thejana/Elective_modified_2 huggingface dataset:
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:
First of all, I am very sorry for your loss, and I can understand the urge to drink and smoke to try and cope. As I'm sure you understand, alcohol and marijuana may take the edge off of the pain in the short run, but in the long run they may prevent you from being able to work through the thoughts and feelings that you have about the loss of your friend. Grieving is a process that is unique to each individual and each relationship that may involve difficult, confusing, and even contradictory seeming thoughts and feelings and a competent therapist can help you work through this process. It also may be useful for you to add other ways of coping, such as taking care of yourself through exercise, doing healthy activities that you love, and spending time with people that you love. Self care is often most difficult when we need it the most. Thank you for reaching out.
Topic: professional-ethics

Question: How does counseling end?
How does a counselor decide when to end counseling sessions or to terminate working with a client?

Answer:
In my therapy practice the decision to end therapy is mutually made together with the patient.Otherwise, the person can end up with a sense of tremendous rejection and abandonment.The way you'll both know therapy is coming to a close is that the discussion will feel lighter and move easily.The person's mood will be better, they will smile more, sit in their seat in a more relaxed way, look more at ease, take better care of their appearance.One of the ways to end therapy is to gradually decrease the frequency of the sessions.Sometimes people who are in my practice start to come each three weeks, then monthly, then every three months.This gives a sense of security, friendliness, and casualness to the therapy, and de-medicalizes it as though the person was treated for a medical symptom and the symptom stops completely one day.Talk therapy is about life and life problems usually end gradually.I end my therapy in a way which mirrors the life process in which many interaction and situation problems show their effects gradually and show different effects over time.
Topic: anxiety

Question: Why do I see and hear things that are not real?
I’m a teenager. I am almost always paranoid. Recently, I started to think they watch. I keep seeing in the corner of my eye someone moving. The other night, I heard breathing in my room, and my eyes focused on a black shape. I turned on the lights, but no one was there.

Answer:
I've worked with teens in a day treatment program for about 6 years now and it's been a theme that a lot of them see dark figures out of the corner of their eyes.  Pretty common with teens that have endured trauma--physical or sexual abuse, witnessing domestic violence, etc.  We don't have a lot of information on why this happens, but it's theorized that the brain projects the emotions outside of us in the form of dark figures--maybe just as a reflection of what is existing on the inside of the brain or even to give some emotional relief.  When we have kids that have experienced those types of hallucinations, they almost always disappear once they have worked through their trauma.  Sometimes visual and auditory hallucinations are symptoms of mental health disorders as well, though that's pretty rare for those to start as early as the teens years.  It's best to have your symptoms checked out by a medical professional and maybe even a psychiatrist to get a better idea of what may be happening.   Are you or have you been taking any medications that could potentially have these side effects?  If you do visit one or both professionals, make sure you or a caregiver is giving them all the details about your symptoms so they can help you as much as possible.A big question here is what is your sleep like?  Lack of sleep is notorious for causing hallucinations and can become severe after only a few nights of sleep deprivation.  If you are having trouble sleeping, that may be another topic to discuss with your doctor.No matter what it is, it's obviously scary otherwise you wouldn't feel paranoid.  Try some techniques to calm yourself a few times during the day, like deep breathing or movement-based strategies like yoga.  Whatever speaks to you.  And remember that while you are figuring this issue out, the hallucinations can't hurt you even if they get stronger.Glad you are reaching out to get some help!
Topic: anxiety

Question: I have difficulty with communication
I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?

Answer:
First of all, way to go in stretching yourself out of your comfort zone! You are sure to grow through all of this practice presenting to your peers, and that in itself will help to grow your confidence over time. In the meantime, do whatever you can to help yourself feel prepared for each presentation. Do your work ahead of time so that you feel well-informed on your topic, and then spend the days leading up to your presentation practicing. Do your presentation in the mirror, while you are driving (if it won't distract you from the road), and practice in front of a friend. On the day of the presentation, eat a balanced meal, get a pep talk from a supportive friend, use deep breathing to keep your body calm, and remind yourself that you are prepared. You got this!
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:
Change is about giving a new meaning to past experience, to allow for the emotions we stored in our body to be freed. Crying is normal and one way to process emotions to help let go and integrate our experiences.
Topic: anxiety

Question: How can I get over my fear of accidental pregnancy to have sex again?
I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.

Answer:
I am wondering who is telling you that sex is dangerous.  Is this medical advice, or is this someone’s
opinion trying to scare you from having sex? 
And if so, how old are you? Is it ok to have sex, do you want to have
sex?  It sounds like you want to make
your partner happy, and that you are taking care of protecting yourself and
your partner, but maybe you are forgetting to consider what do you really want.  Having sexual relations is a very personal decision;
you and your partner have to consent.  It
is also important to talk about the possible consequences and being responsible
for them as well.  But sex should be something
that you enjoy, not that you should be fearful of.  A therapist can help you to process those
negative thoughts and feelings that may impair you from enjoying your sexual
life. ¿Cómo puedo superar mi miedo de un
embarazo no deseado y poder tener sexo otra vez?Estoy
aterrorizado de tener sexo porque me han dicho una y otra vez que el sexo es
peligroso, inclusive cuando yo y mi pareja usamos dos métodos de protección.  Mi pareja no está contenta y simplemente
quiere más sexo, y honestamente, yo quiero darle lo que ella quiere.Me pregunto quién
te está diciendo que el sexo es peligroso. 
¿Esto es aviso medico, o es alguien intentando asustarte para que no
tengas relaciones?  ¿Y si es así, que
edad tienes?  ¿Es apropiado que tengas
sexo a tu edad?  ¿Quieres tener sexo? Me
parece que estas enfocado en hacer feliz a tu pareja, y te estás protegiendo y protegiéndola,
pero tal vez están olvidando analizar que tu quieres realmente.  Recuerda que tener una relación sexual es una
decisión personal, en la que tú y tu pareja deben de estar de acuerdo.   También es importante hablar de las posibles
consecuencias de tener relaciones, como un embarazo, y discutir sus opciones e
intenciones, si eso ocurriera.  Ya que
han tenido comunicación al respecto, el sexo debe ser algo que disfruten,  no que temen. 
Un terapista te puede ayudar a procesar esos pensamientos negativos y
los sentimientos que te pudieran impedir disfrutar de tu vida sexual.
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:
In my book, this is a boundary issue. Although you do not like inappropriate content, it is not up to you what your child's father looks at or what his friend sends him.  It is really hard not to monitor other people's lives, but in the end, your rights begin and end with you.
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:
For some people it's absolutely normal to feel nervous about coming to therapy.   It's sometimes hard to share our emotions and feelings with someone --- no matter how warm and caring the therapist is.     Are you comfortable with your therapist?  Is it a good relational fit?      Maybe this is a good thing to discuss with your specific therapist at the beginning of your next session --- maybe they can help you find some strategies or tools to make it easier?
Topic: anxiety

Question: Is it normal to cry during therapy?
I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Answer:
Crying is a natural process when you talk about upsetting things especially in therapy when you are opening up and being so vulnerable. I suggest that you consider how you would feel/respond to someone that was confiding to you and they began to cry. If you felt concerned, supportive and empathetic then you know exactly how us therapists feel when our clients are emotional in sessions. I suggest that you think of times where you have cried and how you felt at that time in public and what would have helped to make you feel less uncomfortable during your tears. I think of crying like any other natural reaction of our body such as sneezing, laughing, coughing. You can't help but do those things and most people won't really judge negatively if you do it in public. Similarly, crying is our body's reaction when we are emotional whether it is tears of joy, from a hilarious joke or from being upset. If you are very uncomfortable about crying but willing to start therapy perhaps you can ask the therapist if you can turn your chair around if you begin crying. This way you are not facing them and can self soothe without worrying about how you physically look at that time.I wish you luck and you should be proud of yourself for starting therapy and I wish you a wonderful journey on this important path that you are embarking on.
Topic: relationships

Question: How can I deal with a “crush” in a relationship?
I’ve been in a long distance relationship with my girlfriend for just over a year. This past week she admitted to me that she has feelings for another guy. She says it’s “just a crush” but I don't know how to cope with it.    How should I deal with this?

Answer:
Discuss with her boundaries and discuss what would occur if this “crush” becomes more than originally anticipated.  Decide what you would do individually if any of this occurs.   Ask yourself, if you trust her especially given the long distance.  Open, candid conversations would be crucial as you go thru this process.
Topic: anxiety

Question: I want to feel more comfortable around people
My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.
   How can I feel more comfortable around other people?

Answer:
Its understandable that you would feel this way considering what you have been and are going through with your son and the past abusive relationship. It sounds like you got into a pattern of being home with your son and not around others for a while so understandably  you have gotten used to this lifestyle. That makes it harder but not impossible to get back out there and be around other people and begin to feel more comfortable around others again. You can do this by taking baby steps. Take it slow, try reaching out to one person who you know and like and maybe meet them for coffee. Try putting yourself in a setting that feels non threatening to outside your home  and is something you can also enjoy even with your son, depending on his needs. It will take time as you probably want to process your feelings about what you went through but you can get there. Good luck!
Topic: stress

Question: How can I be less stressed?
I need help dealing with stress. How can I handle it all and feel less stressed out?

Answer:
How can we handle stress in healthy ways?
Eat and drink to optimize your health. Some people try to reduce stress by drinking alcohol or eating too much. Try and find if you do certain things or are there triggers when you do.
Exercise regularly. In addition to having physical health benefits, exercise has been shown to be a powerful stress reliever. ...
Stop using tobacco and nicotine products. People who use nicotine often refer to it as a stress reliever. ...
Study and practice relaxation techniques. Taking the time to relax every day helps to manage stress and to protect the body from the effects of stress. Lastly channel your creative energy try my adult coloring book it might help
Topic: marriage

Question: My husband yells “enough” when I tell him he needs to change
That phrase makes me crazy. It happens anytime I point out something to my husband that he needs to change, such as looking up from his iPad long enough for me to tell him the grandbaby almost pulled the shelf unit over or explaining to him that I got all the things he needs to bake a pie. Another example is when he opens the front door, the dog runs out if he doesn't pick him up. Over and over again, he lets the dog run out, and I am afraid he will get hit by a car.

Answer:
It's hard to say what is okay and what is not okay, as it depends on what you and your husband feel is appropriate in your relationship. If you are feeling like you need to walk on eggshells or that you can't speak your mind and say how you feel, then that sounds like a problem. I would recommend having an open discussion with your husband about communication between the two of you in general. Do this during a time when there is little or no conflict and emotions are not heightened. Let him know how you feel and give him specific ideas of how you would like him to respond instead of saying, "enough." Additionally, try and see his perspective and understand why he shuts you down. Perhaps, he feels like he is being told what to do constantly or that he gets little positive feedback from you. An open dialogue about how to discuss issues going forward will likely help. Seeing a couple's therapist will also greatly assist with teaching better communication skills and seeing if there are underlying issues that need resolution. Best of luck to you guys.
Topic: relationships

Question: There's this girl I've been dating for months
We went out had great sex and I was really liking her. Then one day she says we should just be friends, but I can't stop thinking about her. She's always on mind and I want her back.

Answer:
It can be really difficult when someone you care about doesn't feel the same about you. The most important thing to remember is that you can not make her feel a certain way.  There is nothing you can do to force her to want to be in a relationship with you.In the end, if she "just wants to be friends" then she's probably not the right match for you.Remember, every relationship ends - until that last one that doesn't.  And that is how it's supposed to be
Topic: intimacy

Question: Is it wrong for me to be attracted to my girlfriend?
I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?

Answer:
Nope! In fact you are NOT a pedophile. That term is reserved for older adolescents attracted to children, or adults who are attracted to children. I see an age difference as being one key factor in determining pedophilia if the older person is still in adolescence. You being only a year older than your girlfriend doesn't qualify, so go right ahead and be attracted to your girlfriend without shame!
Topic: substance-abuse

Question: I over endulge when I drink alcohol and feel extremely guilty about it the next day
I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk.    In the past, I have even cheated on my boyfriend while I was under the influence of alcohol.    But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem?

Answer:
That is great that you recognize you over indulge. Also considering  what is the deeper reason of your drinking and over drinking, to escape, to feel you belong in a group, there are so many possible variables.  The guilt is your body/brains way of knowing this behavior does not resonate with your core being.
Topic: marriage

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

Answer:
What a great question! Marriage (or any long-term committed romantic relationship) is never easy. Ups & downs, doubts and fights are a part of it just the same as the wonderful, tender, blissful moments of connection. Recognizing that hardships are normal and something to work through is a big part of the healthy attitude partners in lasting relationships share. Some degree of conflict is not something to be scared of or a sign it's time to break up as long as all parties involved feel respected. Expressing your needs and wants in a respectful, not accusing manner will increase the chances that your loved one will actually listen, empathize with your perspective and will be more open to finding solutions to your problems together. Working as a team to find solutions to problems you encounter is a much better approach than trying to persuade your partner that you are right, while they are most certainly wrong. Shutting your partner out or allowing resentment and contempt to creep into your relationships is definitely a warning sign that things may not be going the way you want anymore. As long as you both agree that you want to be in that relationship (i.e., are committed to it) and you have a growth mindset ("we will learn from this and grow together to be a better couple in the end"), the foundation of your partnership is strong. What else? Making time for each other, whether it's being playful, having fun or enjoying intimate moments together is also an important part of ensuring a good balance of positive to negative experiences, that will only strenghten your bond. Good luck!
Topic: depression

Question: I get depressed whenever anyone I care about is too busy to be with me. What do I do?
My last relationships have ended horribly. They just up and abandoned me. One of them I have never gotten closure with over it, leaving me emotionally wrecked. I know something's wrong with me but I don't know how to even start trying to better myself.
 I get into these depressed like states whenever anyone I care about is too busy to be with me. I know that I shouldn't act like that because people are genuinely busy, but I feel like they're doing it just because they don't want to be around me.

Answer:
Frequently when working with clients, I utilize the A-B-C model developed by Albert Ellis, the founder of Rational Emotive Behavior Theory. The theory basically states that you can not control an event but you can control your reaction to the emotions associated with said event. For instance here is an example:A (Action or Event): You need to talk to someone and that person is not calling you back.B (Behavior or Response): You begin to tell yourself that this person is too busy for me or I am not important to this person.C (Consequence): You feel depressed.If you look at the model, B has a direct effect on C. The thought is if you change your reaction to A, then C will have a better consequence, such as:A: stays the same.B (this is what you change): This person must be busy, they will call me back when they get a chance or I can call someone else to lean on for support until this person is available.C: Decreased feelings of depression & overall functioning improves.This is just an example but if you actively work to replace the negative thought patterns that effect your behavior, studies show that your overall outlook and mood will improve. If this model resonates with you, I recommend "Feeling better, getting better, staying better" by Alber Ellis. In addition, looking for support groups in your area are a great source of support when you are feeling abandoned or alone.
Topic: intimacy

Question: How do I stop feeling jealous in my relationship?
My boyfriend and I have been going out for about a year. I suddenly find myself jealous when I see him talking to other girls. I have never been this way before. I don't like these feelings. He said that my jealousy would cause our relationship to have problems. I told him I can't help these feelings. I don't know where they are coming from, but this is how I feel, I tried to stop, but I can't. I really like this guy, but I'm afraid that I'm messing up the relationship. It's just stupid.

Answer:
Trust is at the top of what makes a healthy relationship.  It sounds like you may benefit from personal counseling to explore where this jealousy comes from and what keeps you from having complete trust in your boyfriend.  This is not stupid, this is your mind telling you that there is something that needs to be worked through.  Sometimes we need to talk to someone like a counselor who is disconnected from our life to understand our feelings and what they mean in our relationships.
Topic: counseling-fundamentals

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

Answer:
Phone or email a counselor whose profile you've read and which feels right for you.Ask to get a feel as to the way the person would handle your problem and work with you.In my practice I offer a phone consult which generally continues for twenty minutes.I feel it is only fair that a prospective patient has a feel for the service they are about to purchase before they can be expected to pay money for a service which may not be to their liking at all.