thejana/Elective_modified_2 huggingface dataset:
Topic: trauma

Question: How can I avoid having past traumatic experiences affect my present and future?
I have family issues, and my dad was both violent and a cheater.

Answer:
Hi New York, There's no way to keep your past from affecting your present and future, because it's a huge part of who we are. The GOOD news is, though, that the effect doesn't have to be negative. I'm met many people who have horrific pasts and it helps them know confidently, every day, what kind of person they want to be and what kind of world they want to live in, and it helps them make really great decisions. You can accept your past, integrate your traumas and move forward in a very different way. If you see negative ways in which your past affects you (and this is also common), you are wise to seek professional help. Without knowing more, it's impossible to give you a lot of direction here. Basically, our past creates emotional "bruises" that are touch on and triggered by present situations. But our reactions are often about more than just the present moment. I think you know that.I wish you the best as you sort it out.
Topic: depression

Question: I'm a mess physically, mentally, emotionally, and spiritually
I'm in my late 50s. I never loved or have been loved. I need deeper help than is offered in my small town, but I cannot leave this town because of agoraphobia. I find myself losing hope more and more. My brain barely works anymore, and my memory so small, I forget in a moment. I serve no purpose. I'm incapable of work or anything of value, and I never have been. I’m a complete waste of time and resources, and yet I keep trying. Why? Why does God insist that I continue to exist? I’m not suicidal, just tired.

Answer:
The fact that you're reaching out says that there is something in you that wants this to be different, and that drive might be something worth tapping into. "Why do I keep trying?" is a question that might give you some insight into what it is in you that keeps you going. A lot of therapists/counselors are now offering video therapy. As long as you're in the same state as a therapist offering this service, you could connect with someone helpful from the comfort of your home, even being in your small town. I'd recommend looking into this option, because you're asking a lot of really deep questions and might benefit from having those conversations with someone who can help you find your own answers.
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:
There are typically three reasons why therapy is terminated:1) Client has met therapy goals2) Client is not progressing 3) Therapist is not a good fit for clientIn order to properly assess whether therapy is helping and what progress is being made, the therapist needs to have ways of consistently checking in with clients sessions-by-session to determine what is helping, what isn't, and where the client is at in relation to their original therapy goals. When a client has met their goals, that is a good time to end counselling sessions unless the client has new goals or simply wants to check-in periodically to make sure that they are still on track (sometimes referred to as relapse prevention). When a client is not progressing, and feedback has been taken and attempts have been made to make the therapy more helpful for the client but to no avail, than it is considered unethical to continue to work with the client. In these circumstances, referring out to another therapist who may be a better fit is a good idea.
Topic: trauma

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

Answer:
There is a modality developed by Pia Mellody called "Post induction therapy" (PIT). The work has been continued by Jan Bergstrom who wrote the book: "Gifts From A Challenging Childhood. The premise of the work is that you can "reparent" those wounded parts of you. A quote from Jan's book is, "If it's hysterical, it's historical." I've done this sort of work myself and its been hugely beneficial for my relationship. The idea is when "triggered" by my partner, I'm going to request space and affirm, validate and even love that younger part of myself that's hurting and remind them that I (as the functional adult I am) can handle my partner.  Basically, I'm practicing getting in a more centered space and thus, I'm able to be more relational. This is a practice, but the idea is to provide some separation from the trigger and an automatic reaction. You can do it, especially if you love him and he's worth it.
Topic: professional-ethics

Question: How do I approach my doctor about seeing a therapist?
I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.

Answer:
Having this kind of conversation with a doctor can feel difficult. But remember, you are the expert on you. Any good medical professional will recognize that.You are absolutely right to think about the importance of being your own health care advocate. Generally, the best approach is simply to be honest. Let your doctor know what you are concerned about and tell your doctor what you think might help. If there is a specific issue that you’d like to address in counseling, let you doctor know about it. And don’t hesitate to directly ask for a referral.I know this may all feel a little overwhelming. It might help to bring a family member or significant-other with you to provide support when you talk to your doctor. It’s great that you’ve already taken this first step to reach out. You’re on the right track.
Topic: anxiety

Question: Why do I find pleasure in thinking about killing?
I am a peaceful person, but I often find myself having thoughts about killing people. Eventhough I like the thoughts at the time, they make me cry. Why do I feel like this?

Answer:
Let me point a couple things out to you.  These thoughts obviously go against your core values, otherwise they wouldn't upset you!  Having thoughts about killing people bugs you, and that's a GOOD sign.  You are also concerned enough to reach out on this chat forum.  That tells me you have put some time into worrying about these thoughts and what they mean.There's absolutely nothing wrong with a thought.  We all have extreme thoughts in life because our brains are built to wander.  Unless you are acting on these thoughts, they are not dangerous.  It's important to note that having a thought doesn't mean you are that thought.  It's pretty easy to assume that our thoughts are who we are, but that couldn't be less true.  If we were our thoughts, we'd be so many different things at once it'd be unimaginable!Something I wonder is if these thoughts feel intrusive to you.  Even if you enjoy them, do they seem to show up without invitation?  When a thought is intrusive in nature, it can often make someone feel as if it is uncontrollable and holds more weight than less intrusive thoughts.  It is also interesting that you mention finding pleasure in thinking about killing in the sense that it's definitely giving you some psychological relief in the moment.  From that, I have two thoughts: 1) could it mean you are trying to cope with something socially upsetting to you via these types of thoughts? and 2) I'm wondering if there is any repressed anger in your life.  You mention being a peaceful person.  Are you usually the peacemaker in your social world?  Do you feel as if people take advantage of you or that you don't have a voice?  Those situations can breed anger and resentment. If you don't allow yourself to feel or express anger, the brain will find a way to do it for you and it's not weird or strange that it would want to send out thoughts that clearly get your attention!Another thing you could try is tracking when the thoughts come up.  Keeping a log can help shed light on what may be triggering them and what their purpose may seem to be.Wishing you all the best!
Topic: workplace-relationships

Question: How can I cope with work related stress better?
I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
   What can I do to manage my stress?

Answer:
Being in this position is tough. If seeking another career opportunity isn't viable, there are a couple of things you can do to manage stress on the job.  1. Have a ritual to begin the day:  Consider setting a one sentence intention and plan tasks for the day2. Take the breaks you are offered. I know it can be difficult to step away from your desk to eat lunch or take 10-minute breaks during the day, but prioritize this if you can. Sometimes 30 minutes of downtime and fresh air can help you feel better. 3.  Have a ritual to end the day:  If you commute by car consider an end of the day playlist.  Take a walk. Light a candle.  Clear your desk and write tasks for the next day. Whatever it is, send a signal to your brain that it is time to end the day.4. If you do work from home or are expected to be available after hours, set boundaries where you can.  Set a timer for answering emails and stick to that.  Have phone free meals.    Try to engage in activities that are rejuvenating like spending time the friends and family.  5. Try to limit alcohol/ drugs.  Move as much as you can.  Get outside in natural sunlight.  These are just ideas/ suggestions.  Even doing one of these things could be a step in the right direction.  Best of luck!
Topic: marriage

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

Answer:
In my mind, a healthy marriage has two participants, meaning both people participate equally in the intimate connection of marriage. An unequal participation comes in many forms, such as one person checking out of conversations when it becomes emotional, or speaking over and for each other in these conversations. Couple’s should strive for engagement and support, but doing it in a way that works for each person individually. I hope this helps.
Topic: anxiety

Question: How can I convince my mother I have anxiety and panic attacks?
I've been dealing with this for years. My mom thinks I'm overly emotional and refuses to offer any help, like therapy or seeing a doctor. She's seen me when I'm having a panic attack and just said I was faking for attention or that I'm a hypochondriac. I just want to get better.

Answer:
I don't know how old you are, but in Pennsylvania, if you are over 14, you can have therapy without your parents' consent. If you are young enough to use their insurance, that could be complicated, but depending on the state, there may be ways to work around that as well. If transportation is a problem, call a local mental health agency and see if they can connect you with assistance.In the meantime, try searching for a phone helpline in the county where you live. They may be able to help you figure out where you can get help.Another idea is that if you are in school, your guidance counselor may be able to provide links to where you can go for help. He or she may also be able to give you more specific ideas to help with your panic attacks.I know you said your mom refuses to offer help, which included seeing a doctor, but I wonder if she trusts the doctors that is your primary care physician (also called a family doctor) who you see when you have a minor medical ailment that may need medication. That doctor may be able to help you as well.Some of the information here may be helpful to you because it explains some of what anxiety is and there are some quizzes there that may give you information to discuss with a doctor or therapist when you get connected with one. http://www.webmd.com/anxiety-panic/guide/mental-health-anxiety-disorders This may give you other information to speak with your mom about. Remember that I'm not asking you to actually diagnose yourself with one of these things, but just offering some basic information that may help you be able to talk about what is going on.If you are having a panic attack or having a moment of anxiety, try focusing on different things in the room around you. It may help to shift your focus briefly outside of what you are feeling and that may lessen the feeling a bit. Also remember that sometimes anxiety leads to more anxiety about having a panic attack in the future. Remember that they usually and after a few minutes.It would also be helpful for you to keep track of what leads up to your anxiety.Best wishes to you and keep trying until you get connected to someone.
Topic: parenting

Question: I feel stuck in life. What can I do?
I am in my 30s with 2 kids and no job and I'm behind on the bills. I've been trying everything with no results. I feel like everyone else puts their needs in front on mine. I give intil it hurts and I'm afraid that I'm going to fail my babies    I've been struggling for 5 yrs in a relationship with no communication and no alone time. How can I get some support?

Answer:
Financial stability is probably a good place to start your new life project.If your partner doesn't work or doesn't contribute his money to the household bills, then maybe you are eligible  for some type of stipend from the government.Especially since you have kids the child welfare service may intervene to help you.  Sometimes too, a partner who is unwilling to pay for their kids' wellbeing may be pressured by child welfare to make regular contributions to you and your kids.I''m glad you are thinking of your needs and those of your kids.  This is the philosophy which will show you what road to follow so all three of you are in a secure financial place.
Topic: relationships

Question: Should I get back together with my ex-boyfriend who has trust issues?
My ex-boyfriend and I met over a year ago. We hit it off and fell in love pretty quick. However, he has trust issues and assumed I was cheating. When I found out I was pregnant, we had just broken up. Five months later, I lost the baby, and we did not speak for a few weeks. Now we are talking, and he says he loves me but is afraid I will hurt him "again." I just want to know where to go with this because I love him so much, and I want to get back to us being happy and a family.

Answer:
Trust is essential in romantic relationships and it is common to have trust issues - because the stakes are so high. If both of you are committed and willing to be fully honest with each other, trust can be repaired and become stronger than ever. I would encourage you to seek out professional help as it easy to get derailed by fear when trying to work things out in the absence of trust. When fear takes over - we tend to become defensive and act in ways that makes it harder to trust one another. In addition to getting professional support I would encourage you to learn more about building trust in relationships and deepening connection through accessing various online resources on relationships.
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:
Hello,Crying in therapy is extremely normal, especially if it is your first time attending a counseling session. Very often Clients will come to therapy either for the first time, or perhaps after many years of having attended therapy previously, and often find the weight on their shoulders being lifted when they finally have a chance to let go and allow themselves to experience the emotions that they have been holding back. As mentioned, it is perfectly normal to cry during the therapy session. However, one must realize that having a safe space to cry is not the end goal, but rather being able to work through the issues that are causing the distress. Please do not feel that your counselor will not understand why you are crying. We are well trained therapists who recognize the power of therapy and how vulnerable people can often be when you’re talking to somebody who is nearly a total stranger. It takes a certain amount of bravery to be able to go to a therapist and discuss the issues that you might feel cannot be shared with anyone else.Therapy can be a very healing time, but it requires courage, determination, and being willing to be vulnerable enough to address the issues that are impairing a functioning in your life. Be willing to work with your counselor to address the emotional side of the problems and challenges you are facing in your life. You do not have to feel like you need to cry in every session, but there will be times when crying will be a natural occurrence in the course of counseling sessions. If the therapist has done things correctly, you are to feel fully supported and safe in the environment of working for your issues.If I can be of further assistance, and you are in the Tacoma, Washington area, please feel free to reach out to me. I would be honored to work with you.
Topic: eating-disorders

Question: Can a therapist have a client admitted to an eating disorder treatment center if the client does not want to go?

Answer:
The answer varies depending on what State you are in, whether the eating disorder treatment center is part of a larger psychiatric facility, and the diagnosis which the therapist states describes your psychological and emotional condition leading to the decision to admit.Also keep in mind that all practitioners have license to judge whether or not a person fits a category of psychological problem.This is adds another variable to the answer of your question.Basically, there are many variables and not one definite answer to your question.
Topic: family-conflict

Question: How do I find a therapist for my family as a minor?
I’m a teenager. My entire family needs family therapy, and more than likely individual therapy. My parents refuse to take action, and I'm tired of it. Is there any way I can get out of this myself?

Answer:
This sounds like a really tough situation.  As a teenager, you may be able to get counseling on your own (without needing your parents' consent) under some circumstances.  If your parents are refusing to consider counseling, you might want to try talking to your doctor or another trusted adult about finding some counseling resources - even without your parents' help.
Topic: intimacy

Question: What can I do when my boyfriend says he's not ready for marriage?

Answer:
I don't know if you have any details regarding what makes him say he is not ready for marriage.It may also be helpful to look at what is making marriage so important to you right now.Maybe this is something around which you could have a conversation where you each listen to each other for about five minutes and try to ask questions about what the other person is experiencing to gain more clarity about what is happening. This particular type of conversation wouldn't be about reaching a certain solution, but just understanding more about yourselves and each other. I also recommend prefacing that conversation with asking if the person is open to having a discussion that is important at that time.If this proves to be a difficult discussion, consider seeing a therapist who specializes in couples. Even if only one of you goes to see a counselor, you may have some clarification.In the meantime, try to look at what you have that makes you feel valued, special, and loved. Perhaps you can look at the things that make your boyfriend feel that way as well.
Topic: family-conflict

Question: No matter what I do, my mom will almost always find something wrong with it
My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this?

Answer:
It is hard to watch our parents age, especially when Alzheimer's is involved. I echo what others have recommended regarding the need for support for you as you deal with the changes that are going on physically and mentally for your mother. Alzheimer's steals so much, and when your mother is nasty or asking for things that seem nonsensical to you it can be hard to show love and patience. It is normal to feel anger, frustration, and guilt when you are faced with uncertainty, not knowing what your mother will be like or act like from day to day. I am not sure if you take care of her in your home or if you have placed her in a facility that cares for her. If the latter is the case, utilize the help of the facility's social worker. They are there to help you adjust to the changes you are experiencing while also helping to meet the psychosocial needs of your mother. It is okay to take a break as a caregiver, give yourself permission to have time away from the frontlines of care. When you can connect with an Alzheimer's Support Group, allow the group to help you. Share your frustration, these will be people who are walking in similar shoes and can help you find peace with the role you play at this stage of your mother's life. When you do spend time with your mother, take time to prepare your heart and mind for what you may experience. Remember that what your mother says and does is not coming from a place of knowing the consequences any longer. That can help when it feels like she aims to hurt or to willfully be mean to you or others.Finally, take time to make peace with anything that feels unfinished in regard to the life and memories you have shared with your mother. When Alzheimer's takes over a loved one's faculties I have seen many families struggle to try to find ways to make peace with this. No one plans for a parent to get Alzheimer's, how could they? Having an outlet to express grief, anger, and guilt can go a long way in helping you to cope with an uncertain future. I hope there is something in these words that encourages you as you care well for your mother.
Topic: parenting

Question: I'm concerned about my 12 year old daughter
I'm concerned about My 12 year old daughter.    About a month or two ago she started walking on her toes, as well as coloring and writing very messy. This all happened very suddenly. She has never walked on her tiptoes and has always colored and written very neatly.    Is this something I should be concerned abou? Any advice will help.

Answer:
It is great that you are noticing these changes with your daughter. I can’t offer advice without knowing much more about your particular situation but some things to think about:Has something else happen recently that has been stressful, upsetting?Is your daughter trying to communicate something to you and if so what might that be?Have you discussed these recent changes with her? (Without being too serious or accusatory)There is so much changing for her (and you) now-communication and connection are crucial. I hope you both can talk to a supportive person about all these changes.
Topic: trauma

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

Answer:
Unresolved issues/ Unresolved past - using Gestalt therapy, one does gets a closure to their unresolved emotions. Try talking to a therapist !