thejana/Elective_dataset huggingface dataset:
Topic: eating-disorders

Question: Can a therapist have a client admitted to an eating disorder treatment center if the client does not want to go?

Answer (from Ian Palombo#ThoughtMediator & #LifeUntangler):
Short answer: No.Long answer: There are few instances where a therapist can break confidentiality and have a client involuntarily admitted to a treatment center. The therapist would have to believe the client is a danger to themselves or others or gravely disabled, at which point they would place a mental health hold. The client would be much more likely to end up at a residential treatment center for suicidal ideation than an eating disorder treatment center. If you or someone you know is struggling with an eating disorder an outpatient therapist can help. If the client is not appropriate for an outpatient level of care the therapist would recommend a more intensive treatment level. Read more at denvermhc.com
Topic: relationships

Question: Is it bad that I'm giving my ex-boyfriend another chance?
I was in a relationship with him for three years. My mom doesn't like it because she thinks I'm making a mistake. He got married a few months after we broke up, and now he is divorced. I forgave him for what he did in the past, and he says he’s sorry and he really loves me. I love him too, but is it bad that I'm giving him a second chance again?

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hey, it might be mistake in the end but this is a risk you want to take and you get to make your own mistakes. Your mom wants to protect you; I get that. Maybe she is worried you'll be hurt again. Were you hurt in some way by him? Can you understand where she's coming from? Sometimes when we're mad at our partner and we complain about them to mom, it's hard to know how to repair mom's relationship with the partner when things are better and we reunite. Can you help your mom understand that you take responsibility for your part in how it went wrong; that the picture you may have painted of him isn't the total picture? She might need help there. Thank your mom for her love and care, and you can also let her know clearly that you and your boyfriend are the only ones who get to decide whether you're together or not, that it's a risk you are going to take, and that you really need her support. :)
Topic: anxiety

Question: How is it that I fear going to sleep?
I just about fall asleep then I can't help but sit up and walk around.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Maybe you are afraid to let go of your problems for a few hours.Although you didn't write this, usually what keeps people awake or prevents them from falling asleep are worries about certain situations in their lives.If this describes you then. maybe talk with yourself to convince you that you are entitled to a good night's sleep.Really we all are and feeling rested from the day and life's tensions will better you to handle whatever the particular matters are.Also, maybe you will be more enthusiastic to go to bed if you have a comfy mattress and nice pillows!  Make your bed an inviting place because this will tempt you to enjoy relaxing enough to go to sleep!
Topic: professional-ethics

Question: How do I approach my doctor about seeing a therapist?
I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.

Answer (from Danielle AlvarezLicensed Professional Counselor):
Thanks for your question. I'm glad you realize that you need extra support and are being proactive. Simply explain to your doctor the feelings you have been experiencing and how you feel that speaking with a mental health therapist would be beneficial. However, keep in mind that you do not have to go into detail about your personal feelings. You can simply state that you are feeling down, overwhelmed, stressed, or whatever it may be. I'm sure your doctor will be glad to direct you from there. Best of luck you you! I hope that you will be feeling better soon!
Topic: anxiety

Question: Do I text, call, or make contact first, the same day of the morning I left his house?
I've known him for about six years. We've dated off and on. I hadn't seen him in close to three years but recently started seeing him again. I really want this to last this time. I stayed the night. Do I text, call, or make contact first, the same day of the morning I left his house?

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
I don't see why you can't call, text, or make contact first. It would be up to him to reply when he can and wants to, but I don't know why you couldn't initiate contact.One thing to consider as you get to know each other better is having conversations about conversations. For example, you could say "I'd like to call or text you more often, but I'm concerned about _____ (listing what you are most worried about)." Then he can discuss his reaction and you can have a dialogue about it.
Topic: relationships

Question: How can I deal with a “crush” in a relationship?
I’ve been in a long distance relationship with my girlfriend for just over a year. This past week she admitted to me that she has feelings for another guy. She says it’s “just a crush” but I don't know how to cope with it.    How should I deal with this?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Did your girlfriend tell you her reason to tell you about the new person?Your feelings of insecurity is natural because you don't know where the crush fits into her life.Since any long-lasting relationship in which both people thrive, means each partner freely speaks their mind and will be listened and responded, then your current situation is a good one to start these foundations of talking with one another.Tell your girlfriend whatever is on your mind regarding her crush.   As your trusted partner, theoretically she would like to know all about how you feel.Keep the expectation that talking about anything at all, is the best sign of closeness.Once you learn more about this crush you can decide what, if anything to do differently in your relationship.
Topic: professional-ethics

Question: I'm in high school, and I want to be a psychologist
I just wanted to get to know one so I can hear about their college experience and the courses they took. I also wanted to know if they enjoy their job and how long they were in school.

Answer (from Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor):
It's a great idea for you to reach out to find a psychologist to talk to if this is a field you might be interested in pursuing. Regarding the length of schooling, it generally takes 4 years of college and an additional 4 to 7 years of graduate school to earn a doctorate degree to become a psychologist. There are also other similar professions, including counseling that don't require a doctorate degree. Licensed counselors generally completed 4 years of college and an additional 2 years of graduate school. If you are thinking about a career in psychology, the local APA chapter would be a good place to start to find a local psychologist to talk to. Here's a link to the NJ APA chapter:https://www.psychologynj.org/
Topic: anxiety

Question: I have come to the realization that my boyfriend and I want different things
I feel that I need to end my present relationship. He lives three hours away and likes the reassurance of having someone to talk to multiple times per day and seeing me once or twice a month. I want someone who is more present and more of a life companion. Lately, he has had a very busy work schedule and I have only seen him a few times in the last 6 weeks. I told him that I can't continue in this way because I constantly feel frustrated and angry and that he is not making the relationship enough of a priority. I also feel it is keeping me from possibly finding the relationship I want. We have been together 7 years. The problem is that I panic and experience anxiety and depression thinking of him with someone else and then thinking I will never meet someone I like. We have gone through this cycle already 4-5 times and I feel it is unhealthy to stay in it, but my aversion to the anxiety and depression I experience upon separation always leads me to reconcile.

Answer (from Rebecca WongRelationship Therapist & Connectfulness Consultant):
Sounds like your panic is less about loosing the relationship you are in (which by the way doesn't sound like it's meeting YOUR need for connection) and more about being alone. Being with him is serving you, even if the relationship is less than ideal, from being alone. Being alone can be scary. You'd have to face yourself. You'd have to learn to love and care for and cherish yourself. All important skills and tasks in maturing and growing up, but scary none the less. What if...What if you gave yourself permission to be in a relationship with YOU?
Topic: counseling-fundamentals

Question: What happens in a counseling session?
After first meeting the client, what is the process that a counselor facilitates?

Answer (from Elissa Grossclinical psychologist ):
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 !
Topic: legal-regulatory

Question: Is there anything I can do about my therapist blocking my psychiatric services?
I had a dispute with my therapist regarding an appointment cancellation. Now, she is blocking me from seeing other psychologists at the same clinic (which takes my insurance), which is also where I get my psychiatric services. There is a strict 48 hour cancellation policy, and my appointments are at 3:00 on Tuesday. I called to cancel at 4:30 the previous Friday. I was late, so we contacted my doctor to tell her that I would be out of town. She said I could do a phone in session. The thing is we do double sessions.

Answer (from Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor):
My recommendation would be to try to talk to your therapist about this  from your description, it sounds like you have a legitimate explanation for missing your scheduled session. Maybe if you could explain that to her she would be willing to work with you. If she is not willing to consider your explanation and if she is not willing to continue working with you, she still has an ethical obligation to provide you with referral resources to another therapist.
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 Marquita JohnsonLPC, MDiv, NCC, DCC):
I would be more concerned with how is this being addressed in therapy. Therapy can be a rewarding process, however often times we do not pay much attention to the messages being sent to our bodies. I believe in somatic therapy which deals with our mind & body connection. I would think it may not be a question of normal or abnormal however if it is impacting you then you must pay attention to that. It would be helpful to explore the feelings you're having  with your therapist. It may be something that needs addressing to help alleviate those feelings or have a better understanding of why they are showing up when it is time for therapy.
Topic: anxiety

Question: I'm worried about my new job
I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have "anxiety" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?

Answer (from Tara DixonFreedom from the past, control of the present, and hope for the future):
Getting a new job is both exciting and scary. The bottom line is that you were hired because you CAN do this job. Take a moment to reflect on all of the hard work it took to get here. Next, identify habits that are proven to reduce the chance of anxiety attacks and plan how you can incorporate these into your routine. Habits may include getting a healthy amount of sleep, eating a balanced breakfast, avoiding social media, or meditating on the way to work. When or if feelings of anxiety do start to creep in, reassure yourself that this feeling is temporary and will pass. When you can, be mindful of your breathing and take some deep breaths in slower moments. Most importantly, have confidence in your ability to do well. After all, you were hired for a reason!
Topic: grief-and-loss

Question: How do I deal with the pain of losing my baby?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Recognize and allow yourself to know your feelings.  And, let this process take as long as it naturally requires.  You won't feel this way forever, and the feelings will dissolve by themselves once you've accepted them.Also take good care of your physical self during your grieving time.   Grieving usually means people withdraw themselves from everyday life as much as possible.While emotionally it is necessary to primarily care about knowing your recent loss matters, monitor yourself to eat properly, keep your house in good shape, wash your clothes and take care of your personal hygiene.Otherwise it is possible to get overwhelmed from your own self-neglect of daily life.Finally too, a major loss such as you have, is a time for reflection and re-evaluation of overall life happiness and direction.Let yourself know more about who you are and in which direction you'd like to go as your grief feels more manageable and you regain interest in everyday life.
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 Joshua WeinrebCognitive Behavioral & Mindfulness Based Counselor):
Reaching out to talk about these issues is an important first step. Finding professional services might be recommended if these issues are happening more and more. A few things to note...Anger is an important secondary feeling to be aware of- it keeps us safe, allows us to stand up for ourselves or others....but it also harbors a myriad of disadvantages. But its secondary. It's more necessary to understand the primary emotions behind the anger- worry, confusion, frustration, fear, loneliness, etc...Anxiety has a lot to do with worrying about the future, especially things that we might not be able to control. If we focus our worry on negative things- mistakes, failures, or messups then we will inherently tell ourselves negative things about ourselves.  People tend to dwell on the negatives without embracing, or as t least recognizing, the positives.
Topic: parenting

Question: I think my daughter is stressing too much
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.

Answer (from Viviana  DiazLicensed Professional Counselor):
Topic: substance-abuse

Question: How can I stop abusing alcohol?
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.

Answer (from Bridget BorsdorfMA, LPC):
This relationship with your step dad sounds very challenging. It is hard to to be told over and over again how not good enough we are. Let me offer you this, frequently when we say harsh, mean, nasty things to others, we are simply projecting our own thoughts about ourself. I am not advocating that this is ok, it seems like your stepdad could also use some support. You get to make your own empowered choice around this, this is your life and if you find yourself in a situation that does not suit you make a change.
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 Ashton SullivanDialectical Behavior Therapy and EMDR):
You can never have too many issues to address I'm counseling!  In fact, I wish more people would come in sooner than later (or not at all) but I always say better late than never.  I think you will discover how everything you're experiencing makes sense when you connect the dots with your therapist.  Depression, anxiety, sleep disturbances, and low self esteem can all be symptoms of trauma/sexual abuse.  Your counselor will do an assessment and talk with you about your goals to develop a treatment plan.  Always make sure your therapist feels like a good fit, because research has shown that the therapeutic relationship is the most important factor regardless of the theoretical orientation or treatment modality.
Topic: workplace-relationships

Question: How do I get over a friend/coworker?
I am conflicted with this guy I work with. He is a coworker and close friend whom I've had a crush on since meeting him four years ago. We made out once after years of flirting. I was hoping for more, but nothing happened. I distanced myself a lot after.

Answer (from Alexandra LarameeTherapy Practice for Professional Women):
Hello! Emotions run high in "crush" situations and when emotions run high it's not uncommon for us to have emotion-based instead of fact-based thoughts. After reading your question, I wondered how you went from "making out" to "nothing happened?" I wondered if this happened because of an emotion-based thought that sounded like "If he liked me, he would make something happen." A truer and more empowering thought might be "I want something different to happen with him and I want to take a different action to see if that can happen." This thought focuses more on the one thing you can control: YOU.  Hopefully, the thought also empowers you to think through what you can do to gauge interest/talk with him about his feelings on the matter. I hope this helps and good luck to you!
Topic: anxiety

Question: How do I get over my fears of dying?
Recently, I had a close call after delivering my second child (blood clot followed by internal bleeding and several blood transfusions). It was a close call. I am currently undergoing medical treatment because of the event, and I am constantly afraid the whole ordeal will happen again. I have never really had anxiety in the past, but I find now that it consumes my every day and night. With two beautiful children to raise, I am most terrified of not being able to raise and protect them.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hi Meriden, it's natural that after a serious scare like that you would have some anxiety and fear. This fear is helpful to some extent, because it will assist you in taking care of yourself and not taking unnecessary risks with your health. You can say "thanks very much" to fear for trying to protect you, and then you can take steps to reduce it. Right now, fear is working overtime and stealing your quality of life. You can work to put it into perspective.I invite you to imagine that your job is to convince fear that you don't need it screaming in your ear constantly in order to be as safe as you can be. Imagine that fear is in front of you. It's saying "hey, you need me! If I wasn't keeping you alert, you would be very ill". Fear doesn't trust you to take care of yourself. What is the evidence you are caring for yourself and doing everything you can to prevent a recurrence? What is the evidence that this won't likely happen again (it was specifically connected to the stress of labour, right?). What is the evidence from your doctor that this is unlikely to recur? What is the evidence that you are healing? What is the evidence that you are very aware of the danger and will respond quickly if there is a recurrence? What is the evidence that worrying about it will hurt you, not help you? How many hours of your life do you want to hand over to fear?Fear is trying to keep you safe, but you can turn the volume down by talking to yourself about all these things. I wish you well.
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 Nykke GrunsteinMeeting the Needs of People In Need):
It is not a matter of training your therapist, they should now how to illicit the needed information from you to help you.
Topic: behavioral-change

Question: How do I stop sneaking away from home at night?
I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

Answer (from Joel DaughertyFaith-based Counselor in Lake Charles, LA):
I've talked to many teens who frequently sneak out. The question I always ask them is, "What are you getting from sneaking out that you aren't getting at home?" Many teens answer they are hooking up, using substances, and engaging in other risky behaviors. As uncomfortable as it might be, I encourage you to talk with your parents or guardians about the reasons why you are sneaking out. What are you getting "out there" that you aren't getting at home? A good family counselor can help sort through those issues. Good luck!
Topic: anxiety

Question: How can I get over my fear of accidental pregnancy to have sex again?
I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.

Answer (from Lovener WightmanNYC Counseling):
Alot of our choices have to do with what we have been taught and partly our fear of trusting ourselves to do what is right. There is so much more going on within you than you realize. We can help you bring it to the surface. Please contact us when you can and in whatever way you can to discuss what's going on with you.