thejana/Elective_modified_2 huggingface dataset:
Topic: relationships

Question: Me and my girlfriend of 7 years are looking for some free couples counseling in Modesto, CA
We have been fighting a lot and have 3 kids but we both want to stay together. I need some help to save our family.

Answer:
Hello, I do not live in the California area. However, perhaps I could make some suggestions as to where you might look for free counseling. First, I must mention that most insurances now cover for many different types of issues, including family issues. If your girlfriend lives with you, most insurances now cover "live-in partners," as well. If you have insurance, contact your policy provider and ask whether or not couples counseling is included.Aside from insurance, the next place that comes to mind is a religious affiliation. Do you belong to a church or other religious organization? Many of the pastors or leaders in these disciplines have significant training in counseling, as well as assisting with marriage and couples counseling. These services are ordinarily offered free of charge to members.Another option might be to explore support groups within the area. There may be a group in the form of a couples support group that brings couples together to explore their relationships in the safety of the group. If you find there are no such groups in your area, there are anonymous, support groups online. Here is one such site: http://relationship.supportgroups.com/
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:
No you can never have to many issues for counseling thatis why we have counseling around so we can help you with your problems
Topic: professional-ethics

Question: How does counseling end?
How does a counselor decide when to end counseling sessions or to terminate working with a client?

Answer:
For most:  When the money/insurance runs out.When best:  When the job is done... and you're feeling much better.
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:
When it comes to sex drive, we are talking adrenal function, and a little bit of kidney;The endocrine glands require a bit of pumping up to improve one's sense of desire, motivation, and joy;Consider herbal formulas centering around woman's reproductive function to improve desire;To improve his, there are herbs for the man's side as well :)
Topic: trauma

Question: My girlfriend can't stand it when I touch her
My girlfriend was abused as a child. Now, if I hug or touch her in any kind of way she says she feels as if she is being abused as a child. What might be going on?

Answer:
Sounds like she might be triggered and having a trauma response. This is normal for folks who've experienced trauma. The part of our brains that detects "danger" acts like a smoke alarm in our house: it's constantly scanning for threats and makes a bunch of noise if it detects one. Smoke alarms can't distinguish between smokey bacon cooking or an actual house fire - they just detect a threat and alert everyone of it. Our brain is similar. Her brain has probably learned that physical touch is dangerous for her, so whatever response she has next is her brain's way of trying to protect her. Particularly with sexual trauma, this can be a really frustrating experience for romantic partners trying to connect physically or sexually.
Topic: relationships

Question: How do I fix my relationship?
My boyfriend is in recovery from drug addiction. We recently got into a fight and he has become very distant. I don't know what to do to fix the relationship.

Answer:
My empathy goes out to you. Relationships are tough enough and i'm sure your partner being distant has been upsetting for you. You are confused and want to mend the relationship with him, but are finding it so hard to do. Relationships require both people to work consistently in order to keep them happier, but if it is only you that is actively trying to repair the relationship, it can be emotionally draining. Perhaps expressing you feel using I, you statements can be beneficial. Do not accuse him or use "you" statements like "you are so distant"  or "you don't even care".Start out sharing your feelings by saying "I feel sad when you don't return my phone calls" or "I feel confused about our relationship ever since you have been keeping to yourself". He may have a valid point, or might have been hurt by the argument and retreated as a result of it. Regardless of why, use this time as a great opportunity to practice healthy communication. If you think you are not ready for a conversation like that, couples counseling can be excellent. You will have a skilled facilitator guide the conversation and help you both communicate with one another.
Topic: trauma

Question: My past is holding me back from my future. How can I get my life back?
There are issues from my past that have me very heavily burdened in my heart. I've been torn for so many years and I need help so I can move on with my life.
   I experienced trauma when I was 8 years old and I did come out about it until I was 40.
   Now I know this is what's holding me back on my happiness. I've met a very loving and caring man but because I'm holding on to these things from my past I’m pushing him away.
   How can I get my life back?

Answer:
I would recommend finding an EMDR therapist. Eye Movement Desensitization and Reprocessing (EMDR) therapy is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. As an EMDR therapist can attest to the massive changes that using EMDR has had for many of the people I have worked with.
Topic: trauma

Question: How do I move on from almost being raped?
At a friend's house, we had some drinks and watched some television. He got up and went to bed. I felt sick. He came out to see if I was okay, and I said no. I said I wanted to go home, and he told me to come lay down. As I laid down on the bed, he started touching me. A friend called me, then I able to leave.

Answer:
I am so sorry that this happened to you and am so glad that you were able to get away.  Your body is yours and yours alone.  I would highly recommend that you find a therapist who specializes in treating trauma in order to help you to heal from your ordeal.
Topic: intimacy

Question: Why is my fiancé angry at me about his automobile insurance?
My fiancé and I recently had an argument over finances. He gives me the money each month to pay his automobile insurance. He no longer has one of the vehicles on the policy. He realized he was still paying for the coverage and asked why I was allowing him to continue to do that since I was physically paying it for him. My response was that he was giving me the money, and I just made the payment. I didn't think of the coverages. He was angry about it. I still can't figure out that anger.

Answer:
A few things come to mind. I wonder if your fiancé is still angry about it or if he was angry in that moment and has now worked through it.It sounds like there was also a difference in expectations here. You were just  paying the bill with the money he was giving to you and he may have assumed you were reading it. You thought that you were following his directions. It could be that you could have a discussion about it, but that depends on how much of a hot button issue it still is for either of you.If you're going to talk about it, I might suggest asking whether this would be a good time to have a discussion about what happened with the automobile insurance so that you can both use the opportunity to learn more about yourselves and each other around this particular issue.
Topic: self-esteem

Question: Why am I so nervous talking to people?
Whether it's to a guy or girl, I always feel insecure talking, and I am afraid of embarrassing myself and not being good enough. Even when I am walking, I worry about my appearance and facial expression and such.

Answer:
I want to add that one way therapy can help with social anxiety is to give you a corrective experience.  Each week, you sit across from someone who genuinely cares about you, who doesn't judge you, and who you can voice your concerns to.  Over time, you show them more and more of yourself, and as they get to know you, they still care about you, they still don't judge you, and they still think you are amazing.  Find a therapist you connect with.
Topic: trauma

Question: How can I unblock my memories?
As a child, my parents injured my brother, so they went to prison. I was there when he had gotten hurt, but I can't seem to remember. I also can't remember being with them quite well. It's a blur.

Answer:
It's important to know that there are counselors who are trained in working with survivors of trauma and you can get help.  The "blur" in your memories is your brain's attempt to protect you from the experiences in your past.  To recover them can be a slow process done by a trained professional that you trust.  When you are ready and feel safe, those memories can be recovered and can be integrated with other memories.  This will help to lessen the potency of the memory, help to make sense of what has happened, and allow you to begin the healing process.  Check into therapist who are trained in EMDR (Eye Movement Desensitization and Reprocessing).
Topic: parenting

Question: My daughter isn't acting her age
My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.    Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?

Answer:
This is certainly an important issue to look into, It is always helpful to speak with the child's pediatrician since they are most familiar with the child's developmental history. Also, children tend to regress behaviorally when facing events and interactions they feel to have no control over, this can be as simple as a loss of a pet, a recent move, death in the family,  and/or as serious as sexual abuse, and other things. If you have not spoken to the school that can be a good starting point.
Topic: marriage

Question: Is my marriage worth saving?
All we do is argue. We never agree on anything.

Answer:
For how long has the arguing been occurring and does it relate to a specific incident or circumstance in your relationship?Arguing due to temporary stress and feeling lost or uncertain, is different than the two of you rarely agree on what foods to buy at the grocery store.In both temporary or longer term arguing, ask yourself if the points being argued are core principles of yours or matters which you can accept in service to the benefits you feel from the marriage.If your core principles are rejected, you’ve been arguing for an extended amount of time, and the value of the marriage doesn’t outweigh this, then seriously consider if ending the relationship is a better option than to stay in it.
Topic: marriage

Question: How can I let go of my dream wedding?
I have been with my husband for almost 7 years. We got engaged a little after 5 years of being together. I had always been clear that I wanted to get married and I sadly would drop hints about how i wanted him to propose.  When he did propose it was during a random vacation that I had planned. I was happy but I couldn't help feeling disappointed too. I had told him numerous times before that I wanted him to do it in front of my friends and family. I know it sounds dumb to be upset but I couldn't help how I was feeling. We are now married but the wedding and ring were also far from what I wanted and it wasn't due to lack of funds. I know this is all material and the marriage is the most important thing but I cant help but get jealous and envious every time I see someone get a proposal or wedding that I had wanted. I cant help my anger because I know we only get one proposal and one wedding. What I wanted will never happen. I have been working on my feelings for the past year and half to get over it. I try to focus on our marriage but every time I see someone have the best proposals and weddings I get upset. I know it is selfish and I know its petty but I just can't control it. It's ruining our relationship because I constantly think about it. Plus, I get mad at him for small things because I am trying to hide the fact that I am so disappointed.  Why can't I move on?

Answer:
It's hard to let go of the dreams you had regarding your wedding and engagement. This was something that you and most women think about for years, so it's understandable to be disappointed. But please be aware that it is rare that any wedding is perfect. You may envy your friends' weddings but more than likely they had a few mishaps of their own and/or it wasn't as perfect as they had planned it either. However, like you know, the marriage is the most important thing. How many women are envious that you are in a happy, stable relationship? I assure you that there are plenty. Try to live in the present considering that dwelling on the past can still not change how you were proposed to or how your wedding day transpired. Focus on what you can control NOW. Perhaps, you can plan an extravagant renewal of your vows or change the look of your ring?I would also be upfront with your husband and explain why you've been short lately. But after that, close that chapter and move on. It sounds like you have a wonderful companion and you certainly don't want to lose this due to a situation that is impossible to change.
Topic: relationships

Question: Should I seek help or should my boyfriend and I seek help together?
Recently my boyfriend broke up with me because of my bad language. But he thinks I'm a total b***h. I know I'm bipolar and can be selfish. He called me today and says he can't go through with the breakup. I was broken and didn't want a breakup to begin with, but I know I'm horrible at times and can't help it. It's like I'm battling myself. What do you feel?

Answer:
Both options seem reasonable.  Seeking individual therapy will help you to cope with the mood changes that come with bipolar disorder, will give you a space to vent your negative thoughts, and will allow you to find the coping mechanism to address life and relational challenges.  IF your boyfriend is interested in attending couples therapy with you, it will assist in identifying the problems in the relationship that pushed him to the breakup and will give both of you the tools to communicate and resolve conflicts.I am a Licensed Professional Counselor in Texas, currently providing individual, couples, and family therapy services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.    ¿Debería buscar ayuda yo sola o junto con mi novio?Mi novio me dejo recientemente por ser mal hablada.  El piensa que soy una p***a.  Yo sé que soy bipolar y que puedo ser egoísta.  El me llamo hoy para decirme que no puede continuar separado.  Yo estaba destruida y no quería que nos dejáramos desde el inicio, pero se lo horrible que puedo ser a veces y que no lo puedo evitar.  Es como si estuviera en guerra conmigo misma.  ¿Qué piensas?Ambas opciones son razonables.   Buscar terapia individual te ayudara a manejar los cambios de estado de ánimo que son partes del desorden bipolar, también te dará espacio para ventilar los pensamientos negativos y encontrar herramientas para enfrentar problemas relacionales y de la vida diaria.   SI tu novio está interesado, también pueden asistir a terapia de pareja para poder identificar las razones de la separación, y obtener las herramientas apropiadas para  comunicarse apropiadamente y resolver conflictos. 
Soy Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478.
Topic: trauma

Question: PTSD is impacting my whole life
I have PTSD. The side effects are really bad and have impacts on sex, anger and my relationships. I even lost my job month ago.    How can I get my life back?

Answer:
It is brave of you to speak out, PTSD is not a joke and it can quickly take a toll on all aspect of life. Please, know that you are not alone and with the right help you can overcome these challenges. Living with PTSD can be very emotionally exhausting, but you can learn ways to cope with its challenges and find fulfillment in your life again. This means being proactively involved with the process, learning about the problem and positive ways to manage it can be a good start. This can also mean seeking professional help. It is important to address the problem both at the physiological and psychological level, this can mean using medication that is prescribed by a MD to reduce the intensity symptoms and also working with an experienced licensed professional. Having healthy life habits such as good sleep hygiene, healthy diet, staying away from self-medicating with drugs and alcohol, and exercising can help reduce the intensity of the symptoms as well. Please, consult with a licensed professional close to you to get more information on resources you can possibly find helpful to you.
Topic: professional-ethics

Question: How does counseling end?
How does a counselor decide when to end counseling sessions or to terminate working with a client?

Answer:
To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basis, depending on the frequency of the appointments.  Once the therapy goals have been met, there is a closing session, the counseling relationship is ended, and the client can stop attending sessions.  In some cases, the client can also establish new goals and determine if I am a good fit for their therapy needs or if they need a new provider, in which case I provide multiple referrals.The counseling relationship could also end due to other factors like noncompliance= when a client is not committed to the agreed treatment process, or when the client’s or a counselor violates the counseling relationship.  Either the counselor or the client is able to end counseling.  Although, as mental health providers we need to provide a reason for terminating our therapeutic relationship and referral options, as a client no explanation is needed, a closing session is highly recommended.  ¿Cómo termina la terapia?¿Cómo un consejero decide cuando terminar las sesiones de consejería o terminar de trabajar con un paciente?Para poder determinar el final de la relación del consejero, debemos comprender las metas y parámetros de la terapia.  Usualmente durante la evaluación inicial se identifican metas a corto y largo plazo con el cliente, y se discute con el cliente como esas metas serán alcanzadas.  Durante el proceso de terapia el consejero revisa las metas mensual o trimestralmente dependiendo de la frecuencia de las citas.  Ya que las metas de terapia son alcanzadas, hay una sesión de cierre y el cliente puede terminar la terapia.   En algunos casos el cliente puede identificar nuevas metas para la terapia y determinar si el mismo consejero u otro consejero le pueden asistir. 
La relación de consejería también puede terminar por no conformar o violentar los parámetros  establecidos para la terapia.   Tanto el consejero como el cliente pueden terminar la relación de terapia.  Como proveedores de salud mental los consejeros estamos obligados a proveer un razón para la conclusión del tratamiento y proveer referidos según aplique, los clientes no necesitan proveer una explicación, aunque es recomendable discutirlo en una sesión de cierre.
Topic: trauma

Question: How can I get therapy for posttraumatic stress disorder without any money or insurance?

Answer:
Depending on where you are located, you may want to consider calling 2-1-1. It is a resource hotline that can help provide you with referrals for therapists or clinics in your area who may offer pro-bono services. When going through the list of referrals they provide you with, you can call around and see what types of treatment they offer for PTSD and make a list so you can do your own research before deciding what you think will be the best fit for you. There are several different types of trauma therapy, but some of the most common include cognitive processing therapy and EMDR in case you'd like to research them and get more information.
Topic: intimacy

Question: Should I get a divorce?
I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair.

Answer:
Whether to divorce or not depends on your reasoning to do so.Marriage is its own unique existence dependent on what the partners want from it.Examine your terms of satisfaction from the marriage.Maybe you have very clear reasons to continue the marriage.Maybe you don’t.Only you can decide if what you’re contributing and benefitting is satisfying enough to stay.