) to your body, and it's likely you're trying to express something...pain maybe? A therapist can help you to explore what's going on for you and how to get your needs for self-expression met in a more healthy way. Good luck!"
"Instruct: I just wanted to get to know one so I can hear about their college experience and the courses they took. I also wanted to know if they enjoy their job and how long they were in school.
Output: It's a great idea for you to reach out to find a psychologist to talk to if this is a field you might be interested in pursuing. Regarding the length of schooling, it generally takes 4 years of college and an additional 4 to 7 years of graduate school to earn a doctorate degree to become a psychologist. There are also other similar professions, including counseling that don't require a doctorate degree. Licensed counselors generally completed 4 years of college and an additional 2 years of graduate school. If you are thinking about a career in psychology, the local APA chapter would be a good place to start to find a local psychologist to talk to. Here's a link to the NJ APA chapter:https://www.psychologynj.org/"
"Instruct: I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
   What is wrong with me, and how can I stop having these thoughts?
Output: We all suffer from random thoughts from time to time. Being able to manage your thoughts and choose what to think about yourself is something you would learn in  counseling. An effective treatment modality for this situation is cognitive behavioral therapy."
"Instruct: I'm in my mid-twenties now, and my boyfriend of seven years and I want to start a life. My mother is 100% codependent on me and is extremely manipulative. She suffers from type 1 diabetes, which she uses to guilt me if I ever leave her. The problem is that I will feel guilty.
Output: Focus more on your own life and less on the very heavy descriptors you wrote to describe your mom.All the words you wrote represent psychological conditions which are either lifelong or take a lot of motivation and effort to change.Since the only person who can change how your mom handles her life, is your mom, and you are the only one who can do the same for yourself, devote more energy and time to living your own life fully, despite the emotions you feel regarding her."
"Instruct: I have known her for years. She was dating my brother-in-law when we met. My kids think of her as their aunt. On Halloween 2014, I lost my mom to cancer. My mom and dad were still married when she passed away. My friend was there for me through that and my own cancer diagnosis. She has been a very big part of both me and my kids’ life, but now last month, my dad told me that he really likes my friend and wants to marry her. She’s like a sister to me. My kids hate the idea.
Output: That's intense. This person moving from a friend of yours to both a friend of yours and, in  a sense, your step mom is a lot. I wonder if you have let your dad know what's going through your mind with this and how it is affecting you. I can imagine that could feel awkward and emotional. Still, getting him to understand might be as simple as letting him know, in your words, how this feels from your view as well as what you wish. It may not change the outcome (he may still marry her), but your thoughts will not go unsaid and opens it up for conversation. Best luck!"
"Instruct: They don't go away, and I feel like I'm going crazy. Does that ever stop? Can it be a symptom of medication?
Output: Since you realize that hearing voices in your head is not usual for you, then definitely there is a problematic situation happening within your awareness of who you are.if you recently started taking a new drug or increased dosage of one you already were taking, and the voices started shortly after, then yes, it is possible medication created your problem.Start by telling whoever gave you the presecription, about the problem you're having.""Crazy"" has some flexibility as to whether someone is this way or not.Certainly a very positive sign that you're not crazy, is that you're self-aware of a problem within yourself. And, you're responsible toward yourself and making effort to address this problem.Crazy people usually don't do responsible behaviors."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: The first thing I would ask yourself is how do you feel when it is time to go to therapy? What do you notice inside your body? Are you sick to your stomach? Neutral? Dreading it? Your body will give you indications as to how safe you feel. Your relationship with your therapist is like any other relationship...you need to feel safe, accepted and understood. You want to see someone who you look forward to sitting across from and feel comfortable talking about whatever is on your heart and mind.  What are you preferences? Do you feel more comfortable with a male or female therapist? Does their age matter? What kind of therapy do you want to do? Do you know? If not, you might want to talk to friends or family who have done therapy and ask them what they liked or didn't like, what worked for them and what the process was like. You can always talk to a prospective therapist about all the questions you have (Have they worked with others with your issues? Have they ever been in therapy? Where did they go to school? What kind of training do they have? Etc.) You may not know in the first session or two if you have the right therapist but pay attention to how you feel while you are there. Your therapist should check in with you and ask how you are feeling. If it's not a good match for you, your therapist should try and help you find someone who will be a good match. Your trust and connection with your therapist is the biggest indicator for success in therapy. Both of you should be concerned about your alliance and any good therapist will want you to find the best therapist for you!"
"Instruct: I don't know how to notice or express my feelings besides anger. That's really the only one i feel.
Output: Well, then give yourself some credit for noticing that you recognize at least one feeling that you have!What is your own theory as to what is difficult to know your feelings?  Your answer will give you clues as to unearthing your willingness to be aware of the way you feel.Sometimes the family in which someone grew up, did all they could to stop the kids from knowing who they were.In some families there were very severe consequences if a child spoke up with an independent mind.  By knowing where your difficulties started, you may very well be able to release the situation in which you learned to suppress your feelings.Also, spend some time with yourself just enjoying who you are.  Often, people who have difficulty in expressing themselves, suffered shame and humiliation as a child.  They have a chronic sense of worthlessness, and feeling worthless certainly works against self-expression.  By having a good time being with yourself, you may increase your self-appreciation and this will go a long way to believing that your feelings are worth knowing and stating."
"Instruct: I don't remember when the voices in my head started, but I remember Hearing them when I was little. 

I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop.  They've been here so long and I want them gone. How can I make the voices stop?
Output: This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well.However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you).If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help."
"Instruct: I need help knowing how to deal with stress. What can I do?
Output: Something different works for each of us.There are the outward answers of self-pampering and making your home and work environment as pleasant as possible.A deeper level way to decrease stress is through exercise or alternative practices like yoga or tai chi.If the stress is more deeply rooted than temporarily feeling irritated for a few days, then give yourself some time to reflect and clarify what the meaning of the stress is to you.Self-understanding and appreciating your efforts to know yourself may decrease stress because you'll be more focused and attentive to who you are.  This will influence you overall to make good decisions for yourself and these will naturally be ones which decrease stress as much as possible."
"Instruct: I don't speak up if I'm uncomfortable and hardly ever make plans for us when we hang out. He is a very open and straightforward person, so he is getting upset with me for my lack of proper communication. We've been together two years and have identified this as our main problem. Arguments have arised from this single issue many times.
Output: Do you know what you're afraid may happen if you do speak up?Usually people don't talk freely because they feel afraid to do so.  Sometimes the fear of being rejected by the other, of being criticized or judged by the other person, or that what you will say stirs anger in the other person.If you are able to know what your particular reason is for not talking, then maybe you and your partner can talk about what makes talking easy or hard.Also, since speaking up is new for you, then ask your partner to be patient while you learn to do so.  Everyone does better at learning new skills when they feel supported and welcomed."
"Instruct: I'm a teenage girl. I don't know if I'm straight, bisexual, or gay. I've been straight all my life, but a sudden rush of questions have come over me, and I don't know anymore.
Output: Hi Brentwood, While our society tends to want to put us into categories...slots...when it comes to sexuality, because this is nice and neat and convenient...many people find that they don't fit perfectly into one or the other. All you have to do is exactly what you're doing; be aware of yourself and allow yourself to explore these thoughts and emotions both alone and in connection with a safe partner. The people who love you will continue to love you as you sort through this. You can resist the temptation to please others by giving yourself a label. We are attracted to, and fall in love with, people...and we can't always predict what gender they might be. I love how open you are to discovering yourself. Keep on that track. :)"
"Instruct: 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?
Output: The short answer is yes - if you feel 'really guilty after a night of drinking', then you probably have a problem. What you could do is visit this website by the National Institutes of Health: http://rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/  There you will find information on how many drinks is too much, and the general answer for women is more than seven drinks in a week. There is also a quiz you can take anonymously that will help you determine if your drinking is a problem. The good news is that you can get help for substance abuse through counseling, self-help programs, or alcoholics anonymous."
"Instruct: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest.
Output:    The comments here from the other therapists are ""spot on"". As a Certified Sex Addiction Therapist-Candidate I'm convinced your partner's acting out creates trauma for you. Your partner's addiction is NOT your fault and his recovery IS his responsibility. What's paramount is for you to get immediate help from an experienced therapist who understands trauma as result of the partner's/spouse's problematic sexual behaviors. Your needs, safety, and the establishment of reasonable boundaries is vital to your well-being. I wish you the very best.Resources for Your Consideration: 1) https://www.iitap.com/, 2) https://www.sanon.org/, 3) http://www.cosa-recovery.org/"
"Instruct: My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my sex drive.     I love him so much. Why do I do this?
Output: Are you sure it is only the birth control pills which has changed your sex drive?My guess would be that possibly due to the hormonal changes of the pill, your own awareness and understanding of yourself in this relationship, is what is actually changing.Birth control pills control ovulation.   They don't directly prevent people from all desire to express affection.Allow yourself some time to reflect on how you feel toward your BF.   It is possible the birth control pills triggered a change in your attitude toward him.And, maybe independent of the pill, maybe you just are done with the relationship."
"Instruct: I need answers to my anger, possessiveness, and urges.
 I am angry all the time. I push people away so much that I actually blow up on people now because they ask me how my day is or was. I have a possessiveness to someone who is not even mine. I have these urges to hurt someone really bad. I want to see them beg for me to stop hurting. I want to hear their agonizing pained-filled voices. What is wrong with me?
Output: What result are you hoping to get from the behaviors you describe?Maybe start by comparing the results you see yourself receiving from your current interactions, with how you would wish to feel from relating to others.Since you ask, ""what is wrong with me?"", there is a disconnect between what you are doing and what you'd like in return.This is true even with imagining doing harm to others.What are you really trying to accomplish for yourself by hurting others?Besides the unethicalness and criminality of this and legal consequences of arrest for such behaviors, what gain which is not evil, do you expect from overpowering and imagining you control another human being?"
"Instruct: I was a victim of an incident. I've been made fun of and have been beating myself up for it because I don't feel anyone honestly believes me. There are so many other factors I deal with on a daily basis. I ignore my problems when I'm with my friends, but it’s scary when I’m alone.
Output:   As you seemed to have learned, the impact will not just ""go away"". Treatment of trauma is like surgery, it requires a skillful clinician to help resolve it. While you are contemplating getting help, you can focus on calming techniques like meditation and yoga. They will aid you when you begin the therapeutic process."
"Instruct: I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking to get him something special with my country's name on it, and I remembered that he likes wine. My country is known for that. Is it appropriate to give him wine as a gift after Christmas?
Output: This is a great question. In general it is not appropriate for counselors to accept gifts from their clients. There are some exceptions to this general rule - including a recognition that there may be a valid cultural aspect to this type of gift giving.It might be best to simply offer your counselor a holiday card as an expression of your feelings. You could also talk to your counselor about the gift and ask if him it if would be appropriate.In the end, I know he would most appreciate just knowing how much the counseling meant to you."
"Instruct: My girlfriend was abused as a child. Now, if I hug or touch her in any kind of way she says she feels as if she is being abused as a child. What might be going on?
Output: Was your gf always this way with you or did her withdrawal develop suddenly?Also, are there any other changes going on between the two of you in terms of feeling relaxed and at ease with each other, enjoying each other?Its possible her physical withdrawal, due to her sensitive nature about who touches her and the meaning of touch, reflects an underlying emotional hesitation about her feelings toward you.This can be either strong positive or negative feelings.She may be fearful of becoming more intimately attached to you, and withdraws.She may be actually withdrawing and expresses herself through the amount of touch she wants from others.Best way forward as almost always in a relationship, is to have a gentle conversation to open up the tension between the two of you."
"Instruct: I don't know what's with me. I'm almost constantly angry. Even when I'm happy, I still feel anger inside me. When I acknowledge it, it ruins my mood and takes over. I get angry at the littlest things. Even if I think someone said something they didn't, it infuriates me. Something perfectly normal can make me go off. When my anger flares up, I get a terrible pain in my chest that lasts for a while. It's like there is a fire constantly burning in my body, and anger is gasoline.
Output: Hi Nashville, I'm glad you want this to be different. It doesn't feel good to be angry all the time, and it's stealing your energy as well as affecting relationships, I'm sure.Working with a therapist, you can learn to recognise the deep emotions that lie underneath the anger. It's likely to be either powerlessness or worthlessness, and what happens is this... a small moment in the present touches on an old, tender, bruised emotion that we've simply felt too much of or too strongly in the past. We develop ways of avoiding these vulnerable emotions, and anger is one way of doing that. So, when someone looks at you in a certain way, or says something, you'd rather be angry than feel powerless, or unimportant (or whatever your kryptonite feeling is). In that moment, your instinct is to blame whatever happened, no matter how small, because that's the thing that happened just before you got mad. You fail to recognise that the problem is not the look on that person's face, or the shoe that someone left in front of the door...it's that you can't stand feeling something and you want to avoid it like you want to stamp your foot out if it's on fire.I suggest finding a therapist to work with. You can learn to take responsibility for your old emotions and find new ways to manage them. :)"
"Instruct: I don’t love my sister. I would never wish her harm, but if I could, I would wish for us not to be related. Is this cruel? Why must blood mean we have to be friends? Am I being unreasonable and is there a way to fix this? I do care about her, like I do every human being, but I’d rather be with my friends than be with her at all. It’s not just a ""teenager phase."" I still love my mom and dad, and I’m very close to them. However, it’s my sister I don’t love or have ever really liked at all.
Output: Not liking someone is not cruel - even if it is a family member. There is nothing wrong with you for not liking your sister. Some people are fortunate to have siblings that they get along with really well, other don't. We all have different personalities and we are not going to like everyone - even if they are related. In fact, sometimes being related makes it harder because you know all of each other's flaws and imperfections. With that being said - it may be worth it to make an effort to talk about the things that get in the way of having the kind of relationship that you might ideally want with your sister. Sometimes it is hard to like someone if we have a lot of old frustration and resentment and being able to talk about it in a constructive and kind way can lead to more understanding and respect, and sometimes actually liking each other."
"Instruct: He is an adolescent. He has peed his pant multiple times over the last few years, all at times when he is too wrapped up in a video game or video. We have taken away games and videos for long periods of time as punishment, but after a few months of having then back, he pees his pants again.
Output: Sounds as though your son is ""pissed off"" about something.Punishment will most likely result in more of the same, not less of the peeing you would like to stop from happening.""Laziness"" is more of a social judgement than it is a characteristic of its own merit.Is this your description of your son or his description of himself?First step always before addressing any of the family dynamics, emotions, and psychology of the people involved, is a medical rule out as to why your son pees at times he plays video games.If he has medical clearance that there is no physiological  problem, then talk with your son on his opinions as to why he pees, if he is aware of the urge to pee and ignores it, or that his attention gets so absorbed he doesn't notice the urge to pee.See what modifications you can create by cooperating with your son.Maybe it is as simple as each two hours, he sets a timer and when it goes off, he takes a bathroom break."
"Instruct: A lot of times, I avoid situations where I am to meet new people because I have a fear of embarrassing myself. I often avoid large groups of people, like parties, because I think they all constantly judge me.
Output: Hello, and thank you for your question. First, I want you to know that you are certainly not alone on this issue. Everyone, at some point in time, has a fear of public embarrassment. But for many people, this fear can become so awful that it begins to have a real negative impact on their quality of life.  They will try to avoid any situation that they even THINK will cause them embarrassment or anxiety. Escaping a possible embarrassing moment by avoiding or isolating may cause some relief at first, but then many times the avoidance will eventually lead to loneliness, isolation, and even despair. By avoiding, we can also miss out on things that make us feel alive and bring enjoyment. There are many self-help books that offer advice on this issue. You can do an internet search, and I recommend reading the reviews of the book. That is  great way to find out if others have found the book helpful. Another option is to seek a counselor to help you with this fear. I would recommend a counselor who specializes in helping people who have anxiety or social anxiety. Acceptance and Commitment Therapy is  a good choice for helping with anxiety, but there are many others. The truth is that anxiety and fear of embarrassing ourselves is not something that any of us will ever ""get over"", but we can learn to respond to those feelings differently. A colleague may offer some other advice, as well.. Be wellRobin Landwehr, DBH, LPC, NCC "
"Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone.
   My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?
Output: That is a really tough situation that a lot of young people are experiencing right now. The first thing to under is that you can’t change who your parents are and cannot change their behavior. The thing to keep in mind is that you can control your responses and actions.  You may need to keep living at home with them for the next few months or years and the best way to do this is to have a plan. The second thing is to keep in mind that their controlling behavior is most likely not about based your behavior. Controlling parents are often driven by their concept of what will keep their children safe and happy. Unfortunately this is not always accurate but keep in mind it is not a personal attack.  There are ways you can deal with controlling parents – and most of them require creating a plan of action.Examples of action plans:Decide in advance how you’ll calmly and rationally respond to your parents when you feel they’re trying to control youArrange to phone a friend or trusted adult when you feel like you’re losing controlTalk in person to an adult you trust. There aren’t any quick tips on how to deal with parents who want to control you; you need to find strategies that are geared to your specific family situation. Get specific coping tips from books about family dynamics, such as:Toxic Parents: Overcoming Their Hurtful Legacy and Reclaiming Your Life by Susan ForwardCutting Loose: An Adult's Guide to Coming to Terms with Your Parents by Howard HalpernA counselor can be a good resource and provide support and guidance about issues addressing normal growth and development during periods of transition."
"Instruct: 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?
Output: Absolutely not! When we have the courage to accept the challenge to address whatever is causing us pain, the solutions often generalize to many, if not all of our symptoms. I would suggest that unresolved trauma from sexual abuse is likely a primary contributing factor. However, it is important that you first build a trusting relationship with a therapist experienced in trauma treatment as this is an area of specialty that not all therapists are skilled in treating. Choosing one issue to work on, such as anxiety or depressive symptoms, and starting there will allow you the opportunity to get to know your therapist, learn coping skills for managing distressing symptoms, and establish emotional safety before jumping into trauma work."
"Instruct: I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least.
   I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me?
Output: The world needs more people lately who have such a high degree of empathy which you describe in yourself!If it feels a little burdensome, then look to balance what is too much with its opposite.  Since you're giving a lot of empathy, maybe you'd like receiving a lot of empathy.In the situation you describe, when you start empathizing with others, real or cartoon, ask yourself whether you've felt empathy coming in your direction lately.Often people give to others what they feel within themselves is missing.The emotional brain reasons that if I give you my support, say, then at least I will feel half of what being supported is like.Obviously the wish to receive more empathy cannot be fulfilled by you directly.  Empathy is delivered by someone who is willing to offer it.Reflect on whether you are allowing those who are in your world, to know when you would like to receive their empathy.Is it possible you keep your feelings to yourself and present as though you are able to handle a great deal more than you'd like to handle without anyone's kindness to support you?Being open to others about your own inner thoughts and feelings is much more difficult than it sounds.It sounds easy to just tell someone how you feel.Sometimes the first step is the most difficult, of accessing how you feel.Start with knowing the amount of empathy you'd like from others and what stops you from asking.Also, about your diagnosis and the lack of  studies and lists and formulas.  Each person is unique, the instructions and guidelines don't necessarily mean very much.  Often having a diagnosis makes a person feel weak, stigmatized, incompetent. Forget the diagnosis and concentrate on what you need to do differently in order to feel better.The answers are inside you, not inside a book or website."
"Instruct: She's in her early 20s, and she has a toddler.
Output: Well, first let's identify what factors are involved in the situation about which you wrote.Are you the only decision maker regarding your stepdaughter living with you?Is her dad, and your partner, living under the same roof?Would you feel any obligation to consult with your husband about his opinion and his way of handling the situation?Have you talked with your stepdaughter about your observation and your reaction to the fact of her not honoring your boundaries?Consider too that there will be an effect on the toddler, your grandchild, if you kick out your daughter.Is your daughter financially ready to live on her own and support herself and her child?You certainly have the right to define the terms of what goes on under your roof.It is only fair to everyone that as many variables as possible, be considered.The conclusion may be that it is in everyone's best interest for your stepdaughter to move out.If everyone feels respected and a well thought out plan is developed, then the least amount of hurt and stress, and the most amount of happiness, will be possible from this change."
"Instruct: How do I decide if I should end my relationship with my boyfriend?
Output: The decision to end a relationship is difficult. There are a few questions you might want to ask yourself like, ""Why am I asking myself if i should end it?"", ""What else am I looking for in a relationship that this one doesn't give me?"", ""is my boyfriend willing to discuss my doubts and willing to work at making this relationship better?"", ""Is he abusive in any way?"" These are just a few questionsto think through in order to make this decision. Also talk to a trusted friend and see they're point of view of your relationship. Sometimes talking it over can help you think out loud and you're friend can point out details you can't thought about. Talking to a therapist is also a good option as a therapist can hello you figure out what you are looking for and address any issues that need to be addressed."
"Instruct: I'm a teenager, and I created a sort of imaginary friend to help me cope with stressful situations or if I'm worried or upset. She ""gives me advice"" and comforts me and tells me it'll be okay. I've given her a name (Solace) and created a personality for her that's like a comforting motherly figure. I know it's just my own advice and my own thoughts, but it's just that I'm thinking of them through a voice other than my own. I do this because I know I never really listen to my own advice, and I thought it would be better if it was through someone else who knew my thought process in and out, through this imaginary friend. Is this normal? Could it develop into a separate personality with time if I continue a mentality that she is her own person?
Output: Since you are saying that you know that the thoughts are yours and your thinking of them in a different person's voice to make them easier for you to follow through on, it doesn't sound like it could develop into another personality.It may be helpful to also find other things that give you comfort and to practice telling yourself that it will be okay in your own voice. If you start to do that slowly, it may be more comfortable for you. If you're following following through with your own advice, it sounds like some part of you knows that you are making choices that you agree with.What else gives you comfort? Maybe there's a room that you like to be in when you are home or a certain outfit or color that makes you feel good. Focusing on these things may also be comforting to you."
"Instruct: I don't know what to say. I have never really known who I am.
Output: What exactly is it that you are looking for? Different people define themselves in different ways. For example, one person may define himself by his values and morals while another identifies herself by her personality and characteristics. Still, another person may define himself by his interests and hobbies. Learning who you are as a person can take time and life experience. At the same time, who you are may change according to what experiences you have had and how you have dealt with them or felt about them. Try viewing the journey of finding yourself as exciting and ongoing. Allow yourself to feel emotions and learn how they relate to the experiences you have. This may help you to know more about what you value, what you like and dislike, and what you want for yourself in life. Best of luck to you!"
"Instruct: I've been hospitalized twice. Once was last month for psychiatric help. I'm on medicine, but I'm struggling with fighting the negative thoughts, irrational fears, and loneliness. The people around me aren't helping much.
Output: If you are someone who usually has a job, pays or contributes to household bills, and generally manages your own daily life, then here are some suggestions.Start with small changes in your life so that you will feel successful in developing little areas of personal happiness.Since the people whom you currently are in your life ""aren't helping much"", consider branching out your life so that you are with those with whom you do feel help you.Follow your natural interests.  If you like reading, look online for a local book club.   If you like watching birds, look up a bird watching group.Social isolation increases the intensity of negative feelings.Also, the way healthcare is set up in the US, psychiatrists spend 15 minutes asking a person questions and then giving them a pill script.    There is almost no human interest in the person.If you'd like feeling better as a person, then find people.   Relying only on our mental health system will keep you feeling low and unsteady.If your life is a little more sheltered and you are in a group home setting or your basic needs are taken care of by someone or some organization, then similar advice is still valid.Find and participate in whatever human settings which appeal to you and are available on a somewhat regular basis."
"Instruct: I was with my boyfriend for years on and off. We dated and broke up three times. Since we broke up five months ago I can't move on. I want to get back together but he won't talk to me. What should I do?
Output: Probably being sad to lose the relationship would be a good next move for you.When a relationship ends the daily life structure changes significantly.  A break up means adjusting to differences in everyday life, not only that the person is no longer connected with us.Since your boyfriend isn't talking to you then you're keeping yourself sadder than necessary to not accept his actions.  There's nothing you or anyone else can do change the fact that when someone decides to stop talking, this person is the only one who's in charge to start talking.Maybe since you've had several breakups w this person that you require more time to pass before you're willing to accept that his changed interest in the relationship is permanent.Be patient with your uncertainty as to whether he will or will not resume the relationship.  Once enough time passes so that you're considerably past the point at which you and he come together, then accepting his leave-taking will feel natural.Right now its very understandable to have hope since you've been on this road before.  In time you'll have your answer as to whether your future is with him or not."
"Instruct: I have a really bad temper. I get mad very easily then stay like that the whole day. I don't mean to be that way, but I can't help it.
Output: A lot of times the anger someone expresses is from feeling a deep level hurt within themselves.   A surface situation, like, a store told you they'd have delivery of a certain item by Tuesday, and when that particular Tuesday comes, the store doesn't have what they told you they would, and you are furious.The fury may have more with many times before in your life, having been deeply let down by someone who mattered to your life at the time, who similarly promised something and failed to deliver whatever it.If at the time of feeling let down by someone important in your life, the relationship didn't allow for honest expression of all your emotions, you'd have learned to hold in what you realized would not be tolerated if you expressed it clearly.Without practice of being heard when feeling hurt by someone, eventually the person, possibly you, learned to contain and contain your emotions.It is possible that the anger you feel at a variety of situations lately, are muting hurt feelings that you've understood from relating to meaningful people in your personal history, to not talk about.As a way to find out if you feel other emotions in addition to anger, take some time to reflect on what triggered your anger and whether its possible that hurt emotions which nobody whom you know wants to hear,  are really the underlying source of your upset.I hope you will enjoy some new discoveries about yourself and your emotions!"
"Instruct: Sometimes 3 times a night.
Output: Dreams are our chance to make sense of our waking lives.If you've got a lot going on in your life then your dreams are your assistants in understanding these happenings and dynamics."
"Instruct: I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.
Output: Having this kind of conversation with a doctor can feel difficult.  But remember, you are the expert on you.  Any good medical professional will recognize that.You are absolutely right to think about the importance of being your own health care advocate.  Generally, the best approach is simply to be honest.  Let your doctor know what you are concerned about and tell your doctor what you think might help.  If there is a specific issue that you’d like to address in counseling, let you doctor know about it.  And don’t hesitate to directly ask for a referral.I know this may all feel a little overwhelming.  It might help to bring a family member or significant-other with you to provide support when you talk to your doctor.  It’s great that you’ve already taken this first step to reach out.  You’re on the right track."
"Instruct: I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and it’s with the girl that works with us. I've been trying to get over it, but now my confidence and self-esteem are low, and sometimes I feel like he’ll do it again or that he's not ready to be with me. I think about it all over again when I see her. He says he's in love with me, and with the last time he cheated, it didn't feel right, and that's when he knew he had to stop because his feelings were for me. He's contacted her and told her he will not communicate with her because he's in a relationship with me.
   How do I gain confidence? Should I let him go? If I let him go, I don't want to be sad about it being that we work together. I try to tell myself I'm beautiful every day, and I think I am a pretty attractive female with a great personality, but I don't like the fact that she works there.
Output: Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for couple's therapy in which there has been infidelity.Understand within yourself whether you'd like being with your boyfriend and what you'd like him to do so that you start feeling more secure in the relationship.If yes, then tell him what you now know about yourself as partner in the relationship.For example, some people who are getting over being cheated on, would like knowing details about the affair person, some people want to see the phone of the one who cheated.Recuperating after a cheating incident takes many months.If he tells you he'd like earning back your trust, give him some time to see if there is progress in this area.As results unfold, you will feel clearer on the direction your relationship is naturally taking.About the girl at work, she will feel less meaningful to you as you work together with your boyfriend on securing the relationship.She has her greatest meaning right now because you are at the beginning stage of knowing what direction to take.As you go along this road, more than likely, you'll be more at ease in naturally finding a way of relating to her that feels ok to you."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Crying in therapy is a natural response, a relief to what you are going through. It is an expression of emotions, which is why you are going to therapy - to express yourself in a safe, nonjudgmental space. Rather than trying to stop crying, sit on the couch with it until it is done and you have finished with the clearing. The energy is not blocked, is moving - a good thing. It's good to cry."
"Instruct: 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?
Output: It takes a lot of courage to go to therapy.  I have gone myself as a Counselor and know what that feeling is like. This is normal but hopefully you have become more comfortable with your therapist. This might be something to bring up to your Therapist and openly discuss (scary to do but its ok) this may even relieve some of your anxiety.  If it continues, you may want to consider trying another therapist as this one may not be the best fit for you."
"Instruct: 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?
Output: 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."
"Instruct: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest.
Output: There is a lot of information out there right now about how porn is harmful...to a person's brain chemistry, to a relationship and one's ability to love, and to how men see women and sex in general. Your partner demonstrates a clear disregard for your needs. There is evidence, as you suggest, that there is addiction here. I recommend seeing a therapist who can help you sort out where to go from here."
"Instruct: After 40 years of being straight, how could I now find myself interested in people of the same sex? I have had a few same sex encounters of my own doing.
Output: Sexuality is fluid. It is possible to find yourself attracted sexually or affectionally to different types of people at different times in your life."
"Instruct: I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?
Output: You're not a sociopath - you're traumatized. Shutting off feelings is our brain's automatic way of protecting us when something bad happens and we just can't deal with any more pain. It's temporary - which is both good and bad news, because after the numb goes away and your brain decides you're ready to handle it, you'll feel the emotional pain.  My advice is to get a therapist ASAP so you have a safe place and a safe person when that happens.This is a horrible thing that happened to you, but you are not a horrible person. With good therapy you will learn to assimilate this into the rest of your life. You'll never forget, but you won't have the same pain about it  .Good luck! You can do this!"
"Instruct: 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?
Output: Let me start by saying there are never too many concerns that you can bring into counselling. In fact, most people who come to see me for counselling have more than one issue they would like to work on in psychotherapy and most times these are all interconnected. In counselling, we work together, collaboratively, to figure out which issues you would like to address first and then together we develop an individualized plan of care. Basically, it’s like a road map of where you want to go, how are you going to get there, looking at stopovers, some scenic routes others possibly not so scenic, however, necessary. Of course, these plans can also change due to internal (what we have control over like our thoughts, feelings and behaviours) or external reasons (those things that are outside our control). I would encourage you to take the next step and reach out to a professional you can trust and build rapport with by co-journeying through whatever concerns you have by examining what has been working so far as you have learned to cope with some of your issues like insomnia, depression and anxiety, as well as being a breast cancer survivor. Then to help you by developing new coping strategies. Psychotherapy can be such a powerful tool to help you get to where it is you want to be. I know you can do it and you will see first-hand how psychotherapy will help you to move past these points in your life where you are feeling stuck. I like to quote Nike where their motto is, “just do it.” You can do it."
"Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
Output: Hi Louisiana,It's normal when trust has been broken in the past for fear and insecurities to come up from time to time. His reactions may not mean that he doesn't trust you, but rather that he gets scared that he's going to be hurt again. You're a bit vague about the past. You don't say whether you cheated or not. If you did, then you might try taking an approach where you a) take responsibility for your past actions, b) show an understanding of and compassion for his pain about that, c) do everything you can to demonstrate trust and show that he is your priority, and d) reassure him when he says he's scared or feeling insecure. I'm suggesting that part of healing is you having tolerance of his emotions and demonstrating that you're so confident you can be faithful that you can handle his moments of fear. This is what he and the marriage need in order to heal from the attachment injury.Part of the issue might be that when he brings it up, he's coming across as angry, accusing or suspicious, rather than scared and insecure. This often happens. A therapist can help both of you understand that fear is behind the anger, and it works best if he shows you his vulnerable emotions rather than the anger (which is also natural, but less helpful in those moments), and then you can more easily recognise the cue for you to reassure him. As much as you want to forget about it, he might need to talk about it sometimes, and that's normal. His needs are important. Also important, however, is your need for respect. If he approaches it in a disrespectful way, that's a separate problem. If it's brought up as a weapon, used to shut you down, or used to control or punish, those are unhealthy ways of dealing with past hurts. You can both offer compassion to him and use your sense of boundaries to protect yourself from being flogged with the past.A qualified therapist can help you sort through this trick territory. Best of luck."
"Instruct: I have suffered many things at home and school. We never went to the doctor to diagnose depression or anything like that, but I always feel like a part of my heart is missing. I try to fill it in with objects or, in this case, a woman.
Output: There are a lot of ways to look at this. It sounds as if there is a part of you that is looking for support. I wonder what it is that you feel when you're not in a relationship?Because of the way you asked the question, I'm getting the impression that you are referring to romantic relationships. I wonder if you have close friendships that could form a network to help with this when you are not romantically involved with someone. Even when you are in a relationship with a romantic partner, having friends is still an important element.I wonder if you could also notice what changes for you inside of yourself (as far as emotions) when you move from not being in a relationship to being in one.Perhaps you could take a look at what you value about yourself.In general, it is natural for people to want to be in relationships with others (in this case, relationship has many meanings and degrees). Most of us enjoy sharing elements of our days, thoughts, feelings, etc. with someone else who we trust and care about – also hoping they care about us in return."
"Instruct: My husband always works. He does work from home, but his hours are from morning until night, and he neglects his family. If I have anything I want to do, I have to find a babysitter, but he does what he wants. He rarely comes to bed when I do, and we never have date nights.
Output: Hi Ohio, The crazy things about situations like this is that, almost guaranteed, while your husband is out working and away from home, he feels he's doing it all for you and the kids; he believes he's loving you. He might feel like he's carrying his family on his shoulders. Your 'love language' is different...you'd rather spend time with him or talk to him...you want to feel like he's a bigger part of the family and feel connected to him. I absolutely understand that, and I support you asking for that.He might very well miss that feeling of connectedness too, but he's likely also feeling the weight of financial responsibility. A lot of men (and women) don't talk about this but they feel it. Sometimes they feel like they can't win either way; there's pressure to earn and pressure to be home. He has needs too; he probably wants more appreciation and less blame. I urge you to talk to him about how you feel, find out how he's feeling, and use a professional to assist you if your communication styles aren't great. Right now you WANT to spend time with him and that tells me that you have a good chance of addressing this problem successfully."
"Instruct: 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.
Output: Your, sitting in your car for 30 minutes, story sounds so sad and frustrating.Yes, you're describing classic symptoms of anxiety.Anxiety itself is the indirect result of repeatedly being in positions of feeling helpless or frightened.Are you able to recall from your growing up years of feeling insecure?You may not have felt loved and nurtured as much as you needed.Some people develop anxiety from missing enough love.  They feel lacking in ability to take care of themselves, similar to the lack of being sufficiently taken care of when younger.Try understanding if you felt neglected emotionally.If ""yes"", then start the slow process of emotionally rewarding and acknowledging yourself.Progress will be slow.Eventually you'll stabilize the way you feel toward yourself.This will gradually result in decreased anxiety."
"Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
Output: I'm sorry to hear about the trust issues in your relationship. Trust, as you clearly know, is essential to healthy relationships. Past indiscretions or dishonesty can damage this trust and make it really hard to confidence that these things will not happen again despite reassurances. We tend to be very sensitive to betrayal and risks to our relationship security. Rebuilding trust takes time and effort for both parties. On your end, you may need to provide more reassurance and more concrete evidence that you are trustworthy, gestures of transparency (e.g. - giving him more information about where you are going and who you will be with, letting him know when you get texts or emails from people that might give him pause or trigger insecurities), and more patience and empathy for his fears. On his end, he may need to learn to be with his insecurities and fears and ask for reassurance about your love and commitment in ways that do not lead to criticizing you, attempting to control you, or limiting your freedom. If you are not able to come to agreements about how to put his fears to rest without it negatively impacting your life, I would suggest getting some professional help from a marriage counsellor or couples therapist."
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder.  How do I move on?
Output: Dealing with a breakup is difficult. We have high hopes and then those hopes and dreams are dashed and we feel at a loss for how to deal with this sudden change in our lives. First, it is important to acknowledge that losing a relationship is a loss and we need to grieve that loss. If we don't allow ourselves time to process and move through the grieving process, we may remain stuck and it may make it hard to move on. So in some ways, you don't want to move on too soon by just trying to ignore your feelings. Instead, take good care of yourself, talk to friends and give your self time to heal. The second most important thing is to forgive yourself; this is also an important part of taking care of yourself. You might be blaming yourself and re-living moments when you wish you would have done things differently. By replaying those thoughts you remain stuck. When we begin to forgive ourselves, we truly begin to heal. Lastly, in my experience the people who have the most difficulty moving on have not really severed all ties with their ex. They are still following them on social media or even checking in with texts. This is probably the hardest part for some people, but to move forward there needs to be a clear boundary and a clear ending. If you have a clear ending, you can have a new beginning. I hope this helps. Take good care of yourself! "
"Instruct: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from.  Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas?
Output: The feeling of never feeling good enough usually stems from our early relationship with our parents or significant role models who made us to feel we were never good enough to meet their standards. In the healing process, you'll need to work on discovering the root source of where these thoughts and feelings come from and then learn to accept yourself just as you are unconditionally. I'd be pleased to help you in this process. I provide online private counseling through proventherapy.com. Dr. Rachelle Vaughan"
"Instruct: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole ""If you love them, let them go,"" but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped.
Output: Hi Fort Worth,  I applaud your awareness and insight into the relationship.  Most of us come into relationships carrying old baggage and although you can't change her,  what you can do, is change yourself.  We can usually begin to understand ourselves better in the context of our own upbringings.  That is where we learn what a relationship looks like and it is often not the best teacher.  I wonder about your jealously, insecurity, feeling trapped and a lack of trust.  Has that ever showed up anywhere before?  It has more to do with you and less to do with her.   Your relationship with her is tapping into unresolved issues within yourself.  That is really where you want to focus. Once you understand it and resolve it, you will no longer need to ask anyone else what to do, because you will know.  You are young and just getting started in the relationship world and the healthier you are, the better you will know what healthy looks like.   Know yourself, understand yourself and love yourself.  The rest will take care of itself.  Finding a Therapist can be a big help in this process.  You are asking the question, so I suspect you are ready to look at the man in the mirror.  I believe in you and am wishing you all the best.Sandra Cooper, RN, LPCMH"
"Instruct: He wants to wear makeup and heels. He even tucks his penis away to resemble a vagina. He wants me to wear a strap on and have anal sex with him. I have tried this for him, but I don’t like it and have told him so. He keeps making comments about it and says he can't live without it.
Output: Depending on your own sexual history and what you grew up expecting to be ""normal"" in the bedroom, I can easily imagine that this came as quite a shock to you!  It DOESN'T necessarily mean, however that your husband is: gay, bisexual transgender, or even necessarily a cross-dresser etc. unless he has already told you so. I agree with the other poster who recommended you try and ask him more questions with an open and curious attitude and see if he might be open to explaining more with you. That being said, what we also know from research is that frequently what turns us on isn't always what we identify as.  Lots of people have fantasies or even sexual behaviors they may enjoy from time to time without considering themselves to be a part of any label or subculture. For example, many women are okay with having their hair pulled or bottom spanked during a particular rowdy sexual encounter but certainly don't consider themselves kinky, submissive, or anything else.  It could be that your husband enjoys pretending/ fantasizing that he is something completely different in the bedroom from time to time from what most other see him as outside in the corporate world or in other roles he plays as husband, father, son, friend etc.  Many of my kink clients are drawn to their particular fetish simply because it's the opposite of what their life typically entails (e.g., a high profile CEO who is always responsible for making the decisions enjoys being at ""the mercy"" of someone else once a week). Each of us has a sexual script - a blueprint if you will of what we like and don't like in the bedroom and also what we have each come to see as being ""normal.""  It's also an internal guideline for how we each define our role in sexual expression, sexual orientation, sexual behaviors, sexual desires, and how big a part our sexual identity plays in our everyday lives (Gagnon & Simon, 1973).You've been clued into the fact that your husbands greatly differs from yours on the surface level at the moment. ALL of us are sexual beings yet none of us is exactly identical to one another in our sexual definitions and script expectations. It's like our own sex fingerprint. In my role as a couples counselor, I often help partners become aware of their own sexual script and explore where it overlaps their partners and where it may always differ.  If a couple is able to successfully navigate formulating a plan for both to feel validated and sexually satisfied, the relationship thrives. Most counselors would agree that a healthy script includes:Both partners taking ownership for the couple's sexual experiences.Both partners learning to communicate openly and honestly about their feelings.Both partners learning to meet one another's - needs, desires, and wishes while making sure his/her own needs are being met.If ""pegging"" your husband as it's called is a hard and fast no for you, that will likely need to be respected as it may be too far off your own sexual script.  However, if your husband is for sure absolutely adamant about ""needing"" to dress in a female fashion and/or be anally penetrated, you may seek professional counseling to help navigate how both of you will come to an agreement about fulfilling these desires in a way that doesn't hurt either one of you or the marriage.My warmest wishes to you both!"
"Instruct: I need help knowing how to deal with stress. What can I do?
Output: Our body reacts to stress typically by breathing more shallowly, increasing our heart rate and tensing our muscles - so one thing that I find really effective is to try to do the opposite of that, which sends the signal to our mind that we are relaxed. So that means, taking slower, fuller breaths and trying to relax any areas where we might be gripping our muscles. Check out meditation apps such as 'Breathe', which can talk you through a relaxing breath exercise. I recommend using the app daily, whether you feel stressed or not, and then also using it when you re feeling particular moments of stress - that way you are practicing the skill when you feel calm(wish) and it'll be ready and able to help you when stress hits hard."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: There are typically three reasons why therapy is terminated:1) Client has met therapy goals2) Client is not progressing 3) Therapist is not a good fit for clientIn order to properly assess whether therapy is helping and what progress is being made, the therapist needs to have ways of consistently checking in with clients sessions-by-session to determine what is helping, what isn't, and where the client is at in relation to their original therapy goals. When a client has met their goals, that is a good time to end counselling sessions unless the client has new goals or simply wants to check-in periodically to make sure that they are still on track (sometimes referred to as relapse prevention). When a client is not progressing, and feedback has been taken and attempts have been made to make the therapy more helpful for the client but to no avail, than it is considered unethical to continue to work with the client. In these circumstances, referring out to another therapist who may be a better fit is a good idea."
"Instruct: I am a peaceful person, but I often find myself having thoughts about killing people. Eventhough I like the thoughts at the time, they make me cry. Why do I feel like this?
Output: Maybe because you have great emotional pain stored inside you of which you are not aware exists.Sometimes people who feel greatly hurt by others or who feel unloved by others, imagine if they do the opposite of love, which is to kill, that they will get the recognition and acknowledgement from others which they wish would come to them in a loving way.This is my theory, it is not necessarily a definitive description of your inner dynamic.Most important is to keep an open mind to self-discovery on your feelings, including the ones which are uneasy, such as killing, to consider."
"Instruct: Sometimes 3 times a night.
Output: That's a difficult question to answer. Dreaming is a normal (and healthy) part of the sleep cycle. The current thought is that we all generally
experience roughly the same number of dreams - the difference often is just
whether we remember the dreams or not.An increase in the number or frequency of distressing dreams
(or nightmares) can be a symptom of stress, anxiety, or PTSD.  If the dreams are disturbing to you, talking to a local
counselor could help. If the dreams themselves
are not troubling, you may just be remembering them more than most people do."
"Instruct: The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says ""here lays my emotions. R.I.P."" I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?
Output: It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets.  I do not know what all is going on in your family, and I cannot answer for your dad’s actions or his reasoning behind this.I would recommend that you focus on developing healthy coping skills.  We cannot change what others do but we can change how what they do affects us.  If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress.  It is really good to have a wide variety of interests such as friends, hobbies, games, etc.  Develop other things that you care about and are passionate about.Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don’t have healthy ones, you may develop some very unhealthy ones.  You have to cope somehow, right?  Developing unhealthy ways of coping with life is only going to make life more difficult for you.I don’t know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe.  Both of these environments can lead you to develop some unhealthy ways of coping with life.  Please talk to a trusted adult about your feelings before it gets any worse."
"Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
Output: I'm sorry to hear about the trust issues in your relationship. Trust, as you clearly know, is essential to healthy relationships. Past indiscretions or dishonesty can damage this trust and make it really hard to confidence that these things will not happen again despite reassurances. We tend to be very sensitive to betrayal and risks to our relationship security. Rebuilding trust takes time and effort for both parties. On your end, you may need to provide more reassurance and more concrete evidence that you are trustworthy, gestures of transparency (e.g. - giving him more information about where you are going and who you will be with, letting him know when you get texts or emails from people that might give him pause or trigger insecurities), and more patience and empathy for his fears. On his end, he may need to learn to be with his insecurities and fears and ask for reassurance about your love and commitment in ways that do not lead to criticizing you, attempting to control you, or limiting your freedom. If you are not able to come to agreements about how to put his fears to rest without it negatively impacting your life, I would suggest getting some professional help from a marriage counsellor or couples therapist."
"Instruct: What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation?
Output: This sounds like a potentially serious situation. The most important thing is to make sure the child is safe.  If you suspect that a child is (or has been) harmed, I would strongly recommend that you report your concerns to your local law enforcement or to Child Protective Services. If you don't think that a child is in danger, you can still report your suspicion of counselor misconduct to the state regulatory board."
"Instruct: I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?
Output: I'm glad to read about your willingness to develop new ways to invest yourself with your partner.The easier way to fix a relationship is when both people are helped to recognize the ways the couple dynamic falls short of what each person would like.Couples therapy is exactly this.Still, relationships can change if one person changes since changing one part of a system will change the system itself.Besides starting to work with a therapist on what you can do differently, reflect within yourself on the situations when problems arise between the two of you.See if you can figure out what you wanted and what you partner wanted in that particular moment. Was one of you trying to help the other and the person felt insulted by the suggestion of needing help?This is only an example of how intentions are misread or not welcome by one partner from the other.Also keep in mind there is a limit to everyone's flexibility.Reflecting and self-awareness are the first step.The second step is to know when you've reached the end of possibilities to change yourself and not be accepted for who you are.This raises the question of whether the two of you are far apart in similarities in order to be happy together.Good luck in enjoying the changes you will try to make!"
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?
Output: Dealing with a breakup is difficult. We have high hopes and then those hopes and dreams are dashed and we feel at a loss for how to deal with this sudden change in our lives. First, it is important to acknowledge that losing a relationship is a loss and we need to grieve that loss. If we don't allow ourselves time to process and move through the grieving process, we may remain stuck and it may make it hard to move on. So in some ways, you don't want to move on too soon by just trying to ignore your feelings. Instead, take good care of yourself, talk to friends and give your self time to heal. The second most important thing is to forgive yourself; this is also an important part of taking care of yourself. You might be blaming yourself and re-living moments when you wish you would have done things differently. By replaying those thoughts you remain stuck. When we begin to forgive ourselves, we truly begin to heal. Lastly, in my experience the people who have the most difficulty moving on have not really severed all ties with their ex. They are still following them on social media or even checking in with texts. This is probably the hardest part for some people, but to move forward there needs to be a clear boundary and a clear ending. If you have a clear ending, you can have a new beginning. I hope this helps. Take good care of yourself!"
"Instruct: I constantly feel like everyone is up against me and trying their best to shut me down. It's ruining my mood and even my whole self. I have trouble sleeping, and I keep having sleep paralysis while dreaming of others mocking and judging me.
Output: The problem you describe sounds very wearing on your spirit.Are there particular reasons for why you feel everyone hates you?Have you been in a clash of ideas or opinions and feel yourself in the minority viewpoint?Or does your sense of being shut out start within your own mind, as though you anticipate that others will not like what you say?If actual conversations are leading you to feel left out, then evaluate whether to bring up certain points to the other person.Or, you may also decide that the relationships in which you feel shut out, are no longer worthwhile ones for you.If the problem is hesitating to interact because you imagine others will reject you, then maybe you can coach yourself into trying a small step toward introducing yourself and your thoughts to others."
"Instruct: After 25 years, I fell in love for the first time. The person acted for a week and left me without even saying goodbye. My heart is burning, and I can't take this pain.
Output: Hi, San Diego. I'm sad that this was your first experience (in 25 years) with feeling in love. You deserve better. My understanding of today's (western?) social cultural norms is that it is somehow acceptable to abruptly stop communicating with someone you've been seeing, without explanation. I don't get it. It's rude. You're better off without this person around. There are still people who operate with respect, but this person isn't one of them.If I'm reading this right, you knew this person for a week? In my humble opinion, much heartache and many poor relationships come from attaching too soon. It takes years to get to know someone deeply. I know it's hard to keep yourself from falling in love, but you owe it to your heart to take these things more slowly, because everyone puts their best self forward at the beginning and it takes time for that to relax and for you to see who they are when times are tougher and real stuff happens.If I was your therapist, I'd be curious about how this is the first time you've fallen in love? Or is it that you were in love 25 years ago?  Was your heart broken then, or did something encourage your heart to close? What has kept you from either meeting people or letting yourself fall in love until now? Is there a danger that you will decide love isn't worth the risk? This is a crucial time for you to potentially seek professional support from a therapist in order to understand yourself and not shut down, if that's what happened before. :)"
"Instruct: 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?
Output: If you have only been to a couple of sessions, it makes sense that you might still feel apprehensive at first. Therapy is hard work! You may be talking about some things that you never talked to anyone about before. Opening up to stranger can be scary. After you feel comfortable with your counselor, and trust has built up and you feel understood in session, you should feel more relaxed. I would encourage you to talk to your counselor about feeling a little shaky. Sharing what the process is like for you is important in your work. If you still feel unsure about sharing after several sessions, it is important to take a look at that and try to understand where that may be coming from. For example, are you and the therapist not a good fit? But, again if you are just starting out in working together, feeling a little bit nervous makes perfect sense, and I encourage you to give it a bit more time and to talk to your therapist about how you are feeling."
"Instruct: 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.
Output: 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! "
"Instruct: 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.
Output:   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."
"Instruct: 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?
Output: 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."
"Instruct: 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?
Output: 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."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: 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."
"Instruct: 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.
Output: 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. "
"Instruct: 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?
Output: 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."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: 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!"
"Instruct: I feel like I have to be promiscuous in order to keep people around? It started after I got raped by my ex-boyfriend.
Output: I recommend that you seek professional services to address the trauma you experienced. EMDR has been proven to be very effective in treating trauma. In addition, a support group might be helpful to find a more stable support network. Either a support group for victims of rape or sex/love addiction www.sa.org sound appropriate. Whichever group resonates the most with you will be the most helpful. If you have any additional questions or concerns, please feel free to ask."
"Instruct: 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.
Output: 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."
"Instruct: 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.
Output: 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. "
"Instruct: 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?
Output: 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."
"Instruct: 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.
Output: 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."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: 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."
"Instruct: It's not entirely true to say I enjoy being sad, but I always find a way to feel that way. I listen to sad music, read tragic stories, and, in a twisted way, like how bad it makes me feel. I focus on negative aspects of my life even if they aren't legitimate or I just make it seem negative.
Output: It sounds like you are noticing that you are drawn towards sad and negative content and it's hard to understand why. This may sound counter-intuitive, but sometimes we do things that on the surface may look problematic (or even cause us some real problems) because it serves us in some unseen way. A simple example would be somebody who is addicted to a substance; their addiction may be causing serious problems in their life, and they may even know it, but the addiction serves them by helping them to avoid painful feelings that they anticipate having if they quit using. Now I am not saying that what you describe is an addiction, it is just a really illustrative example of the unseen benefit.One thing I would be wondering about is what is the unseen benefit of seeking out sad and negative content? I'd also be wondering what your relationship is to other feelings. These are things you may benefit from exploring with a competent therapist."
"Instruct: 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?
Output: 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!"
"Instruct: 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?
Output: 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. "
"Instruct: I'm currently dating someone else and I really like him. But I love and miss my ex so much. What do I do?
Output: 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."
"Instruct: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?
Output: 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."
"Instruct: How does a person start the counseling process?
Output: 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. "
"Instruct: 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.
Output: 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."
"Instruct: I have been having horrendous nightmares this whole month.
Output: Are you facing any type of overwhelming situation in your waking life?Dreams and nightmares are the non-logical ways in which we make emotional sense of what goes on in our everyday waking world.Besides having some type of relaxing bedtime routine to set a peaceful mood for your sleep, and avoiding viewing violent films and video games as entertainment, maybe even avoiding news stories which sometimes have similar themes of violence, the content of our dreams and nightmares is out of our direct control.Your nightmares may offer useful clues as to what you're trying to resolve in your life.  Pay attention to the story of your nightmare because it reflects how you feel in waking life.If you feel helpless and silenced in your nightmare, or taken advantage of, or whatever dreadful situation goes on during your nightmare, then look for where in waking life, you may feel similar.In this way, you'll become clearer about stressors in your life that you may not have realized existed were it not for the stress of nightmares."
"Instruct: 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?
Output: 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."
"Instruct: 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.
Output: 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."
"Instruct: 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?
Output: I think there are many different directions we could go as far as answering your question.  I think the first and most important question you need to ask yourself is do you truly believe in your heart that you can forgive him and trust him again?  Once you answer that question honestly then you can move in one of two directions.  First, if you truly love this guy and see yourself being with him long term and for the ""long haul"", so to speak...and you genuinely want to forgive him and trust him again, that is completely do-able and possible if you both put in the work.  But, there's a greater issue here that needs to be addressed.  You say your relationship is ""good"", but there's been a sexual disconnect between the two of you and that usually indicates some type of emotional disconnect is at the core.  Would you agree with that, or what are your thoughts?  Were you giving him less sexual attention than you normally do or were you guys never on the same page about sexual needs and having compatible sex drives?  If you are more of an emotional person than he is, you may have been less interested sexually because he hasn't been meeting your emotional needs.  For instance, if you hadn't been feeling loved, cared about, validated, appreciated, cherished, and special to him than you may have felt less connected physically and been less interested.  This is a common issue with couples, and can easily be addressed if the communication in your relationship is strong and you can find a way to express to him your frustrations.  In essence, many women tend to have more emotional needs than men, this is the way we are hard-wired, and there are exceptions to this of course, but if you have been feeling neglected emotionally than your lack of interest in sex is actually completely understandable and NORMAL!  Until he understands this, and can learn to tune into your needs emotionally, you may struggle with feeling you are out of sync emotionally (and sexually).  This leads to you both being frustrated, but if all this is ringing true to you, he seriously probably has no clue what's going on and may not know how you're feeling.  You need to communicate your needs to him; if you are super lost with how to do that, there's an awesome book called The Five Love Languages.  It's not that long, and it's very approachable and easy to apply the concepts to your relationships. Invaluable resource for relationships and truly eye opening; really!!This is a long post, I'm sorry!  But this is such an important issue that is very common and many people feel lost about how to handle it.  So back to the second direction you can go....you feel very betrayed, you aren't sure if you can ever trust him again and you see yourself perhaps being paranoid forever and never being able to completely get over this.  For instance, if he says he is working late, or if he doesn't call or text right away when he usually does, you may immediately jump to the worst case scenario that he is cheating again.  Of course, it may not be true, he may have legit reasons for his behaviors, but the point is if you are going to be in paranoia-mode OR you just will always be unsure whether he loves you and is committed to you and only you, then the trust may not be able to be re-built.  You need to think long and hard about this, and if you decide you have the capacity to forgive him and rebuild your foundation of trust and honesty, then you need to let him know very explicitly what you need him to do to earn that trust back.  You can't just tell him vaguely ""I need to trust you again""; if he wants his family back and he's willing to do the work, you need to line out exactly what he needs to do and he needs to do it.  But, be prepared that he might throw out there that he cheated because he felt you weren't attracted to him anymore (or he tries to put the blame on you somehow because he says you weren't meeting his physical needs)...if he throws that out there, but you weren't showing him the affection because you were frustrated emotionally, then it all starts with you communicating that to him.  Get that book!In conclusion, if you feel in your heart there is no way you will be able to trust him again and you will always wonder if he's cheating when his behavior isn't spot on, you will be a nervous wreck and perhaps cutting your losses now would spare you the continued heartache.  There is certainly a way to work through this, but you both have to be motivated and you have to get to the source of why the cheating happened in the first place.  Rebuilding trust can be a long process, maybe even years, and for some people, they may never be able to fully trust and let go of the past.  I truly recommend starting with the book, and then going from there.  If you decide you want to stay with him, you would really benefit from couples counseling, as it sounds like a professional could help you strengthen your communication and ability to trust again."
"Instruct: 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?
Output: 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?"
"Instruct: She cried because she lost all trust in me. Now I feel disgusting and like my heart just got stabbed, what do I do?
Output: It sounds like you've already learned that just being honest is often the best approach. What do you think about telling your mom how you're feeling?  She might really appreciate it if you also let her know that regaining her trust is really important to you. "
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: It is not uncommon to be a bit nervous meeting your therapist (or another person) for the first time. Your therapist understands that calling and getting an appointment was a big step for you and will do their best to put you at ease. Providing a safe environment for our clients includes not judging them and being comfortable with the information and emotions that they share with us. It is ok to cry and to trust that the therapist will honor this as part of your process."
"Instruct: I'm in my early 20s, and I've been seeing my boyfriend for a year now. My boyfriend has always been the sweetest guy until recently. He has made comments such as “you would look better as a Tumblr girl"" or ""you should start doing more squats."" It's really hurtful.
Output: Hello, and thank you for your question. I am very sorry that you are experiencing this. To be honest, this kind of behavior is really emotionally abusive, and you likely know that already. The unfortunate truth is, there is very little we can actually do to change another adult's behavior if they are not interested in changing it. Many people who behave in this way actually feel justified in saying what they say, or even believe that they are ""helping"" in some way by telling you how to improve yourself. What is actually going on is an attempt to control or change something about you by being coercive and abusive. It is important to know that this kind of behavior doesn't necessarily show up right away. That is why I am not surprised that you are a year in to this relationship and are just now noticing these behaviors. Some people actually don't see them until they are already married! You didn't mention that there has been any physical abuse, but I would warn you that this is sometimes a possibility once a person has already begun to be emotionally abusive. Other things to watch out for is your boyfriend trying to control who you hang out with, what you do and how you dress, etc. These are just more examples of emotional abuse and control. Here are some things to consider and some ideas:1. You could talk to your boyfriend about this behavior, if you believe it is safe to do so. Perhaps he will recognize that his behavior is not okay, and change. If not, then you may need to decide what you want to do about this relationship, given the fact that you cannot force him to change. 2. You can call a local domestic violence program. They do not only work with people who have been physically abused or have been married. They are trained to talk about emotional abuse, also. It may be a good thing for support. Your calls are confidential. 3. Check out the wheel in the link below. On it you will find some other common ways that abuse can happen in a relationship. If any of these are happening to you, or begin to happen, talking to a domestic violence program, a trusted friend or family member, or a counselor would be a good idea. http://www.domesticviolence-wilm.org/Portals/97/Images/violence_wheel.gif  Be well.... Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: It's been like a couple of years that I've been feeling like this. I don't want to self-diagnose, but I get so sad and cry and then I feel better. But then I get upset with people so quickly, and I hurt their feelings. It's this constant rollercoaster, and it's hard.
Output: Hello, and thank you for your question. Bipolar disorder is generally characterized by extreme changes in mood, ranging from mania (highs) to depression (lows). There are different types; however, so here is a website that gives you a list of symptoms for mania and depression in bipolar disorder: http://www.webmd.com/depression/guide/bipolar-disorder-manic-depression?page=2After reviewing these symptoms, if you believe you may have bipolar disorder, then you may want to see your primary care provider or a counselor. Bipolar disorder is treatable, but for many people it requires the right medication and sometimes counseling to help people make behavior changes that are important for bipolar management. For example, some people may not get regular sleep, but proper rest is important for bipolar management. A counselor may talk to you about this and other lifestyle changes that you may need to make. The good news is that many people live happy, healthy, and productive lives with bipolar disorder. So, if it turns out that you do have bipolar disorder, it doesn't mean that things can't get better. There is currently no ""cure"" for bipolar disorder, but with proper medication and lifestyle management, people can do quite well.Hope this was helpful. Be well.Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: 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?
Output: Have you explained to your prospective partner about the feeling of vulnerability which you've got?Disclosing one's truth to a trusted person will improve your sense of feeling safe and loved.  It may also take off the pressure you feel to complete your own trajectory of making peace with your past burdens of ilife.If you find your possible new partner is patient and understanding, then you've both removed pressure off yourself and will feel validated and loved for speaking your plain truth and finding it well accepted.If you continue to hide your deeper complexity, or if you explain yourself and ask for the person's patience and understanding, and he avoids giving this to you, then you're better off knowing sooner than later the limits of understanding which this potential partner has."
"Instruct: My wife and I got separated because I asked about her contact with a male friend of hers. The next day, she kicked me out.  She let me move back two days later. Yesterday, she said she wanted a divorce then quickly changed her mind. I asked if the other guy was a factor, but she says it's not my business.
Output: Divorce is a serious, life altering decision.It is best to decide any serious matter through reflection and discussion.Start by knowing what you want from the marriage and why you are willing to move in or out of your own house because your wife tells you to do this.Each of you would benefit from more clarity of what you expect and would like from each other.Does your wife want a boyfriend in addition to the marriage to you?Is she willing to drop the male contact?Does she care how you feel about her contact with the other guy?You need answers and knowledge about the definition of your marriage.Since there are many areas to open, all of which are filled with emotion, including pain, if you're not able to make satisfactory progress then a licensed couples therapist may be useful to you and your partner."
"Instruct: My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.
   How can I feel more comfortable around other people?
Output: It might be helpful to have a good understanding of the ""why"" in terms of feeling nervous around people, or the difficulty in developing more comfort. If your discomfort is somehow related to your son's diagnosis or your lack of employment, or an abusive relationship you were in and maybe embarrassed about, that is important to understand, and get clarity around. When we can understand on a deep level what is happening for us (i.e., where does fear come into this, and what's it about) we can give ourselves empathy. Everyone struggles in some aspect, so to not necessarily think of yourself as pathological is a first step. Sometimes being around people can trigger an anxiety related to being ""good enough"" that goes back a ways in our history. If any of the above is true, it would need acknowledgement and care from you, as opposed to shaming that experience (in the hopes it would just go away), because this experience is very real for you."
"Instruct: I’m a man, and I’m soon to be married. I have been messing around with other men on the side. It started as a once in a while thing, but it’s been happening a lot. I don't know what to do.
Output: I would start by examining the reasons for seeking out other relationships. Are you getting something from the other men that you do not currently receive from your current partner? Such as, is it more exciting with others and that excitement is lacking in your current relationship?"
"Instruct: I've been having this ongoing problem for most of my life now. I am a young adult, and right now, driving and even being a passenger gives me terrible panic attacks and anxiety. I can't ride in the backseat or the front seat with the safety belt on. I have to lean the seat back a bit because the pressure on my back terrifies me. I miss so many opportunities to go places with friends and family because of my fears of having a panic attack. My family offers little to no support. They think it's fake or ""all in my head."" It makes me feel guilty and at times depressed to the point where I'd rather never wake up anymore. I am not self-harming, I just feel meaningless. This constant fear has taken over my thoughts and my life. I was such a happy person. I want my life back. I want to travel with my friends and family again, but I don't know how. I've almost given up hope on getting better and just accepting the fact that I'll live with this anxiety forever.
Output: Not having support from your family for such a significant problem, is a problem itself.How about your friends, are any of them nurturing or treat you kindly when you bring up that you've got this problem?Are any of your friends willing to accommodate the fact that right now you've got panic attacks from driving and being a passenger?Maybe being and feeling accepted while you're in this current phase of your life, would help diminish the panic attacks.If no support is coming to you, then a next step would be to evaluate the relationships in your life and to develop standards and expectations of others, especially that they are considerate of your great need at this time.Its possible you are bearing the emotional burden of a lot more people in your life than yourself.If no one wants to show they care about this situation, then release yourself from trying to please and satisfy everyone's wish that you be better, while they ignore your need for their support.Be realistic in what you're able to give back to people who want to be blind to your emotional need.Thinking this way will at first raise your anxiety level from fear of losing everyone.  Eventually, you'll stabilize within yourself and know that all you're asking for is some support for having a tough time. Hopefully, the others will be more responsive to you.If they don't you still know that you're being reasonable for what you'd like."
"Instruct: My boyfriend and I have been dating for almost 2 years. I've been really sad lately and for the past few months I've realized I'm just way too dependent on him. It makes me really upset to be so dependent on someone else, but I can't help it. I don't even know who I am without him.
   How can I be less dependent on my him?
Output: Recognizing that you're too dependent on your boyfriend can be a wakeup call and an excellent opportunity to work on your own personal growth and independence.  It sounds like it's time to explore and develop your own interests and engage in some activities that excite and challenge you.  If you have time, it could be useful to begin a new activity or class, cultivate friendships outside of your relationship with your boyfriend, and begin to reflect and meditate on ways to enhance your own personal fulfillment."
"Instruct: 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?
Output: 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."
"Instruct: I am going through a divorce from a narcissistic sociopath who left me for another woman after mentally and emotionally abusing me for 11 years. I have moved to a different state and after giving up my successful business am working as a server at a restaurant. I’m coping as best as I can. Is it normal and healthy to not adapt as quickly and be as strong as I think I should be? I am astounded at his cruelty and how much he doesn't care, as well as most other people in my life. I feel like I don't exist to anyone anymore as there is no contact from anyone who I thought cared about me. My brother just said no to lending me a few hundred dollars for me to live on. I am losing faith in humanity itself.
Output: I am very sorry to hear of your struggles.  I think that it is normal to struggle to get your feet under you again after a divorce, especially after leaving a relationship that lasted 11 years, so try not to be too hard on yourself.  Take it one day at a time and do the best you can.I notice that you said he left you.  This tells me that you didn’t have the strength to leave him on your own despite the fact that you say he was emotionally and mentally abusive and also cheating on you.  Low self-esteem can keep someone in a bad relationship because they think they can’t do any better.  Also, abusers will make you think that they are the best thing you can get.  The way I see it, he did you a favor.   You are now free to make your own life whatever you want it to be. Take this time alone to work on you.  As hurtful as it may be that other people don’t want to help you, this is something that you need to do for yourself without feeling like you need someone in your life to take care of you.  Your statement “I don’t feel like I exist anymore” tells me that in addition to low self-esteem, you also don’t have a clear sense of identify and rely on the people in your life to help define who you are.  People can and will let you down.  It is important for you to learn to handle disappointment, learn to take care of your own needs, and to gain a stronger sense of self. Do nice things for yourself every day because you deserve it.  Even if it is just to soak a little longer in a hot bubble bath, do something that makes you feel good.  Find a hobby that you enjoy.  Look in the mirror and tell yourself some positive affirmations daily.  Google “positive affirmations” to find some that resonate with you.  Such statements might be “I am a good person who deserves to be happy” or “I can do this.”  Some relaxation and meditation exercises may help you as well.  There are some free meditation exercises that you can find online by doing a simple Google search.Take this time to focus on you and try not to worry about what everyone else in your life is doing.  When you are a happier, more stable person, the right people will come into your life without you even looking for them.  Good luck with rebuilding your life.  I know it is hard!  Remember to take it one day at a time."
"Instruct: I have been with my best friend for over a year, and we have had a beautiful baby girl. We were in love, and I still love her dearly. I am in my late teens and so is she. She says she has lost her connection with me. She is talking to a random guy that she says is just someone to talk to. But she says she still loves me. I'm very hurt and confused.
Output: Congrats on having your daughter!Have you told your partner about your feelings of ""hurt and confused""?This is one possible way of opening a conversation about the different ways you each feel about one another and whether either of you would like changing or continuing to live together, in light of the change in emotional connection.The first step of having a dialogue about a relationship is being clear on what you are feeling, what you are willing to contribute to the relationship and what you would like having in return from your partner.Ask your partner if she is willing to have a conversation on these topics.  Then, allow some time so each of you is clear about their own expectations and what is possible to offer the other.This is a fairly complex process and very often is difficult to keep on track without outside help to keep the discussion focused.It is normal for emotions to override our logic when discussing matters we care about deeply.If the conversations don't go very far, or if your partner has no interest in talking, stick with your own interest to more fully understand matters.Interview some therapists to find one whom you feel helps you clarify and find direction for yourself about this situation."
"Instruct: In particular during family gatherings (such as funerals), where there are different customs.
Output: You have an opportunity, but you haven't described a problem.  (Are you creating one?)  Many families have various members who have different spiritual beliefs and religious practices.  Accepting the idea that those with whom we are close may be different from us is the only way to create a world of peace.   This may be a wonderful opportunity to practice tolerance and love.  If mutual decisions need to be made in religious contexts, you may also get to practice boundary setting, assertiveness (without aggression), communication skills, and loving kindness.  This is a great problem to work through!  It is indeed a very spiritual question.  Blessings to you all, ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)"
"Instruct: However, it seems as though he is really talking to someone other than himself. I have even accused him of having a secret phone. Is he trying to make me crazy on purpose, or is he really talking to himself?
Output: Some people simply talk to themselves as a way of processing information. Have you checked in with your husband about this in a non-accusatory way? Something like ""Hey babe (or whatever sweet name you typically use), I'm so curious what that's all about? Do you notice that you are talking out loud?"" Chances are it's just how he thinks things through and is not at all about trying to make you crazy, it's just one of his quirks you'll grow to endear. Early married life is a time full of discovering one another's quirks!"
"Instruct: 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?
Output: Well, it's generally okay to feel anxious or nervous about going into therapy, particularly in the beginning because the process of being open about what you are going through, much less to someone who you don't know well, can be anxiety-producing. It's also common to feel anxious when you are discussing something that is important, difficult to discuss, or you are making changes that are very difficult for you.The most important thing I can tell you, though, is to discuss with your therapist this idea that you feel nervous and shaky. Some anxiety can actually help to motivate or lead you toward change. There are also level of anxiety that can be counterproductive, so it's a good thing to discuss. Personally, I can tell you that I would want my clients to tell me about anxiety they feel 100% of the time. That opens the dialog to discuss whether it is the level of anxiety that they want to sit with and learn about in discovering more about themselves and their experiences and/or whether they would like to do something to lessen the feeling of anxiety.Thanks for writing here. If it caused anxiety for you to do so, I hope that feeling is diminishing for you, at least related to writing here."
"Instruct: I used to be the funny guy of the group—the class clown, if you will. I used to laugh uncontrollably all the time and be able to be social without it feeling awkward. Now I can't laugh at all, and I'm dead inside.
Output: If you look back to when you feel as though you were the ""funny guy,"" I wonder what is different now? It may be that responsibilities have changed or any number of other things.I don't know whether you're also saying that you feel sad or if you're saying that you feel as though you don't have any big changes in your feelings.A lot of us tend to be really busy, and sometimes we over schedule ourselves to the point that we don't have time to have positive time for ourselves. Sometimes even if we are spending time with friends, we're thinking about work and all of the other things we need to do.I wonder if it feels awkward when you're with friends that you trust in an environment that you are used to. Maybe if that is more comfortable for you, it can be a stepping stone to focusing on how you feel better in those moments.It sounds as if you may have had an experience (or more than one) where you felt misunderstood or criticized and now reacting to people feels awkward. If so, try going back to people you trust. Who do you have support from?"
"Instruct: How does a person start the counseling process?
Output: I'd recommend looking on psychologtoday.com, reading the bio's of potential therapists who you think you would relate best with, then contact them through e-mail or on the phone."
"Instruct: Whenever I leave my girlfriend I get panic attacks. I'm taking medications to control them, but I'm thinking of moving in with her since I get so anxious.
Output: I’m sorry to hear that you are currently experiencing panic attacks. I hope that the medication you have been prescribed has provided you with some relief. Unfortunately, I don’t feel that moving in with your girlfriend would alleviate your anxiety. Although you may feel very anxious about leaving her, your body is reacting to this stressful event in your life in an unhealthy manner. You may be able to render this particular situation but it’s likely that you may experience another panic attack when an additional stressful event arises. Therefore, it is essential that you address the reason for why you are experiencing panic attacks in the first place followed by practicing coping mechanisms in the case that one would arise in the future.Talk therapy has shown to be effective with those affected by anxiety along with breathing exercises and yoga. A trained therapist will be able to assist you in finding the right stress reducing method so that you can reduce the chance of another attack occurring.I wish you the best of luck! It sounds like you are very happy in your relationship and I hope you are able to reduce your anxiety so that you are able to enjoy one another."
"Instruct: We have been together over a year. We spend time together every day no matter how busy. He started to be unusually fatigued and losing weight. He also began to be distant and sexually selfish. We had a argument, and he confided he has late stage stomach cancer. He wont treat it.
Output: I wonder if both you and your boyfriend could have a conversation about what you both want, wish for, and desire from one another right now. That doesn't necessarily mean that your partner will give everything that you ask for, but this is one of the ways that he can learn more about what would help you through this and you can learn how you could support him, since traditional medical treatment is not something he wants.You may also consider using some open-ended questions (not yes or no answers) to talk about what you're feeling about both about his cancer and about your relationship. Both of you may discuss different ways that you would like support from one another.I would also see if he was comfortable with you disclosing this to one or a few of your close friends (with him considering doing the same) so that you both have support that includes each other and also includes others because there may be days when you both have a negatively emotional day at the same time and would benefit from talking with someone else.It may also be a matter of conversation to discuss what makes you happy together and use those positive moments to help move through more difficult ones."
"Instruct: I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.
Output: You are not alone, many people fear opening up to family members about the topic of depression or mental illness. There are many different reason why some may fear telling their parents. The most common thoughts I hear in my office are: "" My parents won't understand me"", I may cause more problems to the family"", ""I am worried that something bad may happen if I tell them"". If possible express your current concerns and worries to your parents. You can start the conversation with your parents by saying ""I have not been feeling like myself lately, and I may want to see a counselor"". I think you are doing the right thing by going on this website and asking for help. Just a helpful tip: positive self-talk can be beneficial before having difficult conversations with others. For example, tell yourself something positive before talking to your parents such as ""I feel confident in myself, and I am doing this to overcome my fear of talking to my parents"" can help to decrease the anxiety you are feeling leading up to the conversation. I would recommend if you are feeling depressed or down it would be beneficial to seek counseling to understand your current thoughts and behaviors. Best of luck and hope you decide to start counseling. "
"Instruct: 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.
Output: That's a great question. There is such a wide range of ways to define ""personality"" that it is difficult to identify specific characteristics that are used to identify personality types.That being said, some clinicians will use standardized tests (or assessments) to assess a client's type of personality. While these tests can't tell us everything about a person, they can help us understand where we are within larger groups of different personality styles.Some counselors will also use a diagnostic tool (like the DSM or ICD) to help a client understand a diagnosis that is related to a personality disorder."
"Instruct: For the past year, I have been feeling pressured to do well in school, and it put a ton of stress on me. I have been bullied for five years, and for some reason, it is now sinking in, and I can't stop it. For some other reason, I can't find a hobby I can see myself doing without thinking bad about myself.
Output: Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this provides a few nuggets of helpfulness to you!"
"Instruct: I think I have depression, anxiety, bipolar disorder, and I have anger issues. I told my mom over and over again. She told me she would get me a therapist, but she never did. I just found out that my mom can't afford a therapist for me.
Output: It can be difficult to get counseling if you don't feel supported by family members.  There might be a few options.  If you are in school, I'd recommend talking to a school counselor or school nurse.  They often will be able to help you access free or affordable counseling resources in your community.  In addition, depending on where you live, it's also often possible to call 211 for referrals to free or low cost counseling services in your area.I'd encourage you not to give up. You are on the right track.  "
"Instruct: I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I’m also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?
Output: It sounds like you are noticing yourself becoming overwhelmed with anxiety, feeling more irritable, and struggling to sleep consistently. There are many possibilities, in regards to what may be contributing to these things you are noticing, and a competent therapist may be able to help. In therapy, you may be able to gain insight into these experiences as well as develop strategies for coping with and eventually alleviating anxiety, irritability, and inconsistent sleep."
"Instruct: 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.
Output: Breaking the patterns of relating to family members, is difficult work.In the situation you describe, both you and the family members who ask for your intervention, will be affected by any change you decide to make in the way all of you handle family disagreements.Always, it is best for any two people who have a disagreement, to talk directly with each other.   A third person distracts from the content and reasons for disagreeing.Maybe knowing that by pulling yourself away from mediating family arguments, you will in the long term be doing good for your family, helps you do the actual work of separating yourself from their arguments.Definitely, the fact that you're writing about the problem, shows you feel like doing something which feels better than how you feel currently.It is very healthy for you to listen to your gut intuition telling you to pull out of the mediator role you are in currently.You may feel guilty, your family members will most likely do everything possible to persuade, convince,  and push you back into their arguments.This doesn't make them right in what they're doing, it only makes your job harder of trying to let them have their fights on their own."
"Instruct: 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?
Output: 

First off, let's start with really
validating the potential emotional pain you are feeling right now. There is
generally no lack of uncertainty, anxiety, fear, sadness, and anger. These are
all normal emotions and being allowed to feel them is the beginning of the
healing process. It might be helpful to talk about these feeling with your fiancé,
a friend or a counselor.Now to get to your primary question.
Can a relationship move past infidelity? The short answer is yes. A bit longer
of an explanation is that is sounds like you and your fiancé had pieces of a solid
foundation to base a relationship on. For many couples they encounter a primary
challenge, sometimes that's money, or parenting and for some it's sexuality. If
you and your fiancé are both committed to balancing the positive aspects of your
relationship while improving the challenges than it's definitely possible to
move past this. This is not an easy process and for many couples takes months
or years of healing while engaging in relationship counseling. Good luck to you and your continues
healing and growth!
"
"Instruct: I don't know what to say. I have never really known who I am.
Output: This is perhaps the deepest question that one can ask of themselves and the answer is as elusive as the deepest enigma. We are fluid beings, we are never the same from day to day, we learn or unlearn, we evolve or some of us even devolve, we are in a state of constant flux, changing and adapting, like a cloud in the sky that has its shape changed by the wind, life whittles us away and carves us constantly, trying to understand this question is like trying to bite your own teeth, however we can have a sense of what we would call our core and to understand the core, we need to live and to experience, but also to think deeply, analytically, and critically, by engaging with life we get a sense that we are like the Earth itself, inside of us there is a core, just as there is inside our planet but our continents shift and change over time, like those continents so does our own nature shift throughout our lives."
"Instruct: I love my girlfriend so much. I get an erection even just thinking about her or seeing her.  But the two times we tried to have sex I couldn't get an erection.  We've only had sex once and it was a long time ago. 

Why this is happening and what can I do about it?
Output: Sexual desire seems to be straightforward - I like someone and I become aroused at the thoughts of being intimate with them - but that idea does not always take into account other factors. Stress can have a huge effect on our body and how it performs.  When we are overstressed, for example, we often find ourselves ill at the same time.  Can you think of any part of your world that may be causing you some additional stress? Additionally, focusing on your erection may also be increasing the level of stress you feel about being intimate, which could also effect your ability to get and maintain an erection.  While this may seem counter intuitive, it makes sense in the word of stress!Finally, it's never a bad idea to follow up with your doctor, as well. You did not mention your age or sexual history outside of this relationship, but it is always a good idea to check in with medical staff to make sure there is nothing physically responsible for changes in our body, as well. "
"Instruct: I'm a teenager and I get these really intense mood swings.    My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out.    Can you explain what's going on?
Output: Teenagers are prone to mood swings due to developmental and hormonal changes that are rapidly and intensely occurring in your body and mind - so some of this happens to many people in your stage of development. You are not at all alone.You've taken the first and very important step in regulating your moods by just identifying that you are having these intense changes instead of being completely submerged in them and unaware! The more you are able to be a witness to your emotions and thoughts, the more you can learn to manage them. Your question offers several clues for strategies that you can try - for example, identify the warning signs for becoming irritated and plan a response, such as taking a deep breath, informing the person you are becoming irritated and need some space, or find a distraction temporarily like listening to music or going for a walk. Since you are aware of blaming others for things not working out, you can proactively make a personal commitment to taking ownership or personal responsibility by just thinking about it and practicing thoughts such as ""I am responsible for my efforts"" and ""Blame is not helpful for anyone"" and other thoughts that you believe and can repeat related to this insight. When you practice thinking more rational, healthy thoughts, you are actually rewiring your brain, so practice is key!"
"Instruct: I'm applying to private high schools. I'm playing basketball on my school team currently, and I love it. I also play on a team that I've hated since the beginning, and I finally want to quit before the season gets started. However, my parents say I can play on either both teams or neither. I think it's unfair because it's up to me if I want to play for a certain team. I was planning on playing basketball for the high school I get into, but if that means continuing to play for the team I hate, then I wouldn't want to play in high school. Now I don't know what to do! My parents are threatening to send me off to a different home if I don't play. I just want to run away.
Output: The situation in your family seems to place unnecessary pressure on you.Are you and your parents able to talk together about their reason for their standard?Are your parents willing to listen to your reasons to not play on the team you hate?If yes, then maybe some type of compromise is possible for all of you to negotiate.If none of the above is possible, then you may want to get specific and direct advice from a professional, such as the school guidance counselor or psychologist, whom you'd trust and feel safe in talking.I hope you and your parents will find an answer that all of you are happy to accept."
"Instruct: I am a female, and I am afraid of having sex. I am afraid of disappointing my partner by being inexperienced. I think he thinks I'm not a virgin. I am also scared that he will be disappointed with my naked body. I don't want my partner to think differently of me because I am afraid of having sex.
Output: The greatest sex experience will be with someone who you feel connected to outside the bed.  This is something that you should feel comfortable in talking with your partner about.  The relationship needs to be strong before moving to the bed anyways. If the love is there, he will understand your fears and make you feel comfortable making it a great experience.  "
"Instruct: I'm in my late teens and live with my dad.  The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks. 

Sometimes I feel i'm not worth knowing or i'm never going to do anything right.

Are they right, am I depressed?
Output: Hello. Being a teenager in our society today can cause depression quite easily. We look at the world in which we live, and the doubts we have about being able to make a contribution, or to have value and worth with the people around us, and we begin to internalize those messages of self-worth. If that alone were not enough, you are trying to figure out where you want to go in life, and who you are supposed to be in the world. Teens are faced with pressures of being judged by your peers for how you present yourself; following current fashions; possessing the trendy things; and hanging out with the ""in crowd."" Here's a ""secret"" that might help with most of those issues: Not much of those problems I've just described will really matter as they might seem to right now, in the real world. If you are feeling depression because you feel you lack some of those things that are seen as important by others (like your peers), I can assure you that being someone who is kind; compassionate; understanding of another person's suffering; and the effort you make to be the best person you can become in the world, will far outweigh anything you experienced in your teen years.When we are young, we judge everything based on what our peers have, what they say, the way they dress, who's popular, who's not popular, and for the most of it, all of that is external. So the question becomes, are you trying to fix the feelings on the inside (the internal stuff), with the trappings of all the stuff on the outside (the internal)? That is to say, do you feel that if you had what your friends have, you would be happy and less depressed? Depression is usually a symptom of something much bigger, it is not typically a problem by itself (just as a person who experiences a high temperature may likely have a cold). So fixing the symptom requires looking at the possible causes. In your post, you mentioned that you live with your dad. Are your parents divorced or separated, or has your mom passed away? Either of these circumstances could certainly cause depression. Finding out when you started feeling depressed, might be able to pinpoint the trigger that caused it, which requires looking at when you last felt really happy. It is also important to keep in mind, that as a teenager, your emotions are often being experienced very randomly, and sometimes without cause. It is part of your emotional development, but as you grow older can learn how to manage those emotions better and practice doing things that help you feel better (without causing harm to yourself).Have you tried talking to your dad about your feelings, or maybe another relative if you feel safer doing so? Do you have a friend who is your best friend...someone who is there for you no matter what? If not, there is a service you can use that is a national number for teens to talk with teen peer counselors. They are teens like yourself, but they have some insights that might be helpful. Its called Teen Line (https://teenlineonline.org/). It helped me when I was in my teens, and has helped lots of other teens as well. You might find a place to get some referrals to other local services in your area. If you want are in Washington state and would like to connect with me directly, you call link to me via my profile page. Or perhaps finding a counselor in your local area might be useful. Most towns and cities have some form of low cost counseling. You might also check with your school for assistance.Don't be afraid of not always knowing how you are supposed to feel. Adults don't always have a handle on it either. Being a teenager carries a lot stress, fear, and uncertainty. But you are not alone, and there is help if you reach out for it. I wish for you the very best, and bright future. "
"Instruct: He's been losing feelings and he doesn't know why. I love him very very much. He sometimes thinks I'm obsessed when I'm not at all. I give him his space and I make sure he's okay but sometimes I think if me and him saw each other more it would be better? I truly want me and him to get better, it's kind of hard not to stress about it, because the love of my life is losing feelings which is a sad feeling. He's a great guy! I just don't know why he's been losing feelings towards me. He's starting to put less effort in talking to me. At this point I'll do anything to just make us better as a couple. I tried talking to him but he doesn't like talking about it much. Advice on what to do?
Output: I'm willing to bet that this isn't what you are hoping to hear, but I'd suggest giving him space. Ooph, that's a tough one, right?! I know. But here's the thing, when you keep trying to process and talk it out with him you keep pushing him away. He needs to feel like a solid and whole person (as you do too) to be able to be fully in your relationship. It's the work of being in relationship to learn this. I get that this is tough stuff. I wonder, outside of being with him, how do you soothe and calm yourself? That's the stuff for you to tune into and focus on right now."
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: Each counselor may have a different process, so I'm not the end all authority here.  For myself, I review policies and confidentiality concerns with people first and answer any questions they have. Then I'll let them know I'll be writing a lot in this session and I have an assessment form that I like to get completed, but I want to have a conversation and I'll ask questions as we go.  My first question is usually, ""How do you feel I can best help you today?""  Some people are very at ease and tell me many details.  Others are a bit more reserved and I have to demonstrate more curiosity.  Even people who have been very apprehensive are usually feeling very relaxed by the time the session is over.  Usually, when we get close to end of session time, I'll summarize what I think are the biggest concerns from what I've heard and confirm whether or not the person wants to work on those things.  I also try to give an exercise targetting my biggest concern for them to work on in between sessions.  For instance, a relaxation method if they are very anxious.  Counselors are just humans as well, so it does take a bit of time to really get to know another person.  I always tell people that are apprehensive to give the counselor 3 or 4 sessions to determine if they really connect with them.  I hope that helps, Allison "
"Instruct: I've been hurt by a man for five years. He doesn't involve me with the family or kids. Everyone in the family is against me. There is a Mass today for a family member, and he never asked me to go. I'm to sit home alone now and Christmas too. He expects me to sit alone while he enjoys being with the family. We are in our 50s, and it hurts that he won't even think of me or involve me as part of the family. He doesn't even care. I am leaving him as soon as possible, but I hurt so bad that I didn't know who to turn too. I'm now in this low funk of depression, and I'm scared because I do stupid things to myself and give up. I have no friends because I was a truck driver. I've been getting serious headaches and can't sleep. I don't eat; I've lost my appetite. This has been going on for a couple weeks now.
Output: Hi Florida,I get the sense that, aside from this relationship, you're quite isolated in general. It's sad that you're feeling excluded at Christmastime and family events. While I would suggest that you don't really know what he or his family are thinking or feeling (you assume they're against you, and that he doesn't care), he is certainly behaving in a very distant, excluding manner and it's understandable that you would feel rejected and hurt. How long has this part been happening? Has he always acted this way, or is it more recent? Did something happen recently? You mentioned doing ""stupid things to yourself"", and I don't know what that means. If you are engaging in self-harm he may be confused about what to do and he might need some time to think and be separate but is having trouble talking about this. Part of the problem, of course, is that you don't know what's going on for him. Certainly, you deserve the truth, and if he doesn't want to spend time with you, I would hope he would be honest. Have you been open to hearing the truth from him? Is there any reason for him to hesitate to tell you why he's being distant? Maybe you could ask him, if you are ready to hear.I'm glad to hear that you believe that you deserve a full, loving relationship, although it seems that moving forward might be difficult for you. Is it possible your happiness is a bit too dependant on this man? I'm just guessing, based on what you've said here.  It seems that it's possible your situation has led to some depression, and I would recommend a session with a qualified therapist to help you sort this out. You will need support, even if the relationship is repaired. Best of luck."
"Instruct: 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.
Output: Your boyfriend may like you a lot as well.People have different styles of reflecting on their lives, one of which is to retreat the way you describe your boyfriend doing.One point you can consider is asking for a time frame of when he'd be ready to discuss his thoughts on your relationship.He's entitled to retreat, as much as you're entitled to talk.Cooperating with the other person's way of handling themselves is one aspect of relating.Since the anti-depressants are a concern for you, consider bringing up this topic when the two of you do talk."
"Instruct: Does counseling really do anything that can help people?
Output: Counseling can go a long way in improving your mental health. Counseling helps you to get new perspective on your life and problems.Talking about your problems with a counselor gives them substances and something to get a handle on. Talking about your problems gives you a chance look at your situation from a new angle to help solve your problems.The counselor is a neutral listener that can help give direction and answers to your needs.Counseling can help you solve your problems but also can set up a plan for the future. Counseling can help you to deal with things before they get out of hand.Give counseling a try."
"Instruct: She has trouble falling and staying asleep and she's always either extremely hungry or not hungry at all. She also gets angry and feels like crying really easily for no reason. She says she is always ""kind of down.""
   Is this depression? What can I do to help her?
Output: Sounds like signs of someone who is depressed.Since the person in question is your friend, offer your friendship to listen to any situations or feelings she has about herself and the way her life is going.Depressed people are often lonely people and feel as though no one around them cares or notices them.  Your willingness to be available to her may lift her spirits.  Feeling loved goes a long way to dissolving depressed feelings.Also, if in the beginning when you offer to talk, there is a high chance she'll be defensive and turn down your offer.Try again on another day and then another day.When people feel depressed they usually shut down.  So you may need a few or several tries before your friend accepts your offer to show her you care about how she is doing.Also, watch for signs within yourself that your friends' depression is not sinking your emotions.  Depressed people are draining to be around because they often see and talk about only the negatives and drawbacks of situations."
"Instruct: Why am I attracted to older men?
Output: What a wonderful question!Good for you on clearly knowing your priorities.If I was sitting with you now, I'd ask you to list your reasons.Start with whatever answers you do come up with and examine each of these a little further.If, for example, you feel you need a man because many of your friends are in relationships, then possibly you feel insecure about being your unique self, even when this sets you apart from your friends.If, you feel you need a man to protect you financially, then possibly you've lost faith in your ability to financially support yourself.If you'd like a man in your life to offer your love and are willing to contribute the work of relating intimately, then you've found the best reason for wanting a man in your life.This is far different than ""need""."
"Instruct: Why am I attracted to older men?
Output: What a wonderful question!Good for you on clearly knowing your priorities.If I was sitting with you now, I'd ask you to list your reasons.Start with whatever answers you do come up with and examine each of these a little further.If, for example, you feel you need a man because many of your friends are in relationships, then possibly you feel insecure about being your unique self, even when this sets you apart from your friends.If, you feel you need a man to protect you financially, then possibly you've lost faith in your ability to financially support yourself.If you'd like a man in your life to offer your love and are willing to contribute the work of relating intimately, then you've found the best reason for wanting a man in your life.This is far different than ""need""."
"Instruct: I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?
Output: What an important question, and the fact that you're asking it is a big step in the right direction. To answer in detail would require having quite a bit more information about what ""relationship problems"" have occurred  that woke you up to the fact that you're not listening as well as you could and that you're running the risk of losing her.Given that I don't have all that information, I'll offer one simple suggestion. Your girlfriend is the expert on what she needs and wants in relationship. You could simply say to her that you know you still have a lot to learn about how to have a good relationship and you realize you're not yet understanding what she needs and you really want to. Then take a deep breath, settle down, and listen. Don't argue, don't interrupt, don't judge... listen. Let her know what you understand and that you're open to hearing more, learning more if you're not quite getting it yet... and then listen some more. Be present and curious about this person you love dearly and don't want to lose. This is the first step toward intimacy."
"Instruct: Me and the father of my child have been dating for a year. We had a big argument and at first he wanted to work it out. But with time he started asking others and they told him to leave me. Now he wants me to wait on him to mature. He wants to talk to other people. Then come back in four years. He doesn't want to deal with me while I'm pregnant. He doesn't take me to the doctor or anything. I feel alone. How do I handle this situation?
Output: Well, as far as your boyfriend, sounds like he has received advice from others that is not wise advice.  Leaving is not the answer after a ""big argument"" as you mentioned.  However this is not surprising to me based on his possible age and maturity level.  Having a baby is a lifetime responsibility and there are very few who handle this or who realizes that it requires one to step their game up.  This is something that he has to realize and be encouraged by his parents or a mature adult to do.  Hopefully, someone who has better (wise) advice will talk to him and he will listen.As for you,  how do you handle this situation is your question....you do what you have to do to prepare for your baby, with or without him.  A lot can happen in four years and you don't have time, are not required, and can't wait to see what will happen with him.  You have a LIFE to prepare for,  to feed, to protect, and to love.  Can you tell your baby to wait; I don't want to deal with you now; I need to mature; I will be back to see you later; Hope you will be fine?  Nope!!!   As I always say, you are not alone because there is someone somewhere going through the same or similar thing.  Develop healthy friendships...whether with family, friends or new people who may enter your life.  Your support system will grow and life will go on...with or with him.  Stay focus on you and your baby..."
"Instruct: I'm very depressed. How do I find someone to talk to?
Output: Sorry to hear you are feeling that way.    Is there a 24-hour helpline where you are that you can call?   Here is a website with some numbers to call:  https://psychcentral.com/lib/common-hotline-phone-numbers/      You could talk to your family doctor and they could help you find a therapist?   You could also use this website to find a therapist.  https://therapists.psychologytoday.com.  I sincerely hope you find someone to talk to."
"Instruct: Whenever I have to speak in public or be in big crowds, I freak out. I get light-headed, sweaty, and I have trouble breathing.
Output: As you do it more, it should get better or at less with less anxiety.  Anxiety is normal for most when speaking in public.  I hear this from even the best of facilitators who have been doing it for years.  I even experienced that when I first became a counselor and had to lead classes.  I asked myself why were I so anxious?  I admit at that time I didn't have confidence in myself.  The more I prepared and practiced, the more my confidence level increased.  Yours will too... "
"Instruct: My parents seem okay with other sexualities, but normally they only talk about being gay. When they do talk about bisexuality, they say things like “they'll do anything” or things that make me very uncomfortable because I am bisexual. I don't know if I am ready to come out to them.
Output: Hello, and thank you for your question. Being bisexual can be particularly
difficult because it is often misunderstood, even by people who are “supposed”
to be part of your own community, such as lesbians and gays. It happens so
often that there is actually a term for it – 
bi-erasure. This is simply something that happens when people deny that
bisexuality is a real thing, or discriminate against bisexuals due to beliefs
like your parents seem to have. 
The unfortunate truth is that you can never
be sure of how you parents may take this kind of information. It sounds
promising that they are accepting of other sexual orientations, and it may
simply be that your parents lack education about bisexuality. With accurate
information, they may come around, but there is no way to be sure. 
Some of my colleagues have already given you good information. Here are some more things that you can consider
and questions you can ask yourself before making the decision to tell them:
 
1.      If they don’t respond the way you want them to, have you developed a support
system to support you through it? This is very important. The truth is that all
the friends in the world won’t prevent pain or sadness if your parents don’t
respond as you hope, but they will at least be there to remind you that you ARE
okay as you are. And that is critical for you to remember. 
 
2.      There is great information on the internet about bisexuality that you can
offer your parents if you think it would be helpful. It may be important for
them to know the kind of damage that is being done to bisexual adults and young
people because of the myths surrounding bisexuality. Here is an article from
GLAAD about bi-erasure: http://www.glaad.org/bisexual/bierasure
 
3.      Coming out to people is obviously deeply personal and should only take
place when you are ready. Sometimes people get pressured from friends, media,
and even people they are romantically involved with to come out before they are
ready. It really is up to you. If you are feeling pressure from others, don’t
feel bad about setting your boundaries and telling them that you will come out
on your own time. Intimate partners should respect you enough to understand
this. 
 
4.      Something else to think about is your own comfort in being bisexual. Just
because someone is LGBTQ doesn’t mean that they necessarily want to be. Many
people struggle with this. Having
your own doubts or insecurities may also play a part in how comfortable you are
in telling your parents. So, perhaps do some self-exploration about your
feelings toward yourself. 
 
Sometimes people take friends with them
when they decide to come out to their parents. This is something you may want
to consider. The important thing to remember is that you are okay. Really. If
your parents don’t respond well, that doesn’t mean that they never will. Some
start off upset, but then work their way through it. 
Best of luck to you. 
Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining.
Output: Hello and thank you for your question. I worked for a number of years with people who have been both abused in their relationships and those who have been abusive. Being involved in a relationship with a partner who does the behaviors you describe can be incredibly difficult, and many would argue is even harder than overcoming actual physical violence. I was a little confused about whether you're are still broken up with this person or if you are still thinking about it. I am going to assume you are still undecided. Some of the things you are describing sound like emotional abuse. Even without physical abuse, being emotionally abused can still be traumatizing. When partners question and accuse, they are often trying to exercise power and control over their partners by hurting them with unfounded accusations.  The accusations serve to make someone feel guilty and to manipulate them. For example, if your partner accuses you of cheating when you go out bowling with friends, you may elect not to go bowling just to satisfy your partner and prevent a fight from occurring. The person being accused or questioned often tries to prove over and over again that they have done nothing wrong, but it doesn't matter. And that brings me to the point of what some people who experience these behaviors do in order to start feeling like they have some power again. Here are just a few things:1. They realize there is no right answer. Trying to be logical with someone who doesn't want to be logical doesn't work. Many people simply stop trying to defend themselves against false accusations because there was no answer that would satisfy their partner anyway. In addition, the rules of the relationship seem to change on a daily basis, and what may be okay with your partner one day may make them angry the next. And this can leave people constantly feeling like they are on eggshells.  2. The find support. Finding a support group or a group of people who remind you on a daily basis that you are a decent person is always a good idea. One of the things that can happen when we are with someone who does emotionally abusive things is begin to have a negative concept of ourselves. Surrounding yourself with people who remind you that you are a good person is a great idea. 3. They reinvest in themselves. Try to find some time for yourself. This couldn't possibly sound more cliché, but it is actually true. Whether that is taking up a new hobby or doing an old one. One thing that can happen when emotional abuse takes place in a relationship is the person being abused can begin to isolate and not do the things that make them enjoy life. Taking some time for the self can sometimes bring things into perspective.I don't know if you are still in counseling, but if you are and you are getting what you need then that is great. If not, there are others you can try. It's important to find the right fit. As for the question of whether or not you should leave your partner, that is a question that can only be answered by you. But you could ask yourself some questions  like these to help you decide:1. What are some of my values about relationships? Do I want Trust? Honesty? Ask yourself if you have these things in your relationship.2. Do I feel like this relationship brings out the best in me, or does it seem to bring me down?3. If I want to stay in this relationship, what are some specific things that need to change? Hope some of these suggestions help. Good luck to you. Be well.Robin Landwehr, DBH, LPC, NCC "
"Instruct: I have been diagnosed with general anxiety and depression by my family doctor. They wrote a prescription for me to have an emotional support dog, I have the paper work, and I gave it to my apartment manager. They said I can't keep the ESD because I'm not disabled. What do you suggest I do?
Output: At present, the American Disability Association (ADA) only allows protection and guiltiness for Service Animals, which is fall under a separate distinction from Emotional Support Animals. Emotional support animals are untrained animals (typically pets or other domestic animals) that provide wonderful services to their owners, and there are many benefits to having one.Service animals who are trained to provide specific services for an individual with limitations that make them fall under what the ADA defines as ""disabled"" are protected under specific laws, and must be accommodated in public places where the human they serve is present. While it may be beneficial to request that the therapist who ""prescribed"" the dog to you write a letter to the apartment manager, it sounds like the manager is aware of ADA guidelines, and the simplest course of action may be to find an alternative residence, if that is a plausible option."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: In general, I usually let the client decide when this should occur, sometimes with some clients it will be a joint agreement, but even in that case it should weigh mostly on what the client feels. In short, therapy ends when you feel your done.C"
"Instruct: I'm supposed to stay here the rest of my academic life, but I've never liked it here, not even before I came. I’ve never felt like I belong, I’ve missed my country every second in the past four months, and I'm just miserable. I'm gaining weight, doing nothing, and crying for hours straight. Is it time to go back home or is it just culture shock?
Output: It sounds like you are feeling very unsure and out of place and the prospect of continuing to feel as you do now for the remainder of schooling seems daunting. Without getting to know more about you and your experiences here and at home, it is hard to say what you should do, however, I think exploring these things with a competent therapist may help you to discover the answer."
"Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?
Output: Reaching out to talk about these issues is an important first step. Finding professional services might be recommended if these issues are happening more and more. A few things to note...Anger is an important secondary feeling to be aware of- it keeps us safe, allows us to stand up for ourselves or others....but it also harbors a myriad of disadvantages. But its secondary. It's more necessary to understand the primary emotions behind the anger- worry, confusion, frustration, fear, loneliness, etc...Anxiety has a lot to do with worrying about the future, especially things that we might not be able to control. If we focus our worry on negative things- mistakes, failures, or messups then we will inherently tell ourselves negative things about ourselves.  People tend to dwell on the negatives without embracing, or as t least recognizing, the positives."
"Instruct: My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me. 

He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?
Output: Hello there.  As you have courageously explained your soulful dilemma. I can appreciate the complexity of this situation.  You have identified some key factors that may be contributing to your sense of feeling ""empty"".  One, is the ultimate goal here able to be acquired from this arrangement?  Are you trying to have your fulfillment with another woman while in the presence of your husband but not with him 'on her' as much or at all?  Are you trying to ask him to be more passive participant?  Perhaps be careful of not drinking too heavily... In the whole event, how do you want to feel intimate or connected ?  Were you craving all along, him to really be all over you along with her?  These are questions that arise; maybe not solutions.  Its always good to be very clear with oneself of what is the ultimate target here... And always measure the potential danger..  Peace - keith"
"Instruct: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?
Output: My initial response:  consider a more comprehensive MH assessment to determine other factors. A medical evaluation is warranted to rule out poor health issues. Blood work is helpful. Review what hadn't helped. "
"Instruct: Me and my girlfriend just broke up. She said she loves me but is not in love anymore. This came out of nowhere. We seemed so happy together.
It all started when she went to Missouri to visit her family. The first week she was there she was fine then once she went to this one sister’s house everything changed. That's when she told me she loved me but was not in love with me anymore. I thought maybe it was just because she missed her family and she just wanted to be home because she told me that she could not leave them again.
Then she told me to come to her in Missouri. So that's what I did. I quit my job I dropped everything, said goodbye to my family in Florida and drove 15 straight hours to be with her.
Once I got there everything was fine again.  She apologized for everything and said she didn't mean any of it then we were good for about a week. Then she went back to saying she didn’t love me anymore and had no feelings for me.
The only thing that really gets me and makes me not want to accept this is that now she is pregnant. This wasn’t an accident. We were trying to get pregnant, so all this is hard to accept. I love her so much. I have never been bad to her. I've treated her the best I can. I wanted her to be my wife. I was going to propose to her when she got back. Now I'm losing my family and my mind. I don't know what to do.
Output: I am sorry to hear of these troubles.  I see a few issues here.  I wonder why you were both trying to get pregnant when the relationship seemed troubled?  Some people think that they can fix a broken relationship by getting pregnant, and all this does is bring up more problems.You say you never treated her badly, and I believe you.  People in a relationship can still be unhappy even when there is no abuse or mistreatment going on.  In fact, giving too much of yourself to the relationship and not having a “self” outside of this relationship can be unhealthy.  It takes two whole, healthy, happy people who are that way when they are single to come together to make a whole, healthy, happy couple in a relationship.  Expecting your partner to meet all your needs or to provide your happiness is not going to work.There are two books that I recommend you buy and read.  One is Codependent No More.  The other is Can My Relationship Be Saved?Sometimes when you cling and try even harder to hold onto someone, it makes you both miserable.  You cannot change her and cannot change her mind.  Sometimes the best thing is to let go.  If it is meant to be, you will end up back together again.  It seems like this is something that she needs to decide since she is the one that keeps doing the leaving.  I suggest backing off and letting her go.  Maybe she needs time to clear her head and make up her mind.  If it is meant to be, she will come back. If not, use this time to work on being a healthy happy you on your own."
"Instruct: My son stole my debit card and lied about it. It's not the first time he has lied. I don't know what to do anymore. I don't know if I should punish him or make him do something. I've tried talking to him and asking if anything was wrong. I have grounded him, but nothing works. What should I do?
Output: Hi Enid, You sound like a sensitive parent; I like that you talked to your son to see if anything is wrong. There is some key information here (I don't know your son's age, whether he spent any money, whether he put the card back, or how many times he's stolen), and my answer might be different depending on those details, but I'll give you my thoughts.I see it as every child's job to figure out the rules and find where their power is in the world. In order to accomplish that, many of them test limits. ""What can I get away with?"" is a question they have to find the answer to. If a child knows the rules, they're much more likely to not test limits (because they already know the limits). So, part of testing limits is experimenting with stealing and lying. Not all kids steal, but I would say pretty much every child lies at some point. It's a normal behaviour, and most of the time it's about small things that don't matter and we don't even find out. Stealing a debit card is a bit more serious, and I'm not surprised he lied about it. If you absolutely know that he took it, it's okay to tell him that you believe he did this thing and also lied about it. It's appropriate to give a consequence for this type of behaviour, so that the child doesn't do it again. The consequence should be as natural and logical as possible. The behaviour (stealing) was harmful to you, so doing you a favour with extra chores might be a good idea. It's funny, because as parents we try to tell our kids that lying is bad, but they know they'll get a consequence if they tell the truth so there are natural deterrents to being honest (we don't want people to know our mistakes). It's a dilemma. If you really want to focus on the lying part, you can tell him that you won't give him a consequence for the lying if he decides to come clean with the truth within one day. That gives him incentive to come to you with truth. It sometimes works with kids to give them a chance to come clean and then reward them for telling the truth. You can set your child up for success and train them to tolerate honesty. Put a cookie on the counter. Tell your child to take the cookie at some point in the day. Then ask them later if they took the cookie. You're making honesty fun. Kids love games. Basically, there's as much power in rewarding the positive behaviour as punishing the negative. If this is the first serious offence for your son, don't make a big deal of it; consequence him and see if he learns. If it's a pattern, that's different and you may want the input of a therapist."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: There are different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with. A person may have come to the counselor talking about a particular issue but either when they first met or as counseling progressed, it may become clear that the issue is in fact something different or that there is an additional related issue. If that issue is outside the competence of the counselor, the counselor should look for alternatives, the most common of which would be to terminate and refer. Beyond clinical issues, this could also come up around particular other related facts, such as the culture of the client or linguistic issues. This could also be the choice of the counselor if they know someone that they feel would be a better match for the client's issues. Another reason for discharge (and possible referral) would be if the relationship does not seem to be a good fit. No counselor is the right person to work with everyone. If the right level of connection is not happening, the counselor will often look first at what they are doing, might talk about it with the client and ultimately will admit that things don't seem to be working to allow the desired therapeutic process to work. A similar process would be followed if the counselor determined that the client might not yet be ready for counseling as evidenced by lack of engagement such as frequent cancellations, not doing any agreed on work between sessions, showing up late or being really guarded in session. The easiest situation to decide on is when a person has met their counseling goals and have nothing new that they are working on. While this is the easiest one to determine, it is also probably the hardest one for the counselor as they may be like the client in not wanting the relationship to come to an end. However, counselors know that this is part of the process. They will also determine this by regularly reviewing the treatment plan or by sending in the sessions that the work has come to an end. This type of termination maybe final or may be with the intent that the client will return later to address other things that have been identified but for which they are not ready to move into. All of these (and other) situations involves the counselor being open to the relationship ending, to monitoring how things are going, then engaging in self reflection, possibly talking with the client and then coming to a conclusion on which the counselor  follows through."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: There are several reasons for a counselor to decide to end counseling.  A major reason to end counseling is if the counselor feels that he or she does not have the skills or experience to work with the client.  This may happen during the intake process or after working with the client for some time.  If the clinician feels that the client is not benefitting from the therapy, it is ethical to suggest that the client terminate the therapy.  The process of termination must not injure the client and, if necessary, the clinician may need to refer the client to other treatment modalities.  Another reason to terminate working with a client is if the client needs a higher level of care.  If the client has a crisis or is at risk of hurting himself or someone else, he or she may need a higher level of care.  In this circumstance, the clinician may need to involve outside services such as a crisis unit.  A third reason to terminate with a client is if the clinician feels that he or she cannot remain professional with the client relationship.  For example, if the issues that the client is working on bring up something significant for the clinician and the clinician feels that he is unable to separate that from the professional relationship.  In this instance, the clinician should refer the client to another therapist.  Finally, if the client has reached her goals for therapy and no longer needs treatment, the clinician and client should terminate treatment."
"Instruct: I don't know what to say. I have never really known who I am.
Output: 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."
"Instruct: How do I decide if I should end my relationship with my boyfriend?
Output: This is a tough decision to make for anyone that has ever been involved in a relationship.  My advice is for you to consider what is making you unhappy in this relationship.  Sometimes we think we are ready to move on but don't know the reason why and then we regret it.  The worst thing you want after the fact is to have regret.  Take time to do some soul searching and imagine your life without this person before you make any decisions.  This will also help you understand what it is you are looking for in a romantic relationship. Best of luck in your love life. Mirella~Image and Likeness Counseling"
"Instruct: In the last ten months, I've been kicked out, moved around three times, worked many jobs, stopped school to make money, had dad and mom get sick, was cheated on while pregnant, lost my baby, had relationship issues, and was betrayed. I can't get a job. I have no friends. I feel lonely and isolated. I've been dealing with all this by myself.
Output: One thing that may help is to focus on small things that you do have control over. If you can hold onto that sense of having control over what you wear or what you choose to eat or where you go during the day, this may help you be able to look at what is currently most important for you and consider different choices. For example, you say you can't get a job, but I wonder if you could work with and local agencies to help you find a job, like Career Link. You say you have no friends currently. Are there any previous friends that you can get back in contact with?You mentioned that you have no friends. Is there anyone in your life that you can talk with, even if it's not someone that you consider a closest friend?"
"Instruct: My husband’s ex-wife married a man who was charged with seven felony counts of pandering involving a minor. He, by his own admission, is addicted to child pornography. My step-daughters are now all teenagers. They do not know. My husband’s ex-wife has kept this information from my step-daughters. The step-father has had issues regarding his pornography addiction recently. The ex-wife minimizes it by saying that he has ""repented."" It is a constant strain on my husband, knowing that his girls are living with a man who is addicted to child pornography. My own therapist believes the girls should be told. The ex-wife says her therapist says the opposite.
Output: If the daughters are old & mature enough to understand substance abuse.  They should be told for their own empowerment. KNOWLEDGE is their power of safety and protection."
"Instruct: 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?
Output: Not at all my dear. Human beings are complex creatures, and in my opinion, our issues interconnect in a very nuanced web between our levels of being (for example, mind, body, and spirit). Everything you bring up affects all three. The truly beautiful thing about the human body is that when you begin to work on one, the others improve as well!I would encourage you to seek out a counselor who's style and approach speaks to you and start with whichever issue feels most pressing to you. A skilled therapist will flow with you at your own pace and make recommendations to other professionals (e.g., physicians, holistic practitioners, EMDR specialists for trauma etc) as needed to complement the psychotherapy work you're doing with him or her to help you find the total healing you seek. I wish you well on your journey!"
"Instruct: 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.
Output: 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. "
"Instruct: Does counseling really do anything that can help people?
Output: You are asking a room full of counselors, and so I am going to guess that we may be a bit biased :). My answer is this: sometimes. Many people benefit from counseling and when counseling works those benefits can show up through positive improvements in your moods, making more choices that align with your values, working through stuff, and a general improved sense of self. Sometimes, for a variety of reasons, a counselor, the approach they are using and the person do not match up and when that happens sometimes counseling does not help. It is very important to find the right counselor for you. Ideally this should be someone you feel a level of trust and connection with who is also using a style that you feel confident in. Research has shown that these aspects (what is called the 'therapeutic alliance') along with shared goals between the client and counselor give counseling the best chance at being effective"
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: I think it's crucial that a person finds the ""right"" therapist. Questions, questions, questions! First I would ask them if they have experience and training in whatever the primary issues are that you are wanting to work on. You want to make sure the therapist has the skills and experience to help you. It's okay to ask ""have you worked with these issues before?"" and ""Can you tell me what methods you use to treat these issues?"" and ""Are the methods you use evidenced-based?"" Then I would ask what expectations the therapist is going to have of you the client. Do they expect you to do homework, come with something to talk about each session, or keep a journal? See if their expectations align with what you are looking for. And lastly, I would schedule a session and ""try out"" the therapist.  See if you feel comfortable and safe.  As for ""training"" your therapist, I would suggest you be the leader of your therapy, ask for what you want, be direct and do hesitate to tell your therapist if you feel you are not getting what you need. They can't read your mind and would likely find that information very valuable. They want you to feel better and to make progress, and if they are going down the wrong path you should let them know."
"Instruct: My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?
Output: Yes, screaming and cussing at your child is considered abuse.Here are two points I suggest you consider for your situation.If your dad is ever calm when you and him are with one another,  ask for some time to talk about your relationship with him.Schedule it for sometime in the near future from your request.   This way he has time to consider his points of view on his relationship to you.  Even if he does no thinking about your relationship at all, he will not feel pressured by the surprise of suddenly being expected to talk about a topic he may prefer to prepare himself.My second point to you is to keep steady in your own views of who you are.  When a parent demeans and mistreats a child, the child is affected in a negative way.  Concentrate on loving yourself and keeping people in your friendship circle who care about you."
"Instruct: I have major depression, severe, PTSD, anxiety disorder, and personality disorder. I had an appointment with my doctor. I was very upset, and I shared with him about that particular drug.
Output: Your doctor might be required to tell your psychiatrist - especially if your doctor is concerned about your safety.It was definitely a good thing that you told your primary care physician about what is going on.  I know that must have been difficult to talk about with him.  By having that conversation, you are helping your primary care physician and your psychiatrist work together to best support your health."
"Instruct: I would like to be able to have more positive relationships in the present.
Output: Take one day at a time!!!  Each day do things that make you happy, moves to a positive place, focusing on the future, give you a sense of fulfillment and accomplishment.  Journal at the end of the day of how well you did that day in focusing on these things.  Each day should be a step better than the previous day.  You will have days that you didn't do as well....that is human and OK.  Just get back on track the next day....At the end of the week, review how well you did and give your self a grade.  If did well, you deserve ice cream, etc.  If not so good, OK....tell yourself next week ""got to focus one day at a time"".  You can do it....it takes practice but will get better each day,  I wish you happy days and happy future..."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: It sounds as though your daughter is struggling to manage her anxiety and she is having really big reactions to what you view as small problems or issues. What have you tried with her in the past? As exhausting as it might be, a good first step is to empathize and validate her feelings."
"Instruct: I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
   What is wrong with me, and how can I stop having these thoughts?
Output: Those kinds of thoughts can be quite difficult to handle, but if they are your own thoughts (and not voices you are hearing, which can be very different), they likely are not new to you. From what I've learned from clients I work with, often these thoughts have been quite useful for them over the course of their lives, that through criticizing oneself, it is a way of motivating oneself. However, in your case and in most of those clients, it has caught up to them and it's almost like they no longer need the motivation (that they can do just fine motivating themselves by themselves!)I think it's important to see these thoughts as the voice of the ""inner critic."" That inner critic was there for a long time, again, because ""it"" (I like to identify it as a thing inside of you) thought that you needed motivation in the form of criticism to stay on task with your life. But now that that kind of sentiment is no longer needed by you, it might be time to have a different kind of relationship with it. But it wants to be heard. It doesn't want to silenced (Or ""stopped"" in your words.) So instead of trying to ignore it, perhaps we can see all the ways you are worth something and internalize (take in, let those ways resonate with you, sit with them, think about them) so that the inner critic can see that it isn't quite correct in what it is saying. In essence, you are instead sitting with the thoughts or worthiness instead of worthlessness.If that is challenging, sometimes seeing someone who is objective, such as a therapist, can be helpful. They can help you see the ways in which you are strong, have resilience, as well as any positive attributes that might be hard to see in the face of this loud inner critic. And, above all, if you feel like this doesn't resonate for you, and that the voices might actually be voices, an evaluation should be sought to further tease out what sorts of symptoms you are experiencing."
"Instruct: I have family issues, and my dad was both violent and a cheater.
Output: In general, our past is always somewhat alive and does inform our present experiences.  All past experiences, both positive and negative are what have brought you where you are today, physically and emotionally.   That being said, your father's behavior does not have to define you or your future.  You have power over your life and your future.  By learning more about yourself, you can learn to incorporate your past into your present life, without being defined by past traumas.  The best way to grow and learn how to do this is to talk with someone about your experiences.  By talking about your past and present struggles with a trusted confidante or helping professional you will hopefully learn how to be at peace with your past.  "
"Instruct: I have twin toddlers. I experienced a death of loved one prior to giving birth. I had a horrible break up with the father. People told him he was using me for money. My ex-boyfriend had extreme meltdowns every day for three years. I’m always alone with no friends.
Output: First, let me say that you are a survivor and a warrior. Managing 1 child by yourself is difficult, but twins is a whole different ballgame. Anxiety can affect us at any time anywhere. This is the challenge, especially when we have so many things to manage each day. There are several methods and practices that help manage and even reduce symptoms of anxiety. It will depend on what works best for you. Talk with friends, a counselor, or a loved one who can offer you support and feedback as you navigate this process of learning what works for you. When all else fails; make sure you are in a safe place, pause for a deep, cleansing breath in, a long exhale out, and ask yourself, ""What do I want in this moment?"" Now you can begin again."
"Instruct: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?
Output: 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."
"Instruct: A few nights ago I talked to this girl I know about my self esteem issues for the first time. We talked for hours and she told me time and again that I was a great guy. She told me I was attractive, and have a great personality, etc. I really started to feel better about myself by the time I woke up the next morning. Now, though, I can't stop thinking about her, but I leave to go back to college in a few days and I go to school 4 hours away from her. So now I feel constantly depressed because even if I told her how I felt it wouldn't matter. I feel helpless and I don't know what to do.
Output: Hey!  It takes a lot of courage to share your feelings with someone!  And it sounds like you have been lucky to meet someone who makes you feel safe enough to explore some of your more painful feelings.  A big part of the process, however, of strengthening your self-concept is learning how to tell yourself those positive messages that you heard from your friend!  Leaving for college may also be contributing to your feelings of unsteadiness.  Try this - Make a list of all of the positive things that you know are true about yourself.  Ask your friends and family to contribute to the list.  Then carry it with you in your wallet - and when you need a self-esteem boost, take a look at it!  You are in a season of life that presents lots of challenges and opportunities.  Reach out to your long-distance friend when you need support - and take a walk over to the campus counseling center and check out what they might have to offer.  Be Wise!"
"Instruct: He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining.
Output: From what you write, you're not too happy with how your boyfriend treats you and how he handles his own life.What keeps you feeling connected to him in positive ways?If you're truly not happy most of the time in this relationship, then you're at the time of asking why you'd want to remain in a relationship which is draining."
"Instruct: 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?
Output: Absolutely not! It is never too much. The most important thing is that you are reaching out to get help.  Therapy helps you to develop healthier coping strategies and that can help reduce the anxiety and depression as well as improve your sleep. This can all be done at a pace that is best for you. Your therapist can help you process all of this in a safe and supportive space."
"Instruct: I can't seem to feel any emotion except anxiety, not even for myself.
Output: Empathy usually falls on a spectrum, meaning that some people show more than others. Empathy is the ability to look at the world through someone else's eyes or ""walk a mile in their shoes."" There could be some people in your life for whom empathy is easier to feel and those for whom you have no idea what they are experiencing.Empathy is not usually categorized as an emotion, but as something related to emotions. For example, you could have empathy about someone's anxiety.I'm not sure whether you are also referring to the idea that you don't have sympathy for yourself or others. That's a different concept, but also involves different degrees.When you say you don't have emotion except anxiety, I wonder if you are saying that you have anxiety all the time and it may be covering up other emotions? If you are experiencing a lot of anxiety, try to look at what it connects to and find something that changes your focus for a few minutes. This could be any number of activities, such as watching TV, cooking, reading a book, or many other options.If you are feeling as if you are just going through the motions and not having a lot of emotions about anything, if it's just been a few days, it may just be related to a current stress that will lessen in a few days. If it has been quite a while, consider tracking your mood and looking at when you do notice changes in your emotions. There may be some variations that you are not aware of.If you continue to feel anxious and as if you don't have as many emotions as you would like, consider talking with your primary care physician or a local therapist."
"Instruct: 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?
Output: Hello. Thank you for your question. Many couples that experience infidelity in their relationship face this important question - ""is it possible for us to get past the cheating, or should I just move on?"" Deciding to stay or leave is such a personal decision, one that only you can make.When an affair is disclosed or found out, it can have a traumatic impact on the betrayed partner. The betrayed partner might be overwhelmed by intrusive thoughts - Wanting answers to specific questions - Wanting details. And the partner that had the affair might be feeling overwhelm around ""Will their partner ever forgive them?"" ""Will they trust them again?"" ""How long will it take to regain their trust again?"" While it is possible for couples to get past the cheating, it does take a commitment from each partner to do the work needed. Because of the complexities cheating has on the bond couples have with each other, I would recommend seeing a couple therapist that specializes in working with the issue of infidelity. When infidelity happens, there are usually a number of secrets that accompany it, and this can be incredibly difficult for couples to work through on their own.  "
"Instruct: My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?
Output: Yes, this emotional abuse.  There is no abuse without emotional abuse.  His abuse is demeaning and can have lasting negative impact on your perspective of your self and people around you.  Please find someone support to talk to.  "
"Instruct: I have been diagnosed with ADHD and experienced manic depression episodes. I have problems with anger management. Apparently, I also have an ODD, bipolar and split personality. How can I be truly happy?
Output: The ADHD and manic depressive episodes are terms other people told you that you have.You don't have to accept these words to describe who you are.A lot of mental health in our country is about telling people what's wrong with them and giving pills for these so called conditions, instead of helping a person know more about themselves in order to make good decisions.You can be happy because nothing from the outside, such as the names people have used to tell you who you are, can interfere with your own wish to be happy.Others can slow you down because of the self-doubt and hurt feelings.  No one can take happiness from you, only they can make it harder to find and hold onto.Anger management only works temporarily because it is a surface approach.Think of the reason you are angry.  This will be better to know so you will be able to address it.Then you will not have anger to manage."
"Instruct: We had great chemistry, but then he became distant. I had the feeling that I can't be without him. As soon as I felt the difference, I was scared to lose him. I started freaking out if he did not answer, thinking that something bad happened.
Output: People often care deeply for those whom they love. I don't know how long you have been together. It is also common to want to be very closely connected to people who are important to you.It may be helpful to have a conversation about talking more or talking about how you feel when he is not there and how he feels about answering you right away. It may be helpful for both of you to listen to each other and what you are feeling and experiencing so that you can look at what may work for both of you. For example, maybe you could remind yourself that he will answer you when he is not busy or as soon as he can.Sometimes just talking about these feelings can be helpful so that you can both have open discussions about whether the amount or type of communication is too much or in a style that is not working for both of you. You could also consider leaving text messages or something that does not require an immediate response so that when he is busy, you have the ability to write a message, and he has the ability to answer when he can.I also wonder where you are getting the idea that something bad happened. I don't know whether something happen with this person in the past or perhaps at another time in your life.Some people benefit from ideas such as not going to bed angry, but this is difficult for others.I would suggest considering what makes each of you feel loved, valued, appreciated, or special.Also think about what styles of communication you both like and what is and is not okay in the context of an argument.It may be difficult to talk about what has related to him being distant and it may be helpful to talk about ways to communicate about this first (such as taking a 10 minute timeout if it becomes overwhelming).Perhaps talking with a therapist who specializes in couples would be helpful if talking about this between you is confusing or if you do not both feel heard by the other person. Remember that feeling heard does not mean that you have to agree with one another."
"Instruct: I use to be so happy. No matter what, I always was happy. I got into a relationship with this guy. I love him so much. We’re both teenagers. The week after his birthday, my mom made me stop talking to him. It broke me. He came to my house and talked to her, and she let us date again but not see each other. He comes up to my school every day and it tears me apart that I have to lie to her.
Output: Hi Los Angeles, I can tell you have a moral backbone because it's hurting you to lie to your mom. I always say that a little bit of guilt is healthy because it teaches us who we want to be. Listen to that voice. You don't have to lie to your mom to get what you want.Now, you don't say how old you are, so part of my answer is going to be a bit vague. There's a big difference between being thirteen and your mom telling you what to do and being nineteen and your mom telling you what to do. The thing is that moms and dads start out making all your decisions for you when you're small, and they're supposed to, very gradually, give that control over to you. Different parents do this at different speeds, but in general you have to earn that freedom and trust...it's not just gonna be handed over to you. You might not like this part...your parent has the right to make the rules. My guess is there's a reason why mom is holding you back. Even if it doesn't make sense to you, breaking her rules isn't going to get you what you want...which is freedom, right? I guarantee you that mom wants you to eventually earn freedom...but she's not supposed to give it to you until you're ready because her first job is to keep you safe. I like that your mom has limits for you. Too many parents are sort of looking the other way, busy with their own thing. Whether you know it or not, you need protection like all kids do (appropriate for your age, of course).It sounds like what you want to say to your mom is ""I want to make my own decisions about who I spend time with"". That's a normal wish, and I encourage you to say that to her. Depending on your age and whether you've earned it, she might listen. So, you're sending her that message that you want to send, but you're doing it in a sneaky way, and that's not going to go well when she finds out. It's called ""passive aggressive"" when you say something with a sneaky behaviour rather than with words. It's not a very healthy way of sending a message, because people feel disrespected. My guess is that your best bet is to be honest with mom, stop the sneaking around and come up with a detailed plan of how you're going to earn your freedom...eventually. She might listen to that."
"Instruct: I didn't trust my wife when I found out that she had a new guy friend that she was texting and calling. I investigated him before I found out that he was gay and that there was nothing going on. Now all my wife and I do is fight about trust.
Output: Hello. Being unable to trust your significant other certainly can cause one to feel unsettled. Has your spouse ever done anything questionable that would cause you to not trust her? If so, then it will take time and some work to gain the trust back. Couple's counseling would be of benefit. If not, then you may want to consider seeing a therapist on your own in order to better learn where your insecurities come from. There are several possible reasons why you may be feeling insecure but without knowing them, the issue is not likely to get resolved. In the meantime, I suggest that when you're feeling upset and are unable to trust what your wife says/does, think before you speak. Ask yourself if you have valid reasons to not trust her. Instead of arguing, try and communicate how you're feeling and let her know that resolving this trust issue will be a top priority for you so that you can focus on other aspects of your relationship. Hope it all works out for you both!"
"Instruct: My husband and I are in a terrible place. Part of me wants to fix it, but then I'm caught up with not knowing how and not being able to communicate my feelings to him because he always feels I'm blaming him. Sometimes I am because the feelings of distrust are so strong. I feel they must be coming from something he's doing, but sometimes I know I'm being irrational. Still, that doesn't stop the anxiety. The other half of the time, I just want to walk away, but I feel like that will only be a temporary fix.
Output: You may be pressuring yourself to be the one person who fixes the relationship.  This is impossible because the relationship belongs to both of you.Has he told you whether he feels about himself that how he interacts with you, is contributing to problems in the couple?Is he willing to understand what you're asking of him, without shutting down with whatever he is feeling when he feels blamed?Your feelings of distrust are the natural outcome of not being properly heard and understood.  He's not willing to listen to you, so of course you're frustrated and this frustration comes out in all sorts of uneasy feelings.Willingness to hear each other in a non-defensive way, sometimes requires a couples therapist's assistance.Ask your husband if he's willing to understand, not judge you.  Be willing yourself to do the same.If after trying and getting nowhere, you'll know when to stop trying on your own as a couple and to find a specifically trained couples therapists.Warning, not all therapists are trained to do couples therapy.  Ask the therapist if they've had specialized training in couples therapy.Otherwise, having a referee type therapy session of, ""what do you think"", ""what do you think?"", isn't going to do anything except frustrate both of you further.Good luck!"
"Instruct: I'm a guy. If I don't like girls, nor do I like guys, does that mean I'm gay?
Output: It doesn't sound like you are finding yourself attracted to anyone.  It could mean that you just haven't connected with anyone you find attractive, or that you are asexual - essentially not oriented toward anyone.  I would suggest doing some reading on asexuality and see if it connects to how you feel!"
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Many people cry during their therapy sessions. Actually most people cry in their therapist's office. I tell my clients that it's safe to cry in my office and crying isn't a sign of weakness. It's a normal human response to pain. People actually do more harm to themselves by trying not to cry than by crying. Crying is very cleansing and an important part of the healing process for many people."
"Instruct: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven. 
When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety. 
Am I crazy? I don't think these thoughts are normal.
Output: Hi California, What you're experiencing is indeed anxiety; it's very common. Through research we know a lot of things about how to reduce anxiety. I'll get you started and it's a great idea to connect with a therapist who can build on these ideas and get to know you well.It's natural to have random thoughts that unsettle us. Our brains are complex, wonderful things. Fearful and anxious thoughts are a part of this picture; their purpose is to prepare us for the future and to help us make sense of the past and learn from it. But what happens sometimes is that our alarm systems get out of whack and get set off too easily. We often spend TOO MUCH time worrying about things that happened or might happen. When these thoughts take away from our enjoyment of life, it becomes a problem. So, while fear and anxiety try to protect us, they also seek power and will take any power they can get.In general, fear and anxiety try to tell us one or both of two things: that something is wrong with us, or that something bad will happen (or that something bad will happen because there's something wrong with us). They will use anything they can as evidence to convince you. For example... ""That person looked at you funny. You're strange looking"". Well there are dozens of possible explanations for the look on that person's face, and it's unlikely it had anything to do with you. For you personally, your thoughts are about the afterlife...about living forever. What does fear tell you will be uncomfortable about living forever? What would the worst part be? A therapist would help you dig deep to find the core of what you fear. It might be that you have no control over who you are or where you go. It might be that you fear going to hell because you're ""bad"". Search for that deepest fear.I invite you then to picture that thought as a glass of water on a shelf. It's a heavy glass, and if you held it in your hands for a while and stared at it, it would get in the way; you'd be uncomfortable and unable to focus on your life. That's what's happening now. I suggest that the problem is not so much the thought you're having; we all have random silly thoughts that usually aren't true. The problem is how long you're holding it in your hand. You could have that thought (pick up that glass) a hundred times a day and, as long as you put it right back on the shelf, it's not a problem. The trick is to get it back on that shelf.Right now, you're using distraction to do this. You're trying to focus on other things around you, but I think the glass is still in your hand. It's not enough; you're looking for more tools to get that glass back on the shelf.  And the key is in your thoughts. Once you find out what fear is trying to tell you, then you can ""talk back to"" fear. So, as an example, if fear is saying to you ""you have no control over anything"", then you can work to accept the pieces you don't have control over, learn to tolerate that feeling, and claim back the pieces you CAN control. You CAN control the extent to which you let fear take you over. With a therapist you can learn to ""refute"" fears' ideas. You can learn to look for concrete evidence of fear's lies and gain back control over your thoughts. I wish you the best!"
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Crying is clearing. It is a release of energy and toxins. Crying is a good thing and a great way to let go and move forward!"
"Instruct: 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.
Output: Anxiety and Depression are challenging experiences to live with and to manage on a daily basis. I would say that both are challenges to overcome but solutions to living healthy and well exist. Step 1: Talk about it. With friends, family, partners, counselors, and other trusted people in your life. Step 2: Create a plan with a counselor to learn new skills that help you recognize and manage your symptoms. Step 3: Don't give up. Working on yourself can be difficult and hard at the beginning. Stick with it and you will be able to find exercises, tools, and resources that help you live well."
"Instruct: 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?
Output: Firstly, I would like to say how amazing that you have been able to live through breast cancer, sexual abuse as well as your depression and anxiety. You are stronger than you may believe at this moment for being able to continue to grow and live through these experiences. Take a moment to acknowledge your strength and know that this strength will be an asset during the therapeutic process that you will be able to tap into to find increased self esteem and more strength to address the concerns you are having. There are never too many concerns to address in therapy sessions. I hope you can find a great therapist who you can trust to listen and work with you to identify and address
the most concerning issues first. Once you begin to do this you may find an alleviation of symptoms and feelings which could allow you to grow your capacity to manage difficult feelings and situations and address additional concerns. Before you even realize it the issues you are having will begin to feel more manageable."
"Instruct: I was a victim of an incident. I've been made fun of and have been beating myself up for it because I don't feel anyone honestly believes me. There are so many other factors I deal with on a daily basis. I ignore my problems when I'm with my friends, but it’s scary when I’m alone.
Output: I'm glad you have some time when you're not thinking about your trauma when you're with your friends.As far as feeling scared when you are alone, I'm not sure if you are referring to having flashbacks or thoughts on what happened to you or reminders in the environment around you or something else.One thing that might help is to find a bead or a rock that is smooth that you can hold onto or rub against your hand or fingers. Think of a time when you felt safe, comfortable, happy – basically a positive and safe moment – while holding onto the rock. Then, when you have scary thoughts, you can hold on to the rock and remember the happier place. Try to associate as many happy and safe moments with the rock as you can."
"Instruct: I can't even smile or fake one. I can't feel happiness about anything and I can't show love towards another person not even my girlfriend. I hate myself sometimes. All I see is ugly.
   I can't get over the loss of a loved one and I'm not close to my family. What can I do?
Output: Trust and believe your own feelings.Emotions are real and reflect how someone feels about a situation.Since you're sad about losing a loved one, be patient w your feelings about this.  Basically, be guided by how you feel and eventually you will feel different emotions which I hope will be happier ones."
"Instruct: I was a single mom most of their growing up life and have guilt about trying to work three jobs and being gone a lot. My children are successful with their own business's, have lots of nanny and cleaning help, but I just feel they have such a great opportunity to spend it with their kids.
Output: You seem to have been a very positive influence in your kids' lives.They may have worked so hard because they understood how difficult and tiring your life was as a single mom.I feel you are seeing your kids' lives through the measurement of how much toil was in your life as a single mom.In other words, what you see your kids overlooking or not appreciating, may remind you of your wishes during the many years you raised your kids.If it helps you and is possible, then maybe you could spend more of your own time tougher with your grandkids.  This may give some reward for the many years you spent working to support your kids and had no choice in the amount of time you had with your kids.As far as your kids relationship to their kids, it is now their turn to raise them as they wish, within ethical boundaries of course.Depending on the topics you and your kids talk about, consider to bring up your concern as to whether they feel their kids, your grandkids, are missing anything due to the limited time they have with the parents."
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: Great question which I imagine many other people have as well.The therapist will want to know your main source of life discomfort.  In what areas are the problem interactions which you hope will disappear?The therapist is trained to listen for your emotions to your story.  And to open these up to you in a kind and safe way so that you'll start to see your circumstance in a new light in which you feel more of your own authority to handle the troubling conditions.The therapist and you will refine your thinking and theories.   The therapist will ask questions to help you prepare for any stumbling blocks along your way of creating your own new answers to the problem you brought to counseling.I hope you'll enjoy learning and creating new thinking and interacting patterns!"
"Instruct: I didn't trust my wife when I found out that she had a new guy friend that she was texting and calling. I investigated him before I found out that he was gay and that there was nothing going on. Now all my wife and I do is fight about trust.
Output: Instead of fighting about trust, is it possible for you and your wife to talk with other about areas which upset each of you?Whenever feelings are hurt, knowing what exactly is problematic and being heard and understood by the partner, goes a long way to building trust.These type of discussions are hard to have, and especially for the first time.  A lot of emotions arise and often people lose their conversation focus from this.If you and your wife have a tough time opening up to each other, consider scheduling time with a couples therapist.Just by each of you committing time to invest in the relationship will show faith in the relationship, and this may contribute to restoring trust."
"Instruct: Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?
Output: Such a great question! I'm so sorry you are struggling! You may be experiencing Intrusive thoughts.  These are thoughts that seem to come from no where and victimize us.  I can strongly recommend a book called ""When Panic Attacks"" by Dr. David Burns.  It helps you to identify the thoughts, and the help you create ways to counteract them!  There is another technique, called Thought Stopping. Thought Stopping can be as simple as saying ""Stop!"" loudly (if you are alone) or in your head, if you are in public.  It's a quick way to distract you from the distressing thought, and allow you to refocus.  I recommend using this technique, followed by some deep breathing, while visualizing something that helps you feel relaxed (a favorite place, a pet, etc.).  These three things in conjunction can be of great assistance. One key component in addressing anxious thinking is building the skill of relaxation.  I recommend an App called Headspace which teaches relaxation through some simple guided mediation. Super easy to do, and a great way to begin to build relaxation skills.  Plenty of sleep and reducing caffeine intake can also be things to explore. Hope this helps!"
"Instruct: I'm in my mid 20s with a husband and children. I love my family, but I feel like I've lost my identity, and I don't know who I am other than a mom and wife. At times, all I can think is what I gave up and how I feel unhappy and trapped, but I know I'd feel like worse without them. I loathe myself at times. I have an amazing life, so why can't I just enjoy it?
Output: It sound like there are some parts of your life that you really enjoy it and also some things that you wish were different.You say you feel like nothing more than a wife and mom, so I wonder if you could make a list of what else you are (friend, daughter, etc.). I also wonder if you could list your positive attributes or skills.I don't know what you gave up, but I wonder if there is some way that you could spend an hour or so a week working on things that you like and/or spending some time with what you did before you had children. For example, if you're missing a certain part of your career, maybe you could work with your husband to come up with a plan where you could do whenever that is for one day a week. There are often a lot of small changes that can lead you in that direction.Of course, that is assuming that you want to continue being involved with what you were doing before.  If not, what else do you want to do? What is it that makes you feel happy? What do you look forward to? Remember that looking forward to having an hour or two where you can do something for yourself does not mean that you are not a good mother or wife. These ideas can coexist.Can you talk with your husband about how you are feeling? Do you have trust for one another with feelings such as these?"
"Instruct: I'm in my mid 20s with a husband and children. I love my family, but I feel like I've lost my identity, and I don't know who I am other than a mom and wife. At times, all I can think is what I gave up and how I feel unhappy and trapped, but I know I'd feel like worse without them. I loathe myself at times. I have an amazing life, so why can't I just enjoy it?
Output: Good for you on being sensitive to your human need for personal evolution.Wife and mother are meaningful positions.  And in your case, in order to feel your own growth, other areas of who you are would like your attention.Give yourself time to allow your interest to wander in order to find the area of growth which will satisfy you.Just like you know now that you'd like more than your current situation, trust yourself to know you will also know when you've arrived at another road you'd like to take for your own happiness."
"Instruct: My daughter was overly tired and throwing a fit at her grandparent's house. She wanted to come home at midnight and cried screamed said she said she hated her grandma and that she wanted to kill herself!
    We also have a new baby in the house i didn't know if this would contribute to this. How should I approach this?
Output: You wrote a very full family context w many directions to examine.Do you know or can you find out what the grandma and your daughter were doing in the evening of the screaming episode?Is it possible the grandma abuses your daughter, or tells her scary stories, watches scary movies.  These are only suggestions of some problem between grandma and your daughter.Also, ask your daughter directly why she wants to kill herself and what' killing herself"" means.   Seven year olds don't have a concept of death being a forever condition.  Seven year olds don't have a sense of future meaning besides liking/disliking them.   Maybe the new baby is a factor.  Do you feel this is a factor?   Trust your intuition to tell you if your daughter is resentful of your new baby.Even if she is, I doubt a seven year old has the capacity to connect current unhappiness with the intention of a future action, including suicide."
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
   I spent the weekend with him and it upset my boyfriend. Was i wrong?
Output: Depends on your definition of ""wrong"" on this one. Was it objectively wrong to spend the weekend with a good friend, who also happens to be an ex? Probably not. But, it upset your current boyfriend, and he is entitled to his feelings if you are in a relationship with him. He may be out of line if he assumes that anything happened between you and your ex that would compromise the relationship, however your boyfriend being upset might also mean that he wanted to spend that kind of weekend with you and did not get to do that.Long story short, it might help your relationship to understand more, and be curious, not judge-y, around what is upsetting for him. Perhaps having empathy for his experience of the behavior could help him to feel more secure with you having relationships with your ex(es)."
"Instruct: Any time things get heated, the past gets brought up. I raise my voice at her to try to get a point across. She asks open-ended questions but always has to turn my own answer against me. She's seven months pregnant. I have drank in the past, but I'm not dependent on alcohol—I only drink at social events.
Output: Have you tried to talk about the subjects of the past, in the present at a time in which there is no heat between the two of you?Since your gf would like to resolve situations from the past the best way to do so would be to talk about them.  The more you try to avoid certain subjects the more likely they will come up between you at worse possible moments.If you can get ahead of the pattern of old topics coming up without your control, then try scheduling a discussion about them.  This by itself will show your gf you care about what she cares about and this may be one quality she would feel good about."
"Instruct: My spouse visited the red light district a couple of years back in Amsterdam. After he got back from the trip he got me tested for stds. In the aftermath he has provided multiple versions of what happened, from having a total blackout to being touched by a prostitute. How do I know if he had sex?
Output: The only two people who know the answer to your question are your husband and the prostitute.The question you did and can answer is the reason you would doubt your husband, which is bc of his multiple stories.Ideally your husband cares to restore your sense of confidence in the stories he tells you.If you state your doubts and your interest for the truth, ideally he will produce enough evidence of the truth so you will have facts and can make sense of them.   Hopefully the two of you will do this sense making together, especially if he did have sex w the prostititute.If he's unwilling to care about restoring your trust in him, then this is a different problem entirely."
"Instruct: I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I’m also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?
Output: It sounds as if you may be experiencing a bout of anxiety and/or depression. Sleeping difficulties, irritability and anxiety attacks all are correlated with these mood disorders. And it’s actually quite common for someone to deal encounter this during their lifetime. Also, keep in mind that just because you are experiencing this now does not mean that you will be dealing with it the rest of your life. Many times, it can be a single episode and if treatment is received, you can help prevent any recurrent episodes.However, you may want to first talk with your primary physician to rule out any medical issues that could be causing these problems. There may be a reason for the sudden onset of these symptoms that can be addressed quickly. On the other hand, if it is determined that you are experiencing anxiety and/or depression without a medical reason, there are two methods that are very helpful in your treatment:#1 Talk therapy with a certified therapistHe/She will be able to address the concerns you’re experiencing and discovering if there is an underlying issue that may be causing it.#2 MedicationThere are many medications that can assist you with the feelings that you are experiencing. Your doctor will be able to help you find the right one that works for you. If one doesn’t work, keep trying. There are many different options to address your specific needs.Also, a combination of these two options is extremely beneficial!Thank you for your question. I sincerely hope that you feel better soon!"
"Instruct: I love him so much, and I don't know what to do.
Output: Does he tell you a reason as to why he feels you don't love him?Ask him this so you will clearly know his definition of ""love""."
"Instruct: I am going through a very hard time and I'm so depressed. My parents are getting a divorce and a lot of bad things are happening. I want to lull myself.
Output: It sounds like a tough time and it's normal to feel down when your family is going through a divorce or other hardship. There's a difference between feelings like sadness, discouragement, grief, loneliness and depression, though. Sadness is sadness and sometimes we have to go through a grieving or other process, that is a normal reaction to events in our lives. Depression, on the other hand, is more about being stuck. Lulling yourself with self-care sounds like a healthy response and a way to give yourself support. So as to the uncomfortable but healthy part of your feelings, do the best you can to put names to it and share with a trusted other person. You will find comfort. The part of your situation that's depression -- feeling stuck, not able to get out of bad, concentrate, changes in sleeping and eating, loss of enjoyment in living, poor hygiene, feelings of hopelessness, that's different. First step, identify your own symptoms of depression. If you have any thoughts of hurting yourself, tell someone. If you're not sure, you can try 800-lifenet or other support line to get feedback. First aid for depression includes: daily care and feeding, good sleeping and eating, lots of exercise--even when you don't feel like it-- healthy socializing, and focusing on talking to yourself in a positive way. If you aren't able to move yourself out of your depression,  work with a professional to make short-term goals and get some support. You may also talk to your doctor or psychiatrist about trying an anti-depressant to give you a little lift while you go through a rough patch.Best wishes,Karen"
"Instruct: I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
   What is wrong with me, and how can I stop having these thoughts?
Output: There is nothing wrong with you! Sometimes we get intrusive thoughts that can be worrisome. One things that can be helpful is to identify if there is a trigger to these thoughts - something in your life that makes these thoughts more common (an experience, a person, a place, a situation, etc.). It will also be helpful to try and challenge this type of thinking by focusing on ways in which you are worthwhile as a person and have worth in your life. CBT (Cognitive Behavioral Therapy) may be particularly helpful with this, also. If you are open to seeing a therapist, find one that does CBT. You can also find resources on CBT online. It focuses on stopping and challenging unhelpful and harmful thinking patterns and replacing it with more helpful and healthy thinking patterns."
"Instruct: I loved him more than anything. He passed away on our anniversary which was also the day I was going to apply for our apartment. I'm not handling it well. I moved to a new town and started a new life but nothing helps.
Output: I am so sorry to hear of your boyfriend's passing. Grief is something that can take a long time to recover from. Have you considered speaking with a grief counselor? Being able to speak with someone that specializes in grief would be very beneficial. Do not get down on yourself for not recovering quickly. This is one of the hardest aspects to deal with in life but eventually you will be able to move forward. In the mean time, immerse yourself with positivity (i.e. Good friends, hobbies, exercise) and try to schedule a time with a counselor. Perhaps there will be a support group you could also join. Oftentimes, it is comforting to meet others who share the same experience as you.Good luck to you. I hope you will find peace and comfort soon."
"Instruct: I suffer from adult ADHD, anxiety disorder, and depression. It has been difficult to find a doctor in my area and my primary physician won't help. I am unemployed and overwhelmed. What would you suggest I do?
Output: If it is simply counseling that you seek, any number of faith-based outfits are very willing to listen and help out with these sorts of matters, free of charge :)Online messaging and social media is a secondary option, however this one may come with privacy concerns and consequences;If it were I, I would attempt to sweet-talk one or two counselors I come across to do a bit of work for folks who can't afford it :)"
"Instruct: We just cannot seem to get along. I cannot have a conversation with her without it turning into World War 3. She treats me like I have no right to an opinion and never really lets me speak. My real mother cares and tries to help me, but she can't do much, because my adoptive mother won't listen to her either.
Output: Going to see a experience counselor would be my advice.  You will have a neutral person that can listen to both sides and help you all find a common ground of understanding.  If she doesn't agree to counseling, really the only person you can change is you.  I would suggest that you approach her with love and let her know what you appreciate about her, let her know the great things she have done that could not be replaced or forgotten however you want your relationship to get better than it has been lately.  Hopefully this will open the door of communication where you can explain your thoughts and feeling but in a loving way.  "
"Instruct: My wife and I got separated because I asked about her contact with a male friend of hers. The next day, she kicked me out.  She let me move back two days later. Yesterday, she said she wanted a divorce then quickly changed her mind. I asked if the other guy was a factor, but she says it's not my business.
Output: This has to be very confusing.I wonder if the two of you would be able to have a conversation about what it is that she would like you to know about what happened yesterday and the day before so you know what message she wanted you to get out of all of that.I would also recommend seeing a local mental health professional. If you go yourself, you could at least discuss your marriage and your own thoughts and feelings about it. If you go together, I would suggest you see a therapist who specializes in couples."
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?
Output: The best way to move on is to give yourself sufficient time and space away from your ex so you can heal.  That means no checking out your ex on social media platforms and no contact.  In order to move on and diminish the obsessions, help yourself recognize and accept that the relationship is over, and make sure to get sufficient support in processing all your feelings.  Once that takes place, it can be useful to explore and process with a professional the meaning of the relationship and to understand your part in what transpired.Sometimes people obsess because they have difficulties accepting what's already taken place and want things to be different.  The key to moving forward is to be loving toward yourself, to give yourself permission to grieve the loss, and to start cultivating new and healthy habits/patterns.  Reengage in your present life, ask yourself what you want your life to look like, and start creating goals and taking small steps to create the amazing life you want for yourself."
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
   I spent the weekend with him and it upset my boyfriend. Was i wrong?
Output: Ideally you and your boyfriend will reach a balance point where you and your boyfriend are each happy with the level of involvement you have with your former boyfriend.Start w a discussion with your current boyfriend as to what specifically he doesn't like about your friendship with your former boyfriend.It is possible that you can answer his concerns as well he can find out from you more as to what the friendship is all about.As a therapist, I've never seen a former romantic relationship become only a friendship.   As sincere as you may be in your intention to only keep the friendship with the former relationship partner, if  your former boyfriend secretly has romantic feelings for you, then at best, you've got an unclear friendship with this person.The obvious possibility is to socialize together with your current boyfriend and your former one. If neither guy would go for this, then this would show there is an undercurrent of competition for your romantic attention.Basically make your romantic partner's feelings and your own, the major considerations and discuss from this perspective."
"Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?
Output: I am really glad you reached out. When parents get divorced, they still need to figure out how to have relationship so that they can parent their child. We might divorce our partners, however, we don't divorce our children. If anything our children need to know that we are still a stable force in their lives. Unfortunately, in some relationships children get used as a bargaining piece and I am hearing that may be happening in your relationship. You can move on from the relationship with your ex while still maintaining a relationship with your child. It is possible and it takes both parents to agree to do the right thing by their child. It is important for your children to have some consistency in his or her time with you. For example, if you and your ex don't have a parenting schedule it is something that you want to create so that you can not only decide for you when you will see your child, but your child can know when you will be available just for her. This will lay the foundation for consistency and allow your child to have some security in troubled times.I would highly recommend you sit down with your ex and discuss how you can both be a positive source in your child's life. How you can both be there to help raise her. If this is not a conversation that you can have on your own you might seek out help from the court. There are parenting experts and mediators who might be able to assist you.Remember, in any discussion keep the focus on what is best for your child and you will be moving in the right direction.Best of luck to you!"
"Instruct: How does a person start the counseling process?
Output: The easiest way to start the counseling process is to do a little research online. A quick search for the type of counseling you are looking for can be helpful. There are lots of Counselors out there to choose from, so many times you will have to take it a few steps further than that. Check out their website, social media, and any reviews (but remember, people are not always very nice). If you plan on using insurance to pay for at least part of the services, look for one that is in your network. You can find out if someone is in your network by looking for providers on your insurance's website. If your coverage isn't that great and you know you're going to be paying for it all anyway (because you're an all-star and verified your coverage already with the insurance company), then you can really pick any Counselor you want, but working with one that is at least out of network will give you the benefit of having it applied to your deductible. If you have any questions about that process or just want some help in getting your benefits from the insurance company once you've started counseling, Better is a good option. Once you've found a Counselor you think is a good fit for you, normally the best step to take here is to call and schedule your very first appointment. With many Counselors you can now send an email, but a phone call can normally tell you quite a bit about someone and their clinic. Once you're all scheduled, they will either get you to do some paperwork before you come in, or many times they just let you fill it out once you get there. From there, all you have to do is show up!"
"Instruct: My fiancée suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. She curls up in corners at the mall and has panic attacks. She won't eat or drink in public. If she isn't having a panic attack or crying, she's clinging to me and avoiding everything and everyone. Her depression flares up out of nowhere and causes her to become very suicidal and self-harming. She get really sick from anxiety and scared to the point that I can't even get her to eat, drink, leave the bed, or go outside. She always tells me how she grew up around so much fighting and fear that it makes her scared of loud sounds, yelling, conflict, and even talking to strangers in public. She will refuse to go to a store unless I am with her to talk to the cashier for her. She is so scared that I can't even get her to drive. She doesn't want to get her license because she's scared of trying to drive.
   Some people have recommended medication, but I believe it's just going to cover up her illness and not solve it. I don't want my fiancée pumped with drugs. I believe a psychiatric service dog would be the best bet for her. When we first met my poodle, it would calm her down a lot. She took the dog out every time we went out, and she seemed much calmer and happier. She slowly would eat, and the dog seemed to make her feel a lot better. I am worried and want to help her without medication.
Output: It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health issues. Based on what you have explained, it sounds like she needs to get a medical and/or psychiatric evaluation. Whether or not she decides to take medication is her (and your) decision, but keeping an open mind about treatment options is important. I suggest that she see a therapist on her own in order to better understand and cope with her anxiety and depression, especially given her suicidal thoughts. You would also likely benefit from therapy, individual or couple's therapy, in order to address how you are feeling and best learn how to support her and your relationship. I wish the very best for both of you and hope that things will improve sooner than later."
"Instruct: I think I have depression, anxiety, bipolar disorder, and I have anger issues. I told my mom over and over again. She told me she would get me a therapist, but she never did. I just found out that my mom can't afford a therapist for me.
Output: It can be difficult to get counseling if you don't feel supported by family members.  There might be a few options.  If you are in school, I'd recommend talking to a school counselor or school nurse.  They often will be able to help you access free or affordable counseling resources in your community.  In addition, depending on where you live, it's also often possible to call 211 for referrals to free or low cost counseling services in your area.I'd encourage you not to give up. You are on the right track."
"Instruct: I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone with my dad the whole time. I also forget things a lot.
Output: With the way you described your anxiety, it sounds like you have different types of anxiety. I'm not sure whether you have anxiety of public places, large crowds, being alone  (sometimes called separation anxiety), or some combination thereof.One thing that would be helpful would be to track your anxiety and see how anxious you are (on a scale of 1 to 10) in different situations. Also, if you know what leads up to your anxiety, it would be good to know this as well so you can look for patterns.As for forgetting things, you could be anxious because you are forgetting things or you could be forgetting things because you are anxious. When you are having anxiety, certain parts of your brain are overactive because you are in a kind of protective mode. It's also possible that forgetting things and anxiety are not related.Something else to try would be to notice where you feel your anxiety in your body and put your hand there is a way of giving yourself comfort.Another thing about anxiety is that having anxiety can lead to more worry about having more anxiety. One thing that helps for some people is to go to the regular primary care doctor to make sure that there are no physical problems (just for the regular physical) so they know that there are no physical problems and that the anxiety will lessen in a few minutes.Also, if you are able to notice your feet on the floor or your hips in the chair, this is helping you to be mindful of your body and connecting you to your surroundings. During this in combination with naming your emotions can be soothing as well. For example, in the grocery store, if you are feeling anxious, you could say to yourself ""I'm anxious right now and I'm okay"" while gently shifting your weight from one foot to the other. No one around you would notice what you were doing and the motion may be soothing to you.Anxiety can have a lot of different causes and things that trigger it. If it is difficult for you to work it out on your own (which is very common), consider talking with a local therapist so you can have more specific ideas.Also consider making a list of people who you trust and what it is about them that makes you feel comfortable."
"Instruct: I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
   What can I do to manage my stress?
Output: Recognize your reason for continuing to work for this place.Sometimes ""overworked and underpaid"" is tolerable bc of the valuable learning which the person will take with them when they've decided the time has come for these lessons to end.Or, are you in this place bc it is an easy commute to your home or fits well with other parts of your life such as education or some health related program?As long as you have a good reason to be there, you will feel there is good purpose.If there is no good purpose and every day you wake up to work for a place you can't stand, then its time to look for a new position."
"Instruct: Current medications are: topamax, ativan, brintellix, lamictal, restoril, abilify, tx: long term dbt, cbt
Output: The general prognosis for anyone is good, so long as they have faith in their own ability to find the goodness in life.From what you write, the professionals may have so much focus on the drugs they give you, that they have forgotten that you are a human being who has interests, opinions, feelings and thoughts.The list of drugs you write sounds too long for anyone to reasonably need.My best suggestion is to find a therapist who does talk therapy, not drug therapy.Discussing your fears and anxieties in a protected, professional, confidential space, sounds like the first step to helping you believer your own conclusion about your well-being.Taking a lot of drugs creates self-doubt and weakens the sense of self that people naturally have.My wish for your future is to regain trust and confidence in yourself as a person, not a diagnosis who is told to take a lot of pills."
"Instruct: We rent from from my boyfriend's parents. His father drops by unannounced and stays for long periods of time. He lets himself into our home when we aren't there on a daily basis and takes our dogs to his house. He picks up our mail. He has NO boundaries. 

He's an opinionated, rude pushy person. He expects to spend every weekend around us, gives unsolicited advice on child rearing and does not respect our privacy at all. He barges in with no warning. He has a key and lets himself into our house without asking permission. I need help. How do I address this?
Output: You're expecting reasonable behaviors from your boyfriend's father.Since the father is his, your boyfriend is the person in position to speak directly with his dad about the expectations you and he have of the father.If your boyfriend has a good relationship w his dad, which is not what this sounds like, then great!If your boyfriend has a stressed and tense relationship w his dad, then somehow he needs to develop or be coached and encouraged by the people in his life who truly care about and know him, a way to state the very reasonable standards you describe here.If all else fails, then a new living space is always another possibility! "
"Instruct: When I go to school, I feel like everyone is judging me, even my friends. I get overwhelmed which these thoughts and sometimes cannot get out of what I call a deep hole of thoughts. I barely go to any of our school dances because of all of the people. Not even when I am completely alone do these thoughts go away. I still feel like people can see me and are judging me.
Output: It sounds like a couple of things are going on here; you are noticing yourself feeling judged by the people around you and that you are avoiding social activities and in addition to this you have intrusive thoughts that you are being judged, even when alone. It sounds like these thoughts are pretty distressing and you are wondering what is happening to you. Many people who come to therapy experience intrusive and distressing thoughts of various kinds, which often influence their behavior in ways that they may not like, such as leading them to isolate. In therapy, you may be able to gain insight into the nature of your distress as well as learn ways to cope and eventually alleviate this distress so that you can have satisfaction and security in your life and relationships."
"Instruct: There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.
Output: I'd say you're letting fear get a hold on you! You would really enjoy some sexual activities that your wife hasn't initiated in a long while, but it's a big leap to go from that to ""I married the wrong person"". Fear is telling you that she doesn't respect or like or want you? Look at the bigger picture. What is the evidence that your wife wants to please you?...that she is the ""right"" woman for you?...that she loves you?...that she cares about what's important to you?  If there is evidence there, then you owe it to the marriage to rein in your fearful thoughts.Talking to your wife is so important right now. We all have moments when we really just want to sit and stew in our self pity over our partner not vacuuming or cooking or saying loving things often enough...but they can't read our minds! Can you lovingly let her know what you miss? ...what you hope for?...what you need? This is the meat of a loving relationship. Sharing who we are, so that we can love each other better. Your wife deserves the benefit of the doubt that she'll listen to what you long for. Can you risk feeling vulnerable? You can't control her answer, but can you trust her to care?"
"Instruct: I have been with a guy for 4 years,  he's a great guy and we also have a son together. The problem is that I'm in love with a guy that I've been talking to for about 2 years but I've never met him in person. Honestly I'm bored with the relationship I have with the first guy and he makes want to go after the second guy, I don't know how to tell him that. What should I do?
Output: Hi there. Wow, this sounds like a sticky situation; however, I’m here to help guide you through this decision. First and foremost, you must ask yourself, if you ever loved your sons’ father or was it a situation to where you two got pregnant and stayed together for the child. It’s very common to stay with your partner when a child is involved regardless, if love is involved or not because “it’s the right thing to do.” Right? Well, not entirely.  Although, staying with your partner because you have a child together may seem right, in fact, it hurts the child in the long run. If you are not love with your partner, you will show distance, unhappiness, sadness, possibility of frequent arguments and cheating.  When a child grows up in the home and witnesses these types of emotions & behaviors it is unhealthy as he/she will expect their own relationships to be such. As a responsible adult, you are supposed to be there to shape and model the future for your child. Just remember, what you do, your child will model. Secondly, do not sell yourself short from love. Everyone deserves to be happy and to have someone to share their love and intimacy with. However, being in love with someone you have never seen before can be very risky. Honestly, that sounds like lust and the longing of love.  Humans have needs and when people are unhappy in their current relationship, they often seek out what they need.  If you decide to pursue the second relationship, I would suggest setting up an outing with a friend or two in order to get to know this person as there are a lot of scammers these days. Finally, I am not convinced that this has anything to do with choosing between two guys.  This seems as if you are making a decision to end the relationship with your child’s father or not. You should ask yourself, if you were in love with your child’s father first off. If you were, you would have never sought after love.  I hope this was helpful for you and I hope I was able to shed a different light on your situation. Take care of yourself!"
"Instruct: I don't know how to tell someone how I feel about them. How can I get better at expressing how I feel?
Output: Let's just start with being real. Expressing
yourself is vulnerable, and being vulnerable is hard. It takes courage and work
to be vulnerable. My guess is that you have been shown in your lifetime that
being vulnerable (ie, expressing yourself) is unsafe. My assumption would be
you have been criticized, or ignored when you have expressed yourself in the
past, it has taught your emotional self to simply not do it again. This is a normal
protective mechanism that you have used to cope with past feelings of hurt. It
will take time and work to engage again in an emotional way.I would start my practicing and
identifying how you feel to yourself. Check in with yourself multiple times a
day to gage where you are at emotionally. After you feel you have a good grasp
on this, start to engage in emotional conversations with others. Choose others that
feel safe to you, a good friend that knows you well, or a sibling or family
member. Expressing yourself is a behavior that you have suppressed out of
protection, so you can choose to engage in safe emotional expression behaviors
just the same. Best of luck!"
"Instruct: My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him.  I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.

How can I feel more comfortable around other people?
Output: It sounds like you have taken on a caretaker role for a while as well as experienced some pretty severe interpersonal trauma.  It makes sense that you would feel nervous around people.  Working through the trauma of an abusive relationship in itself can be a difficult process.  And then to add on the caretaker part can make things even more difficult.  First off, you may want to seek support to work through what you have experienced.  Many cities offer support with survivors of domestic violence and there is a hotline to help with this 888-724-7240 as well as online resources.  Processing the isolation of this relationship as well as working with your son can help to overcome the anxiety related to others.  Accessing autism support networks may be of support as well.  Other parents that will understand your experiences are a good and tend to be safer place to start in attempting to connect to others.Very importantly, go slow and be kind to yourself as you begin to adapt to a new life of allowing others to care for you as you so clearly have for others."
"Instruct: About two and a half months ago, I met a woman on a dating site. We went out on two dates, and then despite her original plans on how to pace and conduct the relationship, I ended up at her house on a the Friday night one week after our first date. We respectfully tried not to have sex, but after hours of trying to resist each other, we gave in and we had sex. After that, I slept at her house every night for almost two weeks. Then one day, she went to her family’s house on Thanksgiving and everything changed. Within the short time we were together, we got so close and serious really fast. We had finally found each other. We told each other that we loved each other all the time, even while we were making love. A few days after Thanksgiving, she told me that we would have to go back to her original plans of seeing each other much less frequently. I was very hurt and didn’t understand. Then another week later, she told me she couldn’t do it at all anymore. I was crushed!

A few days later, she tells me how much she’s missing me and “let’s get together for lunch” or something like that. Then about two weeks later, we finally get together one night and we were so hot for each other (in love, not just sex), but she confessed that the reason for the sudden distance was that the father of her very young child told her he wants to get back together and this totally messed with her. So for her child’s sake, she is now considering the possibility of allowing that to happen. She had told me all about him previously, and it is definite that she has little to no attraction to him, but she would do this putting herself in misery again for her child. Our love for each other is fully established and acknowledged, but she is torn and confused. She doesn’t even think it would work between them as she had to kick him out before for not fulfilling his role properly. I know she needs time, and all I can do is take care of myself. We have agreed to remain friends, and if this doesn’t work out for her, we will try again. I’m completely in love with her, and I’m in extreme pain.
Output: That sounds really heartbreaking. It is tough falling in love and not being able to dive fully because of complications on the other side. It sounds to me that you are doing exactly what you need to be doing by taking ""care of myself"" while the rest sorts itself out. While I admire your desire and courage to stay friends - the ""extreme pain"" that you mentioned may make this too challenging and at odds with your taking care of yourself. Since there is no commitment on her end to give it a shot with you I would make sure that you really honour your own feelings about what feels right to you so that you don't end up feeling strung along or resentful. Make sure that you lean on friends and family at this time - we need all the support that we can get when we are heartbroken. "
"Instruct: I panicked over a minor parking lot mistake. It was totally my fault, but due to another insurance issue, I left a note with an illegible phone number. Guilty over this, I got an envelope containing several hundred dollars. Unfortunately, by the time I returned, the other driver had seen my ersatz note and drove away. Since I cannot make this up to that individual, how do I atone for my cowardly act? I have been trying to do random acts of kindness in hopes that karma will somehow even out.
Output: From your writing, you have already atoned for what you describe as ""cowardly"".Recognizing your action and trying to directly correct it, realizing your action was improper and demonstrating the willingness to take right action, are all examples of making things right.Since the actual driver is unavailable to consult as to their wishes on what they expect and feel would correct the matter, you did the next best thing and considered the situation from the driver point of view."
"Instruct: I spent my whole life taking care of my dad, but left because of his verbally abusive behavior. I was the only one that helped with his health issues. I feel if I hadn't left he might still be alive. I need help dealing with my grief and guilty conscience.
Output: I see such a sharp contrast between your question and your first sentence. Do you see it? ""I feel guilty about my father's death"", and ""I spent my WHOLE LIFE taking care of my dad."" Wow. After everyone else had left him to his misery, you hung in there. He is so lucky to have had you there. You didn't have to do that. I have a hunch that your dad blamed you for a lot of things. Abusive people do that a lot; they make you believe things are your fault when they're not. You did the opposite of what you fear you did. You didn't contribute to your dad's death; your selfless care gave him a longer life...better health. In the end, no one's love and care could save him. No one could fault you for deciding you had had enough at some point. I would never expect anyone to keep putting themselves in a hurting place over and over again. But this is what you did. You did it for him, and you did it so you wouldn't feel guilty. But you feel guilty anyway, right?...so putting yourself in that position was only worth it if you allow your loving acts to melt away the guilt. Can you tell yourself ""It's okay that I had to take care of myself too.""... ""I gave up a lot for my dad; I have nothing to feel guilty about"".Putting yourself last for your dad was a loving thing to do. And... my hope is that you can also find different ways to help yourself feel ""good enough"" in this world, and a balance between caring for others and caring for yourself.  :)"
"Instruct: 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?
Output: Yes, it is completely normal to feel anxious about therapy. Therapy often explores topics and feelings that are uncomfortable. The ultimate goal of therapy is to feel better but the process itself can be uncomfortable."
"Instruct: What makes a healthy marriage last?
Output: In addition to suggesting this great read from 2016 (but feels timeless):https://www.nytimes.com/2016/05/29/opinion/sunday/why-you-will-marry-the-wrong-person.html?_r=0I will give my summary on what the author of the article is speaking to: don't get too comfortable. But, in truth, no one really has the answer to your question, otherwise wouldn't we all have a ""good"" marriage? Also, what even is a ""good marriage?"" What is it that YOU want from a marriage, a relationship, a partner, and what your other-half also wants for themselves, is going to be what defines all of this, because every relationship is different.And in answering that ""what YOU want"" question, you might actually stumble upon what would make for a healthy relationship: vulnerability. You will have to be vulnerable to be able to explore what you really want, and listen to what your partner really wants, as that kind of processing can be uncomfortable. But, with vulnerability comes intimacy, and in most opinions, there is much of a relationship if there isn't much intimacy."
"Instruct: I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking to get him something special with my country's name on it, and I remembered that he likes wine. My country is known for that. Is it appropriate to give him wine as a gift after Christmas?
Output: Hi, Different therapists are guided by the ethical guidelines of their own associations or colleges when it comes to receiving gifts, so this may differ a bit from therapist to therapist. It's important to me that I be sensitive to cultural norms, and to my client's needs. In Canada, and the US, it is customary for people to sometimes express gratitude with a small gift, and I have from time to time received small tokens of appreciation because I believe it would be rude to refuse this. It is never necessary to give a therapist a gift, but if you wish to express your gratitude in this way, I don't think it's inappropriate. "
"Instruct: I panicked over a minor parking lot mistake. It was totally my fault, but due to another insurance issue, I left a note with an illegible phone number. Guilty over this, I got an envelope containing several hundred dollars. Unfortunately, by the time I returned, the other driver had seen my ersatz note and drove away. Since I cannot make this up to that individual, how do I atone for my cowardly act? I have been trying to do random acts of kindness in hopes that karma will somehow even out.
Output:    Thanks for sharing as it shows your humanity and that you have a sensitive conscience. In your example here I'd encourage you to always think, ""safety first""; and never offer a stranger at the accident scene ""...several hundred dollars"". Why? Because it could go badly against you (i.e. extortion, robbed, or would this be considered a bribe).   To the point, I'm reminded of Steps Eight and Nine in many 12-step programs regarding making amends. In your specific example since the injured unidentified party departed, and by your own admission you've been doing random acts of kindness, it seems to me you've acted in reasonable good faith fashion to make amends. Well done.   I'm not a karma expert but as a therapist I would invite you to explore the deeper story behind your use of the words ""cowardly"", ""guilty"", and what it does for you to engage in ""random acts of kindness"". What a fascinating journey this could be for you. Best wishes."
"Instruct: I've become so jaded that I can't control my thoughts. I cannot focus on anything and been having anxiety attacks.
Output: I imagine that it's pretty disconcerting to feel as though you lost yourself.When you said that you are jaded, I'm not sure whether you mean that you are jaded toward someone, something, life in general, or some combination thereof.One of the difficult things about anxiety is that anxiety can lead to more anxiety because of being concerned about having another panic attack. Consider remembering that panic attacks usually only last a few minutes and the reason they don't go away right away is because of the way your brain releases chemicals because some part of your brain is reacting as if you are in danger in some way.As far as finding yourself, you may consider looking at what parts of each day you can control as a way to stay centered. You could also focus on something that makes you feel happy and/or comfortable.You may also consider the list of values here to give yourself an idea of what is most important to you, what it is that you are living by now, and what values you would prefer to live by. http://www.therapistaid.com/therapy-worksheet/values-clarificationIf this proves to be difficult, consider seeing a local therapist."
"Instruct: My daughter basically freaked out out of nowhere over me saying “calm down” when she dropped her phone. Within seconds, the situation escalated to her kicking me out on the curb, saying horrifically unspeakable things, and her calling the cops on me. She seems unable to stop herself at times.
Output: Bipolar disorder has a lot of different components. If this is a one-time event, it could be that your daughter had an intense moment of anger and the phrase of asking her to ""calm down"" may have made her feel as though you weren't understanding what she was saying. Bipolar disorder also includes feelings of depression. When this is coupled with intense anger and acting or speaking without thinking, these can be part of bipolar disorder, but that wouldn't be the whole picture of what bipolar disorder would look like. It may be helpful to track differences that you notice in your daughter's mood and any patterns related to the times of day or what seems to lead her to be upset. Patterns are very helpful in figuring out what is happening."
"Instruct: I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years.

How can I deal with being bullied at school when the teachers won't help?
Output: To be bullied is very painful.I'm glad you know the bullies are doing the wrong thing and whatever they are telling you is pure meanness.Depending on how independent you feel, why not tell either your classroom teacher or schedule an appointment with the vice principal?Bullying other students is taken very seriously in some states and schools are expected to address the bullying until the victimized student feels safe.If you hesitate to do this on your own, then would you ask either of your parents or even a friend of yours who is also in the school, to report the problem?In case you are afraid the bullies will retaliate for reporting them, then tell this to whatever school authority you decide to ask for help.You're entitled to be protected by your school."
"Instruct: 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?
Output: Do you want to be upset about a girl that he forgot about?  Think about it for a minute.  Do you want to measure your trust based on knowing how many female co-workers your husband has?  And if so, what does that say about your marriage?  Trust is something that we earn based on our actions and the actions of people we interact with; it’s also based on our ability to communicate and understand what we value and have in common.  If you are focused on every little detail around your relationship, it may turn into an unhealthy obsession and it may harm your relationship more.   If instead you focus on opening the lines of communication, let him know what you expect from him, and discuss how you could both build trust again, you may become closer and give your relationship the opportunity to grow.  ¿Debería este molesta porque mi esposo me mintió de nuevo?Estoy tratando de hacer que mi matrimonio funcione después de una separación.  Antes de separarnos el mentía mucho y rompía todas sus promesas.  No creo que me haya sido infiel.  El mes pasado, le pregunté cuantas mujeres trabajan con él, y él me dijo.  Ayer, me enteré que se olvido de una muchacha.  ¿Debería estar enojada?¿Quieres estar molesta porque se le olvido con cuantas mujeres trabaja?  Piénsalo por un momento.  ¿Quieres determinar la confianza que le tienes en tu esposo basándote en su capacidad de reportar la cantidad de mujeres que trabajan con él?  Si tu respuesta es sí, ¿qué refleja eso sobre tu matrimonio?  La confianza es algo que se gana basado en nuestras acciones y las de aquellos con quienes interactuamos; también en nuestra habilidad de comunicar y entender los valores que tenemos en común. Si practicas estar preocupada por cada pequeño detalle en tu relación, esto se puede convertir en una obsesión que potencialmente dañara tu relación.  Si en cambio te enfocas en abrir las líneas de comunicación, le dejas saber lo que esperas de él y discuten cómo pueden trabajar juntos para recuperar la confianza, pueden volverse más cercanos y darse la oportunidad de que la relación crezca."
"Instruct: My therapist is gay so there are no sexual issues here. However, my therapist for six years has made me believe that he cares about me and that we are friends. I have loaned money to him many times, and he always paid me back.

I had a medical emergency last weekend and I was heavily medicated. I knew that this therapist came into my home and wrote down my credit card information so he could pay back what he owed me, but this therapist dropped me off and never came again.  I don't know what to do.
Output: I'm sorry to hear that this has happened. Counselors are legally and ethically required to make sure that they always put the wellbeing of their clients above their own interests. In addition, counselor ethical rules, and the laws in just about every state, make it illegal for counselors to take advantage of a client financially. A counselor borrowing money from a client (even if the counselor pays it back) would usually be considered to be taking advantage of the client.There are a few options you have at this point if you can't (or don't want) to continue to try to contact him directly. You can file a complaint with your states' regulatory board and let them know what has happened.  An investigator will then look into the situation for you.  Another option would be for you to find a different counsleor who can provide you with an independent and netural point of view to help you figure out how you want to handle this situation.   "
"Instruct: Back in high school, my friend and I used to masturbate around each other. I hate even talking about it now because it's so weird. We didn't even realize how messed up it was at the time. One time, it escalated and we ended up doing it for each other. It wasn't supposed to be a gay thing, but it sure sounds like it now that I talk about it. I pushed this away until it recently came up in my head again. I'm having a lot of trouble.
Output: Writing about your high school masturbation times with your friend, is itself a form of acknowledging the full picture of who you are.   You are doing well to reflect on your actions in the truthful way you are doing.Also positive is that you have perspective, that at your age and social maturity, you were innocently doing something that in adult terms, would be considered in a negative way.Maybe through your more mature mind's eye of today, you can feel some compassion and understanding for your high school self.  This way your sense of self-judgment may start to dissolve a little bit more."
"Instruct: I have several issues that I need to work through. However, I am afraid of and do not trust therapists after a horrible experience. I'm dealing with grief and guilt over losing my sons due to drug use. I have a very complicated traumatic relationship issue that is causing me severe anxiety and fear.
Output: I am sorry that you had this experience. Therapy should be a healthy positive experience off g growth. You have the right to look for certain high qualities in a therapist and finding the right one. Each therapist is bound by a code of ethics and clients should have high expectations. You are trusting them to guide, support and help you achieve the absolute best outcome and success. You should never be or feel judged, and you should feel comfortable and feel as though your therapy process is moving along with YOUR GOALS IN MIND. Speaking as a therapist, I encourage my clients to always let me know how they feel, even if they disagree with me, they also have the right to inform me if something I'm doing simply is not working for them, communication is critical in maintaining a healthy therapeutic alliance/ therapeutic relationship. I'm able to offer ways of thinking and strategies to my clients they may not have thought of. Its important to listen to my clients. It's also critical for clients to feel they can share in a environment that feels safe, non judgmental and confidential.Remember, you are the driver in your healing process, you should be the one in control because you know what your life struggles are. Speaking as a therapist, I'm here to guide my clients toward achieving their goals, encouraging and empowering my clients in what is meaningful to them to achieve. You should feel comfortable speaking your thoughts, my advice would look one who open hearing toy feel, even it's regarding them a therapist. That they are open to feedback.With all of that being said, it will take time to trust again but remember, ask questions and communicate with the next therapist  share  your experience and how it made you feel and that trust and being spoken  in a respectful , non judgemental and non condnscending way is critical for you. Be honest clearly state your expectations from start.  I offer free 50 minute first sessions for clients. The reason. I do this is because I feel that clients deserve opportunity observe the environment, ask me questions and have the opportunity to determine their level of comfort and decide if it's a good fit. Other therapists sometimes offer the similar, try finding one willing to offer a  consultation as that could give you the opportunity to feel things out and set forth expectations.The article below is an excellent article about what to look for in a therapist. It is worth your time reading because you are WORTH FINDING THE BEST HELP AVAILABLE! This article was written based on both evidence from research and clinical experience. I would strongly encourage anyone searching for help to read this and even use it as your guide. I hope this was helpful.https://www.psychologytoday.com/blog/insight-therapy/201603/10-ways-spot-good-therapistLaura Cassity, LMSW, LMAC"
"Instruct: I'm a male in my early 20s. Lately, my paranoia about being around kids is causing me too breathe heavy and sweat a lot. I then start to act weird because I'm trying to fight my paranoia. This leads to people starring at me because they don't know that I'm suffering from panic attacks and paranoia. They just notice me acting scared around kids and they think I'm a threat because of it.    I'm not a pervert or predator. I would never hurt a kid. I like kids and don't know why I'm so scared to be around them.    I don't understand why I feel like this. Am I a bad person? How do I make this stop?
Output: Your question is written in a very sincere tone.   This, together with the fact of searching for self-understanding, sound more like someone who is unsure and puzzled, not someone who is ""bad"".What was your own childhood like?The sensations you describe feeling sometimes occur in people who are reminded of very deep hurts from during their own childhood.Is it possible what you're feeling is from being reminded of great distress you lived through when you were at a similar age as the kids around whom you feel this sudden and great paranoia and fear?"
"Instruct: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.
Output: One of the most difficult challenges we face is not being heard! It is incredibly frustrating and hurtful when others, especially parents, do not listen. While your parents surely love you and want to understand you, it may be difficult for them to fully understand your feelings and experiences. They are quite a bit older and have likely not dealt with some of the struggles that you face. I would suggest communicating your feelings to them about not being heard. Talk to them during a non-emotional moment when the discussion is not already heated. In other words, do not wait until an argument ensues to have an open discussion with them about how you are feeling. Prepare them by asking them what time is good for them to talk. Let them know you have something important to get off your chest. Try and avoid using exaggerated or extreme language such as ""you NEVER listen,"" ""you ALWAYS say..."" and stray away from placing blame. Instead of beginning your statements with ""you"" try using ""I"" by letting them know how their behavior effects you. Finally, let them know that they are important to you and that having their trust and support would mean a lot to you. Perhaps giving them suggestions as to what you wish for and would like to see change would help them to better understand.I would also suggest that you seek guidance from a therapist, teacher, or school counselor if possible. Most schools have counseling resources on sight in which a trained professional is available to talk with students looking for help.Best of luck to you."
"Instruct: I find myself being very outgoing most of the time, but there are some times when I don't know what to say. I don't even want to talk at all. It's like, I search for the right thing to say and nothing ever comes out. I don't know if I'm outgoing only to fill the void of not knowing what to say. I don’t know if people like that about me. I'm very self-conscious and always think people are talking about me, so it makes me have a cold shoulder and not want to talk.
Output: Would you feel more secure in conversations if instead of talking soon after meeting someone or entering a social situation, you simply listened attentively to the other people?This way you'd have a more secure idea of what topics the group likes talking about and whether you like talking about these topics as well.Maybe you simply are in groups or situations in which you don't care for the people or focus.Start by trusting your own evaluation of your true interest in being among the groups in which you are.Maybe you simply need new and different groups."
"Instruct: I am always down and out. Could this be postpartum depression?
Output: Probably.  I always tell the new parents I work with (and this is just as true for dads as it is for moms) that if you are feeling off, seek help.  Postpartum Support International (www.postpartum.net) is a great place to start finding resources and locating support. "
"Instruct: I'm in a long-distance relationship with my ideal man, but I'm not as attracted to him as I should be. Everything else is perfect about him, but I find myself lusting over more attractive men. The next step is marriage, but I want to marry someone who I can wake up to and fall in love with all over again. However, I also don't want to throw away a great relationship over what might just be lust. Am I asking for too much in the ""perfect guy""? Is there such a thing? Am I truly in love?
Output: Hi Montgomery, Your first sentence says it all. He might be an amazing person, but there's something missing for you. I'm curious...you say this is a long distance relationship. Did you make a connection through social media or email first? Maybe a dating website? I'm just wondering if this is the case. These modern ways of meeting people are awesome because we can be exposed to a wide variety of people who we never would meet in the grocery store or a friend's party. There are complications, though, and one of the drawbacks is you can feel very connected to someone and care about them a great deal before you ever meet them in person. Then, when you finally meet them and there isn't that spark of magnetic physical attraction, you're in a bit of a difficult spot because you've already established that you're drawn to each other in other ways; you're already connected. It can be very awkward then to say ""Now that I meet you, it doesn't feel the way it should for me"". In the future, I suggest meeting up in person early on, to answer that crucial question ""Are we physically attracted to each other?"". Clearly, this is not only important for you, but it is for most of us.My guess is that you feel you owe this man your affection and commitment even though you're not really all that into him (lusting after other men is a sign of that), because you like absolutely everything else about him. But honesty is crucial here, both with yourself and this man. Just because you don't find yourself attracted to him doesn't mean that you're a bad person, or that he's not attractive. Someone else might drool over him and I think he deserves someone who does just that. You can have both love and lust. For most people, only one of them isn't enough."
"Instruct: I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?
Output: Self love and self acceptance is something that many of my clients struggle with, so I can assure you that you are not alone. We are bombarded by media and advertisements everyday that try to sell us things to make us somehow better, thus leading us to believe that we are not enough. Unfortunately, I believe that low self esteem is a social epidemic.On a more personal level, do you have any sense of what types of messages you have received in your life that have led to these self defeating thoughts? For example, did a parent or another loved one criticize you or put you down often? Were you bulled in school? Has a romantic partner emotionally abused you? Usually, there are factors such as these which insidiously lead to low self esteem and self loathing. Once you can identify some of the factors that lead to your self hatred, you can make a decision to not let these things from your past have such power over you any more. You learn to take control of how you feel about yourself, rather than letting others dictate that for you. I do think it is possible to heal from self hatred. It doesn't happen over night, and it takes time and effort. It is about re-training your brain to focus on your strengths rather than on your weaknesses. None of us are ever going to be perfect, and if we look for a flaw we are bound to find one (or two, or three...). Try keeping a self esteem journal. Every night, write down three things that you were proud of that day about yourself. Try reciting positive affirmations every day (such as ""I am lovable and beautiful just the way that I am today""), to re-program your mind into thinking highly of yourself, rather than poorly."
"Instruct: What are some difficulties that a counselor can encounter when dealing with a client?
Output: Dang right!  :)Heh heh, and correct me if I'm wrong... and, if we are truly professionals, we should be able to handle even the most bumptious of folks, now shouldn't we? ;)It's like a mechanic who knows his way around every inch of an engine... he'll know what to do... heh heh heh..."
"Instruct: I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped.
Output: I'm sorry that you have tried several different things and not had much relief.I will say that there are several different types of medications that may help and each therapist is different, so it is quite possible that a different combination of things you've already tried may be helpful.I would encourage you to continue trying different therapists. I would say to give each one at least six sessions before you decide that the approach that they are using is not working for you. Also, most places have a certain sort of structured initial session that must be done, but after that, the decisions are largely up to what you and the clinician feel is helping. If something is or is not working, communicate this with your therapist. This is a big deal. Most therapists I know actually welcome this feedback.There is a fair amount of research into the idea that the therapeutic alliance (the relationship that you have in the context of working through the reasons that brought you into therapy) is very important. Also, sometimes anxiety and depression can make it difficult to go to therapy on a regular basis. If that is something with which you are struggling, I would encourage you to talk about that as well.In addition to a solid relationship with a therapist who you connect with, you may consider trying something like yoga or meditation. Mindfulness is sometimes helpful as well.Here's a link to questions for finding suitable therapists: http://www.pharmatherapist.com/12-tips-for-finding-a-suitable-therapist"
"Instruct: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?
Output: First thing that you must realize is that most people only post the ""best parts"" of their lives on Facebook, some people even go so far as to make their lives seem better or more interesting and post mostly false views of their life. Facebook is watered down, candied version of our life, you put on there only what you want people to see. The questions you should ask is ""How have I grown from this?"", Is my marriage currently in a good place? I really wish there was some form of magic that could be performed to solve peoples issues and help them sort out their emotions and troubles, however there is not, the closest we can get is by using {time and insight} to heal our wounds."
"Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.
Output: Alot of our choices have to do with what we have been taught and partly our fear of trusting ourselves to do what is right. There is so much more going on within you than you realize. We can help you bring it to the surface. Please contact us when you can and in whatever way you can to discuss what's going on with you."
"Instruct: I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before.    I feel like I don't want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered ""wrong"" by a lot of people.
   How can I get myself to just move on?
Output: There is no wrong or right way to define a relationship. I believe each relationship we are in is an opportunity to expand and to know self on a deeper level. We are conditioned to believe that we are not valued, or worth much without the confirmation of others and the world around us. Give yourself time and try to not go to those who are toxic and enjoy the drama of others lives as s way to avoid looking at themselves."
"Instruct: I keep hearing I am attractive from people around me, and I think I believe it. But I have low confidence regarding approaching girls I like.
Output: I recommend that you focus on the negative thoughts or irrational beliefs that are going through your mind at the time in which you are trying to approach a girl. When you are aware of the negative thoughts or irrational beliefs, you can then work on changing them. An easy way to recognize an irrational belief is a thought that contains the words ""must or never."" Once you recognize the thought or belief, I would like you to picture a big red stop sign. This is called thought stopping. This is a technique to use to stop unwanted or unhealthy thoughts. Then, I would like you to think of a more positive thought to replace it with such as: Negative thought: ""That girl will never go out with me"" STOP Positive thought: ""I won't know if she will go out with me unless I ask"". What this does is increase your self confidence by replacing your negative thoughts with positive ones that will ultimately boost your self esteem."
"Instruct: I don't know how else to explain it. All I can say is that I feel empty, I feel nothing. How do I stop feeling this way?
Output: Your question is very broad because feeling empty can develop for many different reasons.You're certainly not alone in feeling this way!Try to follow the logic of your feelings by asking yourself questions about the empty feeling.   Doing this may open up a discovery about the reason for the emptiness feeling.When do you feel empty, are there certain situations it happens more often than another, what helps the feeling go away, what or who is helpful in relieving the empty feeling.Sometimes people need a little help to get started in understanding how to recognize their feelings.Consider a therapist, any disciplined practice which encourages self-knowledge, such as some yoga practices, and a creative discipline like photography or music. As long as you concentrate on increasing your self-understanding, eventually you'll find the answer to your question!"
"Instruct: How does a person start the counseling process?
Output: Hello. Counseling often begins way before the client ever actually calls the local therapist. There is often a tipping point in the internal struggle that the client experiences, where they can no longer deal with the issues on their own and thus giving the motivation to seek external help. That said, clients usually go seeking therapists based on what their insurance will cover, or what is likely to be more and more the case in the near future...what they are able to pay for out of pocket. That first phone call to a prospective counselor can often feel like torture, but it doesn't have to stay that way. Counselors are well trained to acknowledge the inherent goodness of all clients, and should be able to see and hear the sense of fear in the client of being judged or put down in some way. The counselor you select should be compassionate, caring, able to join with you on your journey to resolving your issues or concerns, and to do so without negative judgment of you as a person of worth.Once you have found a counselor you want to work with, you would then schedule an appointment to meet. That first session is often very low key. There might be some forms for you to complete, which will help the counselor address your concerns and learn a bit more about you. The counselor will typically provide you with what we generally call in the profession a professional disclosure or practice statement. This document (which may be several pages long) usually outlines the counselor's credentials; practice rules; forms of payment; office hours; emergency contact details; and confidentiality guidelines under state and federal law, among other details. All of this benefits you as the client, so that you are well informed and can focus your attention on why you are meeting with the counselor.In the first session, it is absolutely okay to be nervous. Here's a really big secret (which is important to keep in mind as counseling begins): Counselors are often as nervous (if not more) to meet a new client, as the client is to meet their new counselor. It's true. We as professionals are trying to put our best foot forward to impress you with our awesome counseling skills. While simultaneously hiding all the troubling unwanted issues that we ourselves have in our life too, and being worried that we might not know if we can help the client sitting in front of us. What makes it even more challenging, is that counselors are often put on a giant pedestal of perfection by clients (all while we as counselors tend to look at it like we're standing on a three legged stool). This is normal for us when seen from the eyes of the client. Counselors and clients are both human, and we both make mistakes. Coming from that place of understanding, might bring a sense of ease to both the client and the therapist as they seek to work together. Part of this perception of perfection held by clients toward counselors, is that the skills of the counselor might look like they have all the answers. We honestly do not, plain and simple. Counselors come from life experiences (where they might be farther down on life's road than you); they hold completion of various forms of training; and have advanced education. Yet we are in the end, imperfect beings struggling to help imperfect people. This makes it easier to be compassionate to new clients walking through our door with the hope that we will receive that same compassion in return. Very often, we can find ourselves reflected in our clients' lives with their struggles and can become more effective at helping if we have resolved similar issues in our own life. So as you begin to seek out a therapist, try looking for one who is aware of their own life issues and is actively working on them too. Someone who can meet you where you are at emotionally and can understand your sense of your struggle that you are facing at the present moment. That counselor may be a good example for you as you enter into therapy and build your own strength, and thus begin dealing with the issues more effectively you bring up in therapy."
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: The fact that you mention that he is ""constantly changing his mind on if he wants to work it out,"" suggests that Discernment Counseling might be a really good fit for you both. Discernment counseling is a protocol for partners where one or both aren't certain they want to remain in the relationship. It's a brief (1-5 sessions) and intentionally focused on helping partners talk through (primarily individually) their reasons for and against staying in the relationship - as well as confront their own contributions that lead to the relationship crisis. It's aimed at helping the couple reach a clear understanding of which path they are going to take, not asking anyone to change just yet, so it can be a lot less intimidating and more to the point than couples therapy.  You can look to find a local therapist providing this service here. That said, I agree with other respondents that if he is deciding to leave, seeking out support for yourself would be incredibly helpful. You may need to accept his decision, but you can certainly feel whatever emotions you have.  You are allowed to feel exactly how you feel, and it's likely you'll be sad, or angry or hurt or disappointed or scared, or any combination of any/all of those. Having someone there who can validate those emotions and help you to process the grief that naturally comes with the end of a relationship can be a huge help in finding a place of healing and regaining a sense of self, a sense of hope."
"Instruct: My new daughter-in-law just informed me that she is smoking marijuana while pregnant because of her morning sickness. I’m in shock and I don’t know how to respond. I just lost my mom, and she was good with advice.
Output: Have you reached your own conclusions and reasons for these, regarding the topic?   When you feel confident in your own reasons for your conclusions, then obviously ask your daughter in law for some time together and tell her what you think and your reasons for opinions.Plan for this meeting according to the type of relationship you have with your daughter in law.Since your son will also be affected by the prenatal conditions of his child, he may also be interested in being part of this conversation.Also, during your discussion, find out the exact ways the morning sickness affects your daughter in law.It is possible that scheduling adjustments in routines can be made so your daughter has more time to rest or fewer responsibilities for a while until she feels better.Maybe you and other family members can lighten her daily routines so she has more time for herself to manage her morning sickness in a less risky way.Sending Good luck!"
"Instruct: My boyfriend says I'm nuts. I need to get help because I get an overwhelming feeling that he is cheating on me.  Whenever I try to talk with him about it, he always turns it around on me by telling me what I'm doing wrong. I know that accusing him does not help.  When his whole demeanor shifts towards me, I can't help but think that something is wrong.  Am I wrong for feeling this way?  I try to talk with him to make it better.  I let him know when I am feeling down. But I am not confident in these things. 
Two weeks ago a girl texted his phone 3 times trying to hook up with him.  He texted her back with ""Sorry, I've been working.  I just read your message."" The girl was trying to get him to call her at a time when he was at home with me.  He texted her back with ""Don't text me anymore.""  I don't feel like I am way out of the line. But I can't talk with him if all that he will say is that I'm crazy and I need help.  What should I do?  How will I go about checking if there really is something wrong with me?
Output: Trust your intuition that your boyfriend is involved with other people.You gave examples which strongly suggest this.Quite commonly, a person twist someone's words to convince then of having problems in seeing or understanding their own and other's behavior.Your intuition is again working quite well in telling you that your problem is having a boyfriend who manipulates you, not that you're seeing things incorrectly.One way to check if you're totally misreading him, is to examine whether you feel similarly in other relationships.If no one else who knows you tells you that you're crazy, then this strongly points to your boyfriend twisting words so that you feel wrong.Also, a consult with a therapist would clarify the dynamics between you and your boyfriend.A therapist session would also allow you to think out loud in a confidential discussion, what to do with your newfound clarity!"
"Instruct: 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?
Output: For some people it's absolutely normal to feel nervous about coming to therapy.   It's sometimes hard to share our emotions and feelings with someone --- no matter how warm and caring the therapist is.     Are you comfortable with your therapist?  Is it a good relational fit?      Maybe this is a good thing to discuss with your specific therapist at the beginning of your next session --- maybe they can help you find some strategies or tools to make it easier?"
"Instruct: She treats me like I'm not in her presence. She’s always yelling at me for no reason. She gives more respect to my brothers than me, but only my brothers fight her while I respect her.
Output: Attention is not equal to love and being valued. It may be precisely because your brothers demand so much more your mom's attention through fighting with her that she pays more attention to them. It is a common situation in families where the ""squeaky wheel gets the grease"" and the siblings or family members who don't demand as much attention end up feeling invisible. It sucks to feel invisible and it is important that there is attention for you and that you know how much your mom loves and values you.  This sounds like an important conversation to have with your mom and if she is not able to really understand or help you address this concern you may want to suggest doing some family therapy where a skilled therapist can help you and your family work this out. "
"Instruct: I blame my past relationship for it. I know it is bad to be this way. I want to get past it.
Output: How did you come to the conclusion that you are acting needy?Is this what your partner told you or are you feeling this way about yourself?The difference is that what you'd like from a relationship may be very reasonable, only that your partner is not someone who wants to meet your needs.One way of evaluating whether you're actually needy is whether you feel that you give yourself love, take good care of yourself when you're in situations that are not connected to being part of a couple.If being by yourself feels uneasy most of the time, then probably practicing self-love, consciously treating yourself with consideration and thoughtfulness, may help you feel less needy of others.This way, when you're with a partner, the time together will be in enjoying the partner, not getting love because of not figuring out a way of giving love to yourself."
"Instruct: I'm in a relationship, but I feel like I'm always putting more into it and not getting reciprocated. My ex told me that I will never find anyone else, and that's lingering in the back of my mind.
Output: The most crucial key to any relationship is that mutual feeling you hold between you both: that you matter.  Sounds like you are stuck in a cycle of hearing your ex say you don't matter. That's why it didn't work with him btw. He wasn't reflecting to you that you mattered. However it ended, clearly though that's the sentiment that's lingering with you.  So here you are hanging around a new man why is telling you the same message. Move on. You aren't unworthy, you just haven't found a man who is worthy of you! To be worthy of you, he must see your worth. Often though before anyone else can see your worth, you have to believe it.  "
"Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?
Output: It's totally normal to feel overwhelmed and uncomfortable in large crowds, or large family gatherings. You may worry about not fitting in, or having anything to say. It is important to have a friend or two. Try to find someone with similar interests. Maybe you can do things that don't involve a lot of face to face contact, like going to see a movie, play or sporting event. Many people are perfectly happy doing things in small groups. If you have ongoing conversations in your head, it is usually due to worry about being judged, and wanting to do or say the exact right thing, as mentioned above. Finding someone to talk to, either a supportive friend or therapist, would allow you to get some of those thoughts our of your head, and realize that you are more accepted than you think. Good luck!"
"Instruct: 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.
Output: 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!"
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output: EMDR therapy has shown great results for work with PTSD symptoms which are similar to what you described. If you are unable to find a local EMDR specialist then I would suggest some meditation and journaling in addition to talk therapy to process your trauma. Your anxiety response centers int he brain are in hyper vigilance mode and retraining to turn down that response could be helpful for you. "
"Instruct: What makes a healthy marriage last?
Output: I appreciate your question.The answer of what makes a ""good marriage"" are as varied as there are marriages.Basically, similarity, like mindedness in beliefs and values, makes a good marriage. The best chance of getting along with someone on a longterm basis is when two people see life and the world in similar ways.Even though ""opposites attract"" this is a short lived dynamic which breaks apart when there aren't enough similarities in common between the partners."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: This is actually more common then we often realize, and actually understandable, as he has gone through a trauma, an unresolved existential crisis.  He was taken care of by others and now is again left alone with his own internal, and rather horrific inner struggle.In my work with CCT, or Contextual Conceptual Therapy, (see www.suicidetherapy.com) I have learned how trapped suicidal people are in their own isolation, also called a ""mysterious isolation,"" a form of self protection which cuts the off from their Self, or spirit.  And unless they address this message from their soul, accompany a guide on a journey to discover their own missing information, that is to recognize how their own uncomforted emotional pain has resulted in a coping stategy which has effectively cut themselves off from their own beauty, their Self, and their ability to receive love from themselves and others. Their attempt to kill themselves is a cry from their soul or spirit that they cannot live the life they are living any longer.  They take this literally and try to end their life, when in fact what their soul or spirit is saying is they need to begin to live the life they came here to live."
"Instruct: For some reason, I look at my phone, and in no time, five hours has passed. During those five hours, I'm playing games and trying to find out how to make my phone fun to use so I don't feel like I wasted my time trying to improve my phone's performance in my life.
Output: Start by spending small amounts of time with your own thoughts and feelings.Always being focused on what a phone offers keeps people at a distance from knowing themselves.As long as you make time to spend in an activity which is not interactive the way a phone is, and instead depends only upon your actions, you will be investing time and energy into your own life.Whether by consciously considering your own interests, or doing housecleaning or chores, by devoting yourself to areas which you decide to be involved in, you will increase your knowledge of your own interests.Then, to not be so involved with your phone will be natural and easy."
"Instruct: I struggle with depression as well as pretty intense mood swings throughout the month. I experience highs where I feel amazing and energetic and then lows where I lack focus, energy, and generally have a more dark outlook on my life. How can I live a more balanced life?
Output: You may already be living a balanced life because you are aware of your ups and downs due to hormonal changes of your menstrual cycle.As much as posible, schedule activities around your expected mood swings.   This way you'll avoid feeling even more tired from a busy scheduled during a low energy time in the month.The hormonal cycle is normal.Opinions vary as to taking natural, homeopathic supplements or Pharma drugs which will influence your cycle and make your mood more even.There are side effects to at least the Pharma drugs, which is a consideration as to the value of taking them.Reflect on which is your style of living and what will make you feel successful in handling this problem.Sticking to a system which mirrors the type of person you are, means more than any one particular answer anyone gives you."
"Instruct: I have suffered many things at home and school. We never went to the doctor to diagnose depression or anything like that, but I always feel like a part of my heart is missing. I try to fill it in with objects or, in this case, a woman.
Output: Maybe the reason is not having confidence in the love you give to yourself.Possibly you consider the quality of your self-love as inferior to love someone else gives you.The best way to push through to your own self-comfort and acceptance is to be aware of this tendency so you can remind yourself to practice appreciating the unique love you give to yourself."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: People who feel worthless were, in one way or another, were told that they are worthless. This is the lie that they are living with. The work of therapy is to help people see their true good selves. This gives them self esteem."
"Instruct: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them.
Output: Congratulations on making your way to Step One, self-observation and deciding to change a feature about how you understand and relate to others.There is extraordinary strength in being willing to notice your effect on others and consider what changes are possible.Start on the inside track of your own heart and mind.  Once you're able to understand what is driving your emotions to the point where the only reasonable way of handling them is to curse and offend people, you'd have gotten a long way in knowing your own expectations of others and how far off the mark from this in your mind, they are.For example, if you expect others to always be accepting, tolerant and happy about situations with your boyfriend, and you're hearing otherwise from people, then you can prepare yourself for possible, less than positive comments about your relationship, or you can ask people to not comment to you about your relationship at all.Basically, the more you know about yourself and are willing to accept your right to ask others to respect your views, the easier and calmer time you'll have in handling comments from others that you're not glad hearing.Also, this is a long process because you'd be trying to change long time and deep patterns of interacting.Be patient with your own learning curve and certainly consider therapy for yourself in order to have some outside guidance and support for the process you're placing yourself."
"Instruct: My fiancé doesn't think I trust him because I was cheated on before. However, he hides his phone and has been texting his ex-girlfriend, who he has two kids with. What should I do?
Output: Oh Chino, I only have half the picture here so I will be cautious. There's a chicken and an egg, and I don't know which came first. One thing I see clearly is that your fiance will always have to have communications with his ex, because they have children. Can you accept that? When suspicion and insecurity come along, your job is to look at the big picture and the real picture. Is there any real evidence that he is cheating? Remember that texting his ex is not evidence alone if the communications are about the kids. Has he earned your trust? If so, then it's not fair to punish him for the betrayals of others. He's not your ex. Reassure your heart that you are his priority if the larger evidence supports that. At the same time, you can let him know what your triggers are. For example, hiding his phone doesn't send you a good message, right? See, this is the chicken and the egg...is he hiding the phone because you've been overreacting when he gets a text?  So let him know you won't blow up about him getting a text if he doesn't conceal or password his phone. Transparency helps build trust. You have sensitivities, and it helps you a lot if he's aware of them and willing to try not to do things that trigger fear. Let him know when you get scared, and hopefully he'll give you the openness and security you need in order to trust him and act as if you trust him.  :)"
"Instruct: I never feel like myself. I can’t even think straight anymore. I start stuttering and I can’t remember anything. I always get nervous and usually talk myself down but recently end up fighting with, what feels like, someone else. I don’t know why I feel this way, but I hate it.
Output: Hello,I am wondering if you might be experiencing some form of dissociation.  People who dissociate might feel like the world around them is unreal and unfamiliar, or that they are not really in their bodies and that they are observing themselves from outside of their bodies.  Dissociation can also mean that there are parts of you that have ""split off"" and sometimes parts are can feel like they are at odds with each other or are locked in conflict.  Sometimes dissociation happens after someone experiences a trauma.  Therapy can help you to understand what is going on and help you to integrate your experiences and ultimately heal.I am a therapist in Houston who specializes in dissociation.  On my website I have information specific to dissociation that might be helpful to you. Sarah"
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: One way is to bring one's concerns or desires to the therapist directly, rather than trying to subtly 'train' them. Here's why I say that: One quite important healing factor in a psychotherapy is discovering that problems in the therapy and the therapeutic relationship can be solved together. It is a safety zone or bridge for practicing that. If it can be done with a trained, usually safe person (the therapist), the client might think, wow--what are the implications for my outside life and relations? Could I get what I want outside of therapy, too, even if it feels not as safe?If the therapist can deal with feedback (and any good therapist should be able to), this can be very productive. Cooperation in this way, in the moment, with a live person who is supposed to have authority and knowledge in these matters, can be profoundly healing.If the therapist can't take feedback or doesn't want to--or does nothing to act on it--maybe we could say the client has the wrong therapist."
"Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone.
   My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?
Output: Hi!   I'm sorry you are having such a tough time with this situation.  I have worked with a number of young adults in their 20's who have had to move back home after college , or even stay at home through the college years.  Bottom line is that either way , it is so difficult when you are trying to discover who you are and what you want your life to be , to have to live at home.   I have even heard much older adults clients  say that when they visit their childhood home , they suddenly feel like a ""kid"" again .  The old dynamics between adults and their parents and siblings can pop right up as if they have gone back in time and are no longer adults !I would suggest that you approach your mom and say something like ""I am hoping we can talk about the best way for us to manage me living here.  I really appreciate that you are giving me a place to live until I get on my feet , and I want to be respectful of you and our home ; at the same time , though, I feel like it's important for me to have more independence than when I was younger because I am growing up and trying to learn more about myself and become more autonomous. Can we talk about what might be fair rules that we can  both live with ?"" If she is receptive , maybe you can each write a separate list of what you think would be fair and reasonable and then compare lists and try to make compromises and come up with a list of ""guidleines"" that feel fair to you both .   If this is too hard to do alone , perhaps you and your mom can meet with a therapist a few times who can help you to come  up with some kind of ""compromise contract.""   This is not an easy situation , but if you can approach your mom in a calm and ""mature"" way and suggest a planned, structured discussion that doesn't take place in the heat of the moment , your mom may be impressed by your maturity and even more receptive to working out some rules that you can both live with.Good luck !!Elissa Gross"
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
   I spent the weekend with him and it upset my boyfriend. Was i wrong?
Output: Thank you for submitting this question. I think this type of situation can be common for many couples struggling with how to keep friendships with past relationships while being in a new relationship. For me, more information is needed here...but given the information provided, the way I interpret the question is...I'm assuming your boyfriend didn't know you were going to spend the weekend with your good friend?  Working off of this assumption, I would suggest beginning an open and honest dialogue with your boyfriend about what specifically upset him? And to talk about your point of view regarding spending the weekend with him. I would also suggest talking about how you both envision your relationship when it comes to spending time with others. If you feel like you can't have this conversation without it going off track, please consider seeing a couples therapist. They can help you begin these important conversations that can help shape and develop the relationship you and your boyfriend long for."
"Instruct: I have a relative who is in his twenties. He was in a drug rehabilitation program and got kicked out for using drugs again. No one informed family that he was using drugs again. He subsequently overdosed and was found dead.
 Is their accountability of counselors, therapists or the halfway house for not reporting that he had relapsed? Is there a legal case for failing to report?
Output: I'm so sorry to hear of your loss.  This sounds like a really difficult situation for the whole family.  Since the answer to this question will depend a lot on the applicable state laws, I would suggest talking with a local attorney.  That being said, I see two competing issues here.  On the one side is the duty of confidentiality the counselors owed to your relative.  On the other side is the duty the counselors had to act reasonably to protect your relative from harm.  Generally there is not a requiremt for substance abuse treatment centers to notify family members if an adult client relapses.A local attorney will be able to provide more specific guidance on the legal obligtions and liabilities in this situation."
"Instruct: My son claims that hes been having extremely violent thoughts and dreams. Not violent like he's hurting someone, but violent thoughts like horrible things happening to his loved ones. He explained one of his dreams the other day and it was so violent it was sickening. It was far beyond anything in a horror movie, he says he can't help these thoughts they just pop up. Please help!
Output: Let me start my stating this is important to take seriously - taking to his PCP, getting a referral to a pediatric specialist, and getting him to a relational psychotherapist would be my first tasks. I wont label this occurrences as ""normal"" yet it is important to note these things do occur. My first observation is to say that it is a tremendous advantage that your son is communicating what he is experiencing. I'd encourage him to continue to do so, no matter the extent of his thoughts - his trust of you being able the handle his experience is of utmost importance. His containment and sense of security is also dependent on your reaction to what he shares. Seek professional help, communicating your support, including a plan of action, and reassuring him you will figure this out together will help you as you begin."
"Instruct: 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?
Output: 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."
"Instruct: My ex-boyfriend and I met over a year ago. We hit it off and fell in love pretty quick. However, he has trust issues and assumed I was cheating. When I found out I was pregnant, we had just broken up. Five months later, I lost the baby, and we did not speak for a few weeks. Now we are talking, and he says he loves me but is afraid I will hurt him ""again."" I just want to know where to go with this because I love him so much, and I want to get back to us being happy and a family.
Output: I'm truly sorry to hear that your relationship is causing you such distress at this time. When we are in relationships, trust is so integral to our satisfaction within the relationship.  Often, when we feel we are required to prove ourselves, feelings of resentment can replace those feelings of wanting to be supportive.  In situations like this, I often recommend being open and honest in your communication with your partner.  Your fears about his response are valid, as he made an assumption which you cannot disprove because you cannot battle against a shadow fact. If you feel comfortable doing so, you can always ask him why he is so concerned you are unable to remain faithful and challenge those beliefs with the facts that disclaim them.  You can also ask your partner what it is that he needs from you to help you to help him trust in your responses.  In the end, these are issues that you cannot conquer for him - you can only guide him and show him the path towards trust.  You may suggest couples counselling or that he seek out a professional to talk to, as well.  But in terms of your question, only you can decide whether you feel you can remain in a relationship in which you defend yourself against an uncommitted offense."
"Instruct: 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?
Output: Sorry to hear your friends aren't responding to you. If these friends are in-person as well as online, perhaps going to them in person and asking talking to them about your concern. Perhaps it's the way you send messages or the way they are receiving them. if they say no, then a simple request to respond to your messages. Measure the result and notice if there are even small differences. Also understand, why this is so important to you. Ask yourself, why it's so important for you to receive these messages from friends. What does it mean when they don't respond."
"Instruct: My boyfriend has this close female friend. It always bothered me because of how close they are, so I decided to meet her. That made the situation worse because they were even closer than what I thought. They acted like a couple rather than friends with each other. There was no physical interaction, but he talks to this girl a lot. What can I do? Leaving him isn't an option.
Output: I wonder if you could have a conversation with your boyfriend about how you are feeling. A few things may help with that:Try having the conversation you are both able to have a conversation about something that is important (for example, not during a commercial for a TV show)Maybe your boyfriend will be willing to listen to you for about five minutes asking questions to learn more about your experience, kind of like an investigative reporter wouldSee if your boyfriend is able to capture the essence of what you're saying by summarizing it for youRemember that hearing you and following what you're saying does not mean that he agreesAlso consider if there are events in your past that are affecting the way you are looking at this relationship between your boyfriend and this other girl (we all bring our own histories into relationships and we unconsciously expect that what has worked in other relationships will work in current ones)Then you can switch so that you can hear more about what he is experiencing (for example, what it is that he likes about her)Also consider having a discussion that if one of you becomes very emotional and needs a break from the discussion, discuss having a timeout that will last for a certain time frame (usually between 15 minutes and one hour) and then come back to continue the discussionRemember that the goal here is just to learn more about what each of you is going through, not to find a solution right awayThis can be difficult. Consider working with a couples therapist to discuss it together."
"Instruct: 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?
Output: Yes, feeling nervous for the first few or several sessions of therapy, is completely normal.Therapy is an unusual way to have a conversation with someone.   The person is an expert in recognizing and understanding dynamics of human interactions.   For some people the fear is that the therapist knows more about you than you do yourself.In general terms hopefully your therapist has worked with many other people who've faced problems similar to yours.In this sense the therapist has a general idea of the basic dynamics you most likely are handling.No therapist could possibly know your particular details and your particular areas of upset or in what ways you feel unsure of yourself.Once you start to trust both your own right to tell your particular story and start to also feel that your therapist is listening attentively and cares what you tell the person, your nervousness will start to disappear all on its own.Good luck in getting the most from your therapy sessions!"
"Instruct: I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.
Output: Since it is clear that people react differently to the same stressors, we know that the stressors are not causing the anxiety, our thoughts about the stressors are. Often, cognitive distortions are the problem. Some common cognitive distortions include catastrophizing (predicting the worst), future telling, black and white thinking (if it's not perfect, it's terrible), mind-reading (I just know he is angry at me) and can't-standitis (I can't stand this situation). There are more, but the list is long, and if some of these are resonating with you, I would advise looking up CBT (cognitive behavioral therapy) tips, worksheets, booklets etc. on line, or contact a local CBT therapist. Another helpful piece of info on anxiety, is that it is prone to something called ""symptom stress"" - being anxious about anxiety. If we could hear this symptom stress it might sound like, ""Oh no I'm getting nervous about this, I'm getting uptight, I look nervous, what if I have a panic attack!"" followed by  more cognitive distortions such as ""I can't stand being anxious!"" and ""this is horrible!"" The antidote to this is acceptance.  Kind of like not stopping the waves but learning to surf instead (Jon Kabat-Zinn). If you happen to feel anxious, say to yourself - this is just a reaction I'm having that is unpleasant, but not horrible. I can tolerate and survive some anxiety, I can breathe deeply, and I'll be OK because panic attacks never killed anyone. I can stand this and it is temporary. You get the idea.We can increase our awareness of anxiety-provoking self-talk, and counteract it with calming and reassuring self-talk. We have the ability to think about our thinking, decide which thoughts are healthy and which are unhealthy, and choose which to focus on. We brainwash ourselves with our thinking, and according to self-perception theory, "" we learn what we believe when we hear ourselves speak,"" so we may as well be a calming, reassuring presence in our own minds. :)"
"Instruct: My grandma had a stroke and passed away recently. I lost my home and job. I'm looking but haven't found a job. I've been binge watching television and binge eating.
Output: Hello!I write to respond to your recent inquiry for possible increase in self-esteem and positive behavioral change regarding motivation for a new job. First of all, please try to allow yourself some time for grief of the loss of your dear grandmother. It appears you were close to her in many ways and she had a great influence in your life. The grief process of anger, denial, despair and acceptance may be a part of what is keeping you feeling ""stuck"" in a cycle of not feeling motivated to find work at this time.  Perhaps your mind is constantly fighting this grief? Death can be a ""traumatic"" experience for some people and is considered a great loss, thus the grief process may continue to be a part of your world for a time but hopefully not keep you ""stuck"" on a long-term basis.  I would try to reach out to a counselor to discuss this grief process at a deeper level to discern whether her death is part of why you feel this way.  Grief and loss can also have an effect on your self-esteem.  Can you begin to see how this cycle is what you may be experiencing? One positive I see is that you are continuing to look for a new job!  Take time to give yourself some credit for the  time you are spending looking for work.  Also, I would recommend you set some short-term goals first for example, make a list of 5-10 potential new employers and send them each your resume. Then followup the next week with an email or phone call to make sure the hiring manager or human resources received your resume and have any questions.  It is also a good idea to ask for ""informational interviews"" in order to get your foot in the door, so to speak.I hope that this information is helpful to you!  Please let me know if you have any questions or concerns.Warmly,Denise"
"Instruct: It happens especially at me and my sister, and then she gets emotional and brings up the past. How should I deal with it? She is always stressed about her work and doesn't put her family first.
Output: You are very wise for a young person. You have already figured out that other people's behaviours...how they treat you...it's not about you...it's about them. I love that you don't blame yourself for your mom's behaviours. It's not your fault. She's getting upset because she doesn't know how to manage her emotions, and these emotions have to do with her past and her present stress. You're just the trigger. Yes, this is normal, but it's not necessary. She can find another way to manage her ""stuff"".Unfortunately, you can't help your mom a whole lot or even help her recognize this. But for yourself... remembering that her behaviours are her issue is the biggest piece of ""dealing with it"". You can always try some new strategies when you talk to mom...you can say ""I'll listen you better if you don't bring up past stuff"", or ""I'm worried about you mom. You seem stressed"", or even ""I don't like the way you talk to me"". Good luck!"
"Instruct: I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?
Output: First and foremost, be gentle and patient with yourself. It is normal to feel a range of emotions after a severe trauma including no emotions at all. Try not to push yourself to feel, just notice the lack of emotion you are experiencing right now. Maybe write about your emotions and the lack of them or talk about it with a safe person. Unfortunately recovering from trauma can take time and it's best done at your own pace. If you aren't feeling there may be a reason you aren't feeling. For severe trauma I always recommend working with a trained trauma professional who has the training to guide you on your path to healing fully."
"Instruct: I feel insecure in my life. I don't think my wife truly wants our relationship even though she says she does. I have turned to drinking to help relieve my repressed stress about this and other issues. I have had a drinking problem for a few years. I feel the reason I drink is not just because I like to, but because I have lately been on edge. I’ve been very oddly emotional when watching movies that I have been watching for years. I’m paranoid about driving on main roads. I’m very jumpy at the slightest noises.
Output: Given the description you have posted here, it may be time to find someone to work with.  First and foremost, look into working with someone who specializes in working with individuals with challenges surrounding drinking. This would need to be assessed first since if it has been ongoing, it may be making the situation worse and given the time it has been utilized as a coping mechanism, there is reason to believe that the structure of your brain may have been effected as has been demonstrated by current neurological research.  There are however, ways to address this.  As for coping mechanisms, the person you work with should also look at offering you alternatives such as the skills found within the Dialectic Behavior Therapy model (DBT) which has several useful tools to help address the underlying anxiety and difficulty managing emotional regulation.  Mindfulness, another component of DBT should also prove to be useful in both becoming aware of your state of mind and emotional state to allow you to make different choices which has been supported by a growing body of evidence.  There are also other tools designed to help repair damaged relationships.  Well worth looking into.Seeking help is never easy and it is only human to be hesitant given some of the cultural views of working with therapist.  This is a difficult place to be in and one that is not easy to move out of, but sitting on it is not going to help it go away.  Think of it this way, if you broke your arm, would you just wrap it up and hope for the best? or seek out a professional to help you set the break and teach you how to mend the wound.  The same applies here.  Think of it as first aid for the mind."
"Instruct: I got involved with my best friend who is married but has been very unhappy for the last five years. We both fell in love and have been together for eight months. He left the house and filed for divorce. He decided to tell her about our relationship, and she is willing to forgive and work on things. This shook him. They have two kids together. He decided to put the divorce on hold. He left town for a month to get clarity on the situation and see a therapist.
Output: Hi Miami, I feel your sadness; you might have planned a future with your best friend. We live in a world where we are constantly exposed and connected to people who intrigue us and to whom we might feel a connection. I believe that our ability to protect our relationships from the risks involved here has not developed fast enough. Your friend came face to face with what leaving the marriage meant...huge changes and many intense emotions. He is wise to consider his choices carefully; especially if you have children, there is good reason to work at a relationship that is less than fulfilling. Therapy can help.So you fell in love with a man who was in an unstable place. He's taking the steps to create some stability for himself and that leaves you ""on hold"", not knowing what his decision will be. I love that you seem willing to give him the space he needs to figure it all out. This decision is his. For yourself, you can accept that being ""best friends"" with a man might not be a wise thing. Many marriages don't fair well when friendships like that exist. You flirted with danger; both of you. You fell in love but he wasn't free, really. I'm sure his love for you is real and powerful, but it's not a competition. It's one man choosing his life path. You can focus on thoughts like this:He has the right to choose his life.We flirted with danger by being best friends.I know he does love me; this is not a reflection on my worth.I can feel really good about giving him patience and the space he needs.I feel proud of his honesty.I feel proud if he's willing to fight for his marriage; lucky her...lucky kids.Acknowledge and allow yourself to feel that sadness, that grief. It's real.If you have told anyone about the affair, seek the support of that trusted person and know you have to grieve this in silence because it was born in silence. I wish you well, and for the record, I'm proud of the maturity you show in this situation. :)"
"Instruct: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?
Output: No. You are not a pedophile. You are both under the appropriate age where it would be seen so. Your both only a year a part so this shouldn't a worry to you. Like Frank said below, Pedophelia is a problem that won't apply to this situation. "
"Instruct: I broke up with him three weeks ago because I felt that he needed to be more respectful. He has since had a rebound relationship. He says he loves and misses me but refuses to see me. He says it's going to be too difficult to see me. Every time we talk, it feels like I'm being pushy to see him. He used to be so madly in love with me, but now, it seems like he couldn’t care less. I think I'm running him away.
Output: Hi Kansas,I think your first instinct was good; you broke up with him. You deserve respect, but right now you're not acting as if you deserve it when you push to see him as he's moving on with a new relationship. It's appropriate now for you to respect that relationship and listen to what he says he wants, which is space. Do you think he's going to be any different with her? This a common, unfounded fear we have. I wonder if maybe you miss the feeling of being in love and having a partner more than you miss him. The bottom line is you can't make someone love you, and you can't make someone be loving towards you, because how someone treats you (and the choices they make) has everything to do with who they are, and nothing to do with who you are. I hope you gather support from others and move on in hope and strength for your own future."
"Instruct: She has trouble falling and staying asleep and she's always either extremely hungry or not hungry at all. She also gets angry and feels like crying really easily for no reason. She says she is always ""kind of down.""
   Is this depression? What can I do to help her?
Output: Sounds like signs of someone who is depressed.Since the person in question is your friend, offer your friendship to listen to any situations or feelings she has about herself and the way her life is going.Depressed people are often lonely people and feel as though no one around them cares or notices them.  Your willingness to be available to her may lift her spirits.  Feeling loved goes a long way to dissolving depressed feelings.Also, if in the beginning when you offer to talk, there is a high chance she'll be defensive and turn down your offer.Try again on another day and then another day.When people feel depressed they usually shut down.  So you may need a few or several tries before your friend accepts your offer to show her you care about how she is doing.Also, watch for signs within yourself that your friends' depression is not sinking your emotions.  Depressed people are draining to be around because they often see and talk about only the negatives and drawbacks of situations."
"Instruct: She's in her early 20s, and she has a toddler.
Output: This is something you will have to discuss with your husband.  It should be a joint decision if you value your marriage.  You can mention your frustration about your stepdaughter not honoring boundaries.  After you talk to your husband you both can have a talk with your stepdaughter about expectations in order to stay living in the house.  When it comes to stepchildren you need to be very careful you do not take the lead on the authority part.  It should be the biological parent."
"Instruct: My boyfriend shows affection, but I just push him away.  Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my sex drive. 

 I love him so much.  Why do I do this?
Output: There could be many reasons that you push your boyfriend away. It could be part of how you were raised, it could be because of culture, it could even be your own insecurities about yourself that are then outwardly manifested in you ""pushing"" him away. What is important in all this is that you both find a way to connect. So what if you aren't a hugger, a kisser, or a toucher you have to find what works for the both of you and your relationship. There are many ways to show affection that aren't physical (words of affirmation, giving of time and/or gifts, etc). If your boyfriend wants the physical attention then work on ways that are comfortable for the both of you making sure to start out slow and to work your way up to more physical touching."
"Instruct: 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?
Output: Hi there, Thank you for your question. It's absolutely ok to feel nervous going to therapy. I have experienced anxiety going to see my own therapist. There can be a few reasons why you might feel this way. First, it is always unnerving to see a person who is a stranger and to share intimate things with that stranger. You mentioned it has only been a couple of sessions. Your anxiety might subside as you continue to see your therapist and grow more comfortable with him/her. Another reason why you might feel particularly nervous is perhaps you are not comfortable sharing things. As children, we might have bad experiences opening up to others. Someone might bully or ridicule us, and that experience can stay with us for a long time, making it extra scary to share our intimate feelings and thoughts with others. If this the case, as you continue with your sessions and have positive interactions with your therapists, this anxiety will subside with time and you will re-learn that it is safe to share. And the last thought why you might feel the shakes is perhaps you know that you need to talk about some past experiences or memories that are uncomfortable and difficult. Regardless of the reason, it might help you to bring up your nervousness in your session and share how you feel with your therapist. Having an open dialogue about your anxiety with your therapist can help you resolve some of that anxiety and built greater trust with your therapist."
"Instruct: I love my boyfriend and everything that leads to sex, but when it comes to the actual penetration, I hate it. I don't know why, but I just want it to be over. I feel like crying. I don't know why I don’t like it because all of my friends enjoy it.
Output: Does your boyfriend notice that you hate sex?If ""yes"", then it is a topic which the two of you would gain deeper understanding of each other, by discussing.If ""no"", then possibly one reason for hating sex is that your boyfriend doesn't notice who you are as a person, not simply a physical body engaged in sex."
"Instruct: I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?
Output: You may be interested in reading my most recent post, Intimacy Begins With You. In it I offer 7 expert tips to help you get started on a path of self connection and discovery. This is important stuff to do in order to work through that stuff that's holding you back from the relationships you desire. You may find that it's especially helpful to do this work with the alliance of a skilled individual therapist. "
"Instruct: I am a teenager, and my brother is a few years older. He has a girlfriend who is always with him. He never hangs out with me anymore. We were really close, and it is making me really sad.
Output: Hi Zionsville. It's so sweet that you have a special relationship with your brother. You will ALWAYS have that, you know? He's doing what's natural at his age...spreading his wings and looking for love. You may be heading into that zone soon too, but I get that it's weird that he's there before you, and you miss him.Try to respect your brother's autonomy, wish him well, be friendly with his girlfriend, and it's also okay to say ""Hey, bro, I'm still here. When can we hang out!?"""
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: Quick Way to Assess a
Great Therapist A colleague and I were discussing the characteristics of
successful therapists. I gave him some traits, some of which were listed by
Robinson (2012). The therapist should be able to listen to your story, build
rapport, establish a relationship, demonstrate empathy, adapt treatments to the
client/situation, use effective communication skills, exhibit confidence in use
of therapeutic techniques, and repeatedly update skills with ongoing education
and research.  You should talk with the therapist. In addition to asking
the therapist about his/her experiences and specialty in treating the issue you
want to address; you will gain a sense of the therapist’s ability to connect
with you in your first phone call or meeting with him/her. This is why I offer
a free 15-minute phone consultation. You can use the above criteria to gauge
the therapist’s ability to do the following: Hear you, join with you in
understanding the issue, and indicate some ways in which the issue may be
treated.Regarding training a therapist, just ask the therapist if he or she can comply with what you are looking for, or what has worked with you before if you have had prior counseling. If you just like a therapist to listen, you are looking for a non-directive therapist. If you want one to be more active in guiding you, choose a directive therapist. You can also ask them with which type of client/issue they work best. I specialize treating anxiety and relationships and would
like to talk with you if you have questions about how I may be able to help
you.  Jim Ciraky PhDLicensed Professional Counselor GA, USAAdventHelp.com404.293.5654"
"Instruct: 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?
Output: It takes a lot of courage to go to therapy.  I have gone myself as a Counselor and know what that feeling is like. This is normal but hopefully you have become more comfortable with your therapist. This might be something to bring up to your Therapist and openly discuss (scary to do but its ok) this may even relieve some of your anxiety.  If it continues, you may want to consider trying another therapist as this one may not be the best fit for you."
"Instruct: 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?
Output: This is a common response parents can have.  There are many reasons for attachment disruption.   But attachment is  important for the child as well as your long term relationship with them.    I would want to know more about the history of the child and any stressors you have gone through during the child's lifetime.  Often if there is stress parents will not have the time or energy to attach well to the child.  Sometimes the energy of the child and the parent are mismatched as well.  But whatever is at the core this is something that can be addressed in counseling.  The earlier the better because adult relationships are based on parental relationships we had as children.  Therapy can start at age 3 to address these types of issues.  Visit staceybshapiro.com for more information about getting started."
"Instruct: I have been having a lot of nightmares where I am being killed in different ways. I either wake up in a panic or just crying and sweating. It has made me terrified of falling asleep and is now affecting my daily life too. Can I make the nightmares stop?
Output: Hello, and thank you for your question. Sleep problems, including insomnia and even the nightmares that you are writing about, are really common for people and so many people suffer from them. Here are a few things to consider or to try: 1. Have you changed or started taking any new medication lately? Medications can certainly affect your sleep and some can even cause vivid or frightening dreams. If you are taking a new medication, talk to your provider about the nightmares, this may be the cause. 2. Stress can certainly increase our difficulty with sleep and can also begin to affect our dream states. The dreams may not make much sense, but then again even good dreams don't always make much sense. Ask yourself, do I have any new or renewed stressors in my life? Work, school, relationships, health.... all of these areas and many more are places where stress can hide out. If this is the case, talk with your provider or consider seeing a counselor who may be able to help. 3. Something to consider is that once we start to have anxiety or stress about something, we can begin to obsess about it. My guess is that going to bed for sleep is no longer a pleasant thing for you. Your stress and fear of what may happen when you sleep could start way before you actually go to bed. This could increase your chances of having another bad dream. Try relaxation techniques before going to bed. If you have YouTube, you can pull up ""Guided Meditation for Sleep"" exercises to help you relax. There are many different ones to choose from. You may also want to try deep breathing.4. There are self-help ideas for managing bad nightmares. If you Google search ""Nightmare Rescripting"" or ""Nightmare Exposure"" you may find some ideas and instructions on how to manage dreams. I hope these ideas help. Be well... Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: I have family issues, and my dad was both violent and a cheater.
Output: Sorry that your growing up years in the family were so unsafe and painful.Everyone has family legacy patterns of behavior and ways of handling emotions, handed down to them simply by living.All of what any child observes and how they are treated within their family context, creates their foundational expectations of others.The best way of releasing yourself form hurtful interaction patterns is by being aware of your own feelings and intuition within close relationships.If you have a similar sense of hurt or that something is wrong, yet in a familiar way, then most likely you are in a relational pattern similar to the negative ones in your family of origin.This realization moment is your chance to more deeply see your own original trauma and try different ways of responding to these similar key situations.This type of work takes a lot of repeated effort because trauma is deep and childhood trauma is attached to loving ones parents.Expect slow progress and expect more than a few tears.If it feels overwhelming then a therapist for guidance and support would be very beneficial to the work you'd be doing within yourself.Sending lots of good luck!"
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basis, depending on the frequency of the appointments.  Once the therapy goals have been met, there is a closing session, the counseling relationship is ended, and the client can stop attending sessions.  In some cases, the client can also establish new goals and determine if I am a good fit for their therapy needs or if they need a new provider, in which case I provide multiple referrals.The counseling relationship could also end due to other factors like noncompliance= when a client is not committed to the agreed treatment process, or when the client’s or a counselor violates the counseling relationship.  Either the counselor or the client is able to end counseling.  Although, as mental health providers we need to provide a reason for terminating our therapeutic relationship and referral options, as a client no explanation is needed, a closing session is highly recommended.  ¿Cómo termina la terapia?¿Cómo un consejero decide cuando terminar las sesiones de consejería o terminar de trabajar con un paciente?Para poder determinar el final de la relación del consejero, debemos comprender las metas y parámetros de la terapia.  Usualmente durante la evaluación inicial se identifican metas a corto y largo plazo con el cliente, y se discute con el cliente como esas metas serán alcanzadas.  Durante el proceso de terapia el consejero revisa las metas mensual o trimestralmente dependiendo de la frecuencia de las citas.  Ya que las metas de terapia son alcanzadas, hay una sesión de cierre y el cliente puede terminar la terapia.   En algunos casos el cliente puede identificar nuevas metas para la terapia y determinar si el mismo consejero u otro consejero le pueden asistir. 
La relación de consejería también puede terminar por no conformar o violentar los parámetros  establecidos para la terapia.   Tanto el consejero como el cliente pueden terminar la relación de terapia.  Como proveedores de salud mental los consejeros estamos obligados a proveer un razón para la conclusión del tratamiento y proveer referidos según aplique, los clientes no necesitan proveer una explicación, aunque es recomendable discutirlo en una sesión de cierre."
"Instruct: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven. 
When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety. 
Am I crazy? I don't think these thoughts are normal.
Output: Religious questioning is a complex and often philosophical topic, and these types of questions, especially around heaven, hell, and an afterlife can bring up a host of difficult & confusing feelings. What I want to focus on is the fear & anxiety you seem to be feeling that are deeply connected to your questions. Scary thoughts, negative thoughts, obsessive thoughts sometimes feel like they're out of control and there is nothing we can do to stop them, but I want to offer two techniques that might assist with your panic & anxiety. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particular thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain,"" he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories,  this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. I would also suggest when you're having the thoughts about death take a moment to notice how you're breathing. Often when we are feeling anxiety we are doing shallowing chest breathing rather than taking in a full, deep breath or what is called belly breathing. If you take a moment to focus on your breathing and allow a couple of full breaths, bringing in the breath so the belly rises and then the belly natural falls as you exhale, just noticing the breath and practicing breathing can slow down the anxiety cycle as it begins. "
"Instruct: I have a problem with binge eating, especially during times of stress. I binge eat and feel so overwhelmed with shame and disappointment that I end up going to the gym and trying to exercise the calories off. I am in my late 20s, and I have been dealing with this since I was a teenager. Are there any coping mechanisms I can use to break this cycle?
Output: Hello,This question describes a very typical setup of what is called the  Binge, Repent, Repeat cycle. This means that typically after you binge, you experience emotions as you described ""shame and disappointment"" and then because of these emotions you ""repent"" (i.e. vow to never binge again, promise to ""do better,"" go to the gym, etc.) and then ultimately end up bingeing again. There are many coping mechanisms for binge eating and one of the best is actually attempting to NORMALIZE eating. Meaning you need to attempt to eat normally, eating appropriately portioned meals 3 times a day, with snacks in between. IF you binge, then it may be helpful to remind yourself that when you attempt to compensate for your bingeing behaviors, and you end up feeling restricted from over exercising or undereating, then this actually leads to a binge again. Thus, reverting you back to the cycle. If you binge, it will be helpful to try and get back on a normal schedule of eating instead of trying to compensate for the binge. Although it may feel counterproductive, getting back on a normal eating schedule will prevent you from entering into the restrictive cycle. It can also be helpful to remind yourself that the binge has already occurred, it is in the past and the goal is to move forward without focusing on the past. Focus on what you can do differently next time. What emotions or situations led up to the binge? What can you to do prevent or change the circumstances that led to the binge, or the way that you handled the situation? Lastly, if you're struggling with ""normalizing"" eating, it can be helpful to work with a professional that can provide counseling and coaching to help you learn how to eating normally, mindfully and without feeling the guilt and other harmful emotions sometimes associated with disordered eating. I would be more than happy to assist you if you ever have any questions or want to reach out to somebody. You can contact me via my website: http://www.maddenwellnessky.com/"
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: I will work with clients and continually review progress with them and determine if counseling is helping.  If a client appears to have less to talk about in sessions, appears more stable for a period of time and has reached therapeutic goals I will talk about termination.  Some clients however I may continue with on a monthly or bi monthly process to allow for check-ins to see how they are doing and if they need more help at that time."
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: I am glad that you are getting ahead of this by noticing this seasonal pattern to your depression. Winter depression (seasonal affective) is something that affects a lot of people both people who also deal with other kinds of depression that happens to get worse in the winter as well as people who just deal with depression in the winter. Light affects how our bodies release and absorb neurotransmitters such as serotonin and most believe that a major contributing factor for winter depression is that we get less light when it is colder outside and darker outside. Exposure to light can make a big difference. If you are someone who is awake during the day (not someone who works the night shift :) )---one simple change you can make is keeping your curtains in your bedroom light enough as to let some light in in the morning. This will give you light right off the start of the day and can make it easier to get going in the morning. Beyond this, keeping windows cleared from blinds so that you get that natural light or even taking a short 10 or 15 minute walk each day can get you both light and exercise to help fight off the depression. Outside this, as others have suggested a light box is a popular method of warding off the depression however some of these may expose you to UV light and so this is something to check in with both with the light box manufacturer and with your doctor to make sure you have a good understanding of the risks and benefits for that. Lastly, just making sure you continue to do things that lift your mood, that you have time with other people, and that you reach out if you do find yourself in a space of needing help are all things you can do to ward off the depression. Wishing you well!"
"Instruct: My wife is trying to leave. She agreed to come back and give me a little time. Even said she hopes I can do it. We buried our first born in Jan 13 years ago. She never got past it. So every year around this time, she gets emotional and says she doesn't think she loves me, but then we go back to normal.  This time, another guy came in and showed her attention. I'll forgive the cheating if she'll come home.
Output: I'm sorry that you lost your first born child.  Death of a child always leaves a permanent reminder to the parents of a very painful time in their lives.The good news is your awareness that you and your wife are not connected in a satisfying way.There are many possible areas to examine in your relationship as partners and as parents.If what you write here are your observations and theories about your wife's outlook and conclusions, then the first step is to directly have conversations together on the topics you write here.What needs clarifying is what her reasons are for wanting to leave the marriage.Often, a crisis such as a child's death, motivates someone to look deeply into other intimate relationships.  Keep in mind that looking deeply doesn't necessarily mean leaving the marriage.Also, be aware of your own frustrations and marital discontent.  Be ready to talk about your feelings and uncertainties.There is no such thing as one happy partner in a marriage and one unhappy partner.   Each person is part of a system and can only be as satisfied as their partner.The conversations that open relationship hurts and disappointments, hold a lot of emotion.  They are difficult to keep on track.Best recommendation is to find a couples therapist who will be neutral to each of you as individuals, and help both of you examine the true health of the relationship."
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: After meeting a client, many Counselors will ask you lots of questions in order to complete a thorough assessment of what you came to counseling for. This assessment is required by most insurances and allows the Counselor to give a diagnosis, which is also required by most insurances in order for them to pay the Counselor. If you are paying out of pocket, this diagnosis is not really required for payment, but many Counselors will still perform a comprehensive assessment because we really want to know what the issues are that brought you to us. The better we understand what it is that bothers you, what you would like to get out of the counseling, and all the various things that tend to affect people such as family upbringing and medical issues, the easier it is for us to help you reach those goals. How the counseling actually plays out from there depends a lot on the theory that the Counselor uses to direct their approach to counseling, and that information is too much for this little post."
"Instruct: I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
   What is wrong with me, and how can I stop having these thoughts?
Output: A lot of times the thoughts we have about ourselves are messages we have received from other people and later internalized them. So in that sense, these thoughts are yours and belong to you, but you have received these messages from somebody else. Even though we all receive messages like this at times, it pays to be careful not to ignore other messages we are receiving, such as a loved one appreciating your help or attention, a friend responding to encouragement, or a colleague showing interest in you. I hope this helps."
"Instruct: I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.
Output: What are the best ways to reduce anxiety?I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.Our everyday life is filled with pressures and deadlines that are common to cause anxiety.   Here are some basic tips to handle those stressors.·         Learn thought stopping techniques: There are multiple ways to teach your brain to refocus.  If you allow your brain to focus on the source of anxiety, the anxiety will be in charge.  But you can learn to put those anxiety-provoking thoughts on a parking lot, and focus on pleasurable thoughts, or the activity that you need to complete on the time being.·         Plan, organize, delegate:  Create a schedule to manage demands, organize priorities, and delegate or share responsibilities.   Work as a team with your family, so you can share the load.   Prioritize actives, shores, and expenses. Focus on the urgent, necessary, and spread apart the not so urgent.·         Identify triggers:  Once you understand what causes your anxiety, you can learn to channel process and refocus your thoughts.  You can also learn coping strategies to manage the problem or give up the desire to control it if needed.·         Learn coping skills:  Having a balanced lifestyle helps tremendously to reduce and manage anxiety symptoms.  Looking at your eating, sleeping, physical activities, spirituality and leisure time is key to find that balance.If you find yourself struggling with anxiety, you can contact a Counselor or mental health provider.  I provide teletherapy for Texas residents and psychotherapy in Puerto Rico, you can reach me at 787-466-5478 for appointments.¿Cuáles son las mejores maneras de reducir la ansiedad?Tengo ansiedad por preocupaciones diarias, como las finanzas, relaciones, niños y mantener mi casa.Nuestra vida está llena de retos y presiones que comúnmente nos causan ansiedad.  Aquí unos consejos básicos para manejar esas preocupaciones.·         Aprende como detener tus pensamientos: Hay múltiples maneras de enseñarle a tu cerebro a reenfocarse.  Si permites que tu cerebro se enfoque en la fuente de ansiedad, entonces la ansiedad se apoderará de ti.  Pero puedes aprender a poner a un lado esos pensamientos que causan ansiedad, y enfocarte en pensamientos positivos, placenteros o simplemente enfocarte en la actividad que estás haciendo. ·         Planifica, organiza, delega: Crea una agenda para manejar las demandas diarias, organizar prioridades y delegar o compartir responsabilidades.   Trabaja en equipo con tu familia, de manera que puedas compartir la carga.  Organiza las actividades, gastos y tareas por prioridad.  Enfócate en lo urgente y necesario y distribuye lo que no es tan vital. ·         Identifica la fuente:  Ya que comprendes donde o qué inicia la ansiedad, puedes aprender a canalizarla, procesarla o reenfocar tus pensamientos. También puedes aprender a manejar la fuente de ansiedad, resolver el problema, o aceptar que no lo puedes controlar, si ese fuera el caso. ·         Aprende mecanismos de defensa: Tener un estilo de vida balanceado ayuda tremendamente a manejar síntomas de ansiedad.  Observar tus patrones de alimentación, descanso, ejercicio, espiritualidad y tiempo de ocio es clave para encontrar el balance. Si notas que continuas batallando con la ansiedad puedes contactar a un consejero profesional de salud mental.   Proveo teleterapia a residentes de Texas y Consejería en Puerto Rico, me puedes contactar al 787-466-5478 para hacer una cita."
"Instruct: 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?
Output: ""Normal"" can be an insidious word to use because it can undermine your sense of worth.  It implies there's one particular way you should be behaving and can leave you feeling crappy and ""abnormal"" if you're not behaving according to that prescribed standard.  Instead, what I'd recommend is to pay attention to your emotional experiences when you're attending therapy.  Explore your feelings and thoughts without judgement and try to reflect and understand what's going on that's causing you anxiety.  Once you figure out the underlying meaning of the anxiety, you can figure out a way to handle it and action steps to take to diminish it."
"Instruct: My brother has been a heroin addict for years, and he’s now in his mid-30s. He has taken from me my mom and my grandparents. He's sick in the head. Now he moved his girlfriend into the house because they both manipulated us. Today, my mom and my brother went toe-to-toe over his girlfriend not helping around the house and always being high. I ended up hitting my brother for getting so close to my mom's face. I feel terrible, but he's always picking his girlfriend over us. Mind you, he tells other girls that he hates his girlfriend, he's single, and she's only living here because he feels bad. We tried kicking them out and everything, but nothing is working. They do nothing to try and help.
Output: I think the best thing for you is to speak with someone on how you can best cope with the situation.  It can be challenging living in a household with someone who is currently addicted.  It is also important that you realize that you can only work on yourself.  Other individuals need to take the same accountability.  Enabling often happens in households with addiction. It can be a challenging environment to live in.  "
"Instruct: I have known I was always different. This year, in December, I found out that I never felt female. I did research and have identified myself as male but don't know how to tell my dad.
Output: I admire your courage.If you are concerned about telling your dad regarding your gender identity, I would suggest a couple of things. There are a lot of groups or other supports for people who are working through some of the same changes that you may be going through now. I don't mean to convey that everyone thinks, feels, or acts the same by any means, but rather that it may be helpful to talk to others who have had some similar experiences.I was trying to include some links for you, but that particular button isn't functioning window. If you search for ""transgender support"" on Google, you'll find GLAAD and PFLAG, both of which are national organizations. This does not mean that you have to identify as ""transgender,"" but researching that term may help you to find both national and local resources.As far as telling your dad, if that is particularly concerning for you, I suggest either talking through the details with a local therapist or considering if you have a trusted friend or family member (one who will respect your privacy with regard to who you would like to know about what you are experiencing at this time) so that you can talk with some people to have support. This may help with two things: allowing you to find some support for yourself as you work through the changes that you are going through now and also possibly talking with someone who knows your dad and may be able to talk with you regarding how or when to tell him.One thing that I tell anyone who wants to discuss something that is very important to them is to ask the person they want to talk to whether this is a good time for an important conversation. That way, you have greater chances of having the person's attention and/or not needing to end the conversation quickly. Also, please remember that you know yourself best, as each of us does."
"Instruct: 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?
Output: No, it is natural for us to have a number of issues going on if we don't address the concerns we have in our lives. Seeking counseling can assist you in working on these issues individually as well as ways in which they intersect and impact each other."
"Instruct: I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?
Output: There is a difference in someone agreeing to try something and agreeing to continue to do it. Have you ever been willing to try something and then decided you did not like it? A type of food? A sport? A new restaurant? A type of dance? So this does not mean that things have changed between you. It does mean that the two of you may need to spend some time to find out what you both like. Instead of looking at it as a rejection, look at it as a challenge, an adventure that the two of you can go on as explorers together. Some couples have even found it helpful to each write down ten things they would like the other person to try and then each person can pick three things from the other person's list to add into their life together when they chose to over the next few weeks."
"Instruct: My dad doesn't like the fact that I'm a boy. He yells at me daily because of it and he tells me I'm extreme and over dramatic.

I get so depressed  because of my dad's yelling. He keeps asking me why I can't just be happy the way I am and yells at me on a daily basis. Is this considered emotional abuse?
Output: Maybe this is emotional abuse.It certainly is irritating and annoying to be yelled at for being yourself.Maybe at a time when he's not yelling you can bring up the topic of your own willingness, if this is true, to discuss questions he has about your gender.There's no guarantee he won't start yelling midway through a dialogue like this.  Only then you will be on firm ground to excuse yourself from the conversation since you already explained that you're willing to talk with him and not to be yelled at by him."
"Instruct: I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.
Output: 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."
"Instruct: I need to speak to someone about sexual addiction and binge eating immediately.
Output: There is an organization dedicated to helping individuals find affordable counseling.  It is called Open Path Collective.  There is a one time membership fee of $49 and it lasts for your lifetime.  You then have access to local counselors/therapists who will see you for an extremely reduced rate, anywhere from $30 - $60.   https://openpathcollective.org/"
"Instruct: 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?
Output: The short answer to your question is ""No"" it's not okay for anyone to ever be doing this. There's a lot of unanswered questions and other factors going on here that need attention. Nevertheless, don't hesitate to seek out legal counsel and/or call 911.    Ideally, your fiancé would be able to speak directly to her ex-husband and set reasonable boundaries that honor whatever legal agreements are in force resultant from the divorce and custody agreements. The fact that she's afraid to say anything to him about his inappropriate behavior, and that she hasn't been able to give you any reason for her fear, suggests possible factors of past abusive behaviors, entitlement, and/or co-dependence.   I hope things work out well for all and I'm confident a skilled therapist could help all navigate how best to set boundaries and experience greater healing."
"Instruct: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.
Output: I agree with Sherry, it is OK to give the answer that you feel most familiar with.  The most important part is not who people think you are, but that you know who you are.  Read about gender identity and fluidity.  Discovering the answer is a process, don't rush it to comply with others either way.  If you feel that this is a constant issue that keeps you awake and keeps you from enjoying your life, consider going to a therapist to discuss your feelings and concerns. ¿Qué significa que yo me sienta como diferentes géneros?Nací como niña. Me veo como niño.  A veces siento como una variación diferente de género.  No sé qué decirle a otros cuando pregunta que soy.  Me siento confuso y solo digo mi genero de nacimiento. Estoy de acuerdo con Sherry, está bien dar la respuesta que se sienta más cómoda.  La parte más importante no es quien las otras personas piensen que eres, sino quien tú piensas que eres.  Lee sobre el tema de identidad de género y fluidez de género.  Descubrir tu género puede ser un proceso, no lo apresures para complacer a otras personas.  Si sientes que este tema te esta quitando el sueno y te impide disfrutar tu vida, habla con tu consejero sobre tus sentimientos y preocupaciones."
"Instruct: I need help dealing with stress. How can I handle it all and feel less stressed out?
Output: Part of handling stress is making sure that your perception of the stress is accurate. Sometimes stress can seem more than it really is. One thing that I encourage my clients to do is to ask themselves, ""What is this stressor really about?"" Simplifying stress is a key to minimizing stress and leads to feeling less stressed out."
"Instruct: We got into arguments, and we would break if off but start it back up again. We clicked, or so I thought. We are both married with problems in our marriage. We never have sex; we just send a lot of pictures back and forth and talk about doing things together. His wife found out, and he lied to her and didn't even refer to it as an affair. I can't stop thinking about him. We just click. I've been married for 16 years, and I've never liked anyone other than my husband. Now I like him, and we’ll never be together.
Output: If you will ""never be together"" and in order to maintain this affair you need to deceive both of your spouses it seems unlikely that maintaining the affair will bring anything but heartbreak for everyone involved. There is obviously something that you are getting from this that you are not getting in your marriage. Maybe this is a cue that there is work to do on your marriage to try to make it more fulfilling and if that is not possible, then maybe you want something else for your life.  If you and your husband are willing, I would encourage you to do some therapy or counselling together.  You may enjoy this article to learn a little more about some factors that lead to connection or disconnection and that predict separation and divorce."
"Instruct: My wife and mother are having tense disagreements. In the past, they’ve had minor differences. For example, my wife would complain to me my mother is too overbearing; my mother would complain my wife is lazy.
 However, it’s intensified lately. I think the cause is my wife talked back to her once. Now, any little disagreement is magnified, leading to major disagreements. What can I do?
Output: One choice is for you and your wife to decide together what are reasonable ways and expectations to have of your mother.From what you write it sounds like your wife and you have differences as to what is the proper and right way to talk with your mother.Once the both of you agree on overall philosophy and some specific details for examples, then ask your mother to make time for all three of you to discuss together the expectations and standards you and your wife would like to see happen.This is only the first step since it is possible and likely that at least on a few points, your mother will disagree and have different views.These need to be discussed and integrated into an overall plan which all three of you are happy to live with."
"Instruct: I need help dealing with stress. How can I handle it all and feel less stressed out?
Output: In case you feel some relief to know you're feeling the tone of our times.We live with crumbling of our values which then gives rise to insecurity everywhere.  If someone doesn't know what their values are then its difficult to do anything, and right now everyday we hear uncertainty in what used to be our basic assumptions.You're more normal for noticing and feeling stressed than if you imagine life felt fine the way it is!One road to take is to accept that there are no clear roads forward.  This means to change long term goals into shorter ones.Also, in general the more focused you can be as to your particular wishes, motivations, interests, and people about whom you care, the greater will be your sense of confidence that your personal world is as secure as it can be for right now.And, it helps too to know that nothing lasts forever, eventually all of what is up in the air will start to land in a much more clear way."
"Instruct: A friend of mine taking psychology advised I go to my doctor to check if I have major depressive disorder. I'm afraid of the consequences of doing so. If I do become diagnosed with major depressive disorder, won’t that go on my records? I will never be able to become a counselor along with a list of other things I may be prohibited from. I’m also afraid of taking any anti-depressants. This year, my doctor gave me some for a ""dislocated hip."" I had a severe reaction and passed out moments after taking them. Everyone I know who has taken anti-depressants says it’s a bad idea all around and you’re better getting treatment without them. I’m concerned they might take me to a clinic and force me to take medication because I am unable to make decisions on my own. I’m not really suicidal, but I am not really taking care of myself either. Someone also told me they still use electroshock therapy. I’m not keen on that. I’m wondering if I am better off just getting self-help and working things out on my own. It’s just that I've been an emotional mess since I was in elementary school. I’ve graduated now and tried to stay positive and be happy, but I cannot deny I still am not good.
Output: I admire your courage for stating your view about anti-depressants.  Questioning mainstream thinking and being in touch with your own views, are signs of strength and clarity in a person.As a therapist, I always tell my patients to avoid anti-depressants.Their effectiveness is in suppressing a person's mood and feelings.  If someone does not know how they are feeling, then they will have more difficulty in understanding themselves, their uncertainties and hesitations, and overall, how they relate to others and what they expect from others.Anti-depressants mask how someone feels.In a crisis, temporarily taking anti-depressants may be helpful.  If someone is so overwhelmed that they are not functioning, then  suppressing unhappy feelings so that the person can get through a day, may be of benefit for a short while.Basically, respect and follow your own opinion about anti-depressants.   Your view is shared by many.   It is a minority opinion, and very valid. If you would like to shop for a therapist, ask the person on the phone, what their opinions are about anti-depressants.Ideally, you will eventually find a therapist who thinks in a way which is similar to you, or at least similar enough that you will have a sense that you are able to trust working with them on whatever you define as problematic.I hope you will have an easy and productive therapist search!"
"Instruct: 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?
Output: It's normal to feel a little anxiety--after all it's an important encounter for you.  My suggestion is to discuss this with your therapist, let him/her know how you're feeling, especially if you feel as though your level of anxiety is impacting the quality and benefit of your sessions.  You might try some relaxation techniques prior to starting the session, deep breathing, progressive relaxation, core muscle dis-engagement--If you're not familiar with these techniques ask your therapist or write back."
"Instruct: I know this fear doesn't make sense. How can I overcome it?
Output: Stop caring about what you imagine people are thinking about you!Really this is the simple and complicated answer to feel better about your situation.Maybe someone is judging you, maybe someone isn't judging you.Until the person tells you directly what they don't like about you, there's nothing you can do.It is okay that the fear doesn't make sense, most fears don't make sense."
"Instruct: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
Output: Fear is a part of life. In fact, our five main emotions are joy, fear, sadness, shame, and anger. We tend to spend a lot of time and energy running away from or trying to get rid of most of those emotions and the more we do that, the more we set ourselves up for failure and disappointment. As a result of viewing our human emotions as ""bad"" or ""wrong,"" we often get caught up in a trap of thinking we have to overcome them or get rid of them before we can do what matters to us. In reality, you can do what is important to you while having your fears! My question for you is, what would you do if this fear was completely gone? What behaviors would you have if you were the ideal you? What skills, knowledge, or personal qualities would you develop? What kind of relationships would you have?I imagine your fear has kept you from achieving those goals because your mind tells you you can't do it until the fear is gone. I challenge you to do the following exercise:What is a goal you would like to achieve? Example: I would like to change careersWhat actions are necessary to complete this goal? Example: see a career counselor to determine my ideal career, go back to school/get a certification, network with others in my desired industryWhat thoughts, feelings, or urges might get in my way? Example: thoughts of ""What if I fail? I'm not smart enough. I can't do it. I'm too busy to put energy into this."" Feelings of fear, shame, excitement. Urges to distract myself through drinking or watch tv instead of taking action.It would be helpful to remind myself that: example: It is natural to have these thoughts, feelings, and urges but I can take action anyway. I deserve to have a fulfilling life.The smallest and easiest step I can take now: example: research career counselors in my area and write down their phone numbersThe time, day and date that I will take that first step, is: example: Tonight at 7pm At least think through these answers but it is most beneficial to write them down. I hope this helps!"
"Instruct: I am going through a divorce. He is extremely angry. He refuses to physically assist me with our teenager daughter. I have no extended family support. Often times, I feel overwhelmed, tired, and joyless. I feel out of control, sad and depressed on a daily basis. I am just going through the motions of life every day. I am in my mid-50s. I have almost 29 years on my job. How can I handle this?
Output: Going through a divorce is often a very low point for the people involved.Are you surprised that your soon to be ex doesn't help with your teenage daughter?Usually patterns and dynamics in parenting are not  sudden developments.Is it possible that what you're feeling now is more intensity to the stress of parenting by yourself, not that this is a sudden problem?This is relevant because you may be more familiar and more capable than you're giving yourself credit.  The lack of emotional support is definitely stressful.Your parenting skills may still be at the level at which they were prior to the divorce.Take your emotional weariness seriously and reflect on the various ways of stress relief which are available and interest you.Give yourself extra time to rest, nurture yourself and be flexible in finding what feels right for stabilizing yourself.Since you talk about your daughter and help in physical ways, if it is a matter of strength that you need, talk with your attorney so that the child custody agreement includes whatever is physically necessary in the way of strength, in taking care of your daughter.The Courts are very good at making effort that the custody agreement offers proper care to the kids."
"Instruct: I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.
Output: First I think we have to acknowledge that you are doing something amazing.  You are putting yourself out there and becoming a Water Safety Instructor.   We often times will focus on the negative and forget about the positive.  Next, you had an incident where someone pointed something out which may have caused embarrassment.  Whether or not it was malicious on his part I think the important thing to focus on is what is called ""Common Humanity"".  Common Humanity is one of the three elements of self-compassion.  Common humanity essentially recognizes that suffering and personal inadequacy is part of the shared human experience.  While you may have had this embarrassing moment at this time, that boy may have had an embarrassing moment another day.  We all have embarrassing moments.  When we recognize that we do not suffer in isolation then we are able to move past that suffering.  Additionally another element to self-compassion is self-kindness.  My question is why must you forgive yourself?  Rather, be kind to yourself for learning an amazing new talent."
"Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
Output: The good news in the way you're feeling is recognizing that your husband's trust of your actions, makes a difference to you.The typical therapy formula for restoring trust between two people after some sort of betrayal, is for the one who has broken the trust, to earn it back.Restoring trust requires both persons to actively involve themselves in this process.The person who tires earning back trust, must know what standards for this, of the one who was betrayed.The person who feels betrayed must willingly be open minded to accepting the efforts of the one who tries earning back their trust.As simple as this formula sounds, the actual process of restoring trust raises a lot of emotion on both sides, therefore causing difficulty in keeping discussions in this area, on track.The best way of success in restoring trust between partners, is utilizing a couples therapist who would be able to guide your conversations back on track, and also open emotions for discussion when relevant to restoring trust.Good luck in establishing new terms with your partner!"
"Instruct: When my boyfriend gets in a snit, he gives me the silent treatment for days. When I ask what is wrong, I get nothing: no reply, no phone call. If he does reply, it is something very sarcastic and hurtful. He never admits he is wrong and never apologizes.
Output: As you say, if he does reply it is hurtful. But, if he doesn't reply, it sounds like it's just as hurtful (though more in my opinion in terms of the longer-range effects on the relationship). The behavior he is exhibiting would easily pass for ""passive-aggression,"" as it is manipulative and controlling through passive withdrawal behaviors. And I can assure you that you are not alone in struggling with how to deal with it. So many do, and that's why it gets done so often, because it can. For example, if you push for connection, he stonewalls even more. You probably become more distressed.Frankly, if you and your boyfriend were sitting on my couch in therapy, I'd likely say that the behavior needs to stop in order for the relationship to continue, because of how severe it sounds (an hour of withdrawal because someone can't deal is reasonable, as everyone can shut down from time to time, but this feels extreme and is extremely hurtful to you.) I might even say to him that the behavior needs to stop if he ever wants to be in a healthy, loving, connected relationship. Because the amount that you describe him disconnecting severely hurts trust and security. One of the first ""change events"" in Emotionally-Focused Couples Therapy is for the person doing the withdrawing to be able to use words and communication to help the partner understand what they are experiencing, so the burden does fall more on him at the beginning. It becomes the partner's job to tolerate though whatever his experience is.There is no one ""tried and true"" solution to working with passive-aggression, but I would most advise limit-setting (like I would do in our session). In one way, shape, or form, in order for the behavior to stop, there has to be consequences to it. The more you tolerate it and allow him to come back to you when he's done with his silent tantrum, the more you encourage the behavior because he is getting what he wants."
"Instruct: My husband had an emotional affair with his ex-wife in November. She invited him to dinner, alone, with their daughter. I wasn’t aware of this until after 11pm when I asked where he was. He had been drinking, and I told him not to come home that night. The next morning, we talked about going to counseling. He went out that night with friends and said his ex-wife wasn't going. I found out in April that she did go. I gave him the chance to get everything out in the open. I found out that he stayed that second night with her. I asked if they slept in the same bed, and he said yes, both nights. His daughter wasn't there the second night. He claims they didn't have sex, but what else should I think?
Output: I agree with you that professional counseling is a wise choice for your relationship.Your husband may not know, want to know or want to discuss with you, what his true feelings are toward you and the ex.The topic is very heated, which is why discussing these matters alone may do more harm than good,Usually people start deeply complex emotional matters discussion and get so upset the conversation goes off track and unintended hurts happen.In a therapist office, the two of you will be guided on talking about these critical areas and this will be much more productive than trying to do so only with the two of you."
"Instruct: We live with my ex-partner’s sister and her husband. We have been there for five years now. They are Hispanic and talk to my daughter in their language. Sometimes they overstep their balance between aunt and uncle and reach into my role as a parent. They neglect to see this. I do, and it reflects in my child's behavior. She sees them as stable but is upset that her dad isn't here, and my intuition tells me she blames me to a degree because she doesn't know about his alcohol addictions.
Output: Hi New York, I'm happy to hear that your daughter doesn't know about her dad's addictions. Although you don't say how old she is, and I imagine that at some point in her life she will be ready to know the truth, I trust your instinct that now is not the time. Your ability to have clear boundaries about what is adult conversation and what is suitable for a child to know are really important here, and I can tell you're being appropriately protective and a thoughtful parent. As much as this helps your daughter, I sense that you also know you can't take away the emotional pain that comes from having an absent parent. Children tend to blame themselves for a parent's absence. These children need extra love and support wherever they can get it.You say that you feel like there is a wedge between you and your daughter. I understand that having your ex partner's relatives in the same home would make it uncomfortable at times. It is very important to establish boundaries; only you should parent your daughter, but it's also natural for people to want to assist you. Let's trust that their intentions are good, if there is no evidence to the contrary. As much as they support you, they also  have emotional ties to your daughter's father. While there is potential for discomfort in this complex situation, there are also many positive factors here that I invite you to see.I don't know what your culture is, but for your daughter to have the opportunity to preserve her father's heritage language and a relationship with his family are potentially wonderful additions to her life. In general, the more adults around loving and supporting a child, the better. It could be that you are feeling threatened by small moments where there appears to be a special connection between your daughter and her father's family. Nothing anyone else does can take your daughter's love from you. My hope for you is that you can feel so secure in your own position as loving mother that you will not feel intimidated by other positive connections your daughter has. They are potentially wonderful connections, and she deserves your support in maintaining those relationships if they don't harm her.I suggest that the most important alliances to work on here are between you and your ex's family. If you could all give your daughter the gift of a healthy, united supportive and loving safety net for her...that's the best outcome of all. "
"Instruct: Back in high school, my friend and I used to masturbate around each other. I hate even talking about it now because it's so weird. We didn't even realize how messed up it was at the time. One time, it escalated and we ended up doing it for each other. It wasn't supposed to be a gay thing, but it sure sounds like it now that I talk about it. I pushed this away until it recently came up in my head again. I'm having a lot of trouble.
Output: Writing about your high school masturbation times with your friend, is itself a form of acknowledging the full picture of who you are.   You are doing well to reflect on your actions in the truthful way you are doing.Also positive is that you have perspective, that at your age and social maturity, you were innocently doing something that in adult terms, would be considered in a negative way.Maybe through your more mature mind's eye of today, you can feel some compassion and understanding for your high school self.  This way your sense of self-judgment may start to dissolve a little bit more."
"Instruct: i was addicted to porn since the second grade. I'm in my early 40s and overcame my addiction during my separation from my wife of 15 years.
Output: The person who can answer this question is the person you want to rebuild that trust with.  They are the only one who can tell you what it will take for them to trust you again.  What they tell you may seem hard or impossible but unfortunately that is what THEY need.  It is up to you if you feel and know you can provide what they request."
"Instruct: Is this something I should be worried about?  Should I do something about it?
Output: Humans are social creatures so this can be an alarming thing for a parent to deal with, just like adults children are not the same and some children are more social than others, if he plays alone at recess (all the time) it would worry myself as well, however recess is only one domain of life, does he have friends outside of school or daycare? Does he socialize in other situations or is it just at recess where this occurs? If this is a global problem occurring at other social times it may be indicative of something deeper going on, if perhaps it is occurring ""just during recess"" it could be something else altogether. I would request reports from all teachers and caregivers concerning socialization and make a choice on whether or not to evaluate further.Hope this helps,C"
"Instruct: I regret ever hurting her and they mean the world to me. But it feels like nothing I do seem to work. I'll always love them no matter what and when I'm with them nothing else matters. I love them more then anything. I don't want another guy raising my kids.
Output: How you you expressed your regret and taken responsibility for the pain thus far? Repair is a very essential skill in and part of developing healthy relationships. Your love sounds deep, sit with that. Also sit with how she's been hurt. You get to feel your hurt too and your kids. In feeling all this you may also find our way to the repair. If feeling all this is tough to take on, seek out a local therapist to support your process."
"Instruct: There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.
Output: I'd say you're letting fear get a hold on you! You would really enjoy some sexual activities that your wife hasn't initiated in a long while, but it's a big leap to go from that to ""I married the wrong person"". Fear is telling you that she doesn't respect or like or want you? Look at the bigger picture. What is the evidence that your wife wants to please you?...that she is the ""right"" woman for you?...that she loves you?...that she cares about what's important to you?  If there is evidence there, then you owe it to the marriage to rein in your fearful thoughts.Talking to your wife is so important right now. We all have moments when we really just want to sit and stew in our self pity over our partner not vacuuming or cooking or saying loving things often enough...but they can't read our minds! Can you lovingly let her know what you miss? ...what you hope for?...what you need? This is the meat of a loving relationship. Sharing who we are, so that we can love each other better. Your wife deserves the benefit of the doubt that she'll listen to what you long for. Can you risk feeling vulnerable? You can't control her answer, but can you trust her to care?"
"Instruct: I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before.    I feel like I don't want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered ""wrong"" by a lot of people.
   How can I get myself to just move on?
Output: It's difficult to move on and let go, especially when you've experienced things for the first time with someone, or feelings you've never felt before, as you said.I like the fact that you are looking at your situation ""logically"".  Feelings can take time to fade, but you seem to understand, even if it is subconsciously, that it's the feelings he stirred up in you that are keeping you tied to him, not necessarily the person himself. Realize that you can and will experience those feelings again with another person - the RIGHT person. Don't hold onto someone who is wrong for you just because of something like this. You're wanting those feelings and wanting a relationship - but with him necessarily? Or with anybody? You said you don't want to be without your love for him - not you don't want to be without him. In fact, you said you know you need to be without him. It seems like it's the LOVE that you can't let go of, and the feelings. Not the person. Trust me, you will find that again. Take some time to let this fade. Don't try to force him or anyone else into a role that is meant for someone else. Cherish the memories and the experiences you had. Sounds like it's been a valuable learning and growth experience for you, but you have your own reasons, and I don't know what they are, for thinking this person isn't good for you. Trust your gut instinct and be glad you've had this relationship. Not all are meant to last. But all shape you into the person you are and will become, and all teach us important lessons."
"Instruct: My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?
Output: I'm really sorry to hear that you are going through this.It's a little difficult to answer your question because the laws that define child abuse are different from state to state. But usually, things like what you describe your dad is doing are not considered to be child abuse.The more important thing is how you feel about what is going on. It sounds like this is really bothering you.If you don't think you can talk to your dad about how you feel, you might want to try talking to another adult you trust (like a family member or teacher). They may be able to help you figure out some ways to communicate with your dad.I think you might feel better if you can talk to someone about how your are feeling."
"Instruct: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore.
Output: Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective of those with whom you have shared your concerns, it might be assumed that based on where you are in life and who you are now, that you have already worked through any issues from your younger years. Some of our deepest scars in life are indeed invisible and suppressed. We have to get to the place where we can take care of the inner child that is still hurting, by recognizing that those who hurt us - however they did, might have had their own challenges which prevented them from functioning and behaving in ways we might have deeply needed. Those who have directly hurt you, may not be capable of acknowledging and understanding how you were affected by their actions - even in the worst of cases. They themselves may be doing what they can, either out of shame or heartbreak for their own actions, to work on forgetting how they behaved toward you all those years before. How are they behaving toward you now? Can you find it in your heart to forgive those who have hurt you? Forgiveness is the gift we give ourselves, and isn't dependent on an apology from an offender. By forgiving (even in the absence of any apology), we are releasing the weight of the burden we are carrying that reflects the offense we feel was committed against us. Sometimes therapy can be helpful in this process. Talking with someone who can be non-judgmental and reflects an empathetic position toward you might be what you need right now. Seeking out a therapist to help you work through these negatives feelings and thoughts is much easier, than trying to go it alone. I would encourage you to reach out and find someone who resonates with you on that journey, so that you can begin a path toward healing.Warm regards,Shawn Berthel, M.S., LMHC"
"Instruct: I always need alcohol to feel better and use that as a excuse.
Output: Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!"
"Instruct: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.
Output: It is ok to tell someone who is casually asking about your gender, what is written on your birth certificate. Measure the significance of your answer to the significance of the person who is asking you the question.In addition, you are stating the simple truth, so there's nothing wrong with stating what is on your birth certificate.Do you understand the reason of why people are asking about your gender?It is not a common question, so I wonder about the context in which this happens.The whole field of gender identity is extremely popular now.Popular usually means people are swept into a trend just because it is in the air, not because they've given the time and seriousness to thoughtfully consider if the trend has anything to do with them personally.Keep open minded to who you are, including if you are truly a different gender than the one you're born into.It is a very complicated question and lately people, especially teens, are answering it much more rapidly than seems possible to fully consider."
"Instruct: Our relationship ended about 7 years ago, but don't know how to let go. How can I get over that person and move on?
Output: What you're most likely trying to get over is to be attracted to the qualities which you felt attracted to in the person.The problem isn't releasing yourself from the person, per se.   Letting go of a person means separating yourself from the qualities in a partner which you value.Two possibilities exist.Either you continue to feel strongly that the qualities in the past relationship are still meaningful and you'd like to base your next relationship on these qualities.Or, the person had qualities which are no longer relevant or necessary in your life and this is the reason the relationship ended.It is possible that even if you had an adequate exposure to certain qualities in someone that you simply miss the companionship of a relationship.See if you can figure out whether you need the qualities this person gave you or whether you simply like being part of a couple.If you like the particular qualities of your previous parter and these are still relevant to your life, you'll attract a partner who has similar qualities.Basically people attract what they need.The more open you are to attracting what you need in a partner, the more likely your next partner will have these qualities.In this way, you'll get over the particular person and still have the satisfaction to be in a relationship."
"Instruct: Every once and a while, I think about my ex-boyfriend from four years ago, and my current friend. It’s like I can't get past it, and I need some kind of closure. I keep thinking about how we had something, but it got cut off due to parental intervention. Nothing was ever wrong with it. Now we've become friends, but there's this huge sexual tension between us, or at least I feel it when we're physically in the same place.

Two summers ago, we saw each other casually for a while, but we never had sex then or while we were dating, which was only for two months three years ago. I'm now in my 20s, and my current boyfriend is amazing and in his 30s. Despite the age difference, I know we're a really good match. We've never really fought and are able to make compromises and talk everything out. I tell him everything. Also, my ex-boyfriend has a girlfriend now as well. He’s been seeing her on and off for the past two and a half years, besides when they broke up and we had our casual thing. That summer, I told him I didn't want anything serious and broke it off. Only a week later, he had gotten back together with his girlfriend. His girlfriend is kind of mean spirited. I'm sure she may be different around him, but I worry about him committing to her in the long run. They're supposed to move in together soon. But still, I feel this connection with my ex-boyfriend, and I feel like he does too. 

I don't know what to do. I need some closure or I'm not going to be able to move on from this. I don't know what it is, but it's driving me crazy. I’m so happy with my current boyfriend, and I know he will do everything in his power to make my life beautiful and fulfilling. He’s such a good person. I also know my ex-boyfriend smokes marijuana and does other things, but I can't get it out of my head. I'm trying to take a nap right now between classes, but I can't sleep because my mind is racing. I've never been so hung up on something for this long ever.

I want to just talk it out with my ex-boyfriend, but I don't know if that's a good idea because of the possibility that it could blow up in my face. If he told his girlfriend, everything could go wrong because she hates me. If my current boyfriend knew, he would be crushed. On one hand, I want my ex-boyfriend to say no to having feelings for me, but I would be terrified of what to do if he said he has feelings too. Where would I go from there? On the other hand, I feel like I can't move forward in my relationship with my current boyfriend without closure from this. Sometimes I wish I could just cut off everything that had to do with my ex, but I don't want to.

Please help me, because I really have no idea what to do.
Output: If you're in a relationship and you're having strong thoughts about someone else, it's important to pay attention to that. Although you say you're happy, I'd suggest looking really carefully at the relationship you have and whether you're getting everything you need. Is there a physical connection with your ex that you don't have with your current boyfriend? It could be that your boyfriend is marvelous in many areas, but that you just don't feel excited about him for some reason. That's a pretty important element to be missing.It may be that, even if you are happy with your current boyfriend, you still hold something special for your ex. If you feel the need to see what is possible there, I think you have to tell your boyfriend about that and end it with him first. You can't have everything.If you truly feel that you want to be with your current boyfriend, you will do well to stop thinking about and focusing on your ex, because thoughts of him will interfere with the growth of your current relationship. The grass isn't greener... A therapist can help you to focus your energies and thoughts on the present, rather than an imagined version of the past or future."
"Instruct: I have been noticing myself really enjoying watching/reading about gay or lesbian couples. I've also been imagining what it might be like to date a girl, and I like the idea. I also find guys cute too. Does this make me bisexual?
Output: Hello!  Thank you for your question.  Exploring your sexual orientation and attraction is a wonderful opportunity to get to know yourself!  I would be curious to know what feelings you might have related to the possibility of being bi; What messages you may have received related to this orientation and any concerns you have about possible sexual orientations."
"Instruct: I am going through a divorce. He is extremely angry. He refuses to physically assist me with our teenager daughter. I have no extended family support. Often times, I feel overwhelmed, tired, and joyless. I feel out of control, sad and depressed on a daily basis. I am just going through the motions of life every day. I am in my mid-50s. I have almost 29 years on my job. How can I handle this?
Output: You are in the midst of a really hard time and it sounds like you have no help at all.  Search out a local support group through community counseling type centers.  If you can't find a group, at least get in to see a therapist who can help you manage stress and upset better.  Your sadness, depression and out-of-control feelings don't mean there is something wrong with you - they just mean that your circumstances are too big for your current resources to handle, so get some help. Take care of YOU and you'll be able to get through this."
"Instruct: 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?
Output: Are you upset, is the more pertinent question.Everyone has their own tolerance for lies and their unique reasons for being married.  Trust your own answers to the question you ask here.Also, think over the value of your marriage in your life and whether you are able to live with the unstable sense of trust that you have in your husband.Remember too, that if you are the only partner who is trying to make the marriage work, then your job is much harder than if your husband actively participated in making the marriage happier for the couple."
"Instruct: How does a person start the counseling process?
Output: Most counselors are very approachable and many offer a 15 minute chat by phone to allow you to talk about your issue, and to get a feel for the counselor.  If you like what you hear by phone, the next step is to set up a face-to-face meeting. Studies show that the most important element in effective therapy is that you feel a connection with your counselor.  Trust your instincts and if you don't feel comfortable, let him or her know that you don't think it's a good fit.  Many counselors list on websites like Psychology Today and Good Therapy.  Visit these websites to learn more about therapists in your area."
"Instruct: I'm a teenager, and I struggle with going out and talking to people. I feel awful about leaving home. I know I can't afford a therapist so I don't know what my problem is, but I think I might have social anxiety.
Output: If you are noticing that anxiety tends to be triggered around interactions with others, then you may have social anxiety. Working with a therapist, you may be able to gain insight into the nature of the anxiety, develop tools for coping with it, and take steps that may alleviate it over time, so that you can enjoy your interactions with others. If you are short on money, there still may be options for you to be able to see a therapist. Check with your insurance provider about your behavioral health coverage. If you have medicaid/apple care, there are some private practice therapists who accept this form of insurance, as well as community clinics which do. If you are not insured, some therapists and clinics will work on a sliding fee scale, and accept either low fee or may even work with you pro-bono (for free)."
"Instruct: In this argument my friends are all against me so I'm wondering if I'm exaggerating my feelings. I feel like I'm being attacked and that is making me blow things out of proportion and taking the role of the victim, when in reality I'm the one being unreasonable and I am simply annoying my reasonable friends. Or are they really being insensitive and not respecting me in our friendship?
Output: Conflict is a tricky beast and shows up in every one of our relationships. What I'm reading is that you find yourself in a loop of  seeking validation of your thoughts and feelings from your friends rather than validating yourself. Am I right? If you aren't validating yourself, no one else will be able to either.  Try finding a small nugget of truth in the feedback your friends give you, this will help to lower your defenses and help your friends hear what you are really sharing.  And then if you are still feeling vulnerable, share that too... "
"Instruct: I'm a Christian teenage girl, and I have lost my virginity. My boyfriend is a Christian teenager too, but things just got out of hand between us in a sexual manner. I planned to abstain from sex but I guess I wasn't clear about this because I was also tempted and led him on. We continued to have sex. Does it mean that he isn't the one God planned for me? We're so young, but that doesn't stop me from dreaming of a potential future together. I really do feel like he is in my life for an important reason. I'm incredibly happy for I was able to escape from several abusive relationships because of him. I love him very much.
Output: I'm not a super religious person... But I can't imagine that if you love him that much and you want him that much, that he wouldn't be the one for you because of something small like that. Sex is an act of love and commitment. If you feel that you want to be with this person for the rest of your life, want to marry them, then why should you have to wait until marriage? If you truly feel that this is the person you want to be with, then why would you need to wait until marriage if you're just showing commitment to each other? "
"Instruct: My boyfriend won't touch me intimately, he won't kiss me while we are having sex and he won't have oral sex with me. I know he has done this things with other women in the past. I don't know why he won't do them with me. What should I do?
Output: First off, don't blame yourself or be too quick to jump to any scary conclusions.  Human sexuality can be incredibly complex at times (e.g., what turns us on at one time may not be what turns us on the next time). There could actually be a number of things going on including him having performance anxiety...maybe he had a bad experience with a previous partner that's left him scared to try again (we call this operant conditioning).  It could also be that he puts you in a different category than previous lovers.  Sometimes I refer to this as the ""hooker-housewife mentality"" where a partner somehow gets the idea that when we truly fall in love, we treat that one differently; almost up on a pedestal.  Drives many partners crazy until they're aware that this is going on and give their boyfriend/ girlfriend permission to enjoy both the naughty and the nice with them. It could also be that he's not even aware that he's not doing these things. If you haven't asked him yet, you might try gently approaching the subject when you're not already in the bedroom or trying to get in on and inquire what he most enjoys about sex with you (or has enjoyed in the past, or thinks he might enjoy).  You can also share your favorite highlights of sex with him.  Give him an ego boost and tell him what he does well while then asking him if he'd be down to go downtown.  ""Baby, it REALLY turns me on when you kiss me during sex.""If you continue to get the impression that it's somehow only about YOU or that he's just really hesitant to talk about sex in general, you might see if he'd be cool to chat with a counselor who specializes in sexual intimacy. "
"Instruct: I'm currently struggling with diagnosed depression, anxiety, and Misophonia. Also, I am 99% sure I have Borderline Personality Disorder and Avoidant Personality Disorder. I read the DSM-IV, taken college psychology, etc. I know it in my heart I have them. Is self-diagnosing okay with the right research?
Output: Any diagnosis is limited in its usefulness.Knowing the name of some typical ways you may feel, think and behave, doesn't help you or anyone to understand why the person is the way they are and how to change any of these characteristics.Both self-diagnosing and being diagnosed are equally unhelpful to know why you are the way you are and what to do about it.Consider yourself a person who wants to find a better way to be who you are, and this will get you further with better results than to read a list of descriptions which all are very indicting and negative sounding."
"Instruct: My husband used a lot of negative words to hurt me, and I moved out. He is seeing a counselor and wants another chance to make things right. I'm not sure if I trust that he will not go back to his old ways.
Output: I am glad he is seeing a counselor.  That is something that most men struggle with doing at times.  Time will tell if his actions are of good intentions.  However remember that a person can only do to you what you allow them to do in relationships.   What part did you play?  Did you down play his disrespect at one time?  Did you give up the power of your own voice?  Did you lose yourself in the relationship and it became just one sided?  Did you allow him to make you doubt yourself?   In others words, if you do decide to give him another chance, what would you do different?  Not saying that you are the blame or cause of the negative words AT ALL, but don't allow such disrespect from him or anyone else in the future.  If you do decide to give it another try, go in with a voice, with the demand of respect, with your needs and wants expressed and expected.  With an increase in your self worth and confidence, you will know what to do if his actions are true or if with dishonest intentions.   Seek counseling as well, if you need that additional support to find self. "
"Instruct: I have no real friends. I have a girlfriend who irritates me but loves me to death. I push her away and pushes me away. We’re going through a breakup, and I have nobody.
Output: Having time all to yourself may be necessary so you have time to reflect on your own identity and values, become more clear on what matters most to you, and with this increased self-understanding, be able to attract people who will feel like satisfying friends.Having a relationship with someone whom you push away and are pushed away, with someone who is irritating, seems to have limited benefit for each of you.Maybe you are together from fear of being alone, and being alone is exactly what you may now need in your life in order to draw more favorable people to you."
"Instruct: I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years.
   How can I deal with being bullied at school when the teachers won't help?
Output: That's a very difficult situation that you are in. But you are not alone. I have several school-aged clients who find little to no assistance from their teachers at their schools regarding bullying.There are a few options that are available to you to help deal with being bullied at school. One option that I would suggest is for you to talk to your support network. Friends and family can sometimes be good sources of support. Another option would be to speak with us about your counselor, if you have one. And third, there are some excellent online sources of support regarding the bullying at school (www.stopbullying.org)."
"Instruct: My daughter basically freaked out out of nowhere over me saying “calm down” when she dropped her phone. Within seconds, the situation escalated to her kicking me out on the curb, saying horrifically unspeakable things, and her calling the cops on me. She seems unable to stop herself at times.
Output: Bipolar disorder has a lot of different components. If this is a one-time event, it could be that your daughter had an intense moment of anger and the phrase of asking her to ""calm down"" may have made her feel as though you weren't understanding what she was saying. Bipolar disorder also includes feelings of depression. When this is coupled with intense anger and acting or speaking without thinking, these can be part of bipolar disorder, but that wouldn't be the whole picture of what bipolar disorder would look like. It may be helpful to track differences that you notice in your daughter's mood and any patterns related to the times of day or what seems to lead her to be upset. Patterns are very helpful in figuring out what is happening."
"Instruct: I'm a teenager and I get these really intense mood swings.    My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out.    Can you explain what's going on?
Output: Why do you blame other people who had nothing to do with your actions?If it is because after the fact you wish you had accepted their help, then the person who is responsible for this is you!Since you are aware of your tendencies and how the interfere with your life, try to become aware of when you do these habits.This way you can interrupt your own patterns a little bit at a time."
"Instruct: I met a guy a while ago, and I can't stop thinking about him. I feel like I love him, but I don't think I know him. What if he is not who I think he is? I cry sometimes thinking someone is going to be with him or that he has a girlfriend. I don't know, am I too obsessive? Every time we talk though, it's like magic. He makes me feel amazing, but what if I'm mistaken?
Output: Keller, it sounds like you're living this relationship in your mind, instead of in the real world. You can get answers to your questions by talking to him...getting to know him will answer all the curiosities you have. You're asking the questions in your head instead of being in the friendship. So what is it that gets in the way of actually asking the questions and getting to know him? Fear of rejection? Fear of something else? If you have fear that keeps you from having fulfilling friendships, I recommend a therapist to help you work through that. I wish you well. :)"
"Instruct: I have dog obsession disorder and I am having problems with my girlfriend because I am placing more importance to my two dogs over her. How do I get over this problem and prioritize my girlfriend over my two dogs?
Output: Hey, dogs are cool. They adore pleasing humans and often LOVE to work on learning what you want and expect from them. Your girlfriend on the other hand, likely has her own desires and needs that she attend to before tuning into yours. You are good with dogs, that tells me that you've spent some time observing their behavior. The first step in working through this issue would be similar, start to tune into and observe your girlfriend more often... Observation is a skill when it comes to relationship building. The skills you have mastered in relating with your dogs can carry over, you will just have to relearn what behaviors you are watching. And keep in mind that also means observing yourself in relationships. "
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: Oh dear - this is becoming all too common.  I suggest you have some conversations with your girl to figure out where she is getting the ""information"" that she builds anxiety around.  I see teens  who have heard teachers, parents, coaches, etc push the ""highly selective colleges"" idea on kids way too much.  Teens in particular are prone to black and white thinking, leading them to see one poor test performance, one off day, one not-great assignment as the make-or-break task on the path to successful adulthood.  If that's the case with your daughter, she needs you to help modulate both the incoming information (there are nearly 5000 colleges in the US - she will get into one of them!) as well as her reaction to that information.As well, you and any other adults that are involved in parenting her need to discern fact from fiction.  The recent scandal around celebrities ""buying"" their kids into college is an indicator of how far off track we, as a culture, have gotten in terms of education.  A college education is certainly important, but we have allowed the marketing push to create so much stress and upset for our kids (and ourselves as parents) that they are actually less prepared to leave home and really engage in higher education than ever.You may want to include a therapist in these conversations if you get stuck, but start with a parent-child conversation.  Help her figure out what is going on - if it is the ""I have to get it right or I will have no future"", calmly walk her through all the evidence that says that's just not true.  As well, let her know that being anxious now is NOT preparing her for a bright adulthood - it's preparing her for an anxious future.  She needs help figuring out how to balance her effort to attend to real and reasonable expectations, not over-inflated fear-based actions."
"Instruct: He owns his own business. Sometimes, he stays out all night but doesn't tell me. We have a son together, and I get to stay home with him. He says I complain too much about what he's doing. We've been together a year and a half. I got pregnant after being together for a month. We moved in together when I had my son in July. Everything was great, and then he started the staying out. He then started not spending time with either of us. I just don't know if I'm doing something wrong. We've talked and he says this is just how he is, but he wasn't like this before.
Output: Hi Oklahoma, Listen to him when he says this is how he is. Your boyfriend's behaviours are about him; not you. At the start of a relationship it's easy to be loving and attentive; but it takes years to really get to know someone deeply. With time, people reveal who they are.For some reason, he is giving himself permission to detach from you and your son. This could be for several reasons; he may be avoiding intimacy and connection, he may be avoiding commitment, he may fear he isn't enough, or (and there is evidence of this one) he may have misogynist attitudes about male privilege that interfere with his ability to be the kind of supportive and respectful partner that you need. It seems that you've addressed this problem with him and told him what you need. Good for you. His response seems dismissive though, and this isn't a good sign. Any problem can be worked through if you have two people who care about, respect and listen to each other. It seems this basic foundation is missing here.I suggest a therapist might be able to help you sort out where to go from here. I wish you the best. :)"
"Instruct: There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.
Output: My wife won't do things she used to doThere are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.Like we often hear, communication is the key to a good relationship.  Intimacy in the marriage is something we take for granted, and we rarely communicate about it. I noticed how you mentioned that she had “once agreed to try” things; did you ever asked if she enjoyed those things or would want to repeat them.  Have you asked if she would like to try new things as well?What if, you work on improving your communication with your wife? One thing to consider is the status of your relationship.  Are you in good terms with each other? Are you or your wife going under a stressful situation?   Many times when we have problems we reflect it in multiple areas, including our intimacy or lack of it.  Listen to her; ask how you can support her.  Find ways to reconnect as a couple, relax, have fun, and do things that you used to enjoy, or discover new interests together.Then you can focus on having conversations about your intimacy.  You could star by letting her know that you are concerned about your romantic life, and ask if you do anything that she likes or dislikes.  Remember this is a two-way street, you should be ready to listen and ready to share.  Take in consideration what she mentions, and work on resolving those issues.  It is important that you praise each other as you progress and do this in a loving and supportive way, avoiding hurtful comments. If you continue to struggle, or seems difficult to engage in communicating with your wife, consider couples therapy or individual therapy to work on communication skills.Mi esposa no hace las cosas que solía hacerHay cosas intimas que ella hacia al principio de nuestra relación, y cosas que alguna vez ella estuvo de acuerdo en probar y que ahora no hace.  Yo  me paso pensando en eso todo el día.  Me siento rechazado y pienso que me case con la persona equivocada.Como tanto escuchamos, comunicación es la clave para una buena relación.   La intimidad en el matrimonio es algo de damos por hecho y rara vez nos comunicamos al respecto.  Noté como mencionas que alguna vez tu esposa “estuvo de acuerdo en probar” algo.  ¿Alguna vez le preguntaste si le gusto lo que probo, o si quería repetirlo?  ¿Le has preguntado si ella quisiera intentar algo nuevo o diferente?¿Y qué tal si trabajas en mejorar la comunicación con tu esposa?Un aspecto a considerar es si hay alguna tención en el matrimonio.  Si están pasando por una situación tensa en su matrimonio o algún otro aspecto de su vida, lo pueden estar reflejando en su intimidad, o la falta de la misma.  Escúchala, pregunta cómo puedes darle apoyo.  Encuentra maneras de reconectar en pareja, relajarse, divertirse, y hacer cosas que antes disfrutaban, o descubrir nuevos intereses juntos. Si demuestran que son importantes uno para el otro y apoyan sus necesidades, se unirán más y disfrutaran de su tiempo intimo.Luego trabaja en tener conversaciones sobre la intimidad.  Puedes empezar por dejarle saber que te preocupa la vida romántica preguntarle si hay algo que a ella le agrada o desagrada al respecto. Recuerda que esto será beneficioso para los dos, tú debes estar preparado para escucharla, y compartir tus preocupaciones.  Toma en consideración lo que ella mencione, y trabaja en resolver o eliminar esas conductas.  Es importante que se alaguen y animen en el proceso, que este sea un proceso de apoyo y crecimiento y que continúen teniendo esta conversación frecuentemente.Si continuas teniendo dificultad o no sabes cómo comunicarte con tu pareja, considera terapia de pareja como una alternativa, o incluso consejería individual para trabajar en tus destrezas de comunicación."
"Instruct: My husband told me last year he never loved me and should have never married me. He's been talking about divorce, but he hasn't filed. Now he has a girlfriend and he abandoned me and his kids. He has no financial help, and he has been out of the home for four months. He became very angry and mean. He says it's all my fault, and that we're not compatible.
Output: It's hard to say that it is a midlife crisis stage..  could be... but so much more seems to be going on or have been going on to say with confidence that it is not much more."
"Instruct: I have a relative who is in his twenties.  He was in a drug rehabilitation program and got kicked out for using drugs again. No one informed family that he was using drugs again.  He subsequently overdosed and was found dead.
Is their accountability of counselors, therapists or the halfway house for not reporting that he had relapsed? Is there a legal case for failing to report?
Output: I am so sorry for your loss.  Generally therapists only have a duty to report self harm to ones self or others if it is expressed to them.  Often times they will not report relapses due to the fact that proper releases were not signed or patient has specifically asked them not to for fear of shaming or failure again.  I understand this may not be the answer you were hoping for.  I would encourage the family to seek therapy themselves for help coping with such a loss. "
"Instruct: I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face.  It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do.
Output: Check out my latest blog:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!"
"Instruct: 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?
Output: 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."
"Instruct: 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.
Output: 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."
"Instruct: A few years ago I was making love to my wife when for no known reason I lost my erection,    Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage.    I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to.    What could be causing this, and what can I do about it?
Output: When I'm working with men with this type of situation, I always suggest a medical examination to rule out any type of organic reason for a difficulty in maintaining interaction. In cases where there is no medical reason for the loss of erection, I find that many men have a similar situation in experiencing negative intrusive thinking during lovemaking. My counseling approach for this situation is to incorporate the use of mindful sex."
"Instruct: I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking to get him something special with my country's name on it, and I remembered that he likes wine. My country is known for that. Is it appropriate to give him wine as a gift after Christmas?
Output: Hi, Different therapists are guided by the ethical guidelines of their own associations or colleges when it comes to receiving gifts, so this may differ a bit from therapist to therapist. It's important to me that I be sensitive to cultural norms, and to my client's needs. In Canada, and the US, it is customary for people to sometimes express gratitude with a small gift, and I have from time to time received small tokens of appreciation because I believe it would be rude to refuse this. It is never necessary to give a therapist a gift, but if you wish to express your gratitude in this way, I don't think it's inappropriate."
"Instruct: I was anxious to go to middle school. I was afraid of what people might say about me, so when school started, I wasn't acting like myself. I was quiet, which I'm usually not. I didn't talk to anybody and didn't have any friends. Then a few years later, my grandma died. I really became depressed and stop going to school for a little. I hated myself and still do. I just need help. I need someone to care for me. I need someone to show that they care.
Output: I agree; you need more care and support. No one deserves to feel alone, or like they hate themselves. We're all wonderful, imperfect, complicated people and we're at our best when we're all helping each other. I'm glad you wrote this question, because a lot of people have this feeling sometimes. I can tell that you're smart, because you seem to sense that the two things you wrote about are connected...you ""not being yourself"", and then how you felt when your grandma died. When Grandma died, you needed and deserved extra love and support, but the people around you didn't seem to give it to you, maybe. My hunch is that they wanted to, but that they didn't know how much you needed it, or what you needed exactly. The older you get, the more you will have to take charge of letting people know what you need. Maybe this is one of the suckier parts of being mature, but that's how it works. When you started middle school, it sounds like you changed; you got more quiet, right? That must have felt weird, to not be acting like yourself. It sounds like fear tricked you into thinking people wouldn't like you. Fear can be silly. So then, fear got you to not show yourself, and when we don't show ourselves, people can't see who we are; they don't know us as well and then they don't know what we need and they can't care for us as well either. Fear of not being liked isolated you from the people who love you. It does that to a lot of us. So, where you're at right now is because of what fear did to you, and also because when Grandma died you were already isolated so people couldn't see your pain and know that you needed support. There's a simple solution, but you'd have to be brave enough to look fear in the face and say ""Get off my back!"". ""You're not helping me by telling me lies."" Can you be brave enough to go back to your old, louder, self? If you talk to the people closest to you...tell them what you think and how you feel, then they'll be able to give you the care that you want and deserve. I wish you well as you try this!"
"Instruct: I feel that I am struggling with undiagnosed bipolar disorder, and it is making my day-to-day life extremely difficult.
Output: It sounds like you are experiencing a great deal of distress and you're wondering if it may meet a diagnosis of Bipolar disorder. There are a few different types of Bipolar diagnoses in the DSM (diagnositc and statistical manual) and the best way to find out if your experiences would meet that diagnosis would be to meet with a mental health professional. You can also look up the diagnosis online and see if what you are going through meets the criteria.One question that I would have for you is, what would it mean for you to find out that you meet the criteria for such a diagnosis? It sounds like whether or not you do, you are suffering and working with a therapist may help you get into a better place."
"Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.
Output: Although the marriage vows say in sickness and health, each person has the right to choose to stay or to leave, depending on their ability to cope and handle marriage challenges.  I know is hard not to focus on him and his choice, but the more you put the focus of attention on him the least support you will receive. Focus on increasing self-care activities and building a support system around you.  A therapist can help you to work with depression symptoms, build up your self-esteem, and developing coping skills.  Also, invite him to a therapy session so he can clarify any questions and concerns regarding your diagnosis.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.Mi esposo quiere divorciarse después que fui diagnosticada con depresión severa.El dijo que intentaría y nunca lo hizo.  Has pasado nueve meses, y esto me está haciendo sentir peor.   Hoy, el dijo que yo debo respetar la decisión que el tome.   ¿Es eso cierto? ¿SE supone que respete la decisión de irse porque él no puede manejar lo que yo estoy pasando y me deja llorando y preocupada cada noche?  El cambia de opinión todo el tiempo.A pesar de que los votos matrimoniales dicen en la salud y la enfermedad, cada persona tiene el derecho de decidir si se queda o se va, dependiendo en su habilidad de lidiar los retos del matrimonio.  Entiendo que es difícil evitar enfocarte en él y sus decisiones, pero mientras más enfocas tu atención en el, más vas a resentir la falta de apoyo.  Enfócate en aumentar el cuidado personal y en desarrollar tu sistema de apoyo.  Un terapista te puede ayudar a trabajar con los síntomas de depresión, mejorar tu autoestima y desarrollar mecanismos de defensa.  También puedes invitar a tu esposo a terapia para hablar sobre tu diagnosis y que aclare dudas sobre los síntomas y expectativas.Si te gustaría recibir terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478."
"Instruct: I tried telling my husband I was depressed, and he ignored me. He said ""you're always sad or depressed."" And he picked up his phone and ignored me. I said, ""Please don't exaggerate, that isn't true."" And he said, ""Whatever babe. You just want to be sad.""
   How can I get through to him so he will take me seriously?
Output: It can be hard for husbands to hear that their wife is unhappy.  By nature men tend to be more of the fix it type.  So if they are sad, they fix it.  If their wife is sad, they fix it.  He may feel helpless to help you and that may be why he is saying those things to you.  It's not that he doesn't care or that he doesn't take them seriously, he might just have no idea how to help.  I would start by making an appointment to talk with a therapist about your sadness.  Meeting with a therapist may help you to learn some tools and strategies that can help you to manage some of the sadness you are feeling.  A therapist can also help you to gain some understanding and insight into why you might be experiencing sadness.  Depression is not something you have to sit with, therapy can help.  Once your husband sees that you are being proactive in addressing your sadness/depression he will probably be more open to listening to you and supporting you.  He might start to have ideas and input on how you two can work together to change some of the situations or things that might be holding you bakc."
"Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone.
   My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?
Output: Unfortunately you seem to have yourself in a double bind. By living with your mom she is not going to stop her attempts at what you perceive as ""controlling"". There is no use in trying to debate or get her to ""see your point"". As long as your there and you personalize her attempts at control, then you will find yourself frustrated and resentful. Try to find an extra job or a roommate so that you can do the natural process of moving on out.www.lifecounselingorlando.com"
"Instruct: I keep having these random thoughts that I don't want.  Things like ""you aren't worth anything.""  I know they're my own thoughts but it feels like someone else is saying it.

What is wrong with me, and how can I stop having these thoughts?
Output: First off, there is nothing wrong with you.  In fact, having random thoughts we feel we cannot control is actually quite common and normal.  Sometimes our thoughts think they are protecting us (if we think we aren't worth anything, it won't hurt when we get rejected) but they are actually doing quite the opposite.  They are keeping us ""stuck"" and creating a self-prophization.  (If I think I am not worth anything, I don't have to try, and I will keep proving to myself that I am not worth anything).  There are many techniques to work through and start to change our negative self-talk.  There are actually many self-help workbooks that can help with this as well.  A technique I like to use is meditation or mindfulness.  This can teach us to accept our thoughts (not fight them) and then learn to let them go.  Release the power they have on us.  If we can learn to release these and not ruminate on them, this will give us the space to allow more positive and supportive thoughts to come in.  Mantras can help with this as well (I AM worth a lot, I AM important, I have value).  Saying these to yourself everyday over and over (even if at first you don't believe) can retrain our brains to believe it (and allow us to believe it).  I have even wrote positive mantras to myself in my bathroom mirror so I am forced to look at these throughout the day.Please remember to not be hard on yourself as you begin to attempt to change the automatic thought patterns.  It took a while for you to get where you are and it will take a while for this change to kick in and feel normal.  So allow the process to happen slowly and allow yourself to accept you as the amazing and brave person you are.  "
"Instruct: I don't know what to say. I have never really known who I am.
Output: Therapy may be an effective way for you to get a stronger sense of who you are. A competent therapist will work to create a safe and curious therapeutic relationship in which you can explore your identity. There are also many different exercises which you can do in and out of therapy which you may find helpful in this area as well."
"Instruct: I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: First I am so sorry for your loss.  Most people go through the grieving process.  I would get a better understanding of what that process is.  Everyone has their own way of handling loss.  You are taking the first step in realizing that you are having a difficult time coping with it.  I would reach out to a therapist that has experience treatment patients with loss. I would also recognize that drinking and smoking are both substances that will not make depression or depressive thoughts any better."
"Instruct: I have a problem with binge eating, especially during times of stress. I binge eat and feel so overwhelmed with shame and disappointment that I end up going to the gym and trying to exercise the calories off. I am in my late 20s, and I have been dealing with this since I was a teenager. Are there any coping mechanisms I can use to break this cycle?
Output: I believe that for results that last, the best approach is to understand why someone feels like doing a certain behavior.""Coping mechanisms"" are superficial instruction that people usually give up on when feeling extreme pressure from the problem behaviors.Take the slower road of understanding why you would deprive yourself of enjoying food.Also, if you consider the binging as a mistake of some kind, reflect on why doing something less than ideal, deserves harsh criticism and not tolerance and acceptance that people mess up occasionally.I'm glad you know that there are better ways of treating yourself.  This is a valuable awareness of realizing you deserve patience and respect, not humiliation and severe criticism when you are lost as to best ways of self-care."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Yes, if crying is how you are expressing an emotion, then not only would it be normal, but hopefully encouraged, because it's an important part of therapy to have a safe space to express your emotions. We might encourage you to put words to the tears as well, to help you expand on your experience and begin to make more sense of it.As a therapist, our job is help you open up and feel comfortable enough doing so. I sincerely hope no therapist would ever shame you for whatever experience you are having in the room."
"Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone.

My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?
Output: Hi!   I'm sorry you are having such a tough time with this situation.  I have worked with a number of young adults in their 20's who have had to move back home after college , or even stay at home through the college years.  Bottom line is that either way , it is so difficult when you are trying to discover who you are and what you want your life to be , to have to live at home.   I have even heard much older adults clients  say that when they visit their childhood home , they suddenly feel like a ""kid"" again .  The old dynamics between adults and their parents and siblings can pop right up as if they have gone back in time and are no longer adults !I would suggest that you approach your mom and say something like ""I am hoping we can talk about the best way for us to manage me living here.  I really appreciate that you are giving me a place to live until I get on my feet , and I want to be respectful of you and our home ; at the same time , though, I feel like it's important for me to have more independence than when I was younger because I am growing up and trying to learn more about myself and become more autonomous. Can we talk about what might be fair rules that we can  both live with ?"" If she is receptive , maybe you can each write a separate list of what you think would be fair and reasonable and then compare lists and try to make compromises and come up with a list of ""guidleines"" that feel fair to you both .   If this is too hard to do alone , perhaps you and your mom can meet with a therapist a few times who can help you to come  up with some kind of ""compromise contract.""   This is not an easy situation , but if you can approach your mom in a calm and ""mature"" way and suggest a planned, structured discussion that doesn't take place in the heat of the moment , your mom may be impressed by your maturity and even more receptive to working out some rules that you can both live with.Good luck !!Elissa Gross"
"Instruct: I have severe anxiety and have tried everything. Everything makes it worst.The only thing that helps is my emotional support animal.
Output: Sorry to read of your suffering.Is it actually permitted that people are able to take support animals to school?I see your point of the animal helping you.  I just also see the point that some people have allergies to animal hair or dander, or may feel distracted by an animal in the classroom.You may end up feeling worse, if when you bring your support animal to school, that it disturbs people or interferes with the routines of the class.For your anxiety, I suggest some loving kindness toward yourself.  Be patient with yourself and that you have anxiety.  If you're able to accept that some situations create great discomfort for you, maybe you'll tolerate these difficult situation.Embrace your anxiety as part of you, basically, rather than trying to banish it, which because it actually is part of you, is impossible to achieve.In a way, I'm suggesting you become your own ""support animal"".  Love yourself, be kind to yourself, and see if you feel a little less stressed in school."
"Instruct: 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?
Output: Sorry to hear your friends aren't responding to you. If these friends are in-person as well as online, perhaps going to them in person and asking talking to them about your concern. Perhaps it's the way you send messages or the way they are receiving them. if they say no, then a simple request to respond to your messages. Measure the result and notice if there are even small differences. Also understand, why this is so important to you. Ask yourself, why it's so important for you to receive these messages from friends. What does it mean when they don't respond. "
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for.  Is there anything I can do to feel reconnected?
Output: Feeling alone in your marriage is one of the most painful feelings. Wanting connection with your spouse yet feeling the all too familiar distance that's keeping you apart can be so hurtful. But, change is possible. You might be able to move closer toward each other on your own but since there has been two years of distance, I would suggest looking into couples therapy with a trained couples therapist. They are trained in helping couples begin to examine what's been happening that has caused a drift in your marriage. I'm also curious if there was a significant event that occurred around the time you started feeling distant. If there was something that occurred during this time that is hard for you both to talk about, couples therapy can help with this also. It can provide a safe and supportive space for you both. "
"Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for.  Is there anything I can do to feel reconnected?
Output: I'm sorry for how you're feeling in your marriage lately.  Are you and your husband able to talk directly about your feelings?  The way two people connect is usually by talking with each other to understand what each one cares about and thinks.Your current emotional suffering is the natural result of being married to someone who shows no interest in doing this.If your husband wants to start talking with you, then there is a chance the two of you can reconnect.  If he doesn't want to participate in the relationship with you, then start to think if its possible and for how long, to get emotional support from friends and family who do care for you.Also a question for the future is to understand what the value of your marriage is to you besides having a connection to your husband."
"Instruct: What should I do when we see each other?
Output: I am so sorry this happened.  Sharing a part of your private life without your permission can be so painful.  I might suggest (depending on your relationship) reaching out to your sister and discussing this (or setting boundary that you don't want to discuss your private life).  I might also speak with your wife and share how hurt you are and what you need to happen moving forward to begin to heal.  "
"Instruct: I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I’m unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do?
Output: As a prior military spouse myself I can happily report that you have several options in this case. First, you can go to the visitors center and let them know what has happened to get a temporary pass for a new id. Also, you can call the squadron commander or other official from your husband's unit to get them to tell you how to proceed. You can also contact the military personnel flight for more information The best thing is to get a new id as soon as you can. There should be no problems because it was stolen and yu might need to report it to the military police or security forces on base."
"Instruct: I'm a guy. If I don't like girls, nor do I like guys, does that mean I'm gay?
Output: Hi, and thanks for your question. I agree with my colleagues about researching asexuality, but I want too add a couple of things about that:Here is a website that you can start with to get some information about asexuality - http://www.asexuality.org/home/There are a whole lot of myths surrounding asexuality. One is that people who are asexual have absolutely no interest in sex, and that is not always the case. There are variations of asexuality. Some people who are asexual have an interest in sex and others don't. Also, once you read more on this topic, you may find that you don't connect with asexuality either, and that is okay. Our society usually thinks of sexual orientations as only being straight, gay, lesbian, or bisexual, but the truth is there are many variations of sexual orientations. Keep exploring. There is a good chance that there is a community of people who feel like you do. Finally, labels are important for a lot of things, but labeling ourselves can sometimes lead to some painful feelings. Try not to feel pressured to label yourself too quickly. This is your journey. Your experience. Take all the time you need. You may never feel the need to label how you feel, and that is okay, too. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: I'm thankful to read your husband found care and that his suicide attempt wasn't successful.   While he was hospitalized, and prior to his release, your husband would've been provided in writing a self-care action plan. This typically includes things like committing to a contract 'not to harm' and what to do if he felt overwhelmed by his anger, depression, and hopelessness (e.g. call 911, call therapist, go to nearest hospital emergency department). Additionally, his protocol would've provided instructions for his taking medication(s) as directed, having a follow-up appointment(s) with his psychiatrist/psychologist/clinical social worker, and participating in some form of small group support.  If your husband's struggling as you describe, and you are feeling overwhelmed or frightened for his (your) safety, I'd encourage you to seek immediate assistance."
"Instruct: I have family issues, and my dad was both violent and a cheater.
Output: Hi New York, There's no way to keep your past from affecting your present and future, because it's a huge part of who we are. The GOOD news is, though, that the effect doesn't have to be negative. I'm met many people who have horrific pasts and it helps them know confidently, every day, what kind of person they want to be and what kind of world they want to live in, and it helps them make really great decisions. You can accept your past, integrate your traumas and move forward in a very different way. If you see negative ways in which your past affects you (and this is also common), you are wise to seek professional help. Without knowing more, it's impossible to give you a lot of direction here. Basically, our past creates emotional ""bruises"" that are touch on and triggered by present situations. But our reactions are often about more than just the present moment. I think you know that.I wish you the best as you sort it out."
"Instruct: I am a female, and I am afraid of having sex. I am afraid of disappointing my partner by being inexperienced. I think he thinks I'm not a virgin. I am also scared that he will be disappointed with my naked body. I don't want my partner to think differently of me because I am afraid of having sex.
Output: As hard as it may be to do this, since all the media and marketing of how an ideal person looks and performs sexually, surrounds us, keep in mind that the images presented in order to sell movies and almost any product, is meant to trigger fantasies.No one is a fantasy, we are all real and unique.  We can be influenced to believe that being a fantasy is better than being who each of us is, genuinely.Your partner may be much more accepting of your body and your level of sexual experience, than you are of yourself!Sex within a relationship means the two people want to have with the other one, not because they have ideal bodies and expertise, but because the person wants to make love to the one whom they love.When you are in a loving relationship, part of this includes talking about sensitivities and insecurities.  Having a conversation gives the chance to know that you are accepted for who you are, not how closely you resemble a made up idea meant to persuade people to buy items."
"Instruct: I'm in my early 20s, and I've been seeing my boyfriend for a year now. My boyfriend has always been the sweetest guy until recently. He has made comments such as “you would look better as a Tumblr girl"" or ""you should start doing more squats."" It's really hurtful.
Output: My first thought was that I wondered what changed recently. Is he open to having a discussion about this so you can ask questions such as that one?It's possible that he does not understand the degree to which it hurts you.Try asking if there is a time that would be good to have a discussion that is important. I don't know how well the two of you have communicated over the last year, but if you are concerned about this turning into an argument, you may consider asking him to just listen to your point of view and see if he is able to summarize it correctly. Then you can listen to his side of the concern."
"Instruct: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?
Output: Affairs and infidelity are tough areas to address. The power of the affair comes from the feeling of injustice that seems to have happened to you. The struggle I notice people have is with the forgiveness. Forgiveness is something that is asked of you from your partner but also you have the power to give. I assume you want to forgive or have forgiven. However, the forgetting part is difficult. It seems that image of her happiness may have triggered something in you that isn't happy. I'm not sure how often you are triggered by her but it seems there is something there you need to process. The forgetting part sadly is difficult to put past your mind. However, it's being able to see the unfortunate situation they did and be able to walkthrough it even though it's painful. I think maybe speaking with a local therapist about this as it's often difficult to process alone. Also, see how you are feeling as days go on. Do you find yourself obsessed? If so, you may need to seek a professional counselor."
"Instruct: 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?
Output: No, it is natural for us to have a number of issues going on if we don't address the concerns we have in our lives. Seeking counseling can assist you in working on these issues individually as well as ways in which they intersect and impact each other."
"Instruct: 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?
Output: Certainly."
"Instruct: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?
Output: To begin, I'm sorry to hear about your situation. Like many of the professionals have stated, infidelity is a very difficult obstacle to move forward from. It's not impossible. While forgetting is probably the hardest part, forgiveness is something that can and will happen. There are things you can do to help yourself. The first this is identifying what you feel is best for yourself and your children. That means being honest with how you feel being in this relationship on a daily basis and understanding how it's affecting you. Second, how is your relationship affecting the children. Do you feel that by staying in the relationship that it's affecting your daily interaction with them. If so, that' something to keep in mind. Next, Really looking at the pros and cons of staying in the relationship. A specific breakdown of what benefits come with staying and what are the ramifications. Vice-versa for leaving. Include your partner. I think being honest with him and letting him know what you are thinking is could be a great option. At least you aren't keeping something inside yourself to manage. Rather, you are being transparent to them. Sometimes a couple can come to an agreement that it may be time to end things and other times it may be best to keep moving forward with a serious plan to how to move forward. Regardless, if you can't trust him and that feeling will never go away it's time to address it. Couple therapy can be beneficial as well as a therapist can provide professional counseling to you. Earl Lewiswww.RelationshipsGoneRight.com"
"Instruct: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
   I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.    Do I have the rights to be able to sign my brother into mentalhealth facility?
Output: Hello, My heart goes out to you, your brother, and your family, dealing with a very painful and difficult situation. In New York, you can't institutionalize someone else directly. You can, however, call the police or EMS. If they agree that he would benefit from hospitalization (and it sounds like they would), he can be held in the hospital for up to 72 hours, whether he agrees or not. Some hospitals will not hold a person that long, in spite of what we might want. I have seen many patients in and out of hospitals countless times, and it has been my experience that it can be extremely difficult to hold a person long enough to achieve good stability and an appropriate after-care plan. Hospitals in NYC tend to take a ""patch and release"" approach more often than I would like. It's been my experience that family makes a difference. Assertive, knowledgeable, persistent family can improve the quality of your loved one's care. Hospitals are highly pressured to discharge people quickly but they can not discharge a homeless person without someplace to go. If your family is willing to accept your brother, that will be the path of least resistance for the hospital. If the family refuses, they will be forced to find another path for him. You can also pressure the hospital to refer to rehab after psychiatrically stablized (which may only take a few days) and that may give your brother more time to begin making clear-headed decisions. If your brother has a psychiatrist, that person should be actively involved. I had a patient patched-and-released three times, in spite of my advocacy and him literally begging to remain and stop his voices. We finally got a 90 day hospitalization because I strong-armed his psychiatrist into demanding that the hospital stabilize his patient.  If your brother has a history of non--compliance with oral medications, you can push the hospital for injection, which again will help your brother stay stable for longer. Best wishes to you and your family."
"Instruct: 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?
Output: Hello, I commend you for your courage in taking a look at the role alcohol has in your life. It sounds like you're concerned about what happens when you drink too much and I suspect you already know the answer to your question about whether you have a problem or not. I imagine you would like to stop feeling guilty and would like to avoid cheating on your boyfriend or other negative consequences and maybe have a fear of being or becoming an ""addict"" or ""alcoholic."" You might have a ""problem"" but that does not necessarily mean that you are an addict. I don't have information to know if ""addiction"" or ""dependence"" or other words would best describe where you are with drinking, but it sounds like it's begun to have some negatives, so forgive me using words like addict, dependence and so on. I mean it more as a road map than a diagnosis. The feedback I'm writing here is very general and doesn't address physical dependence and many other factors that might apply to your situation.  One of the ways to think about substance (mis)use is to think of addiction as a disease of avoidance. Let me repeat that: it is a disease of avoidance. Your ultimate task in living a balanced life is to figure out what you're avoiding and develop other ways to manage those feelings, experiences, and so on. And of course, along the way, you may want to look at triggers, situations, biological vulnerability, social pressures, coping skills, relapse prevention planning and so on. Depending on where you are in your drinking, you might very well benefit from expertise and support. Remember also that alcohol depresses our central nervous system and disinhibits us. That means that alcohol is often a substance of choice to relax, destress, calm down, etc. Also, it allows feelings, thoughts, and behaviors that we usually inhibit to be expressed. If you were unfaithful and often angry, that's your first signpost. For angry drinkers, it is often true that you don't drink and then get angry, you drink in order to express anger. I recommend you find someone you can speak frankly with, who is knowledgeable about addiction. Wishing you the best health and wellness. "
"Instruct: I've only been married three months. Every week, we argue about something, and it seems to be getting worse.
Output: At the begin g of marriages, we expect to be living on an eternal honeymoon, but the reality can be different.  This is a process of adaptation, even if you had known your better half for a long time, during the first months and years of marriage you go through a process of settling in your new roles and confront new challenges together that as you resolve become new rules and agreements.Yes, you can work this issues by practicing assertive communication, being clear with each other about what is the problem, how you feel about it and how would you like to resolve it.  Learn to close arguments with resolutions, and reminding that you care about each other, that’s why you choose to be together.  Discuss your roles and expectations, this is normally done over a marriage preparation class, is never too late to sit down a talk about what you want and look for in a husband/wife and clarify your roles and rules. Find couples therapist who mediates communication and helps both of to you learn assertive communication skills and conflict resolution. ¿Cómo puedo arreglar mi matrimonio?He estado casado por tan solo tres meses.  Cada semana discutimos sobre algo y parece ponerse cada vez peor.Al inicio del matrimonio, esperamos vivir una eterna luna de miel, pero la realidad es diferente.  Es un proceso de adaptación, sin importar por cuánto tiempo hayas conocido a tu pareja.   Durante estos primeros meses se definen los roles en el matrimonio, también enfrentan nuevos retos juntos que según resuelven se convierten en reglas y acuerdos.Sí, puedes resolver estos problemas practicando comunicación asertiva. Deben aclarar sobre cuál es el problema, como se sienten al respecto y como lo quieren resolver.  Aprendan a resolver las discusiones con decisiones claras y recordando que si les importan uno al otro, y por eso decidieron estar juntos en primer lugar.  Discutan sus roles y expectativas, regularmente esto se hace durante clases de preparación matrimonial, pero nunca es tarde para hablar sobre lo que les gustaría que fuera su matrimonio y lo que esperan de su pareja, así clarifican los roles y reglas que aplicaran a su unión.Encuentren un consejero matrimonial que les ayude a mediar los problemas de comunicación y les ayude a aprender destrezas de comunicación asertiva y resolución de conflictos."
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder.  How do I move on?
Output: The best way to move on is to give yourself sufficient time and space away from your ex so you can heal.  That means no checking out your ex on social media platforms and no contact.  In order to move on and diminish the obsessions, help yourself recognize and accept that the relationship is over, and make sure to get sufficient support in processing all your feelings.  Once that takes place, it can be useful to explore and process with a professional the meaning of the relationship and to understand your part in what transpired.Sometimes people obsess because they have difficulties accepting what's already taken place and want things to be different.  The key to moving forward is to be loving toward yourself, to give yourself permission to grieve the loss, and to start cultivating new and healthy habits/patterns.  Reengage in your present life, ask yourself what you want your life to look like, and start creating goals and taking small steps to create the amazing life you want for yourself.  "
"Instruct: I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.
Output:  A lot of times when you're experiencing nightmares and flashbacks, it can be a sign that you haven't fully processed what happened. Our brains tend to replay scenes in our life that we wish had turned out differently or  in an effort to desensitize us to it.  If you are comfortable with it, you may want to consider sharing what you're experiencing with your current partner so that he is able to understand what's going on. Also, you may want to consider  what parts of your past relationship you blame yourself for. This can be a difficult task to undertake on your own, and the help of the therapist may be necessary to sort through the memories in a safe way.  Typically however, flashbacks and nightmares are a sign that the trauma  of what you went through needs to be addressed.  it's a great thing that you were able to have the courage to get out of that relationship and you should be proud of yourself for that.  You may want to  begin therapy to address these traumatic memories and help you to sort through any conflicting emotions you have about it (i.e.  Feeling like it's your fault for not recognizing the abuse or getting out of the relationship sooner, blaming yourself for being  "" The kind of person who gets into an abusive relationship "",  or believing that you somehow caused your ex to abuse you in some way.)  These types of beliefs and feelings can prevent us from moving past traumatic experiences and a trained therapist can certainly help you sort through them. "
"Instruct: 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?
Output: Hello, and thank you for your question. I am so glad that you reached out for help. I know that the dysphoria can feel nearly impossible to handle, especially since you have limited support from people who accept who you are. You may already know some of these resources, but I am going to share a few. 1. The website www.letsqueerthingsup.com is a blog from a very good writer that I know. His name is Sam Dylan Finch, and he is transgender. He writes about mental health, transgender issues, and many other topics. I know he has frequently written about gender dysphoria and ways to manage it. You may want to check out his site and do a search on there. 2. The website www.everydayfeminism.com employs many transgender writers and several have written about gender dysphoria and have given ideas for managing it. If you search for gender dysphoria on their site, many articles pop up. It may be a good resource for you, especially if you ever feel lonely and start to forget that there are others out there who are like you and have your back. 3. I am not sure where you live, but there are counselors who specialize in affirmative therapy, which is what is recommended for folks who are part of the LGBTQ community. So, if you decide to see a counselor about the dysphoria, try to find one that specifically says they have been trained in the affirmative approach. In addition, feel free to ask questions of the counselor before agreeing to see them for counseling. An ethical counselor would have no problem answering them before having you come in. 4. If there are some LGBTQ resource centers in your area, try to reach out to them and see if there are support groups. Gaining more support from others would be helpful. Sometimes LGBTQ-friendly counselors leave their contact information for people in resource centers. 5. Finally, I know you have not mentioned being depressed or suicidal, but I also know that it is very common for people to consider suicide when they are struggling with dysphoria, dealing with transphobia, etc. If this ever happens to you, please call 911 or the Trans Lifeline. It's free at 877-565-8860. Visit their site at www.translifeline.org. I hope some of these ideas help. Feel free to send another message if you have a follow-up question.Be well....be YOU.Robin J. Landwehr, DBH, LPC, NCC "
"Instruct: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?
Output: It is not a stupid question, it is very basic. To help answer your question, let me begin with the premise that you will never have absolute proof. With that being said, one can look at different phenomena in nature and history and figure what is the statistical probability that they happened randomly. If one comes to the logical conclusion that many are quite improbable, then there must be a guiding force and plan.  May you be successful in your journey."
"Instruct: What am I doing wrong? My wife and I are fighting all the time. What can I do? We don't agree on anything and she usually jumps to conclusions, which are usually wrong on how I feel. She is very family-oriented while all of my family left me on my butt, abused, ignored and messed up with me mentally. I'm not a family-oriented person. I only have two people in my life - my best friend and my wife.    My mother forced my father out of my life so I do not know who he really is. We've gotten in contact but he just makes comments on how much I look like her when in fact I look more like him. This makes me mad because I don't want to look like my mother. I hate her. All that she did was bring me down and make me homeless, which she was successful at. I need guidance in my life. I don't want to lose my wife but we need to have a space because we usually hit each other and it's not healthy. I'm dying to make our relationship healthy. I've never wanted anything more than this. Please help me. I need your advice.
Output: Hello. It sounds to me like you are carrying an enormous amount of emotional weight, and maybe even an equally enormous amount of guilt and feelings of failure about your marriage. I cannot imagine how challenging this is for you right now. Marriages take lots of work, and often the only examples we tend to have are of those we saw when we were young - good, bad, or indifferent. There are no easy answers to your questions, and I won't presume that my response to you will be the linch-pin that heals all your pain. But I can maybe give some thoughts and reflections. First and foremost, cut yourself some slack. No one is perfect. We fail more often than we succeed, but in the end we learn, and that learning helps us grow. Yes, you're right, the abusive aspects of your marriage are not good, and need to stop. You probably are doing more harm than good in that regard, and this will quickly destroy anything you have in your marriage that is even remotely in your favor. Seeing a therapist for yourself, and then seeing a therapist as a couple is a good approach. You have issues that you need to resolve, that, while they impact your marriage because they are part of the history of your life, they are separate from your marriage in many respects.Joining a marriage support group can also be helpful. You can find these through local counseling resources. Sometimes your local crisis numbers can provide services in your area that can be helpful. If you belong to a religious or spiritual community, then you might see if there is any type of counseling offered for free or at a reduced rate. Sometimes pastoral support is focused on the spiritual side of any issues addressed, so if you feel this is important it might be a viable option for you.Lastly, parents are imperfect. Yep...its true. They had no more of a guaranteed parenting success manual than you do at having chances for a perfect marriage. We limp along and do our best. Having said that, we can still take the best from our past and apply to our future, no matter how small or insignificant it might be for us. The bad stuff serves as lessons of what to avoid, and we are each responsible and accountable for our actions in this life. Both with ourselves, and toward other people. So this becomes a guiding principle in our actions. It may be that you discover that the marriage you are in is not a good fit.  I am sure that remains to be seen, but either way you both must be involved in saving it. If only one of you cares, then 100% of the energy to salvage the marriage rests on the shoulders of one person. That's not fair. So be sure you have a clear understanding from your wife about what she wants, and work to create an amicable solution. All of this said, seek out supportive friends, and actively work to do your part to make the changes you want to see in your life. One way or the other, you will benefit from it.Be well."
"Instruct: On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs. I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest.    How do I fix this?
Output: Sometimes we let our insecurities get the best of us, causing us to make some interesting choices. Honesty is always the best policy, but honesty comes with risk.  Perhaps you may want to start with your family first, explaining to them what you have done and why.  Perhaps they can help you to practice talking about your insecurities with your friends. Another way is to start, slowly, to dress more and more like yourself and your true body shape. Some of your ""friends"" may make fun of you, true, but then you must ask yourself...why do you want to be friends with people like that?"
"Instruct: My wife and I got separated because I asked about her contact with a male friend of hers. The next day, she kicked me out.  She let me move back two days later. Yesterday, she said she wanted a divorce then quickly changed her mind. I asked if the other guy was a factor, but she says it's not my business.
Output: When ""threats"" of leaving, such as what you described in your question (""kicking you out, wanting divorce"") are continuous in your marriage, it can start to erode at the foundation of your relationship, impacting both partners. And, if you're concerned about the influence of another male in the relationship, and are unable to express your concerns or fears to your wife, it's extremely difficult to build a secure functioning relationship. From the information provided in your question, it seems as if there is some avoidance evident in your relationship. Avoidance of being able to express yourself and have honest communication about your relationship. If your wife is willing, I would recommend seeing a marriage counselor to help you both during this time. Or, for you to talk with an individual therapist, if marriage counseling isn't an option.  "
"Instruct: I've been married for 3 years and I have two kids. During my 3-years married, my husband cheated on me twice. The second time really got to me and at my lowest I hurt him back. We aren't communicating as well as I would like. What do I do?
Output: Hi there. Thank you reaching out for help. It takes a lot of courage for someone that is being abused to reach out for help. I want you to know that I am here to help you in any way that I can. First and foremost, you did not mention whether or not you had children yourself by this man. I’m going to assume there are. So, the most important thing right at this moment is asking yourself, if you and your children are safe? Is the boyfriend currently living in the home or is he coming and going? If he is coming and going or currently living in the home, my suggestion for you to is to pack a bag for you and your children and go somewhere safe (i.e. family members home, friend or a shelter temporarily). I cannot stress this enough. Although, some people tend to minimize their abusers behavior (i.e. they only do it when they are drinking, they only do it when they are mad), it’s those individuals that find themselves or their children in a serious situation. So, you can never take abuse (physical or mental) lightly because you never know what is going through that persons mind at that particular time. It’s always better to be safe than sorry. Secondly, it will not be safe, helpful or productive to attempt to talk to the abuser about your relationship. Abusers often times try and manipulate you into staying by apologizing or attempting to justify their behaviors. This is the time you would want to go see a magistrate in order to get a protective order for you and your children.It’s unfortunate that your significant other was involved with another women causing pregnancy; however, that is no longer your concern. Your concern at this point is keeping yourself and your children safe. I would also suggest counseling for you and your children in order to work through these issues. I hope this was helpful and please stay safe and take care of yourself."
"Instruct: I've known him for about six years. We've dated off and on. I hadn't seen him in close to three years but recently started seeing him again. I really want this to last this time. I stayed the night. Do I text, call, or make contact first, the same day of the morning I left his house?
Output: I don't see why you can't call, text, or make contact first. It would be up to him to reply when he can and wants to, but I don't know why you couldn't initiate contact.One thing to consider as you get to know each other better is having conversations about conversations. For example, you could say ""I'd like to call or text you more often, but I'm concerned about _____ (listing what you are most worried about)."" Then he can discuss his reaction and you can have a dialogue about it."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Please feel free to cry during therapy if you suddenly feel painful emotions arising when you describe some of your unsatisfying and unfulfilling relationships and situations.Crying when realizing the emotional hurt and unfairness between you and someone, clears you for new ways of handling interactions.As a therapist, I always have a box of tissues on the table next to the couch where people who utilize my therapy, sit.I hope you will soon discover that once your tears unlock your awareness of harmful relationships in your life, you will quickly see the freedom to establish new and happier patterns of relating.Have a good therapy!"
"Instruct: Does counseling really do anything that can help people?
Output: "
"Instruct: We’ve been together almost three years. We argue and he ends it by telling me he doesn’t love me. It's hurtful because I am all about resolving the problem, and he dwells on the issue even if I drop what he's done and just swallow my pride and say I am sorry. How can this be resolved? We have kids, and I don't want a broken family because we can't communicate.
Output: Under duress the very youngest parts of you and your boyfriend emerge. So, while you still look like grown ups, your actions and words are motivated by very early preverbal parts of both of you. In simple terms it is as if two infants somehow acquire the ability to say words but they are motivated by very basic early wounds that were created due to deficits in what was able to be done for each of you, and likely understandable in terms of caregiver's life experience, and that still fell short of what you needed. You are both still trying to get very early needs met. The best advice I can offer is to try and remember this as early as possible when things start to heat up, and then restrain expression that you already know leads nowhere helpful. And seek out a therapist who can help you to work with these early issues and can support you to grow and develop from this stuck point.Avraham Cohen, Ph.D, R.C.C., C.C.C."
"Instruct: I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least.
   I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me?
Output: Sometimes it's helps to have a name for a problem - it can make you feel less alone as in, ""oh there's a name for this and other people have this experience too."" On the other hand naming the problem can also make it stick around longer as in ""now I have a special problem that has a special name, and that's an important part of who I am.""Bottom line, whether it's a disorder or not, you would like life to be easier and not have to be pulled so much by other people's energy and feelings. You might want to try imagining that you have a volume dial on your empathy (just like the volume dial or button on the tv) that you can gently turn down to the point where you still feel what's going on but it's not so ""loud"". You can also try imagining pulling your own energy back as if you were drawing your energy back home to the center of your own body and being, letting go of the other people or characters that pulled your energy out so far. This is a way create better boundaries and protect your own vulnerability. Just like on an airplane where they tell you to put on your own oxygen mask first before helping anyone else, your empathy will most likely not really help others if you allow yourself to be depleted."
"Instruct: I've developed a really intense and unexpected attraction to An actress after seeing her in a ballet uniform while guest starring on a television show. I try, but I can't get her out of my mind. What should I do?
Output: Why not make good use of your unexpected attraction to study the features you consider attractive in someone.Attraction based on physicality is normal.  As long as you have no negative thoughts of doing harm to the person or yourself which are connected to the attraction you feel, and so long as your attraction isn't stopping you from doing your daily life responsibilities such as work, to take care of your daily needs and any responsibilities you have for other people, then eventually it will lose its power on you."
"Instruct: I am currently living in a hotel and I don’t have a family. I met a guy a month ago. He is a bisexual. He has a lot of gay friends on social networking sites. He would not help pay for the room. When I asked for the TV remote control, he threw it elsewhere and asked me to get it. I slapped him and asked him to leave my room. We recently just got back together. One time I was sick. He came to visit and feed me but left no money. Then he texts me and brags about his house and car knowing that I have struggles living at a hotel. He says that he has a whole house where he can put me in and orders me to text him whenever I need someone to have sex with. He left his bath soap so he could come and get it. I think that he is trying to find a way to come back. Please help me. What’s going on? I am a good, loyal woman. Why is he treating me like this?
Output: I am less concerned about this man as bisexual and having gay friends, than about how you feel is treating you.  You are in a vulnerable position because of social isolation.  If you have friends to talk to, please reach out.  While this man has money, it is not his job to take care of you financially unless the two of you have decided that together.  It sounds like he sometimes cares for you and other times you feel disrespected.  I would suggest you look for a man that is consistent in his love and care.  This is not your fault.  But you are in control of removing him from you life or choosing not to because he meets some of your needs.  Take care."
"Instruct: I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them.
Output: Have you tried counseling?  Having PTSD from multiple abusive sexual experiences is very overwhelming for one to handle alone.  You may need the guidance, experience and support of a professional to identify all the triggers that effect you and obtain the best coping skills that would work for you."
"Instruct: I just lost my grandpa and i'm having a rough time with it.    I need some help to deal with the loss, but I don’t think I can pay for counseling. Where Can I get help?
Output: I am sorry for your loss. I understand the difficulty of needing help and not having financial resources. In some areas, you can dial 211 and find resources in the area that may be free of cost or low cost. In addition, often hospitals and community centers, churches, etc. have support groups. These are often free and many include grief and loss issues. Finally, there are some therapists who work on sliding scales and even sometimes offer pro bono sessions for clients. Hopefully some of these leads work out for you so that you can get the support that you need."
"Instruct: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.
Output: I'm sorry you feel so alone and isolated, those feelings in and of themselves can lead to depression, stress and anxiety.  So job one is finding someone you can talk to.  A good friend or an open parent can be as helpful as a professional counselor, but if you don't have those, then by all means call your local Mental Health Association, suicide prevention, or go see your school counseling department. There are many of us now who do on-line, FaceTime, phone counseling so that is an option to consider in your situation.  On the other hand,  If you want to script a conversation with your parents (I'm a great believer in scripting) not that you're going to read it to them, but if you write down exactly what you want to say, read it over a few times before you're ready to have the conversation.  Why?  You'll be much more likely to do it if you're prepared, and you'll  have a better chance of saying everything you want to say in a calm but forceful way.  The same with your friends--you are probably a great listener and therefore attract people who want to talk--so you need to let these friends know you need something in return.  If you practice asking for equal talk time, then perhaps these friends will respond and surprise you, or if you make those demands you'll start attracting people who are looking for equality in friendships.  Now back to that script--first decide do you want to talk to both parents at once, or one at a time.  Then begin to write down the points you want to make such as:   I love you, and I know you love me but I don't feel as though I can trust your love to be unconditional enough to tell you who I really am, and how I really feel.  Find your own words to describe your own feelings.  If I can help, get in touch. You are right to reach out starting here, there are no prizes for suffering in silence and, as you already know, little joy in going it alone."
"Instruct: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven.  When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety.  Am I crazy? I don't think these thoughts are normal.
Output: You need to find an outlet. Someone to talk to. Your dad or someone who loves your mother as well is someone ideal. But anyone could help. Just look to someone for help. If you can't find anyone who you think will listen, talk to your mom. It can help greatly just to get the words out. Tell her how you feel about her passing, but then also about everything else. Talk to her about your day. Tell her about happy things. I don't know if you're a religious person, or where you believe she is now, but no matter what you can talk to her."
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: Anxiety or panic attacks can be very frightening.  Here are a few ""tools"" you can use that will help in the short term:  Keeping your mind occupied by listening to books on tape may help;  Counting backwards from 100 in 7's; Naming cities that begin with each letter of the alphabet; Keeping some ice or an ice pack in a cooler beside you, which you may take out and hold in your hand or to your face; Soothing self-talk such as ""This is uncomfortable, but I can handle it"" or ""I've been through this before and can make it through again"".  I recommend that you seek out a Therapist to help you with some long-term solutions to the anxiety.  Additionally, learning to breathe into the abdomen and practicing this daily is another long-term solution.  Yoga and meditation would be great!"
"Instruct: My fiancé and I recently had an argument over finances. He gives me the money each month to pay his automobile insurance. He no longer has one of the vehicles on the policy. He realized he was still paying for the coverage and asked why I was allowing him to continue to do that since I was physically paying it for him. My response was that he was giving me the money, and I just made the payment. I didn't think of the coverages. He was angry about it. I still can't figure out that anger.
Output: A few things come to mind. I wonder if your fiancé is still angry about it or if he was angry in that moment and has now worked through it.It sounds like there was also a difference in expectations here. You were just  paying the bill with the money he was giving to you and he may have assumed you were reading it. You thought that you were following his directions. It could be that you could have a discussion about it, but that depends on how much of a hot button issue it still is for either of you.If you're going to talk about it, I might suggest asking whether this would be a good time to have a discussion about what happened with the automobile insurance so that you can both use the opportunity to learn more about yourselves and each other around this particular issue."
"Instruct: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.
Output: Post traumatic stress disorder (PTSD) is a very complex issue.  It is the root cause of many other issues including depression, anxiety and anger to name a few.  Re-experiencing the event is a telltale symptom of PTSD.  One of the best things you can do for yourself is to find someone who specializes in this area to help you work through the symptoms associated with this disorder as well as directly addressing the event/events that initially caused the symptoms.  There are various treatment methods available to helping professionals that are successful in treating this disorder.  In the meantime there is a book called ""The Body Keeps the Score"", it is informative and may be helpful for you on your journey.  It is my hope that you are not dealing with this alone.   Best wishes!"
"Instruct: My spouse visited the red light district a couple of years back in Amsterdam. After he got back from the trip he got me tested for stds. In the aftermath he has provided multiple versions of what happened, from having a total blackout to being touched by a prostitute. How do I know if he had sex?
Output: I've been in this situation before and have some insight to share with you.  In my experience, he was lying and trying to cover it up. By pushing you to std testing, he's distracting you so he can shift the guilt he feels and blame it on you. In a guilty man's mind I believe he's thinking-...if I cheated...you must have as well....but you're much worse than I because it's okay for me to cheat...but not you...now you're a cheating dirty slut...just like that prostitute Men believe they're entitled to treat women and children like property. Often they use intimidation and violence to control us.  He'll never admit to cheating, he'll never apologize and he'll do it again and again. Truly they don't think it's a big deal, it's just their way of being social. They desperately want us to accept it, perhaps join in the act."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Yep. Counseling can be very emotional at times. I've recommended to clients, on occation, that they allow themselves the rest of the day off after doing trauma work."
"Instruct: I don't feel like myself anymore. For example, I could walk up an entire flight of stairs before realizing that my legs are moving. I feel like I’m watching my life be lived by someone else.
Output: You may be experiencing a form of dissociation called depersonalization.  People with this type of dissociation may feel disconnected from their bodies, feel that they are watching their bodies from a distance, or may not recognize their image in the mirror.  Dissociation sometimes occurs after someone experiences something traumatic.  I would suggest working with a therapist who specializes in dissociative disorders as dissociation does not typically resolve on its own.  On my website, I have some information specific to dissociation that you may find helpful.  Best of luck to you."
"Instruct: I feel so alone. I have so many people around me, but it seems as they just listen and dont understand.  They say it will all be okay, or they don't listen to me st all.  Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?
Output: You ask a very deep and sensitive question which reflects good self-awareness.It is possible you are a more sensitive and aware person than the people whom you describe as listening and not really hearing you.Not everyone has the same capacity or willingness to pay careful attention to what is going on in life.Maybe for right now, until you are able to find in person friends whom you're able to feel hear you the way you'd like to be heard, find online forums and groups of likeminded people.If you google a topic which you wish your friends would be better at understanding, there will be scores of groups, including google groups, which come up.You're not alone in the sense that there are definitely people on this earth who are sensitive, caring, and willing to talk and understand others."
"Instruct: What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.
Output: I'm sorry you are feeling uncared for. I'm sure there are plenty of people that care and love for you that you are not taking into consideration. Sometimes when we get upset we may think irrationally and see the world as all or nothing. However, take a deep breath, relax and start focusing on the positive relationships you have with others, regardless of how small or insignificant they may seem. I think you will quickly realize there are people out there that care a great deal about you.I also think it would help for you to surround yourself among people who you can identify with and share common interests with. Maybe you can attend a religious service, join an interest group (i.e. reading club, sports group, etc.) or start a group of your own. Most importantly, you need to tap into your interests and surround yourself with things that are beneficial for your own mental and physical health. From this, relationships will start to immerse. You may also like to talk with a therapist regarding your feelings of being unloved. This is an unhealthy way to think of yourself and I think with a little help, you can see that you are more than deserving of a great relationship. Thanks for reaching out and I wish you the best of luck moving forward.  "
"Instruct: I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: Suicide is a very traumatic loss and affects survivors significantly. Everyone deals with their grief in different ways. One way I recommend to deal with the loss of a loved one is to write letters to them. Some people like to keep the letters in a jar, maybe fill the jar with sand so the letters are buried. I recommend writing the letters as often as you need to. You will notice over time the need to write the letters will decrease and the intense feelings of loss will decrease. I also recommend finding a survivors support group in your area. You can find more information on www.afsp.org."
"Instruct: I have known her for years. She was dating my brother-in-law when we met. My kids think of her as their aunt. On Halloween 2014, I lost my mom to cancer. My mom and dad were still married when she passed away. My friend was there for me through that and my own cancer diagnosis. She has been a very big part of both me and my kids’ life, but now last month, my dad told me that he really likes my friend and wants to marry her. She’s like a sister to me. My kids hate the idea.
Output: Hi Lincoln,It can be very difficult for children who have lost a parent to then see their other parent moving forward with anyone, so I understand how this change is even more upsetting to you. And...your father and your friend have clearly established a friendship and fallen in love. Did you see this coming? I hope they didn't hide it from you. If they did, maybe this is the issue? It would be a legitimate one.But in the end, your father, and your friend, are adults who are free to fall in love with whomever they wish and hopefully they can count on the support of people who trust and love them. Could there be blessings here you haven't seen yet? It seems you love this person who is like a sister; could it be a good thing that her place in your life is more permanent?Ask yourself these questions... ""What is the worst part of this?"" ""What do I fear losing?"" ""What do I fear at all?"" ""What is the evidence that this will happen?"" The answers might surprise you. Your children will follow your lead. If you are supportive of their grandfather, they will follow suit. Hopefully you can grieve the change, know that your mother would likely want both of them to be happy, and embrace the blessings that come with having this woman close to you in a new way. I wish you the best."
"Instruct: I’m a man, and I’m soon to be married. I have been messing around with other men on the side. It started as a once in a while thing, but it’s been happening a lot. I don't know what to do.
Output: If you are happy with the person that you are about to be married to and are also enjoying time with other men, it could be possible that you are attracted to people of more than one gender.Having said that, some people have feelings toward people of more than one gender that are not really related to romance or attraction, but any number of other feelings, such as trust and communication. I don't know whether your use of the phrase ""messing around"" was related specifically to being romantically or sexually involved with the people who you are or referring to or if you are saying that you are enjoying spending time with them. These terms have different definitions for almost everyone.I would definitely recommend speaking with a local mental health practitioner in your area, not because there is anything wrong about the way you are feeling, but because there are a lot of different parts of what is happening in your life right now and it may be helpful to talk about the feelings and thoughts with someone who can help you to learn more about yourself and the people are most important in your life (yourself included).I also suggest looking at a few things that you love and appreciate about yourself."
"Instruct: I feel so alone. I have so many people around me, but it seems as they just listen and dont understand.  They say it will all be okay, or they don't listen to me st all.  Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?
Output: We feel alone because we are not comfortable with being our self. When you find that nobody is around do you feel alone? Your never alone. Once you take the journey to really understand who you are and unconditionally loving all that is you, there will never be an alone moment. We seek outside of self to fill inside. This is the big lie of the planet. All you need and have ever needed you supply yourself. www.lifecounselingorlando.com"
"Instruct: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time.
Output: That's a good question. I would say learn to pick your battles. What types of behavior/situations can you let go of? If you allow yourself to worry about the various areas in life that you cannot control, you will find yourself stressed out and unable to manage everything. Know that toddlerhood comes with lots of ""no's,"" tantrums, non-compliance, and a growing need for independence. When your toddler does something that you don't approve of, remain calm, explain to him/her the appropriate way to act, and model it for him/her. Remember to give your toddler praise when he/she does something good or acceptable. Be consistent and follow through with your instructions. Finally, know that you are not alone. Parenting comes with its set of challenges but all you can do is your very best. Good luck to you!"
"Instruct: Does counseling really do anything that can help people?
Output: I love this question! Some people shy away from counseling because they think since they already talk about how they feel to their relatives or friends they shouldn't need a counselor. However, if you are having a difficult time, counseling can be beneficial in helping you move forward and get your life back on track. Counseling is not like the kind of talking we do to people we know. For one, your counselor does not have a history with you and has no expectations of how you will act and what you will do. In that way, counselors come to a session without judgement and expectation. This gives you the platform to truly explore your thoughts and feelings. A counselor can also help you understand your motivation and help you integrate your past experiences and recommend coping skills that can help you if you are feeling overwhelmed by your emotions. Over time, as you work with a counselor you will get feedback and also be able to share new insights. The work you do is based on you and where you are at. Oftentimes, when we talk to friends they bring their own agenda to a conversation, and while they mean well they may offer solutions that work for them and not you. A counselor will help you uncover the solutions that work best for you and help you find the motivation to follow through with your plan.Best of luck to you!"
"Instruct: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.
Output: What is the reason you wouldn't want your parents to know you are trying to find your way through PTSD?Would they believe that you've been traumatized?And, do you feel that your parents had a hand in creating your trauma?There is no need to tell your parents you have PTSD unless you feel that doing so will help you.   Maybe you intuitively realize that they don't want to understand or know about this.How did you come to the conclusion that you have PTSD?If you are working with a therapist, and a minor, then  the laws of your State dictate what information your parents can ask your therapist about you.If you are a grown person and working with a therapist,  you have complete legally protected privacy of what you talk about with your therapist.In any case, a good starting point is to know exactly your own reason for wishing to keep your psychological situation hidden from your parents."
"Instruct: I've known him for about six years. We've dated off and on. I hadn't seen him in close to three years but recently started seeing him again. I really want this to last this time. I stayed the night. Do I text, call, or make contact first, the same day of the morning I left his house?
Output: I don't see why you can't call, text, or make contact first. It would be up to him to reply when he can and wants to, but I don't know why you couldn't initiate contact.One thing to consider as you get to know each other better is having conversations about conversations. For example, you could say ""I'd like to call or text you more often, but I'm concerned about _____ (listing what you are most worried about)."" Then he can discuss his reaction and you can have a dialogue about it."
"Instruct: 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?
Output: It could be said that you might be the perfect candidate for counseling! No one is beyond hope, and someone brave enough to be honest regarding their struggles, with the intention of reaching out for help is certainly a person a qualified counselor would be happy to assist. You may want to do some research on therapists in your local area who specialize in mind-body connection, or one of the struggles you have acknowledged in your post, in order to find a therapist that is best suited to meet your needs. Good luck on your search, and remember that the world is a better place with you in it."
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: This relationship with your step dad sounds very challenging. It is hard to to be told over and over again how not good enough we are. Let me offer you this, frequently when we say harsh, mean, nasty things to others, we are simply projecting our own thoughts about ourself. I am not advocating that this is ok, it seems like your stepdad could also use some support. You get to make your own empowered choice around this, this is your life and if you find yourself in a situation that does not suit you make a change. "
"Instruct: I'm currently dating someone else and I really like him. But I love and miss my ex so much. What do I do?
Output: 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.  "
"Instruct: I don't know how to have emotions. I never had any from my birth. Being human, I think of myself as a monster. I enjoy pain. I cut myself for my climax during sex. I think most of the time, I lie, even when sometimes it would have been easy just to tell the truth. I was in rehabilitation for four year. I have made love with both men and women, but it made no impact in my emotions. The books that I enjoy reading H.P. Lovecraft and Edgar Allen Poe. I go hunting every Saturday. I feel powerful. I don't enjoy the killing of the creature, but the hunt of it and to eat and drink the flesh and blood of the creature.
Output: I'm not sure that you don't feel emotion or that you are frightened of the depth of your emotions. From what you write, the context of your growing up years had people telling you to not feel.  Little kids and babies don't remember whether or not they had emotions since birth.  This is information someone told you or was part of your family system.Possibly your family was afraid of their emotions or of you knowing yours.Similarly, your comparison of being human means being monster like, is not an obvious connection.  Besides, monsters are an idea, they aren't real.  They embody what someone considers the worst qualities of themselves or the human species.  Again, I wonder whether you've taken on stories you heard growing up about how unacceptable and bad you are.A way to start learning your emotions is to start in simple, basic ways to ask yourself what you are feeling in the situations that you believe emotions would belong.If on the first bright sunny and warm day of the year, you remind yourself to notice what you're feeling in response to this, you'll be taking one step toward awareness of your emotions.If someone buys you a birthday present, be aware of how you feel.  Keep adding awareness to situations and see if this builds an ease with feeling emotions."
"Instruct: I'm a teenager, and I created a sort of imaginary friend to help me cope with stressful situations or if I'm worried or upset. She ""gives me advice"" and comforts me and tells me it'll be okay. I've given her a name (Solace) and created a personality for her that's like a comforting motherly figure. I know it's just my own advice and my own thoughts, but it's just that I'm thinking of them through a voice other than my own. I do this because I know I never really listen to my own advice, and I thought it would be better if it was through someone else who knew my thought process in and out, through this imaginary friend. Is this normal? Could it develop into a separate personality with time if I continue a mentality that she is her own person?
Output: Since you are saying that you know that the thoughts are yours and your thinking of them in a different person's voice to make them easier for you to follow through on, it doesn't sound like it could develop into another personality.It may be helpful to also find other things that give you comfort and to practice telling yourself that it will be okay in your own voice. If you start to do that slowly, it may be more comfortable for you. If you're following following through with your own advice, it sounds like some part of you knows that you are making choices that you agree with.What else gives you comfort? Maybe there's a room that you like to be in when you are home or a certain outfit or color that makes you feel good. Focusing on these things may also be comforting to you."
"Instruct: I am a female and in my early teens. I don't want to feel afraid of people. When I meet someone, I know that they are okay, but I still feel afraid.
Output: Maybe the problem is learning to trust yourself to not be afraid other people!Reflect on what you believe would increase your trust of believing your own judgement on whom to trust.If you've had any type of violation during your growing up years or witnessed someone in your family be violated, emotionally, physically or through some terrible accident or incident, then you may hesitate to believe other people are safe and not to be feared.Give yourself plenty of time and reassurance that as long as you are making sincere effort to increase you comfort around other people, eventually you will succeed."
"Instruct: 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?
Output: I can't imagine what you are feeling but I can tell you that you are right to be concerned about your children baring witness to this abuse.  This is a great teachable moment for your kids.  How you handle yourself will be very important for your children to see.  Your ""REACTION"" is what you should focus on.  Will you react with rage and name calling? Will you listen to your parents with respect and talk to them in private about how they are speaking to you in front of your kids?  Will you talk your kids about what is going? From reading this I am assuming you live with your parents.  If this is the case you have to think about what you can do to change your situation.  Have a plan! Set a goal!  Don't lose hope!"
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: As a therapist who believes in client self-determination above most other elements of the process, I want to as much as possible leave it up to the client to determine when they are finished. In the case of a termination because a client's distress has resolved, I might periodically check in with the client about how therapy has been going, and if we want to re-evaluate where we are.The more unfortunate situation would come about if I felt that I wasn't the best fit for the client. I would offer that in words, and ideas of therapists (with names) of who I thought might be a better fit and why. It still is up to the client whether to continue, however should they want to keep seeing me, a part of the work would be about that want (to see someone who professionally doesn't believe they can help as much as someone else.)I also find it perplexing when I hear a client (or on a personal level) tell me that their therapist said they ""didn't need therapy."" I don't know that I buy into that scenario all that much, because I do believe that yes, not everyone NEEDS therapy, but that everyone CAN benefit from therapy and I don't believe it is the therapist's job to deter someone from ever seeking out help of any kind."
"Instruct: I know someone who is extremely sensitive to stress and very sensitive to a negative tone of voice. Sometimes during a disagreement he tells me that my communication is having a harmful impact on him. Once he believes I am being negative I can't seem to find a better way of communicating. In fact, it is often a self fulling prophesy because his accusatory manner becomes unbearably frustrating. 

What advice might you offer?
Output: With any type of criticism, it is usually best to introduce the topic at a neutral time, ie: when both of you are relaxed, with no current stressors involved, having fun, etc.  Begin with a non-judgmental reflective comment about a recent bothersome event, as if it were just then crossing your mind (therefore not something you've been consumed with ruminating over - eases the impulse for him to dive straight into defense mode).Then share how you felt at the time of the event.  Just say when.... I felt kind of hurt / shocked (or whatever the feeling was).  PERIOD.  THATS ALL YOU SHOULD SAY.  Wait for him to respond to your matter-of-fact statement.No matter what his response is, stick to your same message - don't get overwhelmed by trying to rephrase or explain your view as that will likely set you up for continued arguing.  You can even add, ""I agree I could have misunderstood  it (event).... I just know it made me feel uneasy.""Here you give him little wiggle room for a debate.Good luck & I'd love to hear how it goes!"
"Instruct: He is always telling me our fights are only and all my fault, he bashes me to our young child, and he is addicted to a few substances.
Output: Strengthen your own belief in your right to a decent life and respect of who you are.From the brief description you write, your husband has very limited capacity to recognize how others feel and even less capacity to empathize with the person.The best you can do is convince yourself of your own worth and associate with others who believe similarly about your qualities."
"Instruct: My boyfriend has this close female friend. It always bothered me because of how close they are, so I decided to meet her. That made the situation worse because they were even closer than what I thought. They acted like a couple rather than friends with each other. There was no physical interaction, but he talks to this girl a lot. What can I do? Leaving him isn't an option.
Output: Well, as hurtful as witnessing your boyfriend's closeness with his female friend, I""m glad you saw firsthand the dynamic of your concern.There isn't anything you can directly do to stop his relationship with this lady.It is possible to influence his side of their relationship.Directly telling him your discomfort with how close the two are, may make him pause before engaging with her in a discussion.  This is nothing to count on since the control is in his hands and not yours.I'm sorry to read that the option to leave this relationship is out of the question.The only way left is to get used to the fact that you don't like this aspect of your boyfriend, and this is a disheartening outlook overall to you and to your relationship overall.If after repeated effort to influence him by your opinions, your effort to adjust to a situation you don't like, if at all possible, consider a longterm plan to discontinue this relationship because by that time it may feel very oppressive in your life."
"Instruct: My husband and I are separated and he doesn't even want to talk to me.    He says he doesn't love me anymore, but I would do anything to get him back. Is there any hope?
Output: I believe there's always hope. I also believe that you are worthy of respect and love. I'm curious if you felt loved, cherished, and respected by your husband during your time together. Feeling willing to go to any extreme to save the marriage is common, but having to do things that go against your values sets you up to develop a lot of resentment. It sounds like you did not want to be separated from your husband, but now that it's happened, you can make the choice to focus on yourself, rediscovering, or discovering for the first time, what you really want out of life. Taking some time to grieve the loss of your marriage and practice self-care can help in the immediate aftermath. Are there dreams that you put on a shelf during your marriage that you could reignite? By considering the dreams and desires you had at the beginning of your marriage, you might find some direction for what to do next."
"Instruct: For the last year, my adolescent son and daughter have been driving me nuts with fighting. I'm at my wits end. How can I get them to stop and get along?
Output: That is a good question. Unfortunately there is no generic answer with this one. Kids fight for different reasons - wanting attention, wanting respect, feeling jealous, wanting space and to be left alone, or a whole bunch of other reasons. Regardless of the underlying motivations for fighting, most conflicts result from misunderstandings and assumptions about the motivations of others and one of the best ways to start figuring out what is going on is to sit them down and have some conversations with them. These conversations should be centred on getting a better understanding of why they are angry with each other and really understanding them. It is important that they each know that you are committed to understanding their experience rather than simply sitting them down and lecturing them about what they are doing wrong. The more they are able to understand each other and feel understood the more likely they will be cooperative and considerate of each other. One exercise for doing this that can be very helpful is ""active listening"" where one person speaks and the other person reflects back what they heard the other person say and then checks for understanding. This is hard to do but it often illuminates where the misunderstandings and assumptions are. If this doesn't work it may be time to get a family therapist or counsellor involved who can help facilitate dialogue and resolve conflict."
"Instruct: I really like this guy and I think he likes me back, but his sister is my bestfriend. I'm afraid that if I tell her I have a crush on her brother she would loose it. I once told her I thought her brother was cute and she got really angry. I've gotten to know her brother better lately and I've realized he may actually feel the same way. I don't want to lose her friendship. What do I do?
Output: Do you and the brother to whom you feel attracted, ever see each other or are in surroundings in which the sister/your friend, isn't?If yes, then this gives you the chance to find out whether you and the brother actually do like each other.If no, then definitely have a private and direct conversation with your friend about the fact you're attracted to the brother.Find out the reason your friend becomes angry to hear you like the brother.Anything is possible from, she'd like to warn you about qualities in her brother which you may not know and if you did, wouldn't like or react negatively.Or, if protection isn't your friend's reason, then maybe she's fearful to lose your friendship if you start a relationship with the brother.Friends are people who care about each others' lives.  Let your friendship with this girl work on behalf of each of you!"
"Instruct: My fiancé and I broke up. He cheated on me numerous times. I kept forgiving but questioning his every move. He got tired and left.
Output: if he as cheated on you multiple times it is not healthy for you to continue seeing him.  However It takes time to heal your pain. You are not a robot that can just switch off your emotions.  Please surround yourself with people who can support and empower you. "
"Instruct: When I'm sad and alone, I want to cut myself.
Output: Try doing something physical. If you haven't exercised before, it is a good idea to get your doctor's approval first, but this can be helpful.The more you can find out about when you want to cut, the easier it will be to figure out what else you can do. If you are feeling sad or angry or nervous, look at what is leading up to those feelings and talk to someone about that.You said you are alone. I would see if you can find someone that you can trust to talk with about what you are going through. This could be a parent, a friend, someone at school, a coworker, or any number of other people."
"Instruct: I am going through a divorce from a narcissistic sociopath who left me for another woman after mentally and emotionally abusing me for 11 years. I have moved to a different state and after giving up my successful business am working as a server at a restaurant. I’m coping as best as I can. Is it normal and healthy to not adapt as quickly and be as strong as I think I should be? I am astounded at his cruelty and how much he doesn't care, as well as most other people in my life. I feel like I don't exist to anyone anymore as there is no contact from anyone who I thought cared about me. My brother just said no to lending me a few hundred dollars for me to live on. I am losing faith in humanity itself.
Output: I am very sorry to hear of your struggles. I think that it is normal to struggle to get your feet under you again after a divorce, especially after leaving a relationship that lasted 11 years, so try not to be too hard on yourself. Take it one day at a time and do the best you can.I notice that you said he left you. This tells me that you didn’t have the strength to leave him on your own despite the fact that you say he was emotionally and mentally abusive and also cheating on you. Low self-esteem can keep someone in a bad relationship because they think they can’t do any better. Also, abusers will make you think that they are the best thing you can get. The way I see it, he did you a favor. You are now free to make your own life whatever you want it to be. Take this time alone to work on you. As hurtful as it may be that other people don’t want to help you, this is something that you need to do for yourself without feeling like you need someone in your life to take care of you. Your statement “I don’t feel like I exist anymore” tells me that in addition to low self-esteem, you also don’t have a clear sense of identify and rely on the people in your life to help define who you are. People can and will let you down. It is important for you to learn to handle disappointment, learn to take care of your own needs, and to gain a stronger sense of self. Do nice things for yourself every day because you deserve it. Even if it is just to soak a little longer in a hot bubble bath, do something that makes you feel good. Find a hobby that you enjoy. Look in the mirror and tell yourself some positive affirmations daily. Google “positive affirmations” to find some that resonate with you. Such statements might be “I am a good person who deserves to be happy” or “I can do this.” Some relaxation and meditation exercises may help you as well. There are some free meditation exercises that you can find online by doing a simple Google search.Take this time to focus on you and try not to worry about what everyone else in your life is doing. When you are a happier, more stable person, the right people will come into your life without you even looking for them. Good luck with rebuilding your life. I know it is hard! Remember to take it one day at a time."
"Instruct: I recently lost a friend to suicide.  I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: Suicide is not a natural way to pass from this Earth, so many times it can be EXTREMELY tough to deal with because of the ""unnatural-ness"" of the event. We may find ourselves feeling guilty that we did not see it or that we could've have done more or something to stop it, but often the fish in the fishbowl cannot see that which is closest to him. You are currently trying to numb your feelings, those feelings as nasty as they are, are meant to be felt, those feelings help us to process the event and also help us to pass through the situation. Your friend has a legacy, remember it, and honor that legacy everyday in some small or even grand way, perhaps committing or volunteering your time to help others in honor of your friend.Hope this helps, C"
"Instruct: What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.
Output: As a relationship therapist I work with a lot of people who feel similar feelings to some degree or another and almost always find that the origin of these feelings point back towards childhood. How did you caregivers express (or not express) love towards you? How did they express (or not express) love towards one another. These early messages become your template for how you have learned to see yourself and what you expect from others. In his book Wired for Love, Stan Tatkin, PsyD writes “We learn to love ourselves precisely because we have experienced being loved by someone. We learn to take care of ourselves because somebody has taken care of us. Our self worth and self-esteem also develop because of other people.”  This could be very fruitful to explore in individual therapy with a relationship therapist who really gets it, you may have to interview a few to find the right fit; that's OK. Maybe you'd even want to read that book I linked above. :) Noticing this pattern is HUGE, it's where transformation begins. And now that you have be kind with yourself, it begins there too."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: It sounds like you are having some pretty severe depression. Depression can cause insomnia, and make a person focus on their own perceptions that they are ""worthless"". It is important to remember that other people may not truly perceive you as worthless. This is the depression talking.  I think that it is extremely important when you are this depressed, to sit down and write down some positives about yourself. What are your strengths? What are some positive things that your have done in your life? It concerns me that you are having suicidal thoughts. It sounds like now is the time to act on the idea of getting some help for yourself. If you feel like you might actually take your life, I would recommend that you go to a hospital emergency room, or a mental health crisis clinic right away to get some help. The most important thing right now is to keep yourself safe. If you are feeling like you are not going to hurt yourself despite your suicidal thoughts, I would recommend that you focus on finding a therapist as soon as possible. I don't know what your situation is in terms of insurance. The back of your insurance card should inform you how to obtain mental health services. There are also low cost services available with such places as Catholic Charities, and others. Your local county mental health agency should be able to refer you to some appropriate places. Good luck. Remember to identify your strengths, and the good things about yourself.  Marie"
"Instruct: How do I decide if I should end my relationship with my boyfriend?
Output: Hi there, that's a big question and really something no one can answer except you. Here are some things to consider to help you make your decision.What is leading you to ask the question? Has something happened recently or repeatedly that is making you question your relationship? If so, what is it. Can you rank it on a scale from 1-10, 1 being not a big deal and 10 being a deal breaker. What are your deal breakers and has he violated any of them? What are your reasons for being with him? How would you feel without him? How does he make you feel on a daily basis? Is there any abuse in the relationship (physical, emotional, psychological)? - if the answer to this question is yes - please seek immediate help. In addition to thinking about your relationship on your own, have you talked with your boyfriend about how you're feeling? If it is safe to do so, honest, open communication might help you get some more clarity. You don't have to say ""I'm thinking about breaking up with you,"" but you can say something along the lines of, ""I'm having some doubts about our relationship. Can we talk about us?"" If you want to stay with him, maybe you can work on your relationship together? Going to couples counseling could also be an option for you.If you decide that the relationship is not working, think about how you would like to be broken up with and if possible, try to come from a place of kindness and understanding.  As always, I'm happy to provide more guidance if you'd like. Good luck with you decision."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Crying is a natural process when you talk about upsetting things especially in therapy when you are opening up and being so vulnerable. I suggest that you consider how you would feel/respond to someone that was confiding to you and they began to cry. If you felt concerned, supportive and empathetic then you know exactly how us therapists feel when our clients are emotional in sessions. I suggest that you think of times where you have cried and how you felt at that time in public and what would have helped to make you feel less uncomfortable during your tears. I think of crying like any other natural reaction of our body such as sneezing, laughing, coughing. You can't help but do those things and most people won't really judge negatively if you do it in public. Similarly, crying is our body's reaction when we are emotional whether it is tears of joy, from a hilarious joke or from being upset. If you are very uncomfortable about crying but willing to start therapy perhaps you can ask the therapist if you can turn your chair around if you begin crying. This way you are not facing them and can self soothe without worrying about how you physically look at that time.I wish you luck and you should be proud of yourself for starting therapy and I wish you a wonderful journey on this important path that you are embarking on."
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder.  How do I move on?
Output: Breaking up can be a very difficult thing.  I'm sorry you're feeling badly.    The first thing is to be really sure you are taking care of yourself --- that means eating well, exercising, getting good sleep, spending time with friends/family and making sure you are taking care of important things like work, rent, bills etc.    Secondly, it's important to do things that make you feel better and not worse.   If looking up your ex on social media makes you feel worse stop doing it!   It's important to concentrate on you and not them.    Thirdly, it's super important to make sure you're really looking at the situation accurately and look for the good things that still exist in your life ---  what is still good?   Even though your emotions are hurting and you are feeling badly, can you see the light at the end of the tunnel?  Do you feel hope?  If you do try to concentrate on that hope feeling.   If the obsessing continues and really gets in the way of living your life?   Maybe contact a therapist or counsellor that can help you through this difficult time? "
"Instruct: Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me.
Output: A lot of times it is not about forgiveness but learning from experiences. As an example, as a child we continously fall in an effort to learn how to walk. Then when we begin walking we know we have to put one foot in front of the other in order to move forward. Experiences allow us to grow, find a balance and what to do and what not to do in order to move forward. On the positive side you now know the consequences as for your actions not to take the same course. Forgiveness comes with time as you ""learn how to walk again."""
"Instruct: 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?
Output: Everyone has different experiences going to therapy. Being nervous can be a typical emotion one might feel. Emotions are our body's way of telling us important information about ourselves. I would suggest talking openly in your sessions about this. That way you can process your thoughts and feelings with the guidance of your counselor. There are probably underlining emotions (fears or insecurities) that are being stirred up during your therapy sessions. Your counselor might suggest individual counseling depending on what you learn about your anxiety. In individual therapy you would have time to deal with your own stressors. As you address your issues, then you will have tools and skills that will be useful in addressing the couple relationship. "
"Instruct: My parents seem okay with other sexualities, but normally they only talk about being gay. When they do talk about bisexuality, they say things like “they'll do anything” or things that make me very uncomfortable because I am bisexual. I don't know if I am ready to come out to them.
Output: Perhaps you are not ready to come out to your parents.  Often times our readiness is not dependent on what others' will say or how they react. But more so dependent on how emotionally prepared we are to deal with others' reactions.  It may be beneficial for you to play out each possible scenario and conclusion (eg. your parents being supportive vs. your parents being disappointed and so on). How are you prepared to deal with the outcome?  You may also seek help through counselors, support groups and/or individuals you know that have dealt with similar situations to help you prepare to discuss this with your parents.  All the best! "
"Instruct: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out.    How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do?
Output: Keep doing the crossdressing since you like it.Your problem sounds more a matter of timing and reason to tell the girl about it.Not keeping a secret is a good attitude regarding meaningful parts of your life.  Usually our relationship partner is someone whom we trust as a safe person to know all about us.Once you feel at ease with your potential partner then bring up your crossdressing.  Based on their handling of this intimate part of your life, you will know more as to whether or not you feel more or less drawn to them.Secrets held within a relationship usually get worse with time.   The person who feels unsafe in truly being and stating themselves eventually will end up feeling ashamed of parts of them which prior to the relationship, felt good or at least not worrisome."
"Instruct: 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?
Output: 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."
"Instruct: 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?
Output: Certainly. "
"Instruct: I'm an adult, facing problems with my mom. She's way too controlling. She decides things for me, disregarding whatever I say. I tried explaining my side to her calmly, but she eventually gets angry and doesn't wish to listen to me regardless of how I speak to her.
Output: The part of your life which is in your control is the way you handle what your mom does and the way she talks to you.It is possible the two of you have very different opinions on a great number of matters.Each person, including you, has the right to decide whether and how to respond to someone.Stick up for your own right to make decisions.If she doesn't accept your independent viewpoints, then this doesn't give away your right to have these views.Since she makes herself clear as to her unwillingness to listen to you, then consider this as an easy way to avoid directly speaking with her about what's on your mind.If she ever shows an interest in your opinions and you feel like discussing these with her, then feel free to make this choice."
"Instruct: Does counseling really do anything that can help people?
Output: Hi there! Thank you for your question. It's a great question and one that many people want to know the answer to. The short answer is, YES! Counseling can be very helpful to people struggling with many different things. There has been a lot of research conducted to prove that counseling is an effective way to help people with mental health concerns, life stressors, and many other issues. In addition, there are many people who would tell you that counseling made a positive, profound impact on their lives. Indeed, some would tell you that counseling saved their lives. Now, not everyone would tell you that counseling helped. But when you think about it, there are many medical treatments for a variety of healthcare issues that also do not help everyone. So, is counseling guaranteed? No. But, it is something that is worth trying if someone is suffering or is just wanting some perspective or support. Also, there is many different types of counseling. Different counselors have different styles and have different training for various issues. This means that you are likely to find someone who has a good style and expertise in an area that you want to work on. If you don't know where to go, I suggest contacting your state's counseling association. They can help. I think the real question that most people have is, how? How does it help? That question is a bit more complicated, because there are many different models of counseling/therapy that work in different ways. What I can tell you is that, regardless of the model of counseling, the relationship between counselor and client is the most important factor. I don't mean that the relationship has to be ooowy goowy... but it does have to be one where there is trust and openness. A counselor will spend time to make sure that you are working together as a team toward a common goal. If you go to counseling and you don't feel this is the case, tell your counselor. An ethical counselor will welcome your feedback. I hope this is helpful, please ask more questions! I hope some colleagues add some other thoughts, too. Be well,Robin J. Landwehr, DBH, LPCC, NCC"
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: Seasonal Affective Disorder (S.A.D.) is a term that reflects how many people are affected by the changing seasons, especially fall to winter.  Everyone suffers with some form of this (lessened activity levels, increased isolation, etc.) while some find that this time of year can put them into a deeper depression. If you have noticed that this happens frequently, there are some ways you can definitely help yourself going forward:1. Attend therapy to learn strategies and tools to help you to manage your mood.  It's important to stay within the therapy until you feel you have mastered these tools. 2. Push yourself to interact more with your social groups and other positive activities. It's easy to go out and spend the day outside in the summer months, when the temperature is warm and the sun shines for long periods of the day, but it seems harder to find fun ways to spend your time when the temperature drops and darkness comes on so quickly.  Perhaps winter time could become the time of year where you and your friends have weekly board game nights, complete with hot chocolate and a fire?3. You may want to consider the purchase of a S.A.D. Light.  These are lights that expose you to additional ultra violet light to increase the vitamin D in our bodies, as well as the release of growth hormone (which releases when we wake up). There are mixed reviews of these products, however, and they can be expensive."
"Instruct: I know I was molested as a child, but I have no memory of it.
Output: I'm not sure that I have the answer to your question, but I can tell you that it would be helpful to talk with a certified hypnotist. There are a list of them here: http://www.natboard.com/index_files/Page548.htm. You also may want to talk to someone who specializes in EMDR. This stands for Eye Movement Desensitization and Reprocessing and it is a specific trauma treatment. I am not trained in this particular method, but my understanding is that it does not require a lot of knowledge of the origin of the trauma before being started."
"Instruct: 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.
Output: Do you think you're abusing xanax?It is a highly addictive drug so maybe one reason you feel compelled to take more is bc you already are addicted.Drugs don't do anything helpful in solving life's problems.   Once the effect wears off, the stressful situation is once again waiting for you to address it.Think over your reason for not directly asking your psychologist about upping your dose.Also, do you ever talk about your life problems with this psychologist or only your need for drugs?    The more gradual path to a better life is to not need drugs in the first place. This consists of your willingness to face the matters that are creating such terrible feelings inside you."
"Instruct: I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?
Output: I am so sorry this has happened to you! I hope you have some people you find emotionally supportive around you! In terms of your question, I understand what you are talking about. Sometimes when a person experiences a traumatic event, an event called Dissociation occurs. Dissociation is the brain's way of temporary creating and increasing  ""emotional distance"" between what is happening and what you are feeling and experiencing. This is a kind of natural coping mechanism, and it can occur just prior to, during, and after an event has occurred. People describe the feeling as being ""numb,"" or detached from others, their surroundings, and even from their own body. All of these descriptions are accurate and they are your brain's attempt to try and keep you safe from emotions that may otherwise overwhelm you. This is good, in the short-term, because you are not having to immediately face and cope with the immensely painful feelings associated with your trauma. But it is also not-so-good in that it also blocks your ability to feel positive and pleasurable emotions. So while your brain is protecting you, it is also preventing feelings you need now more than ever (such as regaining a sense of safety, soothing your hurts, and feeling empowered for your survival).You are not a sociopath, so do not worry about that, but I would strongly recommend that you consider seeing a therapist or other supportive mental health professional to help you work through what is happened. There are ways for you to heal from your experience which will help you get back to a place where you can feel safe enough to ""feel"" again.  It might be an uncomfortable journey, at times, but you are already hurting and your life is being negatively impacted, now. Good therapy sometimes is like pulling out a splinter--it may hurt a bit to dig that sucker out, but once it's out, your body can finally start to heal.  It might seem better (and less painful) to leave it alone, and ignore (avoid) it. But you risk INFECTION by your inaction which will be 100 x worse than just digging it out. Best of luck to you!Learn more about me and my practice at www.EMDRheals.com"
"Instruct: I started seeing this guy that I met at a mutual friend’s place. He recently broke up with his ex-girlfriend and started seeing me. Everything was great in the beginning, then I started having low self-esteem thoughts and thinking he was hanging with his ex-girlfriend again. It’s all I think about. I am still seeing him, but things have changed because I am at a loss for words. I get stuck in my own thoughts. I like and care for him a lot. He just makes me nervous and gives me the butterflies.
Output: Sounds like you are struggling with your own negative thoughts.  As you stated, everything was great then you started having low self-esteem thoughts and thinking.  What is contributing to these negative thoughts?  His actions or your past experiences with unhealthy relationships would be my question.."
"Instruct: How does a person start the counseling process?
Output: Starting the counseling process can be daunting but here are some ways that hopefully help make the process a little less overwhelming. First,I'd start with finding a therapist through a therapist directory and searching for a therapist specifically in your area and with the expertise you're looking for. There are many reputable therapist directories online that offer specific information and links to therapist websites to learn more about how they can help.Next, I'd pick two or three of interest to contact directly. Have a list of questions that are important to you that you can ask to determine whether a particular therapist is a good fit. Many therapists offer a free phone consultation to allow you both to determine whether it is a good fit.Then, after you schedule, the next step is to see what it's like being in session to determine if the fit is still a match. "
"Instruct: I'm in a state of depression right now. Who can I talk to? I've been sick in a lot of pain and crying. Don't know where to turn.
Output: First of all, if you’re sick and in pain, have you seen your doctor? If you have a chronic illness and pain, this can often lead to depression and is very common. You’ve taken the first step to dealing with it. You can talk to your doctor, even if your depression isn’t related to your health. He or she can either look at prescribing you an antidepressant or can refer you to a psychologist or psychiatrist.If that’s not really an option for you, there are also helplines (local or national) or support groups where people dealing with similar issues can talk to each other. If you can't find any in your area (newspapers usually publish this information), there are online support groups as well. "
"Instruct: My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me.    He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?
Output: Because the acrobatics and excitement of sex has nothing to do with the meaning of deeper emotional attachment to another person with whom we are in a relationship.Try to distinguish between your feelings of excitement from the novel sexual arrangement and what you feel is necessary in order to feel emotionally close and attached to your husband."
"Instruct: I constantly have this urge to throw away all my stuff. It’s constantly on my mind and makes me feel anxious. I don’t sleep because I’m thinking about something I can get rid of. I don’t know why I do it. I started years ago when I lived with my dad then I stopped when I moved in with my mom. Years later, it has started again.
Output: Since you wrote that you noticed a change in your throwing away urge when you changed with which parent you lived, would you feel that throwing away things is connected to wanting to be done with certain areas of influence with either parent?Play in your mind with the metaphor of ""throwing away"" and whatever associations you feel toward this.  Are you feeling alarmed or freed, by throwing away things?  I'm only suggesting these, not telling you that they apply necessarily.Anxiety comes up when people feel helpless to manage a meaningful part of their lives.  So pay attention whether your stuff represents difficult scenarios or phases of your growing up years.   Possibly you are trying to rid yourself of painful feelings which were part of your early years' relationship with either parent.Basically, sounds as though you are trying to establish a clearer sense of who you are and the throwing away part is a means of discovering who you are, once all the clutter is released."
"Instruct: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
Output: Hello, and thank you for your question. Overcoming fears is something that everyone struggles with at one time or another. Sometimes we come across something that scares us, we push through it and suddenly we aren't afraid anymore. But sometimes it can seem like our fears just take over and we cannot overcome them. There are some options:1. You can go to a counselor and receive some type of treatment. What kind of treatment would depend on the type of fears you are experiencing. For example, if you have a general phobia about something, they may use various techniques to help you manage it.  2. There are different websites and even some self-help books that you can use to try to overcome your fears. When it comes to overcoming certain fears or phobias, exposure therapy well-studied and proven to work. A therapist would help you with this, but some websites give instructions for how to do it yourself. I am not sure how well it works when you try it by yourself, but here is a link to a website that does offer some tools. http://psychology.tools/anxiety.htmlSome colleagues may offer you some other types of advice. Be well.Robin J. Landwehr, DBH, LPCC, NCC"
"Instruct: 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?
Output: Infidelity is common. In a largest study conducted to date about 10-15% of women and 20-25% of men admitted to being unfaithful while in a monogamous relationship. You are not alone and you can get through this just like countless couples have done before you. First of all, you need to know that although there may be reasons for his behaviour (e.g., not feeling sexually satisfied) those are not excuses. He could have chosen to masturbate instead of cheating on you, right? Your partner needs to own his choices and if he is capable of doing it and is truly willing to work on the relationship with you to make it stronger, more transparent and more fulfilling for both of you, then there is hope. The question is : are you willing to put in all this extra work? Forgiveness is not easy and it may take a lot of time and effort for you to consciously choose to trust again. It won't just happen if you don't work on it. And yes, it's unfair that you are being asked to work on this, when he is the one who had been unfaithful. Even though it is hard, you need to be able to let go at some point of having all the power in the relationship, because right now you have it as the one who had been cheated on. You cannot hold on to being the victim forever because it will create an imbalance in your relationship making it less healthy in the long-run. All of this is hard work. Is he and this relationship worth it? Are you equally committed to making it work? If so, don't abandon this relationship just yet. Work on it together (ideally get a few sessions with an experienced couple counsellor) and see where that gets you. For additional specific ideas check out my tips for how to deal with infidelity in a relationship. Good luck!"
"Instruct: 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?
Output: Do you want to be upset about a girl that he forgot about?  Think about it for a minute.  Do you want to measure your trust based on knowing how many female co-workers your husband has?  And if so, what does that say about your marriage?  Trust is something that we earn based on our actions and the actions of people we interact with; it’s also based on our ability to communicate and understand what we value and have in common.  If you are focused on every little detail around your relationship, it may turn into an unhealthy obsession and it may harm your relationship more.   If instead you focus on opening the lines of communication, let him know what you expect from him, and discuss how you could both build trust again, you may become closer and give your relationship the opportunity to grow.  ¿Debería este molesta porque mi esposo me mintió de nuevo?Estoy tratando de hacer que mi matrimonio funcione después de una separación.  Antes de separarnos el mentía mucho y rompía todas sus promesas.  No creo que me haya sido infiel.  El mes pasado, le pregunté cuantas mujeres trabajan con él, y él me dijo.  Ayer, me enteré que se olvido de una muchacha.  ¿Debería estar enojada?¿Quieres estar molesta porque se le olvido con cuantas mujeres trabaja?  Piénsalo por un momento.  ¿Quieres determinar la confianza que le tienes en tu esposo basándote en su capacidad de reportar la cantidad de mujeres que trabajan con él?  Si tu respuesta es sí, ¿qué refleja eso sobre tu matrimonio?  La confianza es algo que se gana basado en nuestras acciones y las de aquellos con quienes interactuamos; también en nuestra habilidad de comunicar y entender los valores que tenemos en común. Si practicas estar preocupada por cada pequeño detalle en tu relación, esto se puede convertir en una obsesión que potencialmente dañara tu relación.  Si en cambio te enfocas en abrir las líneas de comunicación, le dejas saber lo que esperas de él y discuten cómo pueden trabajar juntos para recuperar la confianza, pueden volverse más cercanos y darse la oportunidad de que la relación crezca."
"Instruct: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from. 
Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas?
Output: Hello, and let me say first, what a great question! There are so many people putting forth their 100% everyday and often times, do not get the credit they deserve. Without being able to fully understand where you're question is coming from, I think there are a couple of different ways to look at this question.First, I think it's important for us to consider the message being sent by those in your life stating that you're ""not good enough."" Is that ACTUALLY what they said, or is this just what you heard? Sometimes, because of our own self-doubts and fears, we skew and misinterpret the messages we receive from others. Again, listen to the message being sent and attempt to remain objective. Is the message being sent coming from a place of love or concern? If so, have an honest and open communication with that individual about what your concerns are regarding the amount of energy and time you're spending on being ""good enough."" Explore with them how you feel you'r already giving your best.If the person is unwilling to work at understanding this concern you have, then it may be time to explore the relationship. Some relationships we engage in can be toxic, especially if the other person is toxic. It may be they have their own ""stuff"" going on and they feel the need to constantly put others down to make themselves feel better. If you're in the direct path of this individual, then it serves to reason you will probably be in the direct fire, as well. Explore whether or not you want this relationship to continue in your life. If it's a relationship that MUST continue, then work on what you will do to distance yourself from their toxicity or their problems. Until they're willing to work on these issues for themselves, then it may be necessary to find an exit strategy, such as leaving the room or simply refusing to engage in the conversation. Another perspective of this question is exploring the reason why it's important for YOU to satisfy the expectations of these other individuals? NO ONE will ever be 100% ""good enough"" for EVERYONE. Every single person has their own set of expectations in themselves and expectations in others. It would be impossible to satisfy all of those expectations for every single person in our lives. The question becomes, what is it WITHIN you that feels the need to meet these expectations? There is most likely a part of you, yourself, as an individual that feels ""less than"" and feels as if you, yourself, are not good enough. It then becomes impossible to every feel ""good enough"" for others, because it's really YOU you're trying to feel good enough for. If you already feel as if you're doing everything you can do to be at your best version of yourself, then really work on LETTING GO of the rest. No one is perfect, and striving for perfection in our lives only creates more anxiety and stress. Find a middle ground in which you are happy with your accomplishments and your daily goals, and learn to let go of what's left. After all, tomorrow is a new day and you can work on more of your goals tomorrow!I recommend doing this by finding a mantra, a statement or phrase you can repeat to yourself anytime you start to feel that sense of stress and pressure from striving for perfection. The mantra can remind you to let go of this expectation you have for yourself or that others have for you so you can also let go of the stress and anxiety surrounding the expectation. I leave you with one of my favorite quotes that perhaps you can use as your mantra, ""No one can make you feel inferior without your consent. "" - Eleanor Roosevelt. "
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: 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!"
"Instruct: I have been diagnosed with general anxiety and depression by my family doctor. They wrote a prescription for me to have an emotional support dog, I have the paper work, and I gave it to my apartment manager. They said I can't keep the ESD because I'm not disabled. What do you suggest I do?
Output: Agree with the apartment manager's viewpoint that your disability is not a physical limitation.Ask the manager if they'd accept an explanatory letter from a therapist who is licensed to diagnosis emotional disabilities.If the answer is yes, then find a therapist who's willing to cooperate with what you need from them and find out this particular therapist's terms of working with you to compose such a letter.If the manager tells you ""no"", then find out who is above this person or entity and find out how to formally introduce your request to the board or apartment owner, or whoever actually is the legal owner of the building."
"Instruct: We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?
Output: You're wise to be aware of possible changes to your relationship once your bf is away from you for extended time periods.All you both can do is state your intentions and wishes, keep in contact as much as possible, and wait to see how your relationship unfolds.To a large degree, each of you is relying on faith that if the relationship is meant to last for a while, then it will.   The military may add stress.This doesn't necessarily mean the stress will dissolve the relationship.Sometimes all anyone is able to do, is try."
"Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.
Output: Maybe you'll feel less fear by understanding that whoever told you sex was dangerous, was wrong.If this message came from your upbringing, then it may a deeply embedded belief.Since the belief itself instructs to avoid risk, and overturning this belief requires taking the risk to believe the logic that reasonable safe sex measures are adequate protection, give yourself time to absorb this new understanding.Talk w your partner about your psychological difficulty bc their patience will help you."
"Instruct: I'm in my late teens and live with my dad.  The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks. 

Sometimes I feel i'm not worth knowing or i'm never going to do anything right.

Are they right, am I depressed?
Output: Although some people managing depression feel sad or ""down"",  it is a possible to have depression without an obvious sad mood.  Many people indicate that they feel numb or flat.  People managing depression often have low motivation. They may stay in bed for long periods of time and only get up for absolutely necessary activities.  People with depression may also feel inappropriate guilt or shame.   If you have been experiencing the symptoms you described for more than two weeks, I recommend that you see a counselor to get a more in-depth evaluation.   The symptoms you are experiencing are typical of depression, and with a bit of support, you could regain energy and improved self-esteem.  The stigma surrounding mental health can make a diagnosis or a label of depression seem scary.  The important thing to remember is that mental health disorders are as important as and as treatable physical health disorders.    Hang in there.  Healing is possible! "
"Instruct: My ex-fiancé (whom I am still seeing) left me because of the pressure from all three of his teenage daughters. They wanted him to try to work it out with their mom (his ex-girlfriend of 20 years). He and I split three months ago, but I have been seeing him pretty regularly despite the fact that he is living back with his ex-girlfriend and kids. He is ""co-existing"" for the kids and fighting all the time with his ex-girlfriend. His daughters don’t want their dad with me because my two boys (grown adults and on their own now) had bad reputations and issues with drugs. His daughters say it is embarrassing for him to be with me. He and I had an absolutely amazing relationship and connect on so many levels. He is getting a lot of pressure from his family and his longtime friends to ""do the right thing"" and stay with his ex-girlfriend for the kids. He says he wants me to wait. We were going get married last year. He bought me a $1000 dress, we had invitations made, and everything set up, but then his girls told him they'd never speak to him again if he married me. He says he’s trying to mend his relationship with them.
Output: Hello. It seems you are in a set of circumstances that are highly uncomfortable for you. Do you feel those circumstances are healthy? Do you find pleasure being in such a place of uncertainty? Why do you continue to be in this situation? Without meaning to appear that I might be lacking in compassion, you do have the option to leave the connection completely if the harm it is doing is more that the pleasure it brings you. Is there a benefit to being in this relationship? Do you consider this situation to be for your highest good? Is it healthy to be involved in something that is not likely healthy or perhaps could even be seen as dysfunctional? In truth, only you can decide the answers to these very important questions. I would encourage you to think of who benefits by being in this situation, and how you might be able to find happiness in other relationships that are healthier and more positive. In my clinical view based on what I read, this particular relationship does not carry the joy I am sure you want, nor the healthy interactions you would expect in a functional romantic engagement with another person.Beating yourself up about potentially wasting all this time waiting for the other person to come around will not serve a positive purpose. It likely will only lower your self-esteem. There is a time to wait to see how things develop, and a time to move on to other experiences. You are the one to make that choice, but I would encourage you to connect with your inner higher self, for the most clear answer. Chances are, you already know the answer, you just need to embrace it. Getting in touch with a counselor in your area can also help ferret out some of the deeper issues that you might not have felt comfortable expressing here."
"Instruct: I was violently raped by another women who was my friend of 13 years. I’m having bad flashbacks. I’m scared to sleep because I see it in my dreams. I don't leave the house because I have panic attacks.
Output: I'm sorry for your suffering.There are therapy programs which help people to gradually feel more at ease so that daily living does not feel so frightening.Once you feel stronger and more secure from such a behavioral program, you'll be able to sleep more peacefully and leave the house whenever necessary to do your regular life.Then, you will be able to open and clear the deep emotional hurt that always occurs from being violated by a trusted friend.Sending good wishes in your work!"
"Instruct: My grandma had a stroke and passed away recently. I lost my home and job. I'm looking but haven't found a job. I've been binge watching television and binge eating.
Output: Wow, you got hit with some serious stuff all at once. Work, relationships, and housing/security are major needs for us and to lose all that at once has got to affect you. When things go wrong, it is natural for us to look for blame----and the easiest person for us to blame is ourselves. Put that with grief and you've got a recipe for feeling awful. We can start feeling so low as to want to check out with things like food, and TV as you described. It can take time for us to move to self-forgiveness, and self-kindness in order to start moving forward again. I wonder what you can do right now to improve your situation? I also wonder if you may be willing to seek counseling to help you work through some of this, to help with your perspective, and to assist in your grieving process. Just reading these 3 sentences, I get the sense of you being a nice person. I hope you can show that kind of kindness to yourself in your healing."
"Instruct: I always need alcohol to feel better and use that as a excuse.
Output: Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!  "
"Instruct: My doctor thinks that seeing a psychiatrist will help with my depression and anxiety.  Now my anxiety is worse, what do I do?  Writing on here has taken every bit of strength I have left.
Output: Did you take the medication the way the psychiatrist prescribed it?  Did you follow up with her/him to report how it was going?  Different medications work differently with different people.   It's not always the first one that helps.  And some of the medications take some time to have an effect.  Give the doctor the chance to help you. I suggest you find a certified CBT therapist to help you examine your thinking.  www.AcademyofCT.org has listings of the finest CBT clinicians.  In the meantime, do some ""anxiety fasting"" by taking a few minutes to do something nice for yourself right now.  I hope you feel better soon.  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)"
"Instruct: I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.
Output: I also want to note that we, as a society, are especially judgemental about how women dress and present themselves.  I am sorry that this boy said something insensitive.  There is nothing shameful about your body and it was not your intention to ""display everything.""  It also wasn't his place to judge you. As women we are expected to be sexy in some situations and demure in others.  Men don't have the same range of societal expectations to navigate.  You didn't deserve his rudeness."
"Instruct: I'm in my mid 20s with a husband and children. I love my family, but I feel like I've lost my identity, and I don't know who I am other than a mom and wife. At times, all I can think is what I gave up and how I feel unhappy and trapped, but I know I'd feel like worse without them. I loathe myself at times. I have an amazing life, so why can't I just enjoy it?
Output: Being a parent can be all-consuming.  And there are more societal pressures on mothers to be everything to their children and families.  In that effort to be everything (cook, housekeeper, planner, social organizer, teacher, etc) it can be easy to forget about being you.  We can certainly acknowledge that becoming a mother likely means giving up or sacrificing parts of yourself for motherhood.  There are parts of becoming a mother that can be wonderful and magical, and parts of it that can be just flat out hard.  I think it is very important however, for all parents to ask for what they need and to carve out the time to nurture their individuality.  This may not only be supportive to you, but it sets a great example for your kids about how to advocate for their needs, and teach them about the depth and interests of their mother."
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.

People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: hmm this is a tough one!"
"Instruct: I've been dealing with this for years. My mom thinks I'm overly emotional and refuses to offer any help, like therapy or seeing a doctor. She's seen me when I'm having a panic attack and just said I was faking for attention or that I'm a hypochondriac. I just want to get better.
Output: I don't know how old you are, but in Pennsylvania, if you are over 14, you can have therapy without your parents' consent. If you are young enough to use their insurance, that could be complicated, but depending on the state, there may be ways to work around that as well. If transportation is a problem, call a local mental health agency and see if they can connect you with assistance.In the meantime, try searching for a phone helpline in the county where you live. They may be able to help you figure out where you can get help.Another idea is that if you are in school, your guidance counselor may be able to provide links to where you can go for help. He or she may also be able to give you more specific ideas to help with your panic attacks.I know you said your mom refuses to offer help, which included seeing a doctor, but I wonder if she trusts the doctors that is your primary care physician (also called a family doctor) who you see when you have a minor medical ailment that may need medication. That doctor may be able to help you as well.Some of the information here may be helpful to you because it explains some of what anxiety is and there are some quizzes there that may give you information to discuss with a doctor or therapist when you get connected with one. http://www.webmd.com/anxiety-panic/guide/mental-health-anxiety-disorders This may give you other information to speak with your mom about. Remember that I'm not asking you to actually diagnose yourself with one of these things, but just offering some basic information that may help you be able to talk about what is going on.If you are having a panic attack or having a moment of anxiety, try focusing on different things in the room around you. It may help to shift your focus briefly outside of what you are feeling and that may lessen the feeling a bit. Also remember that sometimes anxiety leads to more anxiety about having a panic attack in the future. Remember that they usually and after a few minutes.It would also be helpful for you to keep track of what leads up to your anxiety.Best wishes to you and keep trying until you get connected to someone."
"Instruct: I loved him more than anything. He passed away on our anniversary which was also the day I was going to apply for our apartment. I'm not handling it well. I moved to a new town and started a new life but nothing helps.
Output: Grief is unpredictable and does not fit into rules and stereotypes. Everybody grieves differently, react in their own ways. There can be no expectations about how long, how hard, how easy it will be. Furthermore there is no way around it. No matter how much we may want to escape the pain and accelerate the process by doing all the 'right' things we have been told will help with our bereavement, there is only one way: through...The more we allow the pain to go through us, experience it, accept it, acknowledge it, make peace with it, the more we will heal. Grief comes in waves but can also feel like a rollercoaster. At first the waves feel like tsunamis, with time they become smaller and more spaced out. Yet every time they catch us by surprise. All the 'firsts without them' after a loved one has passed away, every anniversary, birthday, holiday, are all difficult times.You can not force grief to go away, to heal the wound faster than it needs to take. What you can do though is ride the wave. Go with the flow. Accept the pain. Express it. Talk to your loved one that has passed away. Express your emotions, every single one of them, both positive and negative. Write down in your journal. Take good care of your body, your nutrition, your rest. Grief is very taxing on the body too yet we disregard that. Read inspiring books, surround yourself with beauty and things that soothe your soul. Be brave and be open to the world out there, be vulnerable with pride. Try new things you never dared try before. Meet new people. Travel. Hang out with close friends. Ask for help when you need it. Be kind and gentle to yourself. The more you chase and wait for happiness, the more it will elude you. The more you stay bravely in your present and do the best you can, being loving to yourself, honest about your feelings and do not try to escape grief, the sooner it will loosen up it's claws and allow you to feel relief and finally heal.One thing is for certain, happiness will be there to it's appointment and it will be when you least expect it!Keep the faith and keep walking, nothing can remain the same forever. The only certainty is change!"
"Instruct: 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?
Output: Well, it's generally okay to feel anxious or nervous about going into therapy, particularly in the beginning because the process of being open about what you are going through, much less to someone who you don't know well, can be anxiety-producing. It's also common to feel anxious when you are discussing something that is important, difficult to discuss, or you are making changes that are very difficult for you.The most important thing I can tell you, though, is to discuss with your therapist this idea that you feel nervous and shaky. Some anxiety can actually help to motivate or lead you toward change. There are also level of anxiety that can be counterproductive, so it's a good thing to discuss. Personally, I can tell you that I would want my clients to tell me about anxiety they feel 100% of the time. That opens the dialog to discuss whether it is the level of anxiety that they want to sit with and learn about in discovering more about themselves and their experiences and/or whether they would like to do something to lessen the feeling of anxiety.Thanks for writing here. If it caused anxiety for you to do so, I hope that feeling is diminishing for you, at least related to writing here."
"Instruct: I have no friends, no hobbies, and no interest in anything. I get annoyed with everything and everyone. I am always tired, i can sleep 8 hrs or 12 hrs and im still tired.  I don't know what to do. Is this normal?
Output: Hello, and thank you for your question. It certainly sounds like you don't like how things are going. Here are a few thoughts and ideas:1. If you haven't seen a primary care provider in a while, you may want to. There are health conditions that can affect your mood and energy levels, even at your age. It doesn't hurt to get checked out. If they find the cause, they may be able to treat it and improve the symptoms. In addition, most primary care providers are trained to be able to manage medication for patients who have mild, moderate, and sometimes severe depression. So, don't be surprised if your primary care doctor offers to put you on an anti-depressant if they diagnose you with depression. Medication is not the only way to treat depression, but sometimes it is necessary depending on different factors.2. You may want to consider counseling, since it is another effective way to treat depression. A counselor will help you explore the factors that may be leading to depressive symptoms in the first place. This could include thoughts, behaviors, beliefs, life experiences, and other things. 3. Finally, to answer your question about whether these feelings are ""normal."" These symptoms could be the sign of an underlying general health or mental health condition. It is important to remember that even if these symptoms are ""abnormal"" it doesn't mean that YOU are. Millions of people struggle with depression. So remember, the symptoms are the problem, not YOU. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC "
"Instruct: 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.
Output: Your good intentions to help your friend stay clean, are very caring about her.Unless your friend feels like stopping pills,  taking them away will mean she finds them some place else.The problem that anyone who is addicted to pills has, is that the person is psychologically and at least with xanax, physically addicted.Taking pills has basically become a standard part of your friend's life.Her problem is bigger than your ability to care.If you haven't already done so, tell your friend directly about your opinion on the way she is using pills.This is not a guarantee that she'll stop.It isa way of you showing that you care about her.Offering love and advice are the only things you can do for her.Meanwhile, knowing she is hurting herself is probably hurting you.Be sure to keep a sense of balance within yourself.  Offer your concern and know she is the one who must decide to stop using."
"Instruct: I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face. It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do.
Output: This is so very common in this crazy looks-obsessed world! I meet so many beautiful people who can't see their beauty. Is there something getting in the way for you? Was there a time in your life when people teased you or told you something hurtful, or did something to you that made you feel ugly? If so, this can be addressed first. Sometimes stories are told about us when we're young and the best thing we can do is see the author's evil or careless intent and not take that on. A therapist can help you with this part.Once you've addressed any past barriers to feeling confident, you can focus on a few simple things. First, your thoughts. If you keep telling yourself that you don't like what you see, then you will never feel okay about your looks. Experiment with telling yourself something different. Look in the mirror and I dare you to find something that's lovely about your face. Focus on that. Describe what you see? If you were your own best friend, what would you say about your face? Eliminating those negative scripts and building new positive ones will help you feel more accepting of how you look. You can't change your face, but you can change your attitude towards your face. Confidence is the things that will make you beautiful!Accepting how you look is important. Without going to plastic surgery (the popularity of which is a testimony to how nuts this whole thing has become), you were born with that nose, those eyes, those lips. Accepting yourself and knowing it won't change is a good idea, because wishing it were different won't make it so!Looking good is also about minimizing flaws and building on your assets. Are you in a rut about hairstyle or makeup? Ask a good friend to give you a make-over. Play with your features and wardrobe. There are plenty of average looking people who know how to make themselves shine because they are creative!"
"Instruct: I noticed lately that I've been thinking a lot about death. I don't want to die, and I'm not suicidal. I just think about what would happen if I died or if someone I loved died. I imagine how sad everyone I know would be. I know it isn't worth it, and I definitely want to live and have a future. I just think about it. When I'm driving, I sometimes imagine what would happen if I just let go of the wheel and kept going.
Output: I'll respond to your speculation that if you let go of the steering wheel while driving, you'll end up quite seriously hurt, at the very least.   It is fine to play in your mind with ""what ifs"".   People who write horror movie scripts most likely have some terrible sounding stories and suppositions.If you trust yourself to actually not follow through with an idea that may kill you, and you recognize the difference between thinking dangerous things and doing dangerous things, then go to the next step of understanding more about your thoughts on death.Since you wonder about being missed if you die, it is possible your thoughts about death are from feeling that you are metaphysically dead to people in your life whom you wish would show more interest in you.Play around with your idea as to why you'd consider how people will feel about you if you're not in their lives.This may offer some insight as to your expectations of current relationships with others."
"Instruct: I think about death all the time because I feel so alone. I want someone to love and someone to love me.
Output: Feeling alone and/or isolated is almost always associated with being depressed. As humans, we need connection and interaction with others in order to feel satisfied. Given that you are frequently thinking about death, I highly recommend that you see a mental health professional as soon as possible to help assess your immediate needs and address any underlying issues that may be contributing to your feelings of loneliness and depression. The good news is that with proper, consistent treatment and commitment to change, things can really turn around for you. A therapist can work with you on building enjoyable activities into your daily routine, change maladaptive thought patterns that contribute to your sadness, and help with exploring what has gotten you to where you are. By learning about where your sadness originates, engaging in preferred activities, and changing your thought patterns, you should begin feeling relief from the burden of depression. What will likely result, is further opportunity to find social outlets and an increased ability to connect with others. Don't give up. Create some short terms goals that you can likely achieve and make your treatment a priority and a focus. You have already taken the first step in getting better by writing to this site. Keep on this path and believe in yourself. Best of luck to you!"
"Instruct: There are many people willing to lovingly provide me with a home. I have food, clothes, and a university education, but I never feel like I belong. Even when I have a good time with people who are supposed to be close, I feel like I'm just out with friends and I never go home.
Output: From the little bit you wrote, my guess is you haven't figured out where and how to lay down your own set of roots.Usually people who have a university level eduction are old enough to work in order to support themselves.Unless you have a medical condition which limits or prevents you from working a full-time job, would you guess that the effort and thought involved in deciding in what professional area and geographic location to look for work, would offer you a way to establish your identity?My suggestion is to pay more attention to your own likes, dislikes, and interests.   To know these areas more deeply would define the type of people with whom you identify, have a common interest and with whom you'd like to socialize.The more you realize who you are, the easier time you'll have to find like-minded others and feel securely at home with them and yourself.Again, if you have a medical disability or condition which prevents employment or easily socializing with other people, then this advice would need to be modified for your specific strengths."
"Instruct: Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her. When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand?
Output: Do you know why your girlfriend doesn't believe you?It is strange that your girlfriend prefers you to take the phone call of another woman.Have you blocked the unwelcome phone calls?Has your girlfriend said she doesn't believe you or is this your interpretation?Find out the answer and then ask your girlfriend to tell you her reasons behind her thoughts.It is much easier to help someone understand a situation if the person is engaged in a conversation.Whether or not she understands is up to her.All you can be responsible to do is to offer your explanation, which sounds like you've already substantially offered.Keep or reintroduce the topic for the two of you to talk about again."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: This must be so difficult for both of you.  Watching someone you love suffer so profoundly can bring up lots of difficult feelings.  Without knowing what you are already doing, I have a few thoughts to share with you. First and foremost, know that you cannot fix this for him, and get support for yourself.As much as you are able, make space in your relationship for him to talk about what he is experiencing.  He might not want to talk, and that is ok.If he wants to talk, try to listen without judgement and without trying to talk him out of his feelings.  Focus on validating his feelings and just sitting with him in his pain.Let him know how you feel...that you love him, that you care, that you are concerned, that this is scary for you too, that you are here.I hope that this is helpful.  On my website (www.sarahmcintyrelpc.com), I've written a series of blog posts about coping with distress.  The techniques I've written about there may be supportive for you and your husband.  Sending warm wishes your way.  -Sarah"
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: It seems like you are very receptive of your husband’s emotions and want to support him trough this time.  But it is also important of being aware of your emotions.  How are you feeling after the suicide attempt?  It is common to experience negative feelings while you try to make sense of the incident.  Feelings like anger, shame, guilt and fear are frequent; while, wanting to avoid, minimize and become distant from the person are parts of the defense mechanism to attempt a quick resolution.  Once you understand and overcome those feelings you may be in a better position to help your husband; who may be experiencing some negative feelings as well.First, it is important to have a safety plan in place, which includes removing harming objects from the home, knowing who to call if there’s a new attempt (either 9-1-1, or nearby treatment center), have a professional expert who monitors you and your husband’s progress, either a Counselor or mental health provider could help you manage negative feelings and identify ways to handle triggering situations.Once the safety plan is in place,  make him feel supported and not judged, saying open ended statements, like: “I am glad that you are here, please let me know what I can do to help you through this process”.  Making small changes toward a healthier living may help as well.  Exercising, eating healthier and practicing new leisure activities may be good ways to start.  Also, explore your spirituality and your husbands, looking for ways to encourage each other by joining a support group or finding people who share your spiritual beliefs.If you have more questions or concerns I offer teletherapy in the State of Texas, and traditional Counseling in Puerto Rico, call 787-466-5478. ¿Cómo puedo ayudar a mi esposo después de un intento de suicidio?Después de que el llego a casa del hospital estaba enojado, luego por un tiempo maravilloso.  Ahora está deprimido y sin ánimos.Parece que estas muy atenta a los sentimientos de tu esposo, y que lo deseas ayudar durante este momento de su vida.  Pero también es importante estar consciente de tus propias emociones.  ¿Cómo te has sentido luego de este intento de suicidio?   Es común que experimentes emociones negativas mientras los recientes sucesos hacen sentido.   Sentimientos como coraje, vergüenza, culpa y miedo son comunes, y el querer evitar, minimizar o distanciarte son mecanismos de defensa igualmente comunes.  Ya que comprendas y superes estos sentimientos,  estarás en una mejor posición para ofrecerle ayuda, recuerda que tu esposo también debe de estar experimentando sentimientos negativos. Es muy importante tener un plan de seguridad, esto incluye remover todos los objetos que pueden ser dañinos o facilitar un futuro atentado, saber a quién llamar en caso de una emergencia (9-1-1 o una clínica de emergencias cercana),  tener un experto que monitoree tu progreso y el de tu esposo, puede ser un Consejero u otro experto de salud mental que te ayude a manejar los sentimientos negativos y situaciones retantes.Ya que el plan de seguridad sea activado, crea un ambiente donde tu esposo se sienta apoyado y no juzgado.  Utiliza frases abiertas para comunicarte, dile que estas feliz de que este contigo, y quieres saber cómo puedes ayudarlo durante esta etapa.   También haz cambios pequeños para mejorar su calidad de vida como pareja.  Hacer ejercicios, comer más saludable y compartir actividades puede ser un buen comienzo. Explorar tu espiritualidad y la de tu esposo también puede ser de ayuda, y encontrar personas o grupos que compartan esos mismos intereses puede ser una manera de mantenerse motivados.Si tienes más preguntas o preocupaciones sobre el tema, ofrezco teleterapia en Texas y Consejería Tradicional en Puerto Rico, llama al 787-466-5478 para más información."
"Instruct: How does a person start the counseling process?
Output: Usually people call me by phone, they introduce themselves, we chat for a bit, then we schedule a time for their appointment"
"Instruct: How does a person start the counseling process?
Output: Hello. Usually the person interested in therapy reaches out to the therapist, by telephone or email.  I like to respond with appreciation for their making contact and ask if they are available for a phone consultation in order to see how I may be able to help.  Once we are on the phone, I like to get a brief sense of what's happening in their life and the way in which I respond and the way we communicate will give each of us a sense of whether our dynamic is appealing enough to take the next step.  And the next step is making an appointment.  Also in the initial conversation, you can feel free to ask what their therapeutic modality is or give a brief scenario and ask how the therapist might respond to that situation.  I encourage you to be fearless in ""interviewing"" the therapist.  This is one of the most sacred connections of trust you could be about to forge, so if you don't feel comfortable, move on to the next therapist on your list.  If the connection feels good to you, then it's worth it to make the first appointment.  You will immediately know if you don't feel comfortable speaking with this person.  But if you DO feel comfortable, heard, validated even in that short conversation, I encourage you to make the appointment.  Once you're in the first session, you can continue to assess through how your feeling and responding, just how comfortable you are or are not. Just keep listening to yourself every step of the way!"
"Instruct: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.
Output: This could have many different origins. Have you tried asking him about it? Sometimes starting with asking whether he would be open to having an important discussion can be a good beginning. If that starts well, perhaps continuing with something like ""I've noticed that we haven't been together intimately (or whatever phrasing works for you) as much lately. Can you tell me more about what it's like for you?""When asking questions like this, it usually helpful to not overuse (and perhaps try to avoid using) the word ""why."" That word tends to trigger really strong emotional reactions in people. Try starting with ""what makes"" Instead. For example, ""what made you choose not to do that?"""
"Instruct: 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?
Output: Everyone has topics to discuss when they start therapy.   There is no correct number of topics.youSometimes people go to therapy for one specific area of their life.   Not everyone has the time or interest to utilize therapy just when a significant topic arises in their life.Since you are one person, no matter how many or few topics you would like to address in therapy, all the topics relate to you.Possibly the result of your therapy will be more transformational than if you talked only on one topic.  Lucky you, to be on the cusp of clearing and resolving many vulnerabilities at once.   You will feel brand new by the time you finish your therapy work!"
"Instruct: My boyfriend and I have been arguing every night about the same thing. He also tells me that if I go visit my mother out of state he will be gone when I get back. He and my mother do not get along. What should I do?
Output: It's ultimately your decision whether or not you go to see your mother. I'm not sure whether talking with her on the phone or through some videoconferencing application (such as Skype) would be something you could do in the meantime until you sort out what you want to do.Some things I wonder are:What makes the two of them not get along?What makes him feel threatened or on edge if you visit your mother without him? What does he think will happen?What is he getting out of trying to choose for you?What is he so afraid of?If you decide to talk about these things with your boyfriend, try to do the following:Consider using questions that start with the words who, what, where, when, and not why. The word why can be really difficult for some people to answer because the word itself triggers an emotional reaction.Try to ask him if the two of you can discuss this in a way that you can just ask more questions about what he is experiencing. If you can listen without being defensive about what you think and feel, you may understand more about where you boyfriend is coming from.Remember that understanding what he means does not mean that you have to agree with what he is saying.Maybe he would be willing to listen to what you are experiencing and ask questions about that as you did for him. It would be good to do this in a way similar to what an investigative reporter would do and asking questions that cannot be answered in a yes or no format and require more information.I'm sure this is putting you in a very tough place. If you would like to talk to someone more directly about the details, consider seeing a local mental health professional."
"Instruct: 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?
Output: Most clients have many issues that need working out. It is normal to have many events in our lives that trouble us and remain with us without counseling help. The right type of counsellor will help you focus on the main and most troubling issue you have first and work your way through all that you are managing step by step, goal by goal. Sometimes, working on  one issue helps to bring other issues to light in the context of your main problem. This can help you resolve some other issues that are connected. Look for someone with experience and specialty in your most pressing issue...even though you have had breast cancer, you may find that grief from your past is more troubling. Then you would look for a bereavement or grief specialist."
"Instruct: 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?
Output: Hi. It can be difficult to handle such a transition on your own. I work with clients to understand their needs and wants. This can involve how to communicate effectively with friends, family, and other loved ones; or, learning how to have self-acceptance. I strongly recommend speaking with a licensed clinician one on one to help facilitate the change you are looking for. "
"Instruct: Every winter I find myself getting sad because of the weather.  How can I fight this?
Output: Seasonal depression can be difficult due to the weather being a primary trigger. Understanding that we have very little control over the weather, therefore we can focus on the things we can change. Exercising, meditation, guided imagery, and deep breathing can be beneficial to combat seasonal depression. It may help to join a support group and seek out therapy to assist you on this healing journey."
"Instruct: I need help dealing with stress. How can I handle it all and feel less stressed out?
Output: In case you feel some relief to know you're feeling the tone of our times.We live with crumbling of our values which then gives rise to insecurity everywhere.  If someone doesn't know what their values are then its difficult to do anything, and right now everyday we hear uncertainty in what used to be our basic assumptions.You're more normal for noticing and feeling stressed than if you imagine life felt fine the way it is!One road to take is to accept that there are no clear roads forward.  This means to change long term goals into shorter ones.Also, in general the more focused you can be as to your particular wishes, motivations, interests, and people about whom you care, the greater will be your sense of confidence that your personal world is as secure as it can be for right now.And, it helps too to know that nothing lasts forever, eventually all of what is up in the air will start to land in a much more clear way."
"Instruct: My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me.    He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?
Output: Hello, and thank you for your question. Nervousness, when doing something new, especially something sexual that can feel so personal, is very common. Indeed, despite the fact that nervousness can be uncomfortable, it is also part of the excitement of trying something new. Many people who engage in open, polyamorous, and/or other-type relationships, will tell you that difficult feelings, such as jealousy and anger, do show up sometimes. This doesn't prove that there is something wrong with the relationship, it just shows that you retain normal human emotions while in one. And many people who are in polyamorous relationships have written about the work it sometimes takes to make such relationships work. Of course, all relationships take work, so polyamorous and other types of relationships are simply not an exception. There could be several reasons why you are feeling the way you do. One reason could be that you are simply not as comfortable with the idea as you think you are. Some time and good communication with your husband may help you with this. Another reason this may be bothering you is because, on some level, you are aware of the messages society gives us about marriages. They are supposed to be monogamous, heterosexual, etc. etc. Just because you may not agree with these beliefs doesn't mean that you haven't been influenced by them. We all have. Another reason this may be upsetting you is because it may feel a little frightening. Perhaps there are a lot of ""What ifs"" going on in your mind. When you get the ""empty"" feeling, it may be helpful to try to really nail down the emotions that are attached to that feeling. One thing that I do think is very important is that you communicate these feelings to your husband. It may even be a good idea to talk about expectations or ""ground rules"", if you will. It is important that you are both on the same page about what this is, and why you are doing it. If you continue to struggle, I suggest finding a counselor who has experience in sex and sexuality.  I wish you well.Robin J. Landwehr, DBH, LPCC, NCC"
"Instruct: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole ""If you love them, let them go,"" but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped.
Output: Are you possibly mixing up an impulse to nurture and protect someone, such as by offering housing, and your own need to feel loved and appreciated as a romantic partner?Maybe your feeling of jealousy is really your awareness of a reasonable need to be loved by a partner.Even though you are quite detailed in your description of your partner, one piece which is missing, is whether you feel you are loved by her.Maybe too, what she considers your insecurity, is really her unwillgness to love you.It's always easier to put distance between two people by insulting them.I hope this gives you a few new ways to look at your situation.A few therapy sessions, either by yourself or together w your gf, would give you more chance to know more deeply what it is you are facing."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: As a therapist who believes in client self-determination above most other elements of the process, I want to as much as possible leave it up to the client to determine when they are finished. In the case of a termination because a client's distress has resolved, I might periodically check in with the client about how therapy has been going, and if we want to re-evaluate where we are.The more unfortunate situation would come about if I felt that I wasn't the best fit for the client. I would offer that in words, and ideas of therapists (with names) of who I thought might be a better fit and why. It still is up to the client whether to continue, however should they want to keep seeing me, a part of the work would be about that want (to see someone who professionally doesn't believe they can help as much as someone else.)I also find it perplexing when I hear a client (or on a personal level) tell me that their therapist said they ""didn't need therapy."" I don't know that I buy into that scenario all that much, because I do believe that yes, not everyone NEEDS therapy, but that everyone CAN benefit from therapy and I don't believe it is the therapist's job to deter someone from ever seeking out help of any kind."
"Instruct: Does counseling really do anything that can help people?
Output: There are multiple ways that counseling helps people. The most basic is that it gives you someone to talk to about and through what you are facing. It is better than a friend because this is a space for your stuff and you get to focus on what you need and don't have to worry about the other side. This is also a place where you do not have to worry about how else the other person is involved in the situation. Beyond this basic level, a counselor will have expertise they can bring in terms of how people, including you, can effectively deal with this kind of situation. The counselor may also be aware of connections that you would not otherwise see. A good counselor will also recognize if and when you need other help or support in the situation. Why wouldn't you benefit from having someone walk with you in your journey to peace and wholeness."
"Instruct: Does counseling really do anything that can help people?
Output: I believe that counseling (and finding a GOOD therapist)
will be of significant help when the individual seeking therapy desires change,
improvement, and overall growth. Most counseling involves homework and a level
of commitment outside of session that also contributes to resolution of
problems and an ability to cope with stresses in a productive way. Here are
some of the key ways that therapy can help. 
1. Helps to define the problem and gain a clearer
understanding of where it originates. Many people seek counseling because of symptoms they are
experiencing. These can include feeling sad, increased sleeping, substance use,
panic attacks, self-harm, isolating one’s self, academic decline, etc. Often
times, people are not aware of what is causing these symptoms. Having a
therapist to help guide and explore why the symptoms are occurring and where
they come from will give individuals increased insight and awareness into their
problems. 
2. Allows for a safe outlet to vent.
Not everyone likes to share their problems with close
friends or family members. Maybe they don’t want others to know of their flaws.
Maybe they don’t want to burden others with their problems. Or maybe they just
are not comfortable talking about themselves. And in some situations people do
not have the option of talking with someone they know because they have no
friends or family. While talking with those we know can help bring some relief
it is also nice to talk with someone like a therapist who is objective and
emotionally removed from given situations. Counseling gives a safe outlet in
which one can express their personal feelings and thoughts without feeling
judged.
3. Counselors can offer various problem solving solutions.

A good therapist usually will not directly point their
client in the direction they need to go. Counseling is about growth and
teaching the client to identify triggers and use effective coping strategies
that will bring about emotional and psychological relief. Counselors will help
clients to explore the various options available in given situation, based on
the client’s needs, wants, and values and will help them to choose the option
that best fits with their desired outcome. 
4. Gives one the tools needed to cope with current and future
problems.
Many individuals that seek therapy have never learned
good coping strategies. Perhaps they did not have parents or caretakers to
model productive ways to cope or maybe the symptoms they are suffering from are
overbearing and take away the energy needed to cope. Different diagnoses
require different tools; however some are beneficial for any problem and any
individual. These include but are not limited to relaxation techniques,
breathing exercises, development of healthy routines, using mindfulness,
improving communication skills, and recognizing and changing maladaptive
thought patterns. A good counselor will teach clients how to use these tools,
will often practice them during session, and will assign homework for further
practice and mastery of the skills."
"Instruct: When they come home from their dad's and I fuss at them for anything, they move like they are dodging being hit. They say they’re sorry over and over really fast. I ask and they say no one has hit them, and I've seen no marks. Am I being paranoid or am I right to be?
Output: It sounds like your children are walking on eggshells, and behaving in a manner that suggests that (at minimum) they may be receiving an undue amount of anger from someone in their lives. In addition to addressing this delicately with your children's father, it would be wise to speak with your children's teachers and pediatrician as well. Please closely  monitor the situation, and express to your children that they can always come to you with any information, and they will never be in trouble for confiding in you."
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: Then one day when life between you and mom feels calm, tell your mom that you aren't able to listen to her complaints about your sister.The truth exists whether or not it is acknowledged.   Bu acknowledging what feels real and necessary in your life, you are helping your mom see what she may not like to see and what nevertheless is right in front of her.There is no good reason or good to come of hiding your own truth about not wishing to continue listening to your mom complain."
"Instruct: How do I decide if I should end my relationship with my boyfriend?
Output: That you are questioning if you should end your relationship with your boyfriend tells me that you are unhappy with him. Spend sometime by yourself exploring the reasons for that unhappiness. Are these things likely to change or not?"
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: You should like and trust your counselor. Sounds like a big ole “DUH”. But you will not believe the number of people I have met with that have described their past counselor as “totally opposite than me” or someone who “didn’t get me” or “had totally opposing beliefs as me”. Suggestion to the masses, do your research prior to entering counseling! If you are someone who often cusses and is abrasive, you might not want to pick the counselor who is highly professional and uses sophisticated language throughout their site. Pick someone who is more in line with your personality and wants for your future.And even if you do your research beforehand and figure out you aren’t vibing after a few sessions, that’s okay! Let your counselor know this, and who knows there might be something that can be done to make you feel more comfortable or maybe there isn’t. But the good thing to note is that there are thousands of human helpers in your city and your counselor would be happy to provide you with a referral to a better fitting therapist.View full post here: https://www.therapybyshannon.com/blog-2/2019/1/14/7-things-counseling-should-and-shouldnt-be"
"Instruct: I want us all to get along, but feel that I am not being respected. Of course I do have some insecurities because he was with his ex for 8 years. He wants to see his step daughter and ex makes it so he has to go there to see her, but she doesn't want me around. She has a boyfriend, but mine fixes their vehicles, goes over once a week and hangs out with the ex and does family things with her. Since he works nights, I only see him parts of Friday-Sunday and we live together. He won't let me use his phone when I forgot mine, says his ex used to mess with it. I don't think he's cheating, but he will lie about what time he actually left her place to come home or about going over early to be with them. I feel like the other woman. She has tried to mess with holiday plans by restricting when he can see the child. He only dated once person before her, so this could be why. I don't feel he has let go enough. He is a wonderful boyfriend other than this.
Output: How much of your unhappiness with your boyfriend's way of handling himself regarding his ex, have you told him?The topics that upset you are the core of any intimate relationship.The good news is your own awareness of priorities and expectations from a partner.There may not be any bad news, depending on whether your boyfriend has the interest to adjust what he does regarding the ex.Talking the matters you list, may open a lot of emotion and become sidetracked very easily.A couples' therapist, whose focus is on the couple, not either of you as individuals, may be useful to you and your boyfriend so that you are able to complete your discussions without getting lost by the emotions raised."
"Instruct: Does counseling really do anything that can help people?
Output: Yes, counseling helps a lot of people, especially when there is a good rapport between the counselor and their client. Knowing your counselor is someone who is really on your side and wants to see you grow past your difficulties into a healthy, happy, successful life is more important than what kind of counseling method they use. If you are looking for a counselor, take your time and be sure you feel heard and respected as well as challenged to grow."
"Instruct: Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?
Output: Scary thoughts can feel overwhelming at times as well as feeling quite real. I want to acknowledge how scary they can feel, but there is hope and new skills you can learn to work with these types of thoughts. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particulate thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain,"" he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories,  this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought."
"Instruct: He is verbally abusive. When he gets mad, he just yells at me. At times, I feel scared.
Output: Good for you on recognizing your own feelings.  Often in an abusive relationship, the person who is being abused, starts doubting themselves and starts tolerating, then accepting abuse.Marriage is based in love and feeling taken care of by the partner.  Feeling scared is the opposite of this.If you feel ready, tell him the way you feel and pay attention to how willing your husband is to being aware that he yells and that you feel scared.If he has no idea of what you're talking about, doesn't want to understand what you feel, then slowly take steps to understand within yourself whether or not tolerating your husband's behavior is acceptable to live with on an everyday basis."
"Instruct: I constantly feel like everyone is up against me and trying their best to shut me down. It's ruining my mood and even my whole self. I have trouble sleeping, and I keep having sleep paralysis while dreaming of others mocking and judging me.
Output: The problem you describe sounds very wearing on your spirit.Are there particular reasons for why you feel everyone hates you?Have you been in a clash of ideas or opinions and feel yourself in the minority viewpoint?Or does your sense of being shut out start within your own mind, as though you anticipate that others will not like what you say?If actual conversations are leading you to feel left out, then evaluate whether to bring up certain points to the other person.Or, you may also decide that the relationships in which you feel shut out, are no longer worthwhile ones for you.If the problem is hesitating to interact because you imagine others will reject you, then maybe you can coach yourself into trying a small step toward introducing yourself and your thoughts to others."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: I first want to let you know that you are not alone in your feelings and there is always someone there to help. You can always change your feelings and change your way of thinking by being open to trying to change. You can always make yourself available to learning new things or volunteering so that you can make a purpose for yourself."
"Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?
Output: What you're experiencing is anxiety, it's actually quite common. Good news - you're not alone in this experience! That being said, it can be so frustrating and upsetting to have to contend with the anxious thoughts that come up in our heads, sometimes without any warning. Additionally, nighttime is a particularly vulnerable time for a lot of people wherein anxiety rears its' ugly head even more so. We aren't as distracted at night and our resources are more depleted so we can't fight back against these thoughts as effectively as usual. It can be helpful to externalize our anxiety, give it a name, like ""Judy"" or ""Bill"" for example (or perhaps something more sinister like Lord Garmadon??). The naming is all up to you, what comes to mind for you when you think of your anxiety, now what is a name that's fitting? The act of externalizing separates us from the anxiety a bit and makes it a little more tolerable. If you can think of your anxiety as just something else to handle rather than it being a part of your personality, this is usually helpful. Additionally, I recommend not avoiding the situations that make you feel this way. Our brains have to learn what is an actual threat and what is not. Right now, your brain thinks that crowds are a threat, if you can practice some deep breathing and stay in the crowd, you will start to teach (or rewire) your brain, letting it know that the crowd is not dangerous to you. Think of your brain as an overprotective parent. Your brain is overreacting in these situations to try and keep you safe. It just needs to learn that the situation is not a danger to begin with."
"Instruct: 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?
Output: 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."
"Instruct: My ex-fiancé (whom I am still seeing) left me because of the pressure from all three of his teenage daughters. They wanted him to try to work it out with their mom (his ex-girlfriend of 20 years). He and I split three months ago, but I have been seeing him pretty regularly despite the fact that he is living back with his ex-girlfriend and kids. He is ""co-existing"" for the kids and fighting all the time with his ex-girlfriend. His daughters don’t want their dad with me because my two boys (grown adults and on their own now) had bad reputations and issues with drugs. His daughters say it is embarrassing for him to be with me. He and I had an absolutely amazing relationship and connect on so many levels. He is getting a lot of pressure from his family and his longtime friends to ""do the right thing"" and stay with his ex-girlfriend for the kids. He says he wants me to wait. We were going get married last year. He bought me a $1000 dress, we had invitations made, and everything set up, but then his girls told him they'd never speak to him again if he married me. He says he’s trying to mend his relationship with them.
Output: Hello. It seems you are in a set of circumstances that are highly uncomfortable for you. Do you feel those circumstances are healthy? Do you find pleasure being in such a place of uncertainty? Why do you continue to be in this situation? Without meaning to appear that I might be lacking in compassion, you do have the option to leave the connection completely if the harm it is doing is more that the pleasure it brings you. Is there a benefit to being in this relationship? Do you consider this situation to be for your highest good? Is it healthy to be involved in something that is not likely healthy or perhaps could even be seen as dysfunctional? In truth, only you can decide the answers to these very important questions. I would encourage you to think of who benefits by being in this situation, and how you might be able to find happiness in other relationships that are healthier and more positive. In my clinical view based on what I read, this particular relationship does not carry the joy I am sure you want, nor the healthy interactions you would expect in a functional romantic engagement with another person.Beating yourself up about potentially wasting all this time waiting for the other person to come around will not serve a positive purpose. It likely will only lower your self-esteem. There is a time to wait to see how things develop, and a time to move on to other experiences. You are the one to make that choice, but I would encourage you to connect with your inner higher self, for the most clear answer. Chances are, you already know the answer, you just need to embrace it. Getting in touch with a counselor in your area can also help ferret out some of the deeper issues that you might not have felt comfortable expressing here."
"Instruct: I feel like I'm ugly, stupid, useless, and that I can't make anyone happy.
Output: Check out my blog post on:  Four-ways-add-self-esteem-friends-list/I hope this offers you some nuggets of helpfulness!"
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: It may be helpful to register for a class you can take together. I would recommend mindful meditation or yoga, just the two of you. Something you find time for in a weekly basis. Yoga is amazing in learning mindfulness and reducing stress. I use yoga and mindful techniques when working with children and recommend it to parents to engage with their children. Hope this helps."
"Instruct: I'm in my early 20s. I've worked since two months after I turned 18. I have “plans.” I could become an electrician, or I could operate heavy machinery. I have goals, but I do nothing to try to meet them because I don't feel I can. I just want a better life for my fiancée and the kids than I did.
Output: For starters, commend yourself for being committed to working. You have no idea what is going to happen in the next second, so focusing on thinking you will never have a good career or amount to anything financially is creating a fictitious story.  Remind yourself of that every time the thought pops up.  The false belief that nothing good will happen is sucking out energy you can use on pursuing your career dreams. Next, do you know what you need to do to become an electrician or heavy machinery operator? If not, find out. Then, set up a realistic schedule for yourself to accomplish the steps. As you accomplish each step, see your progress.  Notice that you are moving closer to your goal.  Every day remind yourself why you are pursuing this career.  In fact, write it down and tape it on your bathroom mirror.  When you start to feel discouraged, remember your goal and remind yourself that you have no idea if you'll make it or not but you are going to give it everything you have to find out. Anything worth pursuing is going to take a lot of persistence and hard work. Stay with it! You and your family are worth it!"
"Instruct: After he got home from the hospital he was angry, then for a time wonderful.  Now he is depressed and hopeless again.
Output: It seems like you are very receptive of your husband’s emotions and want to support him trough this time.  But it is also important of being aware of your emotions.  How are you feeling after the suicide attempt?  It is common to experience negative feelings while you try to make sense of the incident.  Feelings like anger, shame, guilt and fear are frequent; while, wanting to avoid, minimize and become distant from the person are parts of the defense mechanism to attempt a quick resolution.  Once you understand and overcome those feelings you may be in a better position to help your husband; who may be experiencing some negative feelings as well.First, it is important to have a safety plan in place, which includes removing harming objects from the home, knowing who to call if there’s a new attempt (either 9-1-1, or nearby treatment center), have a professional expert who monitors you and your husband’s progress, either a Counselor or mental health provider could help you manage negative feelings and identify ways to handle triggering situations.Once the safety plan is in place,  make him feel supported and not judged, saying open ended statements, like: “I am glad that you are here, please let me know what I can do to help you through this process”.  Making small changes toward a healthier living may help as well.  Exercising, eating healthier and practicing new leisure activities may be good ways to start.  Also, explore your spirituality and your husbands, looking for ways to encourage each other by joining a support group or finding people who share your spiritual beliefs.If you have more questions or concerns I offer teletherapy in the State of Texas, and traditional Counseling in Puerto Rico, call 787-466-5478. ¿Cómo puedo ayudar a mi esposo después de un intento de suicidio?Después de que el llego a casa del hospital estaba enojado, luego por un tiempo maravilloso.  Ahora está deprimido y sin ánimos.Parece que estas muy atenta a los sentimientos de tu esposo, y que lo deseas ayudar durante este momento de su vida.  Pero también es importante estar consciente de tus propias emociones.  ¿Cómo te has sentido luego de este intento de suicidio?   Es común que experimentes emociones negativas mientras los recientes sucesos hacen sentido.   Sentimientos como coraje, vergüenza, culpa y miedo son comunes, y el querer evitar, minimizar o distanciarte son mecanismos de defensa igualmente comunes.  Ya que comprendas y superes estos sentimientos,  estarás en una mejor posición para ofrecerle ayuda, recuerda que tu esposo también debe de estar experimentando sentimientos negativos. Es muy importante tener un plan de seguridad, esto incluye remover todos los objetos que pueden ser dañinos o facilitar un futuro atentado, saber a quién llamar en caso de una emergencia (9-1-1 o una clínica de emergencias cercana),  tener un experto que monitoree tu progreso y el de tu esposo, puede ser un Consejero u otro experto de salud mental que te ayude a manejar los sentimientos negativos y situaciones retantes.Ya que el plan de seguridad sea activado, crea un ambiente donde tu esposo se sienta apoyado y no juzgado.  Utiliza frases abiertas para comunicarte, dile que estas feliz de que este contigo, y quieres saber cómo puedes ayudarlo durante esta etapa.   También haz cambios pequeños para mejorar su calidad de vida como pareja.  Hacer ejercicios, comer más saludable y compartir actividades puede ser un buen comienzo. Explorar tu espiritualidad y la de tu esposo también puede ser de ayuda, y encontrar personas o grupos que compartan esos mismos intereses puede ser una manera de mantenerse motivados.Si tienes más preguntas o preocupaciones sobre el tema, ofrezco teleterapia en Texas y Consejería Tradicional en Puerto Rico, llama al 787-466-5478 para más información."
"Instruct: My ex-boyfriend, will not stop harassing and stalking me. We work together. I honestly think he needs help to move on. His accusations are angry lies. But I think he may believe them to be true.
Output: The specific laws about this will vary from state to state.  Generally, the only way to ""force"" someone to get mental health care is if they pose an imminent theft of harm to themself or someone else, or if they are unable to care for themself.  More importantly, is dealing with your safety.  Most states have laws that make stalking a crime. You might want to think about filing a police report and obtaining a restraining order against him.  You could also think about contacting a local counselor. While you can't force him to get help with moving on from the relationship, counseling could help you to deal with what is going on."
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: What an important question. I'm hearing your hopelessness and fear about the damage of your substance use and it sounds like you have reason for concern. While there can be negative stigma about using substances, for the most part substance use is an attempt to cope with emotional distress in the absence of sufficient coping strategies. We all look for comfort when we are in pain and this may be the way that you are getting comfort - even though it is also hurting you. In order to stop using alcohol and weed you will need a lot of support and you will need to learn other ways of getting comfort when you are in pain or struggling with bipolar related symptoms. There is nothing to be ashamed of and we all need help when we are struggling. I would encourage you to reach out for support in any way that you can. Have you talked with your health care providers about your concerns or friends or family members? Here are some links of resources in Whistler that may be helpful:http://www.vch.ca/locations-and-services/find-health-services/?program_id=11035http://redbookonline.bc211.ca/service/9509054_9509054/whistler_mental_health_and_addictionshttp://mywcss.org/programs/counselling-assistance/http://redbookonline.bc211.ca/organization/9489472/alcoholics_anonymous_aa___squamishwhistler"
"Instruct: I went to my ex-boyfriend to reach out to one of his high school friends who's attempted to commit suicide. When I went to him to reach out to his high school friend, he told me that I put him in a terrible position and put an enormous load on his shoulders. He was very angry that I went to him to do that. Am I in the wrong for going to him to reach out? He helped me so much with my depression and bad habits, so that's why I thought of him to reach out. He made me feel awful for thinking highly of him to help. Why did he react this way towards me? I think he's being selfish.
Output: I'm glad you think so highly of your boyfriend and his ability to be there when you would like to talk about things that are important to you.I see why you would want them to reach out. I also wonder about how close he was with his friend and what he thought you meant when you asked him to reach out. It sounds as if he is thinking that doing so would mean that he is responsible for his friend's well-being, although I can't say that for certain.Would you be willing to have a discussion with your boyfriend where for a few minutes (five minutes or so), you ask him about what made him react that way? During this time, try to listen and ask questions is if you are an investigative reporter and are trying to learn more about his experience. You can also summarize what you are hearing to make sure that you understand it as he does. This does not mean that you have to agree with what you say, but just that you follow. I hear you saying that you think he's being selfish. I'm suggesting that just during this conversation, you ask questions to focus on what he is thinking and feeling. In one sentence, the goal would be to learn more about his experience.I would not be at all surprised if he is scared.Are you aware of what kind of support he wants through this time?"
"Instruct: 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.
Output: 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)"
"Instruct: How do I stop those thoughts?
Output: The thoughts you are having are just thoughts.  Not actions.  It is your choice whether you act on these thoughts.  If you decide to explore having sex with adults of different genders that is great.  If you find yourself obsessed with sexual thoughts, you may want to see a cognitive-behavioural therapist.  Take care."
"Instruct: My boyfriend of five years told me he cheated on me during our relationship after we broke up. We've since gotten back together and are trying to make it work. I don't know how to trust him now, but I really want to make it work, and it seems like he does too. But my trust issues are getting in the way and causing problems.
Output: Hi Michigan,This is a common issue. How do you trust after you know someone is capable of hurting you? I totally get that it's hard, and I believe it's worth it if you truly love and want to be with someone. You can be stronger in the scarred places. I would suggest that you each have a separate job to do to rebuild this trust. It is definitely possible to rebuild it, because anything is possible if both people want it enough.Your boyfriend came clean to you...this is pretty crucial. He chose to honour your needs rather than keep the secret. You can use that as evidence in your ""proof that he loves me"" file. Work on that file...thicken it up. Having a thick ""he does care about me and wouldn't hurt me again"" file will help you. Other things that he can do to help you thicken that file (because after all, his behaviours caused this problem): answer all your questions, don't brush you off if you're feeling insecure, treat you as though you're a priority, avoid questionable contact with other women, have open communication, give you passwords to devices so there is transparency. He can help you to understand where those behaviours came from...why he cheated in the first places (although people aren't always good with those 'why' questions!)You can focus on telling yourself that people change, that he deserves a chance to show you he can be loyal (or at least you've decided to give him that chance), and that you want to be a trusting person. If you act like a trusting person, you will likely feel more like one. Don't go snooping, don't interrogate him. It's normal you might feel scared and try to tell him that when you do. Let him know what happens that leads to you feeling scared.This is a start for you. A good therapist can be helpful too!"
"Instruct: 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?
Output: Absolutely not. It sounds like you have significant trauma and it will continue to impact your depression until it is dealt with. Everybody has issues, though some more traumatic than others yet it is best to just start somewhere. I would encourage you to begin counseling and work through some of your history at your own pace in order to begin to impact and reduce your depressive symptoms."
"Instruct: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?
Output: When you say you've ""been caught"", I am assuming that means your parents know you've been sneaking out.  If that's the case, could you ask for their help?  Sometimes just knowing someone else is holding you accountable really makes a difference.  That could be as simple as Dad checking in on you at, say, 2 am, just to make sure you are where you are supposed to be.If you are sneaking  out to hang out with friends, find another way to connect with them - if they are truly friends they will want to support you in your resolution to stay put at night.  Maybe you can ask for their support by telling them to stop including you in late night plans.There is likely a reason you were sneaking out, but there's a reason you want to stop too - so get support.  No one changes hard habits on their own!Best of luck to you - you can do this and it will help you change other things in the future."
"Instruct: He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining.
Output: Hello and thank you for your question. I worked for a number of years with people who have been both abused in their relationships and those who have been abusive. Being involved in a relationship with a partner who does the behaviors you describe can be incredibly difficult, and many would argue is even harder than overcoming actual physical violence. I was a little confused about whether you're are still broken up with this person or if you are still thinking about it. I am going to assume you are still undecided. Some of the things you are describing sound like emotional abuse. Even without physical abuse, being emotionally abused can still be traumatizing. When partners question and accuse, they are often trying to exercise power and control over their partners by hurting them with unfounded accusations.  The accusations serve to make someone feel guilty and to manipulate them. For example, if your partner accuses you of cheating when you go out bowling with friends, you may elect not to go bowling just to satisfy your partner and prevent a fight from occurring. The person being accused or questioned often tries to prove over and over again that they have done nothing wrong, but it doesn't matter. And that brings me to the point of what some people who experience these behaviors do in order to start feeling like they have some power again. Here are just a few things:1. They realize there is no right answer. Trying to be logical with someone who doesn't want to be logical doesn't work. Many people simply stop trying to defend themselves against false accusations because there was no answer that would satisfy their partner anyway. In addition, the rules of the relationship seem to change on a daily basis, and what may be okay with your partner one day may make them angry the next. And this can leave people constantly feeling like they are on eggshells.  2. The find support. Finding a support group or a group of people who remind you on a daily basis that you are a decent person is always a good idea. One of the things that can happen when we are with someone who does emotionally abusive things is begin to have a negative concept of ourselves. Surrounding yourself with people who remind you that you are a good person is a great idea. 3. They reinvest in themselves. Try to find some time for yourself. This couldn't possibly sound more cliché, but it is actually true. Whether that is taking up a new hobby or doing an old one. One thing that can happen when emotional abuse takes place in a relationship is the person being abused can begin to isolate and not do the things that make them enjoy life. Taking some time for the self can sometimes bring things into perspective.I don't know if you are still in counseling, but if you are and you are getting what you need then that is great. If not, there are others you can try. It's important to find the right fit. As for the question of whether or not you should leave your partner, that is a question that can only be answered by you. But you could ask yourself some questions  like these to help you decide:1. What are some of my values about relationships? Do I want Trust? Honesty? Ask yourself if you have these things in your relationship.2. Do I feel like this relationship brings out the best in me, or does it seem to bring me down?3. If I want to stay in this relationship, what are some specific things that need to change? Hope some of these suggestions help. Good luck to you. Be well.Robin Landwehr, DBH, LPC, NCC"
"Instruct: I am divorced and happily remarried. Our blended family of children are in their 20s. My youngest, age 20, continues to call me crazy and favors her dad. He was abusive to me, and I left with injuries. He never wanted kids, and I did. He paid child support only through forced wage earners. Now my daughters favor him after all the sacrifices I made for them the past 15 years as a single mom. I don’t deny them a relationship with their dad, but to be called crazy and then watch them hang out with him hurts me to the very core. I’m not sure how to handle this.
Output: It sounds really difficult to know that your daughter may be ""choosing"" her dad over you, perhaps I can help by saying her intense emotional reactions towards you actually acknowledge how much safer and connected she feels towards you. We tend to have big emotions around those we care for most. I would suggest to let her know how hard it is to hear that, and sad it make you feel at times, and that this is hard for everyone. Expressing your feelings to here, will allow her to express hers too. "
"Instruct: 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?
Output: Just go! You start with the most prevalent issue by talking with your therapist. Healing one issue can have a ripple effect and heal other issues as well."
"Instruct: I terminated my counseling relationship with a social worker several years ago. I am now realizing that I would like to begin counseling again. The social worker’s voicemail message says that he returns calls in 24 hours, but he hasn't called me back. I called him on the weekend and made it clear that I want him to call me back. Can he just ignore me?
Output: Yes, your former social worker should return your phone call.It is the professional ethic to do so and plain human decency to do so.If he doesn't, there is nothing you can directly do about the fact of his ignoring you.There are formal complaints you can make, which you can consider doing.What matters most is receiving social work service.Stick with looking for another social worker who is willing to help you.The self-doubts you mention may be worth examining.They do not, however excuse the social worker mishandling himself."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: Watching children go through challenges in their lives is difficult. On a very basic level, There exists a primal need to protect them from harm. The hard part for parents is letting them feel those challenges and working through them as they get older. At some point, there is a moment that occurs when the role as a parent shifts. Children no longer need the basics (food, shelter. water, safety) as much as when they were toddlers, but rather, their needs shift to wanting more support, encouragement, advice, and room to make mistakes. This is where the ability to communicate with them, letting them direct the sails to gather the wind needed to move, is so important. Keep the lines of communication open and be available to give feedback when they ask for it."
"Instruct: I found the guy I’m dating on dating websites. He was telling women that they were beautiful. He said it wasn’t him and that the phone was hacked. It has since happened two other times. He says he loves me and I’m the only girl he wants to be with, but I feel he is not telling me the truth.
Output: I would suggest possibly talking about the type of relationship that both of you want to create. For example, you may want a relationship where honesty, listening, compassion, and romanticism are major parts. You could also see what your boyfriend wants.You may also consider taking five minutes to see if he will listen to your feelings about him being on the dating site and whether he can work to learn more about what you are experiencing with asking open-ended questions (not being answered with yes or no) and restating what you are saying to see if he has it right. After that, perhaps you could switch so that you can listen to his perspective for five minutes and learn more about what he is doing by asking open-ended questions.Remember that it takes two people to have  a relationship, so the choice is yours as to whether you choose to stay in the relationship and what kind of relationship you would like to have."
"Instruct: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?
Output: Your question is actually thoughtful and reflects a true interest to know more about life.No one knows if god is a lie because ""god"" is a concept in which people either make up their own definition of this concept, or believe one of the concepts of what god is, handed down by religions.All the religions exclude the other god concepts, and expect loyalty to believing in their particular version of ""god"".Probably god is real in the sense that most people want to believe there is guided purpose to what goes on in life.This is as definite as what we can know about ""god"".""God"" is not a lie because it is not a fact.  Beliefs aren't provable."
"Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?
Output: Since you're aware of your sensitivity to being among large groups of people, then continue to satisfy this and stay away from crowds as much as reasonably possible.It is also fine to prefer the companionship of animals, as long as it is not to the exclusion of relationships with people.Recognizing this feature about yourself is another example of self-understanding.The only point to consider is the reason you avoid talking with other people.If its because of bad or stressful encounters, betrayals or some type of violation, then having this relationship pattern remain in your mind, may introduce new problems such as loneliness from lack of close friends.What you should do is honestly understand whether you avoid people from fear of being hurt or exploited in some way or because you genuinely prefer solitude.If you have the right combination of people/solitude/animals, then great!If not, then consider the confidential office of a therapist for new understanding of yourself and your social interests."
"Instruct: I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.

I spent the weekend with him and  it upset my boyfriend. Was i wrong?
Output: This can be a very complicated situation. The boundaries of relationship include the rules to follow in the relationship. It is important to follow the rules of your relationship  in regards to each person being able to spend time with exes. If you and your boyfriend agree upon a rule about spending time with exes, then there should be no problem. "
"Instruct: I'm in my mid 20s with a husband and children. I love my family, but I feel like I've lost my identity, and I don't know who I am other than a mom and wife. At times, all I can think is what I gave up and how I feel unhappy and trapped, but I know I'd feel like worse without them. I loathe myself at times. I have an amazing life, so why can't I just enjoy it?
Output: It is not easy being a wife and mother. You have shifted roles in your life. You went from having a career to focusing on your family. Transitioning can be hard, especially when we feel we gave something up that we really wanted. I want to acknowledge you for wanting to be the best wife and mother you can. I think it is great that you are self-aware and want to work on this.Feeling ""unhappy and trapped"" may also mean that you are  believing these negative thoughts are absolutely true. We have lots and lots of thoughts throughout the day. Sometimes we pay a lot of attention to some and some we ignore. Right now these thoughts are getting a lot of your attention and perhaps you are thinking because you are thinking them they are true.  Is it really true that you trapped? You also said that you have an amazing life. It doesn't sound like you are only having negative thoughts. You have some positive ones, too. However, you are giving a lot of weight to the negative thoughts, more weight than the positive ones.I also wonder if you are struggling with the fact that you are even having this thought. One thing that can be helpful is to recognize that you are having a thought, that it is a negative thought, that thinking it does not make it true, and to let it go. This is the basis for mindfulness work that can be really helpful. It is a great place for you to start so you can balance out your thoughts and emotions.Best of luck to you!"
"Instruct: My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?
Output: Everyone deserves to be treated with dignity and respect. Having said that, everyone gets upset once in awhile and may yell or scream, which can be disrespectful. You said ""always, and I mean always"" and that is troubling. If your dad curses and screams at you on a regular and consistent basis, it can (as you stated) impact the way you feel about yourself. While the definitions of child abuse differ from state to state, talking to someone can help. Perhaps there is a counselor at school, or another trustworthy person you could confide in to help you understand how this situation is impacting you? Counseling is a good option. There is also help available through the national hotline at 1-800-422-4453, 24 hours a day, 7 days a week. You can call (press 1) and talk to a counselor while being anonymous. You can also check out this website: https://www.childhelp.org/hotline/resources-kids/I am sorry that you are going though this situation. There is help available. You do not have to go through this situation alone."
"Instruct: I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.    Currently I'm going through anxiety and my thearapist is not available. How do I handle this?
Output: Sounds like a lot is going on right now at such a young age. I'd start with discussing with mom your concerns and ideal situation. I'm unsure what prevents you from staying there, but whoever you are staying with, it should be brought to their attention. In regards to your anxiety attacks, deep breathing is always a benefits. I have a link you can use to help to do this online if you are interested. In addition, finding ways you usually cope with anxiety and what's worked before can help and if it isn't, exploring new way to calm you down can be beneficial. This is something you can speak with your therapist about going forward when they are available.In regards to feeling suicidal: I would call suicide prevention hotline (You can google them) if you truly feel the ideation is getting worse. They are professional agents who can speak with you about your ideation and help you through the process. Hope this helps."
"Instruct: 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.
Output: Hello, and thank you for your question. While counselors work closely with medical providers, and sometimes have discussions about medications with people, we rarely make recommendations about how much or what type of medication a person should be taking. This is because prescribing and advising on medication is out of our scope of practice. The only exception would be if a counselor is also a physician, nurse practitioner, physician's assistant, etc. Having said that, I certainly understand that anxiety is a real serious problem that many folks struggle with. If you are currently not in therapy to help you with these panic attacks, you should consider it. Medications can be helpful for anxiety, and medications like Xanax may help for immediate relief, but they do nothing to deal with the root of anxiety and may not help with anxiety long-term. Therapists who have experience in exposure therapies would be good people to start with. Exposure therapy has good outcomes for people with anxiety disorders and panic attacks. If you are interested in speaking with your provider about the Xanax, I think explaining it the way you did on here is just fine. The provider will then decide if they feel comfortable increasing your medication. Please remember that medical providers are not trying to give people a hard time. Medications like Xanax really are highly addictive. The more you take, the more you may feel you need. The more often you may feel you need to use it. Depending on the frequency and amount of use, some people suffer serious withdrawal symptoms when they do not take the medication. It is a good idea to talk to medical provider about all of those things so that you can partner on right course of action to manage this anxiety. I certainly hope that you get some relief.... I know anxiety is awful.Robin J. Landwehr, DBH, LPC, NCC"
"Instruct: My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is. 

Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?
Output: Hello.It sounds like you are really concerned about your daughter because you have noticed a significant change in her behavior .   It's really a great first step that you are reaching out to get some ideas about what might be going on .  You are clearly an observant and hands on  mom who wants to be sure that her daughter is ok.This is a tough question to answer without more information .  With that said , I have found that ""under stress people regress.""  In other words , many people , children and adults alike , often regress and behave differently - as if they were younger than their actual age - when under stress .   Therefore , my first question would be : has anything been happening recently that is causing your daughter stress ?  This could be anything from conflict at home , recent changes such as moving , divorce , a loss of some kind , switching schools , or losing a friend or friends .   Additionally , sometimes if children are feeling bullied or left out by same age peers , they may gravitate toward younger playmates as a way to boost their social confidence .    I would suggest that you think about what stressors / changes may have occurred recently.  You may also want to check in with her teacher (s) to see if they have noticed any changes in your daughter's behavior at school .I also think that you can have a conversation with your daughter in order to see if you can get a sense about whether or not something has been bothering her.  Something as simple as "" I have noticed that you aren't spending time with the friends you used to hang out with ; it seems like you have been playing with a lot of younger kids lately .  Am I right about that ? "" and then if she says yes you might ask a few questions such as : ""did something happen with your friends that  is making you not want to be with them?"" ""Has something been bothering you lately ? Are you feeling upset or worried ? "" If she denies that there is anything wrong you might even say "" I know that sometimes when I feel stressed or worried , I tend to act a little differently - sometimes I withdraw from my regular group of friends , or I get cranky and feel less like myself .  I wonder if something like that is happening with you ?"" If you are really concerned and not getting any answers from her and / or her teachers , perhaps you can consult with a therapist to discuss your concerns further and decide if it might  help for your daughter to talk to a therapist a few times , or at the very least you can get more specific tips from a therapist about how to approach this issue with your daughter more effectively . The more detail you can provide about what you have noticed with your daughter , including any changes or new stressors ,  any possible patterns to this behavior , if school has become more difficult socially and or academically , the more a therapist can guide you about how best to handle your concerns and talk with your daughter in a way that is helpful to her. Good luck!   I believe that this may just be a phase and it seems to me to be well within the normal range of children's behavior.  I do, though, think that you will feel more assured about this  if you can get to the bottom of what's going on .  "
"Instruct: I don't know what to say. I have never really known who I am.
Output: The older I get, the more I believe that our real task isn't to 'find' ourselves. We're already 100% ""there."" What we do have to do is become more mindful of the times when we feel the most alive, most happy, most creative, and most fully engaged with life. It is in those moments that we find ourselves.For example, I couldn't help loving the people or things I loved, no matter who tried to talk me out of them. All I needed to do was notice when my heart opened and I felt the most alive--not because I was afraid or addicted, but because in those moments, I was in contact with my highest self. On the flip side, I needed to recognize the people and activities that consistently brought out the worst in me--the ones that made me feel controlled, constricted, dishonest, resentful, or afraid--and be honest about them. Mindfulness of ""what already is"" is the key to finding yourself. Align yourself with the people and activities that matter most to you. Don't let old habits, crappy jobs, or mean-spirited people define you. Just stumble your way forward as best you can, with greater self-awareness followed by affirmative action.."
"Instruct: I'm in my late 20s, and I've never had a boyfriend or even been on a date. I have no friends. I hate Facebook because everyone else has kids and a great husband and great paying jobs. I work in retail, and I can't find a job. I have an Associate degree. No one is not giving me a chance, and I'm getting upset and frustrated. I feel worthless and feel like everyone hates me. I feel like a failure, and I still live with my Dad. It's very embarrassing!
Output: In case knowing this helps you, there are many more people in similar circumstance as you than you may realize.Similar to you, they are not on FB for the reasons you list.  Plus, no one wants to go on FB and tell the world they don't have a fantastic life.  Everyone on FB is happy, even when they're miserable they're happy telling everyone about it.First, yes it is painful to see all around you what appears as joyful living.  Please keep in mind that the life you imagine these people have, is not necessarily the true life they are having.  I've been a therapist for a long time and have seen repeatedly how people who are married with kids by age 30, start having problems by their mid-thirties.Second, respect your unique identity.  For whatever reason, you have more sensitivity, possibly more depth, more complex standards and expectations, of yourself and others.As hard as it may sound or actually be, take time to hear your intuition and what it tells you, you need for your own growth and development.Feeling embarrassed can also be turned into a positive.  Consider it as motivation for the long term to develop new ways of reaching your goals.I hope this helps!"
"Instruct: Sometimes, when I look at my pet cat, I think about how innocent he is and how somebody could hurt or kill him. It makes me sad because I love him, but I always think about how helpless he is. There've even been split-seconds where I felt almost tempted to kick him, followed by shame and guilt.
Output: A lot of different things could be happening here. Do you feel angry or sad or anxious when you think about how helpless he is? If you have not actually kicked him, then I would encourage you to look at feelings other than guilt, since you did not hurt him. What else is there?It would probably be very helpful to talk with a therapist about the specifics of this so that you can see what else is happening for you. It could be that you feel safe with your cat, so strong emotions come up because you feel safe."
"Instruct: I'm in my late 20s. I have two jobs right now, I'm in school, and I feel like I just have a lot under my belt right now. I get stressed out really easily. I tend to worry and over-think. I'm just worried about money and everything.
Output:   A good start is to pay attention to some basic issues: sleep, nutrition, exercise and socially supportive relationships. A great car on an empty tank will not get you very far. "
"Instruct: My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying ""whatever"" and ""leave me alone."" But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore.
Output: Hello, It doesn't feel good when it seems that your partner no longer cares or cares less for you, especially if your feelings have not changed. It can be scary, frustrating, and lonely. Have you tried talking to him about your concerns? I would suggest to start there. There may be several reasons for his actions, some of which may have nothing to do with how he feels for you. Learning about what is going on for him will likely answer your questions and, depending on his response, may cause some relief. When initiating conversations about subjects that are sensitive, there are a few things that you want to remember. Tell him how you are feeling and what you are experiencing, rather than blaming him or telling him what he is doing wrong. Avoid using extreme, black and white language (i.e. always and never). For example, you may say something such as, ""I feel confused that we are rarely intimate and I'm wondering if you've also noticed this change"" versus ""You are never intimate with me anymore."" Don't be afraid to ask him questions. You deserve to know what is going on, as his behavior is effecting your well being. I like to ask open-ended questions instead of yes and no questions. It allows for more clarity and deeper explanation. Lastly, ask yourself (and possibly him) what part you play in the recent changes. Does he feel that you've been distant? Does he need something from you? Let him know that you are willing to work things out as a team. If communication attempts fail, seeing a couple's therapist can be a great benefit. Having an objective party to coach you through this difficut time can give you the support that will create lasting changes in your relationship.Best of luck to you! "
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: Choosing the right therapist can sometimes feel a bit overwhelming. I know many people come to therapy with hesitations and potential fears but a therapist should be there to help you along the way and support you as you build a trusting and collaborative relationship. You won't have to ""train"" your therapist to give you what you need. Through open dialogue and feedback you and your therapist, together, can determine what works best for you. But do remember that being able to trust your therapist to guide and support you is key. So if you're having a hard time connecting with your therapist after 3-4 sessions, you will want to bring it up to them so you can discuss any barriers and if needed, request a referral for another therapist."
"Instruct: What are the basic skills a good counselor needs to have?
Output: To be non-judgemental, know who they themselves are, be able to step forward and ask questions with ease and grace into painful emotional areas.Also to respect human difference in accomplishing basic life tasks and everyday living. "
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: You may feel hopeless but YOU are not hopeless. Addictions of any sort are difficult to overcome, especially when they serve to bury pain and suffering that one is experiencing. It is not impossible to overcome alcohol or drug use/abuse/dependence on your own, but you will likely find much greater success with the help of a therapist or other support system such as rehabilitation or Alcoholics Anonymous. I suggest doing a bit of research to see what type of help is available and feasible for you in your area and go from there. Know that recovery takes time, willingness, and effort. Don't give up and remember that you are not hopeless. You can make the choice to change your habits and learn new ways of healthy coping. Best of luck to you!"
"Instruct: I was born a girl, but I want to be a boy. Because of my religion I can't tell my family. I know they won't accept me. What do I do?
Output: Chances are your family already knows, they are probably just waiting on confirmation from you to say it. A parent knows their child."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Please do not worry about crying. People cry, laugh, rage, rant, and talk during counseling sessions. Part of the therapy process is to look at your feelings, and to feel what you are actually feeling (instead of what you think you should feel). So if you need to cry, that's ok. If you feel embarrassed because you cried, or if you feel anxious that you might cry, well those feelings are ok as well. Your counselor can help you manage your feelings so that you can attain your goals, and your counseling session is the perfect place for that."
"Instruct: Does counseling really do anything that can help people?
Output: Yes, counseling helps a lot of people, especially when there is a good rapport between the counselor and their client. Knowing your counselor is someone who is really on your side and wants to see you grow past your difficulties into a healthy, happy, successful life is more important than what kind of counseling method they use. If you are looking for a counselor, take your time and be sure you feel heard and respected as well as challenged to grow."
"Instruct: I was raped by multiple men, and now I can't stand the sight of myself. I wear lingerie to get my self excited enough to have sex with my wife.
Output: I am very sorry to hear about your rapes.  Traumatic events, such as rape, can have some lasting effects.  Issues with sex drive are one of these effects.  Therapy can help to decrease the impact that traumatic events have upon our lives as we process through some of our experiences.   EMDR can be a particularly effective modality of treatment to address this issues.  I would also encourage you to have an honest conversation with your wife about this concern.  Sometimes it is helpful to have that conversation with a therapist so that the therapist can help educate  your wife in regards to effects of trauma.  This may help her understand that your feelings are more about the trauma and less about her as a person.  Best of luck to you!"
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: The fact that you're reaching out for help here is really helpful.The first thing I would suggest is that you consider seeing a local mental health professional yourself to be able to talk about the details, how this is affecting you, and how you can hold onto you are while also being supportive to you husband.From the way that you describe this, I wonder what has changed since coming home from the hospital. Perhaps you can have a conversation with your husband this and mention that you are asking him questions to learn more about his experience and you can discuss how you notice that things were going much better when he came home from the hospital, and now things are not as good. Perhaps he can tell you about what is different so that you may know him would be most helpful to him.I also hope that you husband is still continuing with his own treatment.There may also be a local peer support telephone number for the county that you live in that they be able to help you determine whether your husband needs more immediate treatment if he is feeling hopeless again. There are national crisis telephone numbers listed below as well."
"Instruct: It's been almost a year since my ex-boyfriend broke up with me after he cheated on me many times. I had found out about a month before, but I hadn't told him I knew because I didn't want us to break up. I used to have very low self-esteem, and I think it might have to do with my dad being an alcoholic. My father cheated on my mother when I was little. I wonder if this pain has to do with that. My ex-boyfriend and I were only dating for five months, but I still can't get over this betrayal. I'm not sure what to feel to get over it: forgiveness? Hate? He helped me financially after our break up by lending me $3000, so I'm grateful for that. I still hate him for what he did and still want him to like me although we're not even talking anymore. We follow each other on Instagram and that's it. I feel like I still need his validation. This is haunting me day and night. I want to focus on my new relationship and goals, but I keep obsessing over this and keep checking my ex-boyfriend's Instagram and Facebook. I feel so bad and keep having nightmares.
Output: The dilemmas you present are giving you a great chance to understand your true reasons for being in a relationship.Continue developing some points you've written here.That you grew up sensing and/or witnessing your mom's emotional pain from your dad cheating on her, very likely set a standard in your inner self, to expect similar circumstances in your relationship life.This is a natural dynamic which happens for all of us.  What we observe in our growing up households is what we understand as ""normal"", no matter how bad it actually is.After all, children don't have the ability to separate that what their own parents do, is wrong compared with the rest of our culture.It is natural to long for a relationship.What you have the chance to do now, is distinguish the reasons for your longing.Is it to attach to someone who has hurt you, hasn't shown you any understanding of having hurt you, and whose validation, even if he says validating words, has little meaning because people who validate are not the ones who harm us?If you're able to teach yourself that those who love us do not harm us, and to develop new expectations for yourself of feeling good from how your partner treats you, then you will be showing yourself a road that will benefit you for your entire lifetime."
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: You may feel hopeless but YOU are not hopeless. Addictions of any sort are difficult to overcome, especially when they serve to bury pain and suffering that one is experiencing. It is not impossible to overcome alcohol or drug use/abuse/dependence on your own, but you will likely find much greater success with the help of a therapist or other support system such as rehabilitation or Alcoholics Anonymous. I suggest doing a bit of research to see what type of help is available and feasible for you in your area and go from there. Know that recovery takes time, willingness, and effort. Don't give up and remember that you are not hopeless. You can make the choice to change your habits and learn new ways of healthy coping. Best of luck to you!"
"Instruct: My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me. 

He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?
Output: You need to have an honest conversation with each other about WHY you both want a threesome. Evaluate the status of your relationship with each other. Are you having issues? Fighting? Not feeling satisfied with each other? How has your sex life been with each other?  If there are any problems, insecurities, issues, introducing something like this may only make your relationship worse. Open relationships and threesomes rarely work out well. Sure, there are some who successfully live this lifestyle, but it only works when both people are completely secure in their relationship with each other, harbor no jealousies or insecurities, and aren't looking to someone else to satisfy needs that aren't getting met by their spouse. Let me say that again: This is not likely to work out well for you if either of you are insecure, jealous, or looking to have needs met by this other person that you aren't getting from your spouse. That empty feeling you're having - listen to it. Dig deep to find out where it is coming from. What thoughts are going through your head when you feel that way? You'll get the answer.The other thing that helps make something like this work is for both of you to listen and respect each other. If you don't like it that he paid more attention to the other girl, he needs to know that, and he needs to respect that.  If you're going to do it again, he needs to know what you're comfortable with and what you want. Set the limits before you're in the moment, before it's too late to take an action back. Turn it around and ask him what he would be comfortable with if it were a man instead of a woman.It is perfectly natural to be curious and want to experiment. A lot of people get that out of the way before settling down in a monogamous relationship. People who marry young and/or inexperienced may still feel that curiosity about things like that and want to experience them, but don't want to hurt their spouse. The REASON you are both doing this matters a lot. If there are problems in your relationship, this is likely to only make things worse."
"Instruct: Whenever I don't tell my friends or anyone what I did or stuff that's not really important, I feel terrible, like there’s a hole in my stomach. It only goes away when I hurt myself.
Output: Hi Kansas, I feel strongly that the help of a professional therapist is important here. Feelings are never wrong, but it can help to understand where they come from and talk to someone who can teach you healthy ways to cope. Self-harm is not the answer to managing those emotions you feel in your stomach. Although I'm glad you said something here, a professional would need to spend some time with you and get a deep understanding of your life in order to help you sort all these reactions out effectively. I hope you reach out to someone soon."
"Instruct: Sometimes 3 times a night.
Output: As a depth therapist (aka ""psychodynamic practitioner""), I do a lot of dream work with clients; and they gain great insights from our explorations.We remember dreams, I believe, because dreams are messages (always in code) from the unconscious, communicating the crux of unresolved conflict between who we are and who we think we are supposed to be. You might be remembering so many dreams because your conscious mind is ready to hear these messages...and make some internal changes in response.Write them down! You'll be glad you did. A broad cross-section of these these messages will help your therapist help you interpret the meanings of these communications from you to you, and possibly chart your best path forward toward to resolve the cause of psychological symptoms you might be experiencing."
"Instruct: After I told them, they yelled at me.
Output: It sounds like your family responded out of fear!  They may need some time to digest the information.  This can be hard for a family to hear for several reasons but you should be proud that you had the courage to tell them.  Once they realize how brave you were and how much you need their support they will come around.   Maybe you can write them a letter (for them to read without you present).  In the letter, you can tell them your struggles and maybe why you decided to tell them.  A letter will give them a little more time to digest the information."
"Instruct: Is this something I should be worried about? Should I do something about it?
Output: My son plays alone at recess.Is this something I should be worried about? Should I do something about it?Every mom is the expert on their children’s behavior.  First of all, I suggest checking with your son, asking him if he is happy while playing alone, or does he complain that no one wants to play with him?  Does he plays alone in school, but is social in other environments, with family or neighbors?Playing alone is healthy for children, it helps them to be independent and confident, it allows them to explore their environment and use their imagination, among other benefits.  On the other hand, it is also important to develop social skills early on and become confident in our skills as we grow.  Children go through stages of exploration until they develop a sense of “social confidence”. Depending on your son’s age, he might need some input or advice.  Provide the opportunity to interact with other children, without pushing it.  Take him to the park to play with a friend or to children’s activities in your neighborhood.  Later ask him, what did he thought of the activity, and if he enjoyed playing there.  Children also follow their parent’s model, so you can encourage social interaction by greeting other and asking your son to do the same, ask him to receive the guests who come to the house with you and sit to enjoy the conversation. If you notice any shakiness, becoming tearful, anxious or aggressive when approaching social encounters, you may want to talk to the school counselor or children’s therapist to evaluate those symptoms and rule out any behavioral problems or social anxiety.Mi hijo juega solo en el receso.¿Debería preocuparme al respecto?  ¿Debería hacer algo al respecto?Cada mama es experta en la conducta de sus hijos.  Primero que nada te sugiero que revises con tu hijo y le preguntes si él se siente contento jugando solo, o si se queja porque nadie quiere jugar con él.   Observa si él juega solo en la escuela, pero es sociable en otros ambientes como con la familia  o los vecinos. Jugar solo puede ser saludable para los niños, les ayudo a ser independientes, desarrollan sentido de seguridad, y les permite explorar su ambiente y utilizar su imaginación, entre otros beneficios.Por otro lado, también es importante desarrollar destrezas sociales y perfeccionarlas con la práctica.   Los niños van por etapas de exploración y prueba hasta que desarrollan un nivel de confianza en sus destrezas sociales.  Dependiendo de la edad de tu hijo, puede que el necesite algunos consejos.  Provéele la oportunidad de interactuar con otros niños, sin obligarlo. Ya sea yendo al parque a jugar con vecinos, o a actividades comunitarias infantiles con algún amigo.  Luego pregúntale como le pareció la actividad y si le gusto compartir allí.  También recuerda que los niños siguen el modelo de sus padres, así que puedes motivarlo invitándolo a que salude a otros después de ti, o invitándolo a recibir a la visita que llega a la casa y que los acompañe durante la conversación.Si observas que tu hijo está nervioso, lloroso, o agresivo cuando se acerca alguna actividad social, consulta con el consejero escolar o un consejero infantil para evaluar sus síntomas y descarta cualquier problema de conducta o ansiedad."
"Instruct: I've been going through a rough time lately. I been into nothing but women. I’ve never thought about men until a week ago. I’m very upset and depressed about this. It's not normal to me. I looked at gay porn more than once to prove that I’m not gay. I get the same results each time, and I feel disgust. This is tough on me. I'm scared that I looked too many times. I keep thinking about it and shake all the time.
Output: Are you able to give yourself some peace of mind while you take the time to further address whether or not you are gay?Whether or not and to what degree a person accepts their sexuality, depends on dense factors such as the culture of your family, the beliefs about gay people with which you were brought up, and your own tolerance for being a unique individual.Examining these factors, whether inwardly by yourself, in online blogs and sites, or live with other people, requires patience and effort.The more you are willing to commit to figuring out your own truth, the greater is your chance of finding it!"
"Instruct: I have not had a friend since I was 19. I don't go anywhere, and I have no job, all because I'm afraid of people.
Output: Individual and/or group therapy can be a powerful antidote for social anxiety. Often in therapy, the things that tend to get in the way of our securing satisfying and lasting personal relationships will appear in some way in the therapy relationship and a competent therapist will be able to help you work through this anxiety, in a sensitive way, and eventually encourage you to seek out the personal relationships that you want. In group therapy, you have an opportunity to have a relationship not only with the therapist, but several other people who are all in the group in order to give and receive mutual support to one another."
"Instruct: 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?
Output: This is tricky and quite delicate.I wonder if you could talk with your brother about whether he would be willing to have a discussion with you about something that is important to you. I would also suggest trying to make clear your true intentions. For example:Telling him that he has the right to do what he wants with who he chooses to dateThat you are talking to him about this because you care about himThat your relationship with him is important to you and that you love him and care about himAlso try to stick to examples or ideas that are objectively observable (for example, when this happens ___, I notice ___). That way you are using facts rather than opinions and things that can be observed rather than subjective emotional decisionsI would also be curious with what your brother sees in this girl, and I might even recommend starting with thatI cannot underline enough the importance of having this come across as genuine, and for lack of a better word, gentle.I also be very honest with you that I cannot guarantee that he will react positively, neutrally, or even that he will have the discussion with you.Because it is true that he could choose to continue dating this girl and perhaps even hold it against you for a while, I would also encourage you to look at the importance of this to you and where you consider the risk-benefit ratio to be."
"Instruct: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.

I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility. 

Do I have the rights to be able to sign my brother into mentalhealth facility?
Output: Family members sometimes get Power of Attorney over vulnerable adults. If you had this, you could do something like that. I'm assuming that you don't, though. There are steps family members can take through the court system to get someone involuntarily committed, but it is a long process. I deal with situations like this everyday on the job. The only time an adult can be committed against their will is if they are deemed by the doctor (such as at an emergency room) to be a threat to self or others. For instance, if he had suicidal thoughts and a plan to carry out the action, or if he had homicidal thoughts against someone else and a plan to carry it out, he could be placed on a short hold, but these holds only last for a few days. This still isn't a long-term solution. An adult has the right to refuse treatment and the right to make their own choices, no matter how bad those choices are. If you have a way to get him to an ER whenever things like that happen, such as being found sleeping outside in 12 degree weather, it will help a lot. They may or may not do a short term commitment for treatment based on the situation that brings him to the ER, but it's a start. They can help set him up with appointments for psych and he can get on medications. You can help by taking him to appointments and making sure his medications get filled. However, you can't force him to take the meds, so this may be something that happens a lot. With enough of a paper trail of many ER visits and that sort of thing, you'll stand a better chance of getting a court appointed psych ward stay. Some tips about ER visits: Don't send him alone. Always go with him or have someone go with him, because you will be able to give the treatment team better insight into what's going on than he will. He may say everything's fine and he wants to leave, so they won't have any reason to keep him if that is the case. Go with him. If you do get Power of Attorney, take the paperwork with you when you go to the ER and to doctor's appointments because they aren't just going to take your word. They need to see the actual paperwork. Having it on file in their system isn't good enough because paperwork expires, etc. Take it with you at all times. You can also compile his medical records and that sort of thing to take with you so they can see a full history of what's going on.Keep in mind that if you do get Power of Attorney, this makes you his guardian and you have to take care of him. Otherwise, you can get reported for vulnerable adult abuse and neglect. In fact, your mom ignoring and not helping may already put her at risk of that because she is willingly doing nothing to help someone who clearly needs the help. She won't be financially responsible for the hospital or doctor bills, but should be held responsible for his safety. Someone should. There are group homes for people with schizophrenia. "" Being responsible"" for someone doesn't mean you have to pay their bills, it just means you are going to make sure they get the care they need. That care may be placement in a long-term care facility like a group home or a nursing home. Psych inpatient hospitals aren't long-term, so you do need to look into other long-term options. Psych inpatient stays are temporary and are to stabilize him, they're not where someone stays forever.Good luck, and keep up the good attitude! Work with his treatment team. Ask for a social worker. If they see family that is wanting to do the right thing and wanting to help, they'll help you even if it does take a while to get things sorted out. The worst thing any of you can do is NOT go to appointments and that sort of thing. "
"Instruct: We've been dating for two months now. I have a heavy past that gets him angry. Does he have a right to penalize me for things I did before I met him?
Output: How is he penalizing you?Have you asked for his reasons for wanting to know about your heavy past?His answers may be very different than that he would like penalizing you.What you can do is explain how pressured you feel by his questions.Ideally, the two of you will become much closer by talking openly about your respective discomforts and wishes from the other."
"Instruct: I need help knowing how to deal with stress. What can I do?
Output: Learn how to meditate. I recommend a Mindful Based Stress Reduction MBSR program."
"Instruct: My father is in the hospital and was diagnosed with leukemia. I have been dealing with that all day. My husband keeps getting mad at me for things that I said.
Output: I don't know how long you have been married, but this might be a time to explain to your husband what you wish he could do for you in this moment. It could be that he is showing that he is getting mad at you because he is worried about you and it is just coming out wrong. Maybe he would be open to an honest discussion?"
"Instruct: I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better?
Output: I urge you to seek some therapeutic help for this, and also to connect with others who knew your friend, because they're likely feeling the same way. Suicide is difficult to understand, and those left behind have many mixed emotions that make their grief complicated and anguished. Your friend either had an impulse that no one could stop, or they made a big decision that impacted everyone around them. There are other things you can do to cope with this, and it has to do with accepting your powerlessness to stop it, not blaming yourself, forgiving your friend, and finding meaning in their life and yours. You won't find that meaning in a bottle or a joint. I hope you reach out soon. :)"
"Instruct: I get angry and act out. It scares my wife and child.
Output: Well, yes, of course it scares them.  They see someone they love behaving is frightening ways.  That's a good reason to want to manage your emotions differently...but  what are your thoughts on your anger?  Do you think your angry feelings justify lashing out?  The thing is that feeling angry is just that...feeling.  Acting out is behavior and that affects everyone around you.  Do you need to manage your behavior, as well as your feelings?  My guess is that you do.First you need to pay better attention to your feelings ""thermostat"".  If you are always near ""boiling"" you don't have much margin for error.  It's in  your best interest, and  that of your family, to bring that temperature down.  That may mean more physical activity, meditation, journaling or some other outlet.The next, and bigger, question is what are you so mad about?  Or are you really sad, scared, confused?  Anger is a secondary emotion, much like pneumonia is a secondary infection.  Anger, which sets us up to defend ourselves against a perceived danger, is often a cover for feelings that leave us more vulnerable.  That means people who are grieving may exhibit rage; people who are scared may lash out.That doesn't excuse bad behavior, but it might explain it. Get in t o see a therapist ASAP.  You need a bit of help to identify both anger triggers and underlying feelings that get played out as anger.  You are not a bad person for exhibiting emotions, but anger can quickly become destructive - get help now!"
"Instruct: Me and the father of my child have been dating for a year. We had a big argument and at first he wanted to work it out. But with time he started asking others and they told him to leave me.
Now he wants me to wait on him to mature. He wants to talk to other people. Then come back in four years. He doesn't want to deal with me while I'm pregnant. He doesn't take me to the doctor or anything. I feel alone.  How do I handle this situation?
Output: Well, as far as your boyfriend, sounds like he has received advice from others that is not wise advice.  Leaving is not the answer after a ""big argument"" as you mentioned.  However this is not surprising to me based on his possible age and maturity level.  Having a baby is a lifetime responsibility and there are very few who handle this or who realizes that it requires one to step their game up.  This is something that he has to realize and be encouraged by his parents or a mature adult to do.  Hopefully, someone who has better (wise) advice will talk to him and he will listen.As for you,  how do you handle this situation is your question....you do what you have to do to prepare for your baby, with or without him.  A lot can happen in four years and you don't have time, are not required, and can't wait to see what will happen with him.  You have a LIFE to prepare for,  to feed, to protect, and to love.  Can you tell your baby to wait; I don't want to deal with you now; I need to mature; I will be back to see you later; Hope you will be fine?  Nope!!!   As I always say, you are not alone because there is someone somewhere going through the same or similar thing.  Develop healthy friendships...whether with family, friends or new people who may enter your life.  Your support system will grow and life will go on...with or with him.  Stay focus on you and your baby... "
"Instruct: I was with my friends at the park, and we were talking and having fun. After a while, I met a girl there. We talked and flirted for a while, then we gave our numbers to each other and left. We talked for a few months, then we met up again. She kissed me, so I assumed we were dating. Then I found out she has a boyfriend.
Output: I'm sorry for your disappointment with this girl.Maybe next time you start to like someone talk with the person to find out if they feel similar to you.   This way you have a good chance to avoid being hurt in the way you describe here.Even if the person doesn't give you a straightforward answer to their feelings for you, you'll gain a little more information by listening to how seriously they consider your question, what their body language is like, whether or not the person seems sincere.Listen to your gut.If you feel unsure the person likes you as much as you like them, then wait a little while to see if your feelings about the person or their feelings about you, change and in what direction they change.Keep yourself informed as best you can so you'll know you did as much as possible to kiss someone who understands your kiss the way you mean it to be understood."
"Instruct: I'm in my late 50s. I never loved or have been loved. I need deeper help than is offered in my small town, but I cannot leave this town because of agoraphobia. I find myself losing hope more and more. My brain barely works anymore, and my memory so small, I forget in a moment. I serve no purpose. I'm incapable of work or anything of value, and I never have been. I’m a complete waste of time and resources, and yet I keep trying. Why? Why does God insist that I continue to exist? I’m not suicidal, just tired.
Output: Hi Oak Harbor,My heart goes out to you. Sometimes when I'm working with a client who experiences depression or anxiety, I ask them for a glimpse into their worst moments in their minds. ""What are the worst thoughts that run through your head?"". Often they struggle, perhaps out of shame; maybe they don't want me to know their worst thoughts. But I can help them better if I do know, because then we have a place to work from. You are feeling hopeless and worthless, and your thoughts support these intense emotions. I don't know you, but I strongly believe that you have someone in your life who, if they heard your thoughts, would say ""That's not true. I know where her value is."" I believe that there are people who would see your value clearly, even if in small things. Can you imagine those voices?You mentioned God, so let's invite God into the conversation. What might God say to you? What evidence might God...who sees all..have of your worth? What hint might God give you about your purpose? You suffer from severe anxiety, and the agoraphobia works together with fear; they're a tag team. Fear tells you perhaps that people will reject you (or something equally bad), and then agoraphobia steps in and traps you and uses as evidence the fact that no one seems to be reaching out to you to convince you that you have no worth. Do you see their plan? Make her scared... keep her here alone...convince her it's hopeless. They both try to convince you that they are your only friends, except they're lying to you. They only want power over you.You forget your worth. You forget that we all have worth. No one is a waste. I believe all God's creatures have worth, and that we're here to use our gifts to improve the world, and to remind each other of our value. There are people out there needing your support as much as you need theirs. Can you find them? My guess is you've been alone and isolated for a very long time and it's impossible for you to see your worth in this situation. We need mirrors to see our worth and other people are our mirrors. We see our value in their eyes. Do you remember the first time you questioned your worth? What was happening that you blamed yourself for? Can you speak to that child and tell her (or him) that whatever's happening isn't her fault? It's that child who cannot see her own worth, probably because someone treated her as though she had none. That's only a story though; not the truth. Can you find another thread of a story? Who might tell a story of your worth?Oak Harbor, I believe that there is help closer than you think. Fear wants you to believe it's hopeless. You reached out here...can you reach out again? Start with just one person, and that will lead you to somewhere. We don't know where that somewhere is but could it be better than sitting alone? You've stopped living. You can choose any moment to start. I wish you peace and hope. :)"
"Instruct: 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?
Output: Hello, I commend you for your courage in taking a look at the role alcohol has in your life. It sounds like you're concerned about what happens when you drink too much and I suspect you already know the answer to your question about whether you have a problem or not. I imagine you would like to stop feeling guilty and would like to avoid cheating on your boyfriend or other negative consequences and maybe have a fear of being or becoming an ""addict"" or ""alcoholic."" You might have a ""problem"" but that does not necessarily mean that you are an addict. I don't have information to know if ""addiction"" or ""dependence"" or other words would best describe where you are with drinking, but it sounds like it's begun to have some negatives, so forgive me using words like addict, dependence and so on. I mean it more as a road map than a diagnosis. The feedback I'm writing here is very general and doesn't address physical dependence and many other factors that might apply to your situation.  One of the ways to think about substance (mis)use is to think of addiction as a disease of avoidance. Let me repeat that: it is a disease of avoidance. Your ultimate task in living a balanced life is to figure out what you're avoiding and develop other ways to manage those feelings, experiences, and so on. And of course, along the way, you may want to look at triggers, situations, biological vulnerability, social pressures, coping skills, relapse prevention planning and so on. Depending on where you are in your drinking, you might very well benefit from expertise and support. Remember also that alcohol depresses our central nervous system and disinhibits us. That means that alcohol is often a substance of choice to relax, destress, calm down, etc. Also, it allows feelings, thoughts, and behaviors that we usually inhibit to be expressed. If you were unfaithful and often angry, that's your first signpost. For angry drinkers, it is often true that you don't drink and then get angry, you drink in order to express anger. I recommend you find someone you can speak frankly with, who is knowledgeable about addiction. Wishing you the best health and wellness."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Hi there, There are a number of reasons why a therapeutic relationship might end including, but not limited to the client reaching their goals, the client reaching a place of acceptance where they wish to remain or even a breach within the relationship.  The last aspect should likely be taken to supervision in order to be fully processed.  All of these things could happen, and usually happen organically (again, except for the last example). Your question, however, was about the counselor ending treatment. This is a bit more difficult and can be very nerve-wracking.  It may be beneficial to take this with you to supervision, as well.  It's important to understand why you feel the need to end or terminate with the client, as well. Do you feel that they would be better suited for another therapist, have they achieved their goals or is it something else?In regular, open-ended sessions, I try to make a point of checking in with the clients fairly frequently. In these check-ins, I use the time to ask the client how they feel about the sessions and if there is anything they wish to focus on more astutely.  I also ask if they have any immediate goals that they would like to prioritize.  In goal-oriented sessions, I check in more frequently to ensure that both the client and I remain focused and, should they wish to shift their focus, that they recognize it is part of my responsibilities to make sure we move back to the desired goal. Often, especially in longer term therapeutic relationships, we as clinicians can see that the client has reached their goal, however they are apprehensive about ending therapy.  This is actually a great place to go with them; why would they feel unable to handle issues in their external or internal environment without you? Often, having this open discussion can increase empowerment and mastery. That said, it could also highlight other issues which the client may have been apprehensive about going into within therapy and now, as the relationship seems to be ending, feels more confident in bringing these up. In the case where the relationship is a toxic one, terminating with a client may be the best option for both of you. It's a difficult conversation, but recall that part of the role of the therapist is to model that these discomforts can be managed. I hope that this brief response can assist you going forward!"
"Instruct: I have a mother who is still running my life even though I'm almost 30 years old. I want to move out and live my own life, but it feels like as long as I do what my mom wants our relationship is okay. It's never okay if I don't do what she wants.    I don't know how to start making my own decisions and not worry about whether it's right in her eyes. Would it help for me to talk to someone about this?
Output: If the only way the relationship you have with your mother feels ""okay"" is when she is the only one who makes decisions concerning your life, then this only seems ok.In fact it is not okay for one person to be the authority for another person unless the one for whom this is being done, does not have their own ability to think for themselves.Separating your own wishes and way of handling life matters, from your mother's point of view, may be difficult.First, realize you need to get familiar with feeling at ease with the idea of deciding matters for yourself.You'll need practice until you feel comfortable.Unless, if you've been thinking through decisions you'd like to make and the idea of your mother's anger is the only point which stopped you, then you may almost instantly start living in a liberated way of running your own life.Basically, it is right and fair for you to have the chance to live your life the way you feel is best.   Be prepared that your mother may disagree with you and that her disagreement is not a reason itself to not do what you believe is in your best interest."
"Instruct: I'm dealing with an illness that will never go away and I feel like my life will never change for the better. I feel alone and that i have no one. 

How can I overcome this pain and learn to be happy alone?
Output: I'm so sorry you're feeling like things will never get better. Try to remember that whatever illness you are dealing with, you are not the only person to have dealt with it and you are not alone! Out there, just waiting for you, is a group of people that will totally understand what you're going through and will be able to share how they coped. Try searching for a support group for your illness - google and www.psychologytoday.com are both good places to start for those groups."
"Instruct: I'm having problems shutting them out and putting up walls.
Output: It sounds like you would like to let other people get close to you and at the same time you are finding yourself compelled to keep people at a distance. Often times, when we have difficulty trusting others, it is because we have specific fears about what would happen if we get close or let our guard down. Such fears may be rooted in past experiences in relationships in which we were hurt and or disappointed. In working with a therapist, you can gain insight into what is underneath your compulsion to put walls around yourself and develop ways to form authentic, lasting, satisfying relationships with others."
"Instruct: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.
Output: Many times when things become difficult to manage, is because we are getting out of our comfort zone, so we seek growth and change.  Coping with the difficulties does make you more resilient and helps you to build the confidence you need to solve problems in the future. Now I wonder:  are things getting tough in a way that you are not able to resolve them?  Do you need to move or change to save yourself or prevent any harm? If so, it is OK to know when to remove ourselves form situations that harm us more than helping us.   On the other hand, are the things getting tough because you need to learn a new skill?  If so, how can you learn them and is there someone who can help you overcome this challenge?  I help my clients to identify their strengths and areas where they can achieve growth, things like polishing up your resume and evaluate new job opportunities could help you discover a new you.If you would like to engage in counseling, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478. Cada vez que las cosas se ponen difíciles, hago cambios en mi vida.He sido así desde que estaba en la escuela; antes me transfería de escuela.  Ahora pienso cambiar de trabajo.Muchas veces cuando las situaciones se tornan en difíciles de manejar, es porque nos sacan de nuestra zona de comodidad, con el propósito de buscar el cambio y el crecimiento.  Manejar las dificultades si te vuelve más resistente, y desarrolla tu autoestima para que puedas resolver problemas en el futuro.    Ahora, te pregunto: ¿se están poniendo las cosas difíciles al punto que no puedes manejarlas?  ¿Necesitas removerte de la situación para evitar que te hagan daño? Si es así, entonces está bien reconocer cuando nos debemos remover de una situación dañina que nos daña más de lo que nos permite crecer. O por el otro lado, ¿Se están poniendo las cosas difíciles porque necesitas a prender una nueva destreza?   Si es así, ¿cómo puedes aprender esa destreza y quien te puede ayudar?Ayudo a mis clientes a identificar sus fortalezas y áreas de crecimiento, el actualizar y pulir tu resume junto con explorar opciones de empleo, te puede llevar a descubrir nuevos talentos en ti.Si te gustaría hacer una cita, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478."
"Instruct: How can I get to a place where I can be content from day to day?
Output: 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."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: Counselors do not expect to gain your trust during the first session. Trust is earned and gained through the therapeutic process. You may know you have the right therapist if you feel a lack of judgement or even unconditional positive regard for the choices you make in therapy. Good counselors will keep you accountable for your actions without making you feel ashamed of the choice you made.Counselors already have the training to give you what you need in treatment, and if they don't they are ethically obligated to refer you to a provider that does. That being said, the first few visits with your counselor will be goal oriented- creating realistic and obtainable goals that will allow you and your therapist to see positive change when it is made."
"Instruct: I've been with a man for four years. For the last year, he has said he is done, but he still talks, texts, visits, and has not moved on with anyone else. His words do not match his actions. I love this man, but it's hurting so much.
Output: This can be difficult and confusing.If you think your boyfriend would be open to having a discussion, try asking him for a time when he is willing to have an important discussion. When that time matches with a time that is good for you, try discussing the type of relationship that you each want to have and what you can start and stop doing to get there. He may want to be really good friends. He may also be trying to figure out what he is feeling. If you end up talking over one another, try letting one person be the one who is talking about their feelings for about five minutes and during that time, try having the other person asked questions to gain more understanding of their experience. Then you can switch. Also consider asking questions that cannot be answered with yes or no, but lead to more explanations.Questions that start with the words how, what, when, who are usually better than questions starting with ""why"" because they can be emotional triggers for some people.If this is difficult to do between the two of you, consider seeing a therapist who specializes in couples."
"Instruct: I have been dating a guy for two years. I think I love him, but I don't know any more. I am in my late teens, and I have been living with him for most of our relationship. I have been talking to a guy friend, and I feel more loved by him than my boyfriend.
Output: Hi Michigan, Relationships are so sparkly for a few years, and then things start to feel different. Most of the time, this is simply because we've pulled back from all the attachment-forming behaviours we did at the beginning. We stop talking a lot, because we have less to discover...we do less for each other and buy fewer gifts...spend less time together...all because we have already formed the love and attachment and we don't need to ""fill the gas tank"" as much. So, just because it feels different doesn't mean it's ""gone bad"".Having said that, it seems as though you are missing something in this relationship that you need; you don't feel loved enough right now. Can you tell him? Have you told him? The strength of your relationship is more clear when people know what the expectations are. Let him know what you need, and see if he gets it. You have choices to make and there is no wrong choice. You certainly have the right to say ""this isn't feeling great anymore"", or ""I want to explore other relationships"", and walk away. But often it's worth it to see how good something can be before you bail. You're drawn to someone else, and this is up to you to decide how this fits with your expectations of yourself in a relationship. Your interest in this other guy is sparkly and new. Your boyfriend can't compete with that if he doesn't know you're unhappy. For some people, being drawn to someone else is a sign they're not into their partner. For others, it's a danger alert, and it makes them want to improve their current relationship. Which one are you?"
"Instruct: I've been abused emotionally all of my life and for some reason I keep getting with men that I let emotionally abused me.
 How can I stop it? I know the mistakes that I've made in my life. I'm having a really hard time getting back on my feet. Can you help me please?
Output: I want to applaud you for taking this first step towards realizing that this is an issue and wanting to do something about it.  You are already on the road to a happier life with this realization.  A lot of women do not recognize that it may be something about them that continues to attract a man like this and will only blame it on the men for treating them that way.  Until you realize there is a problem you won’t start looking for a solution.Don’t misunderstand me!  The abuse is not your fault! You are seeing a pattern, though, so this does need to be addressed. First, go and buy the book “Boundaries: Where You End and I Begin” by Anne Katherine.  Read it.  This book describes many situations that are similar to yours, describes how a person came to be that way, and how to stop it.  You will have to learn to set good boundaries in your life and to maintain them.Be single for a while.  Stay single until you feel like a whole, healthy, happy person on your own.  Often we get in a relationship because of a need.  If you feel like you need a person in your life to make you a whole person then you are in a relationship for the wrong reasons.  The first step is to work on whatever it is in you that makes you feel like you need another person in your life.  Identify those needs and then learn to fulfill them on your own.I was doing a couples therapy session and the husband was being emotionally abusive to the wife.  This was a recurrent theme for her, like you are saying it is for you.  However, she had been doing a lot of work on her own and in private therapy, and this was a new relationship.  Obviously she still had not “gotten it right” because she did once again attract a man with these tendencies.  The difference this time was that she had done a lot of work on herself and had become a stronger person.  When she looked at him in our session and said to him “I don’t need you. I want you.  But not if you are going to continue to act like this.  So you leave the house and don’t come back until you are ready to make some changes.”  She stuck to that, too.  He didn’t leave for two more days because he kept telling her he would do different and begging to be allowed to stay.  She had drawn a boundary and stuck to it, and he left. She was fully prepared to be single again.  They actually did end up working things out in the end.You can’t let someone stay and continue to treat you badly.  Sure, a marriage takes work and compromise on both sides.  Couples therapy can help you both learn to communicate in a healthier way with each other and can help you realize what areas in the relationship need work.  You may not realize how some of the things you say to him comes across, and he may not realize how what he says does to you.  A therapist can help you with this so that you both learn how your words can hurt. But you need to know your boundaries and be prepared to stick to them and not compromise your boundaries.  That means following through on the threat to leave when he continues to abuse you.  Someone can’t do that if they are too scared to be alone.  If they feel they need the other person in their life. These patterns are developed in early childhood from what we learn from our parents.  When someone has grown up in a dysfunctional family, it is all they know.  Even when you can say that you realize it is a problem, you still don’t know how to stop it because you never learned any other way of interacting with people.  Something that took a lifetime to learn will take time and work to overcome.  Be patient with yourself and find a good therapist.  You can’t change your partner.  Work on you, and when you begin to heal and feel healthy, the right people will come into your life and stay.  The more you focus on trying to change the wrong ones to be what you want the more frustrated you will become."
"Instruct: 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.
Output: 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?"
"Instruct: My husband has had issues with alcohol addiction in the past (he'd never admit to this). A while back (3 years ago), I asked him to stop drinking so much, and he agreed. I caught him one night drinking behind my back. I confronted him and he lied, but I told him I knew he was lying because I counted the beers in the fridge and four of them were missing. He admitted and apologized and promised he wouldn't do it again. Lately, my husband has been drinking on and off, but I noticed it was every single night. I didn't like this. For our New Year’s resolution, we decided we were going to limit our alcohol consumption. He was on board—no more drinking every night.
 The other night, I counted the beers in the fridge just to see if some were missing. It took a couple of days, but tonight, I discovered a few were missing along with a shot of vodka. He was passed out on the couch when I decided to wake him up and confront him (poor timing, but I couldn't wait). I asked him if he'd come to bed with me (when he drinks, he snores and I cannot sleep—it's a dead giveaway he's been drinking). He slurred a bit and said no. I asked if he had been drinking, but he snapped and said no. I went into our room to sleep, leaving him on the couch.  I'm not sure if I'm overreacting or not. I just feel like I'm so honest with him about everything, and I expect the same honesty. He is a good husband in every other regard.
Output: Hi Los Angeles,So your husband is giving you mixed messages. He says he's willing to cut back on the drinking, but he drinks and hides it. His behaviour is passive aggressive and immature, which puts you into this position of having to act like a disapproving parent. It sounds more like you're talking about an out-of-control teenager than your partner. Your husband's lying is sending a message. ""I get to make my own decisions and you can't stop me"" might be it. Underneath that, maybe it's ""I want to stop but I'm ashamed that I can't and I don't want you to see my failures"". Ultimately, as an adult, he gets to decide what he puts in his mouth and if you try to manage that by monitoring how many beers he has, you are pretty certain to get some fallout... pushback...backlash...  How does his drinking affect you? That's where your voice has power, rather than in counting his beers or setting him up to lie (when he's passed out, asking if he's been drinking seems confusing). You've mentioned snoring, which I guess is a legitimate complaint. If he's passing out, that's a legitimate complaint. When he drinks does he drive, act aggressively, or 'check out of' the relationship (avoid you)? All of these things are legitimate concerns, and I'd stick to talking about those rather than counting beers. My guess is he has few other ways to cope with stress, so he checks out with alcohol, and it also helps him avoid your relationship. But the problem is it makes it worse; the more he avoids you, then more you chase him with your questions.There's a conversation that would be helpful here.  It sounds like ""I've tried to support you in your drinking less, and it's not working. What are your goals for alcohol and how can I support you in that more effectively?"" I'd like to see you in a place where you're not micromanaging his drinking, but focusing on the things that affect you. What concrete supportive methods can you use with his agreement? Can we get the alcohol out of the house? Is he willing to seek treatment? Lay your expectations out really clearly. ""I won't count your beers, but I can't tolerate lying"". You have to decide what's more important; is it really the number of beers, or is it something else. What do you need to happen in order to want to remain in the marriage? What does he need? Does he let you know what isn't okay with him? He might have trouble saying these things. The drinking is only a part of the complex dynamic in your marriage. A qualified therapist can assist in pulling this apart, understanding it, and changing the way you relate to each other."
"Instruct: I'm a male in my early 20s. Lately, my paranoia about being around kids is causing me too breathe heavy and sweat a lot. I then start to act weird because I'm trying to fight my paranoia. This leads to people starring at me because they don't know that I'm suffering from panic attacks and paranoia. They just notice me acting scared around kids and they think I'm a threat because of it.    I'm not a pervert or predator. I would never hurt a kid. I like kids and don't know why I'm so scared to be around them.    I don't understand why I feel like this. Am I a bad person? How do I make this stop?
Output: In our practice, many people we see have unwanted thoughts of doing harm to children - physically or sexually. As you said, these are intrusive and unwanted thoughts - not genuine desires to harm them. This is a form of OCD we often call Harm or Pedophilic OCD. What you are describing here as ""paranoia"" sounds similar to this, and is so demoralizing because you are dealing both with the distress of these unwanted thoughts and feelings, as well as the fear and uncertainty about your own character as a good person.If this is really what is going on (further assessment by the right professional would determine this), the current gold standard approach to addressing OCD is Exposure with Response Prevention - in this case, confronting the feared situations, thoughts or images on purpose, rather than avoiding them, until they lose the fear and shame associated with them."
"Instruct: We're not together, but I’m still doing things for him and we are intimate. He’s not there for his son.
Output: You didn't ask a direct question because I feel from what you wrote you already know the answer.  I hate to sound harsh but I am a therapist that call it how I see it so brace yourself...You will always continue to have problems with letting your child's father go as long as you:Don't love or respect yourself first...Don't love and respect your son...Don't demand respect as a woman and mother...Give up the goods regardless of what he does for you or your son...Don't hold your son as a priority in your life....Have self worth of a $1, etc.I have a feeling you are saying...I do love my son and hold him as a priority even if you don't do it for yourself...I would ask...Are your actions of allowing such disrespect from his father proof of that?I know what I have said may have gotten under your skin...I want it to.... because I feel that you have a conscience, want to do better, know you and your son deserve better and you can do better.  Believe in yourself and that you and your son DO desire better and it starts with you setting boundaries with his father.  You can do  it!!!"
"Instruct: I'm always listening to my husband, but it feels like he never listens to me.    How do I get my husband to listen to me instead of me listening to him all the time?
Output: Does your husband want to listen to you?Find this out by asking him the question!This way you know whether the goal you'd like to reach is even possible.Some partners prefer that one person is the rule maker or the only one who is entitled to talk about themselves.If your husband tells you he wants to listen to you, or even that he does listen to you, then you can explain in detail the way you define ""listening"", which may be very different than his definition.Basically, no one can directly change someone into being more openminded.What is possible is to tell him your wishes, your willingness to be patient while he develops the habit of listening to you and point out that a relationship is more fulfilling when both partners feel they are receiving from the other one."
"Instruct: 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?
Output: Guilt is a narcissistic, self-indulgent focus on me, me, me; it's best not to keep it in negative light;What does that mean?  Well, it stems from mankind having an animal nature, and a spiritual nature;In most societies today, the animal nature is looked down upon, seen as egregious and something to be put away;If I may say to you, it is necessary and important (if you wish to end an experience called ""guilt"") to NOT regard your animal nature as negative, but to accept that you have it, and acknowledge it;The more openly a man or woman acknowledges they're animal-side, the quicker one may subdue it;Try giving your animal nature a name, and talk to it like a cute pet... ""Oh, hey, there, Snorky!  Oh, what's that?  You want to be a wealthy, famous Hollywood idol?  Oh, really!  Agaiiiiiiin, Snorky!  Geez, you're impossible!  Ain't you just the cutest thing!"""
"Instruct: Then turn right back around and say he loves me and needs me. This rollercoaster is crazy.
Output: Your partners obviously very confused when it comes to love. Sometimes people shy away from good and positive relationships and companionship because their afraid. They know that it's something worth holding on to but most feel they can't handle it and can't meet up to their partners expectations. Your partner loves you but must have fear that keeps standing in his way. It could also mean their afraid of getting hurt or disapointed in the long run.  Give your partner comfort and reassurance that they can come to you to confide in you about anything that may be bothering them. "
"Instruct: 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?
Output: The most direct answer is no. I would venture to guess that several of the things you are feeling (symptoms) are connected. I would recommend a trauma counselor. You have several strengths (resources) that you are able to pull from and I would encourage you to focus on them as you deal with the issues you have placed on the back burner for so long. Sometimes people are afraid to address things because they feel or believe that they won’t be able to handle it. Compare it to a tornado. The storm has passed, but you are still in hiding for fear of the aftermath (the mess left behind). A good therapist is like a personal organizer to help you."
"Instruct: I never feel like myself. I can’t even think straight anymore. I start stuttering and I can’t remember anything. I always get nervous and usually talk myself down but recently end up fighting with, what feels like, someone else. I don’t know why I feel this way, but I hate it.
Output: What you are describing sounds like it may be a form of dissociation. Dissociation is our mind's way of disconnecting us from aspects of our experience in an attempt to protect us in overwhelming situations. It also sounds like you are noticing anxiety in certain situations. In working with a competent therapist, you may be able to gain insight into these experiences, learn skills for coping with anxiety and reconnecting with yourself, and alleviate these symptoms over time."
"Instruct: After 40 years of being straight, how could I now find myself interested in people of the same sex? I have had a few same sex encounters of my own doing.
Output: Sexuality is normally formed during adolescence. It would be extremely rare for someone to develop feelings of same-sex attraction later in life. I would explore whether the attraction you are experiencing is sexually-based or intimacy-based. Perhaps you are craving a close, emotionally intimate relationship with the same-sex, but have somehow sexualized that desire. People often short-cut emotional intimacy for sexual intimacy. This would be something to explore with a counselor."
"Instruct: Now that the other girl is out of the picture, our sex life isn't the same. Is it because he is still thinking about the other girl?
Output: Or...better yet... Is it you still thinking about the other girl?  I am sure his cheating hurt you emotionally and may have affected your sexual performance as well.  Make sure the other girl is out the picture on your end as well.  Sounds like something the both of you need to have a calm and adult conversation about."
"Instruct: I don't remember when the voices in my head started, but I remember Hearing them when I was little.    I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?
Output: How is your life going overall?Since you hear voices since you were young I wonder whether you mean the thoughts each of us has about what to do, our opinions, including self-criticism and praise.I try to understand how severe a problem these voices are if you've managed to get to a point in life of awareness about the voices.Usually when mental health people hear about voices the immediate thought is you need drugs bc you are psychotic.Since this is going on for a number of years, I wonder if the problem is something different."
"Instruct: I feel as though I'm suffering severe abandonment issues stemming from childhood. I convince myself I'm not worthy of happiness, and I’m always afraid I'm doing something wrong. It's as if I create little scenarios in my mind, and I start to believe them.
Output: This is an understandable response to early childhood trauma and loss.  Oftentimes when we have overwhelming or difficult experiences as a child including poor caregiving, the ways we managed and the feelings we had then show up in our lives as adults.  Especially when we get close to someone, it mirrors our early experiences with caregivers in early life.  So....our body, nervous system, and emotions respond in the same way.  They feel as if what we experienced when we were little is happening now and they go into full force to manage and protect us.  Sometimes the ways that happens can feel pretty bad and we can stuck in these loops of old beliefs about ourselves.  Therapy is a great way to interrupt these patterns, process the early experiences, and be able to be in the present with your current relationships.  It is very possible to shift this cycle and also have meaningful healing from the experiences that caused so much hurt and distress from childhood."
"Instruct: How can I know if I'm just being paranoid?
Output: Hi Texas,Oh, that's a powerful idea, isn't it? It burrows into your head. Let's figure this out. First, has your partner given you any concrete reason not to trust them? Have they cheated before? If not, then they deserve the benefit of the doubt until there is evidence. If it's a ""yes"", then it's natural that these fears would be triggered and you can simply let your partner know what triggers the fear and what you need. ""When you refuse to let me see your phone I worry that you're hiding something. I need openness"". If they haven't cheated on you in the past, there are three possible scenarios here. I invite you to take a moment and write down what the evidence is that cheating is going on. What is the specific thing that's triggering your fears? When you have your data recorded, read on...The first scenario is that you have been personally hurt in the past by someone else and you've developed fears that you will be hurt again or that you're not enough to keep someone interested (this is just fear...people cheat for their own reasons, not because we're not interesting). This may be true if what you wrote down is ""They didn't really do anything wrong...there is no evidence. I'm just scared and suspicious"". That's a cue to do some self reflection and calm yourself with thoughts like ""nothing has really happened. I can trust.""If what you wrote down was vague evidence, like for example your partner has been distant or irritable, or you're having less sex than usual, you can try to approach the situation without making assumptions. Trust your gut, but your gut isn't seeing evidence of cheating...it's evidence of ""something"". Ask your partner what's up with accusations or assumptions.The third possibility is that there is some clear evidence that they are cheating. Maybe there are texts on a phone, or someone has told you something they saw. I'd say when there is some evidence, it's okay to present this to your partner and ask what's going on. If this happens repeatedly, and your gut is screaming and there are only excuses or explanations that don't make sense, then it's okay to do a bit of ""research"" and be extra aware of what's going on around you. I hope that helps."
"Instruct: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?
Output: Certainly counselling can help. however, there is a caveat, namely, you will need the right counsellor with the right approach. This leads to two questions: 1) What are the identifiers for the right counsellor, and 2) What is the right approach?1) What are the identifiers for the right counsellor? The right counsellor will almost certainly have a lot of experience. He or she will have done a lot personal work and have an ongoing practice of inner work both on their own and with the support of an experienced therapist. This person will be viewing you as a human being with challenges, not as a diagnostic category. He or she will be willing to work with you over an extended period of time and have experience doing such work. Further they will be well versed in approaches that are responsive to you in the moment and overall. The in-depth work will be collaborativel designed in an ongoing way that is responsive to you, the moment, your overall life experience, and their in-the-moment experience. It goes without saying that you will subjectively evaluate the felt sense of connection with this person and the feeling that they are invested in their work with you, value you as a human being, and value the connection. As well, it is crucial that you feel this connection and that your therapist 'gets you.' 2) What is the right approach?  As Carl Jung stated, ""When the doctor sits down with the patient he (or 
she) must drop all theories and learn the theory of this person."" The approach must include a bond between you and your therapist that is in a continuous process of development, attention to pre-verbal imprinting, development of awareness ability, ongoing development of the ability to attend to and stay with inner experience, development of a process orientation, attention to egoic structures that were seeded from the earliest days in the service of perceptions of threats to needs being met, identification of current egoic states and work with these inner selves and their relationship with each other to facilitate movement from developmental points of arrest, increased ability to access and contain non-ordinary states of consciousness, attending to what is, and working with this in the service of moving towards optimal human development.depression is generally experienced as the system shutting down. anxiety is a signal that something is wrong. anxiety is not the problem. it is a sign that there is a problem. the core of these issues is a lack of inner security that is the outcome of insufficient bonding. the work of psychotherapy is to establish an environment and relationship that will facilitate work with the bonding ruptures and re-initiation of the developmental process that stopped at an early stage."
"Instruct: I have family issues, and my dad was both violent and a cheater.
Output: Hi New York, There's no way to keep your past from affecting your present and future, because it's a huge part of who we are. The GOOD news is, though, that the effect doesn't have to be negative. I'm met many people who have horrific pasts and it helps them know confidently, every day, what kind of person they want to be and what kind of world they want to live in, and it helps them make really great decisions. You can accept your past, integrate your traumas and move forward in a very different way. If you see negative ways in which your past affects you (and this is also common), you are wise to seek professional help. Without knowing more, it's impossible to give you a lot of direction here. Basically, our past creates emotional ""bruises"" that are touch on and triggered by present situations. But our reactions are often about more than just the present moment. I think you know that.I wish you the best as you sort it out.  "
"Instruct: I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me. Why do I feel this way?
Output: My first reaction to this is that It sounds like you rely alot on the impressions and projections of the outside world, that you need validation from other people to compensate for a lack of something on the inside, build yourself up on the inside, work on yourself, use positive affirmations daily, it would be wise for you to research some self-construct theory and do some self-concept work.Hope this helps,C"
"Instruct: My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my sex drive.     I love him so much. Why do I do this?
Output: I sympathize with you! It is actually quite common for one partner to have a higher sex drive than the other, and can lead to discord in the relationship. The good news is, there are ways to deal with this.You may have already answered your question. There are many medications that can alter one's sex drive. If your birth control pills are the cause of this, talk to your doctor about switching to a different brand. You may even consider alternate methods for birth control, such as condoms.However, there are some other things to ask yourself. First, you used the term ""affection"" but then talked about sex. They're not the same thing. There are different kinds of intimacy, and many different ways to show love for someone. A book you might find useful is ""The Five Love Languages"".Defining what ""affection"" means to you, and to him, and discovering all the ways you both can show this towards each other, may help lessen some of your anxiety over this.Humans are hard-wired to need appropriate physical touch. In fact, studies have shown that newborns/premies who can receive skin-on-skin contact with their parent can recover faster than babies who don't receive this touch. It's called Kangaroo Care. Children who have grown up in neglectful environments where they're not hugged and kissed and shown appropriate physical contact can often be unable to show this to their partners and children when they're adults. One question to ask yourself is, were you having intimacy issues before starting the medication? If so, there may be other, deeper issues at play here.For someone who has received the wrong kind of sexual/physical touch (sexual abuse, physical beatings) it can be difficult to allow someone to be physically close to you. A therapist could help you work through this.Sometimes, a person may lose their sexual feelings for their partner due to issues in the relationship. Once those issues are resolved, the sex drive comes back. Examine your relationship and see if either of you are unhappy, if you've been arguing a lot, or if there are any problems in your relationship that need to be addressed.Finally, look for the other ways that the two of you may be intimate in a non-sexual way. You may be doing things for each other that you don't even realize, and noticing these will help you appreciate it more. Take the stress off of the sexual gratification and focus on showing your love in other ways. Some people like to give gifts, do the other person's chores, or do other things they think the person will appreciate.If, after all of this, you still have a discrepancy with one of you having a higher sex drive, there are many articles online that offer advice for couples dealing with this situation that you may find useful. It is a very common issue for a lot of couples."
"Instruct: After he got home from the hospital he was angry, then for a time wonderful.  Now he is depressed and hopeless again.
Output: This is actually more common then we often realize, and actually understandable, as he has gone through a trauma, an unresolved existential crisis.  He was taken care of by others and now is again left alone with his own internal, and rather horrific inner struggle.In my work with CCT, or Contextual Conceptual Therapy, (see www.suicidetherapy.com) I have learned how trapped suicidal people are in their own isolation, also called a ""mysterious isolation,"" a form of self protection which cuts the off from their Self, or spirit.  And unless they address this message from their soul, accompany a guide on a journey to discover their own missing information, that is to recognize how their own uncomforted emotional pain has resulted in a coping stategy which has effectively cut themselves off from their own beauty, their Self, and their ability to receive love from themselves and others. Their attempt to kill themselves is a cry from their soul or spirit that they cannot live the life they are living any longer.  They take this literally and try to end their life, when in fact what their soul or spirit is saying is they need to begin to live the life they came here to live. "
"Instruct: 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?
Output: It is absolutely a typical response.  Many of my clients are nervous the first couple of times we meet.  This is essentially a stranger with whom you are sharing your feelings."
"Instruct: I am on my own with my daughter. I am so worried and stressed about her.
Output: Your instinct to help your daughter, is natural.How you proceed depends a lot on whether she recognizes she has a psychological and emotional problem, or if only you see this from observing her.Also, her age matters a lot in what way would be most likely to succeed in addressing the problems you describe.If you and your daughter have different opinions as to whether or not she has problems, and she is above the legal age of when you have authority over her life, then you can only suggest to her that therapy may benefit her.If your daughter is in your legal control, then you can locate a counselor nearby, discuss your situation with that person, and depending on the outcome, you'd be within your parenting right to take your daughter to a counselor.Starting therapy without willingness to do so, is risky.  The person may feel resentful enough to not participate.   And, sometimes the counselor is skillful enough to find a path to your daughter, or any patient's self-interest and engage them in therapy.Family counseling, regardless of your daughter's age, is another way to bring your concerns to your daughter's attention, in a therapy environment in which a counselor would be able to help distinguish the seriousness of your daughter's psychological problem, from simply a difference in viewpoints between you and your daughter, in how to handle certain situations.Also, if you believe your daughter is a threat to herself, then instead of this slower route, get in touch with the emergency psychological assessment service in your town, for a more immediate response."
"Instruct: I always see the worst end of things. My boyfriend and I aren't talking, and I swear he's leaving me. I keep failing my road test, and I see my future crumble. I have no desire for friends. I pushed my best friend away after Christmas, and I have no desire to fix it or make new friends. My aunt died, and I cry all the time, even if I burn my lunch.
Output: I really love that you're taking responsibility for your pessimism here. There's a modern parable about two young brothers. One child is in a room full of every toy you could imagine, and he's miserable; the other is in a room full of horse manure, and he's flinging it around with joy. So then someone comes and asks the first boy why he's so miserable, because he has so much. He says that he's missing the one toy that he really wants. Then the brother is asked why he's so happy in a room full of manure, and he says ""With all this sh-t, there's gotta be a pony in here somewhere!""Happiness is a state of mind, and I hear you saying that you used to be happy, so maybe this means you believe it's possible. That's a wonderful start.Research on depression shows us that it is very linked to pessimism. You say ""I always see the worst end of things"". That's pessimism. Life is like an elephant. If all you see is roughness, backup and walk around; the view will change. The key to optimism is to build your ability to see the bad things in life as 1. temporary (this will pass. I know how to fix friendships), 2. Specific (not involving the whole of your life), and 3. not your fault (tons of people fail road tests). On the flip side, it helps if we can see good things as 1. more permanent, 2. bleeding into other areas of our lives, and 3. something YOU created. Not taking credit for good things and blaming yourself for the bad ones is typical especially of women. The feelings you are having are temporary; you're in a slump and it's a good time to sit down and look at how you can make the picture look different. I think you know how; but you lack energy right now. If tackling this on your own isn't enough, a therapist can help you take that step back to look at the big picture and help you rebuild your natural resilience and capacity for joy. I wish you the best."
"Instruct: How do I make myself happy without the people who made me happy? Now that they’re gone, I feel sad. It’s been two months now but I seem to be unable to stay okay and independent.
Output: Hello. So, someone made you happy but is no longer around? I am sure that feels devastating. As a counselor I usually have to ponder this kind of thought because it lends itself to suggesting that happiness comes from the external, rather than the internal side of a person's life. Happiness is formed within ourselves. All the external trappings of happiness are usually quite fleeting, and temporary. Even relationships fo not last forever. If we get to a place where we are reliant and dependent on those around us to create happiness in our lives, then we lose the opportunities for us to do it ourselves. We are entirely capable of finding ways to be happy. Sometimes this entails working out issues that are holding us back from reaching a place of peace, or resolution to a specific problem.What I would offer to you, is to find ways in which you can develop happiness for yourself. What do you like about your life as it is right now? What can you do to create change in your life to increase your happiness? These kinds of questions can be valuable to you as you seek out ways to make happiness an internal rather than an external event. Mourning the loss of a social connection (in whatever way that occurred), is part of the grieving process, but it is not permanent. It is a path to healing and moving forward. From this, you can seek out new sources of happiness. I encourage you to remember that happiness is independent of the external experience you have in the world. Happiness is an expression of the internal feelings, so that will be the source or the font of positive emotion from which you really draw. If you are lacking in happiness, then it becomes important to examine why that is, and what you can do about it to promote self-care. Seeking out a professional counselor can also be a good option as you move through the grief/loss process and examine the reasons happiness is not in greater supply.I wish you happiness for every day of your life.Best wishes."
"Instruct: I'm in a long-distance relationship with my ideal man, but I'm not as attracted to him as I should be. Everything else is perfect about him, but I find myself lusting over more attractive men. The next step is marriage, but I want to marry someone who I can wake up to and fall in love with all over again. However, I also don't want to throw away a great relationship over what might just be lust. Am I asking for too much in the ""perfect guy""? Is there such a thing? Am I truly in love?
Output: Attraction is important but sometimes over-rated. I'm curious about your comment that you are not as attracted as you ""should be"" - What is your measuring stick is for what you are supposed to feel in terms of attraction in a relationship? Do you want to be sexually intimate? Do you enjoy having sex with him? Are you satisfied with your sexual relationship when you are with him? The fact that there is lust for other more attractive men does not necessarily mean anything. There will always be attractive men and more attractive men than your partner and these attractive men will be even more appealing when you are in a long-distance relationship far from the arms of your partner. Loving someone does not mean that you stop being a sexual being who no longer notices and desires attractive men. Attraction results from a number of factors beyond appearance - including the degree to which you feel emotionally open, safe, and connected and how in tune you are with each other's bodies. It sounds like you think very highly of this man ""everything else is perfect about him"". Maybe it is worth spending some more time together in the same place if that is possible before deciding on marriage or that you are not truly in love. "
"Instruct: I’ve been in a long distance relationship with my girlfriend for just over a year. This past week she admitted to me that she has feelings for another guy. She says it’s “just a crush” but I don't know how to cope with it.    How should I deal with this?
Output: I can only imagine how hard that must have been to hear. On one hand, most of us would say we want our partners to always be honest with us, but on the other disclosures like this can lead to feelings of worry and inadequacy if we're not careful. So let me first of all say that it is very normal for human beings, even very committed and happy partners to have moments where they notice an attraction for someone else. Quite honestly, the brain can't help it. It sees something good looking and it pays attention. And when we pay attention to something good, our brains send out neurochemicals associated with that happy thought...and we get a rush of what your girlfriend is labeling ""a crush."" The difficulty here is deciphering whether she was just attempting to honor her commitment to you by sharing this feeling OR if she is continuing to feed those feelings. I would encourage you to thank her for being honest if you haven't already, and ask her to further describe the nature of these feelings and what she'd like to do from here. As weird as it is to say, at the end of the day, what helps the most is typically reassuring yourself that you WILL be okay not matter what! That it is worth it to invest in your relationship and give it your all and if someday, god forbid, this woman chooses to walk away, then she is not the one. Will it hurt? Of course. But is it the end? Hell no! There are 7.5 billion people on the planet and I firmly believe statistically speaking alone, there are at least several hundred thousand that could be AMAZING partners for you. Cheering you on,Tamara Powell, LMHCP.S. You might enjoy this excellent book by Esther Perel for further inquiry into the fascinating world of love and mating behaviors: ""Mating in Captivity”"
"Instruct: 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?
Output: It’s very normal to be nervous going into therapy. You are being vulnerable and honest, which is always scary, no matter how many times you do it. The best part about therapy is that the more you go, the more confident you are in your ability to work through those difficult feelings, and while you still may sometimes get nervous, you will have confidence too!"
"Instruct: My husband has had issues with alcohol addiction in the past (he'd never admit to this). A while back (3 years ago), I asked him to stop drinking so much, and he agreed. I caught him one night drinking behind my back. I confronted him and he lied, but I told him I knew he was lying because I counted the beers in the fridge and four of them were missing. He admitted and apologized and promised he wouldn't do it again. Lately, my husband has been drinking on and off, but I noticed it was every single night. I didn't like this. For our New Year’s resolution, we decided we were going to limit our alcohol consumption. He was on board—no more drinking every night.
The other night, I counted the beers in the fridge just to see if some were missing. It took a couple of days, but tonight, I discovered a few were missing along with a shot of vodka. He was passed out on the couch when I decided to wake him up and confront him (poor timing, but I couldn't wait). I asked him if he'd come to bed with me (when he drinks, he snores and I cannot sleep—it's a dead giveaway he's been drinking). He slurred a bit and said no. I asked if he had been drinking, but he snapped and said no. I went into our room to sleep, leaving him on the couch. 
I'm not sure if I'm overreacting or not. I just feel like I'm so honest with him about everything, and I expect the same honesty. He is a good husband in every other regard.
Output: As exasperated as you feel, and as obvious it is to you that your husband cares more about drinking than being honest with you, changing this is up to him.Does he care that you're upset with him for drinking more than he can handle?Does he care about you more than drinking?Living with an alcoholic, which is how his behavior sounds, is lonely and frustrating.Concentrate on what you like about him as he is now with his drinking.Your happiness matters.  His ignoring of what you're talking about, doesn't mean your requests are unreasonable.Be prepared to learn to live with and accept how he behaves, or not.Avoid the expectation that you can convince him to change.People change only when they realize their life can improve by changing.  He doesn't sound like this, at least now."
"Instruct: I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single.
Output: Let yourself enjoy crossdressing!What sounds in your way are whatever beliefs you gre up hearing, see and absorb currently.Concentrate on your own satisfaction and that you are doing this in a non-harming way.Maybe if you branch out your interest by finding other people who enjoy crossdressing as much as you do.With any interest or activity, social interaction supports it."
"Instruct: 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.
Output: It is possible that you could have or be developing an anxiety disorder. There isn't really enough information provided here to suggest a particular disorder, but it might be worth meeting with a counselor or therapist to do a formal assessment. Some of the questions they might ask could be what other kinds of physical symptoms you experience, how frequently these physical symptoms happen, what's going on for you when they tend to happen, and how frequently/intensely you find yourself worrying in general. Anxiety itself is a really natural thing - it's just when it starts interfering with your ability to ""do life"" the way you want that we start to consider potential disorders. It might be that for the most part, the anxiety you feel is normal and you simply have some triggers that intensify it more than usual. Working on your own or with the support of a counselor/therapist to both address those triggers at the root and also to develop ways of managing the actual anxiety symptoms. This two-fold approach can be really helpful for not letting anxiety keep you from engaging in life the way you'd like."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: This is a great question.  A good therapist should first be someone you can trust and second, someone who encourages you to be honest with yourself.  Therapy is a time to learn new coping skills and learn more about yourself.  You have the answers you need within yourself,  but it sometimes takes a keen ear to lead you to those answers.  This can't happen without trust and honesty. You may not always leave therapy feeling energized. Therapy can be hard work. But, you should always feel you have gained something to ponder that will help you better understand yourself."
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Please feel free to cry during therapy if you suddenly feel painful emotions arising when you describe some of your unsatisfying and unfulfilling relationships and situations.Crying when realizing the emotional hurt and unfairness between you and someone, clears you for new ways of handling interactions.As a therapist, I always have a box of tissues on the table next to the couch where people who utilize my therapy, sit.I hope you will soon discover that once your tears unlock your awareness of harmful relationships in your life, you will quickly see the freedom to establish new and happier patterns of relating.Have a good therapy!"
"Instruct: My grandson's step-mother sends him to school with a pink Barbie backpack as a form of punishment.
Output: Parents are to teach discipline to children, not punishment.   Punishment is another word for wanting to cause hurt.  There is a different in discipline and punishment.  Punishment could have long term affects on a child's self image and growth.  It can lead to others issues such as bullying from peers as well.  Whatever your grandson has done, there is a much better way of getting him to understand that his actions are not acceptable.  Punishment is not one them.  Encourage the step-mother to build a positive relationship with him, this way he will learn to respect and trust her.  His actions would improve.  She may need to attend a parenting class for blended families."
"Instruct: 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?
Output: 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."
"Instruct: My boyfriend of five months expresses how much he cares for me and loves me, and I believe it. It has been one of the best relationships I have been in for a short period of time, but he has lied to me so much. He’ll tell me that he'll stop lying, and while he’s saying that, he's hiding something or lying about something. First, it was about a girl. He hid text messages and claimed she was a friend and it was a friendly conversation when it was a girl he once found interest in. Next was his ex-girlfriend. He put a fake contact name, and it was just friendly, but he lied to my face. All the time, he claims he never cheated and still expresses his love the same way and that he wants to change and do better.
Output: New York, New York...it's not your boyfriend's lying that concerns me the most; it's the lies you tell yourself. Verbal expressions are easy, but it's walking the walk that's more important in the end. When someone shows you what they're capable of, you can believe them. He's capable of being manipulative and deceitful, and he even lies as he's telling you he'll stop lying. What you're doing is called denial; when you see evidence of something but you choose not to believe the evidence. He might love you with his heart, but love, in the end, is a verb and is based on respectful, loving behaviours. My wish is that you start by believing in what you deserve."
"Instruct: I'm a teenage girl. I don't know if I'm straight, bisexual, or gay. I've been straight all my life, but a sudden rush of questions have come over me, and I don't know anymore.
Output: Hi Brentwood, While our society tends to want to put us into categories...slots...when it comes to sexuality, because this is nice and neat and convenient...many people find that they don't fit perfectly into one or the other. All you have to do is exactly what you're doing; be aware of yourself and allow yourself to explore these thoughts and emotions both alone and in connection with a safe partner. The people who love you will continue to love you as you sort through this. You can resist the temptation to please others by giving yourself a label. We are attracted to, and fall in love with, people...and we can't always predict what gender they might be. I love how open you are to discovering yourself. Keep on that track. :)"
"Instruct: 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.
Output: 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!"
"Instruct: This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers.
Output: Hello, and thank you for your question. I know that workplaces have some latitude when it comes to requiring certain behaviors from their employees. For example, they may require you to tell them if you get into some kind of legal trouble. But this situation seems completely different. For one thing, 12 step meetings are supposed to be anonymous. I am not sure how they would know that you attended unless you or someone else told them. I agree that it seems like to cross a line. Usually each state has an office that manages complaints related to employment, such as the Department of Labor or EEOC. You may want to see which entity is in your state and contact them. It would be worth asking them to see if this is a legal practice. If it is but you still want/need to stay at this job, then you may want to look for alternate sources of support for your sobriety. There are active online support groups that would allow you to do things from the privacy of your home. SMART Recovery http://www.smartrecovery.org/ is a website that many people like. There are also online groups that specifically discuss the 12 steps. No matter what, I give you a lot of credit for doing your best to keep your sobriety and continuing to see the value in having support. Robin J. Landwehr, DBH, LPCC, NCC"
"Instruct: I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?
Output: I've talked to many teens who frequently sneak out. The question I always ask them is, ""What are you getting from sneaking out that you aren't getting at home?"" Many teens answer they are hooking up, using substances, and engaging in other risky behaviors. As uncomfortable as it might be, I encourage you to talk with your parents or guardians about the reasons why you are sneaking out. What are you getting ""out there"" that you aren't getting at home? A good family counselor can help sort through those issues. Good luck!"
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: From the very beginning of counseling sessions I emphasize that the work will and must end at some point.In counseling there is an arc to the process. A beginning, middle and end. I am always digging, searching and exploring. There comes a point where things come to there natural ending.I always leave an opening for continuing counseling in the future. At least as a check in."
"Instruct: Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me.    He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard. I want to end this relationship, but I don't feel like I can. How can I let go?
Output: First decide what you truly would like in the current relationship. Understand your reasons for staying in the relationship.Three years is a substantial amount of time to be involved with someone.   Whatever attachment you feel toward this man is deep and complex.Instead of deciding to leave or not leave, change your question to figuring out your satisfactions and dissatisfaction with the man. Also important is to tell the man your feelings.Whatever problem you are feeling may become clarified by discussing what bothers you.At the very least, you will give the guy a chance to show how interested he actually is in the tension you currently feel and have felt for a while."
"Instruct: Does counseling really do anything that can help people?
Output: Hello. Yes, counseling can be beneficial to many people. One of the effective components to effective therapy, is when the client becomes willing to participate in the counseling. I don't mean just show up and listen to the counselor for 45-50 minutes, but also that the client themselves opens up and shares with the counselor the issues that brought them to counseling in the first place. This requires you to be vulnerable, capable of moving past your protective measures of showing the best of yourself, and allowing the counselor to see the sides of you that likely are not as favorable. Therapy works when you and the counselor engage openly, honestly, and with mutual trust that both of you will work for common goals - your improvement of self. It does take time, and there are no quick fixes (usually), so be prepared to invest in yourself and explore the dark places. You'll thank yourself later, knowing that you are more connected to yourself and might even feel more whole after the process. Be well."
"Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?
Output: Anxiety can cause such a feeling of discomfort in our bodies that it can seem unbearable. The concern that I can hear in what you have written is that the thought of having some anxiety has now left you uncomfortable with any anxiety at all - and that can become a problem, indeed. As opposed to thinking about your anxiety as something much bigger than you, it could be helpful to start breaking it down. What are the things specifically that cause you anxiety about this new job? Is it being away from your family? If so, why? Once you start breaking down what causes you to feel anxiety into smaller ""mouthfuls"", then we are far better able to understand what has led to discomfort and start to problem solve the issue."
"Instruct: 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.
Output: 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."
"Instruct: Whenever I don't tell my friends or anyone what I did or stuff that's not really important, I feel terrible, like there’s a hole in my stomach. It only goes away when I hurt myself.
Output: Sorry to hear of your situation.Possibly you are overlooking that your own Self is someone worth talking to as well.None of us are ever really alone because we are always with ourselves.Self-talk is a major part of what guides our decisions and how we make sense of relationships and situations.    Even after telling people the stories or activities, hearing their comments, it is always within ourselves that we decide if the way we were received by these others, the comments we heard back, feel right and accurate to our lives.I hope the feeling of a hole in your stomach would decrease by enjoying your Self.    I am guessing that hurting yourself makes the stomach hole feel less bad because the physical pain you create in yourself distracts you from feeling it.Enjoying your Self by talking kindly, loving, and having inner dialogue may very well decrease the feeling of a hole, altogether.Sending lots of good luck!"
"Instruct: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?
Output: It is completely understandable that you are struggling to forgive and forget this betrayal, and I'd like to echo the sentiment of Danielle Alvarez: infidelity takes time to heal from, so allow yourself to grieve and find the support you need. I'd highly suggest going to couples therapy and addressing all the issues that Danielle raised, especially whether he has expressed genuine remorse and is being completely transparent with you and is taking responsibility for the choice he made, including acknowledging the immense impact it had on you, your relationship, and your ability to trust him. If you have doubts about being able to trust him, he needs to be willing to earn back your trust and do whatever it takes to do so. If he accepts this challenge, then that is a good sign you are on the path toward healing your relationship. Also, please don't ever forget that regardless of what led him to cheat, it was his decision to take that action rather than addressing whatever issues he was having in your relationship. Couples affected by betrayal typically have some underlying issue(s), whether it is a lack of connection or intimacy or another factor, and it is possible to heal and grow even stronger as a couple after betrayal. Because you are grieving, though, allow yourself to acknowledge and accept your feelings of hurt and pain, as they will likely come in waves, but the pain will lessen over time and with supportive therapy, along with the commitment to repair your relationship-from both you and your husband. Also, in regards to your concern about hurting your children, keep in mind that parents model healthy relationship behavior for their children. If your relationship with your husband remains disconnected, untrusting, or bitter, your children will see that and not only feel sad that their parents are both suffering, but also grow up feeling that experiencing such ongoing pain is tolerable or even normal in a relationship. Having parents who learn to handle conflict or heal deep wounds in healthy ways is crucial for children's emotional and psychological development. Whether they see you heal together as a married couple or heal separately as loving but divorced co-parents, they will learn what it is like to expect healthy communication and boundaries in relationships, which I'm sure you want for your children! Take care of yourself, and I wish you much peace and healing. Also, here is a good book I would recommend, along with books by Gottman, as Rebecca Wong suggested:Private Lies: Infidelity and the Betrayal of Intimacy"
"Instruct: 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?
Output: 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!"
"Instruct: Is it a type of fetish, or is it normal?
Output: Maybe it is a way to secretly satisfy your own wish to be or to live life gay."
"Instruct: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
   I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.    Do I have the rights to be able to sign my brother into mentalhealth facility?
Output: The answer depends on what State you live.Since the description you write here is that your brother may be a serious risk to himself and others, it is worth contacting a mental health hotline or one of your local area hospitals and talk to a social worker or other professional level person in their psychiatry department.  Ask the same question you posted here.   Your question is a good one and merits serious follow through."
"Instruct: My long-distance girlfriend is in a sorority, and it's changing her. I feel like I'm becoming less important to her and it hurts. She just wants me to support the sorority, but it's so hard. I try every day to show her she's the most important thing to me, but she can't even stay relatively sober at a fraternity party for me so that I won't worry about her doing anything regretful. We love each other, but we're in a rough patch.
Output: You may already be doing as much as possible for your relationship.Each of you are 50% of the relationship.Is the 50% which your GF contributes to your relationship, based on the same understanding of the couple's problem, as you have?Maybe a good starting place for the two of you to talk about is defining what problem the two of you have as a couple.This way, each of you will be able to know if you have similar values and definitions of your reasons for being together.Depending on what you each expect from your partnership, you each will clearly know whether, and then how, to accommodate the other person.These discussions stir a lot of emotions in each person, so that sometimes staying clear minded becomes very difficult.  You both will likely feel like talking about these matters more than one time.Consider utilizing a professional, credentialed and licensed therapist who would help the two of you stay on track with examine your emotional connections in a fair and safe way.Good luck with understanding and appreciating your relationship!"
"Instruct: My husband and I are separated and he doesn't even want to talk to me. 

He says he doesn't love me anymore, but I would do anything to get him back. Is there any hope?
Output: There is always hope. So don't give up on hope.However, you knew I would say that, there is a lot work ahead of you.You need to see someone to talk things out.Get some space between you and your husband. Don't chase and please don't stalk him.Do some deep searching as to why he left and what part you had to cause the split.You can't change him but you are in control of your own change.With the help of a professional counselor you can get help and direction where you need to change. "
"Instruct: I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?
Output: The first step for making this sort of change is being motivated to change and it sounds like you have that, so you are already on the right track.As far as learning how to listen, try some of these steps:Ask whether a certain time is a good time for your girlfriend to have an important conversationIf she has a subject that she would like to discuss, consider listening to her as an investigative reporter and asking questions that help you to gain more understanding of her experience. These questions usually begin with words like who, what, where, when. Questions starting with the word why can sometimes make people very uncomfortable because they may not explicitly know why they are asking for something or feeling a certain way. You can try communicating this way for just five minutes or so on until you feel as though you can restate what your girlfriend is saying and have her agree that you are recapturing the essence of what she is trying to communicateThen you can switch so she is listening to you trying to understand your experience. You could also start by talking about something that is important to you.Remember that stating that you follow or hear something that she is saying doesn't mean that you agreeAlso, try sticking to one subject at a time. It's difficult to really understand one topic if you are on to the next within just a minute or twoTry to use the word want or wish instead of need. Saying that you need something (or if your girlfriend would say that) that is not a need for safety or something like that can make whatever you are asking for sound like an obligation. That takes away from that whole motivation to change from inside the partner who is agreeing to change or try to changeSomething else to try would be using some sort of timeout. Consider this:Discuss the idea of using timeout before you actually need it and before the discussion starts. Timeout is a way to give each of you a way to calm down for five, 10, 15 minutes, or maybe even an hour. When there are a lot of emotions happening, each person gets wrapped up in protecting themselves from the emotions they are feeling and can lose track of what is actually going on in the conversation as compared to what they are perceiving.When using timeout, say to your girlfriend (or she can say to you) ""I need an hour before we can go back to this."" Then actually come back to the discussion.Some people are very afraid to use this technique because in the past not talking about something right away meant that it never was returned to and was never resolved in any way. This is why the agreement is important before you need it.While it may be helpful to ask your girlfriend what it is she may want from you, it is you that would be in charge of deciding whether you want to make that change and putting it into practice.Try to remember that part of being in a couple is holding onto your own wants, wishes, and desires while recognizing those of your partner.As one final idea, consider spending about 15 minutes a week together where you are not problem-solving about anything, just connecting with one another.I encourage you to see a therapist who specializes in couples if you would like some more specific ideas for what is happening within each of you and between you.Best wishes!"
"Instruct: My suppose-to-be father told me to go find my real dad. We haven't been getting along since I was a teenager. If I said one thing that he thought was wrong, I always got degraded. He never said “I love you.” He never gave us hugs. He’s always called me horrible names. I feel he's an evil man with no feelings.
Output: Hi Louisiana, You got it right...he's ""supposed to be"" your father. It's tough enough being adopted (unless I'm reading it wrong, I think you're adopted); what you don't need is to be verbally abused by someone who's supposed to love and protect you. I don't know how old you are (past teen years though), or where your mom is, but I bet there are other people in your life who treat you differently. It's your right to spend your time with the people who love you properly. That's a really important part of learning how to be happy...carefully choosing who's going to be in your life. It's tricky to put emotional distance between you and your supposed-to-be father, but it's possible...physical distance (avoid him if you don't trust you'll be treated with respect), and emotional distance (feeling less connected to and affected by his relationship disability). I think you're already doing that part because you don't blame yourself for his words, which is wonderful. I don't know if he's evil (although I believe evil exists), but he may be incapable of loving properly, or lacking empathy, as you suggest. A good therapist can support you in these goals. I wish you the best in your growth as an independent adult. :)"
"Instruct: I started dating my fiancé two years ago. My first cousin is married to my fiancé’s sister. There has always been a communication issue between my uncle and aunt and my cousin and his wife. My uncle goes to my mom instead of talking to my cousin, and it upsets my mom.
Output: When you're upset about something, the first question you can ask yourself is ""Whose problem is this?"" It is amazing how many problems will disappear right at that point, because you realize the problem isn't even yours. You can't fix everything in your family. You are starting a new family of your own, and it's time to create a protective bubble around your family unit that keeps other people's issues away. I tell myself ""Not my pig, not my farm, not my problem."" When you stop trying to take care of other people's problems, they are more likely to step up and deal with it themselves. :)"
"Instruct: 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?
Output: It is very good news that you realize the risks of smoking cigarettes while pregnant and are willing to stop.Thinking about smoking is a typical and frequent reaction to being without the substance.Be creative with what you know about yourself to distract you when this psychological urge comes up.  My suggestions are to imagine smoking if you find this would relieve the sense of wanting to smoke.Or, do the opposite and remind yourself of all the good reasons to not smoke.Also, since you're planning pregnancy then ask your partner for ideas on how to make the psychological feeling to want to smoke, feel less intense.Another suggestion is that your partner is your texting buddy to stop smoking.   With AA groups, a sponsor is always available for the alcoholic who feels distress about the urge to drink.   Having a trusted and caring person to tell about your problem helps in many situations.  Maybe it will help you to stop smoking.Good luck!"
"Instruct: My boyfriend is seeking therapy. He is in his 40s and has some childhood issues. He has kids from his previous ex-wife and is unable to see them.
Output: Probably the more important questions to answer concern how much confidence you have in you and your boyfriend becoming parents, how you each feel about the influence of his being banned from seeing his current children, and be clear about the circumstances that led up to the decision of him not being permitted to see his kids.Don't allow some random professional to pronounce your boyfriend as cured.  A relatively qualified therapist would never make this call.Psychological and emotional tensions emerge from our relationships within families.  You and your boyfriend are in a position to set a strong foundation for having children, assuming each of you wants children.Childhood issues, your boyfriend's, anyone's, are more likely to go away when new patterns of interacting emerge.If the two of you are engaged in setting a secure relationship as future parents, the disappointments and hurt from the very early years, will be replaced by better ways of interacting."
"Instruct: In middle school and high school, my friends and family thought I was gay. I tried telling them, but they wouldn’t believe me. It almost feels like they wanted me to be. Now I’m actually starting to believe them. I know I wasn’t back then, and now I’m not sure anymore.
Output: Use this time to explore who you are...imagine what your life would be like if you were gay and not, ask yourself what is different? What scenario do you find yourself gravitating to?  What is important is that you are happy. My message to you is that you do not need to define yourself with your sexual preference or feel the need to label yourself, especially if you are confused and exploring what your sexual preference is."
"Instruct: I love my girlfriend so much. I get an erection even just thinking about her or seeing her. But the two times we tried to have sex I couldn't get an erection. We've only had sex once and it was a long time ago.    Why this is happening and what can I do about it?
Output: Sexual desire seems to be straightforward - I like someone and I become aroused at the thoughts of being intimate with them - but that idea does not always take into account other factors. Stress can have a huge effect on our body and how it performs.  When we are overstressed, for example, we often find ourselves ill at the same time.  Can you think of any part of your world that may be causing you some additional stress? Additionally, focusing on your erection may also be increasing the level of stress you feel about being intimate, which could also effect your ability to get and maintain an erection.  While this may seem counter intuitive, it makes sense in the word of stress!Finally, it's never a bad idea to follow up with your doctor, as well. You did not mention your age or sexual history outside of this relationship, but it is always a good idea to check in with medical staff to make sure there is nothing physically responsible for changes in our body, as well."
"Instruct: Does counseling really do anything that can help people?
Output: There are multiple ways that counseling helps people. The most basic is that it gives you someone to talk to about and through what you are facing. It is better than a friend because this is a space for your stuff and you get to focus on what you need and don't have to worry about the other side. This is also a place where you do not have to worry about how else the other person is involved in the situation. Beyond this basic level, a counselor will have expertise they can bring in terms of how people, including you, can effectively deal with this kind of situation. The counselor may also be aware of connections that you would not otherwise see. A good counselor will also recognize if and when you need other help or support in the situation. Why wouldn't you benefit from having someone walk with you in your journey to peace and wholeness. "
"Instruct: I have PTSD. The side effects are really bad and have impacts on sex, anger and my relationships.  I even lost my job month ago. 

How can I get my life back?
Output: Slowly is the rate at which you'll get back your life.Being traumatized means not feeling safe in almost all areas of life.Be patient with yourself as you try to regain trust that people will not harm you and will be sources of satisfaction in your life.It is possible that the trauma in your life requires such great attention on your part to your own inner emotional safety that you are better off with a less intensive job than the one you recently lost.Try to prioritize restoring your emotional and psychological health.  With this as the top area of your attention then you may have an easier time to accept a lesser degree of involvement in your work and relationships.When you feel angry, try to examine if underlying the anger are feelings of stress, fear, insecurity regarding your position in relationship to the person toward whom you feel angry.   Anger is often the surface reaction to more destabilizing emotions like fear and insecurity.Gradually by nurturing and comforting yourself, living at a pace which is uniquely comfortable to what and how much you can handle, you'll regain your trust in both yourself and relating to others."
"Instruct: I love my girlfriend so much. I get an erection even just thinking about her or seeing her.  But the two times we tried to have sex I couldn't get an erection.  We've only had sex once and it was a long time ago. 

Why this is happening and what can I do about it?
Output: First off, I want to acknowledge the emotional pain you must be experiencing about not being able to experience an erection -- you're not alone. And, it took a lot of courage for you to post your query here. Below you will find excellent advice from skilled clinicians regarding your question and concern. If you haven't done so already I'd encourage you to checkout the Mayo Clinic's website on this very topic (http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047).Once you've ruled out any medical-organic issues with either your PCP or Urologist I recommend you work with a Certified Sex Addiction Therapist (CSAT) and/or Certified Sex Therapist (CST) and do some psychotherapy around attachment/family-of-origin, intimacy, self-image, trauma history, sex history, pornography, etc. ). There is hope."
"Instruct: I have had a crush on this guy for years. I last talked to him a few years ago when we graduated from high school. We left off on a good note. Should I message him and see how he is doing, or is it too late?
Output: You'll only find out whether or not it is ""too late"", by following through with wanting to message him.Regardless of whether the response you receive is what you'd hoped to hear, including not hearing back from him, you will have done yourself a great honor and respect by following through on a wish and curiosity you've had for some time."
"Instruct: I don't know how else to explain it. All I can say is that I feel empty, I feel nothing.  How do I stop feeling this way?
Output: A feeling of emptiness can be from a lack of awareness and acknowledgment for the things, the people, the places that you have in your life. The use of affirmation and gratitudes helps to remind ourselves of all of the aspects of our lives."
"Instruct: I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and it’s with the girl that works with us. I've been trying to get over it, but now my confidence and self-esteem are low, and sometimes I feel like he’ll do it again or that he's not ready to be with me. I think about it all over again when I see her. He says he's in love with me, and with the last time he cheated, it didn't feel right, and that's when he knew he had to stop because his feelings were for me. He's contacted her and told her he will not communicate with her because he's in a relationship with me.

How do I gain confidence? Should I let him go? If I let him go, I don't want to be sad about it being that we work together. I try to tell myself I'm beautiful every day, and I think I am a pretty attractive female with a great personality, but I don't like the fact that she works there.
Output: Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for couple's therapy in which there has been infidelity.Understand within yourself whether you'd like being with your boyfriend and what you'd like him to do so that you start feeling more secure in the relationship.If yes, then tell him what you now know about yourself as partner in the relationship.For example, some people who are getting over being cheated on, would like knowing details about the affair person, some people want to see the phone of the one who cheated.Recuperating after a cheating incident takes many months.If he tells you he'd like earning back your trust, give him some time to see if there is progress in this area.As results unfold, you will feel clearer on the direction your relationship is naturally taking.About the girl at work, she will feel less meaningful to you as you work together with your boyfriend on securing the relationship.She has her greatest meaning right now because you are at the beginning stage of knowing what direction to take.As you go along this road, more than likely, you'll be more at ease in naturally finding a way of relating to her that feels ok to you."
"Instruct: I am lazy. I am very aware of the problem and try to talk myself out of it all the time, but I never seem to shake the habits. I try to think of what it is doing to me and my future, but no matter what, I keep creating excuses for myself to continue the procrastination. All I'm ever left with is regrets and a low grade. I am at an all-time low in my life, and I'm not even that old. I've always been a straight-A student, but now I'm getting C's and F's, and it hurts me to know that I am way better than that. It's not even like the work is hard.
Output: I am sorry to hear that you are going through such a tough time. It sounds to me like you are suffering from depression to some degree. Have you seen a therapist or talked to anyone about your problems? If not, I would advise that you do so sooner than later so that you can learn what is causing you to be unmotivated and causing difficulty with breaking the cycle that you are in. It is also a good idea to get a medical evaluation from your doctor to rule out any medical causes for your current condition. Most often, difficult situations that life throws at us, along with an inability to think positively, and break bad habits are what cause depression. Some things you can do immediately are seek help from a professional, schedule in time every day to engage in pleasurable (or once pleasurable) activities, exercise daily, and practice thinking more positively. Set a few daily goals for yourself and write them down each morning or the night before. Achieving your goals every day will give you a sense of accomplishment and can lead to feeling more optimistic and capable. Additionally, keep a journal to write down how you are feeling and what ideas you have to help feel better. Sometimes having these ideas written down make it more real and tangible. Know that depression is most often curable but takes work and a desire to change (which you clearly have). Once you start feeling better about yourself and your life, your grades should naturally begin to improve, as you will have more motivation and energy to focus on that particular area. Best of luck to you!"
"Instruct: I am in my mid 30s. I feel I have used only 5% of my potential. I am in film making, but everything is stuck. I've never had a serious relationship. I had worthless jobs. I do a lot of meditation to try to fix it.
Output: Being stuck in life is difficult, especially when you are feeling it in many different areas of your life. So you if you are ready for a change... time to make one! Make a list of the resources in your area--community colleges, friends, free classes, volunteer opportunities etc. Make a list of your passions and absolute ""no way"" things in life. Make a 5 year plan... where do you want to be in 5 years... then start breaking it down ... what do I need to do this year to make it to next year. Break that down into months... check in with friends/families/co workers etc to see what they see in you both good and bad. Take a deep breath and choose 1 thing to work on to get better in life according to them. Seek out any free training/counseling on career changes and life changes. You already began this by asking this forum for help Awesome! Use the peace and calm you find in meditation to spring board you to make some changes in your behavior--try new things, change poor choices etc. Use the meditation to give you peace while you make the changes. Good Luck!"
"Instruct: I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.
Output: 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 controlar mi ansiedad?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."
"Instruct: I was raped repeatedly when I was younger. I told my parents and action was taken, but now that I’m an adult, I suffer from extreme anxiety.
Output: While anxiety can come about for many reasons, trauma is definitely one of the factors that makes anxiety a possibility both immediately following a traumatic event and later in life. When we have experienced such scary violations of our bodies - we may experience residual effects of fear for many years to come. This is normal, natural and in many ways helpful - at least initially. This fear is in some way a sign that your body/mind is taking good care of you - trying to keep you on your toes in order to protect you from anything terrible happening to you again. However, as it sounds like you know, anxiety feels awful and there are certainly ways of learning to reduce anxiety. In order to get the tools you need to manage anxiety and also understand where it comes from and how it works in your life, I would encourage you to seek professional help and check out anxiety resources online."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: Goodbyes can be hard.
Chances are most of the goodbyes you have experienced in your life have been
difficult. Saying goodbye to a therapist can be different. It can be an
opportunity to create a healthy ending in a positive relationship in your life.
If you work with a therapist who is skilled, then saying goodbye can be just as
transformative as the therapy itself. Ending therapy is also known
as “termination.” I know, “termination” doesn’t have a great ring to it!
However, it is what it is. It is an ending of the relationship as it existed.
It is reality cold and stark. Of course, when I talk to clients I don’t use the
word “termination,” I usually say “our goodbye.”  Under what circumstances does therapy usually
end? Therapy should end when a client does not need further assistance, is not
receiving any benefit from therapy, or might be harmed by continuing to work
with a particular therapist.In the best case scenario
the decision to move on from therapy and “say our goodbyes” happens when both
the therapist and the client feel like the client is ready to move on and move
up!  Ending the therapeutic relationship
should actually be worked on from the very first session. What I mean by that
is, there should be an understanding that the work we do together will have an
ending and that is a good thing because it means the client has gained the
skills to continue working on themselves independently. So the first session I
have with clients usually outlines a plan where the end goal is discussed and
we both have an understanding of the skills the client wants to learn or what
they hope to achieve. Now sometimes there are
situations where the therapist ends the relationship and the client may take
that personally, it is hard when any relationship ends and it might bring up
feelings of sadness, and fear or abandonment. Any good therapist will end the
relationship based on what is right for the client. What are some situations
where a therapist might end the relationship?If the situation the client
is dealing with is out of the therapist's scope of practice, the therapist may
end the relationship and refer the client to someone else. This is in the
client’s best interest. Another reason a therapist might end the relationship
is that the therapist is in a place in her life which prevents her from being
objective and helpful.  A therapist who
is going through a painful divorce may have difficulty working with a couple
that considering divorce. A good therapist may see that their judgement may be
clouded and want to refer the client to see someone else. This is good practice
and helps the client.If a client is actively
suicidal or actively using substances then the therapist may end the
relationship and refer out for a higher level of care. The client may need to
be hospitalized or may need an inpatient substance abuse treatment program.
Therapy may be terminated while they are being treated and may continue after
the intensive program is completed. 
Ending therapy should be a
time for connection and bringing together accomplishments, or reviewing the
next important step the client needs to take. It should not be an experience of
abandonment. A skilled therapist will help a client gain a new perspective on
closure. For some clients, it may be the one time in their lives when they get
a clean ending in a healthy relationship and they get to feel a sense of
control on creating that ending. Good luck to you!"
"Instruct: The birth mother attempted suicide several times while pregnant. The adopted mother was terminally ill upon adopting the baby and died when  the child was just over one year old.  The adopted father then remarried to a physically, psychologically, and emotionally abusive woman.  The child was placed in foster care at 11 years old. 

What might be the long term effects on an adult with this childhood history?
Output: The true answer is, ""no one can really say with certainty"".The variables are the way this child absorbs and adjusts to these significant changes in their life.  All anyone can do is guess at this point and there's no good reason to guess.The only general certainty is that the adult whom this child becomes will have had a profound encounter with the biggest types of human losses a child can go through.Some people become great teachers, therapists and philosophers who have this background.  Some give up on life and hide away from others.The best anyone could do who knows this child is to offer love bc this is the greatest guarantee to show there are good people on this earth."
"Instruct: I am going through a very hard time and I'm so depressed. My parents are getting a divorce and a lot of bad things are happening. I want to lull myself.
Output: Consider yourself quite normal for feeling overwhelmed and depressed about your parents divorce.   This is the most natural way to feel at this time.Depending on how old you are, and whether you live under their roof,  are dependent on their support, and are either part of the decision or not, of with whom and where you will live, start considering these points.How did you find out about the upcoming divorce?Are either of your parents reluctant to answer your questions or is it clear that neither of them want to talk about anything with you?Whatever your fears and questions about your own future, these are all real.  It is necessary for you to know about your basic future.If you are living on your own and the main problem is your inner adjustment that your family structure is completely changing, then probably a good therapist would be a great help to you now, to clarify these tensions.Sending lots of good wishes for an easy resolution to your new path!"
"Instruct: She is living with her boyfriend of seven years. He is in therapy for depression and social anxiety. He hasn't worked in all this time.
Output: Hi New York, There is no need for shame here; no one's done anything wrong! A pregnancy is a glorious gift to be celebrated. I wonder what gets in the way of you celebrating your daughter's pregnancy? Are they excited about it? I bet they are. They've been together for seven years. Even if it caught them off guard, the best thing for them and this new baby is to celebrate the joy of this new little person and their growing family. If you are happy for them and help spread their joy, how marvelous would that be for them as a family?New York, I will be honest with you; I hope that's okay. I sense that maybe you are feeling judgemental towards them. Do you dislike or judge his struggle with mental illness? Do you see him as less than worthy because he hasn't worked? I don't know for sure, but I imagine maybe his anxiety and depression get in the way of working. Maybe he's on a social disability? Mental illness doesn't make someone less lovable or valuable as a partner. He's getting help for himself and that's wonderful. If your daughter loves him and is happy with him... If he is her chosen man, then they absolutely need your support, not your judgement. And if they struggle as a couple, you know what...they will need it even more!Is this your first grandchild? If not, then I don't have to say this, but if it is...you are in for the most amazing adventure of your lifetime. You will fall in love so deeply with this child. S/he needs that...this baby needs your love and support.So, you say to your family... ""I have amazing news! My daughter is expecting a baby! I'm going to be a grandparent!! I can't wait"". "
"Instruct: I was texting a guy who wasn't my boyfriend, and my boyfriend found out. We work together, so he went to work and told everyone I was cheating on him. I moved out of the house. There have been previous problems, and I feel like I'm usually the issue here. In order for us to move on, he wants me to sign this contract that he wrote out listing things he doesn't want me to do anymore. I'm wondering if this a healthy relationship to save or if I should walk away.
Output: Hi Dallas, While I think it's healthy for both members of a couple to have things that they need from each other and to talk about that, your situation sounds one-sided and rigid. Will you have a list too? There are elements of control here: humiliating you in front of coworkers, saying you have to sign the contract before you can move forward...does he decide when you move in and out? Your passive aggressive communications with the other man and your difficulty in knowing what direction you want also hint that maybe you don't have a voice in this relationship. Do you have a voice? If you are uncomfortable with the contract, are you listening to your own voice? If you can't hear your own voice, maybe it's time to sit down with a therapist and strengthen yourself so you can at least know what you feel and want.No relationship is all good or all bad (wouldn't that make it easy?) Relationships don't come with billboards that tell us what to do. They don't come with crystal balls that tell us what will happen (except that past behaviour is a good predictor). You have everything you need in order to make the best decision for you right now, except clarity, and his control may be what is making things muddy for you. You're too busy blaming yourself to see the situation clearly. A therapist can help you stop blaming yourself and see what your situation is."
"Instruct: I'm dating a guy I really love. We have our problems, but I could see myself with him long term. But there's this other guy who I've had feelings for for awhile now. He gives me butterflies when we talk, and my heart beats fast when I see he's texted me, which i never felt with my current boyfriend.
Output: There are different types of attraction.  You said that you've never felt this sort of feeling of your heart beating faster with your current boyfriend. Depending on how long you've been together and if you're looking at different ways of making a life together and getting to know each other on a deeper level, that's a different stage in a relationship and sometimes it feels different. Some people look at it as a difference between levels of passion and compassion, but there are many different terms to try to talk about it.Perhaps with this guy that you really love, you could talk about ways to keep things new and different in the relationship. Maybe you can leave notes for each other during the day or have a small surprise at random intervals (maybe an invitation to a picnic, for example).As for the other guy who makes your heart beat faster, what do you see in him? You said you really love the other guy, which is why I'm asking.What do you look for in the person who you want to be with long-term (whoever that is)?"
"Instruct: How do I decide if I should end my relationship with my boyfriend?
Output: That's a loaded question.  Typically, if we are contemplating if we should or not, it is for a reason.  To really come to a place of decision, you need to know where you are right now, what is not working, what the potential resolution would be and if it is realistic.  If you can answer those questions, you may gain some insight.   If it is realistic and your boyfriend is on the same page, seek help putting a plan in motion for resolution.  And I mention him being on the same page because if he is not, then it will never come to fruiting.  Without much other information, this is this is a solid approach."
"Instruct: Every winter I find myself getting sad because of the weather. How can I fight this?
Output: Cold climate is often accompanied by grey skies, snow and
ice. The elements along with wind, windchill and severely cold temperatures may
lead to feelings of sadness, anxiety, and low energy. For some people these
symptoms occur each year from late fall to early spring and may be suffering
from a condition known as Seasonal Affective Disorder (SAD). Whether you have
been diagnosed with SAD or are finding yourself struggling with the “winter
blues” for the first time here are some suggestions for feeling better and
staying healthy.1. Nutrition Most likely you have
heard the term “comfort food.” These foods and snacks are high in
carbohydrates, sugar and fat. Avoid overeating cookies, cakes and candy. Chose
vegetables, fruit and protein for snacks and plan balanced meals. If you find
yourself wanting to eat or snack throughout the day, ask yourself why you are
eating. Are you hungry? Or Are you eating because you are bored?2. AlcoholKeep in mind that alcohol is a depressant so consuming wine,
beer or liquor when already feeling sad, anxious or depressed will only add to
your symptoms. Do not consume alcohol while engaging in outdoor activities such
as snow removal, skiing, or ice fishing. If you find yourself reaching for an
additional glass of wine or beer be mindful and ask whether you are doing it
due to boredom. Instead of mindlessly taking another glass of alcohol, drink a
glass of water. 3. SunlightGet
out in the sunlight or brightly lit spaces, especially early in the day.4. Be activeIf you are unable to go to your favorite gym, exercise class
or go for a run, find a way to stay active in your home. There are a lot of
short, instructional programs available on YouTube that you can follow to do
some gently yoga, dance, or do strengthening exercises using only your body
weight.5.  Reach out for help
Confide in someone you trust about how you are feeling. Do
not hesitate to contact a counselor if you feel that you are becoming more
depressed and anxious. If you experience thoughts of suicide call the National
Suicide Prevention Lifeline at 1-800-273-8255."
"Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?
Output: The feeling of being worthless is caused by your inside being not matching your outside result. Your comparison to others and you thinking you need to be someone other than who you are. You are not worthless. No one is worthless. You need to find your worth and not let yourself talk yourself out of the good you find in yourself. I hope these words resonate with you and that you start looking for your worth even if it’s as simple as I am able to get out of bed and call someone and make a joke."
"Instruct: There are many people willing to lovingly provide me with a home. I have food, clothes, and a university education, but I never feel like I belong. Even when I have a good time with people who are supposed to be close, I feel like I'm just out with friends and I never go home.
Output: For some people, having a sense of belonging takes some time.You mentioned that you have an education and some basic daily needs. I wonder if you may be able to look at your relationship with yourself and what makes you feel happy, safe, and having a sense of accomplishment. If you have those feelings, I wonder how you define trust and who you trust.You say you have a good time with people who are ""supposed to be close,"" so I wonder what keeps them from feeling close. I have also wondering if you have been emotionally hurt in the past, and if so, you may have some protective defenses that you use (maybe on purpose, maybe not) to protect yourself from being hurt again. Remember that this idea comes in degrees where you can be more perfect in certain situations and a little less in others. Being emotionally protected is on a spectrum or continuum, where you can make an infinite amount of adjustments or changes with different people and situations.I also wonder what it is that you want in your ""home,"" and how you define it. Consider giving yourself permission to think about how you would define your perfect home in a world where there were no realistic restrictions (such as money or location). After you have that, consider what parts of that you can have. Perhaps there is a small part that you could make a reality within a week or so.Thank you for reaching out. If this continues to be difficult for you, consider seeing a local mental health professional so you can discuss some more specific details."
"Instruct: My long-term girlfriend broke up with me recently. She says it's because of my anger.
Output: I need help controlling my anger.Anger is like a blanket that contains other emotion from bursting out and serves as a shield to protect us when we are not able to manage external issues.   Anger also helps us understand that there’s something wrong that needs to change.  Once we understand that something else caused us to feel angry, then we can explore the source of anger. Ask yourself: Why am angry, Am I hurt, disappointed, confused, embarrassed etc.?  Once you find the answer, explore how often that happens and what’s your reaction.  Then explore how else you could respond or react.  You could use I-statements as a way to communicate your true feelings to your girlfriend or whoever is involved in the scenario.  This is a good exercise to practice with your Counselor or mental health provider because many unresolved issues may arise during this exploration, especially if you have been angry for a long timeAlso, it is important to understand the difference between anger and aggression and learn to manage our anger before we act on it.  Anger is a feeling; aggression is when you act out your anger physically, verbally and psychologically.  Find ways to vent: crying or sweating will help to release your anger, and balance the chemical response that our body creates when you become angry.  Physical activity and meditation exercises can also provide a break when you manage strong emotions.Necesito ayuda para controlar mi coraje.El coraje es como una manta que cubre otras emociones evitando que se desborden y sirve como un escudo que nos protege cuando no podemos manejar problemas externos.  El coraje también nos ayudo a entender que hay algo mal que debemos cambiar.  Cuando entendemos que algo mas causo el coraje entonces podemos explorar la fuente.Pregúntate a ti mismo: ¿Por qué tengo coraje, estoy herido, decepcionado, confundido, avergonzado, etc.?  Ya que encuentres la respuesta, explora cuan frecuente tienes esa reacción.  Luego explora como puedes reaccionar en otra ocasión.  Puedes usar expresiones del Yo para comunicar tus verdaderos sentimientos a la persona envuelta en la situación.  Esto es un buen ejercicio para practicar con tu Consejero o profesional de la salud mental ya que otros conflictos sin resolver pueden surgir durante este proceso de exploración.También es importante entender la diferencia entre el coraje y la agresión, y aprender a manejar el coraje antes que actuemos.  El coraje es un sentimiento y la agresión es cuando expresas tu coraje agrediendo a alguien, física, emocional o sicológicamente.  Encuentra maneras de desagotare, llorar o sudar te pueden ayudar en este proceso al balancear la respuesta química que crea el cuerpo cuando estamos molestos.  El la actividad física y la meditación también pueden ayudarte a relajarte y tomar un descanso cuando manejas emociones fuertes."
"Instruct: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.
Output: Hi there. Being 15 years old can be a very difficult time in your teenage life. I remember when I was 15 and how I often felt my parents weren’t listening to me. It’s even more difficult when you feel that you do not have a friend that you can confide in. Having depression in the past and being able to get through it shows me that you can get through anything! Depression alone is a very difficult problem to work through. In addition to the communication problem with your parents, it appears that you are also struggling with stress and anxiety. We all have stress and anxiety in our lives. If we didn’t, none of us would be living. Anxiety & stress keep us on our toes! Often, I have to remind myself of this as well. However, it is how we manage stress and anxiety, so it will not overcome our lives. Are you familiar with relaxation techniques, such as: deep breathing exercises, meditation or yoga? Relaxation Techniques can help you tremendously in reducing your stress and anxiety. Deep breathing exercises are helpful when you are on the go, such as school, shopping, out with friends or whatever extracurricular activities you engage in.  Most people do not take full advantage of their lung capacity. I know, that sounds silly. But, it’s true. You would be surprised how much air you lungs can hold. Imagine being in the Doctor’s office and taking deep breaths. This is what you want to do when you are feeling overwhelmed and/or stressed. Take a moment to take in at least 10 deep breaths and let them out slowly. You will be surprised how well you feel afterwards. Meditation and Yoga are also healthy forms to working through stress and anxiety. You will need a quiet place for your meditation. You want to be “in the moment” and take in the peace and serenity. All it takes is a quiet place, closing your eyes and thinking of your “happy place.” Some people use meditation music as well. If you have access to this type of music and or the internet for more ways to practice meditation, please go for it! Yoga on the other hand will take a little more work and practice. I would not suggest you learning this on your own, if you have never attempted yoga before. Find an experienced Yoga instructor to teach you the ropes and/or ask your school counselor about the possibility of getting someone to come to the school to teach the students. Lastly, in regards to your parents it is very important to be able to have a relationship where you feel comfortable communicating. I would recommend writing a letter to them, if you are unable to express how you feel in person. A letter is more intimate and requires a little more effort on their end. If they are open on working on this relationship, maybe suggest family counseling to fully work on this issue. I hope this was helpful for you and I wish you the best! "
"Instruct: My spouse visited the red light district a couple of years back in Amsterdam. After he got back from the trip he got me tested for stds. In the aftermath he has provided multiple versions of what happened, from having a total blackout to being touched by a prostitute. How do I know if he had sex?
Output: Unfortunately, you will never know the true answer. This is really frustrating to hear, but you will never 100% be able to guarantee that he has given you the truth. So if you can, work on accepting that, breathing through that,He may not fully remember, he may have lied to you in the past or he is lying now. He may have been honest then or he may be honest not. As for options, you can talk to him and provide a safe space for him to tell you what happened. This could be a private conversation with you or at a counseling session. He would need to feel safe to tell you the truth. But remember, there are no guarantees. You would need to make a decision to trust him or not. And go from there. A couples counselor can help guide that conversation, and make sure that he is feeling safe to share. More important than if he actually had sex or not, I would evaluate your relationship. Do you trust him now? Were there trust issues before? Does he hide things now? Identifying your current trust levels will be important for having a healthy relationship now. Hope this helps, even if it is frustrating to not have guarantees."
"Instruct: I am in high school and have been facing anxiety issues lately. Whenever I get close to being in a relationship, some kind of anxiety takes over and keeps me from the relationship. This anxiety causes me depression at times and even makes me want to vomit. While a semi-relationship should be joyous, for me, it’s an emotional nightmare I can’t get to the bottom of. I’ve had this before and had to leave the semi-relationship to avoid throwing up every time I made contact with my crush. What could be the reason behind this? Is it massive nerve problems? Is it a fear of a bad relationship?
   While I’m not quite ready to be in one anyway, I want to get to the bottom of this for a brighter future in which I can be in one. I don’t take medications and have no desire to, I have read forums, and I’ve talked about the issue with my sister who has faced similar problems.
Output: Hi Helena,I felt a bit sad when I read this. This is a new term for me... ""semi-relationship"". What does it mean? I know that today's culture for young people is more of a ""hook-up"" culture than a dating one. Maybe that means that you develop connections to people but you keep yourself from hoping for a full relationship because no one is doing that anymore. That makes me feel sad. I hear a lot of young women (I'm not sure you're female, but that's my guess) say that they struggle with hook-ups because they can't let themselves hope for a phone call after a hook-up. Research tells us that, after a hook-up, college age women tend to feel used and unworthy, and men tend to feel guilty. I think this scenario works better for men than women, but many of both genders are left unsatisfied in the end.This is only one possible explanation for your anxiety...that your gut knows that it wants to feel fully coupled with someone but you struggle with whether it's okay to want or expect that.Maybe take a moment and listen to anxiety. Anxiety tends to try to convince us that something's wrong with us or something bad's going to happen. Anxiety sometimes prefers to stay vague (it's more difficult to refute it then), but you can try to clarify it's whisperings by asking yourself these questions: What am I afraid of? What is the worst thing that might happen here? Then what might happen, and what would be the worst part of that? Keep going until you find the very worst thing that might happen? Might someone not want you...might you feel rejected...or feel not good enough...you might get hurt?Then when you find that core fear, you can look at your life and I bet you'd find a place where that idea or fear originated. A big moment (or many smaller ones) when you actually DID feel or get rejected or abandoned or hurt. In the end, it's a feeling you're trying to avoid (not life or relationship), and anxiety is trying to help you avoid it by making you overcautious. But this doesn't work for you! Good! With the help of a qualified therapist, you can learn to talk back to anxiety and move forward in life and love with calm. confidence."
"Instruct: I was raped by multiple men, and now I can't stand the sight of myself. I wear lingerie to get my self excited enough to have sex with my wife.
Output: I'm sorry for your being taken advantage of and for all the negative feelings created by being exploited.If you have not already explained to your wife about what caused your great distress, then please consider doing this.  A conversation that happens in a safe relationship, will give her a chance of being supportive to you.  And, the discussion may relieve some of the bad feelings toward yourself which you currently feel.In its most positive light, you and your wife can build a new sex life based on the loving foundation you develop from talking with one another in this deeper way.It will certainly distinguish your love based sex life with your wife, from sex as a violation of your body by other people.There are also behavior therapists who would set a program of building tolerance for sex as part of your usual life.These programs usually work for a short while only, unless the person also clears out the deeper levels of fear and hurt from being victimized.Good luck in progressing to feeling that your sex drive is back!"
"Instruct: I am going through a very hard time and I'm so depressed. My parents are getting a divorce and a lot of bad things are happening. I want to lull myself.
Output: Consider yourself quite normal for feeling overwhelmed and depressed about your parents divorce.   This is the most natural way to feel at this time.Depending on how old you are, and whether you live under their roof,  are dependent on their support, and are either part of the decision or not, of with whom and where you will live, start considering these points.How did you find out about the upcoming divorce?Are either of your parents reluctant to answer your questions or is it clear that neither of them want to talk about anything with you?Whatever your fears and questions about your own future, these are all real.  It is necessary for you to know about your basic future.If you are living on your own and the main problem is your inner adjustment that your family structure is completely changing, then probably a good therapist would be a great help to you now, to clarify these tensions.Sending lots of good wishes for an easy resolution to your new path!"
"Instruct: I've been depressed for quite a while. I've been trying to work through it, and my boyfriend has been my rock. He is honestly the only person I trust enough to talk to about anything, but he decided to break up with me because of my depression. I cannot afford to see a therapist or anything, so he saw no hope in staying with me. My insurance has a $5000 deductible, so I’m screwed. I've had everything from suicidal thoughts to trying to quit my job. I have no one. My family doesn't care about me; they kicked me out when I turned 18 a few years ago. I had friends, but they have all moved on with their lives and have no time for me. My ex-boyfriend is trying to help but is making things worse because every time I see or hear him, I break down into tears. I found out that I will never be promoted now because of my depression.
Output: It sounds like you have been struggling with this for quite some time, using many of the same coping techniques that feel tried and true to no avail. Often, we fall back on coping techniques that would be helpful in other problems (stress, social anxieties, etc.) for our depression, but the truth is that depression requires it's own little tool kit. Depression is all-encompassing, and, based on what you've written, the symptoms are already affecting work and your personal life in myriad ways.  The best route forward would be to seek out counselling, admittedly, but if your insurance deductible is too high, that can be very expensive. I would recommend contacting your Employee Assistance Program (EAP) if offered by your employer. If not, you can look into community centres for counselling options, check if your doctor will give you a referral or your local religious organization. If, however, you are motivated to get your depression under control, there are some great workbooks out there that you can use on your own or with your therapist (as long as your therapist is trained in Cognitive Behavioural Therapy, or CBT), such as ""Mind Over Mood"".   "
"Instruct: I live a normal life. I have tons of friends and family, but I feel lonely.
Output: This may be happening because you and the others are not connected to each other on a level which reaches your emotions.Loneliness may show the absence of feeling a variety of emotions when you are among others.How many friends you have doesn't affect whether you and someone else feel emotionally engaged with one another.Consider if you feel like concentrating your friendship on more intensively sharing your feelings with a few of your friends.This may lead to fewer friends who are also more meaningful to you and your feeling a decrease of loneliness."
"Instruct: I have always wanted to have a transition from male to female for some time now. This issue has persisted for 10 years already but I don't know where to start. I do not have the soundest information either.
Output: Wonderful!  I am so excited for you.  What a huge decision.  I am writing from Toronto Canada so it is hard for me to direct you specifically.  I would start with two things 1) Find a doctor that is comfortable perscribing hormones and 2) find a Counsellor or Therapist that is transgender specialized.  They will know how transitioning works in your health care system and other supports as well.  Google is a wonderful way to find these resources.   I wish you well. Thanks for writing!"
"Instruct: I've felt this way for two years. I feel so much better now then I did when it started, but it is still there in the back of my mind at all times.
Output: Best answer that I can give to you is that some level of de-personalization is quite normal for everyone, it will come and go throughout life, kind of like being on a roller-coaster, ""here it is, then it's gone not to return for quite some time"", like many things, the more that you fixate on it, the more stress it will cause you, consider it part of life, accept it, and move on, now if your having many, many ,many of these episodes or have some auditory or visual hallucination or disturbances or emotional unbalancing that accompany it than that is definitely something to look at, but for the most part nothing to worry about. Hope this helps,C"
"Instruct: I find myself lying about small everyday things that there is really no need to lie about. How do I figure out what triggers me to do this? And how do I help overcome this problem? I would like to become more honest and open no matter the situation.
Output: Well let's start with the awesome realization you've already had, you want to notice that you have triggers. That's huge. Really. I find that when people lie, it's most often as a defense mechanism. Which is likely a flag that something doesn't feel safe. What exactly doesn't feel safe could be lots of different things but the key to notice is that it's that feeling of insecurity that is very likely triggering you. It could really help to explore this with therapist, perhaps even someone with a trauma specialty -- that's not to say this is related to a trauma but more so to suggest that therapists specializing in trauma are very skilled at helping to identify and assist in repatterning your triggers!"
"Instruct: My wife and I got separated because I asked about her contact with a male friend of hers. The next day, she kicked me out. She let me move back two days later. Yesterday, she said she wanted a divorce then quickly changed her mind. I asked if the other guy was a factor, but she says it's not my business.
Output: Divorce is a serious, life altering decision.It is best to decide any serious matter through reflection and discussion.Start by knowing what you want from the marriage and why you are willing to move in or out of your own house because your wife tells you to do this.Each of you would benefit from more clarity of what you expect and would like from each other.Does your wife want a boyfriend in addition to the marriage to you?Is she willing to drop the male contact?Does she care how you feel about her contact with the other guy?You need answers and knowledge about the definition of your marriage.Since there are many areas to open, all of which are filled with emotion, including pain, if you're not able to make satisfactory progress then a licensed couples therapist may be useful to you and your partner."
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: There are a lot of different things that could be playing a role here.First, different people have unique levels of sex drive, and sometimes there is a hormonal imbalance.Because you say both that there is a possibility that neither one of you ""actually knows what you're doing,"" and you want to be better connected with your husband, consider having some time where you sit together and touch each other in nonsexual ways and communicate about what you like and don't like. One person would be doing the touching and the other would be communicating. Then the rules would switch. After you both become comfortable with that, you could try the same thing with touching that is sexual in nature.Dr. Tammy Nelson is a therapist who specializes in relationships and sexual issues and she has several books and lots of other resources on her website: https://www.drtammynelson.com/There are actually therapists who specialize in sex therapy and if you are interested in that, you would want a therapist who is a CSAT (certified sex addiction therapist). This does not mean that they only specialize in sexual addiction, but they do have special training in discussing sexual elements of relationships and their training is quite extensive.In addition to connecting sexually, you may consider discussing with your husband whether each of you are aware of things that make you feel valued, special, loved, and appreciated. It may be that making positive changes related to your sex life would also improve your relationship, and vice versa."
"Instruct: My boyfriend is seeking therapy. He is in his 40s and has some childhood issues. He has kids from his previous ex-wife and is unable to see them.
Output: Probably the more important questions to answer concern how much confidence you have in you and your boyfriend becoming parents, how you each feel about the influence of his being banned from seeing his current children, and be clear about the circumstances that led up to the decision of him not being permitted to see his kids.Don't allow some random professional to pronounce your boyfriend as cured.  A relatively qualified therapist would never make this call.Psychological and emotional tensions emerge from our relationships within families.  You and your boyfriend are in a position to set a strong foundation for having children, assuming each of you wants children.Childhood issues, your boyfriend's, anyone's, are more likely to go away when new patterns of interacting emerge.If the two of you are engaged in setting a secure relationship as future parents, the disappointments and hurt from the very early years, will be replaced by better ways of interacting."
"Instruct: I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?
Output: I'm alway wary of assigning a term to a feeling, as often that term becomes more important than the feeling itself. From the very little that you have written, it is clear that you are going through something that has made you extremely low, affected your self-esteem and motivation, limits your enjoyment of formerly pleasurable activities and affects your feelings of self-worth. All of these are aspects of being depressed, though you can be depressed and still not have ""depression"". Counseling is definitely a place where you can go and sort out why you have had such a sudden a drastic change to your mood. Sometimes our mood can be effected by changes in our routine, losses or significant disappointments. Talking with someone will not only help you to better understand why you are feeling this way, but they will also help you to ground yourself and learn strategies and tools to help you to manage your mood and strategize for the future. I do hope that you will reach out. Feeling alone can be harmful over long periods of time, as it can stop us from seeking out the support we need."
"Instruct: I can't seem to feel any emotion except anxiety, not even for myself.
Output: Empathy is the ability
to tap into our own experience to help us connect with others in order to be
aware of how they are experiencing life. 
It is a skill that we learn with practice and refine as we become mature.
If you are feeling anxious, maybe you are able to understand better others who
are going trough anxiety.  But I wonder
if instead of feeling empathy, you may just want to find ways to reduce your
anxiety.  A good idea is to be very aware
of your anxiety triggers, and once you identify them explore other ways you
could react. ¿Sera normal que no sienta empatía?Parece que no puedo experimentar ninguna otra emoción que
no sea ansiedad, ni si quiera por mí misma. Empatía es la habilidad de usar tus propias
experiencias para conectarte con otros y estar consciente de la manera que
ellos experimentan la vida.  Es una
destreza interpersonal que aprendemos y refinamos con la práctica y según maduramos
como personas.  Si te estás sintiendo
ansioso, tal vez puedas comprender mejor como otra persona experimenta momentos
de ansiedad.  Pero me pregunto si en
lugar de estar buscando sentir empatía, realmente quisieras reducir tus niveles
de ansiedad.  Una buena manera es estar consciente
que activa la ansiedad, y ya que lo identifiques, explora que otras reacciones
pudieras tener."
"Instruct: I have been experiencing a lot of sexual tension with a lot of the guys that I talk to nowadays. I keep imagining having sex with them. I have never had sex before, nor have I had a boyfriend. I feel lonely and empty. I feel like my body is not okay, and I am missing something. I talk to so many boys in school, and I always fantasize about half of them. I want this feeling to stop because it is interfering with my time to study since most of the time, I am busy thinking about sex.
Output: Hi Montreal, I'm glad you wrote. What you're experiencing is normal. We're sexual beings. We have a built-in desire to connect sexually with others, because it feels good, to keep procreation going, and mostly to ""connect"" with other people, because connecting with others makes us feel fulfilled and valuable. Sexual desire is a healthy part of you. Maybe your body is telling you it wants to dive into that water and taste it instead of just staring at it? It sounds like you're beginning to explore yourself sexually, and that's okay.At your young age, you also have another innate burning desire, and that is to know yourself. I see both of these desires burning and competing in you. It's a bit of a crazy time...you want to connect with others but you're not sure who you are or what you want from them. You want to know yourself but you can't learn about yourself in a vacuum. It's okay to trust your instincts. It's okay to connect sexually with others, as long as you're preventing disease and pregnancy and you know how to protect your boundaries. But even as I write this, I think maybe I'm being controlling and overprotective of you; it's your body and you're in charge of what happens to it! (But I do want you to be safe...whatever that means to you). Maybe talk to someone you trust. With each encounter you have with other people (sexual or not), you will learn more about yourself and what you want, both sexually and just in relationship or friendship. You will develop a sense of who you are.Have you tried to get to know yourself sexually? This is a super place to start, and knowing how your own body works can give you confidence when you eventually connect with others. When you explore your own body, what feels good? What brings you to orgasm? I wish you well as you explore both who you are and how it feels to connect with others safely. :)"
"Instruct: I have been diagnosed with ADHD and experienced manic depression episodes.  I have problems with anger management.  Apparently, I also have an ODD, bipolar and split personality.  How can I be truly happy?
Output: The ADHD and manic depressive episodes are terms other people told you that you have.You don't have to accept these words to describe who you are.A lot of mental health in our country is about telling people what's wrong with them and giving pills for these so called conditions, instead of helping a person know more about themselves in order to make good decisions.You can be happy because nothing from the outside, such as the names people have used to tell you who you are, can interfere with your own wish to be happy.Others can slow you down because of the self-doubt and hurt feelings.  No one can take happiness from you, only they can make it harder to find and hold onto.Anger management only works temporarily because it is a surface approach.Think of the reason you are angry.  This will be better to know so you will be able to address it.Then you will not have anger to manage."
"Instruct: My boyfriend and I have not had sex in a couple of weeks. He had to have a cyst removed on his testicles. I have been wanting to have sex with him for a while now, and it drives me crazy not to be able to make love to him. I'm scared to touch him and get close to him because I'm afraid that I will hurt him.
Output: Are you talking with your boyfriend about his doctor advises on starting to have sex again?Being able to talk together about topics that involve both of you, will establish a new type of intimacy on an emotional level.Also, there are many ways of making love.  If your bf's cyst hasn't yet healed, then another way of both increasing your emotional intimacy and learning different love making suggestions, is to read about these together with him.I hope the two of you enjoy learning new ways of sexually taking care of one another, while developing more emotional closeness in the process."
"Instruct: My grandma had a stroke and passed away recently. I lost my home and job. I'm looking but haven't found a job. I've been binge watching television and binge eating.
Output: Hello!I write to respond to your recent inquiry for possible increase in self-esteem and positive behavioral change regarding motivation for a new job. First of all, please try to allow yourself some time for grief of the loss of your dear grandmother. It appears you were close to her in many ways and she had a great influence in your life. The grief process of anger, denial, despair and acceptance may be a part of what is keeping you feeling ""stuck"" in a cycle of not feeling motivated to find work at this time.  Perhaps your mind is constantly fighting this grief? Death can be a ""traumatic"" experience for some people and is considered a great loss, thus the grief process may continue to be a part of your world for a time but hopefully not keep you ""stuck"" on a long-term basis.  I would try to reach out to a counselor to discuss this grief process at a deeper level to discern whether her death is part of why you feel this way.  Grief and loss can also have an effect on your self-esteem.  Can you begin to see how this cycle is what you may be experiencing? One positive I see is that you are continuing to look for a new job!  Take time to give yourself some credit for the  time you are spending looking for work.  Also, I would recommend you set some short-term goals first for example, make a list of 5-10 potential new employers and send them each your resume. Then followup the next week with an email or phone call to make sure the hiring manager or human resources received your resume and have any questions.  It is also a good idea to ask for ""informational interviews"" in order to get your foot in the door, so to speak.I hope that this information is helpful to you!  Please let me know if you have any questions or concerns.Warmly,Denise"
"Instruct: 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?
Output: Speaking with a licensed therapist will help you figure out if indeed you have a problem or not.  I would say the first question you should ask yourself is why you are drinking? The second would be why you feel the need to drink in excess? It may be due to a life event or the crowd you are running with.  Either way a therapist will be able to help you through this as you already made the first step in admitting you are having a difficult time. "
"Instruct: As a child, my parents injured my brother, so they went to prison. I was there when he had gotten hurt, but I can't seem to remember. I also can't remember being with them quite well. It's a blur.
Output: Sorry to hear of having witnessed violence within your family when you were very young.Your blocked memories are a self-protection from the enormous emotional pain and feeling de-stabilized by realizing that the people whom you expected to trust, are harmful.Already you are at the first step, which is to know that memories exist about the disturbing events concerning your brother.Probably the best way of finding your way back to those times, is by paying attention to all of who you are today.The more intently and with loving interest you are able to notice yourself, you will be gradually dissolving the layers of protective thoughts about intimacy being unsafe.Basically, you will be teaching yourself how to slowly trust yourself.Since trust is what was violated while you were young, you will be developing a new model for trusting yourself and others.Then, more of the memories of your painful and overwhelming times will make themselves available to you.They are simply waiting for you to be strong and trusting enough within yourself, to tolerate them!"
"Instruct: Nothing we've tried has worked so far.
Output: Sexual attraction is often discussed on a continuum. If you are saying that you are not attracted to your girlfriend, you could try changing what you do during sexual intimacy. You could also try slowly using nonsexual touch and discussing what you each like and would prefer to do more of compared to what is not as desirable. After doing this for nonsexual touching, it can also be used with sexual touching. Looking at more of what you like or would like to feel may be of help."
"Instruct: I have three children: a biological daughter, a stepdaughter, and a stepson. I found out my stepdaughter overdosed today. My daughter blames me. I told her to stay out of it. I'm scared of all three kids now. They all blame me for their choices they made. All three have drug addictions. I had a stroke in 2013 so I need to depend on people from now on.
Output: Blaming others is one of our greatest coping mechanisms.  It is not just for addiction, and often we blame the ones closest to us.  You can not stop them from blaming you, you can stop yourself for taking on the burden.  We are all in charge of the choices we make.  No one makes us do something other than our self.  We choose how we internalize and react to situations.  I would find a good therapist who understands family dynamics and addiction to help you cope with your current environment and help you move forward."
"Instruct: 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?
Output: Imagine your best friend just told you that her husband lied to her all the time and that he had broken every promise he ever made to her. What would you tell her? If I were her best friend I'd tell her to run the other way. You may love this man. We don't choose who we love. But the evidence is pretty clear, isn't it? A healthy relationship cannot be built on a foundation of lies and broken promises. I believe that as adults, we are always treated as well as we insist on being treated by our partners. If you continue to accept unacceptable behavior, you are likely to see lots more of it. "
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: This sounds very stressful.  Setting boundaries is important to maintaining a peace of mind.  If you have not communicated your feelings to your family member, that would be a good first step.  Communicate with the intent of simply expressing your feelings and your expectations going forward.  Do not blame or shame because that will blur your intent.  Going forward, consistently stick to your new boundaries.  That may mean not picking up your phone for each call.  Soon enough the message will be clear.  Good luck."
"Instruct: Is this something I should be worried about?  Should I do something about it?
Output: My son plays alone at recess.Is this something I should be worried about? Should I do something about it?Every mom is the expert on their children’s behavior.  First of all, I suggest checking with your son, asking him if he is happy while playing alone, or does he complain that no one wants to play with him?  Does he plays alone in school, but is social in other environments, with family or neighbors?Playing alone is healthy for children, it helps them to be independent and confident, it allows them to explore their environment and use their imagination, among other benefits.  On the other hand, it is also important to develop social skills early on and become confident in our skills as we grow.  Children go through stages of exploration until they develop a sense of “social confidence”. Depending on your son’s age, he might need some input or advice.  Provide the opportunity to interact with other children, without pushing it.  Take him to the park to play with a friend or to children’s activities in your neighborhood.  Later ask him, what did he thought of the activity, and if he enjoyed playing there.  Children also follow their parent’s model, so you can encourage social interaction by greeting other and asking your son to do the same, ask him to receive the guests who come to the house with you and sit to enjoy the conversation. If you notice any shakiness, becoming tearful, anxious or aggressive when approaching social encounters, you may want to talk to the school counselor or children’s therapist to evaluate those symptoms and rule out any behavioral problems or social anxiety.Mi hijo juega solo en el receso.¿Debería preocuparme al respecto?  ¿Debería hacer algo al respecto?Cada mama es experta en la conducta de sus hijos.  Primero que nada te sugiero que revises con tu hijo y le preguntes si él se siente contento jugando solo, o si se queja porque nadie quiere jugar con él.   Observa si él juega solo en la escuela, pero es sociable en otros ambientes como con la familia  o los vecinos. Jugar solo puede ser saludable para los niños, les ayudo a ser independientes, desarrollan sentido de seguridad, y les permite explorar su ambiente y utilizar su imaginación, entre otros beneficios.Por otro lado, también es importante desarrollar destrezas sociales y perfeccionarlas con la práctica.   Los niños van por etapas de exploración y prueba hasta que desarrollan un nivel de confianza en sus destrezas sociales.  Dependiendo de la edad de tu hijo, puede que el necesite algunos consejos.  Provéele la oportunidad de interactuar con otros niños, sin obligarlo. Ya sea yendo al parque a jugar con vecinos, o a actividades comunitarias infantiles con algún amigo.  Luego pregúntale como le pareció la actividad y si le gusto compartir allí.  También recuerda que los niños siguen el modelo de sus padres, así que puedes motivarlo invitándolo a que salude a otros después de ti, o invitándolo a recibir a la visita que llega a la casa y que los acompañe durante la conversación.Si observas que tu hijo está nervioso, lloroso, o agresivo cuando se acerca alguna actividad social, consulta con el consejero escolar o un consejero infantil para evaluar sus síntomas y descarta cualquier problema de conducta o ansiedad. "
"Instruct: 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.
Output: since you realize your sense of trust was broken, withdrawing from close relationships, makes sense.This may be your Self giving you natural time to recuperate from emotional pain.Also it is your chance to think over how to handle yourself differently in future relationships.Maybe this process requires more time than you'd like.Having patience is very difficult when a person feels hurt.A therapist of your own may be a good idea so you have someone for guidance and to chart your progress w you.This may feel less lonely and help you tolerate the waiting period till you're better"
"Instruct: My fiancé and I broke up. He cheated on me numerous times. I kept forgiving but questioning his every move. He got tired and left.
Output: Cheating on you shows a lack of commitment, in addition to the emotional hurt it creates.Probably you didn't actually forgive him because if you did, then you wouldn't have been asking questions of his every move.Maybe you were open to forgiving him.   In order for forgiveness to be effective, the person who has done the injuring must first show some understanding and empathy for the great pain the person caused in you.From what you write, your fiancé didn't seem to have much interest in earning back your trust or in empathizing with the way his cheating effected you.It is very likely his tiredness is also tiredness you feel, of having to watch him all the time.As uncomfortable as adjusting with the disappointment of him leaving you, the situation you describe sounds like it was unsatisfying for both of you."
"Instruct: I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal.
Output: It is hard to make a definite diagnosis however I would say  that it could be and or a combination of depression, stress, PTSD, etc.  More background information would have to be needed.  One thing I would say is that you really need to seek guidance from a professional to work through these symptoms.  If what you described as a caged animal is released, all the crying, sadness, and controllable emotions will come out.  That would not be good when they do.  Get help before they do.."
"Instruct: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.
Output: If you're feeling like your gender is different than the gender you are born with, and there are many different terms to help describe that. Gender is actually looked at on a spectrum. Transgender is just one of those terms, but looking at the information here may help: http://www.transequality.org/about-transgender. I'm not saying that you should use the term transgender to describe yourself because that may not accurately describe what you are experiencing, but I'm just trying to point you to some more resources.As for what to say to someone who asks your gender, that becomes a question with a lot of different parts. This is probably something that would be best talked out with someone else who you trust. I don't know whether that is your family, friends, and mental health professional, and member of the clergy, or someone else. There are many different things than you could say and they are all related to how much you already to share with other people about how you feel regarding your gender.Generally, I would suggest it would be important to become comfortable with how you feel yourself and possibly tell some people whom you really trust first. Also consider that once you tell someone something, it's not possible to undo it, so if you tell someone, they may tell someone else. Then there is also the matter of people having very different reactions related to different genders and not everyone will be supportive. I hope that you are able to surround yourself with some people who are willing to understand and work through this with you so that you have some ideas how to react if you come across someone who does not understand.Please remember that there is always someone to talk with."
"Instruct: My husband has had issues with alcohol addiction in the past (he'd never admit to this). A while back (3 years ago), I asked him to stop drinking so much, and he agreed. I caught him one night drinking behind my back. I confronted him and he lied, but I told him I knew he was lying because I counted the beers in the fridge and four of them were missing. He admitted and apologized and promised he wouldn't do it again. Lately, my husband has been drinking on and off, but I noticed it was every single night. I didn't like this. For our New Year’s resolution, we decided we were going to limit our alcohol consumption. He was on board—no more drinking every night.
 The other night, I counted the beers in the fridge just to see if some were missing. It took a couple of days, but tonight, I discovered a few were missing along with a shot of vodka. He was passed out on the couch when I decided to wake him up and confront him (poor timing, but I couldn't wait). I asked him if he'd come to bed with me (when he drinks, he snores and I cannot sleep—it's a dead giveaway he's been drinking). He slurred a bit and said no. I asked if he had been drinking, but he snapped and said no. I went into our room to sleep, leaving him on the couch.  I'm not sure if I'm overreacting or not. I just feel like I'm so honest with him about everything, and I expect the same honesty. He is a good husband in every other regard.
Output: As exasperated as you feel, and as obvious it is to you that your husband cares more about drinking than being honest with you, changing this is up to him.Does he care that you're upset with him for drinking more than he can handle?Does he care about you more than drinking?Living with an alcoholic, which is how his behavior sounds, is lonely and frustrating.Concentrate on what you like about him as he is now with his drinking.Your happiness matters.  His ignoring of what you're talking about, doesn't mean your requests are unreasonable.Be prepared to learn to live with and accept how he behaves, or not.Avoid the expectation that you can convince him to change.People change only when they realize their life can improve by changing.  He doesn't sound like this, at least now."
"Instruct: We went out had great sex and I was really liking her. Then one day she says we should just be friends, but I can't stop thinking about her. She's always on mind and I want her back.
Output: It can be really difficult when someone you care about doesn't feel the same about you. The most important thing to remember is that you can not make her feel a certain way.  There is nothing you can do to force her to want to be in a relationship with you.In the end, if she ""just wants to be friends"" then she's probably not the right match for you.Remember, every relationship ends - until that last one that doesn't.  And that is how it's supposed to be  "
"Instruct: I'm socially awkward. I've always want to be popular. I've had the opportunity to be popular, but every time I get i,t I'm too scared. All I have to do is talk the popular people. They're really nice to me, but I'm too scared of change. I really want to work up the courage to lose my fear.
Output: Change can be uncomfortable, but sometimes those uncomfortable moments are the opportunity for us to be the person we feel we really are.  It sounds like you like to spend the time in your head anticipating the worst, why not be in the present and encourage yourself that you can talk to people and it will be okay.  By telling yourself it will not be okay, or that it will go wrong you are hurting your confidence to do what you want.  Give yourself some credit for being awesome and tell yourself you can build new friendships...it may be the motivation you need to move past this fear."
"Instruct: Whether it's to a guy or girl, I always feel insecure talking, and I am afraid of embarrassing myself and not being good enough. Even when I am walking, I worry about my appearance and facial expression and such.
Output: Hi. I'm glad you wrote, because I think a lot of people have this same issue (to different degrees) and we don't talk about it much. You have some social anxiety that is a bit beyond what the average person might feel. Most people have some amount of worry about what others might think of them, and this probably prevents us from making complete fools of ourselves so that's a good thing. But your ""alarm system"" is out of whack and you are spending too much time worrying about how you come across. As you age you understand this more, and it's true...that other people really aren't thinking about you much or monitoring you at all; they're too busy having the same thoughts you're having! Am I good enough? Do people like me, judge me...think I'm weird? We're all concerned about how we come across far more than how others come across. Like many people, you lack compassion for yourself, acceptance of yourself and confidence in yourself. My gut says that these things came from somewhere in your past. Our sensitivities usually come from (as well as genetics) a specific time in our life when we experienced or felt something that was overwhelming and we end up with an alarm system that overreacts at times. Without more details, it's difficult to go further here. I recommend you see a therapist who does cognitive behavioural therapy, which can help you understand the roots of your fears and learn how to manage them more successfully."
"Instruct: I am on the track and softball team. My school is small, so I play all four sports it offers. I feel obligated to do track because I'm not a horrible runner, and my dad wants me to. The catch is is that the days before a track meet and the morning of, I get sick and cry.
Output: It sounds like you are no longer committed to track emotionally.  It can be hard to talk to your dad about this, but he may think you love track and may not know you are getting so upset the days of meets.  An idea would be to first write a letter to your dad to see what feelings come out and then preparing to speak with him.  I think he will appreciate your honesty and maybe this conversation will bring you relief and also time to find something you really will enjoy.  "
"Instruct: My husband always works. He does work from home, but his hours are from morning until night, and he neglects his family. If I have anything I want to do, I have to find a babysitter, but he does what he wants. He rarely comes to bed when I do, and we never have date nights.
Output: I'm glad you're aware to expect more satisfaction from being part of a couple, than you currently describe yourself as having.Are you and your husband able to talk about any or all of what you've written here?His answers would be a starting point for knowing how he understands his share of your relationship and whether and how he would like making any changes.If the two of you feel too much tension in the relationship to bring up any of the topics you write about here, then ask yourself the reason for this.Very commonly, people are afraid to ask questions of their partner, even when feeling unhappy and that they'd like changes to the relationship.Often, people are fearful of harsh criticism by the partner and worry that by simply stating the reasons for feeling unhappy, will mean hearing judgments against them, spoken by the partner.It is always a good idea to utilize the services of a professional, credentialed and licensed therapist, if after trying to start a conversation on the topics you bring up here, does not go well or very far.For all of us, the emotions in our intimate relationships are deep and powerful.  They are not easy to handle, especially under tension and frustration.Sending lots of good wishes for future happiness!"
"Instruct: We’ve been together almost three years. We argue and he ends it by telling me he doesn’t love me. It's hurtful because I am all about resolving the problem, and he dwells on the issue even if I drop what he's done and just swallow my pride and say I am sorry. How can this be resolved? We have kids, and I don't want a broken family because we can't communicate.
Output: Communication involves a listener and a speaker.  Both have to be willing to do their part to make communication work.  This is something that takes both and not just one.  Without both, communication is impossible.   Staying together and the kids observing unhealthy communication is already broken.  Seek help to improve communication.    Couples' counseling would be helpful."
"Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?
Output: Initially, everything is a reminder because there is a trace of that other person present in everything in your life. When we lose someone, we're saying goodbye to what we thought our future was going to be.  Accepting that's changed and allowing ourselves to envision a new future is necessary to ""move on"". Start learning something new or try a new activity that you've always wanted to do.  Find whatever is ""good"" about being out of the relationship and focus on those things.  This can be an exciting time of transformation for you.   As time goes by, you'll add new things in your life that aren't entwined with this relationship and those things will begin to crowd out those things associated with the relationship.  Give yourself a little empathy, no one goes through a breakup without being sad.  It's ok to be sad.  It's even ok to feel devastated.  Loss of a relationship touches a primal need we have to belong.  It makes us feel insecure, unanchored.  In truth, we are ok, safe even.  This experience will open different perspectives for you.  There are lessons you'll take from it that will add another facet to you as a person.  Maybe in time, you'll even appreciate this experience.  I'm sorry you're hurting right now.  Best wishes to you, Allison"
"Instruct: I had a head injury a few years ago and my mind races all the time. I have trouble sleeping and have a lot of anxiety. Every medicine I have been on my body rejects; I get sick to my stomach and get blisters in my mouth. How can I calm my self down? I'm a wreck.
Output: You didn't say what or how many medications you've tried. Certain anxiety medications can make you feel nauseous, but I haven't heard of any that cause mouth blisters, so there may be some other underlying medical issue there. I would definitely talk to your primary care physician and whoever has prescribed the medication as well as a neurologist if you've suffered a severe head injury. There are so many medications available for anxiety or insomnia or even depression that there may be others with lesser side effects.But beyond that, have you tried any other treatments such as deep breathing or meditation? Meditation can be very effective, but it takes practice and you don't have to sit cross-legged for hours chanting ""Ohm"" to meditate. It's about focusing on your breath, rather than all the thoughts that are racing through your head. And when they do take your mind off your breath, simply refocus (and refocus and refocus). Like I said, it takes practice, so don't give up. You can find many sites offering different ways to meditate, so look around and see what works best for you. Like medication, you just have to find the one that works best and that might take some experimentation.I hope this helps and best of luck to you."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: I would say that's the whole point of therapy!  Cry your heart out.  Therapy should be a place where you feel ok to be vulnerable when you are working through your stuff.  It's when your mind and your heart finally meet and you make the connections you need to make."
"Instruct: 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?
Output: There is no such things as ""too  many issues"". Many of the issues cited here are connected. For example, in this case working on the sexual abuse will possibly address the depression, the anxiety, the self esteem. There may be some grief to process around the impact of the cancer. Our body, mind and spirit are parts of one system. They are interconnected.Addressing these issue are important so you can be relieved of the burden and feel more spontaneous and enjoy life even more."
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: Buy the book ""Boundaries: Where You End and I Begin."" Read it. Apply it.Seriously, I'm not joking. You're not wrong to ""not want to hear it anymore"" but if you don't maintain healthy boundaries, you will allow your family to make you feel guilty for ""not wanting to hear it anymore"". That's not fair to you.Give a copy to your mom, too. No, I didn't write the book nor do I have any affiliation with it - I simply recommend it because it's a wonderful book and it helped me out a lot. I recommend it to a lot of people. It should be required reading!"
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Yes, it's totally normal! Crying is a part of processing the tough stuff, no matter your age, gender or background and the therapeutic session is a safe space to do this. Sometimes crying can offer relief or provide room for deeper authenticity in session as you let both your strength and vulnerability shine in alignment."
"Instruct: 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?
Output: For some people it's absolutely normal to feel nervous about coming to therapy.   It's sometimes hard to share our emotions and feelings with someone --- no matter how warm and caring the therapist is.     Are you comfortable with your therapist?  Is it a good relational fit?      Maybe this is a good thing to discuss with your specific therapist at the beginning of your next session --- maybe they can help you find some strategies or tools to make it easier?"
"Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?
Output: Many people cry during their therapy sessions. Actually most people cry in their therapist's office. I tell my clients that it's safe to cry in my office and crying isn't a sign of weakness. It's a normal human response to pain. People actually do more harm to themselves by trying not to cry than by crying. Crying is very cleansing and an important part of the healing process for many people."
"Instruct: 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?
Output: You have been through so much and it sounds like you have a lot of things that have complied over the years. Regardless of the struggles you have been through, you do not have too many issues for counseling. Many times when someone starts out their counseling and healing journey, there are multiple things they would like to address and work on. If you decide to start counseling, you and your therapist can decide collaboratively what you would like to process and work on first. Be sure to express to your counselor if any of the above experiences you've been through is causing a lot of distress , as many times the first things addressed are the ones that are presently affecting your life or you emotionally. Often times when we experience negative situations in our life , but do not address them, they bottle up inside us and can manifest in other ways, such as depression or even physical symptoms like IBS or neck pain.  Counseling can give these bottled up emotions and situations a release. Given the situation you shared, not only do I not think that you have too many issues for counseling, but believe that you will be a great candidate and can get a lot from it."
"Instruct: I have always wanted to have a transition from male to female for some time now.  This issue has persisted for 10 years already but I don't know where to start.  I do not have the soundest information either.
Output: Wonderful!  I am so excited for you.  What a huge decision.  I am writing from Toronto Canada so it is hard for me to direct you specifically.  I would start with two things 1) Find a doctor that is comfortable perscribing hormones and 2) find a Counsellor or Therapist that is transgender specialized.  They will know how transitioning works in your health care system and other supports as well.  Google is a wonderful way to find these resources.   I wish you well. Thanks for writing!"
"Instruct: 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?
Output: 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."
"Instruct: I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me.  Why do I feel this way?
Output: My first reaction to this is that It sounds like you rely alot on the impressions and projections of the outside world, that you need validation from other people to compensate for a lack of something on the inside, build yourself up on the inside, work on yourself, use positive affirmations daily, it would be wise for you to research some self-construct theory and do some self-concept work.Hope this helps,C"
"Instruct: I'm having issues with my relative. The police never believe the experiences I have been through because I am only a kid. 
   I've even had trouble trying to reach a therapist because I said I wanted to get an adult to help me. Could you please give me advice?
Output: I think it would be wise for you to call a hotline especially designed for children. It's called the Childhelp National Child Abuse Hotline. The number is 1-800-4-A-CHILD (1-800-422-4453). It is completely anonymous and a trained therapist will be able to provide you with guidance, confidentiality, and can also help you make a report of you want.The call is completely free and they are open 24 hours a day / 7 days a week. I'm glad that you are taking steps to improve your situation. You are a very brave and an intelligent child. Please remember to call 911 if you are in immediate danger."
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: You are not hopeless, as you can see there are many people who care about your well being and believe you can overcome this.  I would suggest that you first get evaluated for your alcohol consumption.  Alcohol is one of the addictions that you may need to seek inpatient treatment for.  If not inpatient then be monitored by a doctor.  Once you are evaluated and or complete inpatient treatment I would suggest you participate in a form of outpatient therapy on a consistent basis."
"Instruct: I am constantly having problems with the same two people who will always be in my life. I had a daughter with my ex-boyfriend. I am now married, and my husband’s ex-girlfriend is involved with my ex-boyfriend.  They also have a daughter together. My issue is that there is always drama. I am pregnant, and I told my ex-boyfriend that I don't want any drama or arguments. I want to get along as much as possible, and he agreed. However, we just had an incident where my ex-boyfriend started discussing drop-off details about my stepdaughter. I told him that he needed to ask my husband because I can't make decisions about my stepdaughter regarding the matter. That led to an argument. I told him all my concern is when I pick up my daughter. My stepdaughter’s pick-up details are between my husband and his ex-girlfriend. I especially told him I didn't want to be involved. Somehow, he turned it around and then wanted to change the schedule we agreed on. He threatened me and got ugly because I wouldn’t discuss my stepdaughter’s matters with him.

The point is there is so much drama. I try my best to get along with everyone. I don't understand where I went wrong (besides replying back to his question). I feel like I'm going crazy because this is a constant battle where everyone’s frustrations are taken out on each other, and it's the children that are hurting. I had a party planned for my daughter’s birthday, and my ex-boyfriend told me to cancel those plans because he wouldn’t let me have her. In my eyes, it’s the child that is hurting. I was throwing a party for her birthday, and because of the problem with stupid pick-up details about my stepdaughter, which I have no control over, he took it out on our daughter.
Output: Hi. I appreciate your mature instincts and strong efforts to draw clear boundaries in this very complex situation. I agree that it sounds like the adult drama is unnecessary and potentially will affect the children. Children need adults around them to act maturely, cooperatively and peacefully even when they don't like each other; it helps them feel secure and lets them focus on learning and growing. Your ex-boyfriend seems more focused on his own needs. In fact, he demonstrates behaviours that are aggressive, controlling and manipulative, bordering on 'parental alienation'. I agree this is a problem.I also appreciate how protective you are of yourself at this vulnerable time with the pregnancy. It's not unusual for pregnancy to trigger a need to conserve energy and reduce stress. Honour this instinct you have. I will suggest a few things to you. First, to gather support around you, professionally if you need it, from family and friends, and certainly from your husband. If you two are on the same page regarding the children issues and your ex, that will help. He can help run interference when it comes to his daughter. It will help you feel supported.Know that your ex's behaviours aren't happening because you did anything wrong; it's the way he operates (and maybe this is why you're not with him?). You can't change him, but you can stop blaming yourself for his immaturity and aggression. You're correct that he will always be there, and you can both accept this fact and also find ways to manage the situation.Keep on defining clear boundaries! You might sound like a broken record (""You'll have to talk to my husband about that""), but that's okay. It's okay to ignore his efforts to pull you into an argument or power struggle. It's okay to not respond to texts or other communications that aren't vitally important. It's okay to not let him into your house if it makes you uncomfortable. It's okay to not engage with him more than is necessary.Regarding his manipulative behaviours that reflect a tendency to keep your daughter from you, I recommend you document these behaviours and incidents carefully and fully. Let him know what your expectations are, simply and clearly and in writing (""our agreement states X, and you are not following our agreement""). Your daughter doesn't have to be aware; I think you already understand that she needs to be protected from the adult conflict.A professional therapist can help you with all of this. I hope this helps get you started towards greater peace, at least within yourself. :)"
"Instruct: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from.  Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas?
Output: Hi, I'm Amelia! Oh, this is a common problem, unfortunately! Let me say first of all, that doing more, giving more, loving more, performing more will never provide you with a sense of worth. Nor will it satisfy those that are critical and judgmental. I am so sorry to hear that this is what you've heard all your life! You are a human BEING not a human DOING.If you can get yourself in counseling with a trusted therapist who will accept you, encourage you, hear you and support you, you can begin to work on what truth worth is.  My best to you!"
"Instruct: When my boyfriend gets in a snit, he gives me the silent treatment for days. When I ask what is wrong, I get nothing: no reply, no phone call. If he does reply, it is something very sarcastic and hurtful. He never admits he is wrong and never apologizes.
Output:  This sounds very hurtful for you to be on the receiving end of this. You can ask yourself "" what am I learning from the way I am being treated? ""  and consider whether or not this is in fact either (1)  A message or value that you agree with and believe will strengthen your relationship and help you to grow as a person or (2)  A message or value that is damaging to the relationship or  to your view of your self and others.  Once you've considered that and come to your own conclusion, you will likely know what you need to do.  If you're still stuck, you may want to consider seeing an individual therapist for yourself  to process your feelings about the relationship or a couples therapist with your partner to work on improving your communication with each other. "
"Instruct: How does a person start the counseling process?
Output: I always suggest that you find the right fit. You have every right to interview the therapist and ask as many questions as you need. It is our job as a therapist to explain our approach and philosophy. This gives you a good overview of the therapist. Just call and say that you would like to talk to the therapist. Say your interested in the services but unclear about how the process works. From there a seasoned therapist should be proficient in helping to guide you through the process with ease and comfort. www.lifecounselingorlando.com"
"Instruct: My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.    Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?
Output: Good for you to know your daughter's friendship circles and to notice when these have changed.While friendships are key relationships, they are not the only indicator of someone not developing normally.Is your observation and opinion that your daughter isn't normal based on other factors or just this one?If this is the only factor then start with reflecting on what circumstances may be influencing your daughter to socialize with younger kids.Has she ben ostracized or bullied by her peers and may be retreating to avoid further emotional hurt?Is she keeping up with her school work?Sometimes kids who feel overwhelmed by schoolwork will regress into conditions in which they feel more success and control.Are there family circumstances such as the death of someone with whom your daughter felt close?  Or, is there a new younger sibling in the family or a younger sibling who due to their own circumstance receives more attention than your daughter may wish for herself.Once you've reflected on which areas may be affecting your daughter, gently ask her some questions about her comfort with what you theorize may be the source of the problem.Its also possible that offering her your extra time and interest may increase her sense of self so that she feels secure enough to increase her social time with her age group."
"Instruct: My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1.
Output: The best path is to ask your doctor what s/he meant when telling you about your high risk for psychotic seizure.Your doctor knows you better than any of the therapists who write on this blog.   And, because your doctor knows your health, will likely have suggestions and advice for you regarding the seizures s/he thinks you may develop."
"Instruct: I just need to know if I'm really crazy or not.
Output: Do an internet research on psychosis symptoms and see if you have several of the symptoms.  If you do, seek a medical evaluation from your primary care physician.  There are great medications and psychotherapy that can help you live your life to the fullest.  There a many people who are diagnosed with psychosis and living a productive life."
"Instruct: I have been with my boyfriend for more than a year. He recently got a new job and travels a lot. I’m not used to him being gone all the time. I feel as though he has forgotten about me because he does not talk with me as much and doesn’t keep me up to date on everything that he does throughout the day, which he used to.
I feel lost, sad and unwanted. This is really a tough new challenge. I just want to break up with him, but I love him so much. I don’t know why he is acting this way lately. I believe I have separation anxiety. Is there anything that I can do to help me cope with this while he is out of town?
Output: Relationships at any amount of distance can be so hard! It makes sense that you are encountering more anxiety than usual given that major change in your relationship. And you're right that being separated from our partners can heighten our insecurities and worries about not only our relationship security but about our partner's interest. Have you talked with your boyfriend about this struggle you're feeling? It can be hard to have this kind of conversation without triggering a sense of blame and subsequent defensiveness in our partners, but it really is possible. If you have any concerns about being able to do this, then a session or two with a local counselor or therapist might be really helpful - and it really can be just about finding the way to share what you're feeling.As far as coping with anxiety, there are a lot of options but I highly recommend an app called Self-Help for Anxiety Management. There's so much good information in this app to help you learn to pay attention to what kinds of thoughts are helpful or unhelpful, and there are also lots of activities for calming down and decreasing the intensity of that anxiety. The best part is, it's free! "
"Instruct: In particular during family gatherings (such as funerals), where there are different customs.
Output: I think the best thing you can do is be respectful of each family member's wishes. Although everyone may not agree with one another, the most important thing you can do for each other is to respect their faith and beliefs instead of trying to sway them in a certain direction. There are many families that are united despite their differences. For example, a mother may be Catholic and the father Jewish. By introducing the children to each faith until they are ready to decide for themselves can be beneficial. Also, it's not uncommon for views to change as one ages or faces different life experiences. So don't get too discouraged if your child wants to explore different avenues. Creating a loving and accepting environment is most essential. "
"Instruct: I've been with him for a couple months. We will talk everyday and he will get mad over something I will say and not talk to me. We have our great moments, but I just need to focus on my personal situations, and I feel he is slowing me down with that. I still wanna be with him, but not now.
Output: I have learned that the best approach is to say that you need the time to get yourself together, mature, learn, outside of a intimate relationship but just in a friend to friend relationship...don't blame him or point fingers at him.... most likely if you did that it would not go well.  If you make it about you and that you want the best for him while you work on self, it would be taken better."
"Instruct: I have an eating disorder of binging. I've had gastric sleeve surgery. I need help with issues of abuse as a child, addiction, and abusive men. I have been in therapy for five months and get no feedback from my therapist.
Output: Hi Anaheim,Relationships with therapists have some things in common with other relationships; they work best if there is dialogue about what your hopes, thoughts, emotions and needs are. Are you letting your therapist know what your goals are? It's okay to say ""I'd really like us to focus on this piece"", or ""I'm looking for specific direction about how to manage this part"". Your therapist is wise if they ask questions that determine what your needs are, but they can't read your mind. Not every therapist will be a good fit for you. I know I'm not a good fit for everyone I meet. We have different styles; some are more  passive and focus on listening. This might be the type of therapist you have. For some people this is what they want, but maybe it's not for you. Maybe you want someone who digs at you more, asks more questions, gives you strategies, lets you know what they think... someone more active. If this is the case, it doesn't mean s/he's a bad therapist...it's just not what you're looking for. Sometimes people think they can't end sessions with their therapist; they might be worried about hurt feelings. But, in the end, you don't owe your therapist anything if you feel it's not working or it's not a good match. Just move on and try someone new. Maybe ask them questions first about their style, even. Best of luck!"
"Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.
Output: It's encouraging that you say you want ""to be better connected with [your] husband,"" and since he hasn't left you, he must care about you and the relationship more than he does about just having sex. You don't say whether he complains or not, but even if he doesn't it seems there's a sense of something important missing for both of you.Most likely to connect better with him physically you'll need to become better connected with yourself and your body. Men often feel fulfilled by sex simply because it happened - the woman they want received them, allowed them to make love with her. For women that can sometimes be more complicated. A woman who loves sex most likely also loves her body, knows what pleasures her, and feels confident asking for what she wants. Self-pleasuring can be a way for you to discover more about your sexuality, and a classic resource is Betty Dodson's book Sex for One: The Joy of Selfloving. A good counselor or sex therapist can be very helpful with your whole relationship as well as the sexual part of it, but not all counselors are comfortable working with sexual issues. Shop around and be sure you find someone who can help you and your husband get better connected on all levels."
"Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?
Output: So amazing that you are aware of your social anxiety and distress with others you are in relationships with. You have taken the first step toward a journey of healing! Secondly, make an appointment with a therapist who specializes in neurofeedback and biofeedback treatment. A test is needed to determine which areas of your brain are ‘on’ and which areas of your brain are ‘off’. Then it will be focused treatment which will speed your healing."
"Instruct: 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?
Output: Your patience with his pace of accepting your past, is the factor most in your control in this situation.Everyone accepts a new understanding at their own particular rate.  Yours may be faster than his pace.Since it is possible he may accelerate his pace of accepting your past if he knows that this is a priority for you, tell him about your own discomfort .Even if knowing how you feel does not motivate him to a quicker pace of accepting your past, you will have the peace of mind to know you gave him all the information you possibly had to give."
"Instruct: My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?
Output: Oh my goodness, my heart goes out to you!!  I pray you have other strong and supportive loved ones or friends surrounding you. If you are in school, please consider speaking with a counselor on site who can help give you some good coping mechanisms as well as other resources.I believe most therapists would agree that this type of behavior is indicative of emotional AND verbal abuse. And quite often the two overlap because someone who is being yelled at and demeaned is also frequently having his/her emotions preyed upon as well. Healthy Place offers us some great examples of emotional abuse which certainly fit the criteria of what you describe:Yelling or swearing Name calling or insults; mocking.Threats and intimidation.Ignoring or excluding.Isolating.Humiliating.Denial of the abuse and blaming of the victim.And abuse survivor and author, Kellie Jo Holly, offers some other great examples of verbal abuse:Emotionally Abusive StatementsYou’re so cute when you try to concentrate! Look at you trying to think.I can’t believe I love a stupid jerk.Aw, come on, can’t you take a joke?Sexually Abusive StatementsYou should know how to please me by now.I hoped you were less experienced.Stop acting like a whore.Financially Abusive StatementsYou are going to nickel and dime me to death!In what world does buying that make sense?Fine. You handle your finances. Let me know when things go to hell.Societally Abusive StatementsHow dare you spread around our private business!Let me do the talking; people listen to men.You took a vow in front of God and everybody and I expect you to honor it!Threatening and Intimidating StatementsIf you don’t train that dog I’m going to rub your nose in its mess.I will take our kids if you leave me.You’re scared?! This isn’t angry! You will KNOW when I’m ANGRY!Spiritually Abusive StatementKeep your stupid beliefs to yourself.God will find a way to get you back, and it ain’t gonna be pretty.I can feel myself being pulled into hell just listening to your nonsense!It's been my personal clinical experience that children who are experiencing the types of things you describe often say they feel misunderstood, lonely, or scared and don't want to make things worse by standing up for themselves. Even if you feel you can't defend yourself outwardly, that doesn't mean your father's awful and toxic behavior is something you should ever internalize (i.e., believe to be true) which is why I hope you are surrounding yourself with people who will speak life and positivity back over you.  We are ALL worthy of respect, love, and kindness. Don't ever forget that!My love and light to you hon.Tamara Powell, LMHC"
"Instruct: I get so much anxiety, and I don’t know why. I feel like I can’t do anything by myself because I’m scared of the outcomes.
Output: Anxiety is simply your system communicating to you that you are in danger. The issue that I see in most of my clients is that they try to reason with this anxiety. You do not reason with sensory states in the body. If your system tells your in danger (your stomache feels like it is knots, your heart is beating out of your chest,) validate by just being present with it. Take your breath to it. Breath in and out of that space. Say ok, I am in danger. I always tell my clients, ""a crying baby wants to be held, not told to shut up."" Listen to your system, validate it like you do a child and see what happens. "
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: After meeting a client, many Counselors will ask you lots of questions in order to complete a thorough assessment of what you came to counseling for. This assessment is required by most insurances and allows the Counselor to give a diagnosis, which is also required by most insurances in order for them to pay the Counselor. If you are paying out of pocket, this diagnosis is not really required for payment, but many Counselors will still perform a comprehensive assessment because we really want to know what the issues are that brought you to us. The better we understand what it is that bothers you, what you would like to get out of the counseling, and all the various things that tend to affect people such as family upbringing and medical issues, the easier it is for us to help you reach those goals. How the counseling actually plays out from there depends a lot on the theory that the Counselor uses to direct their approach to counseling, and that information is too much for this little post."
"Instruct: I have been with my best friend for over a year, and we have had a beautiful baby girl. We were in love, and I still love her dearly. I am in my late teens and so is she. She says she has lost her connection with me. She is talking to a random guy that she says is just someone to talk to. But she says she still loves me. I'm very hurt and confused.
Output: Congrats on having your daughter!Have you told your partner about your feelings of ""hurt and confused""?This is one possible way of opening a conversation about the different ways you each feel about one another and whether either of you would like changing or continuing to live together, in light of the change in emotional connection.The first step of having a dialogue about a relationship is being clear on what you are feeling, what you are willing to contribute to the relationship and what you would like having in return from your partner.Ask your partner if she is willing to have a conversation on these topics.  Then, allow some time so each of you is clear about their own expectations and what is possible to offer the other.This is a fairly complex process and very often is difficult to keep on track without outside help to keep the discussion focused.It is normal for emotions to override our logic when discussing matters we care about deeply.If the conversations don't go very far, or if your partner has no interest in talking, stick with your own interest to more fully understand matters.Interview some therapists to find one whom you feel helps you clarify and find direction for yourself about this situation."
"Instruct: 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?
Output: 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."
"Instruct: I haven't uttered one word to my boyfriend in days. Now I'm over it and don't know how to approach the situation?
Output: In any relationship, it is important to be able to say ""I'm sorry"" because it shows vulnerability and openness. I recommend that you sit and have a discussion with him now that you are calm about why you were upset and how you would like to handle such incidents in the future. If you find yourself becoming upset again, I encourage you to take a 20 minute break and then come back to the conversation once you are no longer heated. Studies show that talking or discussing arguments are more effective once you have cooled down and you are more likely to hear/understand what your partner is trying to convey."
"Instruct: I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years.

How can I deal with being bullied at school when the teachers won't help?
Output: That's a very difficult situation that you are in. But you are not alone. I have several school-aged clients who find little to no assistance from their teachers at their schools regarding bullying.There are a few options that are available to you to help deal with being bullied at school. One option that I would suggest is for you to talk to your support network. Friends and family can sometimes be good sources of support. Another option would be to speak with us about your counselor, if you have one. And third, there are some excellent online sources of support regarding the bullying at school (www.stopbullying.org)."
"Instruct: My husband used a lot of negative words to hurt me, and I moved out. He is seeing a counselor and wants another chance to make things right. I'm not sure if I trust that he will not go back to his old ways.
Output: I am glad he is seeing a counselor.  That is something that most men struggle with doing at times.  Time will tell if his actions are of good intentions.  However remember that a person can only do to you what you allow them to do in relationships.   What part did you play?  Did you down play his disrespect at one time?  Did you give up the power of your own voice?  Did you lose yourself in the relationship and it became just one sided?  Did you allow him to make you doubt yourself?   In others words, if you do decide to give him another chance, what would you do different?  Not saying that you are the blame or cause of the negative words AT ALL, but don't allow such disrespect from him or anyone else in the future.  If you do decide to give it another try, go in with a voice, with the demand of respect, with your needs and wants expressed and expected.  With an increase in your self worth and confidence, you will know what to do if his actions are true or if with dishonest intentions.   Seek counseling as well, if you need that additional support to find self."
"Instruct: My dad makes me feel like shit and like I'm worthless.  He calls me names and makes me feel depressed.  I want to move out because I swear if I stay here, I'm going to lose it. What can I do?
Output: If you're actually able to afford to move out and support your own life, then this is a reasonable choice.If you're not in such a position and must continue for a while to live w your dad, then emotionally protect yourself from him.Doing so is much more difficult than maybe it sounds.Do you have privacy in your house and can you spend more time in a self-created safe space than around your dad?Also, limit the amount of dialogue you have with him so you don't offer him a chance to feel invited to criticize you.Are there other people who live in the household w you and dad?If yes, then are they similarly called names or are you singled out by him? What do the other family members do when they hear your dad calling you names?Is it possible the other family members don't realize how hurt and upset you are by your dad's behavior?If yes, then make a project for yourself to tell the other family members that you suffer from your dad's name calling.It is possible the other family members will step in and tell your dad to stop.Not necessarily that he will stop.  Knowing the others support you emotionally and find you credible is helpful on its own."
"Instruct: I have PTSD. The side effects are really bad and have impacts on sex, anger and my relationships. I even lost my job month ago.    How can I get my life back?
Output: Slowly is the rate at which you'll get back your life.Being traumatized means not feeling safe in almost all areas of life.Be patient with yourself as you try to regain trust that people will not harm you and will be sources of satisfaction in your life.It is possible that the trauma in your life requires such great attention on your part to your own inner emotional safety that you are better off with a less intensive job than the one you recently lost.Try to prioritize restoring your emotional and psychological health.  With this as the top area of your attention then you may have an easier time to accept a lesser degree of involvement in your work and relationships.When you feel angry, try to examine if underlying the anger are feelings of stress, fear, insecurity regarding your position in relationship to the person toward whom you feel angry.   Anger is often the surface reaction to more destabilizing emotions like fear and insecurity.Gradually by nurturing and comforting yourself, living at a pace which is uniquely comfortable to what and how much you can handle, you'll regain your trust in both yourself and relating to others."
"Instruct: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.
Output: The first step to change is to admit that you have a problem that is in need of change.  Frequently our problems keep us in denial.  Although feeling hopeless is an uncomfortable feeling, it suggests to me that you know that you can not do this alone.  The best course of treatment for you is to treat all of these problems together.  Alcohol detox can be very dangerous so it is important that you do this under the supervision of a medical provider; preferably someone who specializes in addiction.  Know also that although marijuana may not appear to be as big as a problem as alcohol is, it will cause you to have an increase in alcohol cravings so complete abstinence from drugs and alcohol is needed. I really recommend an inpatient stay for at least 30 days for anyone who is dealing with addiction, whether combined with mental health issues or not.  If this is not a possibility, then the next best thing would be an Intensive outpatient program that treats both addiction and mental health issues.  Know that there is hope for what you are experiencing.  You can get control over these issues.  The next step is finding the team and/or facility that is going to help you do it. "
"Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
Output: A failed suicide attempt is commonly thought of as a “cry for help,” however it can also be a serious attempt to find a permanent solution to depression, hopelessness or other feelings a person feels are unbearable. It’s wonderful that you want to support your husband, but If your husband is feeling depressed and hopeless, you can best help him by getting him to a mental health professional. Feelings of hopelessness and depression, and previous attempts at suicide are all risk factors for future suicide attempts. With a mental health professional, or in the emergency room of a hospital, your husband should be evaluated for suicidal thoughts, intent and plan, and if he is a danger to himself he should probably be hospitalized again until he is stable. Without knowing the particulars, your husband may suffer from Major Depressive Disorder or some other illness on the depressive spectrum. In that case medication could help him immensely, at which point you can offer your support and encouragement him to practice gentle self-care. And do not forget to practice it for yourself.  Remember: a suicide attempt not only affects the person, but it is an immense stressor for his or her loved ones as well. As they say, “put your oxygen mask on first.” Then you will be better able to provide your husband with calm and loving care and attention.Kayla Schwartz, LMSW[email protected]"
"Instruct: I read that you should ignore them and they have to come to a conclusion that they were wrong on their own terms. Is that correct?
Output: It is not correct because someone who is narcissistic believes they are always right.If you ignore the person, then their thinking is that there is something wrong with you.Ignoring the person to the degree this is possible in the situation or relationship, will spare you to be misunderstood further."
"Instruct: My fiancé and I broke up. He cheated on me numerous times. I kept forgiving but questioning his every move. He got tired and left.
Output: if he as cheated on you multiple times it is not healthy for you to continue seeing him.  However It takes time to heal your pain. You are not a robot that can just switch off your emotions.  Please surround yourself with people who can support and empower you."
"Instruct: I work two jobs and go to school for criminal justice. Over the summer, my father had a stroke. It was very devastating. My father isn't the same, and my family fights every day. I have been kicked out the house many times. I break down a lot.
Output: You undoubtedly are carrying a huge weight on your shoulders. Stressors come in many forms and you are engulfed in a few of the major ones as it relates to dealing with the declining health of your father, family conflict, as well as trying to balance a work and school schedule. Stress, if left unchecked has many negative health related implications. First and foremost I would recommend going to see a counselor at your college/university. Most colleges have counseling centers for students that usually allow for 5-6 free counseling sessions (your tuition actually pay for these sessions so take advantage of them). Secondly I would advise you to take a minute and breathe. When confronted with overwhelming life issues it is common to busy ourselves in an attempt to distract ourselves from the drama, but sometimes that can compound our stress. When dealing with stress it is important that you engage in self care. In other words find time to engage in activities that bring you a sense of peace, enjoyment, and fulfillment in order that you may get a momentary release from your daily hectic life. Even with a normal life there is no way to escape stress, it is inevitable and a part of life, but how you deal with stress, as well as how you take care of yourself in the midst of these whirlwind events will determine your quality of life. I hope this helps..."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: Watching children go through challenges in their lives is difficult. On a very basic level, There exists a primal need to protect them from harm. The hard part for parents is letting them feel those challenges and working through them as they get older. At some point, there is a moment that occurs when the role as a parent shifts. Children no longer need the basics (food, shelter. water, safety) as much as when they were toddlers, but rather, their needs shift to wanting more support, encouragement, advice, and room to make mistakes. This is where the ability to communicate with them, letting them direct the sails to gather the wind needed to move, is so important. Keep the lines of communication open and be available to give feedback when they ask for it. "
"Instruct: 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?
Output: Therapy does not work overnight, oftentimes it is a lifelong struggle, the therapists job is not to ""cure"" you or to remove something but rather to make you strong enough to live your life with your own peculiarities and struggles, remember we are human and constantly fallible. Another important thing to note is that although you go to therapy, that is just a room, most of the magic and work takes place in your real life outside of that room."
"Instruct: Then turn right back around and say he loves me and needs me. This rollercoaster is crazy.
Output: Your partners obviously very confused when it comes to love. Sometimes people shy away from good and positive relationships and companionship because their afraid. They know that it's something worth holding on to but most feel they can't handle it and can't meet up to their partners expectations. Your partner loves you but must have fear that keeps standing in his way. It could also mean their afraid of getting hurt or disapointed in the long run.  Give your partner comfort and reassurance that they can come to you to confide in you about anything that may be bothering them."
"Instruct: Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her. When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand?
Output: We women really do tend to struggle with the comparison game. And Hollywood culture hasn't helped with romantic comedies and song lyrics telling us that when a man appears evasive, there's something to worry about. It's been my clinical experience though that most women value transparency and security in their relationships. So you might try sharing a little bit more about your history with this woman. For example:Where did you meet her?How long were you friends before you decided to call it quits? Why don't you want to be friends with her (i.e., what do you mean by ""kind of crazy"")? I promise this tends to matter to women.Were you ever intimately involved with or even attracted to her?If your girlfriend can truly see that you view her as the filet mignon to the other woman's hamburger, and that she is your favorite person on the planet and has NOTHING to worry about, she may start to come around.Now, IF she's more concerned that you might be taking this woman's calls behind your back, while I'm not typically a huge fan of sharing passwords or phone records, you might print them off and highlight this female's number and show your girlfriend that you absolutely are telling the truth.And if you really want to step it up, I would be intentional about doing all the little things that you know your girlfriend loves that helped make her fall in love with you in the first place (e.g., little love notes for her to find or sweet text messages, buy a rose or her favorite flower, have her car detailed, do the laundry...date nights...you get the idea).  Bottom line - show your girlfriend why out of all the women on the planet that you could be with, you CHOSE HER.  And would continue to do so all over again.  AND why you love HER as a person.  This will help her trust what you're saying. Best of luck to you!  Tamara Powell, LMHC"
"Instruct: I keep having these random thoughts that I don't want.  Things like ""you aren't worth anything.""  I know they're my own thoughts but it feels like someone else is saying it.

What is wrong with me, and how can I stop having these thoughts?
Output: Life is beautiful without unwanted thoughts and stress. With proper strategies and tools it is possible to regain control over your thoughts. I guess you are just having ""thoughts"" and not actually ""hearing voices""? My suggestion is to see a therapist and go from there."
"Instruct: I feel angry, anxious, and depressed. The PTSD I suffer is from a past relationship.
Output: If the symptoms are to the extent that they are affecting your ability to function, you may want to consider seeking treatment. PTSD, anxiety, and depression all typically respond well to treatment if provided by a trained clinician. Common types of treatment for PTSD that you may want to look into include Cognitive Processing Therapy or EMDR. The nice things about Cognitive Processing Therapy is that it is time limited and only lasts 17 sessions typically."
"Instruct: He said that if I were to visit my mother, he will be gone when I get back. My boyfriend and I hit a rough patch in our relationship a few months back, and my mom had a few choice words with him.
Output: Your boyfriend and you have a separate relationship than your relationship with your mother.   By trying to control whether or not you visit your mom, unless you are in agreement with this, is building tension between you and him.Ask why he resents your interest to see your mother.If he is insecure to the point where he fears your mother will influence your opinion about him, then trying to prevent you from visiting your mom is itself creating negativity in you toward him.If something still bothers him about the problems you both had several months ago, then talking about these problems will do more to clear the air between the two of you than him trying to interfere in your relationship with your mother."
"Instruct: I have been with this guy on and off for 8 years. At first, we used to do things together and our sex life was ok. Then things started to change, we'd break up and reconnect, and he cheated on me numerous times. We've also had two beautiful baby girls during this time. Now we argue and he says I am not affectionate at all or I don't know how to please a man, when I work part-time, take care of a 2 year old and a 5 month old and cook. Sometimes he cooks, but he also spends a lot of time on the internet. In addition, I have 2 boys and he has 1 son. I feel somewhere I have lost something. It's not that I don’t care, I truly love this guy, but I'm just tired of being the one who is always being judged. Please, I am in need of a Christian counselor to help us because I really need to speak to someone.
Output: I don't think you’ve lost something, I think you’ve found something - your breaking point, and it's about time. Your boyfriend seems to be a very selfish and immature man who reconnects with you when it's convenient for him. Obviously, he has his own issues, but I want to address yours. I agree you need to talk to someone. The fact that you’ve put up with his repeated cheating and then letting him blame you for it (by saying you're not affectionate enough, etc.), tells me you probably have low self-esteem and have likely told yourself over the years that you don't deserve any better. You do! You may truly love this guy, but based on his behaviors, he does not love you, not in the way you deserve.  And although you may want to believe he can change, he has proved over and over again that he's not willing to, so you need to do what is best for you and your children. What would you tell your daughters if someone was treating them this way? Would you want your sons to treat women this way? That's what you're teaching your children when they see this.Like I said, I agree that you should talk to someone. You can ask your boyfriend to go too, but my guess is he won't. Even if he does, you should still see someone individually to work on YOU. I understand it's not easy to just kick him out, especially since you have children together, but a counselor can help you talk through all the details while helping you raise your self-esteem and self-worth."
"Instruct: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from.  Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas?
Output: It sounds like you are aware of your positive traits but you are struggling with someone who does not acknowledge nor celebrate your efforts or achievements.   It seems like that is affecting your inner voice, which allows you to accept yourself for who you are.My suggestion is to explore that relationship and decide if that person’s opinion should determine how you feel about yourself.   If this is an important relationship, you could communicate to this person how the lack of positive feedback is affecting you.  Then, work on spending more time with those who value you, and can give you praise, encouragement, and constructive criticism.  Also, explore your religious beliefs, and what is they say about who you are as a person.  Finally, explore with a Counselor your inner voice and try to figure out if the negative message is settling in and harming your self-esteem.   Through therapy, you could learn to self-compassion and acceptance wich will help your self esteem.¿Cómo manejo el sentirme que “no soy suficiente bueno”?Siempre me dicen que no soy suficientemente bueno o no trato lo suficiente.  Yo pongo el 100% en todo.  Estoy agotado, he trabajado en todas mis relaciones, estoy muy bien en la escuela, trato bien a las personas que lo necesitan.  Me aferro a mis creencias religiosas y dejo espacio para los errores, y aprendo de otros para no tener que cometer los mismos.  Aun así no soy suficiente y nada de lo que hago funciona, me siento desesperanzado.  ¿Alguna idea o sugerencia?Al parecer estas consiente de tus características positivas, pero estás teniendo  dificultad con alguien que no reconoce tus esfuerzos, ni logros, y eso está afectando esa voz interior que te permite aceptar quien eres.Mi sugerencia es que explores esa relación y analices si la opinión de esta persona va a determinar cómo te valoras a ti mismo.  Si es una relación valiosa, puedes comunicarle a la persona en cuestión como te afecta la falta de comentarios y opiniones positivas.   Luego enfócate en pasar más tiempo con personas que te valoran, te dan halagos, te motivan y te aconsejan.  También explora que dice tu religión sobre quién eres como persona y cuál es tu valor.  Y por último, explora con tu Consejero si ese mensaje negativo esta afectando tu autoestima.  A través de la terapia puedes aprender tecnicas auto compasión y aceptación que ayudaran a fortalecerte."
"Instruct: 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?
Output: You can be helped. Many of the people I see have multiple issues. These issues are often linked so that helping one issue will positively help the other issues."
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: I hear that you are concerned about your daughter's reaction and her emotional well being. Her behaviors are worry some as you feel she seems to be approaching her breaking point. I would suggest speaking to your daughter about the situation at school and her feelings. Listening and acknowledging your daughter's feelings without judgement or giving solutions is a very effective communication skill. Ask your daughter how she feels about speaking to a therapist or her doctor. Someone that she knows and feels comfortable talking to about her feelings and learning healthy coping skills to address stressful situations."
"Instruct: I've been in a relationship for over a year. He's cheated and lied. I heard he's married, but he says he's not. Everything is very up and down; there's no trust. Recently, he went on a trip, and I promised him I'd behave and not drink because when I drink, I drink too much, and I tend to make poor choices. This time, I made a huge mistake: I drank too much, and I cheated on him. I slept with another man for about five minutes before realizing what I was doing is wrong. I told him and he just got really rude. He called me names and threatened me. I feel bad as I do love him. We just have so many issues. I'm not a bad person, I've just made a lot of bad mistakes. It’s unintentional, and I know right from wrong, but why do I still make the wrong choice?
Output: Hi Calgary (Canada!),  Let me get this straight...you're in a 'relationship', but he might be married. You both cheat and lie and he's abusive. The short answer is that there is too much wrong here for this therapist to try and fix it. Relationships don't heal us and they don't help us grow up. We have to be mature and stable enough to love someone before it's going to work. I'd recommend you focus on yourself alone for a while. You have a lot to sort out. I wish you the best. "
"Instruct: I'm a 40 year old male and having erection problems. Still have the desire for a woman. Awfully frustrated. Any suggestions? My Doc doesn't want to discuss it.
Output: When a doc blows you off it may be a signal that it is time to find a new one! ED can often be caused by health issues. If all physical possibilities are ruled out then it's time to look within and enlist the help of a sex therapist. Here's a good article for you to start with."
"Instruct: Is it normal for people to cry during therapy, or is it just me?
Output: Change is about giving a new meaning to past experience, to allow for the emotions we stored in our body to be freed. Crying is normal and one way to process emotions to help let go and integrate our experiences."
"Instruct: After first meeting the client, what is the process that a counselor facilitates?
Output: Hi.  This is an excellent question !   I think that the answer probably varies depending upon the particular therapist .  In my work with people , once we have met and I have gotten an idea of the person'a concerns and the issues they want help with , I spend the next few sessions gathering as much history and as much information about the client's current concerns in order to formulate some ideas about what may be causing distress .  I would then share my thoughts with the client to see if they feel I am understanding them and on the right track.  We would then discuss the best plan to address the client's concerns .  Usually I will suggest strategies that I think may be helpful and ask the client for feedback about whether or not they think my suggestions feel helpful .   I always encourage clients to be really honest with me about this.  I tell them that I would hate for them to agree to try things that they know they won't try just to avoid ""hurting my feelings"" or ""offending me.""  I want to be helpful and while I have the expertise as far as typically helpful  strategies, I really like to work collaboratively and have clients tell me what they do and don't like / agree with or not agree with when I share my thoughts about a treatment plan .  We the   work together to come up with a plan that will be helpful , but also realistic and then revise it and try new things if necessary as we go along.   If things aren't improving , I am very happy and willing to try something new ! I hope this is helpful for you !"
"Instruct: I terminated my counseling relationship with a social worker several years ago. I am now realizing that I would like to begin counseling again. The social worker’s voicemail message says that he returns calls in 24 hours, but he hasn't called me back. I called him on the weekend and made it clear that I want him to call me back. Can he just ignore me?
Output: Mental health providers should promptly return calls from current clients as well as from potential clients.  This is even true if the social worker (or counselor) is unable to make an appointment with the caller.  In that case the social worker should call you back to let you know that he is unable to schedule an appointment with you.In addition, mental health providers have an obligation to follow through with their own communication standards.  For example, if the social worker in this case has an outgoing voicemail message that promises returned calls within 24 hours, he has an obligation to follow through on that promise.All that being said, it is also worth remembering that mental health professionals are just people too. It is possible that he had an unforeseen emergency that kept him from from returning your call promptly.In the end, I agree with Sherry's advice. If you feel this social worker is not a good fit for you, you probably should trust your gut and find someone else who is a better fit."
"Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client?
Output: In my therapy practice the decision to end therapy is mutually made together with the patient.Otherwise, the person can end up with a sense of tremendous rejection and abandonment.The way you'll both know therapy is coming to a close is that the discussion will feel lighter and move easily.The person's mood will be better, they will smile more, sit in their seat in a more relaxed way, look more at ease, take better care of their appearance.One of the ways to end therapy is to gradually decrease the frequency of the sessions.Sometimes people who are in my practice start to come each three weeks, then monthly, then every three months.This gives a sense of security, friendliness, and casualness to the therapy, and de-medicalizes it as though the person was treated for a medical symptom and the symptom stops completely one day.Talk therapy is about life and life problems usually end gradually.I end my therapy in a way which mirrors the life process in which many interaction and situation problems show their effects gradually and show different effects over time."
"Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.
Output: This sounds like a possible boundary issue. Boundaries are important in relationships. They are invisible lines that we will or will not cross. It is up to us to create and hold them. We have the ability to rethink them and change them as needed. It sounds like you have thought it through and would like to makes changes in the relationship between your mother and you. In the main question, you want to avoid the family member, however in the following comment, it sounds like you may just want the avoid that conversation, not so much your mother. Once we review the issue and decide what we need (create the boundary), I suggest opening talking with the person when everyone is calm (not in the middle of a stressful moment when we often are unable to focus and hear the other person). Always understanding that we had time to think about this issue and the other person has not (catching them off guard). State clearly your need. Such as ""I am not comfortable with hearing about my sister. It stresses me out. I would appreciate it if you would not bring it up anymore. If you do, I will not respond and I will change the subject "" It is important to use ""I"" statements. I feel"" this way"". I will ""do this"". We only have power over our actions. Also when we use ""you "" comments, the other person can become defensive and unable to hear what we are saying. Once we let ourselves know what we need, then let the other people know our new boundary, then it is up to us to follow through. We will make mistakes. Not follow through every time with our boundary. That is okay. Start again. It gets easier with practice. It is also appropriate to reconsider and change your boundary as needed. Just let the others know when you need to change it. Remember, they can not read our minds. I wish you much strength and hope the best for you and your family.www.parishhealthandwellness.com"
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: Hello! First of all, thank you for paying attention to your daughter and noticing that she is concerned! It sounds like you have been a positive influence on her for her to be so focused on achievement and for her to care so deeply about her performance! Based on what you've said here, I understand that you are concerned that she is overly stressed, though. I share your concern. People of all ages have meltdowns when they become overwhelmed with stress, and the negative consequences of those meltdowns can definitely have a ripple-effect into other areas of our lives.For your daughter, the thing I would want to know FIRST is this: does she feel she has adequate healthy coping skills to manage the stress she is experiencing? Because, it doesn't really matter WHAT she is stressing on...what matters is how she deals with her stress when it threatens to overwhelm her. I'd like to know what, exactly, that she does when she is feeling stressed that helps her to feel better. If she has only unhealthy coping skills (for example, sleeping, shutting-down, raging, self-attack with critical self-talk, etc.), or only one or two healthy skills, we would want to teach her some additional healthy strategies to help her KNOW that she can cope. Just one risk of not addressing this issue now could be that she may come to ""learn"" that stress is 'unbearable' which may cause her to turn to destructive or escapist strategies to avoid the discomfort, the pain of feeling hopeless, and/or the negative belief that she ""cannot help herself.""  I definitely think it would be worth both your whiles to have her evaluated by her family doctor and/or a professional counselor. With a counselor specifically, she could learn the needed skills as well as be evaluated for other issues that may be contributing to the issue (for example, a learned belief that she ""must be perfect or she is not worthy."") Plus, having a neutral support person to help her meet her personal goals is always a good thing. Good luck, mom and daughter!Learn more about me and my practice at www.EMDRheals.com"
"Instruct: 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?
Output: How frustrating to want a relationship with someone who does not feel similarly!The person who needs to be at the top of your list of those whose interest you consider, is yourself.Most often, staying engaged in dialogue, affection, sex, with someone who has different reasons than you have, for doing so, creates longing, frustration and sadness.Since the guy has told you he would like limiting his involvement with you, more than likely you will be protecting yourself from disappointed wishes, by taking his words seriously.Since you've made your interest in him clear, it sound like he's taking advantage of what you're willing to offer him.As long as he's not reciprocating with the involvement you'd like, why continue being available to him?The one area that is open to you in a positive way, is to understand which qualities of this guy you find attractive.By understanding more about your own interests about a potential partner, the stronger you will be able to step away from those who would like you for their reasons, which have nothing or very little in common  with yours.Good luck with defining the qualities of a partner with who you will feel fulfilled by sharing yourself."
"Instruct: I have an eating disorder of binging. I've had gastric sleeve surgery. I need help with issues of abuse as a child, addiction, and abusive men. I have been in therapy for five months and get no feedback from my therapist.
Output: Hi Anaheim,Relationships with therapists have some things in common with other relationships; they work best if there is dialogue about what your hopes, thoughts, emotions and needs are. Are you letting your therapist know what your goals are? It's okay to say ""I'd really like us to focus on this piece"", or ""I'm looking for specific direction about how to manage this part"". Your therapist is wise if they ask questions that determine what your needs are, but they can't read your mind. Not every therapist will be a good fit for you. I know I'm not a good fit for everyone I meet. We have different styles; some are more  passive and focus on listening. This might be the type of therapist you have. For some people this is what they want, but maybe it's not for you. Maybe you want someone who digs at you more, asks more questions, gives you strategies, lets you know what they think... someone more active. If this is the case, it doesn't mean s/he's a bad therapist...it's just not what you're looking for. Sometimes people think they can't end sessions with their therapist; they might be worried about hurt feelings. But, in the end, you don't owe your therapist anything if you feel it's not working or it's not a good match. Just move on and try someone new. Maybe ask them questions first about their style, even. Best of luck!"
"Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
Output: As a therapist and mother of four children (3 of whom are teenagers)...I hear your pain.  Raising children in our society is no joke.  Kids are under a tremendous amount of pressure from parents, peers, teachers, coaches and the list goes on and on.  Fear and anxiety can suffocate students particularly as they approach their high school years where they are bombarded with questions about their future and expected to select professions before they have even gone to college!!  I highly encourage the teens I work with to strive for balance in their lives- and we can model this for our children by how we choose to live!  Encourage your child to spend time with friends, join you for a yoga class, read a book, pick up a hobby or go out to exercise.  If your daughter continues to feel overwhelmed by stress, it would be a good idea to select a therapist for her to go speak with.  As much as we love our children, there are times where kids need to consult with a neutral 3rd party.  It can be a wonderful thing for kids to have a therapist whom they can confide in."
"Instruct: I think I'm annoying and bothersome, but my girlfriend says I'm just fine. I don't think so, I think I'm stressing everyone else out
Output: I'm glad to hear you have friends and that your friends say they like you.Trust your own sense of who you are which tells you that something feels uneasy within yourself.Is the friend who says you're ""just fine"", very familiar with who you are?""Friend"" is a broad category.She may not know you as fully as you know yourself.Basically, it is possible to be ""fine"" and have some inner stress.Follow your own thoughts and observations to more fully learn about yourself in ways your friend may not notice or be aware."
"Instruct: How do you know you have the right therapist for you?
 How would I know how to ""train"" my therapist to be able to give me what I need from treatment?
Output: You can certainly ask the therapist questions such as their style or issues they have experience working with. You can also determine whether a therapist is the right fit if you feel a connection or alliance and feel that you are working together toward your goals. It is important to be open and honest with your therapist about what you are looking for in counseling."