thejana/Elective_modified_2 huggingface dataset:
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:
Topic: depression

Question: Why am I upset or down every day even when nothing is going on?
How can I get to a place where I can be content from day to day?

Answer:
It's important to take a look inside and see what's going on with you to cause you to have these feelings.  Please contact us in whatever way is most comfortable for you and we can get you set up with someone who will help you figure out this space in your life.
Topic: lgbtq

Question: Do I have to go to counseling to get hormones to transition from female to male?

Answer:
This question depends on the Country, State, and doctor that you are working with. The clients I have worked with within Washington State, have had to attend therapy while undergoing hormone therapy. Additionally, many of my clients have had to receive an assessment to even have the ability to use insurance for hormone therapy. I would recommend that you ask your Doctor what their requirements may be. Namaste
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:
For many people, crying is a stress-release valve. It is perfectly OK to cry in counseling!
Topic: relationships

Question: I just feel so alone
I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?

Answer:
Although we can have moments when we feel alone, even with the presence of family and friends, feeling alone most of the time could be a sign that there is a lack of connection between you and your loved ones. Generally, the lack of connection can occur when you don't feel heard, understood or valued. These are common emotional needs that result in a good and secure emotional connection that reduces feelings of loneliness. You mentioned that "they listen but don't understand." Do you communication clearly about what you need emotionally (understood, accepted, valued, heard, empathized)? To help you ask for the right type of support, you can ask yourself what it is about the situation that is bothering you and how you would wish for your friends and family to respond to you. The result may be an answer that is more informative to your loved ones. For example, you might say, "Thank you for listening to me. When I feel alone, I feel like nobody cares about me because everybody seems busy with their lives. I just wanted to hear and feel that I'm valued by receiving caring messages and phone calls." Dr. Virginia Chowwww.psychologyresource.ca
Topic: anxiety

Question: Overcoming fears
I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Answer:
Biologically, fear is designed to protect us from harm. Fear is not always a bad thing, and in fact can be quite healthy and appropriate depending on the situation. A phobia, however, is different. You used the term "fear" rather than "phobia". A phobia is an irrational fear - meaning it is not rational for you to fear that thing. If your situation is a phobia, exposure therapy can help. This consists of gradually exposing yourself a little at a time to the thing you are afraid of. Some people with phobias find that the irrational fear interferes with their life and they do need to overcome it. Someone who is afraid to drive over bridges may go to great lengths to avoid routes that have bridges. People who are afraid of elevators may always use the stairs instead, which may not always be feasible. If overcoming a phobia will improve the quality of your life, then by all means, seek professional help to overcome it.Everyone has fears, or things that make them nervous. Public speaking, asking a person out, fear of failure. Examine what your fear is and try to determine the reason for the fear. When you can get to the root cause of the fear, you can deal with that issue. A lot of times, it is a self-esteem issue. You may be able to peel back the layers of the fear and find out what's causing it and deal with the real issue. Some fears are caused by trauma. Someone with PTSD is going to have an exaggerated fear response and will find themselves being kicked into "fight or flight" mode over things that someone without the trauma experience wouldn't notice or react to. In cases like this, exposure therapy would be the wrong approach and could actually make things worse. If there is a possibility that a past trauma is the cause of your fear, I strongly urge you to seek a therapist - not just any therapist, but one who is trained to work with trauma and abuse victims.
Topic: intimacy

Question: How do I know who to trust?
So many people lie, and it's hard to tell who speaks the truth. Who do I trust? I don't even trust my family or friends.

Answer:
Start by trusting yourself.This is harder to do than it may sound.If a person trusts themselves, their actions, decisions, way of handling matters, then evaluating whether or not to trust another human being, becomes much easier.Also, don't be in a rush to trust someone.   Trust takes time to develop.   First observe someone, listen to the person, whether they follow through.   Repeat this process multiple times, which requires time to accomplish.At a certain point in this process you will start to feel whether or not the person is trustworthy or not.
Topic: anxiety

Question: I have difficulty with communication
I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?

Answer:
I can offer you hypnosis for confidence in presentations, via Skype, if you're in Cali.
Topic: parenting

Question: I am bipolar and have been absolutely angry for over the last year at my daughter
She was raised by her abusive father and his wife. 30 years ago I shot and killed my rapist and was convicted in Louisiana. I lost custody of my daughter and served 5 years. When I was released, she was 5 and didn't remember me. Many many sad memories came from my having to leave her visit after visit, having to leave her in Texas to travel back to Louisiana. She doesn't remember that. I do. Over the years, I thought we had developed a close mother daughter relationship. She gave me good reason to doubt that on several occasions but especially last year. I have been cruel to her verbally and to my son who I met years after giving him up for adoption. Last night, I was angry at the world and afraid of God. I drank and cussed out a maintenance worker for not doing his job 4 months running. Now I'm not only feeling guilty for that but afraid of being evicted now. Help.

Answer:
Was either parent abusive or violent toward you?You sound to have suffered emotionally in your relationships since early in life.One point to consider is to strive for moderation in what you offer in relationships.A lot of what you've lived through is extreme, either as victim or perpetrator.If you imagine that apologizing to the custodian for the way spoke to him, would calm him down, do so.At the very least, you'll be actively resolving your guilt over cussing at him, and fear of his retaliation.
Topic: depression

Question: What can I do about my depression and anxiety after trying so many things?
I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped.

Answer:
I'm sorry that you have tried several different things and not had much relief.I will say that there are several different types of medications that may help and each therapist is different, so it is quite possible that a different combination of things you've already tried may be helpful.I would encourage you to continue trying different therapists. I would say to give each one at least six sessions before you decide that the approach that they are using is not working for you. Also, most places have a certain sort of structured initial session that must be done, but after that, the decisions are largely up to what you and the clinician feel is helping. If something is or is not working, communicate this with your therapist. This is a big deal. Most therapists I know actually welcome this feedback.There is a fair amount of research into the idea that the therapeutic alliance (the relationship that you have in the context of working through the reasons that brought you into therapy) is very important. Also, sometimes anxiety and depression can make it difficult to go to therapy on a regular basis. If that is something with which you are struggling, I would encourage you to talk about that as well.In addition to a solid relationship with a therapist who you connect with, you may consider trying something like yoga or meditation. Mindfulness is sometimes helpful as well.Here's a link to questions for finding suitable therapists: http://www.pharmatherapist.com/12-tips-for-finding-a-suitable-therapist
Topic: self-esteem

Question: How do you overcome an embarrassing mistake and forgive yourself?
I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.

Answer:
Sometimes we make ourselves feel worse with our own thoughts about things we can't change. We know that it is possible to overcome embarrassment and self-blame, but why does it seem so difficult to overcome it sometimes? If you tune into your own thoughts, or your "internal dialogue", you'll notice that your thoughts are connected to your feelings. So people who are holding onto embarrassment and self-blame often have thoughts like, "How could I do that?", "I looked so stupid!" "Now people saw things I did not want them to see!" If we tune in more, we might notice we are thinking that this is terrible, horrible, and that we cannot deal with it. These are self-sabotaging thoughts that lead to shame, self-blame and embarrassment. If you look at the evidence, you can find more rational thoughts such as, " We all make mistakes", "People can look all different ways at different time - this incident does not define me!" and "If someone has a bad image or thought about me, it is really OK! People have all kinds of thoughts about other people, and it does not have to be a major problem." When you practice your rational thoughts often and replace the negative ones, you will start to feel better, more confident and your embarrassment will decrease quickly.
Topic: behavioral-change

Question: How do I know if I have bipolar disorder?
I feel that I am struggling with undiagnosed bipolar disorder, and it is making my day-to-day life extremely difficult.

Answer:
It sounds like you are experiencing a great deal of distress and you're wondering if it may meet a diagnosis of Bipolar disorder. There are a few different types of Bipolar diagnoses in the DSM (diagnositc and statistical manual) and the best way to find out if your experiences would meet that diagnosis would be to meet with a mental health professional. You can also look up the diagnosis online and see if what you are going through meets the criteria.One question that I would have for you is, what would it mean for you to find out that you meet the criteria for such a diagnosis? It sounds like whether or not you do, you are suffering and working with a therapist may help you get into a better place.
Topic: relationships

Question: I feel like I could never be with anyone because no one would want me
What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.

Answer:
I'm sorry you are feeling uncared for. I'm sure there are plenty of people that care and love for you that you are not taking into consideration. Sometimes when we get upset we may think irrationally and see the world as all or nothing. However, take a deep breath, relax and start focusing on the positive relationships you have with others, regardless of how small or insignificant they may seem. I think you will quickly realize there are people out there that care a great deal about you.I also think it would help for you to surround yourself among people who you can identify with and share common interests with. Maybe you can attend a religious service, join an interest group (i.e. reading club, sports group, etc.) or start a group of your own. Most importantly, you need to tap into your interests and surround yourself with things that are beneficial for your own mental and physical health. From this, relationships will start to immerse. You may also like to talk with a therapist regarding your feelings of being unloved. This is an unhealthy way to think of yourself and I think with a little help, you can see that you are more than deserving of a great relationship. Thanks for reaching out and I wish you the best of luck moving forward.
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 do not have too many issues to address in counseling. A lot of people present with multiple issues they want to address, and that shows good insight. Usually in therapy you find that everything is connected together, and the issues are more intertwined than previous thought.
Topic: family-conflict

Question: My sister and my husband had an affair
It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?

Answer:
What is going on in your life that brings up more sensitivity to the affair?The best way of handling your hurt is by noticing your own feelings and the current circumstances that increase your sense of pain.Concentrate on your own life and making your life the best it can be.
Topic: self-esteem

Question: How can I not hate myself?
I feel like I'm ugly, stupid, useless, and that I can't make anyone happy.

Answer:
Check out my blog post on:  Four-ways-add-self-esteem-friends-list/I hope this offers you some nuggets of helpfulness!
Topic: anxiety

Question: How do I overcome my fear of eating in public?

Answer:
It's so brave of you to want to confront your fear! If you want to work with that fear, it might be helpful to try it at home first with someone you trust.  Because the nation is basically in lock down right now, it could be an opportunity to prepare this way.  Notice what you may be thinking when eating in front of someone.  You could even get a recording of a busy place and do some imaginal exposure--imagining an experience while sitting through the rise in anxiety.Once public places start opening back up, you can start small--maybe with gum or something that doesn't fill the mouth too much or create a loud noises.  If you do this repeatedly, it will tell your brain that eating food in public is not dangerous to you and nothing bad happens.  The more you practice doing this, the less scary it will become.  If you avoid it, it will teach your brain that it's a situation to fear.  It's not always possible to stick through it every time (just do the best you can at the moment) and keep trying.I don't know enough about your situation to comment on any other factors, but it's possible there are some social anxieties underpinning your fears.  Pretty common to feel super insecure with food if you fear judgment of others or ruminate on being ridiculed.If you have someone in your life that can just be with you while you practice this in public, that may be a way to keep yourself accountable and get some good support along the way!
Topic: depression

Question: Does my fiancée need a service dog?
My fiancée suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. She curls up in corners at the mall and has panic attacks. She won't eat or drink in public. If she isn't having a panic attack or crying, she's clinging to me and avoiding everything and everyone. Her depression flares up out of nowhere and causes her to become very suicidal and self-harming. She get really sick from anxiety and scared to the point that I can't even get her to eat, drink, leave the bed, or go outside. She always tells me how she grew up around so much fighting and fear that it makes her scared of loud sounds, yelling, conflict, and even talking to strangers in public. She will refuse to go to a store unless I am with her to talk to the cashier for her. She is so scared that I can't even get her to drive. She doesn't want to get her license because she's scared of trying to drive.
   Some people have recommended medication, but I believe it's just going to cover up her illness and not solve it. I don't want my fiancée pumped with drugs. I believe a psychiatric service dog would be the best bet for her. When we first met my poodle, it would calm her down a lot. She took the dog out every time we went out, and she seemed much calmer and happier. She slowly would eat, and the dog seemed to make her feel a lot better. I am worried and want to help her without medication.

Answer:
It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health issues. Based on what you have explained, it sounds like she needs to get a medical and/or psychiatric evaluation. Whether or not she decides to take medication is her (and your) decision, but keeping an open mind about treatment options is important. I suggest that she see a therapist on her own in order to better understand and cope with her anxiety and depression, especially given her suicidal thoughts. You would also likely benefit from therapy, individual or couple's therapy, in order to address how you are feeling and best learn how to support her and your relationship. I wish the very best for both of you and hope that things will improve sooner than later.
Topic: depression

Question: is it normal not to feel empathy?
I can't seem to feel any emotion except anxiety, not even for myself.

Answer:
Thank you for posting.  I'm interested to hear some more information; such as, if you live by yourself or family, if you go to school/employed/unemployed, and what kind of things do you like to do with friends or by yourself.  Often times, when we are experiencing a strong emotion that we interpret as negative, we put most of our focus on that negative emotion and struggle to see that we do not always feel that specific emotion.  There are typically points in the day (even if it is for only in 1 minute intervals) when we do not feel that negative emotion.  When we overgeneralize, we use words like "always" or "never" and when we use those words and it may not be totally true, we feel the negative emotion based on an inaccuracy which is not fair to you.  Ask yourself some of these questions: Am I being realistic when I'm overgeneralizing things? Have I ever noticed a short period of time that I wasn't feeling anxious?  What do I notice when I am feeling anxious? What am I thinking about?  When was the last time I felt empathy?  What was different when I was able to feel empathy?  Hopefully this helps get you started.
Topic: substance-abuse

Question: How do you know if someone is an alcoholic?

Answer:
Basically, being an alcoholic means that someone really depends upon alcohol and does not function well or becomes sick if they do not have it.There is also this acronym that may help:Have you ever felt you needed to Cut down on your drinking?Have people Annoyed you by criticizing your drinking?Have you ever felt Guilty about drinking?Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?There is an online assessment from the National Council on Alcoholism and Drug Dependence: https://www.ncadd.org/get-help/take-the-test/am-i-alcoholic-self-test There is other information on this site as well.
Topic: depression

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

Answer:
Erection maintenance is caused by connective tissue weakness as well as lymphatic stagnation of the area and accompanying channels.  A proper detoxification is necessary to reverse the stagnation and get things flowing again.Lower circulation and pituitary might also be indicated.Medical will likely not recommend anything useful in the long term (pharmaceuticals do not solve a problem, only suppress it; and, it will return again later and worse than before);Certain herbal protocols and natural protocols would be very warranted in getting things going again :)
Topic: depression

Question: How do I tell my parents that I'm depressed and need help?
I'm depressed. I have been for years. I hide it from everyone because I'm scared of the reactions I'll get. Last time I tried telling my parents, it was a huge argument about me being too young to be depressed (I’m a legal adult), calling me ungrateful, and telling me that if I can't handle things now, it's only going to get worse in the future (which is turning out to be true). It's exhausting pretending to be okay, and I don't know how much longer I can try. I'm just really tired, and sadly, I can't afford the help I need on my own.

Answer:
Hi Georgia, There's a really good lesson here. People tell us things, and we tend to think that's the truth...but it's not! I'll do some translating for you..."You're so ungrateful" means "I need you to be successful and happy in order for me to feel I'm a good parent"."You're too young to be depressed" means "I don't want to deal with your mental health issues right now. I'll pretend it's not happening so I don't have to face my fear and shame"."It's only going to get worse" just means "I don't know how to support you beyond scaring you into wanting to at least fake happiness for my sake".Your parents are being unsupportive, not because you're not suffering, but because this is all they're capable of right now. They are not where you will find the support you need, so keep looking for it in other places. It's out there. If might be an aunt or a friend, or a friend's aunt. It might be a therapist or a bus driver or your family doctor. Keep looking for someone who will hear you. I hope you don't ever give up. :)