thejana/Elective_modified_2 huggingface dataset:
Topic: lgbtq

Question: How can I deal with gender dysphoria in a positive way?
I'm transgender, I know I am, but I've only told a few friends. I know I can't tell my family because of previous conversations we've had. They just wouldn't accept it.
 My gender dysphoria is getting really difficult to deal with on my own. I need some strategies for dealing with it. What should I do?

Answer:
Hello, and thank you for your question. I am so glad that you reached out for help. I know that the dysphoria can feel nearly impossible to handle, especially since you have limited support from people who accept who you are. You may already know some of these resources, but I am going to share a few. 1. The website www.letsqueerthingsup.com is a blog from a very good writer that I know. His name is Sam Dylan Finch, and he is transgender. He writes about mental health, transgender issues, and many other topics. I know he has frequently written about gender dysphoria and ways to manage it. You may want to check out his site and do a search on there. 2. The website www.everydayfeminism.com employs many transgender writers and several have written about gender dysphoria and have given ideas for managing it. If you search for gender dysphoria on their site, many articles pop up. It may be a good resource for you, especially if you ever feel lonely and start to forget that there are others out there who are like you and have your back. 3. I am not sure where you live, but there are counselors who specialize in affirmative therapy, which is what is recommended for folks who are part of the LGBTQ community. So, if you decide to see a counselor about the dysphoria, try to find one that specifically says they have been trained in the affirmative approach. In addition, feel free to ask questions of the counselor before agreeing to see them for counseling. An ethical counselor would have no problem answering them before having you come in. 4. If there are some LGBTQ resource centers in your area, try to reach out to them and see if there are support groups. Gaining more support from others would be helpful. Sometimes LGBTQ-friendly counselors leave their contact information for people in resource centers. 5. Finally, I know you have not mentioned being depressed or suicidal, but I also know that it is very common for people to consider suicide when they are struggling with dysphoria, dealing with transphobia, etc. If this ever happens to you, please call 911 or the Trans Lifeline. It's free at 877-565-8860. Visit their site at www.translifeline.org. I hope some of these ideas help. Feel free to send another message if you have a follow-up question.Be well....be YOU.Robin J. Landwehr, DBH, LPC, NCC
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:
When talking about difficult issues, it is very normal to cry. Crying is a natural way for us to cope with the sadness that we experience in life. When confronting some of these things in a counseling session, tears just seem to come naturally. Every Counselor should be well equipped to handle that level of emotion, and you would be far from the first to cry when talking with a Counselor.
Topic: intimacy

Question: I cheated on my partner, and I don't know how to feel
I am married, but I had sex with my friend. I feel guilty, but I feel not guilty too. Do I need to feel guilty? It's my body, and I have full rights to do what I like.

Answer:
My questions to you would be:  Why did you get married?  Would it bother you if your spouse did the same to you?
Topic: eating-disorders

Question: How do I see a therapist without having healthcare?
I need to speak to someone about sexual addiction and binge eating immediately.

Answer:
Openpath.com is a great resource for therapists that offer affordable services.
Topic: intimacy

Question: My boyfriend wants nothing to do with me after his dad's suicide
My boyfriend lost his dad to suicide. He says that because his dad died, so did his heart. He says that he can't be there for me or love me anymore and wants nothing to do with me ever again. Why is he doing this when we were very happy together? He says that I have done nothing wrong but he just can't be with me.

Answer:
I am sorry to learn of this.  You must be extremely frustrated and heartbroken.  To begin, he is correct.  You have done nothing wrong.  This is entirely a coping mechanism in overdrive.  It is fear.  It is anger.  It is extreme sadness.  It is feelings of abandonment.  It is intense emotional pain.  It is his way of protecting himself from potential unexpected additional loss.I am not familiar with how old this post is, but often, it will require time and understanding.  If he speaks with you, encourage him to get grief counseling.  Do not encourage it for your relationship, encourage it for his betterment coping with losing his dad.  Start there.  Good Luck.
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:
One of the first things you should feel with a therapist is a safe and non-judgemental space. As a therapist, my number one goal is to make my clients feel comfortable with sharing the darkest parts of their life. The next thing you should recognize is the therapist challenging you to think beyond your current scope of focus.
Topic: counseling-fundamentals

Question: Is it normal to cry at therapy?
Is it normal for people to cry during therapy, or is it just me?

Answer:
Yes, it's totally normal! Crying is a part of processing the tough stuff, no matter your age, gender or background and the therapeutic session is a safe space to do this. Sometimes crying can offer relief or provide room for deeper authenticity in session as you let both your strength and vulnerability shine in alignment.
Topic: counseling-fundamentals

Question: Is it normal to cry at therapy?
Is it normal for people to cry during therapy, or is it just me?

Answer:
Participating in therapy can be incredibly vulnerable at times, and can evoke lots of emotions that may or may not lead to tears. It is okay to experience these emotions in and outside of the therapy space.  Therapy should be a safe place for you to be yourself, be in the moment, and give freedom toward healing and personal growth.
Topic: anxiety

Question: I keep on changing my life when things get tough
I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.

Answer:
Is there a certain problem you feel about living the way you describe?As long as you feel satisfied with how your life is unfolding then you’re making wise decisions.If you feel tension or that somehow doing as you describe is wrong, then the first step is to identify the way you feel your methodology described above has a role in working against your best interest.Basically, define what is problematic in order to address it.
Topic: trauma

Question: How do I deal with my trauma?
I was a victim of an incident. I've been made fun of and have been beating myself up for it because I don't feel anyone honestly believes me. There are so many other factors I deal with on a daily basis. I ignore my problems when I'm with my friends, but it’s scary when I’m alone.

Answer:
I'm glad you have some time when you're not thinking about your trauma when you're with your friends.As far as feeling scared when you are alone, I'm not sure if you are referring to having flashbacks or thoughts on what happened to you or reminders in the environment around you or something else.One thing that might help is to find a bead or a rock that is smooth that you can hold onto or rub against your hand or fingers. Think of a time when you felt safe, comfortable, happy – basically a positive and safe moment – while holding onto the rock. Then, when you have scary thoughts, you can hold on to the rock and remember the happier place. Try to associate as many happy and safe moments with the rock as you can.
Topic: family-conflict

Question: What do I do about a cousin who makes me feel belittled, insecure and frustrated?
Hello, I have a cousin in my family who has been making me feel belittled, insecure, and frustrated during her stay here in the city. I know she comes from a place of love, but she has always been short-fused and highly temperamental if something doesn't work out the way she planned it. I have tried my best to coordinate plans with her, but she always ends up frustrated about the lack of communication I seem to have on my part and then makes condescending comments about my character that include: inconsiderate, negative, oblivious, and self consumed.    I have tried to talk to her openly about this, but it always comes back as an attack on my character and I have never heard these comments from anyone else before. I have been thinking a lot about her comments and whether I truly am an inconsiderate person who is not thoughtful, spatially aware of surroundings/people, or positive, but in the end, I am feeling awfully hurt about how this has affected our relationship.    What can I do?

Answer:
It sounds like you are feeling pretty criticized by your cousin and at the same time you are wondering whether or not there is some truth in what she is saying. It also sounds like you would like to see if you can find a new way to relate to your cousin, so that your relationship can be more satisfying. If you can find a competent therapist to work with, there may be a great deal of opportunity to learn more about how you relate to people in the world and to learn strategies to show up in your relationship with your cousin in a way that feels right to you.
Topic: relationships

Question: What can I do to keep my relationship as good as it could be?
My long-distance girlfriend is in a sorority, and it's changing her. I feel like I'm becoming less important to her and it hurts. She just wants me to support the sorority, but it's so hard. I try every day to show her she's the most important thing to me, but she can't even stay relatively sober at a fraternity party for me so that I won't worry about her doing anything regretful. We love each other, but we're in a rough patch.

Answer:
You may already be doing as much as possible for your relationship.Each of you are 50% of the relationship.Is the 50% which your GF contributes to your relationship, based on the same understanding of the couple's problem, as you have?Maybe a good starting place for the two of you to talk about is defining what problem the two of you have as a couple.This way, each of you will be able to know if you have similar values and definitions of your reasons for being together.Depending on what you each expect from your partnership, you each will clearly know whether, and then how, to accommodate the other person.These discussions stir a lot of emotions in each person, so that sometimes staying clear minded becomes very difficult.  You both will likely feel like talking about these matters more than one time.Consider utilizing a professional, credentialed and licensed therapist who would help the two of you stay on track with examine your emotional connections in a fair and safe way.Good luck with understanding and appreciating your relationship!
Topic: diagnosis

Question: Why can't I stop these thoughts?
I keep having these random thoughts that I don't want. Things like "you aren't worth anything." I know they're my own thoughts but it feels like someone else is saying it.
   What is wrong with me, and how can I stop having these thoughts?

Answer:
Those kinds of thoughts can be quite difficult to handle, but if they are your own thoughts (and not voices you are hearing, which can be very different), they likely are not new to you. From what I've learned from clients I work with, often these thoughts have been quite useful for them over the course of their lives, that through criticizing oneself, it is a way of motivating oneself. However, in your case and in most of those clients, it has caught up to them and it's almost like they no longer need the motivation (that they can do just fine motivating themselves by themselves!)I think it's important to see these thoughts as the voice of the "inner critic." That inner critic was there for a long time, again, because "it" (I like to identify it as a thing inside of you) thought that you needed motivation in the form of criticism to stay on task with your life. But now that that kind of sentiment is no longer needed by you, it might be time to have a different kind of relationship with it. But it wants to be heard. It doesn't want to silenced (Or "stopped" in your words.) So instead of trying to ignore it, perhaps we can see all the ways you are worth something and internalize (take in, let those ways resonate with you, sit with them, think about them) so that the inner critic can see that it isn't quite correct in what it is saying. In essence, you are instead sitting with the thoughts or worthiness instead of worthlessness.If that is challenging, sometimes seeing someone who is objective, such as a therapist, can be helpful. They can help you see the ways in which you are strong, have resilience, as well as any positive attributes that might be hard to see in the face of this loud inner critic. And, above all, if you feel like this doesn't resonate for you, and that the voices might actually be voices, an evaluation should be sought to further tease out what sorts of symptoms you are experiencing.
Topic: trauma

Question: How do I cope with posttraumatic stress disorder and its triggers?
I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them.

Answer:
Often people with extensive trauma have difficulty talking about it. This lessens the impact of traditional talk therapy and there benefits. There is a helpful therapy called EMDR that is limited in the amount of talking and also has quick benefits for the reduction of symptoms. For those who are in great distress you can also complete EMDR therapy every day if you would like/have the means. This can quicken the recovery time from these distressing life events.
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:
Hi! Many people begin their therapeutic journey with histories just like yours and experience transformative shifts in their quality of life.  I hope you are able to find a counselor you feel comfortable working with and do the work if you feel called. Best of luck on your journey!
Topic: domestic-violence

Question: I have a son with my girlfriend, but she is emotionally abusive. What do I do?
I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time because before our child she said she was raped by a family member but she never went to the hospital or the cops. Now me and my family don't talk. She's always telling me I'm annoying and just belittles me. Nothing I do is right. She says I work you watch the baby. On her days off she never cooks or cleans. I have no friends or family and a couple months ago she was confiding to some guy, but says he's not any thing to her. What do I do? I don't want to leave.

Answer:
It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more beneficial for you and your child to move out.On the other hand, if you are just wanting the relationship to work out despite its current state, you need to evaluate whether the relationship is worth salvaging. It seems as though you are very unhappy and undervalued in this relationship. Although your question revealed just a short bit of information, I didn't read about any positives in the relationship. Sometimes it's extremely hard to leave a relationship even though you know that the relationship itself is harmful for you. However, with time and focus you can do it. Each day will get a little easier and you have to trust yourself that you are making the right situation for you and your child.However, if you really feel that you want to stay in the relationship, you have to be upfront with her. You need to tell her exactly how you feel and give her specific examples of how she is hurting you. This gives her a chance to render the situation. If after this there is no improvement, I suggest that you start reconsidering your decision to stay.I also think it would be valuable for you to start engaging in things outside of the home that make you happy. Are there any hobbies you enjoy? Are there any groups in the area that you can join such as playgroups that will allow you to engage with other parents? Start looking into these options and finding an avenue for you to do something for your own benefit.It is certainly not healthy for you to isolate yourself from friends and family. You need to have additional support networks besides the one with your girlfriend, especially since this has not been a healthy environment lately.Thank you for reaching out. I wish you the best of luck with your relationship.
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:
This is a common worry clients have about counseling. Something that can be helpful to remember is that what we're seeing as different issues often have a theme or are connected in some way. For example, the sexual abuse and cancer history you shared have similar traumatic and stressful effects on the mind and body, and insomnia can be exacerbated by the longer-term effects of what you've been through. Similarly, anxiety and depression are different ways our pain and distress presents itself but have underlying connections - sometimes they're even connected to the same trauma response. The hope is that you'll have a counselor who can help you explore these different areas of wellbeing, and facilitate a process of putting the puzzle pieces together while creating space to discover what you need in order to find some liberation and healing from the issues you've named.
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:
This is something I have
had to address with individuals often since working with couples is one of my
practice's focuses.  The answer can depend upon several reasons all which
tend to be explored while in session.  If you or your counselor utilizes
an integral approach, in which one of the main premises makes sure to check the
four irreducible perspectives (subjective, intersubjective, objective and
interobjective – also known as the four quadrants) in determining where the
challenges are, it then becomes possible to identify what might be contributing
to or causing the challenge as well as offering up ways to address the
situation.In this case, from the upper-right
or behavioral and physical perspective, we would want to make sure there is no
physical limitation or ailment meaning that you would need to visit your doctor
and have the basics checked (such as blood pressure.  We would also look at particular behaviors to
see if you are doing something with is effecting performance (such as
masturbating often or being influenced by pornography). Next we would look at the
upper left quadrant (thoughts, cognitions, identity, feelings) to look at what
is going on here both during sexual activities and at other times.  If you are worried about your job, your
family or under immense pressure to perform at work or while intimate, this can
contribute to your situation.  From there
we would turn to the lower left quadrant (cultural rules and tools) to see who
you have learned to interpret challenges that come up during sex and look for
ways to shift, update and/or reshape the way you view sex and its
challenges.  It would be here that we
would see whether one is even comfortable using a service like counseling based
upon how your family/culture of origin views the profession. Finally, we would need to
account for challenges that show up in the lower right quadrant (systems, laws,
rules of society) such as your economic ability to try services and products as
well as whether such services and products were even available.  Once we have rolled through these areas it
then becomes possible to look at which aspects might need to be looked at
further in a more meaningful way to help you change a perspective or if just
getting a blood pressure medication is all you need.To sum your question then
of why you can’t keep an erection we would need to look at your thoughts (look
at your actual thoughts during the act as well as before and after), look at
your behaviors, look at your physical body for issues, look at where you picked
up your rules and tools (culture) and look at your ability to access goods and
services.  They all contribute equally
and need to be taken into account.  So - as you can see, there is no one possible answer to this, but several.  I hope this helps.
Topic: counseling-fundamentals

Question: What are the skills needed by a counselor?
What are the basic skills a good counselor needs to have?

Answer:
To be non-judgemental, know who they themselves are, be able to step forward and ask questions with ease and grace into painful emotional areas.Also to respect human difference in accomplishing basic life tasks and everyday living.
Topic: behavioral-change

Question: Is it weird or dangerous to give myself advice through an imaginary friend?
I'm a teenager, and I created a sort of imaginary friend to help me cope with stressful situations or if I'm worried or upset. She "gives me advice" and comforts me and tells me it'll be okay. I've given her a name (Solace) and created a personality for her that's like a comforting motherly figure. I know it's just my own advice and my own thoughts, but it's just that I'm thinking of them through a voice other than my own. I do this because I know I never really listen to my own advice, and I thought it would be better if it was through someone else who knew my thought process in and out, through this imaginary friend. Is this normal? Could it develop into a separate personality with time if I continue a mentality that she is her own person?

Answer:
From your detailed awareness of how you developed and are utilizing Solace, unless you face some unexpected and altering physical incident to your brain, such as physical head trauma, drug induced brain change, other medical condition which affects your brain, you show a strong knowledge that she is imaginary and not a person.The predicted outcome of what you wrote is to continue the self-reflective conversations you have with your invented friend, Solace.