thejana/Elective_dataset huggingface dataset:
Topic: behavioral-change

Question: How can I make the dreams and voices go away?
For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Answer (from Jennifer GerlachYour Story Matters):
Hearing voices can be a very upsetting experience to have. I want you to know that a lot of people will hear a voice at some point in their lives and that there are many things that cause voices. Oftentimes, significant stress can offset us to have symptoms like this. There also mental and physical health conditions that can do the same. I strongly encourage you to seek out help from both a doctor and a counselor to help you piece together exactly what is causing your voices. I Once you've got that down, you'll know what to work on. In the meantime, here are some strategies to cope with voices1. Lower your stress levels: Oftentimes stress makes voices worse. What can you do to lower your stress?2. Get enough Sleep: Like stress, sleep deprivation is an awful trigger for hearing voices3. Listen to Music; Music can help you focus on another sound4. Wear headphone or Earplugs5. Use Your Own Voice; If the voices are saying harsh things to you, it can be tempting to talk back and that's okay if you do. However, you cn also use your own voice through singing, whistling, or the like, which can help drown out the voices6. Remind Yourself that What the Voices Say is Not True; Sometimes it Helps to Write it Out7. Draw the Voice or Give it a Name; This can make it less scary and help get it outside of you8. Keep Track of When You Hear Voices to Identify Triggers; These are situations you can avoid while these are so distressful for you9. Be Kind to Yourself; When a Voice is Being Cruel to You it is especially important to be kind to yourself10. Remember that while hearing voices can be disturbing that it is a common experience and something that many people recover from.
Topic: anxiety

Question: Is it normal to cry during therapy?
I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Answer (from Meg McKeon):
It is not uncommon to be a bit nervous meeting your therapist (or another person) for the first time. Your therapist understands that calling and getting an appointment was a big step for you and will do their best to put you at ease. Providing a safe environment for our clients includes not judging them and being comfortable with the information and emotions that they share with us. It is ok to cry and to trust that the therapist will honor this as part of your process.
Topic: parenting

Question: I feel like there is a wedge between my daughter and I
We live with my ex-partner’s sister and her husband. We have been there for five years now. They are Hispanic and talk to my daughter in their language. Sometimes they overstep their balance between aunt and uncle and reach into my role as a parent. They neglect to see this. I do, and it reflects in my child's behavior. She sees them as stable but is upset that her dad isn't here, and my intuition tells me she blames me to a degree because she doesn't know about his alcohol addictions.

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hi New York, I'm happy to hear that your daughter doesn't know about her dad's addictions. Although you don't say how old she is, and I imagine that at some point in her life she will be ready to know the truth, I trust your instinct that now is not the time. Your ability to have clear boundaries about what is adult conversation and what is suitable for a child to know are really important here, and I can tell you're being appropriately protective and a thoughtful parent. As much as this helps your daughter, I sense that you also know you can't take away the emotional pain that comes from having an absent parent. Children tend to blame themselves for a parent's absence. These children need extra love and support wherever they can get it.You say that you feel like there is a wedge between you and your daughter. I understand that having your ex partner's relatives in the same home would make it uncomfortable at times. It is very important to establish boundaries; only you should parent your daughter, but it's also natural for people to want to assist you. Let's trust that their intentions are good, if there is no evidence to the contrary. As much as they support you, they also  have emotional ties to your daughter's father. While there is potential for discomfort in this complex situation, there are also many positive factors here that I invite you to see.I don't know what your culture is, but for your daughter to have the opportunity to preserve her father's heritage language and a relationship with his family are potentially wonderful additions to her life. In general, the more adults around loving and supporting a child, the better. It could be that you are feeling threatened by small moments where there appears to be a special connection between your daughter and her father's family. Nothing anyone else does can take your daughter's love from you. My hope for you is that you can feel so secure in your own position as loving mother that you will not feel intimidated by other positive connections your daughter has. They are potentially wonderful connections, and she deserves your support in maintaining those relationships if they don't harm her.I suggest that the most important alliances to work on here are between you and your ex's family. If you could all give your daughter the gift of a healthy, united supportive and loving safety net for her...that's the best outcome of all.
Topic: parenting

Question: If my kids come back from their dad's and act like they are afraid they will get hit, should I be worried about him abusing them?
When they come home from their dad's and I fuss at them for anything, they move like they are dodging being hit. They say they’re sorry over and over really fast. I ask and they say no one has hit them, and I've seen no marks. Am I being paranoid or am I right to be?

Answer (from Katrina Whitehead MA, LPCCTo provide hope and healing to individuals):
This sounds frightening and overwhelming, and I’m glad you are reaching out for help. I can’t say for sure your children are being abused but I can understand your  suspicion since there appears to be a change your children’s behavior. I think it would be important for you to keep an eye on the situation Incase you notice any other changes. If you become more concerned, even  suspicions of child abuse are reportable to  Family protective services. If they feel it is necessary they can do an  investigation. You are doing the biggest thing for your children by being there for them and supporting them.
Topic: family-conflict

Question: How can I tell my dad I'm a female-to-male transgender and I want to start binding?
I have known I was always different. This year, in December, I found out that I never felt female. I did research and have identified myself as male but don't know how to tell my dad.

Answer (from Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting):
Hello, and thank you for your question. This is certainly a tough spot. I have a few thoughts and perhaps some colleagues will add some things. You may want to spend a few minutes calling to mind any conversations that you have had with your father about transgender issues, or if you have ever heard him talk about it. That may give you a small clue about how well he may accept this news from you. For example, if he has been watching the news lately, transgender rights is something that is being talked about a lot. Has he had an opinion? This won't tell you for sure if he would be okay with learning you are transgender, but at least you would know if there is hostility toward transgender people. To tell you the truth, the best way to tell your dad is whatever way feels right to you. There is no right or wrong way, best or worst. If you want to tell him when you are by yourself with him? That's perfect. Want to have a friend with you for support? Equally perfect. Whatever thing you need to do. And, of course, there is always the option of not telling him anything until you are comfortable doing so. Unfortunately, the response from your dad can't be predicted. Some parents are totally cool.... others not so much. This is one reason why having someone with your for support is sometimes a good idea. If things get heated, you have someone in your corner. There are therapists who specialize in affirmative therapy, and they may be very helpful to you in working out how you want to tell him. You can also Google some stories about how others came out.I refer many people to the www.letsqueerthingsup.com blog. It is a popular blog written by a trans man that I know. He writes on many topics related to trans issues. Hope some of these suggestions help. Be well... be you.. and good luck!Robin J. Landwehr, DBH, LPC, NCC
Topic: workplace-relationships

Question: Why do I feel like I'm always wrong in everything in my relationship?
My wife is always accusing me of cheating and telling me that I'm doing things she finds disrespectful even when I don't mean it like that. For example, she gets offended when I call someone at work "sweetheart." I wish I had a penny for every time she accused me of cheating on her. She doesn't, and never will say she was wrong. How do I get her to understand?

Answer (from Erica LondonExpert Relationship Therapist):
Here is the truth: You will never get her to understand! because that would mean changing her and we can't change other people we can only change ourselves. I would recommend to take the time to self reflect on what exactly it is that you are doing that is contributing to the mixup. You both have very valid feelings and those won't magically go away until you address the root problem (which could be many factors). I am curious to know more about past relationships the both of you have had and how that plays a role in your current relationship. Many times we don't realize how past relationships truly impact our current behaviors.
Topic: depression

Question: Why am I experiencing dfficulty maintaining an erection?
A few years ago I was making love to my wife when for no known reason I lost my erection,    Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage.    I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to.    What could be causing this, and what can I do about it?

Answer (from Pamela SuraciBuild on your strengths, grow in your challenge areas and improve your life!):
If you haven't already, please see a doctor.  ED can be caused by any number of physical conditions and you need to get checked out.  Once you have ruled out any physical issues that interfere with getting an  erection, it's time to look for more subtle causes.  Unfortunately, you may have gotten yourself into a mind set of "I hope I can, but what if I can't?"  which is certain to interfere with performance.Again, rule out physical causes (can you tell I think that's important?), then talk with your wife about working  together to find the right approach.  It might be a good idea, for example, to take the pressure off by enjoying each other without intercourse.  You can have great sex without penetration and you can have physical intimacy without sex, so slow down and experiment.  You might find more pleasure than you expect when you can relax knowing there doesn't have to be a "finish line".Again, yes the  third time, SEE A DOCTOR, just in case there's something going  on.  Once you get the all clear, find joy and spontaneity with your wife again by being creative and pressure free.
Topic: counseling-fundamentals

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

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
A lot of things affect how helpful counseling is for each person, including at least these things, but often many others:The therapeutic alliance (this refers to the bond, connection, or trust between the client and the counselor)What the person is coming in to work onHow motivated the person is to work on what it is they would like to changeSome people also ask how counseling is different from friendship. There is a similarity in the sense that hopefully both counselors and friends will listen to what you are experiencing, but that is really the end of the similarities. Some differences are:Counselors are specifically trained to phrase questions or statements in ways that help you to gain more awareness of one could be contributing to what it is that you are trying to change, both within yourself, and possibly with people around youCounselors have experience in using lots of different types of techniques (for example, focusing on finding solutions, looking at how the present situation could relate to your past, using role-plays or examples in session to help you learn new skills or ways of looking at situations, and probably hundreds of other things)Counselors are taught to look at what you are experiencing and ask questions about other related ideas that you may not have connected to what you are experiencingThere is a treatment plan in place (usually after the first, second, or third session) so both you and the counselor have an idea of where you would like to go with counseling (what you are hoping to change or learn) and a general idea of a plan for getting to your goalsIn general, I would say the following:Yes, counseling can help people who want something to be different in their livesCounseling is most helpful when the connection between the counselor and the client is strong enough that some trust forms (in other words, not every counselor or technique is helpful for every person)A lot of counselors will talk to you on the phone for a few minutes prior to you coming in for your first appointment to answer any general questions that you may haveIf you are working with a counselor and you feel as though you are not "clicking" or connecting with one another, give it three or four sessions before you change. Trust is not happening in one hour for most of peopleIf you are working with a counselor and you would like to be getting more or something different out of it, tell the counselor about that because typically modalities can be changedIf you are asking this question because you would like help with a specific issue, call a local counselor and discuss it so that you could have a more specific answer about possible options for counseling
Topic: depression

Question: How can I get over my posttraumatic stress disorder without my parents knowing about it?
I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.

Answer (from Julissa SparksHealing Minds for Wholeness):
Unfortunately, ptsd is not something that can be cured.  Ptsd can be managed through therapy.  Mindfulness can assist in redirecting thoughts and gaining further control over paranoia. Therapy is confidential and there are different ways you can obtain treatment.  Mental health professional have availability to provide therapy online,  on the phone or in person.
Topic: self-esteem

Question: How do I get my sex drive back after my rape?
I was raped by multiple men, and now I can't stand the sight of myself. I wear lingerie to get my self excited enough to have sex with my wife.

Answer (from Pamela GriggsLicensed Professional Counselor):
I am very sorry to hear about your rapes.  Traumatic events, such as rape, can have some lasting effects.  Issues with sex drive are one of these effects.  Therapy can help to decrease the impact that traumatic events have upon our lives as we process through some of our experiences.   EMDR can be a particularly effective modality of treatment to address this issues.  I would also encourage you to have an honest conversation with your wife about this concern.  Sometimes it is helpful to have that conversation with a therapist so that the therapist can help educate  your wife in regards to effects of trauma.  This may help her understand that your feelings are more about the trauma and less about her as a person.  Best of luck to you!
Topic: intimacy

Question: How do I get over the man I had an affair with?
We got into arguments, and we would break if off but start it back up again. We clicked, or so I thought. We are both married with problems in our marriage. We never have sex; we just send a lot of pictures back and forth and talk about doing things together. His wife found out, and he lied to her and didn't even refer to it as an affair. I can't stop thinking about him. We just click. I've been married for 16 years, and I've never liked anyone other than my husband. Now I like him, and we’ll never be together.

Answer (from Nat RomanMarriage & Family Therapist, MSc RP):
If you will "never be together" and in order to maintain this affair you need to deceive both of your spouses it seems unlikely that maintaining the affair will bring anything but heartbreak for everyone involved. There is obviously something that you are getting from this that you are not getting in your marriage. Maybe this is a cue that there is work to do on your marriage to try to make it more fulfilling and if that is not possible, then maybe you want something else for your life.  If you and your husband are willing, I would encourage you to do some therapy or counselling together.  You may enjoy this article to learn a little more about some factors that lead to connection or disconnection and that predict separation and divorce.
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 Beverly PedrocheAccepting New Patients):
Not possible! Your therapist will help you prioritize your treatment goals and often, those "issues" are intertwined and as you address one problem, another may resolve or become less problematic.
Topic: family-conflict

Question: Escalating disagreements between mother and wife
My wife and mother are having tense disagreements. In the past, they’ve had minor differences. For example, my wife would complain to me my mother is too overbearing; my mother would complain my wife is lazy.
 However, it’s intensified lately. I think the cause is my wife talked back to her once. Now, any little disagreement is magnified, leading to major disagreements. What can I do?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
One choice is for you and your wife to decide together what are reasonable ways and expectations to have of your mother.From what you write it sounds like your wife and you have differences as to what is the proper and right way to talk with your mother.Once the both of you agree on overall philosophy and some specific details for examples, then ask your mother to make time for all three of you to discuss together the expectations and standards you and your wife would like to see happen.This is only the first step since it is possible and likely that at least on a few points, your mother will disagree and have different views.These need to be discussed and integrated into an overall plan which all three of you are happy to live with.
Topic: depression

Question: Is self-diagnosing okay?
I'm currently struggling with diagnosed depression, anxiety, and Misophonia. Also, I am 99% sure I have Borderline Personality Disorder and Avoidant Personality Disorder. I read the DSM-IV, taken college psychology, etc. I know it in my heart I have them. Is self-diagnosing okay with the right research?

Answer (from Kaileen McMickle, MS, LPCLicensed Professional Counselor):
Sounds like you are really concerned about the things you are feeling and the way you are interacting with others.  Self-diagnosing is not typically recommended since there could be a misinterpretation of the criteria even if you do seem to "fit the mold".  How you interpret how you feel or how you behave can be distorted, no matter who you are.  I actually did this to myself when I was in graduate school and it turned out to be wrong!With that being said, I believe people are the experts on their lives and know best what is happening for them.  What is telling you that you have these diagnoses?  What does it mean about you if you do?  I don't give a ton of weight to diagnoses in the sense of treatment because a lot of diagnoses share the same underlying themes and origins.  Both Borderline Personality Disorder and Avoidant Personality Disorder can be a result of childhood trauma, so treating one may not look that different from treating the other one---and the most important factor will always be the relationship you have with your therapist otherwise treatment won't work.I do give a lot of weight to diagnoses in terms of emotional relief.  It can be really stressful to feel like there's something "wrong" with you and not be able to give it a category.  It can reduce stigma as well to know that what's happening to you is normal for what you've been through, and that others are going through it, too.  And it definitely helps to know that there are ways to help and people that know how to help you.Either way, kudos to you for noticing something in your life that you want to change!  It seems like relationships are important to you and you maybe worry you are pushing people away that are important to you?  Even if you do have these disorders, you can totally learn how to change your life.