thejana/Elective_modified_2 huggingface dataset:
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:
Empathy usually falls on a spectrum, meaning that some people show more than others. Empathy is the ability to look at the world through someone else's eyes or "walk a mile in their shoes." There could be some people in your life for whom empathy is easier to feel and those for whom you have no idea what they are experiencing.Empathy is not usually categorized as an emotion, but as something related to emotions. For example, you could have empathy about someone's anxiety.I'm not sure whether you are also referring to the idea that you don't have sympathy for yourself or others. That's a different concept, but also involves different degrees.When you say you don't have emotion except anxiety, I wonder if you are saying that you have anxiety all the time and it may be covering up other emotions? If you are experiencing a lot of anxiety, try to look at what it connects to and find something that changes your focus for a few minutes. This could be any number of activities, such as watching TV, cooking, reading a book, or many other options.If you are feeling as if you are just going through the motions and not having a lot of emotions about anything, if it's just been a few days, it may just be related to a current stress that will lessen in a few days. If it has been quite a while, consider tracking your mood and looking at when you do notice changes in your emotions. There may be some variations that you are not aware of.If you continue to feel anxious and as if you don't have as many emotions as you would like, consider talking with your primary care physician or a local therapist.
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:
Yes, certainly your mom's difficulty in having meaningful conversations with people results from the Alzheimer's disease process which weakens her brain function.Feeling a sense of guilt in relation to a parent, is pretty common for everyone.This is because as little kids and babies, we had a strong reliance on a parent and believing every word they sad and wishing to follow each action they ask or demand, was for the benefit of our own survival.One way of coping with your feeling of guilt is to examine it.Ask what it is you're feeling guilty about?Chances are that your sense of guilt is less due to what you're currently saying or doing to help your mom.Very likely, your guilt feeling is awakening the sense of obligation that you and all of us feel toward a parent simply because parents seem to have unquestionable power when we are very young.After all, you're thoughtful enough to write a question, so chances are great that you're already actively involved in caring for your mom.
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:
Getting to the root of what about her request upsets and frustrates you the most.  Does her asking ignite the realization of how much this condition has taken from her and subsequently you? When she asks for items, does it remind you of what this condition has truly done to her?  Anger is a secondary emotion, once we address what the true emotion is we can work thru anger and frustration. Self-Forgiveness is also important, her condition impacts you, and your feelings are valid.
Topic: anxiety

Question: How can I overcome social anxiety?
I have a fear of talking with people. I don't like to go out to social events. I'm always worrying about someone judging me.

Answer:
Thanks for reaching out and asking this question.  Social stuff is hard.  Even for people that don't have diagnosed social anxiety.  Some research outlines that our fear of public speaking is greater than our fear of death.  That's hefty!  Shame is often the culprit for social anxiety because we think other people will see the flaws in ourselves that we believe are there.  I've had experiences where I thought the person thought something awful of me, just to find out it was exactly the opposite.  That's how powerful our minds can be!What are other things that people may think of you?  Maybe you are very kind and easy to talk to.  Maybe you think differently than other people and some people enjoy hearing your perspectives.  It's even a possibility that they are worrying about the same things as you, even if they seem very confident.  Confidence can be easy to fake if it's how you cope with fear.To work through some of that, it's much better to force yourself out there and have conversations.  Avoiding people sends the message to your brain that not only are those situations dangerous (socially), but that you can't handle them.  The more you avoid, the harder it gets and the more anxiety is created by just the thought of being around people.  Take it moment by moment, too.  Thinking about all the conversations you are confronted with in a day is overwhelming.  Just focus on getting through each conversation, and give yourself credit for doing that---even if you felt awkward, embarrassed, etc.  Social skills can be taught at any stage of life, and there's always room for mistakes.  No one in society communicates perfectly and you don't need to put that pressure on yourself.The last thing I'd say is keep at least 1-3 people in your life that feel really good to talk to--like it's not a task.  Talking to acquaintances and random people is not to fulfill a need for close connection (unless you end up finding a great friend), but more to feel like you are definitely able to handle conversations without the threat of crippling anxiety.  You may even get to a place where you enjoy it (sometimes).  Reach out to people in your life if you need extra support!
Topic: trauma

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

Answer:
Have you tried counseling?  Having PTSD from multiple abusive sexual experiences is very overwhelming for one to handle alone.  You may need the guidance, experience and support of a professional to identify all the triggers that effect you and obtain the best coping skills that would work for you.
Topic: spirituality

Question: How do I find myself?
I don't know what to say. I have never really known who I am.

Answer:
Therapy may be an effective way for you to get a stronger sense of who you are. A competent therapist will work to create a safe and curious therapeutic relationship in which you can explore your identity. There are also many different exercises which you can do in and out of therapy which you may find helpful in this area as well.
Topic: self-esteem

Question: Why do I feel like I can never meet people's expectations?
I feel like every time I do something someone asks me to, I never fully meet what they want. I feel that when I finish it, they always think that they should have picked someone else to do it. I feel like they just want nothing to do with me.

Answer:
It sounds like you have the perception that people are frequently disappointed in you, wish you were different or someone else, and ultimately reject you. One question I would have for you is what is your evidence that people feel this way? Is there anything in people's words or behaviors that gives you this impression? If your not sure, it may be useful for you to try to notice what people say and do in response to you, even though you perceive these attitudes within them. Additionally, working with a competent therapist may be a great way to get an answer to your question as well as developing ways to move forward with that answer and gain a sense of self-esteem and security in your relationships.One possibility that comes to mind, of which there may be more, is that as we grow up, we often develop relational templates, or sets of expectations about how people are and will relate to us, which influence our experiences and behavior in relationships. Sometimes the templates that we develop to stay connected growing up are not particularly adaptive for adult life and can hamper our self-esteem and capacity for comfortable intimacy as an adult. You ask a great question here, and one that can be very hard to see through, given the difficulty of feeling that people think of you in this way, and I hope that you will stay curious about this and consider working with a therapist who is trained to help you discover the answer.
Topic: anxiety

Question: How can I be less anxious when dealing with my toddler?
My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time.

Answer:
Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wanting to know what the rules are, and all you have to do is show her clearly where the lines are. I'll give you some tips.First, remind yourself that it's her job to learn what the rules are, and where her power is. Don't be so surprised when she wants it her way. If we go through our days being ready and prepared for these beautiful creatures to have minds of their own, we're less caught off guard when it happens. Avoid situations that invite power struggles. Any time you tell your daughter "do this now", you set up a power struggle. The good thing is that she's young enough you can pick her up; now is the time to teach her that mom's (or dad's) word means something. So, if you say "let's get you dressed", then be prepared to pick her up right away and show her that when you say something will happen, you can make it happen. And I'm talking about gently picking her up here...not roughly. Pick your battles; only give instructions when you have the power to make it happen.Give her choices, so she can see her power. Instead of opening her drawer and asking what she wants to wear, give her two choices. Here's an example...she's on the ipad and you say ipad time is over. She says "no". You can say "ipad time is over. If you put it down, you can play later. If I have to take it away, you don't play it later." The choice is hers. Then follow through."When...then" statements are really helpful. Your child asks for something. Instead of saying no, try "as soon as the toys are picked up, we can have a snack". You're simply a pleasant parent who wants the same thing they do...but they have to earn it. Staying calm yourself is the key, because then at least you will feel in control of yourself, which is the ultimate goal. Use self-talk to calm yourself. Remind yourself her behaviour is normal and healthy. Breathe through a moment in which you would have reacted, and it will be over by the time the breath is done. You can give yourself time to think before you make parenting decisions. Time is a useful tool not enough parents use. Good luck!
Topic: lgbtq

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

Answer:
That depends entirely on the doctor you go to for your hormones.  WPATH, the World Professional association for Transgender Health, new standards of care say the therapy before hormones and a letter are recommended. There is a standard of care, ICATH which follows informed consent.  ICATH takes into the consideration that your body is your own and therefore your own choice as to what happens to it. There are doctors in metro areas that practice informed consent where you would not need to have a letter stating you have been to counseling.  Some doctors still require a letter from a counselor.  When you call to set up an appointment, ask the doctor if they require a letter.  If they require a letter, you will need to see a counselor.
Topic: lgbtq

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

Answer:
Hi! I am so glad you're reaching out!  Sounds like you have some solid support in some areas of your life but are still dealing with some difficult dysphoria.  I think it can depend on what kind of dysphoria you have - sometimes it's physical, social or mental.  Sometimes physical dysphoria means less time around mirrors or plans to make showering less stressful (music, audio books, distraction).  Sometimes online support networks can be a great source of ideas in this way (for social and mental dysphoria as well).  Some of my clients do things that help them feel better in their bodies that don't require anyone to know (hair removal, binders, packing, hormones,) and other things.  I recommend stopping by a website called Conversations with a Gender Therapist. There are some awesome videos there that might help you!  I hope this helps some!  Don't forget to try to connect with other trans folks (even online) - it can be a great relief to know you're not alone in how you're feeling! Best of luck!!
Topic: parenting

Question: How do I tell one parent I want to live with the other one?
I want to live with my mom. My dad gets angry and makes me feel like everything is my fault. I still talk to my mom although My dad tells me that I'm no allowed to. I'm scared I will make the wrong decision and that my dad will hate me.    How do I tell him that I want to live with my mom?

Answer:
There is a lot of information that needs to be filled in first. So what the custody arrangement? Does your dad have full custody? Is the custody shared? What does your mom think about the situation? Is she willing to go to bat for you?What is your age? Usually you have the right to choose based on age requirements set by the state.Legally you can't be kept away from your mom unless there is some legal complications that prevent it.Is your father abusive and should you seek protection?Many details need to be filled in.You can seek counseling without your parents approving or knowing, depending on your age.Find counseling through school or local agencies.You have rights and one of those is the right to choose.
Topic: substance-abuse

Question: How can I stop abusing alcohol?
I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.

Answer:
What an important question. I'm hearing your hopelessness and fear about the damage of your substance use and it sounds like you have reason for concern. While there can be negative stigma about using substances, for the most part substance use is an attempt to cope with emotional distress in the absence of sufficient coping strategies. We all look for comfort when we are in pain and this may be the way that you are getting comfort - even though it is also hurting you. In order to stop using alcohol and weed you will need a lot of support and you will need to learn other ways of getting comfort when you are in pain or struggling with bipolar related symptoms. There is nothing to be ashamed of and we all need help when we are struggling. I would encourage you to reach out for support in any way that you can. Have you talked with your health care providers about your concerns or friends or family members? Here are some links of resources in Whistler that may be helpful:http://www.vch.ca/locations-and-services/find-health-services/?program_id=11035http://redbookonline.bc211.ca/service/9509054_9509054/whistler_mental_health_and_addictionshttp://mywcss.org/programs/counselling-assistance/http://redbookonline.bc211.ca/organization/9489472/alcoholics_anonymous_aa___squamishwhistler
Topic: eating-disorders

Question: How can I train myself to stop eating when I'm full?
I have no self control over food. Most people stop when they've had enough, but I keep eating for the pleasure of it. Especially with sweets - I'm never done eating dessert.

Answer:
I would recommend removing yourself from the environment you are in after you have finished eating. A simple walk around the block, calling up a friend and going to visit, or even going to another room in the house can help. If you find that you truly have no self control over food, I recommend attending Overeaters Anonymous; a 12 step group for those with compulsive issues related to food. I hope this helps.
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:
I've never heard of someone having "too many issues" for therapy to be effective. A competent therapist will assist you in identifying the root causes of your problems and treat those first. If the underlying issues are addressed, your various symptoms should improve. For example, a history of sexual trauma can cause sleep disturbances, depression, anxiety, and low self-worth. I would start by addressing the underlying trauma using EMDR Therapy. EMDR allows the client to process unresolved trauma and to address negative core beliefs that develop in response to the trauma. By addressing these negative beliefs about ourselves, we can improve our self-esteem and feelings of self-worth.
Topic: depression

Question: How can I get people to listen?
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
 I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Answer:
First, thank you for sharing such deep personal information. It can be difficult to share such intimate information. To begin, it sounds likes your primary concern your desire to speak to someone who takes your mental health seriously. You've tried talking to your parents and your friends and neither have made that connection in the area you need. I'm sorry to hear that. it's unfortunate. However, I think a couple things can be done to try to address this. If you want support1) Parents- Sit down with one of them and tell them with all seriousness that you need to talk about something that is affecting you deeply. Perhaps speaking to both can be too much for one room. If you try to speak to mom or dad by themselves, it may create that intimate atmosphere needed to understand where you are coming from. 2) Friends: Like parents it can be difficult to speak to your friends about challenges with your mental health. When you're feeling down and anxious, friends can be great help or not their at all. With friends, it may be one of those things where you also need to create an intimate environment with one friend to speak to about your sadness and anxiety. If anything, speak to the fact you're hurt and help them understand that if they can't understand the depressionIf you don't want support Coping Strategies: Identify coping skills and strategy that help you when you're feeling down. Ideas:A.) JournalingB) PaintingC) ExerciseD) MusicE) Reading AffirmationF) Listening To Motivation Videos
Topic: depression

Question: How can I find myself again?
I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments.

Answer:
Check this blog out:  Four-ways-add-self-esteem-friends-listHope you find a few nuggets of helpfulness in this.
Topic: self-esteem

Question: How can I forgive myself?
Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me.

Answer:
Realize that you are human, not perfect and will make the wrong decisions at times.   That is OK, we all have.  However, the best way is to say OK, I did it, learned from it, will not do that again.  EVER!!!  You can get pass it; grow from it.  Unfortunately, we forgive others faster than we do ourselves because we hold ourselves to higher standards or expected better behavior from ourselves.  It can be embarrassing, hurtful, almost unforgiving at times.  But how do you forgive yourself? Take a Deep Breathe..... and then acknowledge that you did something wrong, acknowledge it, and say to self,  "I forgive me".  Just like you would say to someone else.   This starts the process of forgiving. Also ask yourself these questions:   What lesson did I learn?  What would I have done differently?  What will be a trigger that will make me do that again, if I happened to be weak or tempted?  Avoid or prepare for those triggers....  Forgiving yourself will set you free from the prison you have put yourself in.  You would start back living.
Topic: anxiety

Question: What are the best ways to reduce anxiety?
I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.

Answer:
I encourage you to look at two things - what you can do (behaviors) to better manage anxiety and how can you change your thoughts (cognitions) that likely exacerbate anxiety. Behaviorally, it may benefit you to create more structure and improve your organization and time management skills. That might include the use of a planner, a consistent sleep wake-cycle, exercise and movement, and prioritizing activities of self-care. The second component take a little more self-reflection. What are some of your thoughts that are problematic? For example, catastrophic thinking is common amongst people who struggle with anxiety. Those thoughts might sounds something like, "This is the worst day ever." Now, perhaps it was the worst day ever, but more than likely it wasn't. More than likely, it was a difficult day or a stressful day. By correcting that thought from "worst day" to "a tough day" you bring the intensity of the anxiety down a notch. Making those kinds of corrections to your thinking throughout the day will help your anxiety feel less debilitating and more manageable.