thejana/Elective_dataset huggingface dataset:
Topic: behavioral-change

Question: What can I do about instant and major mood swings?

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
Mood swings can be related to many different things. I don't know whether you're talking about changes between feeling angry and depressed or any number of other things. Sometimes major and sudden mood swings can be related to chemicals in our body that are changing rapidly.Try keeping track of your mood swings on a daily basis for a week or so. It would also be helpful to note how well you sleep during the same timeframe. Also be aware of anything you know of that is contributing to your changes in mood.Because you used the words "instant" and "major," it would be helpful to discuss this with a mental health professional or your primary care physician so you can have some more specific ideas.
Topic: depression

Question: I am 20 and miserable
I have no friends, no hobbies, and no interest in anything. I get annoyed with everything and everyone. I am always tired, i can sleep 8 hrs or 12 hrs and im still tired. I don't know what to do. Is this normal?

Answer (from Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting):
Hello, and thank you for your question. It certainly sounds like you don't like how things are going. Here are a few thoughts and ideas:1. If you haven't seen a primary care provider in a while, you may want to. There are health conditions that can affect your mood and energy levels, even at your age. It doesn't hurt to get checked out. If they find the cause, they may be able to treat it and improve the symptoms. In addition, most primary care providers are trained to be able to manage medication for patients who have mild, moderate, and sometimes severe depression. So, don't be surprised if your primary care doctor offers to put you on an anti-depressant if they diagnose you with depression. Medication is not the only way to treat depression, but sometimes it is necessary depending on different factors.2. You may want to consider counseling, since it is another effective way to treat depression. A counselor will help you explore the factors that may be leading to depressive symptoms in the first place. This could include thoughts, behaviors, beliefs, life experiences, and other things. 3. Finally, to answer your question about whether these feelings are "normal." These symptoms could be the sign of an underlying general health or mental health condition. It is important to remember that even if these symptoms are "abnormal" it doesn't mean that YOU are. Millions of people struggle with depression. So remember, the symptoms are the problem, not YOU. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC
Topic: relationship-dissolution

Question: How do I break an unhealthy relationship pattern?
I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
 I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
 I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
Here are some things I'm wondering:Do you have close friends that you can talk to, trust, and who can be around sometimes when you're in between relationships?What do you like about yourself? What are your strongest points?Do you think you have been in relationships with controlling than in the past because it makes you feel as though you are worth something to them?What kind of relationship you want to be in?What are the top three or four attributes of the type of partner you want?What can you do to make yourself emotionally safe during your typical daily activities?Can you notice a list of things that you can control throughout a typical day? For example, you probably choose what to wear, what to eat, how to talk to others, how committed you are to school or work, etc.It also sounds as if it may be helpful to discover more about yourself in addition to what you look for in a partner.As far as emotional abuse, it may be useful to develop communication skills that you could use prior to their relationship progressing to the point that it is emotional abuse.Thank you for reaching out to ask questions. If the questions that I've asked here are difficult for you to answer or are overwhelming, talking with a local therapist would probably be something I would suggest.
Topic: anger-management

Question: Why did my boyfriend hit himself in the face during an argument?
When I got home, my boyfriend and I got into an argument. He got upset and he started hitting his face. That is the first time he has ever done that, but I would be lying if I said that didn't scare me. I locked myself in the room.

Answer (from Gayle WeillSpecializing in relationships and parenting - additional certifications in Child-parent psychotherapy, Circle of Security-Parenting program, adoption competency, hypnosis, and EMDR):
Seeing your boyfriend hitting his face sounds very scary! Sometimes when people are experiencing strong emotions the emotional pain becomes so overwhelming that they try to relieve the emotional pain by causing themselves physical pain. It is a dysfunctional way of calming themselves down. I don’t know your boyfriend or your boyfriend’s history so I can’t know for sure if that was what was happening, but I am certainly glad that he does not do that on a regular basis. When you are both feeling calm, and if you feel comfortable, talk to him about what happened. It is difficult to be in a relationship when you are scared and don’t understand why the other person engaged in a frightening behavior. If you feel safe enough and do not worry about his reaction, I would talk to him about your feelings regarding what happened. If you don’t feel safe enough and are worried about his reaction or that he might hurt you, talk to someone who knows you or a therapist who you could feel comfortable confiding in so that they could guide you on how to move forward.
Topic: relationships

Question: How can I ask my boyfriend about who he's texting?
We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.

Answer (from Earl LewisRelationship Expert):
The best way to get an answer is to just ask. I would defintely let him know you are asking out of concern and not to judge or criticize. Allow him to explain his answer and see how you feel about it. Try to ask him when you both are already discussing other topics and just say, "Can I ask you something?" Earl Lewiswww.RelationshipsGoneRight.com
Topic: relationships

Question: How do I tell my boyfriend I wanna be with him but not in a relationship?
I've been with him for a couple months. We will talk everyday and he will get mad over something I will say and not talk to me. We have our great moments, but I just need to focus on my personal situations, and I feel he is slowing me down with that. I still wanna be with him, but not now.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
It sounds like you're pulling away instead of being honest. If you really want to be with him, why not now? If you don't have time for a relationship, why are you dating at all?I don't understand the whole "phasing out" thing that people do these days (or "ghosting", where you just stop talking and disappear!). I get the sense that this relationship isn't working for you, but for some reason you're stopping yourself from being honest with yourself and him and just ending it. In the early stage of a relationship (the first year), if it doesn't feel fabulous, it's a good idea to move on. It's not personal. You don't owe this person anything. They deserve someone who's totally into them (and so do you) and you're doing him no favors by hanging on to something that's not amazing or giving him hope that it might work better in the future sometime. You don't have to slowly bow out. It actually creates more hurt than gentle honesty. Maybe people don't know how to say it?"I've decided not to continue with this. I wish you the best." Life is too short!
Topic: lgbtq

Question: Am I gay if I like neither girls nor guys?
I'm a guy. If I don't like girls, nor do I like guys, does that mean I'm gay?

Answer (from Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting):
Hi, and thanks for your question. I agree with my colleagues about researching asexuality, but I want too add a couple of things about that:Here is a website that you can start with to get some information about asexuality - http://www.asexuality.org/home/There are a whole lot of myths surrounding asexuality. One is that people who are asexual have absolutely no interest in sex, and that is not always the case. There are variations of asexuality. Some people who are asexual have an interest in sex and others don't. Also, once you read more on this topic, you may find that you don't connect with asexuality either, and that is okay. Our society usually thinks of sexual orientations as only being straight, gay, lesbian, or bisexual, but the truth is there are many variations of sexual orientations. Keep exploring. There is a good chance that there is a community of people who feel like you do. Finally, labels are important for a lot of things, but labeling ourselves can sometimes lead to some painful feelings. Try not to feel pressured to label yourself too quickly. This is your journey. Your experience. Take all the time you need. You may never feel the need to label how you feel, and that is okay, too. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC
Topic: depression

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

Answer (from Kevin MimmsBuilding Better Connections):
Hi,Reaching out here is a great start! I recommend looking for somebody in your area that works with people experiencing depression. After you've chosen somebody to try, feel free to call them for a consultation! A lot of counselors and therapists offer free consultations, and remember that your counselor is working for you, so make sure they are a good fit! I hope this has been of some help.
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 Janet SullivanCertified Clinical Anxiety Treatment Professional):
You’re nervous, perhaps scared.  You have never been to a therapy session
before and have no idea what to expect!  Whenever we do something for the first time,
it helps reduce anxiety and nervousness if we know what to expect and can
prepare. Here are some things that
generally take place in a first session and typical questions the therapist
will ask. These help your therapist get
to know you and make an accurate initial assessment of your situation and what
would be most helpful to you.
You will be asked to complete paperwork.  If you are using insurance be sure to bring that
information with you.  Often, you can
complete paperwork online prior to your session which saves time. (Don’t forget
to bring it with you to your session!)
1.  What issue(s) brings
you to therapy?2.  Your personal
background history as it relates to current issues.3.  What physical or other symptoms are you
experiencing? How is the issue affecting other areas of your life?
And here are a few other tips to help you get the most out
of your first session.
1.  Be open and honest about your feelings.
Therapists are trained to listen and learn from what you share. 2.  Ask questions. There’s no such thing as a dumb
question. Asking questions helps you understand more about the process, reduces
your anxiety, and helps you become more comfortable. If you don’t understand
something, please ask!3.  Be prepared. Think about how to describe “what’s
wrong” or why you are seeking therapy. 
It can help to make a list of reasons why you are seeking help.  Practice describing how you feel about
the issue.Most people feel more at ease after their first session and you will continue to build rapport with your therapist over time.  It is a big step to begin therapy and I wish everyone healing and growth on your journey!
Topic: counseling-fundamentals

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

Answer (from Traci LowenthalLGBTQAffirmative Therapist ):
Hi!  Great question.  I believe counseling does help people! Of course, I am a therapist, so I would think that! :)  Seriously - I think therapy and counseling allow us to understand ourselves, our motivations and the things that bring us happiness and discontent.  Therapy can create opportunities to try new skills and enhance positive attributes that are already present in someone.  I like to think of therapy as an unbiased "aerial view" of our lives. Someone outside can often help us notice things we might otherwise miss. Hope this helps!
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 Shanice StephensonYou Are Your Biggest Breakthrough Yet!):
The right therapist can sometimes be tricky especially if this is your first experience seeking mental health services or assistance. Finding the right therapist means considering what issues you would like to address and which therapists has specialities in what you are seeking. When searching for a therapist reach out to those in your support system who have had experiences with a therapist and find out their likes and dislikes. Use some time looking via search engines for therapists in your area and allow your curiosity to lead you to therapists directories where therapists are displaying their philosophy of how they help client's heal. Consider whether gender and race/ethnicity is a preference and who you would feel the most comfortable with sharing your concerns that "gets you." Also do not hesitate to ask about free-consultation calling services that further allow you the opportunity to provide a bit of information about yourself and allows you the benefit of asking additional questions about the therapist, their services and offerings and whether you are ready for treatment or rather search for other options.In regards to "training" your therapist, remember that therapy is a collaborative approach involving both client and counselor. This will depend on your needs, goals for therapy and the overall objectives. A licensed therapist that is trained will be knowledgeable to assist you in your journey through treatment. As a trained therapist, one will assist in clarifying of your current situation(s), work out past experiences that may hinder your improvement and provide the necessary skills to assist in your progress throughout. If you believe that you are not receiving these things voice your concerns with your therapist, ask for recommendations and/or referrals for a better fit. That's perfectly okay!
Topic: anxiety

Question: What is social anxiety?

Answer (from Ian Palombo#ThoughtMediator & #LifeUntangler):
Anxiety is not your fault or caused by anything you have or haven’t done. According to the National Alliance on Mental Illness, 40 million adults, or 18% of Americans, experience an anxiety disorder. If you are suffering from social anxiety you may experience the following:Constant feelings of dread about social situations;A pounding or racing heart when interacting with others; Anticipating the worst about interactions with others, regardless of evidence;Physical symptoms like headaches, sweating, shakes and jumpiness, trouble concentrating, a frequent need to urinate and stomach uneasinessThoughts like, “It’s safer to stay at home..."Fear of being away from a bathroom or medical servicesI know that anxiety can come with a stigma, and that may have stopped you from seeking the care you need in the past. Reach out to a counselor today.
Topic: anger-management

Question: How can I be less confused about my feelings towards anything?
I don't know how to notice or express my feelings besides anger. That's really the only one i feel.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Well, then give yourself some credit for noticing that you recognize at least one feeling that you have!What is your own theory as to what is difficult to know your feelings?  Your answer will give you clues as to unearthing your willingness to be aware of the way you feel.Sometimes the family in which someone grew up, did all they could to stop the kids from knowing who they were.In some families there were very severe consequences if a child spoke up with an independent mind.  By knowing where your difficulties started, you may very well be able to release the situation in which you learned to suppress your feelings.Also, spend some time with yourself just enjoying who you are.  Often, people who have difficulty in expressing themselves, suffered shame and humiliation as a child.  They have a chronic sense of worthlessness, and feeling worthless certainly works against self-expression.  By having a good time being with yourself, you may increase your self-appreciation and this will go a long way to believing that your feelings are worth knowing and stating.
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 Cimberly R. NeskerRegistered Psychotherapist (3579)):
Anxiety can cause such a feeling of discomfort in our bodies that it can seem unbearable. The concern that I can hear in what you have written is that the thought of having some anxiety has now left you uncomfortable with any anxiety at all - and that can become a problem, indeed. As opposed to thinking about your anxiety as something much bigger than you, it could be helpful to start breaking it down. What are the things specifically that cause you anxiety about this new job? Is it being away from your family? If so, why? Once you start breaking down what causes you to feel anxiety into smaller "mouthfuls", then we are far better able to understand what has led to discomfort and start to problem solve the issue.
Topic: depression

Question: How do I tell my parents that I think I have some mental problems?
I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
What stops you now from telling your parents the way you are feeling?Do you imagine asking them for therapy would be a surprise for them?If they're paying attention to you at all, then I imagine they'd feel relief to know you're aware of having some feelings within yourself of a problem.If you believe they'd have a negative reaction to you asking for help, this may very well be part of why you are having problems in the first place.What reaction did your parents have when you were diagnosed with the other conditions?I'd separate their willingness to help you from your sense of needing help.If they do not want to help with finding a therapist for you, then start by looking for services available for people in your age group whose parents also do not wish to be involved in their child's emotional and psychological health.
Topic: intimacy

Question: How can I have a better sex life when I don't like sex?
My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.

Answer (from Miriam Dyak):
It's encouraging that you say you want "to be better connected with [your] husband," and since he hasn't left you, he must care about you and the relationship more than he does about just having sex. You don't say whether he complains or not, but even if he doesn't it seems there's a sense of something important missing for both of you.Most likely to connect better with him physically you'll need to become better connected with yourself and your body. Men often feel fulfilled by sex simply because it happened - the woman they want received them, allowed them to make love with her. For women that can sometimes be more complicated. A woman who loves sex most likely also loves her body, knows what pleasures her, and feels confident asking for what she wants. Self-pleasuring can be a way for you to discover more about your sexuality, and a classic resource is Betty Dodson's book Sex for One: The Joy of Selfloving. A good counselor or sex therapist can be very helpful with your whole relationship as well as the sexual part of it, but not all counselors are comfortable working with sexual issues. Shop around and be sure you find someone who can help you and your husband get better connected on all levels.
Topic: intimacy

Question: Why can't I get an erection with my girlfriend?
I love my girlfriend so much. I get an erection even just thinking about her or seeing her. But the two times we tried to have sex I couldn't get an erection. We've only had sex once and it was a long time ago.    Why this is happening and what can I do about it?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
I'm sorry to hear of your problem.First step as always when a possible medical explanation exists, go for a urology check up to either your internist or a urologist.Once you know there is no medical reason which would prevent an erection, then we can consider the psychological and emotion based factors.Maybe you're nervous about your sexual performance or that your gf may be disappointed in your performance.Men often mistake their own fears of performance failure with the assumption that their partner thinks about sex as a performance.Talk with your gf about whatever is on your mind which may inhibit you from enjoying sex.The reasons are endless.What matters is to have a heartfelt dialogue with each other.The emotional support which comes through such an intimate conversation may very well be the catalyst for a more relaxed and satisfying approach to sex w your gf.