thejana/Elective_dataset huggingface dataset:
Topic: depression

Question: I have long spurts of depression, anxiety, and need change constantly—why?
I'm depressed often, and my mind goes a million miles a minute. Every once in a while, things are okay for a few days. After a bit, I start noticing that I am picking at my skin profusely. After roughly a week, the anxiety is back and still picking. Sometimes I find myself causing fights to have change.

Answer (from Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting):
Hello, and thank you for your question. I am very sorry that you are struggling. I have a few thoughts and perhaps some of my colleagues will add something else. Depression and anxiety can both be chronic conditions, as you have experienced. This means that they may always require treatment in order to have some kind of relief from them. Treatment could mean medication or some kind of counseling. Some people may take medication for the rest of their lives. Some people may go to counseling at times when the depression and anxiety worsens. As you mentioned, sometimes the symptoms improve for a little while, but they can also come back. When they do, it is important to talk to your medical provider if you are getting medication, and/or to go back to your counselor and talk to them about the symptoms that have returned. Skin picking and some other behaviors are not uncommon for people who are experiencing something like anxiety. Many people report that they do this when they feel anxious, and some say it calms them down. It is not really a surprise that you are constantly trying to change things and even starting fights to do so. These are ways to try to avoid, escape and distract yourself from the feelings of anxiety and depression. That is a very normal thing to do. Nobody likes these feelings, and so distraction is something we naturally try in order to get rid of them. The problem is that things like distraction and escape do not work as a long-term solution. In fact, they usually make things worse for many different reasons. Depression and anxiety can  be treated, but it is likely something you will need some help with. I would recommend finding a counselor who has experience with anxiety and depression. Medication can be helpful, but I still recommend counseling. The reason for this is that the medication can help with symptoms, while the counseling can address the symptoms and provide you with very helpful skills. Be well,Robin J. Landwehr, DBH, LPCC, NCC
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 Jennifer GerlachYour Story Matters):
I do not think there is such a thing as a psychotic seizure, however, there is something called a pseduoseizure or psychogenic non-epileptic seizure. Basically, this is when a person shows signs of a full-on seizure (such as falling and convulsing) but they are not producing brain waves consistent with a seizure. Psedoseizures tend to be brought on by high stress, emotional challenges, and trauma history. You can learn more here, https://www.ncbi.nlm.nih.gov/books/NBK441871/ Still, the best way to now what your doctor meant would be to ask them! :)
Topic: anger-management

Question: I need help controlling my anger
My long-term girlfriend broke up with me recently. She says it's because of my anger.

Answer (from Vivian D. Echevarria Guzman, MSC, LPC-S, NCCBilingual Licensed Professional Counselor):
I need help controlling my anger.Anger is like a blanket that contains other emotion from bursting out and serves as a shield to protect us when we are not able to manage external issues.   Anger also helps us understand that there’s something wrong that needs to change.  Once we understand that something else caused us to feel angry, then we can explore the source of anger. Ask yourself: Why am angry, Am I hurt, disappointed, confused, embarrassed etc.?  Once you find the answer, explore how often that happens and what’s your reaction.  Then explore how else you could respond or react.  You could use I-statements as a way to communicate your true feelings to your girlfriend or whoever is involved in the scenario.  This is a good exercise to practice with your Counselor or mental health provider because many unresolved issues may arise during this exploration, especially if you have been angry for a long timeAlso, it is important to understand the difference between anger and aggression and learn to manage our anger before we act on it.  Anger is a feeling; aggression is when you act out your anger physically, verbally and psychologically.  Find ways to vent: crying or sweating will help to release your anger, and balance the chemical response that our body creates when you become angry.  Physical activity and meditation exercises can also provide a break when you manage strong emotions.Necesito ayuda para controlar mi coraje.El coraje es como una manta que cubre otras emociones evitando que se desborden y sirve como un escudo que nos protege cuando no podemos manejar problemas externos.  El coraje también nos ayudo a entender que hay algo mal que debemos cambiar.  Cuando entendemos que algo mas causo el coraje entonces podemos explorar la fuente.Pregúntate a ti mismo: ¿Por qué tengo coraje, estoy herido, decepcionado, confundido, avergonzado, etc.?  Ya que encuentres la respuesta, explora cuan frecuente tienes esa reacción.  Luego explora como puedes reaccionar en otra ocasión.  Puedes usar expresiones del Yo para comunicar tus verdaderos sentimientos a la persona envuelta en la situación.  Esto es un buen ejercicio para practicar con tu Consejero o profesional de la salud mental ya que otros conflictos sin resolver pueden surgir durante este proceso de exploración.También es importante entender la diferencia entre el coraje y la agresión, y aprender a manejar el coraje antes que actuemos.  El coraje es un sentimiento y la agresión es cuando expresas tu coraje agrediendo a alguien, física, emocional o sicológicamente.  Encuentra maneras de desagotare, llorar o sudar te pueden ayudar en este proceso al balancear la respuesta química que crea el cuerpo cuando estamos molestos.  El la actividad física y la meditación también pueden ayudarte a relajarte y tomar un descanso cuando manejas emociones fuertes.
Topic: relationships

Question: My new husband is constantly talking to himself
When I ask him who he is talking to, he tells me no one. But, it sounds like he is holding a conversation with someone. I have even accused him of having a secret cell phone. I ask so much, I feel like I am losing it. Is he trying to make me question my sanity, or is he talking to himself?

Answer (from Diana Johnson, MS, LPC):
A rare topic & likely extremely troublesome for you... I would need to have more background information on the two of you before beginning to offer any insight. Feel free to email me.I would also like to add that aside from the reality of whether or not these conversations are actually occurring, as your partner, he should be just as concerned about something that is disturbing you to this level.  Partners need each others' trust and support, no matter who is right or wrong.
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 Amelia Mora MarsHi, I'm Amelia. I help overwhelmed, stressed out teen girls and women find peace again.):
Hello! You may have heard the saying that counseling is like peeling the layers of an onion. Whether a person comes to therapy with many issues on their heart and mind or whether he/she comes with something specific, one issue leads to another. Please don't feel as though you have too many issues. You are important and worthy. On the plus side,  you are a breast cancer survivor and have a wonderful marriage! Seek the help that you deserve.
Topic: family-conflict

Question: I want to make my own decisions
I have a mother who is still running my life even though I'm almost 30 years old. I want to move out and live my own life, but it feels like as long as I do what my mom wants our relationship is okay. It's never okay if I don't do what she wants.    I don't know how to start making my own decisions and not worry about whether it's right in her eyes. Would it help for me to talk to someone about this?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
If the only way the relationship you have with your mother feels "okay" is when she is the only one who makes decisions concerning your life, then this only seems ok.In fact it is not okay for one person to be the authority for another person unless the one for whom this is being done, does not have their own ability to think for themselves.Separating your own wishes and way of handling life matters, from your mother's point of view, may be difficult.First, realize you need to get familiar with feeling at ease with the idea of deciding matters for yourself.You'll need practice until you feel comfortable.Unless, if you've been thinking through decisions you'd like to make and the idea of your mother's anger is the only point which stopped you, then you may almost instantly start living in a liberated way of running your own life.Basically, it is right and fair for you to have the chance to live your life the way you feel is best.   Be prepared that your mother may disagree with you and that her disagreement is not a reason itself to not do what you believe is in your best interest.
Topic: anxiety

Question: I always fear that people are judging me
I know this fear doesn't make sense. How can I overcome it?

Answer (from Dr. Meredyth LawrynceServing Clients Nationwide):
We often feel people are judging us, because we are judging ourselves.  Investigating how you feel about yourself, your own self confidence can be a Segway into why you feel others are judging you and also why others opinions matter and if you are using that as the scale by which you estimate the total sum of your worth.
Topic: depression

Question: I think my friend might have depression
She has trouble falling and staying asleep and she's always either extremely hungry or not hungry at all. She also gets angry and feels like crying really easily for no reason. She says she is always "kind of down."
   Is this depression? What can I do to help her?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Sounds like signs of someone who is depressed.Since the person in question is your friend, offer your friendship to listen to any situations or feelings she has about herself and the way her life is going.Depressed people are often lonely people and feel as though no one around them cares or notices them.  Your willingness to be available to her may lift her spirits.  Feeling loved goes a long way to dissolving depressed feelings.Also, if in the beginning when you offer to talk, there is a high chance she'll be defensive and turn down your offer.Try again on another day and then another day.When people feel depressed they usually shut down.  So you may need a few or several tries before your friend accepts your offer to show her you care about how she is doing.Also, watch for signs within yourself that your friends' depression is not sinking your emotions.  Depressed people are draining to be around because they often see and talk about only the negatives and drawbacks of situations.
Topic: depression

Question: How can I get my husband to listen to my needs and talk to me?
I tried telling my husband I was depressed, and he ignored me. He said "you're always sad or depressed." And he picked up his phone and ignored me. I said, "Please don't exaggerate, that isn't true." And he said, "Whatever babe. You just want to be sad."
   How can I get through to him so he will take me seriously?

Answer (from Dr. Meredyth LawrynceServing Clients Nationwide):
Are you seeing a therapist?  Do you take your depression seriously?  The seriousness of this is gauged by how he feels about it.   People typically feed off our energy.  You feel you are depressed and if you want to take massive action towards your healing, doing what is best for you regardless of others’ reactions to it will be key! He may not have any first-hand experience with depression or how to handle it. He could not know how he can help.  Regardless your mental health is key and seeking the support you need to move forward in a progressive way is essential.  Get the support you need and embrace he may or may not come around as you seek the support you need and deserve.
Topic: grief-and-loss

Question: I just lost my grandpa
I just lost my grandpa and i'm having a rough time with it.    I need some help to deal with the loss, but I don’t think I can pay for counseling. Where Can I get help?

Answer (from Amelia Mora MarsHi, I'm Amelia. I help overwhelmed, stressed out teen girls and women find peace again.):
I am so sorry to hear about your loss. He must have been very special to you and it definitely makes sense that you are having a hard time with it. Counseling may be an option if you have a university near you with a graduate marriage and family therapist program. Graduate students provide counseling at a very low cost as part of their traineeship.  Here is an example... http://www.clucounseling.org/.  Another possibility is a support group for bereavement and loss. Many are free. I wish you the best towards healing your heart.
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 Carrie HoeserCognitive Behavioral Therapy for families and individuals with Autism):
It sounds like your daughter may be experiencing heightened levels of anxiety based on her value system of wanting to ensure she is 'good enough' or 'doing all the right things.' Talking to a trained professional could help her to decompress some of those feelings as well as find ways to challenge negative thoughts that are leading to overwhelming amounts of stress. Please let me know if you have any further questions that I may be able to help in this area.
Topic: relationship-dissolution

Question: How do I move on?
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?

Answer (from Jill Barnett KaufmanPsychotherapist):
Relationships can be extremely enjoyable and satisfying.  When relationships end, however, it can be devastating.  It is normal to go through a grieving process after a breakup.  Denial, bargaining, sadness, anger and eventually acceptance are all normal stages of grief.  You may experience these feelings all at once or one at a time.  Allow yourself time to grieve by expressing your emotions - talk to a friend or write in a journal.  Take care of yourself during this time by exercising, eating and sleeping well and spending time with friends.  After some time you should start feeling better.  If you feel like you're not feeling better and you don't know what to do, you can see a therapist to help you get through this difficult time.
Topic: relationships

Question: Should I let my boyfriend go?
I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and it’s with the girl that works with us. I've been trying to get over it, but now my confidence and self-esteem are low, and sometimes I feel like he’ll do it again or that he's not ready to be with me. I think about it all over again when I see her. He says he's in love with me, and with the last time he cheated, it didn't feel right, and that's when he knew he had to stop because his feelings were for me. He's contacted her and told her he will not communicate with her because he's in a relationship with me.
   How do I gain confidence? Should I let him go? If I let him go, I don't want to be sad about it being that we work together. I try to tell myself I'm beautiful every day, and I think I am a pretty attractive female with a great personality, but I don't like the fact that she works there.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for couple's therapy in which there has been infidelity.Understand within yourself whether you'd like being with your boyfriend and what you'd like him to do so that you start feeling more secure in the relationship.If yes, then tell him what you now know about yourself as partner in the relationship.For example, some people who are getting over being cheated on, would like knowing details about the affair person, some people want to see the phone of the one who cheated.Recuperating after a cheating incident takes many months.If he tells you he'd like earning back your trust, give him some time to see if there is progress in this area.As results unfold, you will feel clearer on the direction your relationship is naturally taking.About the girl at work, she will feel less meaningful to you as you work together with your boyfriend on securing the relationship.She has her greatest meaning right now because you are at the beginning stage of knowing what direction to take.As you go along this road, more than likely, you'll be more at ease in naturally finding a way of relating to her that feels ok to you.
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 Dawn M. Reilly, Psy.D.It's never too late):
Therapy is by nature a safe place to discuss difficult, or painful memories or experiences and thereby it is normal that feelings of all kinds, including sadness, loss, frustration, disappointment, etc may arise.  This is part of processing and bringing closure to things that may have been pushed aside for a lifetime and can now be faced and dealt with.  Change too is often not easy, and can lead to crying, whether from frustration and set back...or also from joy and accomplishment!
Topic: self-esteem

Question: i feel like i was born in the wrong body
I feel like I was born in the wrong body I feel like I should be a girl not a boy
 Ever since I was young, I have wanted to be a girl. I felt like what I was wasn’t me. I want to know what I can do about it. My family is against transgender people and don't want anything to do with them. I want to be “me.” I feel as if I'll be happy then. I don't look in mirrors, and I don't like my reflection. Recently, I have been taking things to help even though they were not prescribed. I know I should have this handled by a professional.

Answer (from Traci LowenthalLGBTQAffirmative Therapist ):
Hi. Do you have any opportunity to work with a therapist?  It sounds like it might be really great to explore these feelings. If you aren't able to, there are many awesome gender work books available that you could use to explore your thoughts and feelings. Also - google "ask a gender therapist" - so many amazing video blogs to answer many questions!  Good luck!
Topic: stress

Question: How can I be less stressed?
I need help dealing with stress. How can I handle it all and feel less stressed out?

Answer (from Kelly Mulroy, LMHC, NCC, DCCClinical Hypnosis and Psychotherapy):
Part of handling stress is making sure that your perception of the stress is accurate. Sometimes stress can seem more than it really is. One thing that I encourage my clients to do is to ask themselves, "What is this stressor really about?" Simplifying stress is a key to minimizing stress and leads to feeling less stressed out.
Topic: workplace-relationships

Question: How can I cope with work related stress better?
I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
   What can I do to manage my stress?

Answer (from Erin Pritchard, MA, LPCC-S | EMDR IntensivesSea Glass Counseling and Consultation):
Ugh, overworked and underpaid is such a terrible combination. I applaud you for recognizing your value, both monetarily and otherwise. To manage your anxiety at work, consider putting together a small grounding box for yourself to have at work - fill it with fidgets, hard candy or gum, something that smells nice, kind words and reminders to yourself. Remind yourself that you are not stuck - you have lots of options for how to move forward and the freedom to decide what to do. A few options might be: look for another role in the same company, look for another job at another company, use some of your PTO time to give yourself a restful break, ask for a meeting with your supervisor or HR to discuss your concerns or advocate for yourself to get a pay increase. You are valuable, both inside and outside of the workplace! And it's okay to ask to be fairly compensated for the work you are doing, and set boundaries for yourself if that request is not accepted.
Topic: family-conflict

Question: How can I avoid family members who stress me out?
My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.

Answer (from Beverly PedrocheAccepting New Patients):
Learning how to set healthy boundaries can be life changing! Assertiveness training will help you in all facets of your life. A therapist can help you figure out how much interaction is too much, how to say no and set healthy boundaries, and how to prioritize your needs so you don't become resentful or burned out.
Topic: relationships

Question: How do I start taking initiative in my relationship?
I don't speak up if I'm uncomfortable and hardly ever make plans for us when we hang out. He is a very open and straightforward person, so he is getting upset with me for my lack of proper communication. We've been together two years and have identified this as our main problem. Arguments have arised from this single issue many times.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Do you know what you're afraid may happen if you do speak up?Usually people don't talk freely because they feel afraid to do so.  Sometimes the fear of being rejected by the other, of being criticized or judged by the other person, or that what you will say stirs anger in the other person.If you are able to know what your particular reason is for not talking, then maybe you and your partner can talk about what makes talking easy or hard.Also, since speaking up is new for you, then ask your partner to be patient while you learn to do so.  Everyone does better at learning new skills when they feel supported and welcomed.
Topic: self-esteem

Question: Why am I starting to not like myself?
For the past year, I have been feeling pressured to do well in school, and it put a ton of stress on me. I have been bullied for five years, and for some reason, it is now sinking in, and I can't stop it. For some other reason, I can't find a hobby I can see myself doing without thinking bad about myself.

Answer (from Erica FaulhaberEating Disorder & Trauma Therapist):
Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this provides a few nuggets of helpfulness to you!