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:
You are a unique individual exhibiting some of the traits of a specific type of temperament. Through temperament counseling you can come to know, accept, and manage your God-given temperament to become all that God intended. There is nothing wrong with you -- God loves you as you are and wants to help you balance your temperament needs.
Topic: depression

Question: I've been feeling sadness
When I get around a particular person or when I go home, I'm just sad or irritated. The feeling comes and goes all day every day. I don't know what wrong. I'm not sure if I'm just making up symptoms and problems in my head or if there is something actually wrong.

Answer:
Feelings are real, is very unlikely that you are making them up since they are a response to the thoughts in your mind and your daily experiences and interactions. Often we assume that feeling sadness is bad and that we should only feel happiness and joy; but all feelings have a purpose: joy, sadness, anger, frustration, excitement, anxiety, among others.   Is not healthy to experience the same feeling for a long time, so we should learn to identify what causes them and how to process them so you can navigate through life experiences with more ease. I am a Licensed Professional Counselor in Texas, currently providing services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.   ------------------------------------------------------------------------------------------------------------------------------------------Me he estado sintiendo tristeCuando salgo con una persona en particular o cuando llego a casa, estoy triste o irritado.  El sentimiento viene y va todo el día. No sé qué está mal.  No estoy seguro si estoy inventando los síntomas y problemas en mi cabeza o si algo realmente está mal. Los sentimientos son muy reales, y es muy poco probable que los estés inventando, por que los sentimientos son una respuesta tanto a los pensamientos que hay en nuestra cabeza, y, a las situaciones que nos ocurren día a día.  Muchas veces pensamos que sentirnos triste está mal, y que solo debemos sentirnos alegres, pero todas las emociones tienen un propósito y razón de ser, tanto la alegría, como la tristeza, el coraje, la frustración, la excitación o el desespero, entre otros.  No es bueno quedarnos estancados una emoción.  Así que es importante aprender a identificar que causa nuestros sentimientos, como procesarlos para poder superar nuestras emociones y movernos de una experiencia a otra con más tranquilidad. 
Soy Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478.
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:
There are many types of traumas, and they certainly can compound on one another as you experience them. Without treating the traumas, or incidents where you felt there was a significant risk to your safety or that of others, there can be a cumulative effect. What we have learned in the mental health field from studying traumas, is that the body as a whole responds to these stressors in order to keep you safe during the events. If the body does not realize that it no longer needs to respond in this way because the event is now over, and then receives a trigger from a new event, it makes sense that the new event could cause additional issues. Both of these events can be addressed with the help of a Counselor. There are many Counselors that specialize in trauma inside and outside of the VA, so shop around if you are able and find someone that you connect with.
Topic: depression

Question: Can I change my feeling of being worthless to everyone?
I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?

Answer:
Oftentimes we can change our feelings about ourselves by building a better relationship with ourself.  It sounds like there is a very critical aspect of your self that is alive and taking over.  Sometimes when we are stuck it is because a part of ourselves, a way that perhaps we learned to cope with difficult situations earlier in our lives, has decided to run the show.  Like a highly critical part that may actually be desperately attempting to protect us from a past hurt. Slowing down and even forming a relationship with this critical internal part will help you get some space from it.  When we can begin to observe parts of ourselves, be curious about them, get to know them like a new friend, then we have room for other ways of being.  Beginning therapy could be a great way to change this feeling of worthlessness.  Beginning to build a better relationship and understanding of yourself will deeply influence the relationships around you.  This first step may feel hard, to reach out to someone, and it could be the beginning step to a path of radically shifting your relationship with yourself and others in your life.
Topic: spirituality

Question: I want to be a boy but I can't because of my religion
I was born a girl, but I want to be a boy. Because of my religion I can't tell my family. I know they won't accept me. What do I do?

Answer:
I encourage you to reach out to a counselor and get support. They can help you navigate your own feelings, and talk to you about how you can talk to your family. There are resources for you and for them and I see that some of the other counselors here have shared those resources with you. We don't know for sure how your family will react if and when you talk to them. However, it is important to consider how not telling them is limiting your life and the expression of your preferred gender. My concern is for you and how this might be having an impact on you. Working with a therapist might give you some insights into how you might tell your family. It might create an opportunity for you to also tell them with the assistance of a professional. Ultimately, you know what is best for you and telling them is your decision, and I encourage you to weigh out all the options with a therapist. I wish you the best of luck.
Topic: intimacy

Question: My boyfriend wants to know every details of my sex life
We've been dating for two months now. I have a heavy past that gets him angry. Does he have a right to penalize me for things I did before I met him?

Answer:
Not in my book. You're only two months in? At this early stage, this is a bit of a warning sign. If he can't accept or feel comfortable with who you are and decisions you've made, there's already a level of discomfort here that shouldn't be ignored. No, he doesn't have the right to penalize you or punish you ...not just for past things...not for anything. What he does get to do it tell you how it affects him. Sure...if he feels uncomfortable or needs reassurance...listen to those things. But If he doesn't dig who you are, maybe he can walk the other way.
Topic: anxiety

Question: Why am I scared to touch a girl?
I don't know if I'm normal. I'm really scared to touch a girl. I'm a young adult and a virgin. My fiancée and I want to have sex soon, and this might mess everything up because she wants a baby soon as well.

Answer:
Only going off of the information in your question, it seems like you maybe have some performance anxiety and fear disappointing your fiance.  Fear can be tricky in the sense that it quite often masquerades as something that seems under our control.  For example, your fear of touching a girl may actually be a fear of being incompetently intimate or a bad fiance--It's easier to deal with those fears by avoiding touch because that gives you control and how else would you deal with those fears? I wonder if your fiance can be of any help to you.  It's scary to admit fears to people close to us but they can also offer some of the best support if that's been something you've experienced with her in the past.It sounds like you are really hard on yourself as well.  It's normal to have anxiety about your first time having sex---that's a really special milestone!  Maybe it's worth looking into performance anxiety tips?  That can help you feel more prepared without removing the spontaneity of intimacy.If it feels like nothing is working for you, you could see a counselor or sex therapist to explore more of that fear.  It's nothing to be ashamed about because it does happen to both men and women!
Topic: counseling-fundamentals

Question: Is it normal to cry at therapy?
Is it normal for people to cry during therapy, or is it just me?

Answer:
Yes, absolutely. In therapy you will be delving into topics and feelings that are often suppressed throughout daily life. As you explore many emotions may come up, anger, disappointment, grief, frustration, sadness, to name a few. These and many other emotions often lead to crying and your therapist will be there to hold space and support you through it. Crying is a very healthy release of energy so feeling comfortable enough with your therapist that it happens during session is a great thing!
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 do not have too many issues to address in counseling.  And your perseverance will serve you well if you choose to engage in therapy.  The trauma and medical event you experienced topped off with chronic sleepless nights would lead to feelings of depression for many.  The emotional reaction you've had to these experiences sounds normal albeit troublesome and I would imagine intensely painful at times as well.  Therapy can help prioritize what is the most impactful issue you are grappling with.  I find in therapy that when the central issue is revealed, understood, processed, and understood again in its current context, many other areas of the person's internal experience improve.  It sounds as though something has prevented you from seeking help from a counselor in the past, and it sounds as though you are more seriously considering it now.  Therapy helps and it can help you when you're ready.
Topic: relationship-dissolution

Question: How do I let go of someone who continues to hurt me
Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me.    He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard. I want to end this relationship, but I don't feel like I can. How can I let go?

Answer:
First decide what you truly would like in the current relationship. Understand your reasons for staying in the relationship.Three years is a substantial amount of time to be involved with someone.   Whatever attachment you feel toward this man is deep and complex.Instead of deciding to leave or not leave, change your question to figuring out your satisfactions and dissatisfaction with the man. Also important is to tell the man your feelings.Whatever problem you are feeling may become clarified by discussing what bothers you.At the very least, you will give the guy a chance to show how interested he actually is in the tension you currently feel and have felt for a while.
Topic: depression

Question: Is my moodiness just a phase or do I need help?
I'm a teenager and I I go through periods of moodiness. I have extreme feelings (but I bury them), and then I feel nothing - just empty and emotionless.
   I have trust issues, low self esteem,ban extreme fear of abandonment, and I constantly reevaluate my relationships. I also don't know who I am as a person. I'm not happy overall, but I'm not suicidal. Can I just feel happy?

Answer:
Sometimes the way to feel happy is to address all the questions you just described.Teenage years are the first time any of us starts to feel and recognize our uniqueness.  The fact that you recognize your great range of feelings, as uncomfortable as they may sometimes be, is healthy.Also healthy is that you are asking for opinions of therapists who would be familiar with when a range of feelings shows an out of the ordinary problem.One path to take is to reflect on the topics you wrote here and especially to ask yourself your reasons for how the problem started and what it would take for it to resolve.Do you have trust issues because someone broke your trust? You're entitled to a repair of your trust by the other person.   Even if the person never offers this to you, to know you deserve to be restored to whole, may help you feel more secure.The same is true with the other topics, abandonment and relationships generally.The more you continue to value your unique understanding, expectations, and standards, the more likely you'll create relationships which do not have these qualities, and you will restore your sense of hope that other people may treat you in a fair and kind way.
Topic: behavioral-change

Question: How do I stop sneaking away from home at night?
I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?

Answer:
Hi,When we can't stop doing things that we know are wrong, it can help to take a closer look at how we make our decisions. Usually we are getting something good out of these bad behaviors, such as feeling excited or taking our minds off of bad things. It is really hard to change these things without helping us get the good effect in a more healthy way. I hope this helps.
Topic: anger-management

Question: How do I deal with my son's violent thoughts and dreams?
My son claims that hes been having extremely violent thoughts and dreams. Not violent like he's hurting someone, but violent thoughts like horrible things happening to his loved ones. He explained one of his dreams the other day and it was so violent it was sickening. It was far beyond anything in a horror movie, he says he can't help these thoughts they just pop up. Please help!

Answer:
Let me start my stating this is important to take seriously - taking to his PCP, getting a referral to a pediatric specialist, and getting him to a relational psychotherapist would be my first tasks. I wont label this occurrences as "normal" yet it is important to note these things do occur. My first observation is to say that it is a tremendous advantage that your son is communicating what he is experiencing. I'd encourage him to continue to do so, no matter the extent of his thoughts - his trust of you being able the handle his experience is of utmost importance. His containment and sense of security is also dependent on your reaction to what he shares. Seek professional help, communicating your support, including a plan of action, and reassuring him you will figure this out together will help you as you begin.
Topic: family-conflict

Question: How can I get my mother to listen to me without her freaking out?
My mother and I have an okay relationship. I know she loves me unconditionally, and I love her the same. However, more times than not, I'm afraid to tell her anything personal because she either doesn't listen, she turns it around and makes everything about her, or she ignores things - even when they are about my mental health.

Answer:
Could you tell her ?  What would happen if you said "Mom, I love you and I really want to share myself with you, but often I you get upset and I don't want that to happen. I really want to be able to talk to you."
Topic: depression

Question: How can I help my girlfriend?
My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.

Answer:
After stopping the abuse of alcohol, depressive symptoms are common. She may benefit from exploring why she wants to move and see if she would still want to move if she did not feel depressed. 12 step meetings can also be helpful.
Topic: intimacy

Question: Can my marriage be saved?
I have been married for ten years. My husband is 29 years my senior. We have a young daughter. Ever since she was born, my husband has "shut down." We have no intimacy; he doesn't even kiss me. I've told him how I feel for years, and he swears he loves me and wants to make me happy, but I still have to literally beg for sex and affection. My self-esteem is gone, and I feel so alone. He has stranded me. He uses his passive-aggressive ways and ignores every comment I make. He refuses to talk to me in detail.

Answer:
Hi Smyrna,Your husband is avoiding dealing with this problem. I understand how lonely you must feel, not only sexually, but emotionally too.From what you describe, it seems that he wants to be there for you, but he clearly has barriers to engaging fully around this issue. My hunch is that he doesn't know what to do or how to talk to you. But I think he does have something to say.Your husband is 29 years older and you've been together for ten years...that puts you at around thirty perhaps and him at almost sixty? Has any wise older woman sat you down to explain that men sometimes have erectile issues or hormone-related low sex drive as they age? It's possible that your husband is bewildered, angry, grieving or anxious about changes in his sex drive or his ability to maintain an erection, and that he doesn't know how to talk to you about this. He may feel like he's letting you down, and he's scared it will get worse, so he's sticking his head in the sand. Of course, that doesn't help, does it?The worst case scenario is that you get angry or hopeless, that he senses danger or disapproval from you and pulls away even further in shame. Eventually, you stop chasing him, and you drift further apart. It's a bit of a conundrum...how to honour both your need for connection and honesty and his need for a safe place to explore his fears and insecurities. Maybe lower your expectations for a bit? Your husband will need to believe that you are a safe place to share his fears, and you would need to hold onto the fact that he's really scared, and that he's not rejecting you...just protecting himself.I would suggest having a gentle conversation that sounds something like "Sweetheart, we both know that something's not right here. I think you've been trying to handle this on your own or hoping it would get better, but can we agree that it's not? I need you to either talk to me about what's happening, or please go see a doctor. What I need is to see that you are doing some little step to help us. Either of those things would show me that."In the end, you need to know that he's heard you and that he's willing to look at the issue in some way. If he does neither, then at least you know where you stand and you can decide whether to live in a sexless marriage. I wonder if showing him this answer to your question might help? Just a thought.
Topic: behavioral-change

Question: I've been having breakdowns for no reason at all
I start to think of an issue that doesn't even matter or something bad that happened years ago. Then, I cry, pull at my hair, plug my ears, hit myself, and throw things. In loud public places, I get on edge and start being sarcastic and moody. I have an awful fear of people leaving me (which normally ends up happening) and I feel like I'm too clingy.

Answer:
There is a reason you are having breakdowns. I can't agree that they happen for "no reason at all".   Finding out the reason is going to be your biggest challenge because that may require you to dig deep into your past, uncover hurtful experiences, or recognize something that would be extremely pain.  However, if you don't find professional help to carefully guide you through whatever you may confront, the symptoms mentioned will continue and may even get worse.  There is a light at the end of the road but you need some help to find the right road to get on so you can see it.
Topic: substance-abuse

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

Answer:
The first step to change is to admit that you have a problem that is in need of change.  Frequently our problems keep us in denial.  Although feeling hopeless is an uncomfortable feeling, it suggests to me that you know that you can not do this alone.  The best course of treatment for you is to treat all of these problems together.  Alcohol detox can be very dangerous so it is important that you do this under the supervision of a medical provider; preferably someone who specializes in addiction.  Know also that although marijuana may not appear to be as big as a problem as alcohol is, it will cause you to have an increase in alcohol cravings so complete abstinence from drugs and alcohol is needed. I really recommend an inpatient stay for at least 30 days for anyone who is dealing with addiction, whether combined with mental health issues or not.  If this is not a possibility, then the next best thing would be an Intensive outpatient program that treats both addiction and mental health issues.  Know that there is hope for what you are experiencing.  You can get control over these issues.  The next step is finding the team and/or facility that is going to help you do it.
Topic: depression

Question: Can I change my feeling of being worthless to everyone?
I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?

Answer:
Short answer: YES.Feelings of worthlessness can have many sources. Some examples: feeling like you don't measure up; repeated experiences where you were told you were worthless; abrupt life changes; and depression. Once those thoughts start, we often latch onto them for dear life because they serve a purpose and actually help us in some way. A big key to starting the journey to self-acceptance and self-worth is to understand why you feel worthless. Where the heck did these thoughts come from? Get curious about it. Once you start to understand where these invalid thoughts are coming (I know these thoughts are invalid for a fact because I, a random therapist on the internet, cares for you and knows your worthy. So, take the jump and start exploring that intricate noggin' of yours. You've got this!