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 Amber HarrisLife Can Suck, Let's Talk About It. ):
No, you do not have too many issues to address in counseling. A lot of people present with multiple issues they want to address, and that shows good insight. Usually in therapy you find that everything is connected together, and the issues are more intertwined than previous thought.
Topic: family-conflict

Question: My sister and my husband had an affair
It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
What is going on in your life that brings up more sensitivity to the affair?The best way of handling your hurt is by noticing your own feelings and the current circumstances that increase your sense of pain.Concentrate on your own life and making your life the best it can be.
Topic: self-esteem

Question: How can I not hate myself?
I feel like I'm ugly, stupid, useless, and that I can't make anyone happy.

Answer (from Erica FaulhaberEating Disorder & Trauma Therapist):
Check out my blog post on:  Four-ways-add-self-esteem-friends-list/I hope this offers you some nuggets of helpfulness!
Topic: anxiety

Question: How do I overcome my fear of eating in public?

Answer (from Kaileen McMickle, MS, LPCLicensed Professional Counselor):
It's so brave of you to want to confront your fear! If you want to work with that fear, it might be helpful to try it at home first with someone you trust.  Because the nation is basically in lock down right now, it could be an opportunity to prepare this way.  Notice what you may be thinking when eating in front of someone.  You could even get a recording of a busy place and do some imaginal exposure--imagining an experience while sitting through the rise in anxiety.Once public places start opening back up, you can start small--maybe with gum or something that doesn't fill the mouth too much or create a loud noises.  If you do this repeatedly, it will tell your brain that eating food in public is not dangerous to you and nothing bad happens.  The more you practice doing this, the less scary it will become.  If you avoid it, it will teach your brain that it's a situation to fear.  It's not always possible to stick through it every time (just do the best you can at the moment) and keep trying.I don't know enough about your situation to comment on any other factors, but it's possible there are some social anxieties underpinning your fears.  Pretty common to feel super insecure with food if you fear judgment of others or ruminate on being ridiculed.If you have someone in your life that can just be with you while you practice this in public, that may be a way to keep yourself accountable and get some good support along the way!
Topic: depression

Question: Does my fiancée need a service dog?
My fiancée suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. She curls up in corners at the mall and has panic attacks. She won't eat or drink in public. If she isn't having a panic attack or crying, she's clinging to me and avoiding everything and everyone. Her depression flares up out of nowhere and causes her to become very suicidal and self-harming. She get really sick from anxiety and scared to the point that I can't even get her to eat, drink, leave the bed, or go outside. She always tells me how she grew up around so much fighting and fear that it makes her scared of loud sounds, yelling, conflict, and even talking to strangers in public. She will refuse to go to a store unless I am with her to talk to the cashier for her. She is so scared that I can't even get her to drive. She doesn't want to get her license because she's scared of trying to drive.
   Some people have recommended medication, but I believe it's just going to cover up her illness and not solve it. I don't want my fiancée pumped with drugs. I believe a psychiatric service dog would be the best bet for her. When we first met my poodle, it would calm her down a lot. She took the dog out every time we went out, and she seemed much calmer and happier. She slowly would eat, and the dog seemed to make her feel a lot better. I am worried and want to help her without medication.

Answer (from Margaret Van AckerenMA, LMFT):
It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health issues. Based on what you have explained, it sounds like she needs to get a medical and/or psychiatric evaluation. Whether or not she decides to take medication is her (and your) decision, but keeping an open mind about treatment options is important. I suggest that she see a therapist on her own in order to better understand and cope with her anxiety and depression, especially given her suicidal thoughts. You would also likely benefit from therapy, individual or couple's therapy, in order to address how you are feeling and best learn how to support her and your relationship. I wish the very best for both of you and hope that things will improve sooner than later.
Topic: depression

Question: is it normal not to feel empathy?
I can't seem to feel any emotion except anxiety, not even for myself.

Answer (from Charles LucasHealthFit Counseling: Solutions for Change):
Thank you for posting.  I'm interested to hear some more information; such as, if you live by yourself or family, if you go to school/employed/unemployed, and what kind of things do you like to do with friends or by yourself.  Often times, when we are experiencing a strong emotion that we interpret as negative, we put most of our focus on that negative emotion and struggle to see that we do not always feel that specific emotion.  There are typically points in the day (even if it is for only in 1 minute intervals) when we do not feel that negative emotion.  When we overgeneralize, we use words like "always" or "never" and when we use those words and it may not be totally true, we feel the negative emotion based on an inaccuracy which is not fair to you.  Ask yourself some of these questions: Am I being realistic when I'm overgeneralizing things? Have I ever noticed a short period of time that I wasn't feeling anxious?  What do I notice when I am feeling anxious? What am I thinking about?  When was the last time I felt empathy?  What was different when I was able to feel empathy?  Hopefully this helps get you started.
Topic: substance-abuse

Question: How do you know if someone is an alcoholic?

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
Basically, being an alcoholic means that someone really depends upon alcohol and does not function well or becomes sick if they do not have it.There is also this acronym that may help:Have you ever felt you needed to Cut down on your drinking?Have people Annoyed you by criticizing your drinking?Have you ever felt Guilty about drinking?Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?There is an online assessment from the National Council on Alcoholism and Drug Dependence: https://www.ncadd.org/get-help/take-the-test/am-i-alcoholic-self-test There is other information on this site as well.
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 Dr. Timothy Paul'man'; Online - "Natural Health Consultant and Coach"):
Erection maintenance is caused by connective tissue weakness as well as lymphatic stagnation of the area and accompanying channels.  A proper detoxification is necessary to reverse the stagnation and get things flowing again.Lower circulation and pituitary might also be indicated.Medical will likely not recommend anything useful in the long term (pharmaceuticals do not solve a problem, only suppress it; and, it will return again later and worse than before);Certain herbal protocols and natural protocols would be very warranted in getting things going again :)
Topic: depression

Question: How do I tell my parents that I'm depressed and need help?
I'm depressed. I have been for years. I hide it from everyone because I'm scared of the reactions I'll get. Last time I tried telling my parents, it was a huge argument about me being too young to be depressed (I’m a legal adult), calling me ungrateful, and telling me that if I can't handle things now, it's only going to get worse in the future (which is turning out to be true). It's exhausting pretending to be okay, and I don't know how much longer I can try. I'm just really tired, and sadly, I can't afford the help I need on my own.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hi Georgia, There's a really good lesson here. People tell us things, and we tend to think that's the truth...but it's not! I'll do some translating for you..."You're so ungrateful" means "I need you to be successful and happy in order for me to feel I'm a good parent"."You're too young to be depressed" means "I don't want to deal with your mental health issues right now. I'll pretend it's not happening so I don't have to face my fear and shame"."It's only going to get worse" just means "I don't know how to support you beyond scaring you into wanting to at least fake happiness for my sake".Your parents are being unsupportive, not because you're not suffering, but because this is all they're capable of right now. They are not where you will find the support you need, so keep looking for it in other places. It's out there. If might be an aunt or a friend, or a friend's aunt. It might be a therapist or a bus driver or your family doctor. Keep looking for someone who will hear you. I hope you don't ever give up. :)
Topic: relationships

Question: How do I help my partner overcome depression over not having his kids by his side all the time?
My partner seems to always get depressed over the fact that his kids have to see and go through the divorce process. It’s especially when the mother of his kids keeps making him feel bad and using the kids as an excuse to get back at him. I feel like just telling him to go back with his family and forget about me.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hold on, Sanger! You know, I meet with a lot of people who are so sick of the crap that their ex puts them through in the divorce process that yes, they wonder if it's best to go back. I don't think so.If your ex is using the children to manipulate, or is generally controlling the separation process, that's confirmation that getting out was the right decision.Your partner feels powerless to change the current situation. Of course he does, because there are many things that are beyond his control (his ex's behaviours, for one). Accept the powerlessness. Lean into it. It's okay, because there are many things he does have power over, and that's where he can focus. He has the power to give his children a happy dad. That's HUGE. That's why he left, I'd guess. I bet the main barrier to him being happy is the guilt he feels. That's his ex's voice...that's what she wants him to feel...to give into that is letting her win. Ending a marriage in order to be happy is his right. He has not intentionally harmed his children. Hopefully he's aware that the separation has  affected them and he's working to create peace and balance in their lives, but he's can let go of the shame she wants him to feel; it's crippling him.He has the power to separate emotionally from his ex. He's not doing that when he lets her words control his emotions. He's still reacting to her. He hasn't completely left yet.A good therapist can help your partner regulate his emotions, combat shame, create emotional distance from his ex and erect proper boundaries. He needs your support in moving forwards, not going backwards. I wish you the best.
Topic: social-relationships

Question: How do I learn to let go of past problems and live one day at a time?
I would like to be able to have more positive relationships in the present.

Answer (from Reid StellReid Stell Counseling):
Staying present is an attitude most of us aspire
to, and most of us have to work at it—certainly at first. I’m here to tell you
that living in the now or being mindful is a skill anyone can learn. Unfortunately,
the only way to do it is to do it. What a paradox! But there are plenty of
other skills that we are not born with: walking on stilts, riding a bike,
swimming, and driving a car are good examples. You can’t learn them by reading about
them.Having said that, I can recommend two books on
the subject: Eckhart Tolle’s The Power of
Now and David Richo’s When the Past
is Present. Richo asks that we don’t beat ourselves up about dwelling on
past events. This is nature’s way of reminding us that we have unfinished
business. But while we are attended to the wounds and confusion that litter our earlier lives, we can prepare to inhabit the expanded present that awaits us.He offers three helpful steps to making any important life
change:Step One: Hold in awareness the behavior,
belief, attitude, or characteristic you want to change in yourself and how you
want to be different. Awareness is the opposite of distraction and stuffing.Step Two: Live as if you have
already made the change. (This is hard and takes courage, but you can do it.
Ride that bike—even if for a foot or two.)Step Three: Be persistent.
(Practice, practice, practice.)Just as two-year-olds are able to walk
confidently after hundreds of hours of practice, you’ll be able to stay in the
here and now as long as you want after trying and failing many, many times.
Topic: counseling-fundamentals

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

Answer (from Abigail EckI'm so grateful you're here. Finding a therapist is scary, so I'd like to make this comfortable for you.):
YES. Absolutely it is appropriate to cry during a therapy session (or all of them). Crying is a physical representation of acknowledging, expressing, and releasing emotion. Our bodies are very smart and often know what we need to heal. The urge to cry is our body telling us it may be time to let some stuff out.
Topic: parenting

Question: Should I feel guilty if my adult daughter cannot afford to go on a family vacation?
I have four children. One of them is in her 20s, and she cannot afford to go, nor can I pay for her. She went last year for two weeks by herself.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Of what do you feel you'd be guilty?Family vacations are not a basic human right to existence.  They are fun, ideally.  You're not violating a basic human right.  You wrote that you don't have enough money to pay for her to come along.You may find yourself feeling more guilty toward yourself if you give more than you reasonably can afford to give.My suggestion is to tell your daughter your reason for not taking her along. Maybe this will open more dialogue between the two of you.
Topic: parenting

Question: Does my daughter have a mental disability?
My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
If your daughter is the same age as most of the other students in her class, and the other students easily complete the tasks you list here, then there is a problem in the performance of these tasks for your daughter.Without knowing more about the context of your daughter's life, for example, is she a new student to the school and class, are there major stressors in the home environment, does your daughter have friends, does your daughter have the same problems she has in school, when she is in other environments?Also, who is telling you she has these problems?  Are you the one who notices what you describe here or is your daughter or is her teacher telling you these facts?Depending on your answers to the questions, start to get clarity with the classroom teacher and the school guidance counselor as to the source of your daughter's problem.Good luck!
Topic: professional-ethics

Question: What is the proper procedure if your child's therapist is leaving the practice to work elsewhere?

Answer (from Mark Morris, LCSWTherapist and Author of Living Yes):
Ask the therapist first.  They will either tell you how to continue with them in the new job or give you a referral.  They also will help your child with the transition.  If that fails, ask the agency where your child sees the therapist about next steps.  There's an agency director or equivalent who will probably be happy to help you. If that fails, and I hope it doesn't, consider finding a therapist on your own.  If the therapist is not helping or is behaving unethically, contact the state agency which issues the therapist's license for help and to let them know about your experience.  That will protect the next parent.  Good luck.  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)
Topic: anxiety

Question: How do I get over my anxiety of talking to new people?
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.

Answer (from Kaileen McMickle, MS, LPCLicensed Professional Counselor):
Talking to people can be pretty scary.  When we talk to people, sometimes we overanalyze what we say or how we react in fear that we will seem weird or they won't like us, which makes us appear awkward.  So that overthinking piece can ironically work against us.When you talk to them, really spend time to listen to what they are saying.  Your default may be to think about how you will respond or what's cool to say, but people like it best (usually) when you are genuine and yourself.  If you focus on what you are paying attention to (them), then you will naturally have a response.  If you can overthink about yourself, you can definitely have some thoughts pop up when talking to other people!Also keep in mind that if the conversations turn out to be less than you'd hoped for, that's OK.  I'm assuming you are in high school, but in any situation with peers, if they don't like you then they aren't worth all your worry and effort.  Give change a chance--you've endured change in your life before this, so let it happen again.  You are in control here--you get to choose who you talk to and don't talk to.  That can be powerful!
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 Lindsey Brooks, PhD PsychologistProgressive Therapy San Francisco):
I am so sorry to hear this has been your family’s reaction. It is truly heartbreaking to hear. The important thing to remember is that your identity as bisexual is valid and you are worthy of love, no matter what other people say.The other therapists below have given you some great advice on how to cope with your family's reaction and how to manage the pain you are feeling. I wanted add to their responses by sharing a few resources on ways to connect with bisexual community.To know you are not alone. To see yourself reflected in others. To hear others stories of how they have coped. These things can help you stay strong during difficult times. I hope these resources can do some of that for you.Online blogs, resources, and stories: https://bisexual.org/, https://www.binetusa.org/Find a Bisexual support group: https://www.binetusa.org/bi-groups-in-the-usBisexual Podcast- https://www.binetusa.org/the-bicast Find Bi-Affirming Professionals in your area - http://bizone.org/bap/In Solidarity,-Lindsey
Topic: family-conflict

Question: No matter what I do, my mom will almost always find something wrong with it
My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this?

Answer (from Michele RameyMRTherapy, LLC- Because Help Is One Of A Kind):
Let's acknowledge the fact that your mom has Alzheimer's and some who you know about her is not present sometimes. That's a part of the disease, we know. Let's also acknowledge that just because she has Alzheimer's doesn't mean that when that comes up for her a part of your brain does pauses or becomes something rubber so that what you experience during that time bounces off of you and doesn't get placed into your subcortical brain or deep limbic system. Your brain still takes in what is coming at you and that is tough. You are human and you have feelings and your feelings are present  and they matter! You are right, it isn't her fault, it's a part of the disease. I often work with my clients in session on the present feelings through Brain/Bodyspotting to help cope with these feelings. If you know someone who does it, I would do a couple of sessions to notice the guilt, when it first came up, where you feel it in your body, what it does or tells you, or where it goes. In order for us to feel better, we can't avoid the experience, we have to give space for it, for your brain to work itself out. Hopefully that helps!
Topic: depression

Question: How can I be less paranoid at night?
I'm currently up paranoid about, well, everything. I can't get to sleep, and I have a feeling of being watched constantly. I have extreme depression and anxiety. I'd really like to not be this paranoid and go to bed. I've tried night lights, ambiance, and warm baths.

Answer (from Kaileen McMickle, MS, LPCLicensed Professional Counselor):
What kinds of things help you to feel safe?  I think it's great you've already tried a few things to help yourself sleep, even if they don't work.  Those methods of coping could be targeting something other than paranoia--which is maybe why you aren't finding those things are helpful.  If you are really struggling, sometimes meds can help to calm the brain a bit.  If you choose this route, make sure you give your prescribing doctor all the information about your symptoms so your meds can be as accurate as possible for what you're dealing with.If you have access, counseling could be beneficial as well.  There are more and more counselors becoming available via telehealth because of COVID, so you could even find someone to help you right in the space you feel most paranoid about (given that space is private).  Either way, talking some of those fears through could at the very least bring some insight, if not some relief.