thejana/Elective_modified_2 huggingface dataset:
Topic: professional-ethics

Question: What is the proper procedure if your child's therapist is leaving the practice to work elsewhere?

Answer:
Hello Largo, This is a great question.  There are several options when a therapist is transferring to a new practice.  If the practice is in the same general area and the therapist does not have a non compete agreement they can let clients know where they are going.  Generally if a therapist has a planned exit from an agency or practice they will inform their clients, and offer or provide  transition sessions or suggest new therapist options.  At times, unforeseen events arise and and there is no transition process with the therapist.  While this situation is not ideal for any client, it does provide an opportunity to utilize learned coping strategies and resilience.
Topic: behavioral-change

Question: Can someone with bipolar disorder feel like they are not themselves, like an observer in their own body and not really in control?

Answer:
Yes.You wrote a good description of one of the ways someone who has bi polar diagnosis would describe themselves.And, this description is broad enough to describe the way many people feel when going through a painful and frightening life event or situation.Unless someone has been diagnosed with bi polar disorder, then the description you wrote above is not sufficient for a self-diagnosis of like disorder.
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:
Hi There...do you find it is just in crowds or do you find it when you are around other people as well? Like if someone is angry you can feel their anger? if they are sad, you feel their sadness?   Are the thoughts and conversations sometimes mean and then you feel guilty, and then feel bad about yourself? Sometimes this happens when people have anxiety, but it can also happen when you are a highly sensitive person. (Check out Elaine Aron's website HSPersons.com). Essentially, HSPs have more mirror neurons (the ones that reflect back to you other people's emotions) in their brain so the pick up other people's energy and then things like crowds can feel overstimulating for them. We then imaging ourselves in other's shoes, and it can create a guilt loop. A good therapist should be able to help you identify what is happening for you.
Topic: parenting

Question: I think my daughter is stressing too much
When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.

Answer:
Hello! First of all, thank you for paying attention to your daughter and noticing that she is concerned! It sounds like you have been a positive influence on her for her to be so focused on achievement and for her to care so deeply about her performance! Based on what you've said here, I understand that you are concerned that she is overly stressed, though. I share your concern. People of all ages have meltdowns when they become overwhelmed with stress, and the negative consequences of those meltdowns can definitely have a ripple-effect into other areas of our lives.For your daughter, the thing I would want to know FIRST is this: does she feel she has adequate healthy coping skills to manage the stress she is experiencing? Because, it doesn't really matter WHAT she is stressing on...what matters is how she deals with her stress when it threatens to overwhelm her. I'd like to know what, exactly, that she does when she is feeling stressed that helps her to feel better. If she has only unhealthy coping skills (for example, sleeping, shutting-down, raging, self-attack with critical self-talk, etc.), or only one or two healthy skills, we would want to teach her some additional healthy strategies to help her KNOW that she can cope. Just one risk of not addressing this issue now could be that she may come to "learn" that stress is 'unbearable' which may cause her to turn to destructive or escapist strategies to avoid the discomfort, the pain of feeling hopeless, and/or the negative belief that she "cannot help herself."  I definitely think it would be worth both your whiles to have her evaluated by her family doctor and/or a professional counselor. With a counselor specifically, she could learn the needed skills as well as be evaluated for other issues that may be contributing to the issue (for example, a learned belief that she "must be perfect or she is not worthy.") Plus, having a neutral support person to help her meet her personal goals is always a good thing. Good luck, mom and daughter!Learn more about me and my practice at www.EMDRheals.com
Topic: relationship-dissolution

Question: Why does my spouse tell me he doesn't want me, but also gets jealous of me?
My spouse decided he no longer wanted me six years ago. Things have deteriorated so badly that we have separated but still live in the same house. He says he despises the sight of me, wants to be with other women, and divorce. What I don't understand is that he says constantly that I have no feelings for him and gets absurdly jealous if I speak to another male. Why does he constantly do these behaviors? I might add he has been diagnosed with borderline personality disorder and as a narcissist.

Answer:
It sounds like this is quite difficult.It sounds as if sometimes your spouse want you to be a part of his life (which could be a part of where the jealousy comes from) and sometimes he doesn't. Talking about this would likely be a delicate conversation and from what you mention he has been diagnosed with, I'm wondering if he has a therapist. If so, do you know whether he would allow you to come to one session so you can learn more about how he feels? Maybe he would be to use more of it because in the contained environment of an therapy office. This way at least you would know where he's coming from. You could also ask whether he is able to hear what you want, wish for, or desire between the two of you.Remember, just because you hear or follow what he is saying does not imply that you agree with him, although that concept in itself could be a subject of discussion because not everyone is aware of it.I hope that you are able to hold onto who you are and what you want throughout this.
Topic: intimacy

Question: My wife won't do things she used to do
There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.

Answer:
I'd say you're letting fear get a hold on you! You would really enjoy some sexual activities that your wife hasn't initiated in a long while, but it's a big leap to go from that to "I married the wrong person". Fear is telling you that she doesn't respect or like or want you? Look at the bigger picture. What is the evidence that your wife wants to please you?...that she is the "right" woman for you?...that she loves you?...that she cares about what's important to you?  If there is evidence there, then you owe it to the marriage to rein in your fearful thoughts.Talking to your wife is so important right now. We all have moments when we really just want to sit and stew in our self pity over our partner not vacuuming or cooking or saying loving things often enough...but they can't read our minds! Can you lovingly let her know what you miss? ...what you hope for?...what you need? This is the meat of a loving relationship. Sharing who we are, so that we can love each other better. Your wife deserves the benefit of the doubt that she'll listen to what you long for. Can you risk feeling vulnerable? You can't control her answer, but can you trust her to care?
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:
As we all need coaches and everyone including all of us on here had one or still does cause it is about your desire to be the best you can in your life goals.  People you connect with come into your life based on desire or a manifestation.  You will know once you have a few sessions with them and once you achieve you might move on to another expert.
Topic: parenting

Question: My son plays alone at recess
Is this something I should be worried about? Should I do something about it?

Answer:
I recommend asking your son about the reasons he chooses to play alone at recess. If he is happy on his own and you know he has some friends, I would not be very concerned. However, there may be bullying going on at school. In the case of bullying, it may be a situation where you as his parent will need to step in.
Topic: social-relationships

Question: I have an old roommate who might be a psychopath
I was “mentored” by this guy for a few years spiritually. It was okay at times, but other times, it was just weird. I try not to think about it too much, but a lot of manipulation and lying happened, yet no one else really believed me when I told them. It's like he's two different people, and no one else really sees that side of him. I was blamed for a lot of our troubles, and now we don't really talk much. I'm worried because he's in a trusted position of leadership and no one suspects anything. They just think I'm attacking his character. How do I know for sure?

Answer:
It doesn't really matter what the actual diagnosis is, and whether or not he is an actual psychopath, he has manipulated and lied to you, and that is enough reason for you to stay far away from him. Men (and women) with these characteristics can become violent. They can also make your life difficult by creating financial or legal trouble for you. Again, forget about him, and contact the police if you think he is in a position to harm others.
Topic: parenting

Question: I think my daughter is stressing too much
When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.

Answer:
Hello there, first I'd like to say I think it's great that you are reaching out as a parent and wanting to help her. My first thought is whatever is going on with her is not silly to her, and is impacting her in a real way. She is responding the best she can right now. It does sound like she is struggling with managing her anxiety and stress. She might benefit from finding a therapist that she can trust to discuss her thoughts and feelings, learn coping skills, and learn how to better manage these overwhelming emotions.
Topic: self-esteem

Question: I feel like I failed myself
My grandma had a stroke and passed away recently. I lost my home and job. I'm looking but haven't found a job. I've been binge watching television and binge eating.

Answer:
Wow, you got hit with some serious stuff all at once. Work, relationships, and housing/security are major needs for us and to lose all that at once has got to affect you. When things go wrong, it is natural for us to look for blame----and the easiest person for us to blame is ourselves. Put that with grief and you've got a recipe for feeling awful. We can start feeling so low as to want to check out with things like food, and TV as you described. It can take time for us to move to self-forgiveness, and self-kindness in order to start moving forward again. I wonder what you can do right now to improve your situation? I also wonder if you may be willing to seek counseling to help you work through some of this, to help with your perspective, and to assist in your grieving process. Just reading these 3 sentences, I get the sense of you being a nice person. I hope you can show that kind of kindness to yourself in your healing.
Topic: intimacy

Question: What should I do about not being sexually attracted to my girlfriend of five years?
Nothing we've tried has worked so far.

Answer:
Probably what you should do is decide whether you can continue having a romantic and sexual relationship with someone to whom you don't feel like having sex.Five years is long enough to know that the way you feel toward your partner is more than likely going to remain this way.Talk with your gf about your feelings because she may not wish to be in a relationship in which her partner is not sexually attracted to her.
Topic: spirituality

Question: I'm struggeling with the idea of if God real or not?
Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?

Answer:
Thanks for posting.  This is a significant issue for many people and can make us feel helpless; among other emotions due to the uncertainty.  You said that, at times, you feel like everyone is lying. Ask yourself some of these questions.  What is it that makes you feel so strongly that they are lying?  Where is the concrete evidence that they are lying? How could I test my thoughts about this? What if things are not what they seem on the surface? Am I any lesser of a person as a result of this person's behavior or opinion?  Our beliefs about ourselves and the people and our world  and how we interpret information and experiences have a significant effect on how we feel and how we behave.  It is important to objectively challenge the beliefs that contribute to negative emotions.  You can start this process by answering some of the above questions.  We are unfortunately influenced by what and who we associate with.  As it pertains to if God is a lie; be honest with yourself and question your beliefs that tell you that God is or is not real.  It may be helpful for you to speak to a preacher or chaplain of some sort and they can help you with a lot of that.  Hope this helps at least a little bit.
Topic: self-esteem

Question: I am very self conscious about my body
On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs. I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest.    How do I fix this?

Answer:
I get how you feel; you wish your body looked different and you're embarrassed that you tried to make it look different and people may notice. You don't say how old you are. It's likely that, if you are young, your body will change as you mature, but in general, we're given the bodies we're given and I'm glad to see that there may be a desire in you to accept your body the way it is. You seem to want to stop disguising it. Bodies come in all shapes and sizes and every woman knows how it feels to struggle with accepting what her's looks like. Many men go through this as well, although women are more often targeted with cultural messages about how we're supposed to look. Young people often believe that others are noticing and judging them. In fact, other people are far more preoccupied with who might be judging them than whatever's going on with you. I suggest you wear whatever bra you want to wear, and if someone is rude enough to comment on it, you can ignore them and talk about the weather or the latest pop song that you love and they'll get the hint. But my bet is they won't even notice. :)
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 this is happening to you.  One thought I have is for you to create a mantra or a soothing statement to say over and over to yourself as you are being bombarded with this negativity and abuse.  For example you could say "Living here is temporarily, one day I will have my own place".  Or you could say something like "I am a good person, I am a good parent, and I always try to do the best I can".  Saying this over and over to yourself as you are listening to your parents will help you to tune out some of their words but it will also start to build more positive neural connections and start to wire your brain to build and/or strengthen your self esteem.  Focus on the temporary nature of your situation, start making plans for leaving the situation.  If you are under 18 and can't leave because you are in school, now is a good time to start planning for when you can leave.  That when when the opportunity is available you know how you will get a job, how you will find an apartment, who will provide daycare.   This will make the transition out of your parents home much easier and it will give you something to look forward to while you are in their home.  Take care!
Topic: substance-abuse

Question: Is it okay if I take my friend's pills away?
My friend is abusing her prescription medicine. Even though she told me she didn't have any more pills, I found she has prescriptions for anxiety medications.

Answer:
Hello! Thank you for your question. I have a worked with many people who have become addicted to benzodiazepines, like Clonazepam. It is a difficult road for people who are trying to become clean. It is also a very difficult road for those who love the person and are trying to be supportive. During those times, it is important to remember to take care of yourself, too. As for taking your friend's pills, my concern would be the legal ramifications that you could face should you ever be caught with someone else's prescription medication, and especially these types of medications. Our laws have become much more strict surrounding prescription drug sales and possession due to the increase in prescription drug abuse. In addition, people who are in active addiction are likely to find some other means to get their drug, so it would do little to help the overall problem. I don't know about your friend's family situation, but they may be a better route to take if you are concerned about your friend. They may already be involved, but with your help you may be able to convince your friend to go to treatment willingly. That is usually better. In many states, there are also involuntary committal processes where a person's family may be able to convince a court to force the person into treatment. This varies from state to state. If your friend's family is not aware of this option, it may be something to look into. It usually does take a relative, or a medical provider, to begin this process if it is available. I hope this was helpful, and I wish you and your friend well. Robin J. Landwehr, DBH, LPC, NCC
Topic: relationships

Question: Dealing with an unfaithful and judgmental significant other
I have been with this guy on and off for 8 years. At first, we used to do things together and our sex life was ok. Then things started to change, we'd break up and reconnect, and he cheated on me numerous times. We've also had two beautiful baby girls during this time. Now we argue and he says I am not affectionate at all or I don't know how to please a man, when I work part-time, take care of a 2 year old and a 5 month old and cook. Sometimes he cooks, but he also spends a lot of time on the internet. In addition, I have 2 boys and he has 1 son. I feel somewhere I have lost something. It's not that I don’t care, I truly love this guy, but I'm just tired of being the one who is always being judged. Please, I am in need of a Christian counselor to help us because I really need to speak to someone.

Answer:
I don't think you’ve lost something, I think you’ve found something - your breaking point, and it's about time. Your boyfriend seems to be a very selfish and immature man who reconnects with you when it's convenient for him. Obviously, he has his own issues, but I want to address yours. I agree you need to talk to someone. The fact that you’ve put up with his repeated cheating and then letting him blame you for it (by saying you're not affectionate enough, etc.), tells me you probably have low self-esteem and have likely told yourself over the years that you don't deserve any better. You do! You may truly love this guy, but based on his behaviors, he does not love you, not in the way you deserve.  And although you may want to believe he can change, he has proved over and over again that he's not willing to, so you need to do what is best for you and your children. What would you tell your daughters if someone was treating them this way? Would you want your sons to treat women this way? That's what you're teaching your children when they see this.Like I said, I agree that you should talk to someone. You can ask your boyfriend to go too, but my guess is he won't. Even if he does, you should still see someone individually to work on YOU. I understand it's not easy to just kick him out, especially since you have children together, but a counselor can help you talk through all the details while helping you raise your self-esteem and self-worth.
Topic: intimacy

Question: How can I have a better sex life when I don't like sex?
My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband.

Answer:
There are many different ways that can be approached in your situation.1. I would recommend a complete medical examination including blood test. i would want to know if there are any medical issues in your low sex drive.2. Where is your husband in this situation? Is he resentful, accepting, demanding or neutral?3. What is your past sexual history? has this had an affect on your current issue?4.Has there been problems in your past with abuse of any kind?5. Understand that intimacy is more than sex. What other ways can you be close to your spouse?6. It sounds like there is some confusion about sexual intimacy from both of you.Couples counseling would be a great place to start. All of these areas need to be explored before any treatment goals can be established.You need to talk with a professional counselor to explore how to better connect with your spouse.