thejana/Elective_modified_2 huggingface dataset:
Topic: anxiety

Question: I feel really uncomfortable around other people
When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?

Answer:
I am very sorry to hear that you are going through this!
While animals can be a wonderful way to experience emotional support, you may
want to consider opening up to a Life Coach or therapist to discuss some of
your concerns. You are not alone, and many people are experiencing very similar
anxieties. A Life Coach or professional therapist could help to guide you
through these emotions and refer you to additional professional help if needed.
It sounds as though you want to address some of these issues by first asking
the question. Finding additional support from a trained professional whom you
feel comfortable with could be the best way to get the help that you need. I
wish you the best of luck on your journey!
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:
I'm going to second that it is completely brave of you to share something you kept hidden for over 30 years.  That's a HUGE deal!Something awesome about the brain is that it can learn at any time in the human lifespan.  No matter how long you have dealt with the affects of trauma, your brain has potential to rewire and change how it operates.  This is just my assumption, but it sounds like you are just realizing the impact the trauma has had and is continuing to have on your life.  First of all, that's phenomenal information--many people spend their lives blind to these influences and may never get help.  On the other hand, it can be super overwhelming to now have all this insight about yourself and not know how to deal with it.  It's OK to feel that uncertainty and/or stress about the process--that's totally expected and will most likely feel less powerful the more you move through healing.I understand your fears about pushing away someone you care about and that seems important to you.  That's quite a normal behavior as a result of childhood trauma.  When we are first learning our relationship to others and the world as children, trauma can teach us that others are unsafe or may hurt us.  Almost all my clients have experienced childhood trauma and one of the things we spend time exploring is what they may be trying to protect themselves from by pushing others away.  Vulnerability can be scary for everybody, but why specifically is it scary for you?  I bet there's a really logical reason!It's unclear how long you've known this man and how connected you feel to him, but could he potentially be a support person for you?  If you feel uncomfortable with that, that doesn't mean anything bad.  It just means you aren't ready.  It's not easy to talk about such hard things.  It does seem like you know that you behave in ways that push him away--what would your behavior look like if you didn't?  That doesn't mean sharing everything or no boundaries, but meeting him somewhere in the middle.  Sometimes the brain needs evidence that being vulnerable doesn't always equate to danger or rejection.As others have noted, a counselor can help if you so choose to go that route.  I can't say what your journey will look like, but I already have so much hope for you since you are obviously incredibly courageous and motivated to work to make your life better.  If 8 year old you can make it through trauma, then 40 year old you can definitely work through this!
Topic: stress

Question: How can I be less stressed?
I need help knowing how to deal with stress. What can I do?

Answer:
Learn how to meditate. I recommend a Mindful Based Stress Reduction MBSR program.
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 just want to acknowledge you for the courage to take the step to get support. It can be overwhelming to have so many things going on, and it might be hard to figure out where to start. I truly believe that one of the biggest advantages to working with a therapist is that a therapist can help you prioritize and work with those issues that need to be addressed first and foremost. A therapist will help you with the flow of dealing with different aspects that come up. Some issues may even be related to one another. For examples, some clients with depression may also feel anxiety about their depression. Also, rest assured, many clients go to therapy for multiple issues. We are complex beings. I encourage you to reach out to a therapist and talk about this concern. You may find out that even upon the first meeting you will feel hopeful that you will be able to create a plan with a therapist to address your issues. I don't believe you have too many issues, I think starting sooner rather than later will put you on the path to healing. Good luck. I am rooting for you!
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:
There is no such thing as too many issues for counseling.  Many people come in with a variety of issues and sometimes we discover other underlying issues.  As you begin therapy, you will be able to explore your history with your therapist and come up with what you would like to focus on first or what appears to be most important.  This is your therapy and you get to decide what is focused on in it.
Topic: depression

Question: How can I best fight the winter blues?
Every winter I find myself getting sad because of the weather. How can I fight this?

Answer:
Many peope uffer from changes in mood when the winter time comes. The amount of daylight hours decreases significantly. Most times it is dark when you go to work and dark when you return home. There are special lights that can be used during the winter season to counteract the "winter time blues." Also, paying attention to self care. Are you sleeping enough, attending to physical illness? Exercising and eating a balanced diet? Make sure to schedule fun activities and spend time with loved ones.
Topic: self-esteem

Question: I Sometimes I feel like I hate myself
I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?

Answer:
The answer would require a more in-depth knowledge of you and your situation. A lot of times, these feelings are the result of the people in your life treating you a certain way. You internalize it and accept it as your reality. The first step is to evaluate the people close to you, especially your parents. Even if you are an adult, think back to your childhood. Children who grow up in an unstable home often grow up to be adults with insecurities and emotional problems. The obvious, such as being abused, can certainly lead to a person having little to no confidence and self esteem, but there are other situations that might surprise you to hear they can be damaging to a person.You may have never been physically or sexually abused, but what about emotionally? Were you yelled at, berated, put down? Were you told you'd never amount to anything? Were you compared to siblings and felt like you always fell short, couldn't live up to expectations? When you hear something over and over again, you start to believe it.Maybe you weren't yelled at. Maybe it was the opposite. Studies show that children who grow up with a parent who is depressed show signs of emotional neglect. A chronically depressed mother, for example, may have seemed cold, detached, emotionless. She may have been less likely to show interest in a child's life, not give praise for accomplishments or show support by going to ballgames or performances. If one of your family members were chronically ill while you were growing up, chances are, a lot of the attention went to them, which could have led to your needs not being met.Any of these situations could cause a person to grow up feeling unimportant, unheard, unloved, or like they don't matter.Maybe nothing I've described here fits your situation. If you can't pinpoint what has caused you to feel this way on your own, a counselor can help.I am not saying "blame it on your parents" or telling you there's nothing you can do to change it! Quite the opposite! Understanding WHY you feel that way is a first step towards making the changes needed to feel better. Cognitive behavior therapy focuses on cognition - figure out the WHY. Then behavior - the HOW.
Topic: depression

Question: Why have I been feeling empty lately?
I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?

Answer:
There are many possible issues to consider as depression  social anxieties, even medical illness.  For some, even grief creates a sense of isolation, pains from relationship break up.  Also, obsessive thinking can be debilitating.  Seeking at least one trusted friend or family member can be a start towards increased personal support.  Some persons may simply feel connected by spending time with someone as this, even if not talking directly on issues, just being around another is positive.  Obviously there is more to explore on this question, given minimal information from two sentences.
Topic: depression

Question: How do I make new friends?
In the past year, two of my best and only close friends moved to different states. Now I have nobody to hang out with. I'm always alone, and I honestly haven't hung out with anyone since they left. I'm super lonely. What should I do to make new friends? Because they moved and I have no friends now, I think I'm falling into a depression or something. I just need help.

Answer:
I am sending your loving vibes as you weather this time when you are trying to find new friends.  I want to share a video about this very concern. How To Make Friends As An Adult
Topic: anxiety

Question: How can I learn to be content and at peace?
I recently broke up with my boyfriend After being together for over 4 years. I truly believe I did the right thing, but omehow being single now has made me very needy and unsure of myself.
    I am seeing someone casually and I am losing my mind with anxiety about how he feels about me and this need for validation.
   How can I learn to be content and at peace with myself regardless of my career, relationship status, etc?

Answer:
Endings in relationship are difficult, and my heart goes out to you. It is difficult to start again, but not impossible. After a break up we may loss our identify and grieve what could have been, and some other aspects that are brought up to the surface. You recognize that you have become needy and unsure. I wonder, if you have grieved properly. The end of a relationship can trigger our inner insecurities, and I think it would benefit you to go within yourself and explore where are these feelings coming from.  Your anxiety may be trying to tell you something that you needs your attention. This is work that you need to take time with, and I am not sure other entanglements helps you to heal or distract you from going deeper into healing regardless of your status, career. Being content means a state of openness and peace, and acceptance. Wish you healing and hope!
Topic: behavioral-change

Question: How can I get over my OCD and anxiety?
I suffer from checking and cleaning OCD. Can counseling help me to get over it?

Answer:
Possibly yes, and definitely worth a try.First read about different types of therapy for OCD so that you find a therapist who does the type of therapy which feels best when you read about it.
Topic: lgbtq

Question: Is it normal for married men to fantasize about having oral sex with men?

Answer:
It can absolutely be normal for men to fantasize about sexual activities with other men! Fantasy can be an incredibly fulfilling experience for you and your partner! This could be a aspect of your sexuality that you would benefit from exploring thorough conversation with trusted someone, like your spouse or close friend (or therapist). Depending on your current relationship, would you be comfortable discussing this with your spouse? Also, please understand that this likely has nothing to do with your gender identity as one therapist posted here.  A fantasy related to sex may have to do with your sexual orientation but NOT gender identity.
Topic: depression

Question: How can I bring up my possible depression to my parents?
I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.

Answer:
You are not alone, many people fear opening up to family members about the topic of depression or mental illness. There are many different reason why some may fear telling their parents. The most common thoughts I hear in my office are: " My parents won't understand me", I may cause more problems to the family", "I am worried that something bad may happen if I tell them". If possible express your current concerns and worries to your parents. You can start the conversation with your parents by saying "I have not been feeling like myself lately, and I may want to see a counselor". I think you are doing the right thing by going on this website and asking for help. Just a helpful tip: positive self-talk can be beneficial before having difficult conversations with others. For example, tell yourself something positive before talking to your parents such as "I feel confident in myself, and I am doing this to overcome my fear of talking to my parents" can help to decrease the anxiety you are feeling leading up to the conversation. I would recommend if you are feeling depressed or down it would be beneficial to seek counseling to understand your current thoughts and behaviors. Best of luck and hope you decide to start counseling.
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 different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with. A person may have come to the counselor talking about a particular issue but either when they first met or as counseling progressed, it may become clear that the issue is in fact something different or that there is an additional related issue. If that issue is outside the competence of the counselor, the counselor should look for alternatives, the most common of which would be to terminate and refer. Beyond clinical issues, this could also come up around particular other related facts, such as the culture of the client or linguistic issues. This could also be the choice of the counselor if they know someone that they feel would be a better match for the client's issues. Another reason for discharge (and possible referral) would be if the relationship does not seem to be a good fit. No counselor is the right person to work with everyone. If the right level of connection is not happening, the counselor will often look first at what they are doing, might talk about it with the client and ultimately will admit that things don't seem to be working to allow the desired therapeutic process to work. A similar process would be followed if the counselor determined that the client might not yet be ready for counseling as evidenced by lack of engagement such as frequent cancellations, not doing any agreed on work between sessions, showing up late or being really guarded in session. The easiest situation to decide on is when a person has met their counseling goals and have nothing new that they are working on. While this is the easiest one to determine, it is also probably the hardest one for the counselor as they may be like the client in not wanting the relationship to come to an end. However, counselors know that this is part of the process. They will also determine this by regularly reviewing the treatment plan or by sending in the sessions that the work has come to an end. This type of termination maybe final or may be with the intent that the client will return later to address other things that have been identified but for which they are not ready to move into. All of these (and other) situations involves the counselor being open to the relationship ending, to monitoring how things are going, then engaging in self reflection, possibly talking with the client and then coming to a conclusion on which the counselor  follows through.
Topic: relationship-dissolution

Question: How do I move on?
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?

Answer:
A large part of moving on is taking time to grieve the loss of the relationship, practicing self-love, and learning to self-generate the love, acceptance, and validation you were receiving from the relationship. Work on any feelings of abandonment and codependency, or regret, not feeling enough,   guilt, shame fears. If you are open you could write a letter of what you would say then release it. You could even go as far as to a write letter of what you wish would occur or what you need to hear to move on then release. Acceptance of what is would be crucial, giving yourself the closure you deserve.   I wanted to share this video in an effort to help. Evicting someone living in your head rent free
Topic: anxiety

Question: I don't like going outside anymore
I don't understand why this is happening. Why do I feel this way?

Answer:
One reason may have to do with physical anxiety symptoms. This is common for people who experience panic attacks or physical anxiety symptoms. Often it begins with just avoiding certain places or activities where the symptoms happen. Over time, it's common for it to spread to more and more places and situations until many people get in the habit of not leaving their home at all in an effort to avoid the symptoms.
Topic: relationships

Question: How can I be less dependent on my boyfriend?
My boyfriend and I have been dating for almost 2 years. I've been really sad lately and for the past few months I've realized I'm just way too dependent on him. It makes me really upset to be so dependent on someone else, but I can't help it. I don't even know who I am without him.
   How can I be less dependent on my him?

Answer:
Dependency doesn't necessarily need to be a negative, as there is a moderate amount that comes with a healthy relationship. I.E., depending on your boyfriend to be emotionally there for you when you have a bad day is a sign of healthy relationship between you. It sounds like your dependency on your boyfriend has gotten to a place that is causing you discomfort and distress. It seems like doing some introspection, reflection, and work on yourself will help you individuate your identity and find yourself as an entity separate from your relationship. This takes effort! We have to spend literal time with ourselves in order to create space for our own identity. Start with a simple exercise like compiling a list of values or core beliefs that you hold and that are important to you, and try to uncover the things that remain both inside and outside your current relationship; the things that you know would exist for you no matter who you're sharing your life with. Follow this by evaluating how much of those values are supported in your life, and how you could align your life more with them and give your energy to the things that are important to your identity. It's okay if they're also important to your relationship, that's how humans work! Doing this work can help you get back in touch with who you authentically are, and allows you to build insight around your needs and boundaries.
Topic: marriage

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

Answer:
When I ask my couples why are you together, they often will say "because we love each other!" Well, that's great, but it's not enough. Love is what brings us together in the first place. It's that magical, hormonal glue that creates a powerful biological bond that ensures we get together, mate, and have kids. When that magic fades, the difficult work of making good marriage starts. It takes more than love. You have to have a shared purpose, a shared reason for being together. For many couples, it's about having kids, or self-actualization, or buying a house. It can be anything, but a good marriage is one in which both partners can answer the question in the same way, and have thought and talked about before. Another sign of a good, lasting marriage is one in which each partner takes an active role in helping the other through hard times. When they disagree, they spend more energy trying to understand the other person instead of proving their own point. They can quickly drop the sword, listen and reflect accurately, and demonstrate care and genuine concern. Finally, a good marriage is one where there is affection. Notice I didn't say sex. I've worked with couples who haven't had sex in years, and they were the happiest couple in my practice. Sex doesn't equal intimacy or affection. I'm talking about cuddling, holding, hugging. I'm talking about that deep relaxation feeling you get when you just let go into the arms of your partner. That kind of affection. It's crucial! You deserve this kind of relationship, and you have everything in you to make it happen. Sometimes we just need some support and guidance. Don't hesitate to reach out for help. It can make all the difference. Good luck!