thejana/Elective_modified_2 huggingface dataset:
Topic: workplace-relationships

Question: What can I do if my coworkers accuse me of mood swings?
My coworkers are making false statements about me to the boss, saying I have mood swings. They have no proof to back it up. Can my employer make me see a therapist of their choice?

Answer:
If this is a concern of a few coworkers, make sure it is not something they see but you don't admit to.  Employers can "suggest" or something "stipulate" in continued employment with them  for you to go to their Employment Assistance Provider (EAP) if they have noticed the same behavior and concerned of how it is effecting productivity or employee relationships.  No one wants to work in a environment which they consider hostile.  Employers can be held responsible if they do not take action.Couple of things you can do...Ask a coworker in which you trust and respect if what others are saying is true?Seek professional help from your primary care provider or counselor if mood swings do exist.
Topic: counseling-fundamentals

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

Answer:
Counselling offers a number of ways to help one to improve their situation.  For some, this process can take a very long, winding path of self-discovery, while, for others, they are seeking a purposeful, solution-based way to approach and manage a specific problem. It's important to remember that there are different styles of therapy, some of which will work great with some, but poorly with others, specifically to help those to decide how they wish to move forward. I often recommend speaking with a number of therapists before beginning treatment to find out more about how they practice, in order to make sure their style aligns with your goals. On a more specific note, there is myriad research out in the world that indicates both counselling and medication can have an affect on changing our moods and behaviours.  However, medication is not an effective way of treating the problem, as it treats the symptoms of that problem (increased anxiety, lowered mood, etc.) and research has shown that the most effective route for better mental health care comes from a combination of counselling and medication.
Topic: marriage

Question: What makes a good marriage?
What makes a healthy marriage last?

Answer:
This answer varies based on you relationship. However, I do believe their are some basic fundamental areas that are beneficial for a healthy marriage:1.) Effective Communication2.) Trust3.) Love/Passion4.) Loyalty. 5.) Unconditional Positive Regard. Everyone has their favorite qualities they feel best fit a marriage. However, these are what I think are great starting points.
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:
I will work with clients and continually review progress with them and determine if counseling is helping.  If a client appears to have less to talk about in sessions, appears more stable for a period of time and has reached therapeutic goals I will talk about termination.  Some clients however I may continue with on a monthly or bi monthly process to allow for check-ins to see how they are doing and if they need more help at that time.
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 a therapist, deciding to end counseling sessions or terminate working with a client is a thoughtful and intentional decision. One that is not entered into lightly. While there are many considerations counselors take into account, to help answer this question, I'll offer an example of two areas that counselor's take into consideration when ending counseling sessions:Does the client need different or more specialized care than the current counselor can provide? This requires the counselor to determine whether referring the client to another therapist or health care provider is needed.And, has the therapeutic relationship reached treatment goal(s)? While this question is specific to the counselor, I'd like to also add that a client, at any time, can end counseling.
Topic: anxiety

Question: How can I take my emotional support animal to school?
I have severe anxiety and have tried everything. Everything makes it worst.The only thing that helps is my emotional support animal.

Answer:
Sorry to read of your suffering.Is it actually permitted that people are able to take support animals to school?I see your point of the animal helping you.  I just also see the point that some people have allergies to animal hair or dander, or may feel distracted by an animal in the classroom.You may end up feeling worse, if when you bring your support animal to school, that it disturbs people or interferes with the routines of the class.For your anxiety, I suggest some loving kindness toward yourself.  Be patient with yourself and that you have anxiety.  If you're able to accept that some situations create great discomfort for you, maybe you'll tolerate these difficult situation.Embrace your anxiety as part of you, basically, rather than trying to banish it, which because it actually is part of you, is impossible to achieve.In a way, I'm suggesting you become your own "support animal".  Love yourself, be kind to yourself, and see if you feel a little less stressed in school.
Topic: intimacy

Question: My wife doesn't want to have sex
My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt "ehh" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way.

Answer:
Have you guys ruled out medical disorders. There is new data that post part depression starts in the pregnancy before baby is delivered. There maybe those factors .Please check out those arenas, firstly. Then consider marital therapy services. Relationship changes with the time passing and with the time and care deposits of investment onto the relationship bank account.  Thanks for this opportunity to answer some of ya.alls. relationship intimacy concerns.
Topic: marriage

Question: My husband seems to end his relationships with women whenever he has an infant
My husband and I would've been married for five years come June 2016. Our infant daughter just had her birthday. Shortly before, he told me he wanted a divorce. He has four other children, three of which are from his first wife. He decided to end that marriage when his youngest was an infant. The children do not have a good relationship with him now. He has another child from a woman he was dating. He decided he didn't want to be with her anymore when the child was an infant.    It seems to me that there is a pattern. He easily detaches from relationships at the same time in the child's life but wants a relationship with them when they are older. I've tried to research online, but I'm not getting any answers. He also has an unhealthy dependency on alcohol and does not believe in mental health disorders such as depression and bi-polar disorder. He also does not believe in therapy or seeking help from professionals. Is there a detachment disorder or some form of mental block he could have? Where do you recommend researching this?

Answer:
This sounds really difficult and I can understand your motivation to get to bottom of why this behaviour has occurred - especially if your husband (who sounds like he is an ex-husband?) continues to have a relationship with you and your children. With that being said - relationships and mental health are very complicated and you are unlikely to find the answers you are looking for. In order for someone to be diagnosed with a mental illness or in order for them to identify what leads them to fall into particular patterns in relationship - they would need to be willing to seek help and honestly talk about their challenges, something that you say your ex is not willing to do.  While it might be a relief to understand what is going on with him - it might be more comforting for you to get support for yourself in processing your feelings and everything that has come up for you as a result of his choices.
Topic: substance-abuse

Question: Can I sign my brother into a mental health facility?
My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
   I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.    Do I have the rights to be able to sign my brother into mentalhealth facility?

Answer:
I'm sorry to hear that your brother has been having such a rough time. He's lucky to have you on his side (although he may not always see it that way).As far as whether you can sign him in, that depends on a lot of different things.I would suggest that you Google the state and county that you live in as well as some phrase similar to "crisis hotline." They can tell you how it works in that county. My guess is that you could sign him in as long as he met the criteria for admission at that moment, but I can't  be entirely sure. You could also ask the person on the phone about financial responsibility. I have not heard of that being a problem, but I guess it would depend on insurance.If you have trouble finding a local  hotline, consider calling the national crisis number (800-273-8255) and ask them to help you find someone local.
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:
Sometimes changes make sense. It may be helpful to talk to someone who you trust to get a sense of whether the changes that you are making are those that are considered adaptable or important changes that allow us all to grow. Another possibility is that you are changing things in an effort to get away from something that is uncomfortable or difficult. There are many other possibilities along this continuum.I would ask you to consider the following:What is leading you to want to change your job?What feelings are associated with this change? (Happy, sad, scared, anxious/nervous, confused, motivated, etc.)How is the job that you are looking to transfer to going to be better or different? Are the concerns that you have now going to travel with you?If you are hesitating to get another perspective (from trusted friends or family or some sort of career advisor in your area), where is the hesitation coming from?
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:
This is a great question! I often wonder about what normal really means. Counseling is a personal process where many emotions can be experienced by people. I I do not believe it is just you who cries in therapy. Therapy can bring out many emotions such as laughter, anger, frustration, relief, grief, sadness, and many more emotions. Talking to your counselor about your experience might provide insight and healing for you. If crying surprised you and you feel comfortable that might be something you could bring up with your counselor.
Topic: counseling-fundamentals

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

Answer:
You are asking a room full of counselors, and so I am going to guess that we may be a bit biased :). My answer is this: sometimes. Many people benefit from counseling and when counseling works those benefits can show up through positive improvements in your moods, making more choices that align with your values, working through stuff, and a general improved sense of self. Sometimes, for a variety of reasons, a counselor, the approach they are using and the person do not match up and when that happens sometimes counseling does not help. It is very important to find the right counselor for you. Ideally this should be someone you feel a level of trust and connection with who is also using a style that you feel confident in. Research has shown that these aspects (what is called the 'therapeutic alliance') along with shared goals between the client and counselor give counseling the best chance at being effective
Topic: depression

Question: Can I change my feeling of being worthless to everyone?
I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?

Answer:
I am sorry you are feeling this way.  We all have narratives that we say to ourselves whether it is valid or not.  In your case it would be beneficial to explore when and how this belief began and rewrite your story.  There are different ways to explore and rewrite.  This process requires commitment, self-reflection and courage.
Topic: anxiety

Question: How do I get over my anxiety of talking to new people?
I'm socially awkward. I've always want to be popular. I've had the opportunity to be popular, but every time I get i,t I'm too scared. All I have to do is talk the popular people. They're really nice to me, but I'm too scared of change. I really want to work up the courage to lose my fear.

Answer:
Change can be uncomfortable, but sometimes those uncomfortable moments are the opportunity for us to be the person we feel we really are.  It sounds like you like to spend the time in your head anticipating the worst, why not be in the present and encourage yourself that you can talk to people and it will be okay.  By telling yourself it will not be okay, or that it will go wrong you are hurting your confidence to do what you want.  Give yourself some credit for being awesome and tell yourself you can build new friendships...it may be the motivation you need to move past this fear.
Topic: depression

Question: Why does it feel as if self-harm is an addiction?
I self-harm, and I stop for awhile. Then when I see something sad or depressing, I automatically want to self-harm.

Answer:
In a way, self-harm can present somewhat like an addiction.  According to new research within the field of neuroscience there is a valid explanation for this.  When a person cuts or uses other forms of self harm, the body produces endorphins to help make a person feel better.  If a person was dealing with depression or high anxiety, that might be misinterpreted by the brain as a way to help oneself feel better and a new neural network or map might form (addiction) that would utilize this new behavior.  Another way to look at it would be thru a behavioral lens, a positive reward for a behavior, even though the behavior has other long term negative consequences.  Consider working with someone who can both have you work on and address those items that trigger your behavior and the root causes, in this case sadness or depression, and second find someone who can help give you alternatives that take into account the neurological requirement by replacing the behavior with another behavior (such as snapping a rubber band on the wrist) and working to extinguish the unwanted behavior.   Someone who is trained in Dialectic Behavior Therapy and/or Interpersonal Neurobiology would most likely have the skills and means available to address this with you.
Topic: trauma

Question: Is it possible for a person to stop feeling emotions?
I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?

Answer:
So believe it or not, this is actually very common.  First off, take a deep breath. It does NOT mean that you're a sociopath. All it means is that your brain has shifted into "survival mode" for a time and might need a little support to get back to normal. Our brain can play tricks on us after a trauma. One thing that most people experience is the desire to "push away" or to avoid reminders of the trauma which include feelings of anxiety, guilt, anger, fear, and sometimes shame. And, if you think about it, that's entirely understandable. Who would want to feel those yucky feelings or to be reminded of the trauma? But here is the catch... the more we try to push those unpleasant emotions away, the more we are actually pushing away our ability to experience positive feelings. Emotions such as happiness, excitement, or closeness with loved ones become increasingly difficult to access. MOST trauma survivors will experience this "emotional blunting" and is actually one of the things we look for when giving a diagnosis of Posttraumatic Stress Disorder.But there is good news! Specialized trauma therapy using evidence-backed approaches can help us to experience the emotions we're trying to push away in a safe environment. It's like our brain needs to fully "digest" what happened in order to return to emotional balance. There are several approaches that can help you recover after a rape (or other traumas).  These might include: Cognitive Processing Therapy Prolonged Exposure TherapyWritten Exposure TherapyEye Movement Desensitization ReprocessingWhen you're considering looking for a therapist, I'd strong encourage you to look for someone trained specifically in one of these approaches. There are mountains of research studies showing that these therapies have the best success rate when recovering from things like rape, a life threatening experience, a natural disaster, or other traumatic experiences. Breathe in, breathe out. You survived and life CAN get better. Trauma therapy is usually time limited (3-4 months) and can help you take your life back. You can do this!
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:
Your feeling overwhelmed by emotion and finding it difficult to trust people.  This can be a really scary feeling.  It is a common reaction for individuals who have endured a traumatic experience.  Often, the aftermath of a trauma can leave people feeling constantly on guard, panicky, depressed, isolated, and riddled with nightmares and intrusive thoughts of the incident.  And while the signs and symptoms can feel complex and at times overwhelming, feeling better is more than possible.  Give yourself credit for the courage that it takes to reach out.  With trauma therapy, I would expect you will begin feeling better as we implement a compassionate and client-focused evidenced -based approach together. I've helped countless people to gain positive ground over their traumatic experiences in a safe, supportive environment.  I offer a variety of evidenced based traditional therapies as well as holistic modalities to best support you on the path to healing.  We will work together as allies in your treatment.  It would be an honor to work with you.
Topic: anxiety

Question: Why am I scared to touch a girl?
I don't know if I'm normal. I'm really scared to touch a girl. I'm a young adult and a virgin. My fiancée and I want to have sex soon, and this might mess everything up because she wants a baby soon as well.

Answer:
Your question is a good one!The best way to decrease the fear would be to talk with your fiancee about it.   Eventually she'll find out, and better to talk about it when there is less pressure than to be in the midst of a situation which frightens you.Also, she may feel similar to you, who knows?Discussing a topic which relates directly to your relationship is a good way to increase emotional intimacy.  And emotional intimacy has a lot to do with feeling at ease with physical intimacy.
Topic: marriage

Question: My husband doesn't trust me
My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.

Answer:
The good news in the way you're feeling is recognizing that your husband's trust of your actions, makes a difference to you.The typical therapy formula for restoring trust between two people after some sort of betrayal, is for the one who has broken the trust, to earn it back.Restoring trust requires both persons to actively involve themselves in this process.The person who tires earning back trust, must know what standards for this, of the one who was betrayed.The person who feels betrayed must willingly be open minded to accepting the efforts of the one who tries earning back their trust.As simple as this formula sounds, the actual process of restoring trust raises a lot of emotion on both sides, therefore causing difficulty in keeping discussions in this area, on track.The best way of success in restoring trust between partners, is utilizing a couples therapist who would be able to guide your conversations back on track, and also open emotions for discussion when relevant to restoring trust.Good luck in establishing new terms with your partner!
Topic: depression

Question: I'm very depressed?
I'm very depressed. How do I find someone to talk to?

Answer:
The first step, which you've taken, is actually wanting to talk to someone. It's a great sign that you are seeking to reach out for help. And there are therapists everywhere (there are even therapists online, so you don't have to be that close to them or their office.)There are several sites that I refer people to to begin the process of looking for a therapist. I usually have them start with psychologytoday.com. Once there (there is a therapist directory), you can narrow choices down by ages that they work with, insurance they accept, depression as an issue they focus in, etc. You can also narrow down by therapist's modality, but that can get complicated if you aren't too familiar with the various theoretical approaches. It's important that you find someone that you feel understands your situation. That might mean that they identify an issue you are having in their profile, or on their professional website. But, you should try to meet a couple of different therapists if you aren't quite sure. It can be challenging that first session, but your best (note, not "THE best") therapist will help you feel comfortable (or as comfortable as possible, given therapy can be uncomfortable especially at first) and understood from the get-go.I have found that asking friends or family for names and recommendations Is also a common way to find a therapist, because it can come from a trusted referral source. But remember that we are all different, so what works for one might not always be a good fit. And again, it could take a couple of first sessions with different therapists to know if someone is a good fit (sometimes, it can take a few sessions.) And if there is no one around that can give a name or two, then searching online is quite common and can yield positive results.And try not to give up! Finding a therapist is not easy, but finding a good one for you is extremely rewarding.