thejana/Elective_dataset huggingface dataset:
Topic: self-esteem

Question: I feel like I failed myself
My grandma had a stroke and passed away recently. I lost my home and job. I'm looking but haven't found a job. I've been binge watching television and binge eating.

Answer (from Heidi Haddad):
Please practice being kind to yourself!! You lost your grandmother, your home and your job!  Huge changes have just taken place and it would be challenging for anyone to be unfazed.  And having said that, you wrote that you have been looking for a job, so that tells me that you have most definitely not failed yourself. Try taking it one day at a time. I encourage you to recognize (and even accept) that you're going through a particularly difficult time and that everything is temporary.  When we are in something, it's difficult sometimes to see the light at the end of the tunnel.  Maybe you could allow yourself the grief that you are feeling, be in the tunnel, and trust that you will come through the tunnel to the other side.  Be gentle and loving to yourself.
Topic: anger-management

Question: How do I deal with my son's violent thoughts and dreams?
My son claims that hes been having extremely violent thoughts and dreams. Not violent like he's hurting someone, but violent thoughts like horrible things happening to his loved ones. He explained one of his dreams the other day and it was so violent it was sickening. It was far beyond anything in a horror movie, he says he can't help these thoughts they just pop up. Please help!

Answer (from Sonya WilsonLicensed Professional Counselor):
If your son is reporting "extremely violent thoughts and dreams" please have an psychological evaluation done by a psychiatrist now before it gets even worse for him to bare.  Don't take his reports lightly.  For him  to tell you, he knows that something is not right.  He is seeking and needing help.  Get it immediately.  Best to be safe than sorry.
Topic: anxiety

Question: I have difficulty with communication
I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?

Answer (from Amy NolanYour journey to wellness starts here!):
A good way to start is the language or "self talk" that is happening inside your mind.  Looking at your question, when it is said that the presentations "make me feel stress" you are giving the responsibility of the stress to the presentations and taking that away from your self.  The presentations cannot give or take away your stress, that's something only you can do and you can do it!   What language can you change in your self talk?  For example, are you saying "I can't speak in front of an audience! I'll fail?"  That sounds a lot different than "I studied my butt off and if I practice speaking out loud, I can ace this presentation!"  Although this is a short answer, I do believe that counseling will help you overcome these stressful feelings and bring out your inner confidence.
Topic: spirituality

Question: I want to be a boy but I can't because of my religion
I was born a girl, but I want to be a boy. Because of my religion I can't tell my family. I know they won't accept me. What do I do?

Answer (from Lindsey Brooks, PhD PsychologistProgressive Therapy San Francisco):
First of all, I want to say, I am so sorry you are not feeling accepted by your family. I know how  isolating and lonely this can be. The most important step you can take right now is building a community of supportive people who do accept you. Creating your own sense of community is very powerful for helping you love yourself. If you can find a trans support or LGBTQ support group in your area, I recommend seeking that out right away through your local LGBTQ center or PFLAG. If you don’t have access to that, I recommend calling Trans Lifeline US: 877-565-8860 Canada: 877-330-6366 https://www.translifeline.org/. You can talk to other trans-identified people anonymously for support, calling them from wherever you feel safe. This is a great way to begin to connect with other people who have similar experiences to you. Next, think of this time in your life as your time to explore your gender identity, just for yourself. Make room to explore you gender identity in ways that are private and comfortable for you. Consider reading a book like: https://www.newharbinger.com/queer-and-transgender-resilience-workbook to explore who you are and build resilience. Also, consider learning about other religions that are accepting of LGBTQ folks for another perspective - there are many out there! Once you feel you have a strong support system outside of your family and a positive sense of self-love (which can take time, be patient, don’t rush it), then you can consider what action steps you want to take with your family. If you are still living with your family or financially depend on them, having other supports in place first is very important. It’s a very personal choice how you want to navigate your family relationships, talk it through in-depth with a trusted friend, other trans folks, or therapist to help you decide what’s right for you.And remember, there are tons of people out there who will love and accept you. We are rooting for you!In solidarity,-Lindsey
Topic: behavioral-change

Question: How can I get "out of my head" and stop obsessive thoughts?
Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?

Answer (from Dr. Meredyth LawrynceServing Clients Nationwide):
You are
valid.   It is very unnerving when thoughts control your life. 
One way to combat them is to figure out whose voice the words are said in.
Oftentimes people say things to us and it stays with us, and it is not often
true.  We let others’ opinions penetrate our brains and live rent-free in
our heads.  You could try to rewrite the thoughts, the negative thoughts,
rewrite them in a positive way.   For example “you are not worth
anything” you could rewrite that in a way that shows all the ways you are
worthy.  Write all your accomplishments, and things you have overcome and
proof that you are in fact worthy because you are!  You can 
Interrupt the thought, focus, redirect elsewhere. If you are replaying a
specific moment you could go back into that moment and retell the moment,
rewrite the moment so that it is what you would rather it have been. Your mind
does not know anything other than what we feed it. Feed and integrate more
positive thoughts and actions into your routine to possibly see a positive
change, a change for the better! This video could be beneficial for you ▶ Negotiating With Inner Critic
Topic: counseling-fundamentals

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

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Yes, counseling can help people.How this happens is bc the counselor can guide the person or couple into deeper areas of their thoughts and emotions than the person or partners would typically avoid or not even realize they are avoiding.Also, a counseling session offers emotional safety because the therapist will intervene with thoughtful questions if someone's strong emotions overwhelm them.This is different than in everyday circumstances.  When someone feels overwhelmed by their own or someone else's feelings, there is no one who asks reflective questions.Last, people get better in therapy because often therapy is the first time the person has a chance to trust someone with their confidential information and know this information will always be protected.
Topic: substance-abuse

Question: I over endulge when I drink alcohol and feel extremely guilty about it the next day
I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk.    In the past, I have even cheated on my boyfriend while I was under the influence of alcohol.    But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem?

Answer (from Dr. Timothy Paul'man'; Online - "Natural Health Consultant and Coach"):
Guilt is a narcissistic, self-indulgent focus on me, me, me; it's best not to keep it in negative light;What does that mean?  Well, it stems from mankind having an animal nature, and a spiritual nature;In most societies today, the animal nature is looked down upon, seen as egregious and something to be put away;If I may say to you, it is necessary and important (if you wish to end an experience called "guilt") to NOT regard your animal nature as negative, but to accept that you have it, and acknowledge it;The more openly a man or woman acknowledges they're animal-side, the quicker one may subdue it;Try giving your animal nature a name, and talk to it like a cute pet... "Oh, hey, there, Snorky!  Oh, what's that?  You want to be a wealthy, famous Hollywood idol?  Oh, really!  Agaiiiiiiin, Snorky!  Geez, you're impossible!  Ain't you just the cutest thing!"
Topic: family-conflict

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

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Emotional pain is different from physical pain that way, isn't it? Even many years later, an old wound can be ripped open again by a small trigger.You were betrayed by two people close to you. That's a complex injury. I don't know whether you're still in the marriage or not, or whether your sister is still in your life. Perhaps not, as your contact with her seems to be through watching her facebook activity. I'm curious about why you're just now seeing her facebook posts again. Are you feeling more open lately to seeing how she's doing in her life? I guess if you were open to having your sister even in the periphery of your life again, you will have to figure out how to handle those triggers. If you can't, maybe consider unfollowing her or detaching from facebook for a while. So your sister is happy, or she at least appears happy. Your mind might go to some unhelpful places, like "She doesn't regret the affair" (you don't know that), "She doesn't deserve happiness" (that would be a harsh judgement), or "She doesn't care that I'm hurt" (again, there's no evidence of that). Where does your mind go? It's important to identify your worst thoughts in connection to her. When you have those worst thoughts identified, ask yourself "What evidence supports that thought as truth?" It's likely that either there's no evidence, or that the truth is so far from you that you can't know what she's feeling or thinking, which makes having those thoughts pretty futile.A therapist can help you determine what emotions are being triggered here. It doesn't help you and your happiness to carry around resentment, ill wishes, or the need for revenge. Forgiveness is not about saying that something was "okay". It's about saying "It happened. I accept that I can't change it, and I don't want to carry the emotional burden around all the time". Forgiveness is putting it down. She... (trust me this is true)...she carries her own burden of shame for what she did. For you to spend time feeling angry doesn't affect her burden. It only adds to yours. Can you find the tender emotion under your anger? You're hurt. Validate that hurt. Honour that hurt. Take care of that hurt. You can stay away from people who disregard your needs, and you have the power to forgive those who make mistakes out of their simple humanity if you want them in your life. If you continue to struggle, please seek the help of a professional who can assist you in navigating these waters. :)
Topic: anxiety

Question: Why am I sick to my stomach when I stand up?
I had to put a restraining order against my ex-fiancé. He was served last night. He was mentally and verbally abusive towards me. I thought it was my nerves, but every time I stand up, I get sick. If I sit and rock, I'm fine.

Answer (from Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting):
Hello, and thank you for your question. You may be right, your physical symptoms of getting sick to your stomach may very well be your nerves or anxiety. That is totally normal and understandable given your circumstances. Another thing that is not unusual is that you feel better when you sit and rock. That is actually a fairly common way that many people comfort themselves in times of high stress. If you are concerned that there is an actual physical illness causing these symptoms, you may want to visit your primary care provider. They may tell you that they don't see anything physically wrong with you, and at that point you may want to visit a counselor about the symptoms and your relationship experience. A visit with a counselor may be a good idea either way. I work as a counselor in primary care, and I promise you that many people have very real physical symptoms when they have gone through abuse. Unexplainable stomach and headaches are very common. Sometimes, with counseling, those physical symptoms actually stop. Be well, and I hope you feel better soon.Robin J. Landwehr, DBH, LPCC, NCC
Topic: parenting

Question: What can I do about my dad?
My dad makes me feel like shit and like I'm worthless. He calls me names and makes me feel depressed. I want to move out because I swear if I stay here, I'm going to lose it. What can I do?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
If you're actually able to afford to move out and support your own life, then this is a reasonable choice.If you're not in such a position and must continue for a while to live w your dad, then emotionally protect yourself from him.Doing so is much more difficult than maybe it sounds.Do you have privacy in your house and can you spend more time in a self-created safe space than around your dad?Also, limit the amount of dialogue you have with him so you don't offer him a chance to feel invited to criticize you.Are there other people who live in the household w you and dad?If yes, then are they similarly called names or are you singled out by him? What do the other family members do when they hear your dad calling you names?Is it possible the other family members don't realize how hurt and upset you are by your dad's behavior?If yes, then make a project for yourself to tell the other family members that you suffer from your dad's name calling.It is possible the other family members will step in and tell your dad to stop.Not necessarily that he will stop.  Knowing the others support you emotionally and find you credible is helpful on its own.
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 Sherry Katz, LCSWCouples and Family Therapist, LCSW):
The best path is to ask your doctor what s/he meant when telling you about your high risk for psychotic seizure.Your doctor knows you better than any of the therapists who write on this blog.   And, because your doctor knows your health, will likely have suggestions and advice for you regarding the seizures s/he thinks you may develop.
Topic: intimacy

Question: Should my wife and I seek any kind of counseling if she is convinced our marriage is over and has turned romantic love into platonic love?
Over the course of a few days, my wife was unsure about her feelings for me due to constant intimacy issues. After she thought things through, she came to the realization that she is no longer "in love" or attracted romantically to me. She instead has more of a platonic love and just cares for me as just "family." At that point, she said our marriage was over. Now over the course of the last few days, she has taken a "friendship" from a coworker. She insists there is nothing more than friends, but she has spent all her free time with him.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hi Portland,This must feel like your world is turned upside down, for your wife to declare her confusion, followed closely by resignation, followed closely by a new "friend". I get how upsetting this is.If I was your therapist, I'd want to explore this a good deal, because there are several possibilities concerning what might be happening. Be careful not to jump to conclusions. Sometimes people have been slowly "falling out of love" for a long time, and often this is due to some (perhaps unnamed) unmet need in the marriage. She may have been coming to this point over a period of time, and has only finally said so. It's also possible that your wife is going through some temporary crisis...she's changing and personally unhappy and blaming the marriage for it. Only she can help herself through this (she could get the help of a therapist, but it's not your place to tell her to do this). Or, it's possible she's met this new "friend" and her attachment to him has clouded her view, or clarified something for her.  Right now, it's important that you respect your wife's decision to separate, if she's asking for that. We can't trap people in a marriage. If she needs separation, or distance, then it's respectful to give her that.That doesn't mean that you have to give up on the marriage right now. I would seek the support of a therapist who can help you sort out what YOU want; whether it's to move on with your life, or wait patiently for a period of time. I can't predict what will happen here. But you can find out what the best path for you is. I wish you the best.
Topic: relationships

Question: Is it time to end my relationship with my boyfriend for good?
He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
From what you write, you're not too happy with how your boyfriend treats you and how he handles his own life.What keeps you feeling connected to him in positive ways?If you're truly not happy most of the time in this relationship, then you're at the time of asking why you'd want to remain in a relationship which is draining.
Topic: depression

Question: How do I stop feeling empty?
I don't know how else to explain it. All I can say is that I feel empty, I feel nothing. How do I stop feeling this way?

Answer (from Audrey ONealBi-lingual Psychotherapist and HeartMath Certified Practitioner):
A feeling of emptiness can cause depleting emotions to emerge. It would be important to identify the sources of emptiness.You may want to try to tap into more regenerating emotions. For example, you might want to think about what brings you joy or situations in which you experienced gratitude. Practicing mindful breathing can also help you take your attention away from distressing feelings.
Topic: depression

Question: How do I know if I have depression?
I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because it’s easier. I just want answers. I'm sick of feeling this way. It’s ruining my relationships with people.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hi Loyal, This is a common question. I suggest that you not diagnose yourself (only a physician can do that), but the symptoms you mention are certainly common signs of depression; rarely happy, emotional numbness, hopelessness, isolation. Depression is very common. Research suggests that one in three people may experience it in their lifetime and at any one point, ten percent of adults may be experiencing it.  Most therapists are very good at spotting the signs and treating accordingly, although only a physician can prescribe medication.The great news is that depression is treatable. Some people experiencing depression may benefit from medication (often to lift the heaviness of the illness enough so that one can focus on psychotherapy), and therapies such as cognitive behavioural therapy and behavioural activation therapy have demonstrated a clear ability to reduce symptoms of depression. Even if medication helps, seeing a therapist to look at the roots of your depression and to build coping skills is very important. A qualified therapist will help you look at the barriers to happiness in your specific case and suggest a course of treatment. You are not alone, and you don't have to suffer. Keep asking questions and you will find your answers!
Topic: intimacy

Question: Should I be upset that my husband may have lied to me again?
I’m trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset?

Answer (from Betsy SansbyWhen something needs to change):
Imagine your best friend just told you that her husband lied to her all the time and that he had broken every promise he ever made to her. What would you tell her? If I were her best friend I'd tell her to run the other way. You may love this man. We don't choose who we love. But the evidence is pretty clear, isn't it? A healthy relationship cannot be built on a foundation of lies and broken promises. I believe that as adults, we are always treated as well as we insist on being treated by our partners. If you continue to accept unacceptable behavior, you are likely to see lots more of it.
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 Josh KellarLicensed Marriage and Family Therapist):
Chances are your daughter may be feeling a lot of pressure to succeed - even be perfect in these areas of her life. Behind perfectionism is a feeling of shame related to feeling like you won’t measure up or that you’re not good enough. Try using affirmations to separate your daughter’s worth from her achievements. Understanding where the pressure comes from might bring insight into why she stresses. A counselor could certainly help her learn ways of dealing with stress as well as underlying issues that drive her towards perfection.Good luck!