thejana/Elective_modified_2 huggingface dataset:
Topic: depression

Question: Is there anything I can do about my depression and anxiety?
I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?

Answer:
My initial response:  consider a more comprehensive MH assessment to determine other factors. A medical evaluation is warranted to rule out poor health issues. Blood work is helpful. Review what hadn't helped.
Topic: family-conflict

Question: Is it wrong that I don't love or even like my sister?
I don’t love my sister. I would never wish her harm, but if I could, I would wish for us not to be related. Is this cruel? Why must blood mean we have to be friends? Am I being unreasonable and is there a way to fix this? I do care about her, like I do every human being, but I’d rather be with my friends than be with her at all. It’s not just a "teenager phase." I still love my mom and dad, and I’m very close to them. However, it’s my sister I don’t love or have ever really liked at all.

Answer:
Hi. My guess is there's a lot of deep history here that I don't know about. Have you felt hurt by your sister in the past, or are you just 'different people'? It's a common feeling people have about siblings; that they're very different and they wouldn't choose them as friends, but most people stay connected to family unless there's a good reason not to. We don't choose our family, do we? Your feelings are normal and they don't make you cruel. If you were mean to her, that might be a different thing. It might be considered cruel to cut her out of your life for no reason, but choosing to not hang out with her a lot isn't cruel, in my mind. Perhaps you at least owe your sister kindness and respect (if she respects you), but not necessarily friendship. How you respond here is up to you; there are no rules. You get to decide how much 'family' means to you and how much time you spend with friends or family. This may shift at different times in your life though. Cutting all ties with a sister now (you haven't said you want that though) might mean she won't want to be there for you in the future when you need her. Also, how you treat your sister affects your other family members as well. There are many things to consider here, but the bottom line is that you get to surround yourself with the people you want in your life.
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:
What a beautiful discussion of guilt and shame Lynda offers! Those
two demons start out as pesky and little when we are young, then grow with us to
become quite formidable. I'd like to throw in a technique I learned from Randy
Rausch (author of The Last Lecture) called The 3-Step Apology.
I teach this important bit of wisdom to my clients when they need to apologize
to someone else but more importantly when they need to forgive themselves.Yes, when we have trouble forgiving ourselves we sometimes forget
that there is part of us that just doesn't know how to apologize effectively.
Here goes:Step One: Say what you did and the damage it caused.Step Two: Say you're sorry and accept full
responsibility (no excuses, no explanation, no defensiveness: “It was all my
fault.”)Step
Three: Ask what you can do to repair the damage.Step Three is the one many of us didn’t learn growing up. And when
we add it to an apology, we are usually surprised that the penalty is as light
as it is. Of course, sometimes the apology is not accepted and no way to atone
is offered. So be it, we can’t control this. But if we are apologizing to
ourselves, we can. There is always a way to make amends if we put our heart
into it.
Give this a try the next time you’re reluctant to let yourself off
the hook. You might surprise yourself when how benevolent you can be when
invited.
Topic: counseling-fundamentals

Question: How does someone approach a counselor?
How does a person start the counseling process?

Answer:
Great question. Too often people search for the help they need via a phone book or a basic internet search. When looking for a new person to add to your team, whether it be a Counselor, Plumber, or Mechanic, it is important to know as much as you reasonably can about the person. I generally take the following steps: 1.) Know what is important to me in finding help. 2.) Ask for referrals from my trusted friends, family, and colleagues. 3.) Search for online reputation (Better Business Bureau, Yelp, etc). The absence of an online reputation is not necessarily a bar to consideration. However, a predominantly negative review may warrant further research. 4.) Finally call the Counselor and ask a few questions. Let the Counselor know what you are looking for. Trust your gut. For example, if you feel rushed or do not receive thorough answer, move on to the next. Taking the time to defining and conveying your requirements about what you are looking for in counseling can save you a lot of work down the road.
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:
A lot of times it is not about forgiveness but learning from experiences. As an example, as a child we continously fall in an effort to learn how to walk. Then when we begin walking we know we have to put one foot in front of the other in order to move forward. Experiences allow us to grow, find a balance and what to do and what not to do in order to move forward. On the positive side you now know the consequences as for your actions not to take the same course. Forgiveness comes with time as you "learn how to walk again."
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:
I'm sorry you feel so alone and isolated, those feelings in and of themselves can lead to depression, stress and anxiety.  So job one is finding someone you can talk to.  A good friend or an open parent can be as helpful as a professional counselor, but if you don't have those, then by all means call your local Mental Health Association, suicide prevention, or go see your school counseling department. There are many of us now who do on-line, FaceTime, phone counseling so that is an option to consider in your situation.  On the other hand,  If you want to script a conversation with your parents (I'm a great believer in scripting) not that you're going to read it to them, but if you write down exactly what you want to say, read it over a few times before you're ready to have the conversation.  Why?  You'll be much more likely to do it if you're prepared, and you'll  have a better chance of saying everything you want to say in a calm but forceful way.  The same with your friends--you are probably a great listener and therefore attract people who want to talk--so you need to let these friends know you need something in return.  If you practice asking for equal talk time, then perhaps these friends will respond and surprise you, or if you make those demands you'll start attracting people who are looking for equality in friendships.  Now back to that script--first decide do you want to talk to both parents at once, or one at a time.  Then begin to write down the points you want to make such as:   I love you, and I know you love me but I don't feel as though I can trust your love to be unconditional enough to tell you who I really am, and how I really feel.  Find your own words to describe your own feelings.  If I can help, get in touch. You are right to reach out starting here, there are no prizes for suffering in silence and, as you already know, little joy in going it alone.
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:
Definitely it is sad to lose friends who are a regular part of daily life.How did you meet the two friends who just moved away?   Its possible that you could look for similar situations and see if anyone catches your interest to know as a friend.Keeping in mind that friendship is based on trust and common interests, and that these qualities require time to observe and develop, think of what you can do to keep happy while these paths unfold.In addition to being open to meeting new friends, involve yourself in projects from which you'll feel satisfied by your own results.
Topic: depression

Question: What can I do about my depression and anxiety after trying so many things?
I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped.

Answer:
I'm sorry you've had a difficult time finding what you need.  Sounds like you have been trying super hard!It's common for people to go through a few therapists before they find a fit.  I agree with the prior post that relationship is the most important factor in counseling, otherwise techniques don't really work.  It can be the case that you are connecting with your counselor but not able to implement what you are learning for whatever reason.  That's pretty typical in depression when lethargy is high and motivation is low.  Have you discussed your medication with your prescribing provider?  It seems like you have advocated for yourself in the past and have put some effort into trying new things.  That's actually really tough to do, depression or not!  When I have clients that seem to make no progress despite many sessions and different medications, I recommend trying a service called GeneSight.  Here's the link: https://genesight.com/.This service allows you find medications that fit best with your genetic makeup.  I don't have any affiliation to this service, but I've seen some success for people that have followed through since it is very personalized.  I believe some insurance companies cover the full cost and it's easy to use.Let me also point out that your motivation is spectacular.  You have been through multiple therapists and meds, yet you still reach out on this forum filled with counselors!  That shows some dedication to yourself and hope that you can find help to change.  That's not easy with depression or anxiety.
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:
You definitely don't have too many issues for counseling. In fact, counseling can help you understand how most of these things can be related to one another. For example, insomnia, depression, low self-esteem and anxiety are very common to experience after a traumatic event or events. Once you begin to work through processing these life altering events that you have experienced, the hope is that you would see a decrease in your other symptoms.
Topic: depression

Question: I have voices in my head
They don't go away, and I feel like I'm going crazy. Does that ever stop? Can it be a symptom of medication?

Answer:
This can certainly be a side effect of some medications. If the voices are so powerful that you can not sleep or they are constantly present, you shouldn't wait any time, but go and see your doctor straight away.
Topic: anxiety

Question: What is social anxiety?

Answer:
Social anxiety means feeling very uneasy in social situations.  Often people are fearful of being judged, rejected, criticized, mocked, any bad feeling you can think of, even before they make any approach to someone in the group.Social anxiety is a fear someone has about being treated poorly without any sign which justifies feeling this way.If you walk into a group of people which specifically has a sign of not wanting to accept anyone who hasn't been part of the group for at least a dozen years, then walking into this group would justifiably trigger anxiety.If you walk into a business or organization meeting which assumes anyone who has an interest in the purpose of the group is welcome, and you do, and you feel anxiety imagining you'll fall short of expectations, is social anxiety.
Topic: depression

Question: My family says I have depression
I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.    Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
   Are they right, am I depressed?

Answer:
It is hard to make sense of the many different feelings and moods we have, especially during the teen years. I am sorry that you have been feeling like you are not worth knowing or that you do not do anything right. Those are hard feelings to have!  Added to the challenge is the current state of things related to COVID-19. Have you noticed an increase in these feelings during the stay at home mandates? If you felt this same way before all of the changes that have occurred over the past few months, how is it different (if at all) when you were able to go to classes and do things with friends? One way that helps me to understand what depression feels like is to imagine that you are wearing dark sunglasses all of the time; because they are always on they make everything that you look at appear darker. When sadness or a low mood is the norm and you cannot find things to get excited about or look forward to that is a good indication that it is time to seek professional help. There are many things that you can do to help lift your mood (exercise, eat healthy foods and drink, get adequate sleep, share your feelings with someone you can trust, decrease social media exposure, etc.), it is important to explore all of the options that are available to you. Seeking out counseling or talking to a doctor that knows you and your medical history well is a first step towards changing the feelings you described. If it is determined that you are experiencing depression there are options that will help you feel better. I hope this helps to give you hope that what you are feeling can improve. Once your mood lifts you will have the energy you need to combat the thoughts that say you are not worth knowing or that you cannot do anything right. There are great cognitive behavior therapy resources and counselors out there that can help you fight those thoughts and as you do you will learn the tools that will help you silence the thoughts that defeat you and tear you down.
Topic: self-esteem

Question: Why do I feel like everyone hates me?
I constantly feel like everyone is up against me and trying their best to shut me down. It's ruining my mood and even my whole self. I have trouble sleeping, and I keep having sleep paralysis while dreaming of others mocking and judging me.

Answer:
The problem you describe sounds very wearing on your spirit.Are there particular reasons for why you feel everyone hates you?Have you been in a clash of ideas or opinions and feel yourself in the minority viewpoint?Or does your sense of being shut out start within your own mind, as though you anticipate that others will not like what you say?If actual conversations are leading you to feel left out, then evaluate whether to bring up certain points to the other person.Or, you may also decide that the relationships in which you feel shut out, are no longer worthwhile ones for you.If the problem is hesitating to interact because you imagine others will reject you, then maybe you can coach yourself into trying a small step toward introducing yourself and your thoughts to others.
Topic: lgbtq

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

Answer:
I know that most people who are transitioning from one gender to another are required to enter into counseling at some point. Transitioning is a long process and there are many steps. I do not know for certain whether you need to be in counseling before receiving hormone therapy, but I do believe that it is a part of the process prior to an actual surgical transition.You may consider a book called the Transgender Guidebook. While I have not read this book, a trusted coworker and clinician says that it is very informative.If you are speaking with a physician about gender transition hormones, they would probably know whether counseling is required at that time or later in the process.
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 issues are often interrelated and can all be worked on with some time and patience.
Topic: depression

Question: How can I handle my alcoholic son?
I have an alcoholic son who is draining me financially. I want to get him help, but he doesn't want help. It's making me anxious and depressed.

Answer:
What a heavy situation to be in.  It must be really hard to feel like you aren't able to help your son and the help you do try to give isn't truly helping him or you.  There's some things in this situation that are out of your control--what your son does, if he takes help or doesn't, and the feelings that come up for you about that.  I can only imagine how draining it would be as a parent to be unable to change something so important.  It makes sense you'd be feeling anxious and depressed.Let's switch for a minute to the things you have total control over--what are those things in this situation?  Maybe that's how you express your love for your son.  Or maybe it's how you choose to support him (even if it feels like it's a betrayal to him).  Pay attention as well to the amount of worry you experience--how much of that helps you plan vs how much of that is excess?  Knowing what worry isn't necessary can help to put you in control of how you spend some of your time.  You can replace this time with some self-care instead, giving back to yourself.Finding support groups or people that have similar situations can be very helpful. I'd say they are almost necessary.  Knowing other people get what you are going through and understand the emotional toll can be somewhat healing.  They may also know other resources or ideas you can try that are available to people in your situation.Something else to consider is grief work.  Letting go of some or all of the situation with your son (if that's what it comes down to) is a giant loss.  You probably already went through losing who your son was before the addiction, so it could be worth exploring the impact that had and has on you.
Topic: intimacy

Question: Should I get a divorce?
I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair.

Answer:
Clearly you seem interested in being other people, and you are also concerned about your husband being unfaithful online.  But it seems like there is something that keeps you with your husband.   And I have so many questions for you: What are you looking for outside of your marriage?  Are you willing to give that up if your husband is not able to provide it?  Do you want to stay together and make it work? Do you want to open the lines of communication with your husband, so you could analyze the situation together?I suggest attending couple’s therapy or even couple’s mediation to assess and discuss where you want to go whit your relationship.  It will also help to establish healthy lines of communication, where you could express the pros and cons of the relationship, analyze if you are willing to work to stay together, or have some closure and process a separation. I provide a combination of counseling and mediation in couple's therapy, you can call 787466-5478 to make an appointment.¿Deberé divorciarme?Le he sido infiel a mi esposo al menos diez veces en los últimos cinco años.   En el trabajo pretendo que no soy casada.  Recientemente se fijo, pero mentí para cubrirlo. El hablaba con mujeres por el internet, pero yo he tenido varias aventuras.Claramente tu estas interesada en ver a otras personas, y estas preocupada de que tu esposo haya sido infiel.  Pero al parecer hay algo que aun sostiene la relación.  Tengo varias preguntas para ti: ¿Que estas buscando fuera de tu matrimonio?  ¿Estás dispuesta a dejar lo que encuentras fuera del matrimonio, si tu esposo no puede dártelo?  ¿Quieres quedarte con él y hacerlo funcionar? ¿Te gustaría abrir las líneas de comunicación con tu esposo, para que puedan analizar su relación?Les sugiero hacer terapia de pareja o inclusive mediación, para asesar y discutir a donde quieres llegar con tu relación.  También les ayudaría a re-establecer líneas  de comunicación de manera que puedan expresar los pros y contras de estar juntos, ver si pueden trabajar para mejorar su matrimonio o partir amigablemente.  En mi consultorio proveo una combinación de consejería de pareja y mediación, puede llamar al 787-466-5478 para una cita.