thejana/Elective_modified_2 huggingface dataset:
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:
Thank you for writing in with this important question.  There are some key words in your question that indicate you may have a problem; they are, "over indulge," "feel really guilty," and "angry drunk."  You also indicate that you have been unfaithful in your relationship while under the influence of alcohol.  In assessing whether or not someone has a "problem" with alcohol, some of the criteria I consider are whether or not they have attempted to cut back on their drinking and have been unable to do so and do they continue to drink despite knowing of likely consequences to their own emotional/physical health, relationships, occupational and/or social functioning.  I indicated you "may" have problem because it would be improper for me to make a formal diagnosis over this type of forum with so little information; however, with the information you provided, my answer is yes, you may have a problem based on my interpretation that you have tried to control your drinking and have been unsuccessful and have continued to drink despite experiencing yourself as an "angry" drunk, feeling guilty after a night of drinking and being unfaithful in your relationship.  I would recommend that you see a counselor for a proper assessment.  I applaud you for being concerned about this issue and seeking help.
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:
Absolutely not! It sounds like you have had a quite a lot of traumas in your life. Those traumas do not mean you have too many for therapy, but rather that you could possibly benefit from therapy more. Having numerous issues just means you might need to be in therapy for a bit to work through them. An experienced therapist can help you sift through all you have been through to find what is causing you the most distress. Good Luck!
Topic: depression

Question: How do I find out the cause of my depression and anxiety?
I have been feeling more and more down for over a month. I have started having trouble sleeping due to panic attacks, but they are almost never triggered by something that I know of.

Answer:
The first thing I usually recommend to clients that are coming in for these issues in addition to stress management is visiting their doctor.  We really don't know if it's something psychological that's influencing your symptoms, or if there's other issues happening within the body.  Pancreas or thyroid issues can perpetuate anxiety and depression symptoms pretty intensely--these are things your doctor knows more about and can help test for (and maybe rule out).As you probably already know, lack of sleep is a giant contributor to an increase in symptoms.  We don't know too much about sleep in the research, but we do know it's necessary to function and function well.  Some suggestions here from the research we do have: creating a calming routine at night can help with your body's relationship to sleep.  This can be your normal nightly hygiene paired with some relaxing videos or soundscapes (there are apps for this--Calm, Headspace, PanicShield).  Practicing these for a few weeks can help your brain pair your routine with sleeping.  Another suggestion directly from the research is not to take naps.  Yes, your brain needs sleep, but napping messes with our circadian rhythm and our quality/quantity of nightly sleep.  When we sleep, we go through sleep stages--but when we nap, those stages aren't completed like they would be during a full night of sleep where we go through those stages multiple times.  Both deep sleep and REM sleep (typically when we dream) seems to be especially important for feeling rested.  Napping usually only offers us a small dose of that, whereas a full night can offer as many more completed cycles including both these stages.  If you are waking into a panic attack, this site may give you some info on what that means: https://www.mayoclinic.org/diseases-conditions/panic-attacks/expert-answers/panic-attacks/faq-20057984.  Here's a great information website that has tons of resources, including support groups: https://washingtoncenterforcognitivetherapy.com/problems-treated/panic-disorder/panic-disorder-organizations/.Glad you reached out here!
Topic: relationship-dissolution

Question: How can I get my ex-girlfriend back?
She said she needed space after three days of dating, and she got a boyfriend a week later. I still really miss her, and she told me she still likes me.

Answer:
It sounds as if your ex-girlfriend is trying to figure out what type of relationship she is looking to have with you. There are lots of levels of relationships, from a basic acquaintance, to a more friendly acquaintance, to a friend, close friend, best friend, early romantic partner, committed romantic partner, and many more.If she is willing to have a conversation with you about her feelings, it may be helpful to have her explain her feelings to you while listening as an investigative reporter and asking questions that cannot be answered with yes or no, but are what are called open-ended questions, which ask her to provide more information. During this process, it would be helpful for you to try to think of it as not being personal, but just listening and trying to understand the experience from her perspective. After you have done this for five minutes (it's a rough estimate, but basically until you can restate what she is saying and she says you have it right), you can switch so she is asking you questions about how you are feeling. The goal is not necessarily to change the outcome, but to learn more about yourselves and each other.Then you may have an idea of where you stand in each other's eyes.
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:
It's absolutely normal.  Therapy provides a space where you can be free to express yourself and experience all of your emotions fully.  Crying is a form of release, and many people feel like they do not have any other space where they can let out their emotions.  Crying can be a healthy way to be present with your emotions.  While not everyone will cry during a therapy session, you're not the first, and definitely not the last.
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:
I don't think there is such a thing as having too much or too little issues for therapy. Humans are very complex and our life story varies on the individual. Our complexities have connections and oftentimes in therapy, seeking help for one struggle may have a positive impact on another. It is never too late to seek help from a professional We are never too complex for help.
Topic: depression

Question: How can I help my husband after a suicide attempt?
After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Answer:
A failed suicide attempt is commonly thought of as a “cry for help,” however it can also be a serious attempt to find a permanent solution to depression, hopelessness or other feelings a person feels are unbearable. It’s wonderful that you want to support your husband, but If your husband is feeling depressed and hopeless, you can best help him by getting him to a mental health professional. Feelings of hopelessness and depression, and previous attempts at suicide are all risk factors for future suicide attempts. With a mental health professional, or in the emergency room of a hospital, your husband should be evaluated for suicidal thoughts, intent and plan, and if he is a danger to himself he should probably be hospitalized again until he is stable. Without knowing the particulars, your husband may suffer from Major Depressive Disorder or some other illness on the depressive spectrum. In that case medication could help him immensely, at which point you can offer your support and encouragement him to practice gentle self-care. And do not forget to practice it for yourself.  Remember: a suicide attempt not only affects the person, but it is an immense stressor for his or her loved ones as well. As they say, “put your oxygen mask on first.” Then you will be better able to provide your husband with calm and loving care and attention.Kayla Schwartz, LMSW[email protected]
Topic: parenting

Question: I get verbally abused everyday by my parents in front of my child and I cannot take it anymore
I'm being verbally abused on a daily basis by my parents in front of my child. I feel like I’m trapped and I have no escape. I feel like I have to listen to the horrible things they say and just take all of it.
   I need some way of learning how to cope with listening to it especially since I have nowhere else to go. I feel very emotionally drained How can I deal with this?

Answer:
I am so sorry you are experiencing this situation.  Considering that you mentioned not having a place to go, it may be best to address the problem as oppose to “just take all of it”. Confrontation can be done in a healthy and effective way.  Being able to communicate your feelings with the intent of improving the problem can be a great skill needed in multiple settings in life.  The therapy process can help build this skill set and goal plan to remove yourself from the home.  Good luck.
Topic: relationships

Question: Should I message my crush?
I have had a crush on this guy for years. I last talked to him a few years ago when we graduated from high school. We left off on a good note. Should I message him and see how he is doing, or is it too late?

Answer:
It's never to late to let a person know how you feel.  You never know where it will take you.  You don't want to hold this regret of not letting your feelings known and wondering "what if" for the rest of your life.   That can be torturous.   Now prepare for whatever..if his feelings are the same or if they are not.  If they are the same...great.  If they are not, feel good that at least you let a person know they hold a special place in your life and wish him love, peace and happiness in his life.
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:
Finding the right therapist for you can be a stressful process but is important. I often explain it as buying a new car. "We need to test drive the new car to understand how it handles, looks or feels, etc." It is common for clients to know their therapist is the right fit after the first few minutes of speaking with them. Other times, it doesn't happen until a few sessions. Finding what criteria are important for you in a therapist is a good way to see if the one you are working with fits. Example criteria may include their gender, age, specific training or expertise, certain life experiences, tone of voice, conversation style, projection of empathy, approach to sessions (more question asking or problem-solving), or overall personality compatibility. There is nothing wrong with changing therapists if you do not feel it is the right fit. Feedback always helps with the therapy process if you feel like it is a right fit but the therapist may not be giving you what you need at that time. We are trained to understand this is a part of the process and can provide great resources for clients to find someone else if that is what is needed.
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:
It sounds like you have been through a lot, but in therapy there's no such thing as too many issues. That's what it is there for.  I want to normalize that a lot of people feel they are 'too much' but this isn't true.  A lot of the issues you mentioned are interrelated and may be affecting the other. We are a whole person, and our physical health affects our mental health and vice versa.  Sometimes when you work on one issue in therapy, it can help alleviate some of the other issues.  It is easy to feel overwhelmed with all you have going on but a therapist can also help prioritize some of that and find goals to focus on.
Topic: intimacy

Question: What should I do if I think my partner is cheating?
How can I know if I'm just being paranoid?

Answer:
Hi Texas,Oh, that's a powerful idea, isn't it? It burrows into your head. Let's figure this out. First, has your partner given you any concrete reason not to trust them? Have they cheated before? If not, then they deserve the benefit of the doubt until there is evidence. If it's a "yes", then it's natural that these fears would be triggered and you can simply let your partner know what triggers the fear and what you need. "When you refuse to let me see your phone I worry that you're hiding something. I need openness". If they haven't cheated on you in the past, there are three possible scenarios here. I invite you to take a moment and write down what the evidence is that cheating is going on. What is the specific thing that's triggering your fears? When you have your data recorded, read on...The first scenario is that you have been personally hurt in the past by someone else and you've developed fears that you will be hurt again or that you're not enough to keep someone interested (this is just fear...people cheat for their own reasons, not because we're not interesting). This may be true if what you wrote down is "They didn't really do anything wrong...there is no evidence. I'm just scared and suspicious". That's a cue to do some self reflection and calm yourself with thoughts like "nothing has really happened. I can trust."If what you wrote down was vague evidence, like for example your partner has been distant or irritable, or you're having less sex than usual, you can try to approach the situation without making assumptions. Trust your gut, but your gut isn't seeing evidence of cheating...it's evidence of "something". Ask your partner what's up with accusations or assumptions.The third possibility is that there is some clear evidence that they are cheating. Maybe there are texts on a phone, or someone has told you something they saw. I'd say when there is some evidence, it's okay to present this to your partner and ask what's going on. If this happens repeatedly, and your gut is screaming and there are only excuses or explanations that don't make sense, then it's okay to do a bit of "research" and be extra aware of what's going on around you. I hope that helps.
Topic: behavioral-change

Question: Do feelings of depersonalization go away?
I've felt this way for two years. I feel so much better now then I did when it started, but it is still there in the back of my mind at all times.

Answer:
Best answer that I can give to you is that some level of de-personalization is quite normal for everyone, it will come and go throughout life, kind of like being on a roller-coaster, "here it is, then it's gone not to return for quite some time", like many things, the more that you fixate on it, the more stress it will cause you, consider it part of life, accept it, and move on, now if your having many, many ,many of these episodes or have some auditory or visual hallucination or disturbances or emotional unbalancing that accompany it than that is definitely something to look at, but for the most part nothing to worry about. Hope this helps,C
Topic: intimacy

Question: My friend had lied about every aspect of her life—what do I do?
She has lied about every aspect of her life. She's created three fake relationships. The most recent one is concerning because she has fake photos, phone calls, and text messages, and it’s with a married man with kids. Her lying is becoming dangerous because she could ruin lives.

Answer:
Is being friends with this person safe for you?Liars don't generally distinguish who they bring down with them or in service to themselves.Step one is to understand a true friendship, which is based on trust, is probably not possible with this person.If you'd like to offer words of advice to protect her from herself then try gently pointing out that some of her actions which you know about, may come around to harm her.There is only a small chance she will be open to hearing you.People who lie are also very fearful of trusting others, including themselves.  She may prefer to keep status quo than open her own emotional pain to understand what created the need to lie in the first place.
Topic: depression

Question: How can I control my anxiety?
I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

Answer:
As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C
Topic: counseling-fundamentals

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

Answer:
I think it is important that you are able to convey what you are looking for in a therapist even if that changes over time.  You need to look at it like you are interviewing the counselor and that they will be able to provide you with the therapy you need.  To many times we do not know and it ends up not being a good fit and then people are left with a bad experience and do not want to re-engage.  Remembering you are basically hiring someone to help you so I would treat it as such. Do some research and be clear as to why you are coming to therapy and ask questions as how they will be able to help you.
Topic: parenting

Question: I don't know how to communicate with my adult daughter
There is just no communication at all between us. She sleeps constantly all day (not at night). She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat.    She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health.
   I don't know how to communicate with her. She is not open to any suggestions. How do I get through to her?

Answer:
This sounds like a painful situation, where you care about your daughter and want to help, yet you feel helpless to do so. I'm sorry you are going through this. You do not mention how old your daughter is, which makes a huge difference in my mind as to how to approach this. If she is a minor, then you have a responsibility for her health and wellbeing. If she is 18 or older, this shifts a bit. I would suggest slowing everything down and consider your goals. If you continue to require her to behave differently every time you interact, she will likely continue to tune you out. However, if you choose to prioritize your relationship and connection to her, there are other approaches. These include taking an interest in her, as a person. Being willing to talk with her without making any suggestions, and if possible, withholding judgment about what she is doing or not doing. This takes practice and tremendous control because of our tendency as parents to want to fix what's wrong. Best wishes.
Topic: marriage

Question: Why am I with my husband if he is mean?
I love him, but he doesn’t show me love. He talks badly about me to his friends.

Answer:
So many questions comes to mind when I read your words...Do you love yourself?  What do you LOVE about him?  What are you getting from this relationship that is good for you?  What are you lacking in yourself that you allow yourself to be treated this way?....I can go on..If you can answer these questions, maybe you will answer your own question of WHY are you with your husband or even better, WHY you ALLOW your husband to be mean, show no love, disrespect you?  You seem to lack self-worth...seek a professional to help you with this.
Topic: lgbtq

Question: Am I gay if I like neither girls nor guys?
I'm a guy. If I don't like girls, nor do I like guys, does that mean I'm gay?

Answer:
It doesn't sound like you are finding yourself attracted to anyone.  It could mean that you just haven't connected with anyone you find attractive, or that you are asexual - essentially not oriented toward anyone.  I would suggest doing some reading on asexuality and see if it connects to how you feel!
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:
Changing scenery often
helps in recovery. Could you move with her? 
Moving could help her depression
also. Is she also open to therapy?  
Being supportive is one way to help her, and allowing her the space and
ways to heal that suits her best.
Topic: anxiety

Question: I'm worried about my new job
I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have "anxiety" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?

Answer:
Anxiety or panic attacks can be very frightening.  Here are a few "tools" you can use that will help in the short term:  Keeping your mind occupied by listening to books on tape may help;  Counting backwards from 100 in 7's; Naming cities that begin with each letter of the alphabet; Keeping some ice or an ice pack in a cooler beside you, which you may take out and hold in your hand or to your face; Soothing self-talk such as "This is uncomfortable, but I can handle it" or "I've been through this before and can make it through again".  I recommend that you seek out a Therapist to help you with some long-term solutions to the anxiety.  Additionally, learning to breathe into the abdomen and practicing this daily is another long-term solution.  Yoga and meditation would be great!
Topic: grief-and-loss

Question: I just lost my grandpa
I just lost my grandpa and i'm having a rough time with it.    I need some help to deal with the loss, but I don’t think I can pay for counseling. Where Can I get help?

Answer:
Hi! There are support groups to join! I facilitate grief groups at trauma resolution center. Individuals are free to join if you live in Fl. Feel free to call 305-374-9990 to ask when the next grief group will begin. They are virtual