thejana/Elective_dataset huggingface dataset:
Topic: counseling-fundamentals

Question: What are the skills needed by a counselor?
What are the basic skills a good counselor needs to have?

Answer (from Dr Traci KochendorferTime for you to " Claim IT" with over 15 years in health and wellness, Ph.D Psy.D D.D. F.P.L.C. recognized on TV and Magazines,):
Many skills and education and years of it plus experience.  And many have done or went through their own and can relate.  A lot of times many are just not happy with counselors with just the traditional type of education and want someone who can relate or even inspire to self grow.    They need to be creative and very authentic.  TO understand that it is not about the client thinking the counselor is going to solve their problems it is about separating and helping guide them to their goals as a result in what makes them a full filled individual.  Plus as a counselor we continue to expand our skills and we also have our own masters so that we can be better for our practice.
Topic: anxiety

Question: How can I talk to my psychologist about upping my dose of Xanax?
I’ve been on 0.5 mg of Xanax twice a day for the past month. It hasn't been helping me at all, but when I take 1 mg during a big anxiety attack, it calms me down. I was wondering how I can ask my psychologist to up the dose to 1 mg twice a day without her thinking I'm abusing them. I just have very big anxiety attacks. Should I stay on the 0.5mg and deal with the attacks or should I ask to up the dose? I'm afraid she will take me off them and put me on something else.

Answer (from Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting):
Hello, and thank you for your question. While counselors work closely with medical providers, and sometimes have discussions about medications with people, we rarely make recommendations about how much or what type of medication a person should be taking. This is because prescribing and advising on medication is out of our scope of practice. The only exception would be if a counselor is also a physician, nurse practitioner, physician's assistant, etc. Having said that, I certainly understand that anxiety is a real serious problem that many folks struggle with. If you are currently not in therapy to help you with these panic attacks, you should consider it. Medications can be helpful for anxiety, and medications like Xanax may help for immediate relief, but they do nothing to deal with the root of anxiety and may not help with anxiety long-term. Therapists who have experience in exposure therapies would be good people to start with. Exposure therapy has good outcomes for people with anxiety disorders and panic attacks. If you are interested in speaking with your provider about the Xanax, I think explaining it the way you did on here is just fine. The provider will then decide if they feel comfortable increasing your medication. Please remember that medical providers are not trying to give people a hard time. Medications like Xanax really are highly addictive. The more you take, the more you may feel you need. The more often you may feel you need to use it. Depending on the frequency and amount of use, some people suffer serious withdrawal symptoms when they do not take the medication. It is a good idea to talk to medical provider about all of those things so that you can partner on right course of action to manage this anxiety. I certainly hope that you get some relief.... I know anxiety is awful.Robin J. Landwehr, DBH, LPC, NCC
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 Bethany KelloggPlay Therapist):
Kids these days are facing a lot of pressure! Add to that COVID19 and pandemic related stress! Play therapy is a great way to learn coping skills and to help your daughter understand what she is going through. Usually there is an underlying issue that is bigger than something that seems silly on the surface. Remember what is silly to you may be a huge deal to her, so try re-stating and imagining how she may feel so she knows you care.
Topic: professional-ethics

Question: How does counseling end?
How does a counselor decide when to end counseling sessions or to terminate working with a client?

Answer (from Dr Traci KochendorferTime for you to " Claim IT" with over 15 years in health and wellness, Ph.D Psy.D D.D. F.P.L.C. recognized on TV and Magazines,):
There can be many reasons why?Client has reached their goals they hired the coach/ counselor forClient is not progressing or taking a path forward.Client is not a good fit
Topic: intimacy

Question: My wife no longer wants sex
I crave attention, companionship, and sex. She has had a hysterectomy, and she has a bad knee.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hi Hampton,Although I'd bet your wife also wants the attention and companionship, it seems that there are a few barriers in your sexual relationship right now. I also would bet that there are things that your wife would like from you. This is a very common issue; two people with different sexual drives or needs. If you both want the relationship to improve, a couple's therapist who works in sexuality is a great idea; it's a complex picture that you've only given us a glimpse of.In the meantime, you can try a few things: have compassion for your wife. She's in pain and this may preoccupy her. Sex may be uncomfortable for her. She needs understanding. You need understanding too, right?  Help her to see that you're not just angry, but lonely and hurt; it might affect how you see yourself as a man. Showing her irritability or anger might push her farther away.There are many ways to be close, intimate, and sexual that don't involve intercourse. You might want to explore some of these things and reassure her that you won't pressure her to have intercourse. Find out what your wife's wishes and ideas are. You might be surprised.These things take time to address, especially if they've been years in the making. I do recommend seeing that therapist. Relationships are very complex and it takes time to explore all the layers and barriers to change. Best of luck.
Topic: spirituality

Question: How can I help my fiancé accept and let go of my past?
My fiancé and I come from a strong Christian background but both went off the "straight and narrow" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others.    His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present?

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
One of the sometimes difficult things about being in a relationship is the fact that you can make goals for yourself, but you can't make goals for your partner. If your fiancé wants to learn to live more in the present and learn to let go of the past or move in a different direction, you can certainly assist him, but you can't independently make it happen.I wonder if both of you would be willing to have a discussion where he is able to explain to you what he is experiencing and you are able to listen for five, 10, 15 minutes in a way that is not blaming or pointing fingers or asking him to change, but just listening (kind of like an investigative reporter) so you can have more details and ask questions that you may have about what certain things mean, when it feels like to to him when this is discussed, etc. At that point, maybe he would willing to listen to your thoughts on the subject as well.Also, if he wants to make a change, it may be helpful to see a therapist who specializes in working with couples. Sometimes changes such as these require a great deal of personal awareness and there can be quite a bit of emotions attached, so it is often helpful to have someone there to assist.It may also be nice to have a discussion where you consider what makes you feel valued, appreciated, special, or loved, and also consider what makes your fiancé feel that way.
Topic: intimacy

Question: How can I tell if my spouse had sex with a prostitute?
My spouse visited the red light district a couple of years back in Amsterdam. After he got back from the trip he got me tested for stds. In the aftermath he has provided multiple versions of what happened, from having a total blackout to being touched by a prostitute. How do I know if he had sex?

Answer (from Amanda SamuelsCo-Parenting and Infidelity Couples Counseling):
That is great that he shared this information with you, that you were tested (and hopefully everything was okay), and that he continues to answer your questions about the event.  It sounds like you are still having some trouble with what happened, and that is okay, and normal/natural.  The question I want you to focus on is why you want to know if he had sex with a prostitute?  I want you to think about what this information would do for you, how you would use it, what-if anything would change in your relationship because of this information.  I also want to ask yourself if you feel like you trust your husband?  Has he done anything like this in the past or since he shared this information with you?  I don't have an answer for you and you may never know, because it sounds like he might not even know.  He did share this information with you, he did make sure to care for you and make sure you were tested for stds, and he does continue to try to answer your questions.  I'm sure he feels a lot of shame and guilt about this experience and understand that you are still feeling hurt and confused by his actions.  I think it is important to explore the event, how you are both feeling about it, and even discuss ways to feel safe when he travels again if that is something that is causing stress and anxiety.
Topic: self-esteem

Question: How can I care less about what people think?
I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me. Why do I feel this way?

Answer (from Cory Ian Shafer LPCPsychotherapist, Jungian, Hypnotherapy):
My first reaction to this is that It sounds like you rely alot on the impressions and projections of the outside world, that you need validation from other people to compensate for a lack of something on the inside, build yourself up on the inside, work on yourself, use positive affirmations daily, it would be wise for you to research some self-construct theory and do some self-concept work.Hope this helps,C
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 Viviana DiazLicensed Professional Counselor):
My love lots of empathy for you and your mother. I am not sure if you are taking care of her or not, but it is difficult to see people we love change. I think that your anger speaks about you may be frustrated with the mother you cannot have right now. This is also a loss as well. Your mother and her condition may impact her more with time. I think it is important for you to seek support with medical providers for guidance. They may be able to offer you connection to support groups for family members. Your mother is experiencing an illness that is also changing your life. If you are unable to be connected, find a therapist on your own to support you through your own feelings. Wish you the best for you and your mother.
Topic: counseling-fundamentals

Question: How does counseling help people?
Does counseling really do anything that can help people?

Answer (from Chris McDonaldHolistic Counselor):
Counseling definitely helps people!  I have seen so many positive changes from those willing to engage in the counseling process.  Having a safe place to openly share concerns with an objective listener really is therapeutic and can make a huge difference in your life.    Many times people don't feel heard or validated by people in their lives, counseling call help validate your feelings and help you become more self-aware.  You can learn new skills to better manage your life as well.  I find the people who get the most out of it are the ones most willing to make changes.
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 Angie StonesThe future depends of what you do in the present!):
Remember, the past no longer exists and the future is just an illusion as we don't know what will happen tomorrow, so take the present as your guide. That is all we can do, so keep saying this to yourself and try to help someone each day.  The happiness is helping others to feel a bit better.
Topic: depression

Question: How can I help my husband after a suicide attempt?
After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
I appreciate that you are concerned about your husband's emotions and want to support him as best you can right now. I imagine that you must be going through your own difficult time too. You've had a complicated shock and trauma in your life and in your marriage; it's normal for both of your emotions to move from hope to despair to fear, anger, gratitude... there is no wrong way to feel and there is no particular pattern your emotions or his will follow. Try not to assume what he is feeling but ask him instead. "How are you doing today?" is something that can be asked over and over again and your love and compassion for him will come through. If he has a hard time talking, you can share your observations. "I notice you're more withdrawn. This worries me." Certainly it will help you if you know what he's thinking and feeling because he hid his intentions to hurt himself. It's normal that you want to know. If there is depression and hopelessness, this likely was part of what led to his initial despair. There is help out there. Depression is treatable, and seeking that treatment is important right now at this vulnerable time. This is the kind of complex situation that can be assisted by a therapist who is qualified to help you both understand and manage your emotions. Whether your husband seeks help or not, I hope that you do.
Topic: marriage

Question: What makes a good marriage?
What makes a healthy marriage last?

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
This is a fantastic question. In one sentence, I would say the following:Recognize that while you and your partner probably have common interests and areas of commonality, you are separate people, each with different wants, wishes, and desires – if you consider a diagram of two overlapping circles, they may share perhaps a third of the circle with overlap to indicate commonality (could be more or less) and then there are parts of the circles that are not overlapping, indicating separate interestsAs for ways that may strengthen any relationship, even the great ones, this is what came to mind. There are certainly more specific unique answers or elements for different people as far as the details, but here are some general ideas:Try to have at least 15 minutes a week where you are spending time together and not problem-solvingRealize that listening to your partner does not mean that you are agreeing with them, it just means that you are saying that you hear where they are coming fromLearn to hold on to your own wants, wishes, and desires while also recognizing those of your partnerSet boundaries for what is and isn't acceptable behavior during an argument or difficult discussionDiscuss how having important discussions can be anxiety-producing and consider having an understanding that if one of you (or both of you) feels overwhelmed, you can take a timeout for a certain amount of time. For example, you may say "okay, I'm feeling really stressed about this right now. Let's discuss it in an hour." And at that time, go back to the discussionConsider what your partner's top three or four complaints about you may be. Check in with them and see how accurate you are. If you see validity in their responses, consider whether or not you may want to make changesDiscover what makes your partner feel loved, valued, appreciated, or specialRelationships are always in progress and constantly changing. Some anxiety around change is typical. Being able to effectively discuss the anxiety and actually listen to one another without being defensive, name calling, finger-pointing, or asking each other to change is a true gift.You may enjoy this quote: "Connection is the energy that is created between people when they feel seen, heard, and valued; when they can give and receive without judgment." ~Brene Brown
Topic: depression

Question: Should I go back on my medicine?
I have experienced cycles of depression for the past four years, and it hits me harder every time it comes back. This past time, it was extremely debilitating, so I went on Wellbutrin. I could feel the effects of the medicine after the first week. A month and a half later, I decided that my depression was being caused by my own unwillingness to move forward and address my behaviors and thoughts that were keeping me in a place of despair. I became worried that the medicine was making me complacent and prohibiting me from working out what I needed to in my life to bring back true fulfillment. I stopped taking it a month ago and feel okay; a lot of the anxiety it was paired with has gone away. However, I still don't feel my sense of self has been completely regained, and I have days where I feel a zombie-like haze of having no interests or the ability to fully concentrate on anything. Is it better to continue letting time and good habits work out the remaining depression or should I go back on the medicine?

Answer (from Ben BraaksmaMental Health Counselor):
Deciding whether or not psychiatric medicine is a good option can be complicated, as you have noticed, and only a person who is licensed to prescribe can give you medical advice regarding medications. While there is sometimes relief from symptoms from medication, as you have pointed out, there are often negative side effects as well. While I can't give you advice on whether or not to continue medication, I would urge you to take an inventory of the positive and negative effects that you have noticed and educate yourself as much as possible about the short and long-term costs and benefits of psychiatric medication. If you can find a doctor, psychiatrist, or ARNP who is competent in mental health, it may also benefit you to consult with them.One thing that I am wondering about is, what is your support system like, in regards to your fight against depression? Are you seeing a therapist or attending any therapeutic or supportive group? While there are many things that one can do on their own to work through challenges such as depression, psychotherapy has been shown time and again in research to be highly effective and sometimes having a relationship with a caring, competent professional who understands depression and ways of helping can make a huge difference.
Topic: depression

Question: How can I find myself again?
I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments.

Answer (from Ashlie BrownCounselor & Hypnotherapist):
If you are a people-pleaser type or a natural caretaker, you can slowly "lose yourself" over time if you are always tending to the needs of others and neglecting yourself.  If this sounds like a familiar pattern for you, this may have happened without you even realizing it if you were raised in a family where you had to pick up the slack alot.  Maybe your parents were addicts or they might have even just worked all the time and you learned to "take care of everything" because that is what you had to do to help the family run smoothly. Over time, a person who grows up in this type of environment learns that you put the needs of others before your own.  You might also be stuck in these types of patterns in intimate relationships as well; if you completely give yourself over to your significant other and you don't create a life for yourself with your own interests and supportive friends, you are at risk of losing what is unique and amazing about you.  If you grew up in a family where you learned this role out of survival or because it was needed to take care of your family, it's easy to re-create this in adult relationships.In both scenarios, if there is no awareness that this "self sacrifice at the expense of others" is going on, your identity is shaped around being a caretaker/enabler/people-pleaser and down the road it can lead to depression, low self esteem, and a confused sense of self.  Basically, you spend so much time helping other people that you don't make time for yourself or create a life of fulfillment.  Before you realize it, you have been living a life for others instead of yourself and you have no idea who YOU are.  Supporting loved ones and friends is important and certainly admirable, but if you are always that person that rescues, those that rely on you begin to take advantage of you and they will suck you dry if you let them.  In conclusion, learning to set boundaries with those in your life that are too needy becomes a really important part of the process when you begin to recognize that you are unhappy and unfulfilled in life.  It sounds like you may be at that crossroads right now.  Take one small step at at a time.  Identify the worst offenders in your life that suck time and energy, and limit your contact and/or set some strong boundaries with those people so you can refocus and do some soul-searching.  Meanwhile, engage in pleasurable activities with people you enjoy being with, get yourself outside in the fresh air, get some good sleep, and eat some nourishing food!