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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.