thejana/Elective_dataset huggingface dataset:
Topic: diagnosis

Question: Why can't I stop these thoughts?
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?

Answer (from Brenda HenningHere to help you get better):
We have thousands of thoughts a day. Some thoughts we choose to think, and some thoughts are random as you describe. We can't control the first random thought but as soon as we become aware of it we can make a conscious choice to change the thought. Positive affirmations are messages we intentionally read to or tell ourselves to help us counteract negative thoughts. If you find yourself under stress on some days more than others you may notice an increase of these negative thoughts about yourself.  To help you neutralize your negative thoughts and make it more natural to randomly think positive thoughts about yourself you might find it helpful to work with a therapist who specializes in cognitive behavioral therapy. This professional can help you build insight into your errors in thinking, help you develop a stress management plan, and provide you with additional tools to boost your self-esteem.
Topic: intimacy

Question: How can I address my grievances to my boyfriend?
With college over, my boyfriend and I have such different work schedules. Since I can't see him often, I want to talk more on the phone. He plays video games while talking to players, so often I feel ignored. I find myself always telling him what to do in relation to me, things he should know.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Directly tell him what you write here.Either he is losing interest in you or he is simply caught up in short fun w his friends and video games.A conversation on this subject will give you more clarity on your question.
Topic: family-conflict

Question: I'm scared to tell my family that I'm bisexual
My parents seem okay with other sexualities, but normally they only talk about being gay. When they do talk about bisexuality, they say things like “they'll do anything” or things that make me very uncomfortable because I am bisexual. I don't know if I am ready to come out to them.

Answer (from Julissa SparksHealing Minds for Wholeness):
Coming out to family members can cause a lot of anxiety. However,  although I cannot promise what their reaction will be, the benefit is that you will no longer have to hide who you are. Perhaps researching or getting information on bisexuality can help your family understand what it truly is to be bisexual. Many times,  people are just not educated on certain things.
Topic: depression

Question: How can I take care of my depression from a breakup?
I have been falling into a deep depression where I can no function during the day and night. The only time I am at peace is when I’m asleep. If I am with friends, family, at work, and mainly alone, I cannot think straight. I no longer feel like myself.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Have you tried to allow yourself some breathing space to emotionally recuperate from the breakup?Sometimes people expect themselves to bounce back faster than is feasible.  Then, the suffer from both the sadness and distractibility from the breakup in addition to the suffering which is self-induced by not permitting time to feel upset about the loss of the relationship.Be gentle and kind toward yourself because loving yourself will release some of the tension you feel.Since you write that you cannot function and you wrote a question on an online website, maybe you're not giving yourself enough credit for your capacity to function.Anyone who is not functioning wouldn't be capable to write a question about themselves.While what you write about yourself is in broad terms, my equally broad answer is you may be doing better than you think and the key problem is the discomfort and impatience that the feeling of sadness from the breakup, was more in the past than currently is the case.
Topic: depression

Question: I completely lost myself—how can I find myself again?
I've become so jaded that I can't control my thoughts. I cannot focus on anything and been having anxiety attacks.

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
I imagine that it's pretty disconcerting to feel as though you lost yourself.When you said that you are jaded, I'm not sure whether you mean that you are jaded toward someone, something, life in general, or some combination thereof.One of the difficult things about anxiety is that anxiety can lead to more anxiety because of being concerned about having another panic attack. Consider remembering that panic attacks usually only last a few minutes and the reason they don't go away right away is because of the way your brain releases chemicals because some part of your brain is reacting as if you are in danger in some way.As far as finding yourself, you may consider looking at what parts of each day you can control as a way to stay centered. You could also focus on something that makes you feel happy and/or comfortable.You may also consider the list of values here to give yourself an idea of what is most important to you, what it is that you are living by now, and what values you would prefer to live by. http://www.therapistaid.com/therapy-worksheet/values-clarificationIf this proves to be difficult, consider seeing a local therapist.
Topic: self-esteem

Question: How can I be sure that I'm not choosing my relationship out of fear of being alone?
I'm scared that I am with this man so I won't be alone. He should be with somebody who deserves him if this is the case, and I don’t want to hurt him.

Answer (from Mark Morris, LCSWTherapist and Author of Living Yes):
While not wanting to be alone may not be the best reason to be in a relationship, it is probably more common and normal a reason than you think.  Since you seem to care about your friend ("don't want to hurt him"), I imagine there are many other reasons that you are together.  I suggest that you talk about this open-heartedly with each other.  The idea of being afraid of being alone sounds like an honest starting place.  Don't try to "figure out" whether you should be with him.  Just talk.  The communication is likely to shine light on deepening connection for BOTH OF YOU.In the meantime, your idea that you don't deserve him is rooted in a "core lie" that you are telling yourself.  You can read about "core lies" and much more in my book, Living Yes, a Handbook for Being Human.  Check out www.LivingYes.org.Be easy on yourself.  You are deserving!~Mark
Topic: depression

Question: I'm very depressed?
I'm very depressed. How do I find someone to talk to?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Great that you realize talking with a professional counselor about how you feel, would be helpful!If you'd like a very fast response by phone, then google "depression hotline" for where you live.  And, if you have a specific topic which upsets you then google around with this topic to see if there are services specific to your interest.If you've got time to invest in looking for the best fit therapist for yourself, then google "therapy' or "therapist".There will be many, many names which come up.I know I sound like I work for google only it is the easiest way to find lots of information.I send you good luck!
Topic: intimacy

Question: How do I handle my fiancée always telling me how bad of a job I'm doing in making them happy?
My fiancée is always letting me know how I am a horrible/evil person, or I just don’t care enough when it’s about her feeling or when she is having an off day.

Answer (from Sarah McIntyreSarah McIntyre, M.Ed., LPC):
I don't know much about the dynamics of your relationship, but I want to say that you cannot possibly be responsible for anyone else's happiness.  If you are interested in a good read on this topic, I highly recommend The Four Agreements by Don Miguel Ruiz.
Topic: addiction

Question: How do I help my husband get over his drinking addiction?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
By being truthful with him about how his drinking affects you.People who are addicted to a substance, have tremendous emotional pain they are covering up.  The only action someone who would like to help, can do, is to be truthful when loving the person.Show your love and express your own wishes on what you'd like from him.   This may encourage him to try loving you back instead of drinking to feel better about himself.It also may not since addictions are the result of behavior patterns set very early in life.My best advice is to stay clear that your love is no guarantee he will want to look at his deep emotional pain, clean it out and be open to loving you and to stop harming himself with excess alcohol.Keep in mind that his problem of great emotional pain, can only be solved by him.  Try not to get lost into offering more help than he is able to utilize.
Topic: anxiety

Question: Is it normal to go into therapy feeling nervous?
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?

Answer (from Sara Makin, M.S.Ed.,NCC#1 Best Selling Author & Counselor):
What you are experiencing is extremely normal. Opening up to someone you don't know from a can of paint can elicit some uncomfortable feelings and make you feel shaky. With time and building trust with your therapist, you will eventually start feeling less apprehensive before sessions. Consider bringing this up to your therapist as you both can process this experience together and figure out ways of coping with this anxiety before you come into the therapy room.
Topic: behavioral-change

Question: What is a psychotic seizure?
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.

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
I will admit that I'm not specifically familiar with this from my own experience.My best educated guess is that you could have a seizure during which you have some sort of symptoms similar to a hallucination (which is one of the psychotic symptoms) when you hear or see things that aren't really there.In looking briefly online, I was able to find some information here: http://www.epilepsy.com/information/professionals/about-epilepsy-seizures/psychiatric-and-behavioral-aspects/psychiatric-2It sounds like this would be a symptom in addition to an already existing seizure disorder, not a seizure disorder in addition to a mental health problem. If it is the other way around, I'm not sure how that would work. It is common with some types of seizures to have an altered state of reality during or shortly after the seizure, so that could also be related.I would suggest you talk to your physician about this directly so that if they are worried about this, you can learn more about what is making them concerned about it and what, if anything, you could do to lessen the likelihood of it or how to handle it if it does happen.
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 Sherry Katz, LCSWCouples and Family Therapist, LCSW):
First step always is to do a medical rule out so that you're sure the problem is psychological and emotion based, not a medical condition which requires care and attention.If you are medically clear in the reasons for losing your erection, then reflect on what may be creating a loss in confidence in either who you are and what you're doing with your life, or whether your wife has these sort of problems within herself.Often a problem transfers ownership of who shows it.If you are a sensitive person its possible your erection problem reflects your wife's insecurities and self-doubt.  If she is someone who is reluctant to talk about feeling unsure then in a certain way by you showing a problem, she can avoid looking at herself.There may not be a direct cause such as usually exists in a medical problem.Medicine looks for symptoms to treat.Our emotional lives are much more indirect.If you feel stress at work or are unhappy in the place you live, for example, then your frustration may show up in your sex life.Basically, do a broad inward search of your life and what it holds and maybe ask your wife to do the same.You may clear the air within yourselves and between each other so the problem goes away.
Topic: depression

Question: If I am trying to stop self-harming and I seek help, will I need to be put in an inpatient setting?
I have bipolar disorder, paranoid personality disorder, posttraumatic stress disorder, anxiety and obsessive-compulsive disorder. I last self-harmed a week ago. When I am stressed, overwhelmed, hurt, or angry, the urge to self-harm is all I can think of. I am trying to seek help.

Answer (from Nicole StoneAnxiety, relationship crisis, and the separation/divorce experience.):
Seeking professional help does not mean that you will necessarily be admitted into an inpatient setting - though  to be honest, that can become an option if you feel unsafe or if you are unable to plan for safety. However, many clients who struggle with self-harm can find help in outpatient settings - particularly those which offer a treatment called Dialectical Behavioral Therapy (DBT). Looking for a DBT professional or group therapy setting may be particularly helpful, but a skilled professional can help you to figure out how to identify other options even when you are experiencing overwhelming emotions. Without knowing your location, I also recommend searching to find your local helpline or suicide prevention hotline. The volunteers on the other end of the line can be very helpful even if your intention is not suicide and they are likely also to be able to connect you with resources in your area. Calling into the helpline may also be a first step alternative to self-harming when you're feeling overwhelmed.
Topic: depression

Question: How can I handle my alcoholic son?
I have an alcoholic son who is draining me financially. I want to get him help, but he doesn't want help. It's making me anxious and depressed.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Establish limits on how much money you'll give to him, tell these limits, and as you pointed out, expect him to not care or respect your limits.Try an Al-Anon meeting.   These meetings are for family members in similar situations to yours.People who are addicted are not always willing to know themselves, understand their own emotional pain which contributed to their addiction, and then decide to live differently.Additionally, these steps take a long time and there's no good reason for you to put your life in jeopardy in order for your son to take advantage of you.Being a family member of an addict makes seeing the dynamics between you and him, difficult.If some type of group meeting where you can learn from other people who are living in a similar circumstance isn't possible, see if you can find an equivalent of this online.It helps a lot to know how others handles themselves in similar predicaments.
Topic: anxiety

Question: How can I deal with my paranoia?
I'm a little paranoid. My mind does get the best of me. One night, I put chairs under all of my door knobs because I thought someone might break in. I also think a lot, which is probably the reason for the paranoia. I can't stand loud noises, like the sound of cars going by. The grocery store is too noisy, and I feel like people are looking at me.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Paranoid people don't realize they are paranoid.  They believe their actions to be reasonable responses to potential threats.From what you write, you are aware that your actions may be understood as extreme.Instead of trying to fit your behavior into a negative psychological category, try seeing each of the behaviors you list here, as your own uniqueness.This way you will become more tolerant of what very well be your natural tendencies.If you are someone who needs a lot of time in quiet, then not liking loud noises doesn't make you paranoid, it is simply the way of who you are.One possible way of feeling better is if you would accept the answers you've developed so far for yourself.  They may be a little unusual compared to what we consider mainstream.  From what you describe, you already are dealing with what you call "paranoia".
Topic: intimacy

Question: My boyfriend's family expects him to take them on dates, and he doesn't think anything's wrong
I have been dating my boyfriend for eight years. We met in college off away from home and things went from good to bad when I met his family who treats him like he is their man. They expect him to take them on dates like to the movies and out to eat when they come around, and he thinks it's okay.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Well, then you learned something new about your boyfriend!Are you fine with having a different opinion than him and staying together.Think over how major a problem this is to you and if it is reason enough to leave the relationship.There are always plenty of areas of disagreement between partners in a relationship.The key to being happy is to know which ones you can accept and which ones are beyond your tolerance with which to live.Also, an early step would be to directly tell your boyfriend your opinion.   He may be willing to change his ways to satisfy you.
Topic: legal-regulatory

Question: Unethical Therapy Practices
What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation?

Answer (from Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor):
This sounds like a potentially serious situation. The most important thing is to make sure the child is safe.  If you suspect that a child is (or has been) harmed, I would strongly recommend that you report your concerns to your local law enforcement or to Child Protective Services. If you don't think that a child is in danger, you can still report your suspicion of counselor misconduct to the state regulatory board.
Topic: parenting

Question: My daughter isn't acting her age
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?

Answer (from Leonard PikaardWhen you're ready, help is here.):
Your daughter is fortunate to have an observant parent, who is willing to seek out help in this regard. Regression can be indicative of some stress in your child's life, so the issues she is facing should be examined. Seeking advice from your daughter's pediatrician, as well as a practitioner familiar with adolescent issues or perhaps play therapy can equip you with insight into the causes of the behavior, and give you tools to assist your daughter in learning age appropriate social interactions.
Topic: anxiety

Question: How do I know if I have social anxiety?
I'm a teenager, and I struggle with going out and talking to people. I feel awful about leaving home. I know I can't afford a therapist so I don't know what my problem is, but I think I might have social anxiety.

Answer (from Ben BraaksmaMental Health Counselor):
If you are noticing that anxiety tends to be triggered around interactions with others, then you may have social anxiety. Working with a therapist, you may be able to gain insight into the nature of the anxiety, develop tools for coping with it, and take steps that may alleviate it over time, so that you can enjoy your interactions with others. If you are short on money, there still may be options for you to be able to see a therapist. Check with your insurance provider about your behavioral health coverage. If you have medicaid/apple care, there are some private practice therapists who accept this form of insurance, as well as community clinics which do. If you are not insured, some therapists and clinics will work on a sliding fee scale, and accept either low fee or may even work with you pro-bono (for free).
Topic: trauma

Question: What is the best way to cope with the loss of someone to suicide?
I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better?

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
I urge you to seek some therapeutic help for this, and also to connect with others who knew your friend, because they're likely feeling the same way. Suicide is difficult to understand, and those left behind have many mixed emotions that make their grief complicated and anguished. Your friend either had an impulse that no one could stop, or they made a big decision that impacted everyone around them. There are other things you can do to cope with this, and it has to do with accepting your powerlessness to stop it, not blaming yourself, forgiving your friend, and finding meaning in their life and yours. You won't find that meaning in a bottle or a joint. I hope you reach out soon. :)
Topic: family-conflict

Question: I feel like I'm putting my full effort in my studies, but no one thinks that I am
I'm a teenager, and I know the importance of my upcoming schooling. However, no matter how much I put in my best effort, my family thinks I have done zero effort in total. What can I do?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Your family's opinion is quite demoralizing.Unless you are lying to yourself or to them, then your best effort deserves appreciation and support from family.The family members may have reasons besides the actual outcome of your school work to be so blind to your investment of effort.Maybe they target onto you their unhappiness in some other area of their lives.  It is often easier to create false narratives if a person wants to avoid looking at themselves.Possibly too, the family people may have a twisted logic to their words, as though ignoring your effort is a way to force you to do more.If you feel the family people will listen to the way their words affect you, then definitely tell them.If not, then you are learning an early lesson on how not everyone is necessarily supportive of others, and how disappointing this feels.
Topic: anxiety

Question: How can I get over social anxiety?
I have not had a friend since I was 19. I don't go anywhere, and I have no job, all because I'm afraid of people.

Answer (from Ben BraaksmaMental Health Counselor):
Individual and/or group therapy can be a powerful antidote for social anxiety. Often in therapy, the things that tend to get in the way of our securing satisfying and lasting personal relationships will appear in some way in the therapy relationship and a competent therapist will be able to help you work through this anxiety, in a sensitive way, and eventually encourage you to seek out the personal relationships that you want. In group therapy, you have an opportunity to have a relationship not only with the therapist, but several other people who are all in the group in order to give and receive mutual support to one another.