thejana/Elective_dataset huggingface dataset:
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 Bethany KelloggPlay Therapist):
It sounds like you have been through a lot, but in therapy there's no such thing as too many issues. That's what it is there for.  I want to normalize that a lot of people feel they are 'too much' but this isn't true.  A lot of the issues you mentioned are interrelated and may be affecting the other. We are a whole person, and our physical health affects our mental health and vice versa.  Sometimes when you work on one issue in therapy, it can help alleviate some of the other issues.  It is easy to feel overwhelmed with all you have going on but a therapist can also help prioritize some of that and find goals to focus on.
Topic: intimacy

Question: What should I do if I think my partner is cheating?
How can I know if I'm just being paranoid?

Answer (from Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT):
Hi Texas,Oh, that's a powerful idea, isn't it? It burrows into your head. Let's figure this out. First, has your partner given you any concrete reason not to trust them? Have they cheated before? If not, then they deserve the benefit of the doubt until there is evidence. If it's a "yes", then it's natural that these fears would be triggered and you can simply let your partner know what triggers the fear and what you need. "When you refuse to let me see your phone I worry that you're hiding something. I need openness". If they haven't cheated on you in the past, there are three possible scenarios here. I invite you to take a moment and write down what the evidence is that cheating is going on. What is the specific thing that's triggering your fears? When you have your data recorded, read on...The first scenario is that you have been personally hurt in the past by someone else and you've developed fears that you will be hurt again or that you're not enough to keep someone interested (this is just fear...people cheat for their own reasons, not because we're not interesting). This may be true if what you wrote down is "They didn't really do anything wrong...there is no evidence. I'm just scared and suspicious". That's a cue to do some self reflection and calm yourself with thoughts like "nothing has really happened. I can trust."If what you wrote down was vague evidence, like for example your partner has been distant or irritable, or you're having less sex than usual, you can try to approach the situation without making assumptions. Trust your gut, but your gut isn't seeing evidence of cheating...it's evidence of "something". Ask your partner what's up with accusations or assumptions.The third possibility is that there is some clear evidence that they are cheating. Maybe there are texts on a phone, or someone has told you something they saw. I'd say when there is some evidence, it's okay to present this to your partner and ask what's going on. If this happens repeatedly, and your gut is screaming and there are only excuses or explanations that don't make sense, then it's okay to do a bit of "research" and be extra aware of what's going on around you. I hope that helps.
Topic: behavioral-change

Question: Do feelings of depersonalization go away?
I've felt this way for two years. I feel so much better now then I did when it started, but it is still there in the back of my mind at all times.

Answer (from Cory Ian Shafer LPCPsychotherapist, Jungian, Hypnotherapy):
Best answer that I can give to you is that some level of de-personalization is quite normal for everyone, it will come and go throughout life, kind of like being on a roller-coaster, "here it is, then it's gone not to return for quite some time", like many things, the more that you fixate on it, the more stress it will cause you, consider it part of life, accept it, and move on, now if your having many, many ,many of these episodes or have some auditory or visual hallucination or disturbances or emotional unbalancing that accompany it than that is definitely something to look at, but for the most part nothing to worry about. Hope this helps,C
Topic: intimacy

Question: My friend had lied about every aspect of her life—what do I do?
She has lied about every aspect of her life. She's created three fake relationships. The most recent one is concerning because she has fake photos, phone calls, and text messages, and it’s with a married man with kids. Her lying is becoming dangerous because she could ruin lives.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Is being friends with this person safe for you?Liars don't generally distinguish who they bring down with them or in service to themselves.Step one is to understand a true friendship, which is based on trust, is probably not possible with this person.If you'd like to offer words of advice to protect her from herself then try gently pointing out that some of her actions which you know about, may come around to harm her.There is only a small chance she will be open to hearing you.People who lie are also very fearful of trusting others, including themselves.  She may prefer to keep status quo than open her own emotional pain to understand what created the need to lie in the first place.
Topic: depression

Question: How can I control my anxiety?
I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

Answer (from Cory Ian Shafer LPCPsychotherapist, Jungian, Hypnotherapy):
As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C
Topic: counseling-fundamentals

Question: How does someone approach a counselor?
How does a person start the counseling process?

Answer (from 2nd Chance Counseling Service Online Addiction Therapy ProviderConvenient Online Addiction Therapy ):
I think it is important that you are able to convey what you are looking for in a therapist even if that changes over time.  You need to look at it like you are interviewing the counselor and that they will be able to provide you with the therapy you need.  To many times we do not know and it ends up not being a good fit and then people are left with a bad experience and do not want to re-engage.  Remembering you are basically hiring someone to help you so I would treat it as such. Do some research and be clear as to why you are coming to therapy and ask questions as how they will be able to help you.
Topic: parenting

Question: I don't know how to communicate with my adult daughter
There is just no communication at all between us. She sleeps constantly all day (not at night). She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat.    She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health.
   I don't know how to communicate with her. She is not open to any suggestions. How do I get through to her?

Answer (from Robin K. SchnitzlerCouples reclaiming connection!):
This sounds like a painful situation, where you care about your daughter and want to help, yet you feel helpless to do so. I'm sorry you are going through this. You do not mention how old your daughter is, which makes a huge difference in my mind as to how to approach this. If she is a minor, then you have a responsibility for her health and wellbeing. If she is 18 or older, this shifts a bit. I would suggest slowing everything down and consider your goals. If you continue to require her to behave differently every time you interact, she will likely continue to tune you out. However, if you choose to prioritize your relationship and connection to her, there are other approaches. These include taking an interest in her, as a person. Being willing to talk with her without making any suggestions, and if possible, withholding judgment about what she is doing or not doing. This takes practice and tremendous control because of our tendency as parents to want to fix what's wrong. Best wishes.
Topic: marriage

Question: Why am I with my husband if he is mean?
I love him, but he doesn’t show me love. He talks badly about me to his friends.

Answer (from Sonya WilsonLicensed Professional Counselor):
So many questions comes to mind when I read your words...Do you love yourself?  What do you LOVE about him?  What are you getting from this relationship that is good for you?  What are you lacking in yourself that you allow yourself to be treated this way?....I can go on..If you can answer these questions, maybe you will answer your own question of WHY are you with your husband or even better, WHY you ALLOW your husband to be mean, show no love, disrespect you?  You seem to lack self-worth...seek a professional to help you with this.
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 Traci LowenthalLGBTQAffirmative Therapist ):
It doesn't sound like you are finding yourself attracted to anyone.  It could mean that you just haven't connected with anyone you find attractive, or that you are asexual - essentially not oriented toward anyone.  I would suggest doing some reading on asexuality and see if it connects to how you feel!
Topic: depression

Question: How can I help my girlfriend?
My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.

Answer (from Dr. Meredyth LawrynceServing Clients Nationwide):
Changing scenery often
helps in recovery. Could you move with her? 
Moving could help her depression
also. Is she also open to therapy?  
Being supportive is one way to help her, and allowing her the space and
ways to heal that suits her best.
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 Elaine AlysonPsychotherapy and EMDR):
Anxiety or panic attacks can be very frightening.  Here are a few "tools" you can use that will help in the short term:  Keeping your mind occupied by listening to books on tape may help;  Counting backwards from 100 in 7's; Naming cities that begin with each letter of the alphabet; Keeping some ice or an ice pack in a cooler beside you, which you may take out and hold in your hand or to your face; Soothing self-talk such as "This is uncomfortable, but I can handle it" or "I've been through this before and can make it through again".  I recommend that you seek out a Therapist to help you with some long-term solutions to the anxiety.  Additionally, learning to breathe into the abdomen and practicing this daily is another long-term solution.  Yoga and meditation would be great!
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 Dr. Joi LatsonLets start your journey today!):
Hi! There are support groups to join! I facilitate grief groups at trauma resolution center. Individuals are free to join if you live in Fl. Feel free to call 305-374-9990 to ask when the next grief group will begin. They are virtual
Topic: anxiety

Question: How do I deal with all of my disorders?
I have attention-deficit/hyperactivity disorder, posttraumatic stress disorder, anxiety, anger, and memory problems. I can't work. I have no income. I'm on medicine, but I feel worthless. I want to be normal.

Answer (from Sarah McIntyreSarah McIntyre, M.Ed., LPC):
I am so sorry to hear that you are struggling.  It sounds like you've had a traumatic experience that has impacted your life in many ways.  Without knowing much about your history, I wonder if the trauma you suffered has lead to the anxiety, anger, and memory problems you are dealing with, in addition to PTSD.  I would encourage you to look for a trauma therapist who offers a sliding scale or pro bono services.  There may also be community mental health services in your area that offer free therapy if you are eligible for grant.
Topic: lgbtq

Question: I crossdress and I don't know how to feel about it
I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single.

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Let yourself enjoy crossdressing!What sounds in your way are whatever beliefs you gre up hearing, see and absorb currently.Concentrate on your own satisfaction and that you are doing this in a non-harming way.Maybe if you branch out your interest by finding other people who enjoy crossdressing as much as you do.With any interest or activity, social interaction supports it.
Topic: anxiety

Question: Do I have social anxiety?
When I go to school, I feel like everyone is judging me, even my friends. I get overwhelmed which these thoughts and sometimes cannot get out of what I call a deep hole of thoughts. I barely go to any of our school dances because of all of the people. Not even when I am completely alone do these thoughts go away. I still feel like people can see me and are judging me.

Answer (from Ben BraaksmaMental Health Counselor):
It sounds like a couple of things are going on here; you are noticing yourself feeling judged by the people around you and that you are avoiding social activities and in addition to this you have intrusive thoughts that you are being judged, even when alone. It sounds like these thoughts are pretty distressing and you are wondering what is happening to you. Many people who come to therapy experience intrusive and distressing thoughts of various kinds, which often influence their behavior in ways that they may not like, such as leading them to isolate. In therapy, you may be able to gain insight into the nature of your distress as well as learn ways to cope and eventually alleviate this distress so that you can have satisfaction and security in your life and relationships.
Topic: eating-disorders

Question: How can I train myself to stop eating when I'm full?
I have no self control over food. Most people stop when they've had enough, but I keep eating for the pleasure of it. Especially with sweets - I'm never done eating dessert.

Answer (from Amber Madden, MA, LPCAFood Addiction & Obesity Specialist):
Hello! I'm so glad you decided to write in today. This is such a great question and I'm sure many others will relate to exactly what you're describing. There are a few different ways we can look at in understanding your concern. First, I think it's important to understand food is just food. Food is meant to nourish our bodies, provide us with energy and yes, sometimes reserved for special occasions and celebrations. But in many cultures, we place a LOT of emphasis on food. We have food at every gathering and every celebration. What's more people have come to almost EXPECT food to be present at any and every get-together. And if it's not? Well, then forget about it! I see this time and time again with my clients. Donuts appear in the office, and it's almost like donuts have never been there before! Must eat one (or two)! However, we need to remind ourselves that this occurrence, or similar ones, will not be the last time we can enjoy this particular food. It is likely the office donuts have happened before, and they will be there again on another day. During these moments, I like to have my clients employ a Stop-and-Think method. Stop-and-Think about your goals before you eat. Is this donut getting you where you want to be? Also, I have my clients ask themselves how special is this donut? If the donut really is a special donut (from the best bakery in town and you've never been there before) then now might be a time to have the donut. But if not, it would be wise to pass and wait until that "special" donut. Another aspect we need to remember about food, is to think about what we're getting from overindulging or overeating. Are you trying to drown out other emotions? Are you trying to feel better and the food gives you that feeling for a brief moment? What ELSE is going on? This can be determined by utilizing what we describe as a Thought Record. A Thought Record involves tracking and identifying thoughts and feelings associated with food triggers. By targeting the emotions, we can then determine where they're coming from, as well as how to decipher them. A therapist can also help you with understanding your emotions related to food and will be helpful in assisting you with the Thought Record.The most important thing to remember is that "food addiction" can be a real problem for a lot of people. If food is taking over your life and you are preoccupied and overwhelmed with knowing where to start, please seek out help. Binge eating is the most common eating disorder and impacts the lives of thousands. There are lots of free resources and information on my website at www.maddenwellnessky.com. In addition, I offer individual coaching and counseling through my website and I would love to help!- Amber
Topic: spirituality

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

Answer (from Brandon CoussensCouples Counseling, Premarital Counseling and Sex Therapy):
Our actions unfortunately cannot be undone, and we all do things we regret. It is sometimes very hard for others to see past our worst behaviors and trying to force them to move forward or "get over them" doesn't usually work. Your fiance is probably grieving the losses and consequences that come with what have happened. I know that may be hard to understand, but desired a virgin for a wife, then he has to grieve the loss of that dream coming true. Also, if he is struggling with you having had sex with another person before, then he will need he may not be able to accept that. All of that to say, as a counselor who helps people everyday with sexual, relational and spiritual issues, I believe it may be helpful for you to help him grieve and connect with the tragedy of your past. Grieve with him. Let him know that you hurt too and wish you could have provided that for him. Listen to his heart and allow him to speak his pain. And after that, ask him to pray with you and do devotions with you. Encourage him to see a therapist. If ya'll are Christians, there are Christian therapists who can help him uncover the blocks that may be hindering him from moving forward.
Topic: anxiety

Question: How can I make the voices stop?
I don't remember when the voices in my head started, but I remember Hearing them when I was little.    I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?

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 Toni Teixeira, LCSWYour road to healing begins here):
I love this question! Some people shy away from counseling because they think since they already talk about how they feel to their relatives or friends they shouldn't need a counselor. However, if you are having a difficult time, counseling can be beneficial in helping you move forward and get your life back on track. Counseling is not like the kind of talking we do to people we know. For one, your counselor does not have a history with you and has no expectations of how you will act and what you will do. In that way, counselors come to a session without judgement and expectation. This gives you the platform to truly explore your thoughts and feelings. A counselor can also help you understand your motivation and help you integrate your past experiences and recommend coping skills that can help you if you are feeling overwhelmed by your emotions. Over time, as you work with a counselor you will get feedback and also be able to share new insights. The work you do is based on you and where you are at. Oftentimes, when we talk to friends they bring their own agenda to a conversation, and while they mean well they may offer solutions that work for them and not you. A counselor will help you uncover the solutions that work best for you and help you find the motivation to follow through with your plan.Best of luck to you!
Topic: counseling-fundamentals

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

Answer (from Steve McCready):
A counselor can do a few things that can be helpful:1) Give you a space where you can explore what's in your head without worrying about being judged or punished.2) Help you better understand yourself, your choices, your motivations.3) Give you tools and information you can use to help create change in your life. Ultimately, though, it's up to the client to take action, because action is what creates change. So, a counselor can't create change ... but they can facilitate and support it.