thejana/Elective_modified_2 huggingface dataset:
Topic: depression

Question: If I am trying to stop self-harming and I seek help, will I need to be put in an inpatient setting?
I have bipolar disorder, paranoid personality disorder, posttraumatic stress disorder, anxiety and obsessive-compulsive disorder. I last self-harmed a week ago. When I am stressed, overwhelmed, hurt, or angry, the urge to self-harm is all I can think of. I am trying to seek help.

Answer:
Seeking professional help does not mean that you will necessarily be admitted into an inpatient setting - though  to be honest, that can become an option if you feel unsafe or if you are unable to plan for safety. However, many clients who struggle with self-harm can find help in outpatient settings - particularly those which offer a treatment called Dialectical Behavioral Therapy (DBT). Looking for a DBT professional or group therapy setting may be particularly helpful, but a skilled professional can help you to figure out how to identify other options even when you are experiencing overwhelming emotions. Without knowing your location, I also recommend searching to find your local helpline or suicide prevention hotline. The volunteers on the other end of the line can be very helpful even if your intention is not suicide and they are likely also to be able to connect you with resources in your area. Calling into the helpline may also be a first step alternative to self-harming when you're feeling overwhelmed.
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:
Establish limits on how much money you'll give to him, tell these limits, and as you pointed out, expect him to not care or respect your limits.Try an Al-Anon meeting.   These meetings are for family members in similar situations to yours.People who are addicted are not always willing to know themselves, understand their own emotional pain which contributed to their addiction, and then decide to live differently.Additionally, these steps take a long time and there's no good reason for you to put your life in jeopardy in order for your son to take advantage of you.Being a family member of an addict makes seeing the dynamics between you and him, difficult.If some type of group meeting where you can learn from other people who are living in a similar circumstance isn't possible, see if you can find an equivalent of this online.It helps a lot to know how others handles themselves in similar predicaments.
Topic: anxiety

Question: How can I deal with my paranoia?
I'm a little paranoid. My mind does get the best of me. One night, I put chairs under all of my door knobs because I thought someone might break in. I also think a lot, which is probably the reason for the paranoia. I can't stand loud noises, like the sound of cars going by. The grocery store is too noisy, and I feel like people are looking at me.

Answer:
Paranoid people don't realize they are paranoid.  They believe their actions to be reasonable responses to potential threats.From what you write, you are aware that your actions may be understood as extreme.Instead of trying to fit your behavior into a negative psychological category, try seeing each of the behaviors you list here, as your own uniqueness.This way you will become more tolerant of what very well be your natural tendencies.If you are someone who needs a lot of time in quiet, then not liking loud noises doesn't make you paranoid, it is simply the way of who you are.One possible way of feeling better is if you would accept the answers you've developed so far for yourself.  They may be a little unusual compared to what we consider mainstream.  From what you describe, you already are dealing with what you call "paranoia".
Topic: intimacy

Question: My boyfriend's family expects him to take them on dates, and he doesn't think anything's wrong
I have been dating my boyfriend for eight years. We met in college off away from home and things went from good to bad when I met his family who treats him like he is their man. They expect him to take them on dates like to the movies and out to eat when they come around, and he thinks it's okay.

Answer:
Well, then you learned something new about your boyfriend!Are you fine with having a different opinion than him and staying together.Think over how major a problem this is to you and if it is reason enough to leave the relationship.There are always plenty of areas of disagreement between partners in a relationship.The key to being happy is to know which ones you can accept and which ones are beyond your tolerance with which to live.Also, an early step would be to directly tell your boyfriend your opinion.   He may be willing to change his ways to satisfy you.
Topic: legal-regulatory

Question: Unethical Therapy Practices
What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation?

Answer:
This sounds like a potentially serious situation. The most important thing is to make sure the child is safe.  If you suspect that a child is (or has been) harmed, I would strongly recommend that you report your concerns to your local law enforcement or to Child Protective Services. If you don't think that a child is in danger, you can still report your suspicion of counselor misconduct to the state regulatory board.
Topic: parenting

Question: My daughter isn't acting her age
My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.    Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?

Answer:
Your daughter is fortunate to have an observant parent, who is willing to seek out help in this regard. Regression can be indicative of some stress in your child's life, so the issues she is facing should be examined. Seeking advice from your daughter's pediatrician, as well as a practitioner familiar with adolescent issues or perhaps play therapy can equip you with insight into the causes of the behavior, and give you tools to assist your daughter in learning age appropriate social interactions.
Topic: anxiety

Question: How do I know if I have social anxiety?
I'm a teenager, and I struggle with going out and talking to people. I feel awful about leaving home. I know I can't afford a therapist so I don't know what my problem is, but I think I might have social anxiety.

Answer:
If you are noticing that anxiety tends to be triggered around interactions with others, then you may have social anxiety. Working with a therapist, you may be able to gain insight into the nature of the anxiety, develop tools for coping with it, and take steps that may alleviate it over time, so that you can enjoy your interactions with others. If you are short on money, there still may be options for you to be able to see a therapist. Check with your insurance provider about your behavioral health coverage. If you have medicaid/apple care, there are some private practice therapists who accept this form of insurance, as well as community clinics which do. If you are not insured, some therapists and clinics will work on a sliding fee scale, and accept either low fee or may even work with you pro-bono (for free).
Topic: trauma

Question: What is the best way to cope with the loss of someone to suicide?
I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better?

Answer:
I urge you to seek some therapeutic help for this, and also to connect with others who knew your friend, because they're likely feeling the same way. Suicide is difficult to understand, and those left behind have many mixed emotions that make their grief complicated and anguished. Your friend either had an impulse that no one could stop, or they made a big decision that impacted everyone around them. There are other things you can do to cope with this, and it has to do with accepting your powerlessness to stop it, not blaming yourself, forgiving your friend, and finding meaning in their life and yours. You won't find that meaning in a bottle or a joint. I hope you reach out soon. :)
Topic: family-conflict

Question: I feel like I'm putting my full effort in my studies, but no one thinks that I am
I'm a teenager, and I know the importance of my upcoming schooling. However, no matter how much I put in my best effort, my family thinks I have done zero effort in total. What can I do?

Answer:
Your family's opinion is quite demoralizing.Unless you are lying to yourself or to them, then your best effort deserves appreciation and support from family.The family members may have reasons besides the actual outcome of your school work to be so blind to your investment of effort.Maybe they target onto you their unhappiness in some other area of their lives.  It is often easier to create false narratives if a person wants to avoid looking at themselves.Possibly too, the family people may have a twisted logic to their words, as though ignoring your effort is a way to force you to do more.If you feel the family people will listen to the way their words affect you, then definitely tell them.If not, then you are learning an early lesson on how not everyone is necessarily supportive of others, and how disappointing this feels.
Topic: anxiety

Question: How can I get over social anxiety?
I have not had a friend since I was 19. I don't go anywhere, and I have no job, all because I'm afraid of people.

Answer:
Individual and/or group therapy can be a powerful antidote for social anxiety. Often in therapy, the things that tend to get in the way of our securing satisfying and lasting personal relationships will appear in some way in the therapy relationship and a competent therapist will be able to help you work through this anxiety, in a sensitive way, and eventually encourage you to seek out the personal relationships that you want. In group therapy, you have an opportunity to have a relationship not only with the therapist, but several other people who are all in the group in order to give and receive mutual support to one another.
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:
The most important agent of change in therapy is your relationship with your therapist. It is so important for you to find a therapist that you trust and feel comfortable enough to just lay everything out there and be vulnerable with. Therapy is really building a safe and healthy relationship with a professional that can then help guide you in some of the most intimate and emotional parts of your life. This relationship does take time to build, but usually you can get a sense of a therapist's personality and approach from their bio and website. Once you have found someone that you think you could really connect with, then it's about looking at do they have the expertise you need. Do they have training in relationship counseling or in working with anxiety, depression, or trauma? It is important to find an expert in the field so you are getting the best care possible...just like if you were to go to a general family doctor versus a specialist. I hope that is helpful!
Topic: children-adolescents

Question: How do I deal with bullying at school?
I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years.
   How can I deal with being bullied at school when the teachers won't help?

Answer:
Teachers don't do anything about it due to liability of the school (school and faculty would get sued and have claims made against them); wouldn't expect much out of them;Couple things:1) Realize that bullies accuse others of the very crimes they are doing themselves;2) Bullies aren't actually all that weak as others have said, but do not stand up against constant pressure of truth-telling;3) Research yourself, or pay someone, to locate the bully's mother and father, and let them know what you have experienced (by way of text, phone, letter, etc.);4) Access your own mother and father and tell them what you have experienced, and see if they will help;Long term, society must return to a more masculine way of being such that these sorts of troubles are dealt with at the home :)Learn to be man/woman, and watch the magic happen.
Topic: family-conflict

Question: How can I tell my dad I'm a female-to-male transgender and I want to start binding?
I have known I was always different. This year, in December, I found out that I never felt female. I did research and have identified myself as male but don't know how to tell my dad.

Answer:
I admire your courage.If you are concerned about telling your dad regarding your gender identity, I would suggest a couple of things. There are a lot of groups or other supports for people who are working through some of the same changes that you may be going through now. I don't mean to convey that everyone thinks, feels, or acts the same by any means, but rather that it may be helpful to talk to others who have had some similar experiences.I was trying to include some links for you, but that particular button isn't functioning window. If you search for "transgender support" on Google, you'll find GLAAD and PFLAG, both of which are national organizations. This does not mean that you have to identify as "transgender," but researching that term may help you to find both national and local resources.As far as telling your dad, if that is particularly concerning for you, I suggest either talking through the details with a local therapist or considering if you have a trusted friend or family member (one who will respect your privacy with regard to who you would like to know about what you are experiencing at this time) so that you can talk with some people to have support. This may help with two things: allowing you to find some support for yourself as you work through the changes that you are going through now and also possibly talking with someone who knows your dad and may be able to talk with you regarding how or when to tell him.One thing that I tell anyone who wants to discuss something that is very important to them is to ask the person they want to talk to whether this is a good time for an important conversation. That way, you have greater chances of having the person's attention and/or not needing to end the conversation quickly. Also, please remember that you know yourself best, as each of us does.
Topic: behavioral-change

Question: How can I get "out of my head" and stop obsessive thoughts?
Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?

Answer:
Such a great question! I'm so sorry you are struggling! You may be experiencing Intrusive thoughts.  These are thoughts that seem to come from no where and victimize us.  I can strongly recommend a book called "When Panic Attacks" by Dr. David Burns.  It helps you to identify the thoughts, and the help you create ways to counteract them!  There is another technique, called Thought Stopping. Thought Stopping can be as simple as saying "Stop!" loudly (if you are alone) or in your head, if you are in public.  It's a quick way to distract you from the distressing thought, and allow you to refocus.  I recommend using this technique, followed by some deep breathing, while visualizing something that helps you feel relaxed (a favorite place, a pet, etc.).  These three things in conjunction can be of great assistance. One key component in addressing anxious thinking is building the skill of relaxation.  I recommend an App called Headspace which teaches relaxation through some simple guided mediation. Super easy to do, and a great way to begin to build relaxation skills.  Plenty of sleep and reducing caffeine intake can also be things to explore. Hope this helps!
Topic: workplace-relationships

Question: A friend of my child's father is sending him inappropriate content
I believe it is wrong for men to look at inappropriate content. The father of my child has agreed to respect my beliefs. His co-worker sent him an inappropriate video. He got mad because he does not think he should tell his friend to not send him things like that.

Answer:
It sounds like you are wanting to protect your child from degrading images and that is one of the important parts of the job of a parent. Although it is challenging to supply an answer without knowing the full situation, it might be helpful to have a more broad discussion about what you both think about the influences and images that your child is exposed to and what you think your role is in protecting your child. This situation is one about beliefs and values and could well be an example you can use for exploring your parenting roles in protecting your child.
Topic: anxiety

Question: How do I get over my anxiety of talking to new people?
I'm socially awkward. I've always want to be popular. I've had the opportunity to be popular, but every time I get i,t I'm too scared. All I have to do is talk the popular people. They're really nice to me, but I'm too scared of change. I really want to work up the courage to lose my fear.

Answer:
Give yourself credit here!  It sounds like you are liked and people want to get to know you!  I would wonder with you, what is the self-talk going on when you get too scared to talk to people?  Those statements are probably connected to some core beliefs (I'm __________, I'll never __________, I'm not __________________, etc.), which probably need to be examined for truth and challenged!  Often times, practice helps!  You could start by having a conversation with someone you already feel comfortable with, but talk about a topic you've never discussed before.  Next, you could strike up conversation with someone who is new to you, but for a brief time, like a cashier or waitress/waiter.   Keep taking steps towards practicing talking to new people, and build your skills and confidence with each conversation.  Sure, you'll probably feel awkward and uncomfortable and say some silly things, but you'll also probably say some brilliant things, and you're doing it!  Eventually, you'll probably feel more comfortable talking to the people who you'd like to talk to, without so much fear. Learning new things are tough!  Once you get some practice and confidence under your belt, you can get more and more comfortable with your abilities to talk to new people.
Topic: relationship-dissolution

Question: How can I find out I'm being cheated on?
I was in a relationship with a woman for four years. We both made mistakes, but I do love her.    She has moved in with another lady. I think she is just cheating on me to make me miss her. How can I find out for sure?

Answer:
Has your former partner made any efforts to be in contact with you in order to restart your relationship?From what you describe, your former partner is in a new relationship.It is possible that since you love her and would like to be together again, that you are misinterpreting your former partner's actions.If you'd like to have more certainty as to wether your former partner is cheating or whether she is happy to be with the new partner, is to contact her and ask her your question.A better road may be to accept your sad feelings that she is with someone else.Since she was meaningful to you, respect the sadness you feel and that the relationship didn't continue as you wished.
Topic: family-conflict

Question: Keeping secrets from my family
I have secrets in my mind, and I don't know what to do with them. I don't want to tell my wife and mom because I don't want to hurt them. But I'm not sure how long that I can keep the secret to myself. What should I do? It's becoming annoying and making me anxious. Help me out

Answer:
It sounds like keeping the secrets has become a problem for you now. There are several things to consider before you make a decision.- You mentioned that you don't want your wife and mom to know because you don't want to hurt them – why would it hurt them? - Is it necessary for them to know this information?- What are the consequences of either telling them the truth or not telling them? (for you and for your wife and mom).- Once you have considered these, think of what you would tell your friend if they were in your exact situation?- Also, if your wife or mom were in your situation right now, what do you think they would do themselves?- If your wife and mom were in this situation, how would you feel? Would you want to know the secrets?- How has keeping these secrets affected your own mental and physical health?Once you have looked at the problem from all angles, you will be able to better make a decision on whether it is right to tell them or not.
Topic: anxiety

Question: Is it normal to go into therapy feeling nervous?
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?

Answer:
Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that you are not giving up, that you are working to figure this out, and make this work, it sounds like you are engaged and motivated to receive support from a professional, your continued  dedication and motivation will take you far. I would first start by asking if you have discussed this with your therapist, if you feel comfortable enough telling your therapist what is going on, maybe inform the therapist that  that you feel nervous and shaky. I am a firm believer in open communication between the client and therapist as this builds a healthy therapeutic relationship that yields positive outcomes, if this can be obtained and well received. This is YOUR time for healing and therapy should be a safe, supportive environment to not only process but to seek support and guidance from a professional who can help you move past the barriers. If you feel you are comfortable and able to speak to your therapist, that would be my first suggestion, is to tell he or she how you are feeling. If they know then they can help determine the potential cause and allow you to process and move forward. If this is left un resolved it will be hard for you to move forward. If you are not comfortable discussing this with your therapist, this may be something to take into consideration and worthy of thinking about: why you are not comfortable speaking to the therapist. I understand this is difficult. If I may offer one more suggestion, breathing exercises are very beneficial. Remind yourself what you are working to achieve, close your eyes in a safe moment and breathe in and out slowly, in slowly through your nose and out through your mouth with pursed lips. Breathe in for approximately 5-10 seconds, then let it out slowly. Be sure and do this when you are in private, and feel safe environment. When you begin, I suggest putting your hand on your stomach, over your belly button to feel yourself actually taking in those deep breaths. I know it may sound kind of silly but they really work and are incredibly helpful. We often forget to breathe, especially when we  are feeling anxious. You are supported here and try taking yourself through the above thought process and breathing and practice the breathing several times a day. I hope this shaky and uneasy feeling eases. Wishing you the very best!Laura Cassity, LMSW, LMAC