thejana/Elective_modified_2 huggingface dataset:
Topic: addiction

Question: How do I help my husband get over his drinking addiction?

Answer:
It's not easy to be married to an alcoholic and I want to extend my support to you.  Without knowing the pattern of his substance use, I'll accept your description that he is an addict. The short version is that his addiction is not in your hands. Period. However, addiction is a "family disease", so you are definitely connected to it. Most people benefit from professional help, whether they are the addict or the other person. You might read some material from al-anon to improve your insight into how addiction works within relationships. It is safe to say that you are likely to have a role as a "co-dependent" or "enabler". The most common pattern is doing overt and subtle things that insulate the addict from the consequences of their behaviors. From calling out sick for the person when they're hung-over to allowing money to pay for alcohol, to simply remaining in the relationship, these are all behaviors that make the addiction more likely to continue. Change is difficult for all of us, especially when a physical dependency on a substance may be involved. But the awkward truth is that not one of us ever made a change unless we were in at least some pain. Pain in our present circumstance is a requirement to achieve change. By "enabling" your husband, you minimize that pain. Let me state again, though, that his addiction is not in your control and it's not for you to fix. You can, however, change your own behaviors in ways that might change his odds. Even if he does not get over his drinking addiction, as a general rule, you will be happier if you stop being a participant in it. Many people find that an addiction removes the addict from the relationship -- they're not really there, even if they appear to be. At the same time, there's a third person -- the substance. Some people choose not to remain in a relationship that's constructed in this odd and off-balance way.I hope that gives you some thought-starters but I would encourage you to seek in-person help from a local provider. And I wish for you and your husband recovery and well-being. Best regards,Karen Keys, LMHC, CASAC
Topic: anxiety

Question: Is there anything I can do to make my anxiety go away?
I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone with my dad the whole time. I also forget things a lot.

Answer:
With the way you described your anxiety, it sounds like you have different types of anxiety. I'm not sure whether you have anxiety of public places, large crowds, being alone  (sometimes called separation anxiety), or some combination thereof.One thing that would be helpful would be to track your anxiety and see how anxious you are (on a scale of 1 to 10) in different situations. Also, if you know what leads up to your anxiety, it would be good to know this as well so you can look for patterns.As for forgetting things, you could be anxious because you are forgetting things or you could be forgetting things because you are anxious. When you are having anxiety, certain parts of your brain are overactive because you are in a kind of protective mode. It's also possible that forgetting things and anxiety are not related.Something else to try would be to notice where you feel your anxiety in your body and put your hand there is a way of giving yourself comfort.Another thing about anxiety is that having anxiety can lead to more worry about having more anxiety. One thing that helps for some people is to go to the regular primary care doctor to make sure that there are no physical problems (just for the regular physical) so they know that there are no physical problems and that the anxiety will lessen in a few minutes.Also, if you are able to notice your feet on the floor or your hips in the chair, this is helping you to be mindful of your body and connecting you to your surroundings. During this in combination with naming your emotions can be soothing as well. For example, in the grocery store, if you are feeling anxious, you could say to yourself "I'm anxious right now and I'm okay" while gently shifting your weight from one foot to the other. No one around you would notice what you were doing and the motion may be soothing to you.Anxiety can have a lot of different causes and things that trigger it. If it is difficult for you to work it out on your own (which is very common), consider talking with a local therapist so you can have more specific ideas.Also consider making a list of people who you trust and what it is about them that makes you feel comfortable.
Topic: trauma

Question: How can I have a normal sex life with my significant other when I keep having triggers from past sexual abuse?
I'm fine when we start becoming intimate, but out of nowhere, I will get a flashback of what happened to me in the past. I start hysterically crying and freaking out when my boyfriend obviously has done nothing to hurt me.

Answer:
Have you sought the support of a therapist really qualified in working through sexual trauma? It can take some work, but healing is possible. If you feel able to, it may also help to open a dialogue with your boyfriend about what you need from him when you have these flashbacks. Let him know what some helpful responses may be.
Topic: self-esteem

Question: What can I do about my roommate's drinking problem?
My roommate has had a drinking problem for a while. She goes out, gets trashed, and then expects everyone to take care of her. The next morning, she apologizes constantly until she feels validated. She also thinks everyone hates her all the time. If I don't seem anything other than happy, she asks me "Do you hate me? You hate me. Tell me you love me," and I feel like I have to pity her because she has also been suicidal before.

Answer:
It does sound like your roommate may have a drinking problem, and the short answer is that you can't do anything about it, only she can. We can't change what other people say, think, or do. We can only change our reactions. It does sound like your roommate may be having a hard time. You can suggest that she enter counseling or therapy. You can reassure her that you like her (if that's true), but you don't have to pity her.
Topic: family-conflict

Question: How can I avoid family members who stress me out?
My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.

Answer:
These are common challenges that involve setting healthy boundaries with family, as well as friends and co-workers.  Therapy can help you to define, establish and enforce boundaries between self and others by being assertive.  This involves determining what things make you uncomfortable and how to communicate that with assertive, not passive, not aggressive, actions and language.
Topic: parenting

Question: My husband is harsh towards our son and threatened me
Tonight, my husband seemed to put our son down through an incorrect approach. His approach was perfectly wrong. I found myself defending my son. I told him that what he did was not the way to encourage our son.
 Instead of watching my husband’s harsh behavior I decided to sit beside my son and, together, we worked on his science assignment in order to encourage him to study. My husband got upset and he was swearing at me. He threatened me. I knew that he was not joking. His words scared me a lot!

Answer:
I have had these many cases, but in situations like this.... If it does get out of hand, the police do need to be involved. Sit down and talk to your husband when he is calm and collective.
Topic: parenting

Question: How can I help my toddler with toilet training when he gags every time he sees his poop?
My toddler is having a real hard time with toilet training. He almost throws up every time he sees his poop. He gags and will not go on the toilet. We have tried a toilet chair and ring that goes on the big-boy toilet, but he refuses to use it. When he sits on the toilet, he just sits there forever and only will pee. He holds the poop in until he get up and then will poop in his diaper. I dump his diaper in the toilet and let him know that it is where it goes to try to encourage him. How can I help him get over this fear and passed the stress?

Answer:
Your son is showing signs that he's just not ready to be toilet trained. You don't say how old he is, so I'm not sure whether the problem is deeper, but right his fears may reflect that right now he is simply be not ready to take that step. Pushing him at this point could worsen the problem, so I suggest pulling back the expectations, waiting a month or two, looking for more signs of readiness and trying again. In general, teaching children to use the toilet works best when "mistakes" are handled calmly and when parents pay close attention to cues that the child is responding positively.
Topic: parenting

Question: Does my daughter have a mental disability?
My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.

Answer:
Contact your daughter’s school and ask for an occupational therapy evaluation. An occupational therapist can determine if your daughter struggles with eye-hand coordination, visual processing or sensory motor difficulties. The therapist will develop a plan of care if your daughter demonstrates delays or difficulties in learning. OTontheGo.org mobile therapy that comes to you! Accepting most insurance.
Topic: family-conflict

Question: Some adult family members are acting erratically in my house
I am having a problem with extended family members who are inappropriately urinating in my home. They are peeing in cat litter boxes, bottles, and directly on floors and in corners of my house.
 Is there any literature that supports why such adults would behave this way? This is not a joke. I am trying to understand.

Answer:
Hi, This sounds like a very challenging and upsetting problem - good for you for reaching out! My first thought is, these two adults may have a sleep disorder that could be contributing to the urination in inappropriate places. Since they are adults, and you can't force them to seek treatment,  you might be able to suggest that there could be an underlying medical issue and advise they speak with a medical provider. . As far as what to do for yourself - set some firm boundaries. Be clear about the expectations of your home. Also include the positive and negative consequences should they decide to address or avoid this issue. I hope this helps you, your family members, and the pets!
Topic: professional-ethics

Question: What is the proper procedure if your child's therapist is leaving the practice to work elsewhere?

Answer:
There may be differences in Sate laws, and differences based on the particular license of the therapist, on this question so try googling your question for your State.Generally, the therapist should have given you whatever the standard practice is for your State, notice in advance.  And, the therapist was expected to tell you and write you their care plan for the child patient.Are you the parent who is legally responsible for this child?If not, then the therapist may have already communicated properly with whoever is the legal parent responsible for the child. Also, insurance corporations who have contracts with particular therapists, have their own timeline standards of expecting therapists to give proper notice in advance of leaving a practice.
Topic: intimacy

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

Answer:
I would ask you first what made you give him another chance after he repeatedly lied and broke every promise to you?  I would imagine if he repeatedly lied to you that it will damage your ability to trust him now.  Is he in therapy? Does he recognize that he has a problem and is he trying to repair it?  Even if he truly forgot to tell you about the woman at work I think the real issue here is TRUST.  I am not saying that he doesn't have a lying problem.  Instead of asking someone else if you should be upset, ask yourself how you truly feel about him and this situation.
Topic: lgbtq

Question: How do I know if I'm transgender?

Answer:
Hello, and thank you for your question. First, I want to say that I am a cisgender therapist, and so I cannot speak to the personal experience of realizing that I am transgender. What I can do is tell you some of the things that transgender people have told me, and information that I have read. Perhaps a transgender therapist will also have the opportunity to answer your question. From the experiences that I have read and heard, the realization process went from either "knowing" right away to looking more like a journey. I have personal friends who are  currently working through how to identify their gender, and they are well into adulthood. One person explained that the term 'transgender' didn't feel right for them in terms of how they felt, and believed that perhaps they are genderfluid. This means that there is no rush to figure it out, and many different ways to identify. There are therapists trained in the Affirmative Therapy model who may be good, supportive helpers that can assist you as you continue to look for answers. Ultimately, I think the answer comes from within you. But, that doesn't mean that you can't get help to figure it all out. Here is a blog written by a trans male that I know. Sam is a popular writer and discusses transgender issues, life issues, and mental health. You are very likely to find some good information in his posts. https://letsqueerthingsup.com/Be well... be you.Robin J. Landwehr, DBH, LPC, NCC
Topic: family-conflict

Question: My parents are threatening to get rid of the only things I still care about
The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says "here lays my emotions. R.I.P." I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?

Answer:
It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets. I do not know what all is going on in your family, and I cannot answer for your dad’s actions or his reasoning behind this.I would recommend that you focus on developing healthy coping skills. We cannot change what others do but we can change how what they do affects us. If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress. It is really good to have a wide variety of interests such as friends, hobbies, games, etc. Develop other things that you care about and are passionate about.Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don’t have healthy ones, you may develop some very unhealthy ones. You have to cope somehow, right? Developing unhealthy ways of coping with life is only going to make life more difficult for you.I don’t know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe. Both of these environments can lead you to develop some unhealthy ways of coping with life. Please talk to a trusted adult about your feelings before it gets any worse.
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:
It is generally very normal to cry in therapy, and for many reasons. Therapy should be a safe space to explore emotions as they come up and how you cope with these emotions. I would encourage you to talk with your therapist about crying and to explore your experience of emotions/feelings. Sometimes people will apologize for crying. However, emotions and expression of emotions is part of being human. There is no "right" or "wrong" emotion to have. How we express and cope with emotions is more of something to explore in therapy if it is hindering your life. Either extreme of keeping emotions in and avoiding or feeling like your emotions run your life/struggle to regulate your emotions is something to explore in therapy, as this is often the most distressing and troublesome for people. Hopefully this provides some insight.
Topic: anxiety

Question: I feel burned out
I haven't been feeling like myself lately. I've been upset for no reason and feeling anxious. I'm feeling burnt out. What can help me feel better?

Answer:
I would first say that those are difficult thoughts and feelings that sound exhausting. I can't image how this must feel, but I can assure you that you are not alone. These are common experiences in our society where we are made to feel as though we must "go go go". Especially in the current world situation, even simple things can feel overwhelming. I believe that starting with "baby steps" such as taking even 10-20 minutes for yourself daily to be in the quiet and reflect can be helpful. Recognizing that even small self-care steps such as drinking more water, eating healthier foods, or taking a hot bath can be helpful to relieve stress.
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:
I think there are two major things that are necessary for a therapist to be helpful.  The first is that you must feel comfortable with them.  If you feel like the counselor was interested in your life and was caring during the first session, that's a good sign.  If not, then run!  Trust your gut on this one.  The second important thing is that you have to trust your counselor.  Your counselor can be kind, but if they just sit there and nod, without providing you anything, its probably isn't a good fit.  Just like when you go to a medical doctor, you're putting your care in their hands, so you need to feel like there is expertise.If you not getting those things, I would encourage you to voice your needs (though I know that can be hard).  If you counselor listens to that feedback, it's generally a good sign, and if they don't it may be a sign that this isn't a good fit.  The important thing is, that you have to find a good fit.  Just like any other relationship, not everyone is going to be a perfect match together.
Topic: anxiety

Question: How can I be less anxious around new people?
I have developed bad social anxiety within the last year, and I just can't stand to be around people. I recently got a new girlfriend, and she is extremely close to her large family and wants me to be around them all of the time. My last visit with them, I was quiet and uncomfortable, and she got mad.

Answer:
Congrats on the new gf!If you need a period of social withdrawal, then this is not necessarily a quality to fight with yourself against.If your girlfriend isn't empathetic and willing to tolerate a basic part of your personality, then set a standard for yourself of being respected.As long as you're willing to be around her family for her sake, then you're doing all you can do to please the girlfriend.The question is whether or not she is doing all she can to satisfy you, her boyfriend, to make you happy.Try explaining that you have needs too and ask her to consider your wish to be mostly quiet around her family.
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:
Finding the right therapist means finding one that feels like a good fit for your needs in therapy and your personality style. The therapeutic relationship is the most important factor in therapy being successful or beneficial. When you have found a good fit, that means -  you feel comfortable with the therapist, feel you have a connection with the therapist as a person, think that they will be someone you are able to open up to, feel that they may be someone you can trust to help you through therapy, and that has experience in the clinical areas that you are seeking treatment for.
Topic: anxiety

Question: What do I do when I have anxiety attacks?
I get so much anxiety, and I don’t know why. I feel like I can’t do anything by myself because I’m scared of the outcomes.

Answer:
The are two ways that such anxiety can be dealt with. One is an attempt to replace maladaptive thinking by examining the distorted thinking and resetting the fight-or-flight response with more reasonable, accurate ones. As an example "I'm scared of spiders." But if you change the thinking from being scared to "I'm bigger than the spider," it allows the mind to reach a calmer state of mind. Mindfulness-based therapy can also help  focus on the bodily sensations that arise when you feel anxious. Instead of avoiding or withdrawing from these feelings, remain present and fully experience the symptoms of anxiety. Instead of avoiding distressing thoughts, open up to them in an effort to realize and acknowledge that they are not literally true.Although it may seem counter-intuitive, fully realizing the experience of anxiety enables the release of over identification with negative thoughts. You can practice responding to disruptive thoughts, and letting these thoughts go.By remaining present in the body, you'll learn that the anxiety being experienced is merely a reaction to perceived threats. By positively responding to threatening events instead of being reactive you can overcome an erroneous fight-or-flight response.
Topic: trauma

Question: I have nightmares and flashbacks about a past relationship
I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship.

Answer:
It sounds like you have not had the opportunity to process through the trauma you have endured. It would help if you have the opportunity to speak with someone on a regular basis until the symptoms of your trauma have subsided.