thejana/Elective_dataset huggingface dataset:
Topic: depression

Question: Do I have too many issues for counseling?
I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac.    I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years.
   I’ve never had counseling about any of this. Do I have too many issues to address in counseling?

Answer (from Tina WallisHelping people get "unstuck"):
Absolutely not! When we have the courage to accept the challenge to address whatever is causing us pain, the solutions often generalize to many, if not all of our symptoms. I would suggest that unresolved trauma from sexual abuse is likely a primary contributing factor. However, it is important that you first build a trusting relationship with a therapist experienced in trauma treatment as this is an area of specialty that not all therapists are skilled in treating. Choosing one issue to work on, such as anxiety or depressive symptoms, and starting there will allow you the opportunity to get to know your therapist, learn coping skills for managing distressing symptoms, and establish emotional safety before jumping into trauma work.
Topic: trauma

Question: Is it possible for a person to stop feeling emotions?
I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?

Answer (from Catherine HodgeLicensed Mental Health Counselor):
First and foremost, be gentle and patient with yourself. It is normal to feel a range of emotions after a severe trauma including no emotions at all. Try not to push yourself to feel, just notice the lack of emotion you are experiencing right now. Maybe write about your emotions and the lack of them or talk about it with a safe person. Unfortunately recovering from trauma can take time and it's best done at your own pace. If you aren't feeling there may be a reason you aren't feeling. For severe trauma I always recommend working with a trained trauma professional who has the training to guide you on your path to healing fully.
Topic: counseling-fundamentals

Question: Are some clients more difficult than others?
What are some difficulties that a counselor can encounter when dealing with a client?

Answer (from David KleinHumanistic, LGBT-Affirmative Psychotherapy for Individuals & Couples):
Yes, just like some relationships outside of our work are more difficult than others. But, I would not say that the "client is more difficult," rather the dynamic between myself and the client, which constitutes a relationship, might feel more difficult. And that's okay (sometimes things that feel like the most challenging end up with profound shifts and outcomes.) It is often helpful to understand difficulties that exist, because they can illuminate for a therapist something with which a client might be struggling, and when it takes place in the therapy space, it can be experienced and then worked through.It's hard to necessarily say what some difficulties are that a counselor might encounter, but I would say that not showing up, like in any relationship, is one of the hardest things for me. And not just physically not showing up (though that is certainly frustrating), but not being open to the work is a form of not showing up. While not every client is as "motivated to change," it's helpful to my therapist-client relationships that the client try. It might be hard for them, but the effort even to say "this is tough for me" can go a long way in these kinds of relationships.
Topic: substance-abuse

Question: I over endulge when I drink alcohol and feel extremely guilty about it the next day
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?

Answer (from 2nd Chance Counseling Service Online Addiction Therapy ProviderConvenient Online Addiction Therapy ):
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.
Topic: depression

Question: Why am I experiencing dfficulty maintaining an erection?
A few years ago I was making love to my wife when for no known reason I lost my erection,    Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage.    I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to.    What could be causing this, and what can I do about it?

Answer (from Martin Hsia, Psy.D.OCD, Anxiety, and Insomnia Specialist):
Assuming there are no medical explanations for this issue, many men I've worked with on this come to see it as essentially a form of Anxiety. There is a phenomenon called the Yerkes Dodson Law (see below; source: Wikipedia), which basically states that if we feel either too much or too little stress, pressure, or nervousness about a task, it will adversely impact our ability to do carry it out successfully. The ideal amount of stress/arousal is right in the middle - not too little and not too much. This applies to more things than we might often realize - from giving a presentation, to ordering food, to making a free throw, to driving, to sexual intimacy as in this case. A common suggestion that many men find helpful is initiating open and honest conversations with their partners about this issue, and for a temporary period of time, agreeing to physical intimacy and sexual pleasure in other forms, and without the expectation of intercourse. There are many ways to go about that (which are outside the scope of this blog article), but this can be a path to connecting intimately and renewing physical bonding without unhelpful anxiety - and over time, can lead back to intimacy in all the ways that have become elusive. Best of luck.
Topic: counseling-fundamentals

Question: How would I know if I have the right therapist?
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?

Answer (from Grace Johnsontreating adult anxiety in MI & NY):
It is incredibly
important that a person feels that their therapist is right for them! The
importance of this is not only because they will be asked to be
vulnerable and honest during sessions, but also because it can impact treatment
outcomes. Having confidence in your therapist and the therapeutic relationship can
help foster success in therapy!Generally speaking, it is
a good fit if the therapist has expertise with your particular problem, you connect
the "feel" or “vibe” of the therapist, and you like their treatment
philosophy. In order to find out if it’s a good fit, you may have to directly
ask the therapist about their expertise and treatment philosophy. Many people
are arbitrarily matched to a therapist or believe that they have to see the
first therapist with an available appointment. It is important to remember that
you have a choice in who your provider is!As far as “training” your
therapist, there are caveats here. Your therapist is responsible for providing
ethical and competent services without you having to train them (such as maintaining
appropriate boundaries, maintaining confidentiality, etc.). Assuming they are
meeting those minimum requirements, the hope is that they are also
demonstrating respect for you (such as starting session on time, providing
consistency, and being non-judgmental). If you do not feel respected or you
have concerns about their judgements, I recommend you bring this to their
attention. While the therapeutic relationship is unique and is not like other
relationships in our lives, it is still a relationship. It may be uncomfortable to tell them how
you feel about their behavior, but there can be immense therapeutic value in these
conversations. 
If your therapist is
providing ethical services, competent services, and demonstrating respect for
you, it’s a good start. If you are not getting the results you hope to get from
therapy, it is still not your job to “train” the therapist, but it would be
beneficial to bring this to their attention. Ask them about that goals and
objectives that you are working on and ask for clarity on the direction of
treatment. These conversations can be incredibly beneficial to the therapeutic relationship
and the trajectory of treatment. Alternatively, if you are not feeling good
about the provider, their vibe, the goals, or the direction, it may be time to seek
a consultation with another therapist. “Starting over” in therapy does require
quite a bit of emotional energy but that doesn’t mean it’s not worth it!
Topic: self-esteem

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

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

Question: How can I unblock my memories?
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.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
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!
Topic: anxiety

Question: I feel really uncomfortable around other people
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?

Answer (from Tara Green, LCSWFeel alive again; solution focused and goal oriented therapy):
It sounds like you may be suffering from social anxiety. People who are socially anxious often feel nervous and scared when they are surrounded by people especially in a social setting. Some people find that although they want to be social and have people to talk to they are scared of being judged, feeling awkward, feeling like they don't fit in etc. If you want to try and get in touch with others start small. Some of examples can be- volunteering at at an animal shelter since you prefer animals, making a phone call to someone you know and feel comfortable with to reach out to,  talk to people via text and/or face-time. Take the time to talk to a therapist about your feelings this can help you sort out your anxiety and be able to overcome it!
Topic: self-esteem

Question: Why am I so angry and jealous?
I'm in my late 20s, and I've never had a boyfriend or even been on a date. I have no friends. I hate Facebook because everyone else has kids and a great husband and great paying jobs. I work in retail, and I can't find a job. I have an Associate degree. No one is not giving me a chance, and I'm getting upset and frustrated. I feel worthless and feel like everyone hates me. I feel like a failure, and I still live with my Dad. It's very embarrassing!

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
In case knowing this helps you, there are many more people in similar circumstance as you than you may realize.Similar to you, they are not on FB for the reasons you list.  Plus, no one wants to go on FB and tell the world they don't have a fantastic life.  Everyone on FB is happy, even when they're miserable they're happy telling everyone about it.First, yes it is painful to see all around you what appears as joyful living.  Please keep in mind that the life you imagine these people have, is not necessarily the true life they are having.  I've been a therapist for a long time and have seen repeatedly how people who are married with kids by age 30, start having problems by their mid-thirties.Second, respect your unique identity.  For whatever reason, you have more sensitivity, possibly more depth, more complex standards and expectations, of yourself and others.As hard as it may sound or actually be, take time to hear your intuition and what it tells you, you need for your own growth and development.Feeling embarrassed can also be turned into a positive.  Consider it as motivation for the long term to develop new ways of reaching your goals.I hope this helps!
Topic: intimacy

Question: Why do I always push my boyfriend away?
My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my sex drive.     I love him so much. Why do I do this?

Answer (from Kristi King-Morgan, LMSWSocial Worker, Psychotherapist):
I sympathize with you! It is actually quite common for one partner to have a higher sex drive than the other, and can lead to discord in the relationship. The good news is, there are ways to deal with this.You may have already answered your question. There are many medications that can alter one's sex drive. If your birth control pills are the cause of this, talk to your doctor about switching to a different brand. You may even consider alternate methods for birth control, such as condoms.However, there are some other things to ask yourself. First, you used the term "affection" but then talked about sex. They're not the same thing. There are different kinds of intimacy, and many different ways to show love for someone. A book you might find useful is "The Five Love Languages".Defining what "affection" means to you, and to him, and discovering all the ways you both can show this towards each other, may help lessen some of your anxiety over this.Humans are hard-wired to need appropriate physical touch. In fact, studies have shown that newborns/premies who can receive skin-on-skin contact with their parent can recover faster than babies who don't receive this touch. It's called Kangaroo Care. Children who have grown up in neglectful environments where they're not hugged and kissed and shown appropriate physical contact can often be unable to show this to their partners and children when they're adults. One question to ask yourself is, were you having intimacy issues before starting the medication? If so, there may be other, deeper issues at play here.For someone who has received the wrong kind of sexual/physical touch (sexual abuse, physical beatings) it can be difficult to allow someone to be physically close to you. A therapist could help you work through this.Sometimes, a person may lose their sexual feelings for their partner due to issues in the relationship. Once those issues are resolved, the sex drive comes back. Examine your relationship and see if either of you are unhappy, if you've been arguing a lot, or if there are any problems in your relationship that need to be addressed.Finally, look for the other ways that the two of you may be intimate in a non-sexual way. You may be doing things for each other that you don't even realize, and noticing these will help you appreciate it more. Take the stress off of the sexual gratification and focus on showing your love in other ways. Some people like to give gifts, do the other person's chores, or do other things they think the person will appreciate.If, after all of this, you still have a discrepancy with one of you having a higher sex drive, there are many articles online that offer advice for couples dealing with this situation that you may find useful. It is a very common issue for a lot of couples.
Topic: intimacy

Question: I feel completely alone in my marriage
I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
I can think of several things that may help you to reconnect. I don't know how much time you actually spend together, but one thing you could try is to spend 15 minutes a week together talking about common interests or other things that make you feel connected.Have you considered a date night or anything (doesn't have to cost a lot of money, but could make each of you feel special)?Something else you could try is to consider talking to each other in a way where you summarize what you are hearing and reflect back to make sure that you got it right rather than just assuming so. Communicating this way can feel awkward at times, but it could reconnect how you are listening and deeply connecting with your partner. Also, you may discover that you are on two different pages about things on which you thought you understood what each other felt, wanted, or desired.Consider what makes your partner feel loved, valued, appreciated, or special. Can you name a few things and get them right according to your partner when you check in? Can he do the same for you?You could also try doing two things every day that would be appreciated by your partner without either of you having to ask for it. There is some more information here, although what you do for one another does not necessarily need to be on this list: http://www.couplesinstitute.com/tracking-success-by-doing-the-daily-double/Reconnecting is a bit of a process. Try to praise yourself and your partner for attempts that you make and recognize that you're not going to get it right 100% of the time. You may also find this book to be helpful (or there are other similar ones by the same author): https://smile.amazon.com/Love-Languages-Secret-that-Lasts/dp/080241270X/ref=sr_1_1?ie=UTF8&qid=1471479801&sr=8-1&keywords=Love+languagesIf this still seems difficult, consider seeing a local mental health professional. As one more thought, recall that this relationship involves both of you. If you are both committing to change your level of connection, change will likely not be a steady uphill climb (there could be plateaus or even some dips back in a negative direction) and each of you may change at a different rate.Best wishes in your quest for connection!
Topic: family-conflict

Question: What can I do about my family not accepting me as bisexual?
After I told them, they yelled at me.

Answer (from Dr. Meredyth LawrynceServing Clients Nationwide):
Sending you healing vibes as you endure their being unaccepting. I wanted to share this video about coming out Coming OutI know it is hard when those we love do not accept us as we are.  One thing to ask, is this something that you need their approval around?  Owning who you are regardless of what others say sometimes helps.  This may not be a part of your life you can share with them.  We all have areas we have strong beliefs. Ideally, they would accept you no matter what but that does not seem to be the case.  Deciding if this is a deal-breaker, or can you work around it, not sharing this part of your life, and understanding we cannot force people to embrace what they do not want to embrace.  You get to live your life as you see fit and be happy. You deserve joy and to live authentically!   If you are confident in your choice, choose your choice, own that, and set boundaries around it.  You do not have to live your life for others.  Loving yourself and being convicted in your choice regardless of others will be beneficial. Many in your situation have created a soul family of people who accept and love them or who they are, and you deserve that community.  Stay Safe,  and always do what would keep you safe, and with the necessities you need.
Topic: depression

Question: How do I cope with bad thoughts?
People have been calling me names, and I have had enough of it. I cannot stand it anymore I'm done. I have told someone this, and that is why I am writing this. The thoughts are awful.

Answer (from Ben BraaksmaMental Health Counselor):
It's sounds like you are feeling pretty overwhelmed with intrusive thoughts and are feeling very criticized by others as well. I think it is great that you are reaching out and I can tell that you want this to change. Working with a competent therapist may be a good option for getting some more clarity about what is going on, developing ways to cope, and eventually getting relief from these overwhelming experiences.