thejana/Elective_modified_2 huggingface dataset:
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:
Slowly is the rate at which you'll get back your life.Being traumatized means not feeling safe in almost all areas of life.Be patient with yourself as you try to regain trust that people will not harm you and will be sources of satisfaction in your life.It is possible that the trauma in your life requires such great attention on your part to your own inner emotional safety that you are better off with a less intensive job than the one you recently lost.Try to prioritize restoring your emotional and psychological health.  With this as the top area of your attention then you may have an easier time to accept a lesser degree of involvement in your work and relationships.When you feel angry, try to examine if underlying the anger are feelings of stress, fear, insecurity regarding your position in relationship to the person toward whom you feel angry.   Anger is often the surface reaction to more destabilizing emotions like fear and insecurity.Gradually by nurturing and comforting yourself, living at a pace which is uniquely comfortable to what and how much you can handle, you'll regain your trust in both yourself and relating to others.
Topic: trauma

Question: Could a car accident add more problems to my posttraumatic stress disorder?
I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?

Answer:
The short answer is yes ,with a "maybe" tagged on the end. Let me explain.  First off, thank you for serving our country. The vast majority of the population will never understand the sorts of experiences that military members have encountered. And we know that veterans suffer from PTSD at higher percentages than civilians. We also know that motor vehicle accidents are the most common cause of PTSD. My friend, you've been struggling, it seems. So it can be helpful to think of PTSD symptoms like a wave, or a series of waves. Sometimes the waves are larger and last for longer, and sometimes they're easier to manage. One of the most common ways for PTSD waves to be more challenging is due to something we call "avoidance." We avoid both internal things (thinking about the trauma, avoiding unpleasant emotions, etc...) but also external reminders (perhaps driving in a car, being in crowds, being around loud noises, people standing behind you, etc...). And the more we push that stuff away, the longer those waves stick around. Therefore trauma therapy usually involves confronting that avoidance in safe and protected ways to try to reteach your brain that even through something might feel upsetting, it doesn't mean that you're actually in danger. Let me give you an example. Lets say you avoid being in a crowd. Your PTSD wants to convince you that ALL crowds are dangerous. And, between you and me, we both know that there are some crowds that are ABSOLUTELY dangerous. If you're in a biker bar where people are smoking meth and throwing knives at dartboards...that's probably a pretty dangerous place to be. But maybe you don't hang out in biker bars. Maybe you're just trying to pick up your milk and eggs at the grocery store when your crowd-avoidance kicks in. Well those two environments are very different. COULD something dangerous happen in the grocery store? Yes. Is it LIKELY that you're in danger? Probably not. And so if you've worked through the PTSD from the military but then go through a car accident, it might be that some of those old avoidant patterns are popping back up. The good news, however, is that there are several different options (through the VA, Vet Center, or private counseling) that can help. Look for what's called an Evidence-Based Approach. These are things like Cognitive Processing Therapy, Prolonged Exposure Therapy, Written Exposure Therapy, or Eye Movement Desensitization Reprocessing. Your counselor can help you decide which might be the best approach for you. PTSD is very treatable. You don't have to suffer. Reach out to a qualified therapist.
Topic: depression

Question: My ex-boyfriend is with someone new, and it hurts
I just got out of a two year relationship. I broke up with my boyfriend because he wasn't showing any affection at all. He was talking to other women and lying about it. It pushed me away and hurt me, but I'm still in love with him. A couple days after our breakup, he was talking to someone new. He told me he wasn't sure if he loved me. I cried for several days, lost my appetite, and couldn't sleep. Our whole relationship was only us. We didn't have friends. It was me and him against the world. We didn't talk to anyone else because we only wanted to talk to each other. We hung out constantly and Skyped to sleep every single night. Then, when I cut myself, we talked on Skype. He cried and told me "I'm still in love with you, I never stopped loving you," and I cried tears of joy. I asked multiple times if he loved me and asked to make sure he wasn't just saying that because of me being so depressed. He promised and assured me he loved me. He came over after that, and we had sex because he wanted to. He went the home that night and told me he didn't love me, and he lied because he was scared. He told me I wasn't attractive, I wasn’t beautiful to him, and that I changed. He also told me he was 100% sure he'd never love me again. I'm still in love with him. Why do I love him? How do I stop? Just knowing that someone else is with him hurts me. That I wasn't good enough and that I'm no longer beautiful hurts me. I think I need a therapist, but don't know if I should.

Answer:
I am very sorry for the pain you are suffering. Losing the most significant person in your life is extremely painful and breakups are often equated to a death. There will certainly be a grieving process that you go through and time passing will allow the hurt to subside. With that being said, seeing a therapist is highly recommended as it sounds like continuous support may be necessary for healing to take place. Anytime sadness causes thoughts of suicide or self harm, it is important to get help immediately. A therapist can help you by validating your feelings and what you are going through, while also working with you to move through the grieving process, adopt new hobbies, social outlets, and goals for your future. While starting over and trying out new ways of being may seem like a daunting task, it will only make things easier and give you a sense of hope and purpose for your future. With the new year right around the corner, this could be viewed as a good time and opportunity to get reaquainted with yourself and set goals related to living a more fullfilling life. Hang in there. With a support system in place and a healthy mindset, things can only get easier. Best of luck to you!
Topic: counseling-fundamentals

Question: How would I know if I have the right therapist?
How do you know you have the right therapist for you?
 How would I know how to "train" my therapist to be able to give me what I need from treatment?

Answer:
You would feel safe in the space they hold for you. You would not have to focus on “training” them to be what/who you need, instead you will be able to focus on your healing. You will naturally click, and see progress. Always trust your intuition. It is your right to find a therapist you feel comfortable with. Ask them questions, and explore their specialities to ensure that they are equipped to guide you.
Topic: grief-and-loss

Question: Why can't I stop crying?
My grandma and brother both passed away 11 years ago and sometimes at night I just can't stop crying while thinking about the good memories we had but won't have ever again. I can't sleep at night when the memories and tears come I'll be fine all day then at night...boom! it's like waterfalls from my eyes. Why can't I stop crying?

Answer:
It's good to know you are reminiscing about good memories.  The sadness and crying is normal when you are missing a loved one.  You are noticing that grief changes, it doesn't just stop.  You have recognized that there will be moments in life that you will want to have shared with your brother and grandma and it just seems unfair that you cannot.  I often find that when someone is stuck in the place you are, it is a result of unfinished business and in your case, it appears, unfinished futures.  A professional versed in grieving and it's intricacies, can guide you to navigate through this and lessen the intensity that you experience.  As life goes on, there will be many moments that you will have wished they were present, but those moments do not have to bring you such intense emotion.  Seek some help, you won't regret it.
Topic: parenting

Question: I think my daughter is stressing too much
When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.

Answer:
I understand that as a mom it must be really hard to see your daughter stressing about things at school. Based on your description it sounds as though she has very high expectations of herself and is pushing herself to keep up. I hear your concern and recommend that to start, you provide her a space where she can express herself openly to you without judgement. Although it may seem as though this is "not normal", unfortunately it is. From standardized testing, to awards, to scholarships, the pressure is on to perform at high levels for kids today. Secondly, I would recommend that you connect her with therapist that can teach her coping and stress management skills that can help alleviate some of her anxiety. A therapist can also help her identify any faulty beliefs she may have in regards to perfectionism or fear of failure. You're doing a great job keeping an eye out for your daughter and being in tune with her emotional wellness!
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:
It has been said that depression is often the result of a blocked goal.  Often people struggle with both anxiety and depression but have difficulty determining which is the most important issue. For some, depression is the result of frequently blocked goals and when their predominant issues are evaluated, they discover that they are anxious (worried) about a lot of areas in their life but seem to find no relief.  When there is no relief and there have been numerous attempts (either in their mind or in practical application) to resolve the anxiety, depression is often the result.  In this type of case, depression is not the main or underlying issue. The anxiety is the underlying issue.  Having "a lot on my mind" sounds like anxiety. Unresolved anxiety can lead to feelings of depression which are often associated with "emptiness."  In the question above, I would want to evaluate all of the issues surrounding having "a lot on my mind" and determine where these might be coming from. Has there been ongoing rejection from peers? From family? If so, why does this seem to be happening?  Isolation is often a protective measure that one implements to avoid further pain. Where does that need to protect originate?  Are there unmet needs from childhood? Are there traumatic life events that have created a need to self-protect as a defense mechanism? We can feel "alone" even when in a crow of people or at a party.  This has nothing, in this case, to do with being around people. It has more to do with how we view ourselves.  If there is a prevailing message or script that has been internalized that says, "You are worth nothing" or "You don't deserve the company of others" then being around people will not alleviate the problem but only exacerbate it. I would want to evaluate how one feels about themselves and what negative messages one has received and has repeated to oneself over time. The Developmental Needs Meeting Strategy is a therapy aimed at addressing unmet childhood needs. If there is specific trauma that is associated with socializing with people, then EMDR can be very helpful in desensitizing and reprocessing the trauma.  Looking at whether this individual's issue with emptiness is straight depression or whether it is depression as a result of unresolved anxiety is key to determining a treatment strategy.
Topic: depression

Question: Why do I feel sad all the time?
I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.

Answer:
Understandably the idea of someone who tries to control you, is good reason to feel sad.Your feelings sound like they are very strong and meaningful in your life.Keep in mind that your feelings about others has more to do with one's own self-view than with what the other person is actually doing.Unless the people in your family are actually interrupting and impeding your life in practical ways or by intimidation or other verbal ways to inhibit you, then there is a great chance your feelings of being controlled by other family members has more to do with your fears to be who you are than with any family members' actions.
Topic: depression

Question: How can I resist the urge to cut?
I stopped for a while, but I’ve started doing it again. It’s like an addiction. The more I try to stop, the more I want to do it. I’ve tried doing some of the stuff they say to do like draw, but it doesn’t work.

Answer:
I've heard people say that they cut themselves as a way to feel relief from different emotions. You're also right that when you try to focus on just not cutting, it becomes more difficult because it's what you are focused on. While that is still something to work on, it may also be helpful to find something else you can do instead. You said drawing doesn't work for you. Sometimes more physical activities, such as doing a few jumping jacks, can be helpful. If you don't exercise, it might be something to talk with your doctor about first.The more you can learn about what makes you want to cut, the easier it will be to find out what you could do to change that. Try talking to somebody about what you are feeling in addition to the urge to cut.
Topic: anxiety

Question: Why do I have panic attacks when I carry my baby?

Answer:
Maybe you're fearful that you don't have enough skill or ability to take care of your child.Since you're writing your question it is likely you really do care and are capable, only have self-doubts as to your abilities.
Topic: lgbtq

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

Answer:
If you feel this real for you, then it is.  It is an incredible transition to undergo.  There is more and awareness out there about trans now.  Read different stories and find a support network so you do not feel alone.  Just live your new life.  Mom will simply have to realize this with time.  You can gently and lovingly confront her if she continues to refer to you as a female.  Good luck!
Topic: anger-management

Question: How can I control myself and learn to let things go or communicate?
Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them.

Answer:
Hi California,I'm happy to hear you want to get a hold of this problem. Relationships don't tend to last when we treat people poorly. It is very possible for you to learn different ways of relating, with some strong effort. I would highly suggest working with a therapist, and I will give you a few things to think about in the interim.Sometimes anger is there because we feel something is unjust or unfair, but many times, anger is a "secondary emotion", and it's simply there to protect us from other, more vulnerable emotions that we would rather not feel and will do anything to avoid. Discovering what vulnerable emotions you are protecting yourself from is important. Perhaps you feel powerless, or unloved, or unimportant. It may take some time before you recognise this emotion. Once you do, you can ask yourself about the other times in your life when you have felt that emotion. Where did it originate? At what age did you feel "too much" of that feeling...so much so that you can't stand it even in tiny amounts?You will learn in therapy to identify the thoughts you have that are connected to that feeling. They are typically incorrect thoughts, like "No one lifes me", or "People will always hurt me". Fear tends to generalize and predict bad things that aren't likely.Your habit is so strong that you likely have a poor sense of self-worth and you don't believe people will love you...so you hurt them to keep them at a distance. This happens in a subconscious level. Do you see how that would help you to keep people off balance or afraid or a distance away if you didn't believe in your worth? So, it's backwards really, because you think you're getting mad at people who "piss you off", but you're really just not wanting to face how mad you are at yourself.In addition to this work, you can start to purposely treat people more kindly. Find out what respect is, make amends and  resolve to spreading peace. It might sound too simple, but if you act as though you're a person of peace, you will start to feel more peaceful.But I hope you do contact a therapist. It will take time and support to reach your goal.
Topic: domestic-violence

Question: I want to stop physically abusing my girlfriend
I have anger issues that have worsened over the years because I’ve never dealt with my emotions. My anger has never been expressed physically until the past year. My girlfriend has had to endure these episodes. I love her, and I think I’m about to lose her, if I already haven’t. I throw things at her when I’m angry, and sometimes I hit her. I may not hit her enough to cause harm, but I still physically lash out at her. I don’t want to lose her, and I don’t want the situation to worsen. I am a lesbian in my early 30s, and I have been dealing with anger since my childhood. I'm ready to change. I need help now. I'm about to explode.

Answer:
Good for you for recognizing that a change has to be made quickly. Regardless of whether or not your girlfriend leaves your relationship, taking control of your anger needs to happen sooner than later. If left unresolved, it will follow you into any relationship you have. Have you talked to a therapist? I would suggest you take that step first. A therapist will help you explore the source of your anger and teach you new, adaptive ways of dealing with your anger. Until you're able to get some professional help, I would advise that you start recognizing when your emotions are becoming escalated and take a time out before the anger turns into aggression. If you feel yourself becoming heated, excuse yourself from the situation, go to a quiet place or on a walk, and practice some deep breathing. Clear your mind of the problem and focus only on your breathing as you inhale slowly counting to four and exhale slowly counting to six. Don't get discouraged if it doesn't work right away. Deep breathing takes practice! Return to the situation or your girlfriend only once you have calmed down and are confident that you are not going to hurt anyone. You might also want to ask your girlfriend to remind you to take a break when she recognizes that your emotions are escalating. Know that with help and support, especially from a therapist, the issues you have can be resolved and new ways of coping can be learned. Good luck!
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:
Let me start by saying there are never too many concerns that you can bring into counselling. In fact, most people who come to see me for counselling have more than one issue they would like to work on in psychotherapy and most times these are all interconnected. In counselling, we work together, collaboratively, to figure out which issues you would like to address first and then together we develop an individualized plan of care. Basically, it’s like a road map of where you want to go, how are you going to get there, looking at stopovers, some scenic routes others possibly not so scenic, however, necessary. Of course, these plans can also change due to internal (what we have control over like our thoughts, feelings and behaviours) or external reasons (those things that are outside our control). I would encourage you to take the next step and reach out to a professional you can trust and build rapport with by co-journeying through whatever concerns you have by examining what has been working so far as you have learned to cope with some of your issues like insomnia, depression and anxiety, as well as being a breast cancer survivor. Then to help you by developing new coping strategies. Psychotherapy can be such a powerful tool to help you get to where it is you want to be. I know you can do it and you will see first-hand how psychotherapy will help you to move past these points in your life where you are feeling stuck. I like to quote Nike where their motto is, “just do it.” You can do it.
Topic: counseling-fundamentals

Question: How would I know if I have the right therapist?
How do you know you have the right therapist for you?
 How would I know how to "train" my therapist to be able to give me what I need from treatment?

Answer:
How do you know if you have the right therapist?   First you must do your homework regarding what your needs are. Once you determine what your needs are you can narrow your search down to gender, age, background, what they specialize in.  Once you have that information you want to choose a few therapist to interview to get a feel of their communication style and if you feel safe with the therapist.  Sometimes you may have to meet with several therapist  before making a decision.  The key is you feel emotionally and physically safe.