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### Instruction: My wife is always accusing me of cheating and telling me that I'm doing things she finds disrespectful even when I don't mean it like that. For example, she gets offended when I call someone at work "sweetheart." I wish I had a penny for every time she accused me of cheating on her. She doesn't, and never will say she was wrong. How do I get her to understand? ### Response:

Hello. That must be very frustrating for you to feel that you to be reminded of constant wrongdoing in your relationship, especially when you feel that your wife does not admit to any fault. This could lead you to feel inadequate in the relationship that can harm your relationship in the long-term. Based on what you are reporting and without knowing your wife's side of the story, I would say that you are raising 3 different concerns. One is that there seems to be some concern of infidelity from your wife that you feel is not justified. It may bear clarifying how each of you define "infidelity". Currently, there is no uniform definition of infidelity because it can emcompass a hook-up, chatroom texting, extensive phone calls to a female friend, viewing pornography, a massage with happy ending, physical intercourse, or intimate emotional sharing. Depending on whether any of these circumstances have occured, you may need to reflect whether there is any truth to what she may be accusing you of and for you to share with her your reasons for engaging in these activities. If there is no truth to it, then my clinical intuition is that she may be accusing you of infidelity as a way of saying, "I feel you distancing from me." In other words, it's not so much about whether you are actually unfaithful but a statement of how she feels as she witnesses your distancing from her. Often times, accusing a partner of cheating is likened to a cry or a yearning for closeness. If so, what you want to do is to reflect to her that perhaps she is saying that you are unfaithful because she senses that you are moving away from her emotionally. If this is true, you may wish to share with her why you are pulling away and then discuss the kind of support you may need to feel closer to her again. Otherwise, if the focus becomes about who is right and who is wrong, the conversation will never touch at both of your core emotional needs. The second issue touches upon how to interpret calling someone a "sweetheart." The term has been loosely used in a variety of contexts to mean "you're so sweet and kind", "my dear", or in a flirtatious manner to mean "sweetie." The intention behind the use is known only to the speaker. You may want to reflect in what context you meant to use the term and share it with your wife. If your wife overheard the comment not knowing your intentions or context, it is possible that she may have misinterpreted what you have said.  If she finds the term disrespectful, it may be her way of expressing, "I want to be the important person in your life and if you call someone else a sweetheart it means that I am not valued as much." Therefore, arguing about who has the right or wrong interpretation may be missing the mark. Rather, the issue is about how do you wish to treat or show consideration of each others feelings? You may wish to explore how do you show her that you value her and that she is important to you? Is saying "sweetheart" to another woman conducive to that or is it sending mixed messages to your wife? That said, if you have expressed and shown her that she is important to you on many occasions with open discussions and by understanding, accomodating and prioritizing her needs, then her actions may be a reflection of her personal insecurities. She may need to speak to a therapist about her feelings and her fears.The last issue you raised concerns your wife never admitting she's wrong. Indeed that must be frustrating for you to hear often that you are doing something wrong. In the absence of her admitting to any faults, it could seem like you are the one with the problem. Unfortunately, blaming invites defensiveness and a withdrawn behavior because most people who feel blamed do not feel good about themselves and wishes to distance themselves from the person who is making them feel unhappy. This pattern can also trigger the partners' insecurity as they witnesses the distancing, which could make them angrier and more accusatory - creating a vicious cycle. Finding a healthy way of reaching out when your partner is in turmoil to help calm her emotions and being able to speak about your own feelings and needs is at the heart of a very secure attachment. This kind of conversation can be guided by an experienced professional to help both of you to express your feelings and needs in a safe and secure way to foster a secure bonding. We sometimes take for granted the simple expression of, "I'm sorry." However, it requires a certain comfort with being vulnerable to express that. In my practice, when a client tells me that his or her partner never says "I'm sorry", I am often observing the first partner to see if they are able to express vulnerability. If neither of them express it, then it makes sense to me because why would one risk being vulnerable and then getting hurt if they open up if the other partner doesn't do it.? These insights in therapy can sometimes lead to a different relationship building conversation, which can help couples to to feel safer with each other rather than blaming and alientating. For more information about these services, you are welcome to read my materials on my website at www.PsychologyResource.ca or to contact me at (514) 690-2469.

### Instruction: My wife is always accusing me of cheating and telling me that I'm doing things she finds disrespectful even when I don't mean it like that. For example, she gets offended when I call someone at work "sweetheart." I wish I had a penny for every time she accused me of cheating on her. She doesn't, and never will say she was wrong. How do I get her to understand? ### Response:

Hello. That must be very frustrating for you to feel that you to be reminded of constant wrongdoing in your relationship, especially when you feel that your wife does not admit to any fault. This could lead you to feel inadequate in the relationship that can harm your relationship in the long-term. Based on what you are reporting and without knowing your wife's side of the story, I would say that you are raising 3 different concerns. One is that there seems to be some concern of infidelity from your wife that you feel is not justified. It may bear clarifying how each of you define "infidelity". Currently, there is no uniform definition of infidelity because it can emcompass a hook-up, chatroom texting, extensive phone calls to a female friend, viewing pornography, a massage with happy ending, physical intercourse, or intimate emotional sharing. Depending on whether any of these circumstances have occured, you may need to reflect whether there is any truth to what she may be accusing you of and for you to share with her your reasons for engaging in these activities. If there is no truth to it, then my clinical intuition is that she may be accusing you of infidelity as a way of saying, "I feel you distancing from me." In other words, it's not so much about whether you are actually unfaithful but a statement of how she feels as she witnesses your distancing from her. Often times, accusing a partner of cheating is likened to a cry or a yearning for closeness. If so, what you want to do is to reflect to her that perhaps she is saying that you are unfaithful because she senses that you are moving away from her emotionally. If this is true, you may wish to share with her why you are pulling away and then discuss the kind of support you may need to feel closer to her again. Otherwise, if the focus becomes about who is right and who is wrong, the conversation will never touch at both of your core emotional needs. The second issue touches upon how to interpret calling someone a "sweetheart." The term has been loosely used in a variety of contexts to mean "you're so sweet and kind", "my dear", or in a flirtatious manner to mean "sweetie." The intention behind the use is known only to the speaker. You may want to reflect in what context you meant to use the term and share it with your wife. If your wife overheard the comment not knowing your intentions or context, it is possible that she may have misinterpreted what you have said.  If she finds the term disrespectful, it may be her way of expressing, "I want to be the important person in your life and if you call someone else a sweetheart it means that I am not valued as much." Therefore, arguing about who has the right or wrong interpretation may be missing the mark. Rather, the issue is about how do you wish to treat or show consideration of each others feelings? You may wish to explore how do you show her that you value her and that she is important to you? Is saying "sweetheart" to another woman conducive to that or is it sending mixed messages to your wife? That said, if you have expressed and shown her that she is important to you on many occasions with open discussions and by understanding, accomodating and prioritizing her needs, then her actions may be a reflection of her personal insecurities. She may need to speak to a therapist about her feelings and her fears.The last issue you raised concerns your wife never admitting she's wrong. Indeed that must be frustrating for you to hear often that you are doing something wrong. In the absence of her admitting to any faults, it could seem like you are the one with the problem. Unfortunately, blaming invites defensiveness and a withdrawn behavior because most people who feel blamed do not feel good about themselves and wishes to distance themselves from the person who is making them feel unhappy. This pattern can also trigger the partners' insecurity as they witnesses the distancing, which could make them angrier and more accusatory - creating a vicious cycle. Finding a healthy way of reaching out when your partner is in turmoil to help calm her emotions and being able to speak about your own feelings and needs is at the heart of a very secure attachment. This kind of conversation can be guided by an experienced professional to help both of you to express your feelings and needs in a safe and secure way to foster a secure bonding. We sometimes take for granted the simple expression of, "I'm sorry." However, it requires a certain comfort with being vulnerable to express that. In my practice, when a client tells me that his or her partner never says "I'm sorry", I am often observing the first partner to see if they are able to express vulnerability. If neither of them express it, then it makes sense to me because why would one risk being vulnerable and then getting hurt if they open up if the other partner doesn't do it.? These insights in therapy can sometimes lead to a different relationship building conversation, which can help couples to to feel safer with each other rather than blaming and alientating. For more information about these services, you are welcome to read my materials on my website at www.PsychologyResource.ca or to contact me at (514) 690-2469.

### Instruction: My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me. I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on? ### Response:

I think there are many different directions we could go as far as answering your question.  I think the first and most important question you need to ask yourself is do you truly believe in your heart that you can forgive him and trust him again?  Once you answer that question honestly then you can move in one of two directions.  First, if you truly love this guy and see yourself being with him long term and for the "long haul", so to speak...and you genuinely want to forgive him and trust him again, that is completely do-able and possible if you both put in the work.  But, there's a greater issue here that needs to be addressed.  You say your relationship is "good", but there's been a sexual disconnect between the two of you and that usually indicates some type of emotional disconnect is at the core.  Would you agree with that, or what are your thoughts?  Were you giving him less sexual attention than you normally do or were you guys never on the same page about sexual needs and having compatible sex drives?  If you are more of an emotional person than he is, you may have been less interested sexually because he hasn't been meeting your emotional needs.  For instance, if you hadn't been feeling loved, cared about, validated, appreciated, cherished, and special to him than you may have felt less connected physically and been less interested.  This is a common issue with couples, and can easily be addressed if the communication in your relationship is strong and you can find a way to express to him your frustrations.  In essence, many women tend to have more emotional needs than men, this is the way we are hard-wired, and there are exceptions to this of course, but if you have been feeling neglected emotionally than your lack of interest in sex is actually completely understandable and NORMAL!  Until he understands this, and can learn to tune into your needs emotionally, you may struggle with feeling you are out of sync emotionally (and sexually).  This leads to you both being frustrated, but if all this is ringing true to you, he seriously probably has no clue what's going on and may not know how you're feeling.  You need to communicate your needs to him; if you are super lost with how to do that, there's an awesome book called The Five Love Languages.  It's not that long, and it's very approachable and easy to apply the concepts to your relationships. Invaluable resource for relationships and truly eye opening; really!!This is a long post, I'm sorry!  But this is such an important issue that is very common and many people feel lost about how to handle it.  So back to the second direction you can go....you feel very betrayed, you aren't sure if you can ever trust him again and you see yourself perhaps being paranoid forever and never being able to completely get over this.  For instance, if he says he is working late, or if he doesn't call or text right away when he usually does, you may immediately jump to the worst case scenario that he is cheating again.  Of course, it may not be true, he may have legit reasons for his behaviors, but the point is if you are going to be in paranoia-mode OR you just will always be unsure whether he loves you and is committed to you and only you, then the trust may not be able to be re-built.  You need to think long and hard about this, and if you decide you have the capacity to forgive him and rebuild your foundation of trust and honesty, then you need to let him know very explicitly what you need him to do to earn that trust back.  You can't just tell him vaguely "I need to trust you again"; if he wants his family back and he's willing to do the work, you need to line out exactly what he needs to do and he needs to do it.  But, be prepared that he might throw out there that he cheated because he felt you weren't attracted to him anymore (or he tries to put the blame on you somehow because he says you weren't meeting his physical needs)...if he throws that out there, but you weren't showing him the affection because you were frustrated emotionally, then it all starts with you communicating that to him.  Get that book!In conclusion, if you feel in your heart there is no way you will be able to trust him again and you will always wonder if he's cheating when his behavior isn't spot on, you will be a nervous wreck and perhaps cutting your losses now would spare you the continued heartache.  There is certainly a way to work through this, but you both have to be motivated and you have to get to the source of why the cheating happened in the first place.  Rebuilding trust can be a long process, maybe even years, and for some people, they may never be able to fully trust and let go of the past.  I truly recommend starting with the book, and then going from there.  If you decide you want to stay with him, you would really benefit from couples counseling, as it sounds like a professional could help you strengthen your communication and ability to trust again.

### Instruction: My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me. I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on? ### Response:

I think there are many different directions we could go as far as answering your question.  I think the first and most important question you need to ask yourself is do you truly believe in your heart that you can forgive him and trust him again?  Once you answer that question honestly then you can move in one of two directions.  First, if you truly love this guy and see yourself being with him long term and for the "long haul", so to speak...and you genuinely want to forgive him and trust him again, that is completely do-able and possible if you both put in the work.  But, there's a greater issue here that needs to be addressed.  You say your relationship is "good", but there's been a sexual disconnect between the two of you and that usually indicates some type of emotional disconnect is at the core.  Would you agree with that, or what are your thoughts?  Were you giving him less sexual attention than you normally do or were you guys never on the same page about sexual needs and having compatible sex drives?  If you are more of an emotional person than he is, you may have been less interested sexually because he hasn't been meeting your emotional needs.  For instance, if you hadn't been feeling loved, cared about, validated, appreciated, cherished, and special to him than you may have felt less connected physically and been less interested.  This is a common issue with couples, and can easily be addressed if the communication in your relationship is strong and you can find a way to express to him your frustrations.  In essence, many women tend to have more emotional needs than men, this is the way we are hard-wired, and there are exceptions to this of course, but if you have been feeling neglected emotionally than your lack of interest in sex is actually completely understandable and NORMAL!  Until he understands this, and can learn to tune into your needs emotionally, you may struggle with feeling you are out of sync emotionally (and sexually).  This leads to you both being frustrated, but if all this is ringing true to you, he seriously probably has no clue what's going on and may not know how you're feeling.  You need to communicate your needs to him; if you are super lost with how to do that, there's an awesome book called The Five Love Languages.  It's not that long, and it's very approachable and easy to apply the concepts to your relationships. Invaluable resource for relationships and truly eye opening; really!!This is a long post, I'm sorry!  But this is such an important issue that is very common and many people feel lost about how to handle it.  So back to the second direction you can go....you feel very betrayed, you aren't sure if you can ever trust him again and you see yourself perhaps being paranoid forever and never being able to completely get over this.  For instance, if he says he is working late, or if he doesn't call or text right away when he usually does, you may immediately jump to the worst case scenario that he is cheating again.  Of course, it may not be true, he may have legit reasons for his behaviors, but the point is if you are going to be in paranoia-mode OR you just will always be unsure whether he loves you and is committed to you and only you, then the trust may not be able to be re-built.  You need to think long and hard about this, and if you decide you have the capacity to forgive him and rebuild your foundation of trust and honesty, then you need to let him know very explicitly what you need him to do to earn that trust back.  You can't just tell him vaguely "I need to trust you again"; if he wants his family back and he's willing to do the work, you need to line out exactly what he needs to do and he needs to do it.  But, be prepared that he might throw out there that he cheated because he felt you weren't attracted to him anymore (or he tries to put the blame on you somehow because he says you weren't meeting his physical needs)...if he throws that out there, but you weren't showing him the affection because you were frustrated emotionally, then it all starts with you communicating that to him.  Get that book!In conclusion, if you feel in your heart there is no way you will be able to trust him again and you will always wonder if he's cheating when his behavior isn't spot on, you will be a nervous wreck and perhaps cutting your losses now would spare you the continued heartache.  There is certainly a way to work through this, but you both have to be motivated and you have to get to the source of why the cheating happened in the first place.  Rebuilding trust can be a long process, maybe even years, and for some people, they may never be able to fully trust and let go of the past.  I truly recommend starting with the book, and then going from there.  If you decide you want to stay with him, you would really benefit from couples counseling, as it sounds like a professional could help you strengthen your communication and ability to trust again.

### Instruction: How do I decide if I should end my relationship with my boyfriend? ### Response:

Previous counselors have discussed very good points about your situation so I would like just to confirm what seems essential to me on this topic. When you ask yourself this question, it shows you are not happy or have doubts about the way things have evolved so far. Relationships require time and work for them to develop, grow and flourish as healthy and fulfilling ones for both partners. This is a key factor, "reciprocity". Without both of you sharing the same core values, beliefs, expectations and lifestyles; without you having a good level of compatibility in your personalities and feeling understood, protected, cared by, supported and loved by each other, there is no way you could truly feel and experience a mutually healthy, meaningful and fulfilling relationship for the long run. What has attracted you to each other is good and meaningful enough to empower and support you for the long run? Many people focus too much on looks, financial benefits or other external factors, which are important but cannot build a healthy, mature and fulfilling lifelong relationship. This does not mean many couples do not willingly choose these types of relationship since truly believing those are their top priorities. What they ignore, is that with time, life challenges, issues and pain, temptations and appealing alternatives around those external factors, their relationships would not cope very well but would get gradually or suddenly undermined. Be honest with yourself, reflect on what you truly need, want, and expect from a boyfriend and life partner. Ask yourself if this person has what it takes to meet those expectations and satisfy those needs and if you are also a very good match for him, since there is no way the relationship works unless it does for both of you. So while one person could feel blessed by having such a wonderful partner, the other could feel frustrated, or just not truly fulfilled, passionate or happy with her/his partner. Long-term relationships require a lot, and when I talk about sharing same core factors, I mean truly feeling being a good match to each other at the physical, mental, emotional and spiritual levels, and around all the other roles life  involves, related to lifestyle as social life, habits, dreams, preferences, etc.Then there is a lot to reflect on by yourself, to carefully evaluate in yourself based on what you already know about you and this person. Then you would be able to tell yourself if you truly want to continue or not with this person. If you feel you do, then you have to talk to him and make sure he feels the same way. In a scenario where you doubt if you should tell him about this or that, as another counselor suggested, out of fear of any form of abuse or retaliation, those would be serious enough to show you this could never truly work. If your fears are more about being misunderstood and judged, then you still have to work on developing open and honest communication with him, as long as what you expect is something truly healthy and worthy. Many people look for and stay in relationships because they prefer that to be alone, by themselves, thus they end using relationships to feel better about themselves and their lives, to bring some feelings of happiness and company. The problem, is that if those are the initial core reasons to start or stay in a relationship, this can never truly evolve into anything healthy and mutually fulfilling, unless the person works on herself/himself to meet those personal needs and resolve those personal issues, which would enable her to work on self and with the other person in the relationship. Finally, I want to mention what I shared in a past article on this subject; namely, you need to assess if your boyfriend has been really consistent in his words and actions, otherwise, lack of honesty, accountability and/or respect, would never lead to anything worthy in any type of relationships. Also, we are all human beings, and that means we are no perfect, and we need to work on ourselves to make improvements. Relationships are a means to keep growing as individuals supporting each other to become better versions of ourselves, without manipulation, neglect or abuse. Thus while on one hand, healthy love means embracing the whole persona with strengths and weaknesses, on the other hand, it is fully incompatible with tolerating and/or enabling what is distorted or dysfunctional against that person or against ourselves. This is why both persons need to be willing and ready to work on making changes and improvements as necessary. Without this, it would be hopeless and helpless to expect things would be just fine with time, they would not, they would just get worse. So let's take one step at a time, reflect on what you feel, need and want now and for the future, assess how well this person is able and willing to work on that, and dialogue to make sure you are both fully aware, understood and clear about your relationship and how well it could make your lives better. If professional support is needed, and both are willing to take it, please do not delay it. If one refuses necessary support, then face reality and come to terms with what it is showing you. Trust more actions than words, set and keep healthy boundaries, and take into account what life experiences show you, as well as feedback and counsel from those mature and truly caring people who know you while pushing away what is superficial, biased or too rushed.Thank you for sharing.

### Instruction: About 3 years ago or so I was skinny, but I was still ugly. I really do want to change that but I've tried 3 times. Now can I try but don't stop. At school I get bullied about my weight and my ugliness and I have been bullied my whole life that I believe them. How can I stop thinking about them and don't let it get in my head? My parents said I don't weight that much but, they do think I am fat but, they tell me I am not. I told my parents that I need to go to a therapist, but they think I am fine and I think they don't want to deal with it. ### Response:

Amy is right, you do not need to ask for permission to seek for support.  Finding that help at school or through your pediatrician could be the first step towards getting the tools to reach physical and emotional health.  Remember that the weight is only a number on the scale, but your health is determined by multiple factors.  It sounds like no matter how much you weight, there are some self-esteem issues that need to be addressed.  When we are constantly told negative messages, we end up believing them ourselves and is important to learn to recognize those negative thoughts, get them out and put positive ones in.In regards to your parents, t may be that your parents are in denial because they want to provide unconditional love, but do not have the tools to address your concerns.  At some point remind them that you would like to talk to someone about your feelings, and maybe give the opportunity to be part of that conversation.  Having a healthy support system is important, and being able to learn to communicate with them will allow you to have a healthy relationship with them as you grow into adulthood.Trough individual therapy you can work on your self-esteem and establish specific goals for self-care.  Through family therapy, you could address family dynamics, negotiate solutions to current family or individual challenges and identify ways to support each other.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.    Tengo 16 años y peso sobre 220 libras. Hace como 3 años era más delgada, pero era muy fea.  Quisiera cambiar eso, pero he intentado 3 veces.  Ahora intento pero no puedo.  En la escuela me hacen bullying por mi peso y mi fealdad, tanto que me le he creído.  Como puedo dejar de pensar e ellos y no dejar que se me metan sus ideas en la cabeza?  Mis padres me dicen que no peso tanto y que no creen que estoy [email protected]  Le dije a mis padres que necesito hablar con un terapista, pero ellos me dicen que estoy bien, yo creo que ellos no quieren lidiar con el problema.La terapista Amy tiene razón, no es necesario pedir permiso para buscar ayuda.  Encontrar un consejero escolar o hablar con tu pediatra puede ser el primer paso para obtener las herramientas que te ayudarán a alcanzar tus metas de salud física y emocional.  Recuerda que tu peso es solo un número en balanza, pero tu salud está determinada por muchos factores.   También me parece que sin importar cuanto peses, hay un problema con tu autoestima que debe ser atendido. Cuando hemos sido expuestos frecuentemente a mensajes negativos, esos mensajes se vuelven parte de nuestra mentalidad y debemos aprender a reemplazarlos por mensajes positivo. Respecto a tus padres, puede ser que ellos estén en negación porque ellos desean proveerte amor incondicional, pero no tienen las herramientas necesarias para atender tus preocupaciones. En algún momento, recuérdales lo importante que es para ti hablar con alguien sobre cómo te sientes, e invitarlos a que sean parte de esa conversación.  Es clave tener un sistema de apoyo saludable y aprender a comunicarse efectivamente con tu familia, te ayudara a tener una relación de comprensión y apoyo mutuo. A través de la consejería individual, puedes trabajar en mejorar tu autoestima, y establecer metas específicas para tu cuidado personal.  A través de sesiones familiares, puedes atender dinámicas familiares, negociar soluciones e identificar maneras de proveerse apoyo.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.

### Instruction: I'm transgender, I know I am, but I've only told a few friends. I know I can't tell my family because of previous conversations we've had. They just wouldn't accept it. My gender dysphoria is getting really difficult to deal with on my own. I need some strategies for dealing with it. What should I do? ### Response:

This is a difficult situation to be in, as it sounds like you are feeling very isolated from both your family and your friends.   I don't know your age or gender so please excuse any incorrect assumptions about you being under 18 and use what is useful from the ideas if you are older.  One idea is to research online to find a therapist or a local clinic that has a therapist who is a "Gender Therapist" or a "Gender Specialist."  Most therapists who are transgender affirmative also have other specialties and do general therapy.  Though I don't think lying to your parents is a good idea, if you feel you truly can't talk to them about your gender, then perhaps you can find a therapist with a specialization in gender identity who can help you cope with your gender dysphoria.  You can let your parents know that you would like to see that particular therapist for other reasons, such as anxiety/worry, and that you researched them and liked their website.  Work to find a therapist who takes your parents insurance if you can.  You can also talk to the therapist on the phone first, before you talk to your parents about scheduling the first therapy visit. Therapists can help you learn some ways to manage feelings of worry, shame, and fear related to gender dysphoria. Depending on your family situation, many therapists will work to help you learn skills to safely communicate with your parents about what is troubling you.  Your parents may actually surprise you and be more accepting than you think.  Usually when parents learn that you are suffering, they want to be open to learning how they can help you, even if awkwardly at first.Reframing is a tool that helps you think about your situation from other perspectives.  It's kind of how you can look at the same picture with a different picture frame and it makes the same picture look a little different.   Keep in mind your situation is probably temporary and think about in the context of your whole long life (can you tolerate another 2 to 4 years living like you are if you have another X number of years to live?).  If you are living at home, you will eventually be more independent and be able to make more of your decisions about your gender expression. Keep the idea in mind the concept that is popular in mindfulness classes I teach, that "This too shall pass" or "This is only for now" when you start to feel hopeless. If you start to over focus on your gender or body issues, try to distract yourself with things that make you feel happy (your pet, music, art, sports etc) or stay busy.  If you can, find any GSA or LGBTIQQ youth group that you can attend confidentially, further away from home, to get some support.  Work to find an ally, one person, that you can talk to about what you are feeling. Making new friends online through social media can sometimes be a start in breaking down the isolation you feel. Another idea, if you are under 24 years old, there is a phone line (866-488-7386)  to call in case you are ever feeling you are in crisis.  You can also text chat! Trevor Project: http://www.thetrevorproject.org/There is also a trans teen online chat group if you are 12-19 http://www.glbthotline.org/transteens.htmlIf you are an adult you can get numbers to call in your state if you start to feel suicidal:http://www.suicidepreventionlifeline.org/Day to day, can you creatively work on your gender dysphoria?  Yes!  Are there ways you can focus on parts of your body you love?  Can you focus on that when you look in the mirror?  Are you a writer?  Can you write stories or poetry about the life you imagine for yourself in the future?  Can you do small things that help you get more in touch with your gender day to day like making small choices about your clothing, like wearing clothes that are more unisex,  that only you know are gender related but others won't notice?  You cannot force others to accept you but you can work on your self-acceptance and self-compassion. That work is something that is best done in the company of others like you as well as with at least another person who gets you and whom you can trust.  Good luck to you! 

### Instruction: I'm transgender, I know I am, but I've only told a few friends. I know I can't tell my family because of previous conversations we've had. They just wouldn't accept it. My gender dysphoria is getting really difficult to deal with on my own. I need some strategies for dealing with it. What should I do? ### Response:

This is a difficult situation to be in, as it sounds like you are feeling very isolated from both your family and your friends.   I don't know your age or gender so please excuse any incorrect assumptions about you being under 18 and use what is useful from the ideas if you are older.  One idea is to research online to find a therapist or a local clinic that has a therapist who is a "Gender Therapist" or a "Gender Specialist."  Most therapists who are transgender affirmative also have other specialties and do general therapy.  Though I don't think lying to your parents is a good idea, if you feel you truly can't talk to them about your gender, then perhaps you can find a therapist with a specialization in gender identity who can help you cope with your gender dysphoria.  You can let your parents know that you would like to see that particular therapist for other reasons, such as anxiety/worry, and that you researched them and liked their website.  Work to find a therapist who takes your parents insurance if you can.  You can also talk to the therapist on the phone first, before you talk to your parents about scheduling the first therapy visit. Therapists can help you learn some ways to manage feelings of worry, shame, and fear related to gender dysphoria. Depending on your family situation, many therapists will work to help you learn skills to safely communicate with your parents about what is troubling you.  Your parents may actually surprise you and be more accepting than you think.  Usually when parents learn that you are suffering, they want to be open to learning how they can help you, even if awkwardly at first.Reframing is a tool that helps you think about your situation from other perspectives.  It's kind of how you can look at the same picture with a different picture frame and it makes the same picture look a little different.   Keep in mind your situation is probably temporary and think about in the context of your whole long life (can you tolerate another 2 to 4 years living like you are if you have another X number of years to live?).  If you are living at home, you will eventually be more independent and be able to make more of your decisions about your gender expression. Keep the idea in mind the concept that is popular in mindfulness classes I teach, that "This too shall pass" or "This is only for now" when you start to feel hopeless. If you start to over focus on your gender or body issues, try to distract yourself with things that make you feel happy (your pet, music, art, sports etc) or stay busy.  If you can, find any GSA or LGBTIQQ youth group that you can attend confidentially, further away from home, to get some support.  Work to find an ally, one person, that you can talk to about what you are feeling. Making new friends online through social media can sometimes be a start in breaking down the isolation you feel. Another idea, if you are under 24 years old, there is a phone line (866-488-7386)  to call in case you are ever feeling you are in crisis.  You can also text chat! Trevor Project: http://www.thetrevorproject.org/There is also a trans teen online chat group if you are 12-19 http://www.glbthotline.org/transteens.htmlIf you are an adult you can get numbers to call in your state if you start to feel suicidal:http://www.suicidepreventionlifeline.org/Day to day, can you creatively work on your gender dysphoria?  Yes!  Are there ways you can focus on parts of your body you love?  Can you focus on that when you look in the mirror?  Are you a writer?  Can you write stories or poetry about the life you imagine for yourself in the future?  Can you do small things that help you get more in touch with your gender day to day like making small choices about your clothing, like wearing clothes that are more unisex,  that only you know are gender related but others won't notice?  You cannot force others to accept you but you can work on your self-acceptance and self-compassion. That work is something that is best done in the company of others like you as well as with at least another person who gets you and whom you can trust.  Good luck to you!

### Instruction: 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. ### Response:

My wife won't do things she used to doThere 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.Like we often hear, communication is the key to a good relationship.  Intimacy in the marriage is something we take for granted, and we rarely communicate about it. I noticed how you mentioned that she had “once agreed to try” things; did you ever asked if she enjoyed those things or would want to repeat them.  Have you asked if she would like to try new things as well?What if, you work on improving your communication with your wife? One thing to consider is the status of your relationship.  Are you in good terms with each other? Are you or your wife going under a stressful situation?   Many times when we have problems we reflect it in multiple areas, including our intimacy or lack of it.  Listen to her; ask how you can support her.  Find ways to reconnect as a couple, relax, have fun, and do things that you used to enjoy, or discover new interests together.Then you can focus on having conversations about your intimacy.  You could star by letting her know that you are concerned about your romantic life, and ask if you do anything that she likes or dislikes.  Remember this is a two-way street, you should be ready to listen and ready to share.  Take in consideration what she mentions, and work on resolving those issues.  It is important that you praise each other as you progress and do this in a loving and supportive way, avoiding hurtful comments. If you continue to struggle, or seems difficult to engage in communicating with your wife, consider couples therapy or individual therapy to work on communication skills.Mi esposa no hace las cosas que solía hacerHay cosas intimas que ella hacia al principio de nuestra relación, y cosas que alguna vez ella estuvo de acuerdo en probar y que ahora no hace.  Yo  me paso pensando en eso todo el día.  Me siento rechazado y pienso que me case con la persona equivocada.Como tanto escuchamos, comunicación es la clave para una buena relación.   La intimidad en el matrimonio es algo de damos por hecho y rara vez nos comunicamos al respecto.  Noté como mencionas que alguna vez tu esposa “estuvo de acuerdo en probar” algo.  ¿Alguna vez le preguntaste si le gusto lo que probo, o si quería repetirlo?  ¿Le has preguntado si ella quisiera intentar algo nuevo o diferente?¿Y qué tal si trabajas en mejorar la comunicación con tu esposa?Un aspecto a considerar es si hay alguna tención en el matrimonio.  Si están pasando por una situación tensa en su matrimonio o algún otro aspecto de su vida, lo pueden estar reflejando en su intimidad, o la falta de la misma.  Escúchala, pregunta cómo puedes darle apoyo.  Encuentra maneras de reconectar en pareja, relajarse, divertirse, y hacer cosas que antes disfrutaban, o descubrir nuevos intereses juntos. Si demuestran que son importantes uno para el otro y apoyan sus necesidades, se unirán más y disfrutaran de su tiempo intimo.Luego trabaja en tener conversaciones sobre la intimidad.  Puedes empezar por dejarle saber que te preocupa la vida romántica preguntarle si hay algo que a ella le agrada o desagrada al respecto. Recuerda que esto será beneficioso para los dos, tú debes estar preparado para escucharla, y compartir tus preocupaciones.  Toma en consideración lo que ella mencione, y trabaja en resolver o eliminar esas conductas.  Es importante que se alaguen y animen en el proceso, que este sea un proceso de apoyo y crecimiento y que continúen teniendo esta conversación frecuentemente.Si continuas teniendo dificultad o no sabes cómo comunicarte con tu pareja, considera terapia de pareja como una alternativa, o incluso consejería individual para trabajar en tus destrezas de comunicación.

### Instruction: 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. ### Response:

My wife won't do things she used to doThere 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.Like we often hear, communication is the key to a good relationship.  Intimacy in the marriage is something we take for granted, and we rarely communicate about it. I noticed how you mentioned that she had “once agreed to try” things; did you ever asked if she enjoyed those things or would want to repeat them.  Have you asked if she would like to try new things as well?What if, you work on improving your communication with your wife? One thing to consider is the status of your relationship.  Are you in good terms with each other? Are you or your wife going under a stressful situation?   Many times when we have problems we reflect it in multiple areas, including our intimacy or lack of it.  Listen to her; ask how you can support her.  Find ways to reconnect as a couple, relax, have fun, and do things that you used to enjoy, or discover new interests together.Then you can focus on having conversations about your intimacy.  You could star by letting her know that you are concerned about your romantic life, and ask if you do anything that she likes or dislikes.  Remember this is a two-way street, you should be ready to listen and ready to share.  Take in consideration what she mentions, and work on resolving those issues.  It is important that you praise each other as you progress and do this in a loving and supportive way, avoiding hurtful comments. If you continue to struggle, or seems difficult to engage in communicating with your wife, consider couples therapy or individual therapy to work on communication skills.Mi esposa no hace las cosas que solía hacerHay cosas intimas que ella hacia al principio de nuestra relación, y cosas que alguna vez ella estuvo de acuerdo en probar y que ahora no hace.  Yo  me paso pensando en eso todo el día.  Me siento rechazado y pienso que me case con la persona equivocada.Como tanto escuchamos, comunicación es la clave para una buena relación.   La intimidad en el matrimonio es algo de damos por hecho y rara vez nos comunicamos al respecto.  Noté como mencionas que alguna vez tu esposa “estuvo de acuerdo en probar” algo.  ¿Alguna vez le preguntaste si le gusto lo que probo, o si quería repetirlo?  ¿Le has preguntado si ella quisiera intentar algo nuevo o diferente?¿Y qué tal si trabajas en mejorar la comunicación con tu esposa?Un aspecto a considerar es si hay alguna tención en el matrimonio.  Si están pasando por una situación tensa en su matrimonio o algún otro aspecto de su vida, lo pueden estar reflejando en su intimidad, o la falta de la misma.  Escúchala, pregunta cómo puedes darle apoyo.  Encuentra maneras de reconectar en pareja, relajarse, divertirse, y hacer cosas que antes disfrutaban, o descubrir nuevos intereses juntos. Si demuestran que son importantes uno para el otro y apoyan sus necesidades, se unirán más y disfrutaran de su tiempo intimo.Luego trabaja en tener conversaciones sobre la intimidad.  Puedes empezar por dejarle saber que te preocupa la vida romántica preguntarle si hay algo que a ella le agrada o desagrada al respecto. Recuerda que esto será beneficioso para los dos, tú debes estar preparado para escucharla, y compartir tus preocupaciones.  Toma en consideración lo que ella mencione, y trabaja en resolver o eliminar esas conductas.  Es importante que se alaguen y animen en el proceso, que este sea un proceso de apoyo y crecimiento y que continúen teniendo esta conversación frecuentemente.Si continuas teniendo dificultad o no sabes cómo comunicarte con tu pareja, considera terapia de pareja como una alternativa, o incluso consejería individual para trabajar en tus destrezas de comunicación.

### Instruction: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again. ### Response:

It seems like you are very receptive of your husband’s emotions and want to support him trough this time.  But it is also important of being aware of your emotions.  How are you feeling after the suicide attempt?  It is common to experience negative feelings while you try to make sense of the incident.  Feelings like anger, shame, guilt and fear are frequent; while, wanting to avoid, minimize and become distant from the person are parts of the defense mechanism to attempt a quick resolution.  Once you understand and overcome those feelings you may be in a better position to help your husband; who may be experiencing some negative feelings as well.First, it is important to have a safety plan in place, which includes removing harming objects from the home, knowing who to call if there’s a new attempt (either 9-1-1, or nearby treatment center), have a professional expert who monitors you and your husband’s progress, either a Counselor or mental health provider could help you manage negative feelings and identify ways to handle triggering situations.Once the safety plan is in place,  make him feel supported and not judged, saying open ended statements, like: “I am glad that you are here, please let me know what I can do to help you through this process”.  Making small changes toward a healthier living may help as well.  Exercising, eating healthier and practicing new leisure activities may be good ways to start.  Also, explore your spirituality and your husbands, looking for ways to encourage each other by joining a support group or finding people who share your spiritual beliefs.If you have more questions or concerns I offer teletherapy in the State of Texas, and traditional Counseling in Puerto Rico, call 787-466-5478. ¿Cómo puedo ayudar a mi esposo después de un intento de suicidio?Después de que el llego a casa del hospital estaba enojado, luego por un tiempo maravilloso.  Ahora está deprimido y sin ánimos.Parece que estas muy atenta a los sentimientos de tu esposo, y que lo deseas ayudar durante este momento de su vida.  Pero también es importante estar consciente de tus propias emociones.  ¿Cómo te has sentido luego de este intento de suicidio?   Es común que experimentes emociones negativas mientras los recientes sucesos hacen sentido.   Sentimientos como coraje, vergüenza, culpa y miedo son comunes, y el querer evitar, minimizar o distanciarte son mecanismos de defensa igualmente comunes.  Ya que comprendas y superes estos sentimientos,  estarás en una mejor posición para ofrecerle ayuda, recuerda que tu esposo también debe de estar experimentando sentimientos negativos. Es muy importante tener un plan de seguridad, esto incluye remover todos los objetos que pueden ser dañinos o facilitar un futuro atentado, saber a quién llamar en caso de una emergencia (9-1-1 o una clínica de emergencias cercana),  tener un experto que monitoree tu progreso y el de tu esposo, puede ser un Consejero u otro experto de salud mental que te ayude a manejar los sentimientos negativos y situaciones retantes.Ya que el plan de seguridad sea activado, crea un ambiente donde tu esposo se sienta apoyado y no juzgado.  Utiliza frases abiertas para comunicarte, dile que estas feliz de que este contigo, y quieres saber cómo puedes ayudarlo durante esta etapa.   También haz cambios pequeños para mejorar su calidad de vida como pareja.  Hacer ejercicios, comer más saludable y compartir actividades puede ser un buen comienzo. Explorar tu espiritualidad y la de tu esposo también puede ser de ayuda, y encontrar personas o grupos que compartan esos mismos intereses puede ser una manera de mantenerse motivados.Si tienes más preguntas o preocupaciones sobre el tema, ofrezco teleterapia en Texas y Consejería Tradicional en Puerto Rico, llama al 787-466-5478 para más información.

### Instruction: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again. ### Response:

It seems like you are very receptive of your husband’s emotions and want to support him trough this time.  But it is also important of being aware of your emotions.  How are you feeling after the suicide attempt?  It is common to experience negative feelings while you try to make sense of the incident.  Feelings like anger, shame, guilt and fear are frequent; while, wanting to avoid, minimize and become distant from the person are parts of the defense mechanism to attempt a quick resolution.  Once you understand and overcome those feelings you may be in a better position to help your husband; who may be experiencing some negative feelings as well.First, it is important to have a safety plan in place, which includes removing harming objects from the home, knowing who to call if there’s a new attempt (either 9-1-1, or nearby treatment center), have a professional expert who monitors you and your husband’s progress, either a Counselor or mental health provider could help you manage negative feelings and identify ways to handle triggering situations.Once the safety plan is in place,  make him feel supported and not judged, saying open ended statements, like: “I am glad that you are here, please let me know what I can do to help you through this process”.  Making small changes toward a healthier living may help as well.  Exercising, eating healthier and practicing new leisure activities may be good ways to start.  Also, explore your spirituality and your husbands, looking for ways to encourage each other by joining a support group or finding people who share your spiritual beliefs.If you have more questions or concerns I offer teletherapy in the State of Texas, and traditional Counseling in Puerto Rico, call 787-466-5478. ¿Cómo puedo ayudar a mi esposo después de un intento de suicidio?Después de que el llego a casa del hospital estaba enojado, luego por un tiempo maravilloso.  Ahora está deprimido y sin ánimos.Parece que estas muy atenta a los sentimientos de tu esposo, y que lo deseas ayudar durante este momento de su vida.  Pero también es importante estar consciente de tus propias emociones.  ¿Cómo te has sentido luego de este intento de suicidio?   Es común que experimentes emociones negativas mientras los recientes sucesos hacen sentido.   Sentimientos como coraje, vergüenza, culpa y miedo son comunes, y el querer evitar, minimizar o distanciarte son mecanismos de defensa igualmente comunes.  Ya que comprendas y superes estos sentimientos,  estarás en una mejor posición para ofrecerle ayuda, recuerda que tu esposo también debe de estar experimentando sentimientos negativos. Es muy importante tener un plan de seguridad, esto incluye remover todos los objetos que pueden ser dañinos o facilitar un futuro atentado, saber a quién llamar en caso de una emergencia (9-1-1 o una clínica de emergencias cercana),  tener un experto que monitoree tu progreso y el de tu esposo, puede ser un Consejero u otro experto de salud mental que te ayude a manejar los sentimientos negativos y situaciones retantes.Ya que el plan de seguridad sea activado, crea un ambiente donde tu esposo se sienta apoyado y no juzgado.  Utiliza frases abiertas para comunicarte, dile que estas feliz de que este contigo, y quieres saber cómo puedes ayudarlo durante esta etapa.   También haz cambios pequeños para mejorar su calidad de vida como pareja.  Hacer ejercicios, comer más saludable y compartir actividades puede ser un buen comienzo. Explorar tu espiritualidad y la de tu esposo también puede ser de ayuda, y encontrar personas o grupos que compartan esos mismos intereses puede ser una manera de mantenerse motivados.Si tienes más preguntas o preocupaciones sobre el tema, ofrezco teleterapia en Texas y Consejería Tradicional en Puerto Rico, llama al 787-466-5478 para más información.

### Instruction: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again. ### Response:

It seems like you are very receptive of your husband’s emotions and want to support him trough this time.  But it is also important of being aware of your emotions.  How are you feeling after the suicide attempt?  It is common to experience negative feelings while you try to make sense of the incident.  Feelings like anger, shame, guilt and fear are frequent; while, wanting to avoid, minimize and become distant from the person are parts of the defense mechanism to attempt a quick resolution.  Once you understand and overcome those feelings you may be in a better position to help your husband; who may be experiencing some negative feelings as well.First, it is important to have a safety plan in place, which includes removing harming objects from the home, knowing who to call if there’s a new attempt (either 9-1-1, or nearby treatment center), have a professional expert who monitors you and your husband’s progress, either a Counselor or mental health provider could help you manage negative feelings and identify ways to handle triggering situations.Once the safety plan is in place,  make him feel supported and not judged, saying open ended statements, like: “I am glad that you are here, please let me know what I can do to help you through this process”.  Making small changes toward a healthier living may help as well.  Exercising, eating healthier and practicing new leisure activities may be good ways to start.  Also, explore your spirituality and your husbands, looking for ways to encourage each other by joining a support group or finding people who share your spiritual beliefs.If you have more questions or concerns I offer teletherapy in the State of Texas, and traditional Counseling in Puerto Rico, call 787-466-5478. ¿Cómo puedo ayudar a mi esposo después de un intento de suicidio?Después de que el llego a casa del hospital estaba enojado, luego por un tiempo maravilloso.  Ahora está deprimido y sin ánimos.Parece que estas muy atenta a los sentimientos de tu esposo, y que lo deseas ayudar durante este momento de su vida.  Pero también es importante estar consciente de tus propias emociones.  ¿Cómo te has sentido luego de este intento de suicidio?   Es común que experimentes emociones negativas mientras los recientes sucesos hacen sentido.   Sentimientos como coraje, vergüenza, culpa y miedo son comunes, y el querer evitar, minimizar o distanciarte son mecanismos de defensa igualmente comunes.  Ya que comprendas y superes estos sentimientos,  estarás en una mejor posición para ofrecerle ayuda, recuerda que tu esposo también debe de estar experimentando sentimientos negativos. Es muy importante tener un plan de seguridad, esto incluye remover todos los objetos que pueden ser dañinos o facilitar un futuro atentado, saber a quién llamar en caso de una emergencia (9-1-1 o una clínica de emergencias cercana),  tener un experto que monitoree tu progreso y el de tu esposo, puede ser un Consejero u otro experto de salud mental que te ayude a manejar los sentimientos negativos y situaciones retantes.Ya que el plan de seguridad sea activado, crea un ambiente donde tu esposo se sienta apoyado y no juzgado.  Utiliza frases abiertas para comunicarte, dile que estas feliz de que este contigo, y quieres saber cómo puedes ayudarlo durante esta etapa.   También haz cambios pequeños para mejorar su calidad de vida como pareja.  Hacer ejercicios, comer más saludable y compartir actividades puede ser un buen comienzo. Explorar tu espiritualidad y la de tu esposo también puede ser de ayuda, y encontrar personas o grupos que compartan esos mismos intereses puede ser una manera de mantenerse motivados.Si tienes más preguntas o preocupaciones sobre el tema, ofrezco teleterapia en Texas y Consejería Tradicional en Puerto Rico, llama al 787-466-5478 para más información.

### Instruction: My husband has had issues with alcohol addiction in the past (he'd never admit to this). A while back (3 years ago), I asked him to stop drinking so much, and he agreed. I caught him one night drinking behind my back. I confronted him and he lied, but I told him I knew he was lying because I counted the beers in the fridge and four of them were missing. He admitted and apologized and promised he wouldn't do it again. Lately, my husband has been drinking on and off, but I noticed it was every single night. I didn't like this. For our New Year’s resolution, we decided we were going to limit our alcohol consumption. He was on board—no more drinking every night. The other night, I counted the beers in the fridge just to see if some were missing. It took a couple of days, but tonight, I discovered a few were missing along with a shot of vodka. He was passed out on the couch when I decided to wake him up and confront him (poor timing, but I couldn't wait). I asked him if he'd come to bed with me (when he drinks, he snores and I cannot sleep—it's a dead giveaway he's been drinking). He slurred a bit and said no. I asked if he had been drinking, but he snapped and said no. I went into our room to sleep, leaving him on the couch. I'm not sure if I'm overreacting or not. I just feel like I'm so honest with him about everything, and I expect the same honesty. He is a good husband in every other regard. ### Response:

Hi Los Angeles,So your husband is giving you mixed messages. He says he's willing to cut back on the drinking, but he drinks and hides it. His behaviour is passive aggressive and immature, which puts you into this position of having to act like a disapproving parent. It sounds more like you're talking about an out-of-control teenager than your partner. Your husband's lying is sending a message. "I get to make my own decisions and you can't stop me" might be it. Underneath that, maybe it's "I want to stop but I'm ashamed that I can't and I don't want you to see my failures". Ultimately, as an adult, he gets to decide what he puts in his mouth and if you try to manage that by monitoring how many beers he has, you are pretty certain to get some fallout... pushback...backlash...  How does his drinking affect you? That's where your voice has power, rather than in counting his beers or setting him up to lie (when he's passed out, asking if he's been drinking seems confusing). You've mentioned snoring, which I guess is a legitimate complaint. If he's passing out, that's a legitimate complaint. When he drinks does he drive, act aggressively, or 'check out of' the relationship (avoid you)? All of these things are legitimate concerns, and I'd stick to talking about those rather than counting beers. My guess is he has few other ways to cope with stress, so he checks out with alcohol, and it also helps him avoid your relationship. But the problem is it makes it worse; the more he avoids you, then more you chase him with your questions.There's a conversation that would be helpful here.  It sounds like "I've tried to support you in your drinking less, and it's not working. What are your goals for alcohol and how can I support you in that more effectively?" I'd like to see you in a place where you're not micromanaging his drinking, but focusing on the things that affect you. What concrete supportive methods can you use with his agreement? Can we get the alcohol out of the house? Is he willing to seek treatment? Lay your expectations out really clearly. "I won't count your beers, but I can't tolerate lying". You have to decide what's more important; is it really the number of beers, or is it something else. What do you need to happen in order to want to remain in the marriage? What does he need? Does he let you know what isn't okay with him? He might have trouble saying these things. The drinking is only a part of the complex dynamic in your marriage. A qualified therapist can assist in pulling this apart, understanding it, and changing the way you relate to each other. 

### Instruction: My husband has had issues with alcohol addiction in the past (he'd never admit to this). A while back (3 years ago), I asked him to stop drinking so much, and he agreed. I caught him one night drinking behind my back. I confronted him and he lied, but I told him I knew he was lying because I counted the beers in the fridge and four of them were missing. He admitted and apologized and promised he wouldn't do it again. Lately, my husband has been drinking on and off, but I noticed it was every single night. I didn't like this. For our New Year’s resolution, we decided we were going to limit our alcohol consumption. He was on board—no more drinking every night. The other night, I counted the beers in the fridge just to see if some were missing. It took a couple of days, but tonight, I discovered a few were missing along with a shot of vodka. He was passed out on the couch when I decided to wake him up and confront him (poor timing, but I couldn't wait). I asked him if he'd come to bed with me (when he drinks, he snores and I cannot sleep—it's a dead giveaway he's been drinking). He slurred a bit and said no. I asked if he had been drinking, but he snapped and said no. I went into our room to sleep, leaving him on the couch. I'm not sure if I'm overreacting or not. I just feel like I'm so honest with him about everything, and I expect the same honesty. He is a good husband in every other regard. ### Response:

Hi Los Angeles,So your husband is giving you mixed messages. He says he's willing to cut back on the drinking, but he drinks and hides it. His behaviour is passive aggressive and immature, which puts you into this position of having to act like a disapproving parent. It sounds more like you're talking about an out-of-control teenager than your partner. Your husband's lying is sending a message. "I get to make my own decisions and you can't stop me" might be it. Underneath that, maybe it's "I want to stop but I'm ashamed that I can't and I don't want you to see my failures". Ultimately, as an adult, he gets to decide what he puts in his mouth and if you try to manage that by monitoring how many beers he has, you are pretty certain to get some fallout... pushback...backlash...  How does his drinking affect you? That's where your voice has power, rather than in counting his beers or setting him up to lie (when he's passed out, asking if he's been drinking seems confusing). You've mentioned snoring, which I guess is a legitimate complaint. If he's passing out, that's a legitimate complaint. When he drinks does he drive, act aggressively, or 'check out of' the relationship (avoid you)? All of these things are legitimate concerns, and I'd stick to talking about those rather than counting beers. My guess is he has few other ways to cope with stress, so he checks out with alcohol, and it also helps him avoid your relationship. But the problem is it makes it worse; the more he avoids you, then more you chase him with your questions.There's a conversation that would be helpful here.  It sounds like "I've tried to support you in your drinking less, and it's not working. What are your goals for alcohol and how can I support you in that more effectively?" I'd like to see you in a place where you're not micromanaging his drinking, but focusing on the things that affect you. What concrete supportive methods can you use with his agreement? Can we get the alcohol out of the house? Is he willing to seek treatment? Lay your expectations out really clearly. "I won't count your beers, but I can't tolerate lying". You have to decide what's more important; is it really the number of beers, or is it something else. What do you need to happen in order to want to remain in the marriage? What does he need? Does he let you know what isn't okay with him? He might have trouble saying these things. The drinking is only a part of the complex dynamic in your marriage. A qualified therapist can assist in pulling this apart, understanding it, and changing the way you relate to each other.

### Instruction: I am constantly having problems with the same two people who will always be in my life. I had a daughter with my ex-boyfriend. I am now married, and my husband’s ex-girlfriend is involved with my ex-boyfriend. They also have a daughter together. My issue is that there is always drama. I am pregnant, and I told my ex-boyfriend that I don't want any drama or arguments. I want to get along as much as possible, and he agreed. However, we just had an incident where my ex-boyfriend started discussing drop-off details about my stepdaughter. I told him that he needed to ask my husband because I can't make decisions about my stepdaughter regarding the matter. That led to an argument. I told him all my concern is when I pick up my daughter. My stepdaughter’s pick-up details are between my husband and his ex-girlfriend. I especially told him I didn't want to be involved. Somehow, he turned it around and then wanted to change the schedule we agreed on. He threatened me and got ugly because I wouldn’t discuss my stepdaughter’s matters with him. The point is there is so much drama. I try my best to get along with everyone. I don't understand where I went wrong (besides replying back to his question). I feel like I'm going crazy because this is a constant battle where everyone’s frustrations are taken out on each other, and it's the children that are hurting. I had a party planned for my daughter’s birthday, and my ex-boyfriend told me to cancel those plans because he wouldn’t let me have her. In my eyes, it’s the child that is hurting. I was throwing a party for her birthday, and because of the problem with stupid pick-up details about my stepdaughter, which I have no control over, he took it out on our daughter. ### Response:

Hi. I appreciate your mature instincts and strong efforts to draw clear boundaries in this very complex situation. I agree that it sounds like the adult drama is unnecessary and potentially will affect the children. Children need adults around them to act maturely, cooperatively and peacefully even when they don't like each other; it helps them feel secure and lets them focus on learning and growing. Your ex-boyfriend seems more focused on his own needs. In fact, he demonstrates behaviours that are aggressive, controlling and manipulative, bordering on 'parental alienation'. I agree this is a problem.I also appreciate how protective you are of yourself at this vulnerable time with the pregnancy. It's not unusual for pregnancy to trigger a need to conserve energy and reduce stress. Honour this instinct you have. I will suggest a few things to you. First, to gather support around you, professionally if you need it, from family and friends, and certainly from your husband. If you two are on the same page regarding the children issues and your ex, that will help. He can help run interference when it comes to his daughter. It will help you feel supported.Know that your ex's behaviours aren't happening because you did anything wrong; it's the way he operates (and maybe this is why you're not with him?). You can't change him, but you can stop blaming yourself for his immaturity and aggression. You're correct that he will always be there, and you can both accept this fact and also find ways to manage the situation.Keep on defining clear boundaries! You might sound like a broken record ("You'll have to talk to my husband about that"), but that's okay. It's okay to ignore his efforts to pull you into an argument or power struggle. It's okay to not respond to texts or other communications that aren't vitally important. It's okay to not let him into your house if it makes you uncomfortable. It's okay to not engage with him more than is necessary.Regarding his manipulative behaviours that reflect a tendency to keep your daughter from you, I recommend you document these behaviours and incidents carefully and fully. Let him know what your expectations are, simply and clearly and in writing ("our agreement states X, and you are not following our agreement"). Your daughter doesn't have to be aware; I think you already understand that she needs to be protected from the adult conflict.A professional therapist can help you with all of this. I hope this helps get you started towards greater peace, at least within yourself. :)

### Instruction: I am constantly having problems with the same two people who will always be in my life. I had a daughter with my ex-boyfriend. I am now married, and my husband’s ex-girlfriend is involved with my ex-boyfriend. They also have a daughter together. My issue is that there is always drama. I am pregnant, and I told my ex-boyfriend that I don't want any drama or arguments. I want to get along as much as possible, and he agreed. However, we just had an incident where my ex-boyfriend started discussing drop-off details about my stepdaughter. I told him that he needed to ask my husband because I can't make decisions about my stepdaughter regarding the matter. That led to an argument. I told him all my concern is when I pick up my daughter. My stepdaughter’s pick-up details are between my husband and his ex-girlfriend. I especially told him I didn't want to be involved. Somehow, he turned it around and then wanted to change the schedule we agreed on. He threatened me and got ugly because I wouldn’t discuss my stepdaughter’s matters with him. The point is there is so much drama. I try my best to get along with everyone. I don't understand where I went wrong (besides replying back to his question). I feel like I'm going crazy because this is a constant battle where everyone’s frustrations are taken out on each other, and it's the children that are hurting. I had a party planned for my daughter’s birthday, and my ex-boyfriend told me to cancel those plans because he wouldn’t let me have her. In my eyes, it’s the child that is hurting. I was throwing a party for her birthday, and because of the problem with stupid pick-up details about my stepdaughter, which I have no control over, he took it out on our daughter. ### Response:

Hi. I appreciate your mature instincts and strong efforts to draw clear boundaries in this very complex situation. I agree that it sounds like the adult drama is unnecessary and potentially will affect the children. Children need adults around them to act maturely, cooperatively and peacefully even when they don't like each other; it helps them feel secure and lets them focus on learning and growing. Your ex-boyfriend seems more focused on his own needs. In fact, he demonstrates behaviours that are aggressive, controlling and manipulative, bordering on 'parental alienation'. I agree this is a problem.I also appreciate how protective you are of yourself at this vulnerable time with the pregnancy. It's not unusual for pregnancy to trigger a need to conserve energy and reduce stress. Honour this instinct you have. I will suggest a few things to you. First, to gather support around you, professionally if you need it, from family and friends, and certainly from your husband. If you two are on the same page regarding the children issues and your ex, that will help. He can help run interference when it comes to his daughter. It will help you feel supported.Know that your ex's behaviours aren't happening because you did anything wrong; it's the way he operates (and maybe this is why you're not with him?). You can't change him, but you can stop blaming yourself for his immaturity and aggression. You're correct that he will always be there, and you can both accept this fact and also find ways to manage the situation.Keep on defining clear boundaries! You might sound like a broken record ("You'll have to talk to my husband about that"), but that's okay. It's okay to ignore his efforts to pull you into an argument or power struggle. It's okay to not respond to texts or other communications that aren't vitally important. It's okay to not let him into your house if it makes you uncomfortable. It's okay to not engage with him more than is necessary.Regarding his manipulative behaviours that reflect a tendency to keep your daughter from you, I recommend you document these behaviours and incidents carefully and fully. Let him know what your expectations are, simply and clearly and in writing ("our agreement states X, and you are not following our agreement"). Your daughter doesn't have to be aware; I think you already understand that she needs to be protected from the adult conflict.A professional therapist can help you with all of this. I hope this helps get you started towards greater peace, at least within yourself. :)

### Instruction: I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household. ### Response:

What are the best ways to reduce anxiety?I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.Our everyday life is filled with pressures and deadlines that are common to cause anxiety.   Here are some basic tips to handle those stressors.·         Learn thought stopping techniques: There are multiple ways to teach your brain to refocus.  If you allow your brain to focus on the source of anxiety, the anxiety will be in charge.  But you can learn to put those anxiety-provoking thoughts on a parking lot, and focus on pleasurable thoughts, or the activity that you need to complete on the time being.·         Plan, organize, delegate:  Create a schedule to manage demands, organize priorities, and delegate or share responsibilities.   Work as a team with your family, so you can share the load.   Prioritize actives, shores, and expenses. Focus on the urgent, necessary, and spread apart the not so urgent.·         Identify triggers:  Once you understand what causes your anxiety, you can learn to channel process and refocus your thoughts.  You can also learn coping strategies to manage the problem or give up the desire to control it if needed.·         Learn coping skills:  Having a balanced lifestyle helps tremendously to reduce and manage anxiety symptoms.  Looking at your eating, sleeping, physical activities, spirituality and leisure time is key to find that balance.If you find yourself struggling with anxiety, you can contact a Counselor or mental health provider.  I provide teletherapy for Texas residents and psychotherapy in Puerto Rico, you can reach me at 787-466-5478 for appointments.¿Cuáles son las mejores maneras de reducir la ansiedad?Tengo ansiedad por preocupaciones diarias, como las finanzas, relaciones, niños y mantener mi casa.Nuestra vida está llena de retos y presiones que comúnmente nos causan ansiedad.  Aquí unos consejos básicos para manejar esas preocupaciones.·         Aprende como detener tus pensamientos: Hay múltiples maneras de enseñarle a tu cerebro a reenfocarse.  Si permites que tu cerebro se enfoque en la fuente de ansiedad, entonces la ansiedad se apoderará de ti.  Pero puedes aprender a poner a un lado esos pensamientos que causan ansiedad, y enfocarte en pensamientos positivos, placenteros o simplemente enfocarte en la actividad que estás haciendo. ·         Planifica, organiza, delega: Crea una agenda para manejar las demandas diarias, organizar prioridades y delegar o compartir responsabilidades.   Trabaja en equipo con tu familia, de manera que puedas compartir la carga.  Organiza las actividades, gastos y tareas por prioridad.  Enfócate en lo urgente y necesario y distribuye lo que no es tan vital. ·         Identifica la fuente:  Ya que comprendes donde o qué inicia la ansiedad, puedes aprender a canalizarla, procesarla o reenfocar tus pensamientos. También puedes aprender a manejar la fuente de ansiedad, resolver el problema, o aceptar que no lo puedes controlar, si ese fuera el caso. ·         Aprende mecanismos de defensa: Tener un estilo de vida balanceado ayuda tremendamente a manejar síntomas de ansiedad.  Observar tus patrones de alimentación, descanso, ejercicio, espiritualidad y tiempo de ocio es clave para encontrar el balance. Si notas que continuas batallando con la ansiedad puedes contactar a un consejero profesional de salud mental.   Proveo teleterapia a residentes de Texas y Consejería en Puerto Rico, me puedes contactar al 787-466-5478 para hacer una cita. 

### Instruction: I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household. ### Response:

What are the best ways to reduce anxiety?I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.Our everyday life is filled with pressures and deadlines that are common to cause anxiety.   Here are some basic tips to handle those stressors.·         Learn thought stopping techniques: There are multiple ways to teach your brain to refocus.  If you allow your brain to focus on the source of anxiety, the anxiety will be in charge.  But you can learn to put those anxiety-provoking thoughts on a parking lot, and focus on pleasurable thoughts, or the activity that you need to complete on the time being.·         Plan, organize, delegate:  Create a schedule to manage demands, organize priorities, and delegate or share responsibilities.   Work as a team with your family, so you can share the load.   Prioritize actives, shores, and expenses. Focus on the urgent, necessary, and spread apart the not so urgent.·         Identify triggers:  Once you understand what causes your anxiety, you can learn to channel process and refocus your thoughts.  You can also learn coping strategies to manage the problem or give up the desire to control it if needed.·         Learn coping skills:  Having a balanced lifestyle helps tremendously to reduce and manage anxiety symptoms.  Looking at your eating, sleeping, physical activities, spirituality and leisure time is key to find that balance.If you find yourself struggling with anxiety, you can contact a Counselor or mental health provider.  I provide teletherapy for Texas residents and psychotherapy in Puerto Rico, you can reach me at 787-466-5478 for appointments.¿Cuáles son las mejores maneras de reducir la ansiedad?Tengo ansiedad por preocupaciones diarias, como las finanzas, relaciones, niños y mantener mi casa.Nuestra vida está llena de retos y presiones que comúnmente nos causan ansiedad.  Aquí unos consejos básicos para manejar esas preocupaciones.·         Aprende como detener tus pensamientos: Hay múltiples maneras de enseñarle a tu cerebro a reenfocarse.  Si permites que tu cerebro se enfoque en la fuente de ansiedad, entonces la ansiedad se apoderará de ti.  Pero puedes aprender a poner a un lado esos pensamientos que causan ansiedad, y enfocarte en pensamientos positivos, placenteros o simplemente enfocarte en la actividad que estás haciendo. ·         Planifica, organiza, delega: Crea una agenda para manejar las demandas diarias, organizar prioridades y delegar o compartir responsabilidades.   Trabaja en equipo con tu familia, de manera que puedas compartir la carga.  Organiza las actividades, gastos y tareas por prioridad.  Enfócate en lo urgente y necesario y distribuye lo que no es tan vital. ·         Identifica la fuente:  Ya que comprendes donde o qué inicia la ansiedad, puedes aprender a canalizarla, procesarla o reenfocar tus pensamientos. También puedes aprender a manejar la fuente de ansiedad, resolver el problema, o aceptar que no lo puedes controlar, si ese fuera el caso. ·         Aprende mecanismos de defensa: Tener un estilo de vida balanceado ayuda tremendamente a manejar síntomas de ansiedad.  Observar tus patrones de alimentación, descanso, ejercicio, espiritualidad y tiempo de ocio es clave para encontrar el balance. Si notas que continuas batallando con la ansiedad puedes contactar a un consejero profesional de salud mental.   Proveo teleterapia a residentes de Texas y Consejería en Puerto Rico, me puedes contactar al 787-466-5478 para hacer una cita.

### Instruction: I've been abused emotionally all of my life and for some reason I keep getting with men that I let emotionally abused me. How can I stop it? I know the mistakes that I've made in my life. I'm having a really hard time getting back on my feet. Can you help me please? ### Response:

I want to applaud you for taking this first step towards realizing that this is an issue and wanting to do something about it.  You are already on the road to a happier life with this realization.  A lot of women do not recognize that it may be something about them that continues to attract a man like this and will only blame it on the men for treating them that way.  Until you realize there is a problem you won’t start looking for a solution.Don’t misunderstand me!  The abuse is not your fault! You are seeing a pattern, though, so this does need to be addressed. First, go and buy the book “Boundaries: Where You End and I Begin” by Anne Katherine.  Read it.  This book describes many situations that are similar to yours, describes how a person came to be that way, and how to stop it.  You will have to learn to set good boundaries in your life and to maintain them.Be single for a while.  Stay single until you feel like a whole, healthy, happy person on your own.  Often we get in a relationship because of a need.  If you feel like you need a person in your life to make you a whole person then you are in a relationship for the wrong reasons.  The first step is to work on whatever it is in you that makes you feel like you need another person in your life.  Identify those needs and then learn to fulfill them on your own.I was doing a couples therapy session and the husband was being emotionally abusive to the wife.  This was a recurrent theme for her, like you are saying it is for you.  However, she had been doing a lot of work on her own and in private therapy, and this was a new relationship.  Obviously she still had not “gotten it right” because she did once again attract a man with these tendencies.  The difference this time was that she had done a lot of work on herself and had become a stronger person.  When she looked at him in our session and said to him “I don’t need you. I want you.  But not if you are going to continue to act like this.  So you leave the house and don’t come back until you are ready to make some changes.”  She stuck to that, too.  He didn’t leave for two more days because he kept telling her he would do different and begging to be allowed to stay.  She had drawn a boundary and stuck to it, and he left. She was fully prepared to be single again.  They actually did end up working things out in the end.You can’t let someone stay and continue to treat you badly.  Sure, a marriage takes work and compromise on both sides.  Couples therapy can help you both learn to communicate in a healthier way with each other and can help you realize what areas in the relationship need work.  You may not realize how some of the things you say to him comes across, and he may not realize how what he says does to you.  A therapist can help you with this so that you both learn how your words can hurt. But you need to know your boundaries and be prepared to stick to them and not compromise your boundaries.  That means following through on the threat to leave when he continues to abuse you.  Someone can’t do that if they are too scared to be alone.  If they feel they need the other person in their life. These patterns are developed in early childhood from what we learn from our parents.  When someone has grown up in a dysfunctional family, it is all they know.  Even when you can say that you realize it is a problem, you still don’t know how to stop it because you never learned any other way of interacting with people.  Something that took a lifetime to learn will take time and work to overcome.  Be patient with yourself and find a good therapist.  You can’t change your partner.  Work on you, and when you begin to heal and feel healthy, the right people will come into your life and stay.  The more you focus on trying to change the wrong ones to be what you want the more frustrated you will become.

### Instruction: I've been abused emotionally all of my life and for some reason I keep getting with men that I let emotionally abused me. How can I stop it? I know the mistakes that I've made in my life. I'm having a really hard time getting back on my feet. Can you help me please? ### Response:

I want to applaud you for taking this first step towards realizing that this is an issue and wanting to do something about it.  You are already on the road to a happier life with this realization.  A lot of women do not recognize that it may be something about them that continues to attract a man like this and will only blame it on the men for treating them that way.  Until you realize there is a problem you won’t start looking for a solution.Don’t misunderstand me!  The abuse is not your fault! You are seeing a pattern, though, so this does need to be addressed. First, go and buy the book “Boundaries: Where You End and I Begin” by Anne Katherine.  Read it.  This book describes many situations that are similar to yours, describes how a person came to be that way, and how to stop it.  You will have to learn to set good boundaries in your life and to maintain them.Be single for a while.  Stay single until you feel like a whole, healthy, happy person on your own.  Often we get in a relationship because of a need.  If you feel like you need a person in your life to make you a whole person then you are in a relationship for the wrong reasons.  The first step is to work on whatever it is in you that makes you feel like you need another person in your life.  Identify those needs and then learn to fulfill them on your own.I was doing a couples therapy session and the husband was being emotionally abusive to the wife.  This was a recurrent theme for her, like you are saying it is for you.  However, she had been doing a lot of work on her own and in private therapy, and this was a new relationship.  Obviously she still had not “gotten it right” because she did once again attract a man with these tendencies.  The difference this time was that she had done a lot of work on herself and had become a stronger person.  When she looked at him in our session and said to him “I don’t need you. I want you.  But not if you are going to continue to act like this.  So you leave the house and don’t come back until you are ready to make some changes.”  She stuck to that, too.  He didn’t leave for two more days because he kept telling her he would do different and begging to be allowed to stay.  She had drawn a boundary and stuck to it, and he left. She was fully prepared to be single again.  They actually did end up working things out in the end.You can’t let someone stay and continue to treat you badly.  Sure, a marriage takes work and compromise on both sides.  Couples therapy can help you both learn to communicate in a healthier way with each other and can help you realize what areas in the relationship need work.  You may not realize how some of the things you say to him comes across, and he may not realize how what he says does to you.  A therapist can help you with this so that you both learn how your words can hurt. But you need to know your boundaries and be prepared to stick to them and not compromise your boundaries.  That means following through on the threat to leave when he continues to abuse you.  Someone can’t do that if they are too scared to be alone.  If they feel they need the other person in their life. These patterns are developed in early childhood from what we learn from our parents.  When someone has grown up in a dysfunctional family, it is all they know.  Even when you can say that you realize it is a problem, you still don’t know how to stop it because you never learned any other way of interacting with people.  Something that took a lifetime to learn will take time and work to overcome.  Be patient with yourself and find a good therapist.  You can’t change your partner.  Work on you, and when you begin to heal and feel healthy, the right people will come into your life and stay.  The more you focus on trying to change the wrong ones to be what you want the more frustrated you will become.

### Instruction: I feel like I am not at a good state of mind. I'm very unsettled in my soul. I'm not happy with myself or the decisions I make, which makes me not happy with anyone else. I feel like a failure most of my days. I don't feel like I'm good at anything anymore. I feel like less of a person. ### Response:

It seems like you may be experiencing depression symptoms, they could be the triggered by unexpected life changes, or building up throughout time.The important part is that you have identified them and wanting to change them.  The first step is to establish a self-care routine that will help you to feel centered and motivated: go for walks, or make any physical activity that you enjoy ( be kind to yourself, anything helps at this point), eat balanced, add whole grains and fibers to your diet, make a point to rest at night and avoid naps, practice a hobby that you love, or look for a new one that you are curious about. You mentioned that you feel unsettled in your soul: explore your spirituality, meditate about what makes your soul at peace, and find ways to practice that or surround yourself by those activities.If you find it difficult to begin, talk to your therapist to identify roadblocks and ways to find motivation. Suicidal and homicidal thoughts are common but serious depression symptoms, discuss them with your therapist, contact your doctor or psychiatrist, and call 9-1-1 if its and emergency.Once you feel stable, you can focus on exploring the source of the problem and see if you need to make changes or learn coping skills that will help you manage it.  It will also be a good time to explore your spirituality and your purpose in life, that may help you to feel better with yourself and then happier around others.¿Cómo puedo volver a ser la persona que realmente soy?Siento que mi mente no está bien.  My espíritu está intranquilo.  No me siento feliz con las decisiones que tomo, lo cual me hace infeliz con los demás. Me siento como un fracaso la mayoría del tiempo.  Siento que ya no soy bueno para nada. Siento que soy menos que los demás.Al parecer estas experimentando síntomas de depresión, la cual puede ser causada por cambios recientes en tu vida o estarse acumulando a través del tiempo.Lo importante en este momento es que tú reconoces los síntomas y estas buscando cambiar la situación.  El primer paso sería trabajar en restablecer una rutina de cuidado personal que te ayude a sentirte emocionalmente estable y motivado: Sal a caminar o hacer alguna actividad física(ten compasión contigo mismo, cualquier cosa funciona para comenzar), comienza a comer balanceado, especialmente granos y fibras integrales, , procura descansar en las noches y evita las siestas, y practica algún tipo de actividad que hayas disfrutado en el pasado o que te de curiosidad.  Mencionaste que tu espíritu esta intranquilo, explora tu espiritualidad, y que te ayudaría a encontrar la paz, busca la manera de hacer esa práctica una rutina.Si te cuesta mucho trabajo iniciar estas actividades, será bueno buscar a un consejero para que te ayude a identificar formas de estar motivado o obstáculos que te estén deteniendo.  Es común tener pensamientos que atentan en contra de tu vida o la de otros, discútelos con tu terapeuta, con tu medico primario o psiquiatra, y llama al 9-1-1 si es una emergencia.  Ya que consigas estabilidad, puedes comenzar a trabajar o explorar la causa del problema y ver si hay cambios mayores que debes hacer o destrezas que debes aprender para manejar el mismo. También es un buen momento para explorar tu espiritualidad mas profundamente y tu propósito en la vida, cuando encontramos un propósito y como ejercerlo, tendemos a ser más felices con nosotros mismos y con los demás. 

### Instruction: I feel like I am not at a good state of mind. I'm very unsettled in my soul. I'm not happy with myself or the decisions I make, which makes me not happy with anyone else. I feel like a failure most of my days. I don't feel like I'm good at anything anymore. I feel like less of a person. ### Response:

It seems like you may be experiencing depression symptoms, they could be the triggered by unexpected life changes, or building up throughout time.The important part is that you have identified them and wanting to change them.  The first step is to establish a self-care routine that will help you to feel centered and motivated: go for walks, or make any physical activity that you enjoy ( be kind to yourself, anything helps at this point), eat balanced, add whole grains and fibers to your diet, make a point to rest at night and avoid naps, practice a hobby that you love, or look for a new one that you are curious about. You mentioned that you feel unsettled in your soul: explore your spirituality, meditate about what makes your soul at peace, and find ways to practice that or surround yourself by those activities.If you find it difficult to begin, talk to your therapist to identify roadblocks and ways to find motivation. Suicidal and homicidal thoughts are common but serious depression symptoms, discuss them with your therapist, contact your doctor or psychiatrist, and call 9-1-1 if its and emergency.Once you feel stable, you can focus on exploring the source of the problem and see if you need to make changes or learn coping skills that will help you manage it.  It will also be a good time to explore your spirituality and your purpose in life, that may help you to feel better with yourself and then happier around others.¿Cómo puedo volver a ser la persona que realmente soy?Siento que mi mente no está bien.  My espíritu está intranquilo.  No me siento feliz con las decisiones que tomo, lo cual me hace infeliz con los demás. Me siento como un fracaso la mayoría del tiempo.  Siento que ya no soy bueno para nada. Siento que soy menos que los demás.Al parecer estas experimentando síntomas de depresión, la cual puede ser causada por cambios recientes en tu vida o estarse acumulando a través del tiempo.Lo importante en este momento es que tú reconoces los síntomas y estas buscando cambiar la situación.  El primer paso sería trabajar en restablecer una rutina de cuidado personal que te ayude a sentirte emocionalmente estable y motivado: Sal a caminar o hacer alguna actividad física(ten compasión contigo mismo, cualquier cosa funciona para comenzar), comienza a comer balanceado, especialmente granos y fibras integrales, , procura descansar en las noches y evita las siestas, y practica algún tipo de actividad que hayas disfrutado en el pasado o que te de curiosidad.  Mencionaste que tu espíritu esta intranquilo, explora tu espiritualidad, y que te ayudaría a encontrar la paz, busca la manera de hacer esa práctica una rutina.Si te cuesta mucho trabajo iniciar estas actividades, será bueno buscar a un consejero para que te ayude a identificar formas de estar motivado o obstáculos que te estén deteniendo.  Es común tener pensamientos que atentan en contra de tu vida o la de otros, discútelos con tu terapeuta, con tu medico primario o psiquiatra, y llama al 9-1-1 si es una emergencia.  Ya que consigas estabilidad, puedes comenzar a trabajar o explorar la causa del problema y ver si hay cambios mayores que debes hacer o destrezas que debes aprender para manejar el mismo. También es un buen momento para explorar tu espiritualidad mas profundamente y tu propósito en la vida, cuando encontramos un propósito y como ejercerlo, tendemos a ser más felices con nosotros mismos y con los demás.

### Instruction: I'm a teenager, and throughout my entire life, I've never really had good parents, or parents at all for that matter. I'm not exaggerating. I was living with my mom and grandparents until my father, in prison for most of my life, got out when I was in middle school. His mom, my grandma, only lived a mile down the road from my mom’s house, and I was so awe-stricken with my dad that I got to stay with him for a long time. Meanwhile, I did not realize that my mom was doing hardcore drugs. My mom went to prison for that and lost her café. We live in a very small town, so everyone knew about it, and I was bullied because of who my parents were. My dad ended up getting in with the wrong people and went back to prison. My mom and him had a mutual friend and often hung out at that person’s house. My parents did not get along at this point. We were driving him home one day from this house, and my mom stopped the car and kicked him out. He got out of the car, went to the driver’s side, and punched my mom in the face. I got out and told him not to hit my mom. At that point, I was really scared and mad that he did that, so I ran towards him to stop him. He literally picked me up and threw me on the back of a gravel road. I couldn't even walk. My mom tried to help me, but he started choking her. I hobbled over, and she barely got into the car, and we quickly drove away and called the police and ambulance. He was so badly strung out on drugs. He went to prison again and seems to be doing well. I met up with him once with my grandma, and we had coffee, but he's so hard to handle. I think a lot of it is that I can't bring myself to forgive him. My mom went back to prison again for drugs, and while she was in there, I moved in with my dad’s mom (the one who lived just down the road) because I trust her, her house is stable, and she's more nurturing, understanding, and loving then my other grandparents. I also stay at my boyfriend’s a lot. Now that my mom is out of prison, she's trying to control every aspect of my life. She’s trying to make me move back home out of Susan's house, and I don't want to. I don't like it there. They condone drug abuse and many other things, and I'm just not comfortable. She's even threatened to call the police and say I'm a runaway because she has custody of me. My boyfriend has always had this picture-perfect life, and his family are strict Christians. One time, his mom even went as far as to say that if he and I break up, if we were having sex, I would say that he raped me. I've got so many problems I don't even know what to do. ### Response:

Thank you for reaching out and I can see that this is getting to the point that it is becoming overwhelming with all that is going on. To address your question, the best answer is that it will take time and from what I read you are still living through it , so your feelings are perfectly normal for the situation. I get the  impression that you really need someone to process through all that you have been through and unfortunately getting  adequate feedback would best be done meeting one on one with a therapist vs. through a question answer forum. If you are currently in school you could see about meeting with a school therapist or if you are over the age of 15, in most states you can consent to your own therapy. If you choose not to meet with a therapist I would encourage you to call a crisis hotline to help you safety plan to keep yourself safe around your parents 1-800-273-8255  If you chose to meet with a therapist keep in mind that a lot of what you experienced can be reported to Family protective services since you are a minor. You can also choose to make a report if you are feeling unsafe with your parents. I’m glad to hear that you have your grandmother for support. I’m sure this is a lot to take in and I wish you the best.

### Instruction: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather. I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility. Do I have the rights to be able to sign my brother into mentalhealth facility? ### Response:

Family members sometimes get Power of Attorney over vulnerable adults. If you had this, you could do something like that. I'm assuming that you don't, though. There are steps family members can take through the court system to get someone involuntarily committed, but it is a long process. I deal with situations like this everyday on the job. The only time an adult can be committed against their will is if they are deemed by the doctor (such as at an emergency room) to be a threat to self or others. For instance, if he had suicidal thoughts and a plan to carry out the action, or if he had homicidal thoughts against someone else and a plan to carry it out, he could be placed on a short hold, but these holds only last for a few days. This still isn't a long-term solution. An adult has the right to refuse treatment and the right to make their own choices, no matter how bad those choices are. If you have a way to get him to an ER whenever things like that happen, such as being found sleeping outside in 12 degree weather, it will help a lot. They may or may not do a short term commitment for treatment based on the situation that brings him to the ER, but it's a start. They can help set him up with appointments for psych and he can get on medications. You can help by taking him to appointments and making sure his medications get filled. However, you can't force him to take the meds, so this may be something that happens a lot. With enough of a paper trail of many ER visits and that sort of thing, you'll stand a better chance of getting a court appointed psych ward stay. Some tips about ER visits: Don't send him alone. Always go with him or have someone go with him, because you will be able to give the treatment team better insight into what's going on than he will. He may say everything's fine and he wants to leave, so they won't have any reason to keep him if that is the case. Go with him. If you do get Power of Attorney, take the paperwork with you when you go to the ER and to doctor's appointments because they aren't just going to take your word. They need to see the actual paperwork. Having it on file in their system isn't good enough because paperwork expires, etc. Take it with you at all times. You can also compile his medical records and that sort of thing to take with you so they can see a full history of what's going on.Keep in mind that if you do get Power of Attorney, this makes you his guardian and you have to take care of him. Otherwise, you can get reported for vulnerable adult abuse and neglect. In fact, your mom ignoring and not helping may already put her at risk of that because she is willingly doing nothing to help someone who clearly needs the help. She won't be financially responsible for the hospital or doctor bills, but should be held responsible for his safety. Someone should. There are group homes for people with schizophrenia. " Being responsible" for someone doesn't mean you have to pay their bills, it just means you are going to make sure they get the care they need. That care may be placement in a long-term care facility like a group home or a nursing home. Psych inpatient hospitals aren't long-term, so you do need to look into other long-term options. Psych inpatient stays are temporary and are to stabilize him, they're not where someone stays forever.Good luck, and keep up the good attitude! Work with his treatment team. Ask for a social worker. If they see family that is wanting to do the right thing and wanting to help, they'll help you even if it does take a while to get things sorted out. The worst thing any of you can do is NOT go to appointments and that sort of thing. 

### Instruction: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather. I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility. Do I have the rights to be able to sign my brother into mentalhealth facility? ### Response:

Family members sometimes get Power of Attorney over vulnerable adults. If you had this, you could do something like that. I'm assuming that you don't, though. There are steps family members can take through the court system to get someone involuntarily committed, but it is a long process. I deal with situations like this everyday on the job. The only time an adult can be committed against their will is if they are deemed by the doctor (such as at an emergency room) to be a threat to self or others. For instance, if he had suicidal thoughts and a plan to carry out the action, or if he had homicidal thoughts against someone else and a plan to carry it out, he could be placed on a short hold, but these holds only last for a few days. This still isn't a long-term solution. An adult has the right to refuse treatment and the right to make their own choices, no matter how bad those choices are. If you have a way to get him to an ER whenever things like that happen, such as being found sleeping outside in 12 degree weather, it will help a lot. They may or may not do a short term commitment for treatment based on the situation that brings him to the ER, but it's a start. They can help set him up with appointments for psych and he can get on medications. You can help by taking him to appointments and making sure his medications get filled. However, you can't force him to take the meds, so this may be something that happens a lot. With enough of a paper trail of many ER visits and that sort of thing, you'll stand a better chance of getting a court appointed psych ward stay. Some tips about ER visits: Don't send him alone. Always go with him or have someone go with him, because you will be able to give the treatment team better insight into what's going on than he will. He may say everything's fine and he wants to leave, so they won't have any reason to keep him if that is the case. Go with him. If you do get Power of Attorney, take the paperwork with you when you go to the ER and to doctor's appointments because they aren't just going to take your word. They need to see the actual paperwork. Having it on file in their system isn't good enough because paperwork expires, etc. Take it with you at all times. You can also compile his medical records and that sort of thing to take with you so they can see a full history of what's going on.Keep in mind that if you do get Power of Attorney, this makes you his guardian and you have to take care of him. Otherwise, you can get reported for vulnerable adult abuse and neglect. In fact, your mom ignoring and not helping may already put her at risk of that because she is willingly doing nothing to help someone who clearly needs the help. She won't be financially responsible for the hospital or doctor bills, but should be held responsible for his safety. Someone should. There are group homes for people with schizophrenia. " Being responsible" for someone doesn't mean you have to pay their bills, it just means you are going to make sure they get the care they need. That care may be placement in a long-term care facility like a group home or a nursing home. Psych inpatient hospitals aren't long-term, so you do need to look into other long-term options. Psych inpatient stays are temporary and are to stabilize him, they're not where someone stays forever.Good luck, and keep up the good attitude! Work with his treatment team. Ask for a social worker. If they see family that is wanting to do the right thing and wanting to help, they'll help you even if it does take a while to get things sorted out. The worst thing any of you can do is NOT go to appointments and that sort of thing.

### Instruction: Every once and a while, I think about my ex-boyfriend from four years ago, and my current friend. It’s like I can't get past it, and I need some kind of closure. I keep thinking about how we had something, but it got cut off due to parental intervention. Nothing was ever wrong with it. Now we've become friends, but there's this huge sexual tension between us, or at least I feel it when we're physically in the same place. Two summers ago, we saw each other casually for a while, but we never had sex then or while we were dating, which was only for two months three years ago. I'm now in my 20s, and my current boyfriend is amazing and in his 30s. Despite the age difference, I know we're a really good match. We've never really fought and are able to make compromises and talk everything out. I tell him everything. Also, my ex-boyfriend has a girlfriend now as well. He’s been seeing her on and off for the past two and a half years, besides when they broke up and we had our casual thing. That summer, I told him I didn't want anything serious and broke it off. Only a week later, he had gotten back together with his girlfriend. His girlfriend is kind of mean spirited. I'm sure she may be different around him, but I worry about him committing to her in the long run. They're supposed to move in together soon. But still, I feel this connection with my ex-boyfriend, and I feel like he does too. I don't know what to do. I need some closure or I'm not going to be able to move on from this. I don't know what it is, but it's driving me crazy. I’m so happy with my current boyfriend, and I know he will do everything in his power to make my life beautiful and fulfilling. He’s such a good person. I also know my ex-boyfriend smokes marijuana and does other things, but I can't get it out of my head. I'm trying to take a nap right now between classes, but I can't sleep because my mind is racing. I've never been so hung up on something for this long ever. I want to just talk it out with my ex-boyfriend, but I don't know if that's a good idea because of the possibility that it could blow up in my face. If he told his girlfriend, everything could go wrong because she hates me. If my current boyfriend knew, he would be crushed. On one hand, I want my ex-boyfriend to say no to having feelings for me, but I would be terrified of what to do if he said he has feelings too. Where would I go from there? On the other hand, I feel like I can't move forward in my relationship with my current boyfriend without closure from this. Sometimes I wish I could just cut off everything that had to do with my ex, but I don't want to. Please help me, because I really have no idea what to do. ### Response:

If you're in a relationship and you're having strong thoughts about someone else, it's important to pay attention to that. Although you say you're happy, I'd suggest looking really carefully at the relationship you have and whether you're getting everything you need. Is there a physical connection with your ex that you don't have with your current boyfriend? It could be that your boyfriend is marvelous in many areas, but that you just don't feel excited about him for some reason. That's a pretty important element to be missing.It may be that, even if you are happy with your current boyfriend, you still hold something special for your ex. If you feel the need to see what is possible there, I think you have to tell your boyfriend about that and end it with him first. You can't have everything.If you truly feel that you want to be with your current boyfriend, you will do well to stop thinking about and focusing on your ex, because thoughts of him will interfere with the growth of your current relationship. The grass isn't greener... A therapist can help you to focus your energies and thoughts on the present, rather than an imagined version of the past or future.

### Instruction: Every once and a while, I think about my ex-boyfriend from four years ago, and my current friend. It’s like I can't get past it, and I need some kind of closure. I keep thinking about how we had something, but it got cut off due to parental intervention. Nothing was ever wrong with it. Now we've become friends, but there's this huge sexual tension between us, or at least I feel it when we're physically in the same place. Two summers ago, we saw each other casually for a while, but we never had sex then or while we were dating, which was only for two months three years ago. I'm now in my 20s, and my current boyfriend is amazing and in his 30s. Despite the age difference, I know we're a really good match. We've never really fought and are able to make compromises and talk everything out. I tell him everything. Also, my ex-boyfriend has a girlfriend now as well. He’s been seeing her on and off for the past two and a half years, besides when they broke up and we had our casual thing. That summer, I told him I didn't want anything serious and broke it off. Only a week later, he had gotten back together with his girlfriend. His girlfriend is kind of mean spirited. I'm sure she may be different around him, but I worry about him committing to her in the long run. They're supposed to move in together soon. But still, I feel this connection with my ex-boyfriend, and I feel like he does too. I don't know what to do. I need some closure or I'm not going to be able to move on from this. I don't know what it is, but it's driving me crazy. I’m so happy with my current boyfriend, and I know he will do everything in his power to make my life beautiful and fulfilling. He’s such a good person. I also know my ex-boyfriend smokes marijuana and does other things, but I can't get it out of my head. I'm trying to take a nap right now between classes, but I can't sleep because my mind is racing. I've never been so hung up on something for this long ever. I want to just talk it out with my ex-boyfriend, but I don't know if that's a good idea because of the possibility that it could blow up in my face. If he told his girlfriend, everything could go wrong because she hates me. If my current boyfriend knew, he would be crushed. On one hand, I want my ex-boyfriend to say no to having feelings for me, but I would be terrified of what to do if he said he has feelings too. Where would I go from there? On the other hand, I feel like I can't move forward in my relationship with my current boyfriend without closure from this. Sometimes I wish I could just cut off everything that had to do with my ex, but I don't want to. Please help me, because I really have no idea what to do. ### Response:

If you're in a relationship and you're having strong thoughts about someone else, it's important to pay attention to that. Although you say you're happy, I'd suggest looking really carefully at the relationship you have and whether you're getting everything you need. Is there a physical connection with your ex that you don't have with your current boyfriend? It could be that your boyfriend is marvelous in many areas, but that you just don't feel excited about him for some reason. That's a pretty important element to be missing.It may be that, even if you are happy with your current boyfriend, you still hold something special for your ex. If you feel the need to see what is possible there, I think you have to tell your boyfriend about that and end it with him first. You can't have everything.If you truly feel that you want to be with your current boyfriend, you will do well to stop thinking about and focusing on your ex, because thoughts of him will interfere with the growth of your current relationship. The grass isn't greener... A therapist can help you to focus your energies and thoughts on the present, rather than an imagined version of the past or future.

### Instruction: I am a teenager. I have been experiencing major episodes of depression (if that's even what it is) for several years. It’s always getting worse. I have been having panic attacks, feeling like I can't control my fears, and I can't even bring myself to care if I live or die anymore. The problem is that I don't know who to ask for help. When I try to talk to my parents, I freeze completely and can't do anything but make a joke because never once in my life have we talked about our feelings. ### Response:

I understand that talking about our feelings can be awkward and using jokes is a way to relieve that awkwardness, but there is a right or wrong way to talk about your feelings. The important part is to recognize that you need help addressing those feelings and reaching out, which you are doing already.  Having small conversations with your family is helpful, you can explain to them that you have been experiencing emotional discomfort and would like to talk to them about it.   Since you been experiencing anxiety, panic attacks, and have thought about dying,  It is VERY important that you ask them to help you make an appointment with a mental health professional.  Those symptoms indicate that your body is having a hard time managing intense feelings and it will be helpful if you understand why they occur and how to cope with them. You may contact your school counselor or you may schedule an appointment with a local therapist.  You may contact the Texas Crisis Hotline 800-989-6884 where you can talk or chat with mental health professionals or schedule a teletherapy session.   The National Crisis Hotline is also available for calling and texting 1-800-273-8255.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.   ------------------------------------------------------------------------------------------------------------------------------------------¿Cómo hablo de mis sentimientos de depresión y con quién hablo?Soy un adolecente.  He estado experimentando episodios de depresión severa (si es lo que creo) por muchos años.  Siempre se pone peor.  He estado teniendo ataques de pánico, sintiendo que no puedo controlar mis miedos y sintiendo que ya no importa si quiero vivir o morir.  El problema es que ya no sé a quién pedirle ayuda.  Cuando intento hablar con mis padres, Me congelo y solo puedo hacer bromas porque nunca en mi vida hemos hablado de nuestros sentimientos. Entiendo que hablar de tus emociones puede hacernos sentir inadecuados, y bromear es una manera de manejar ese sentimiento incómodo, pero no hay forma correcta o incorrecta de hablar sobre tus sentimientos.  Lo importante es reconocer que necesitas ayuda para manejarlos, y ya tu estas en ese proceso.  Tener pequeñas conversaciones con tu familia te ayudara a explicarles los sentimientos que estas experimentando.  Es importante que les pidas hacer una cita con un profesional de la salud mental, ya que has estado experimentando síntomas que indican que tu cuerpo ya no puede manejar tus sentimientos y necesita nuevas herramientas.  Puedes contactar a tu consejero escolar, o a un proveedor de salud mental cerca de ti o por teléfono.  Mientras tanto, puedes llamar a la línea de crisis de Texas 800-989-6884 para hablar con un profesional de salud mental.  La línea nacional de crisis también esta disponible en todos los Estados Unidos y proveen servicios en español 1-800-273-8255 Yo soy una 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.

### Instruction: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from. Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas? ### Response:

Hello, and let me say first, what a great question! There are so many people putting forth their 100% everyday and often times, do not get the credit they deserve. Without being able to fully understand where you're question is coming from, I think there are a couple of different ways to look at this question.First, I think it's important for us to consider the message being sent by those in your life stating that you're "not good enough." Is that ACTUALLY what they said, or is this just what you heard? Sometimes, because of our own self-doubts and fears, we skew and misinterpret the messages we receive from others. Again, listen to the message being sent and attempt to remain objective. Is the message being sent coming from a place of love or concern? If so, have an honest and open communication with that individual about what your concerns are regarding the amount of energy and time you're spending on being "good enough." Explore with them how you feel you'r already giving your best.If the person is unwilling to work at understanding this concern you have, then it may be time to explore the relationship. Some relationships we engage in can be toxic, especially if the other person is toxic. It may be they have their own "stuff" going on and they feel the need to constantly put others down to make themselves feel better. If you're in the direct path of this individual, then it serves to reason you will probably be in the direct fire, as well. Explore whether or not you want this relationship to continue in your life. If it's a relationship that MUST continue, then work on what you will do to distance yourself from their toxicity or their problems. Until they're willing to work on these issues for themselves, then it may be necessary to find an exit strategy, such as leaving the room or simply refusing to engage in the conversation. Another perspective of this question is exploring the reason why it's important for YOU to satisfy the expectations of these other individuals? NO ONE will ever be 100% "good enough" for EVERYONE. Every single person has their own set of expectations in themselves and expectations in others. It would be impossible to satisfy all of those expectations for every single person in our lives. The question becomes, what is it WITHIN you that feels the need to meet these expectations? There is most likely a part of you, yourself, as an individual that feels "less than" and feels as if you, yourself, are not good enough. It then becomes impossible to every feel "good enough" for others, because it's really YOU you're trying to feel good enough for. If you already feel as if you're doing everything you can do to be at your best version of yourself, then really work on LETTING GO of the rest. No one is perfect, and striving for perfection in our lives only creates more anxiety and stress. Find a middle ground in which you are happy with your accomplishments and your daily goals, and learn to let go of what's left. After all, tomorrow is a new day and you can work on more of your goals tomorrow!I recommend doing this by finding a mantra, a statement or phrase you can repeat to yourself anytime you start to feel that sense of stress and pressure from striving for perfection. The mantra can remind you to let go of this expectation you have for yourself or that others have for you so you can also let go of the stress and anxiety surrounding the expectation. I leave you with one of my favorite quotes that perhaps you can use as your mantra, "No one can make you feel inferior without your consent. " - Eleanor Roosevelt. 

### Instruction: I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks. Sometimes I feel i'm not worth knowing or i'm never going to do anything right. Are they right, am I depressed? ### Response:

Hello. Being a teenager in our society today can cause depression quite easily. We look at the world in which we live, and the doubts we have about being able to make a contribution, or to have value and worth with the people around us, and we begin to internalize those messages of self-worth. If that alone were not enough, you are trying to figure out where you want to go in life, and who you are supposed to be in the world. Teens are faced with pressures of being judged by your peers for how you present yourself; following current fashions; possessing the trendy things; and hanging out with the "in crowd." Here's a "secret" that might help with most of those issues: Not much of those problems I've just described will really matter as they might seem to right now, in the real world. If you are feeling depression because you feel you lack some of those things that are seen as important by others (like your peers), I can assure you that being someone who is kind; compassionate; understanding of another person's suffering; and the effort you make to be the best person you can become in the world, will far outweigh anything you experienced in your teen years.When we are young, we judge everything based on what our peers have, what they say, the way they dress, who's popular, who's not popular, and for the most of it, all of that is external. So the question becomes, are you trying to fix the feelings on the inside (the internal stuff), with the trappings of all the stuff on the outside (the internal)? That is to say, do you feel that if you had what your friends have, you would be happy and less depressed? Depression is usually a symptom of something much bigger, it is not typically a problem by itself (just as a person who experiences a high temperature may likely have a cold). So fixing the symptom requires looking at the possible causes. In your post, you mentioned that you live with your dad. Are your parents divorced or separated, or has your mom passed away? Either of these circumstances could certainly cause depression. Finding out when you started feeling depressed, might be able to pinpoint the trigger that caused it, which requires looking at when you last felt really happy. It is also important to keep in mind, that as a teenager, your emotions are often being experienced very randomly, and sometimes without cause. It is part of your emotional development, but as you grow older can learn how to manage those emotions better and practice doing things that help you feel better (without causing harm to yourself).Have you tried talking to your dad about your feelings, or maybe another relative if you feel safer doing so? Do you have a friend who is your best friend...someone who is there for you no matter what? If not, there is a service you can use that is a national number for teens to talk with teen peer counselors. They are teens like yourself, but they have some insights that might be helpful. Its called Teen Line (https://teenlineonline.org/). It helped me when I was in my teens, and has helped lots of other teens as well. You might find a place to get some referrals to other local services in your area. If you want are in Washington state and would like to connect with me directly, you call link to me via my profile page. Or perhaps finding a counselor in your local area might be useful. Most towns and cities have some form of low cost counseling. You might also check with your school for assistance.Don't be afraid of not always knowing how you are supposed to feel. Adults don't always have a handle on it either. Being a teenager carries a lot stress, fear, and uncertainty. But you are not alone, and there is help if you reach out for it. I wish for you the very best, and bright future. 

### Instruction: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from. Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas? ### Response:

Hello, and let me say first, what a great question! There are so many people putting forth their 100% everyday and often times, do not get the credit they deserve. Without being able to fully understand where you're question is coming from, I think there are a couple of different ways to look at this question.First, I think it's important for us to consider the message being sent by those in your life stating that you're "not good enough." Is that ACTUALLY what they said, or is this just what you heard? Sometimes, because of our own self-doubts and fears, we skew and misinterpret the messages we receive from others. Again, listen to the message being sent and attempt to remain objective. Is the message being sent coming from a place of love or concern? If so, have an honest and open communication with that individual about what your concerns are regarding the amount of energy and time you're spending on being "good enough." Explore with them how you feel you'r already giving your best.If the person is unwilling to work at understanding this concern you have, then it may be time to explore the relationship. Some relationships we engage in can be toxic, especially if the other person is toxic. It may be they have their own "stuff" going on and they feel the need to constantly put others down to make themselves feel better. If you're in the direct path of this individual, then it serves to reason you will probably be in the direct fire, as well. Explore whether or not you want this relationship to continue in your life. If it's a relationship that MUST continue, then work on what you will do to distance yourself from their toxicity or their problems. Until they're willing to work on these issues for themselves, then it may be necessary to find an exit strategy, such as leaving the room or simply refusing to engage in the conversation. Another perspective of this question is exploring the reason why it's important for YOU to satisfy the expectations of these other individuals? NO ONE will ever be 100% "good enough" for EVERYONE. Every single person has their own set of expectations in themselves and expectations in others. It would be impossible to satisfy all of those expectations for every single person in our lives. The question becomes, what is it WITHIN you that feels the need to meet these expectations? There is most likely a part of you, yourself, as an individual that feels "less than" and feels as if you, yourself, are not good enough. It then becomes impossible to every feel "good enough" for others, because it's really YOU you're trying to feel good enough for. If you already feel as if you're doing everything you can do to be at your best version of yourself, then really work on LETTING GO of the rest. No one is perfect, and striving for perfection in our lives only creates more anxiety and stress. Find a middle ground in which you are happy with your accomplishments and your daily goals, and learn to let go of what's left. After all, tomorrow is a new day and you can work on more of your goals tomorrow!I recommend doing this by finding a mantra, a statement or phrase you can repeat to yourself anytime you start to feel that sense of stress and pressure from striving for perfection. The mantra can remind you to let go of this expectation you have for yourself or that others have for you so you can also let go of the stress and anxiety surrounding the expectation. I leave you with one of my favorite quotes that perhaps you can use as your mantra, "No one can make you feel inferior without your consent. " - Eleanor Roosevelt.

### Instruction: 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? ### Response:

Anxiety often occurs when big or unexpected changes come to our lives, like having new jobs, relocating, or assuming new roles. Notice if your anxiety feels like excitement, concerns, or fear.It seems like you are excited about your new job, but worried because OTHERS are telling you that you have anxiety.   Let's notice how other‘s input is affecting your thoughts and maybe causing more anxiety that you may really have.   If you are indeed experiencing anxiety, that does not mean that you will have panic attacks.   But if you are experiencing panic attacks, or suffer them at some point, you could learn how to reduce them either with therapy or medication.You can learn how to process it depending what triggers it and channel it, in a useful way.  For example, you could plan a schedule around your new job and be meticulous about it because you are worried about how your new job may affect your routine, or, you could feel overwhelmed with your schedule, focus on the feeling, but not do anything about it.  Notice the difference?  The key is in recognizing if you are anxious about something that you can change or have control over it, and take action if you do, and recognizing when you cannot control things and be OK with not being in control.I teach clients how to use meditation and cognitive reframing techniques to help calm anxiety symptoms.  If you are interested in engaging in counseling or teletherapy you may contact me at 787-466-5478.I wish you success on your new journey!Estoy preocupada por mi nuevo trabajoLa gente me dice que tengo ansiedad y estoy aterrorizada de tener un ataque de pánico en la carretera.  Esto es nuevo par a mí. ¿Que puedo hacer?La ansiedad ocurre comúnmente cuando llegan cambios grandes o inesperados en nuestras vidas, como tener un nuevo empleo, mudarse o asumir nuevos roles.Al parecer estás emocionada por tu nuevo trabajo, pero preocupada por que OTROS te dicen que tienes ansiedad.  Notemos como la opinión de otros esta influenciando tus pensamientos y tal vez te puede estar causando más ansiedad de lo que realmente tienes.  Si realmente estas pasando por un periodo de ansiedad, no es necesario que vayas a experimentar ataques de pánico.  Pero si ya los haz experimentado puedes utilizar terapia o medicamentos para controlarlos.Nota si tu ansiedad se siente emocionante, preocupada o temerosa.  Puedes aprender a procesar estos sentimientos dependiendo que pensamiento los causen y canalizar la ansiedad de manera productiva.  Por ejemplo: te puedes enfocar en organizar una agenda porque te preocupa como tu nuevo empleo afectara tu rutina diaria.  O te puedes sentir agobio respecto a cómo tu trabajo afecta tu rutina, y no hace nada más que preocuparte constantemente.  ¿Notas la diferencia?  La clave está en saber cuándo te preocupas  por algo que puedes cambiar, y tomar acción; vs. cuando te preocupas  por algo que no puedes cambiar y aceptar que no lo puedes cambiar.Le enseño a mis pacientes a  usar técnicas de meditación y re enfoque cognitivo para manejar síntomas de ansiedad  y desorden de pánico.  Si te interesa una cita de consejería o tele-terapia me puedes contactar al 787-466-5478. ¡Mucho éxito en tu nueva jornada!

### Instruction: 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? ### Response:

Anxiety often occurs when big or unexpected changes come to our lives, like having new jobs, relocating, or assuming new roles. Notice if your anxiety feels like excitement, concerns, or fear.It seems like you are excited about your new job, but worried because OTHERS are telling you that you have anxiety.   Let's notice how other‘s input is affecting your thoughts and maybe causing more anxiety that you may really have.   If you are indeed experiencing anxiety, that does not mean that you will have panic attacks.   But if you are experiencing panic attacks, or suffer them at some point, you could learn how to reduce them either with therapy or medication.You can learn how to process it depending what triggers it and channel it, in a useful way.  For example, you could plan a schedule around your new job and be meticulous about it because you are worried about how your new job may affect your routine, or, you could feel overwhelmed with your schedule, focus on the feeling, but not do anything about it.  Notice the difference?  The key is in recognizing if you are anxious about something that you can change or have control over it, and take action if you do, and recognizing when you cannot control things and be OK with not being in control.I teach clients how to use meditation and cognitive reframing techniques to help calm anxiety symptoms.  If you are interested in engaging in counseling or teletherapy you may contact me at 787-466-5478.I wish you success on your new journey!Estoy preocupada por mi nuevo trabajoLa gente me dice que tengo ansiedad y estoy aterrorizada de tener un ataque de pánico en la carretera.  Esto es nuevo par a mí. ¿Que puedo hacer?La ansiedad ocurre comúnmente cuando llegan cambios grandes o inesperados en nuestras vidas, como tener un nuevo empleo, mudarse o asumir nuevos roles.Al parecer estás emocionada por tu nuevo trabajo, pero preocupada por que OTROS te dicen que tienes ansiedad.  Notemos como la opinión de otros esta influenciando tus pensamientos y tal vez te puede estar causando más ansiedad de lo que realmente tienes.  Si realmente estas pasando por un periodo de ansiedad, no es necesario que vayas a experimentar ataques de pánico.  Pero si ya los haz experimentado puedes utilizar terapia o medicamentos para controlarlos.Nota si tu ansiedad se siente emocionante, preocupada o temerosa.  Puedes aprender a procesar estos sentimientos dependiendo que pensamiento los causen y canalizar la ansiedad de manera productiva.  Por ejemplo: te puedes enfocar en organizar una agenda porque te preocupa como tu nuevo empleo afectara tu rutina diaria.  O te puedes sentir agobio respecto a cómo tu trabajo afecta tu rutina, y no hace nada más que preocuparte constantemente.  ¿Notas la diferencia?  La clave está en saber cuándo te preocupas  por algo que puedes cambiar, y tomar acción; vs. cuando te preocupas  por algo que no puedes cambiar y aceptar que no lo puedes cambiar.Le enseño a mis pacientes a  usar técnicas de meditación y re enfoque cognitivo para manejar síntomas de ansiedad  y desorden de pánico.  Si te interesa una cita de consejería o tele-terapia me puedes contactar al 787-466-5478. ¡Mucho éxito en tu nueva jornada!

### Instruction: I was in a car accident and totaled my car. I gave up my job of nine years to pursue school full-time to better myself. I failed a class, and my boyfriend that I live with thinks I’m stupid and wants to break up with me. I have nowhere to go, and I feel like I’m losing everything. ### Response:

When we feel overwhelmed by life situations, it is important to understand where the feeling is coming from.  Once we understand the source, it is important to normalize the situations that got us there and find balance in our lives.First, car accidents are common, and since they are accidents they are not a reflection of us.   When we have an accident we feel anxious, worried, and may have some trauma after the accidents.  If you have been experiencing anxiety since the car accident, talk to your doctor or therapist about it.  Second, a lot of people fail classes, tasks, deadlines, etc. but they don’t give up on their goal.  We have to remember that failing is part of the learning process, and having the courage to try again is what gives us determination and character.  Remind yourself what motivated you to leave your job, and the courage and determination that took to do so, then channel that energy back into school.  Third, when we have problems in our relationships, is helpful to look for ways to improve communication, discuss our concerns and how we want to resolve them, but it may be that the relationship needs to end if there isn’t enough interest in one of the parts or if there’s verbal or emotional abuse.  Consider talking to your boyfriend and set some boundaries regarding appropriate communication.At all times:  focus on being kind to yourself and improving your self-esteem: increase self-care activities, do more things that you enjoy, meditate in what gives you peace and make an effort to have more of that in your life.   At the end, you are the one in control of your life, and you determine who you become.¿Qué puedo hacer cuando siento que mi vida está fuera de control?Estuve en un accidente de auto, y fue pérdida total.  Deje mi trabajo de 9 años para completar un grado a tiempo completo.  Falle una clase, y mi novio piensa que soy estúpida, el quiere dejarme.  No tengo a donde ir y siento que lo estoy perdiendo todo.Cuando nos sentimos agobiados es importante reconocer donde estamos parados y entender de donde vienen esas emociones.  Ya que entendemos la fuente de agobio, es importante normalizar las situaciones que lo causaron, y volver a encontrar el balance en nuestra vida.Primero, los accidentes de auto son comunes, y por ser accidentes no son un reflejo de nosotros o nuestras destrezas.  Cuando experimentamos accidentes no s sentimos ansiosos, preocupados, y puede que experimentemos algún trauma.  Si sientes ansiedad, extrema preocupación habla con tu doctor o terapista al respecto.  Segundo, muchas personas fallan clases, tareas, fechas de entrega, pero no se rinden.  Tenemos que recordar que fallar es parte del proceso de aprendizaje, y tener el valor de intentarlo de nuevo, es lo que nos da determinación y carácter.   Recuerda que te impulsó a dejar tu trabajo y canaliza esa energía en la escuela.  Tercero,  cuando tenemos problemas en las relaciones, es importante comunicar nuestras preocupaciones y diferencias, pero puede ser que la relación termine si no hay interés mutuo o si hay algún tipo de abuso.   Considera hablar con tu novio y establecer límites respecto a la comunicación apropiada.En todo momento: enfócate en cuidarte a ti misma y mejorar tu autoestima, aumenta las actividades que te ayudan a sentirte bien, medita sobre lo que te paz y pasa más tiempo practicando esas actividades.

### Instruction: I was in a car accident and totaled my car. I gave up my job of nine years to pursue school full-time to better myself. I failed a class, and my boyfriend that I live with thinks I’m stupid and wants to break up with me. I have nowhere to go, and I feel like I’m losing everything. ### Response:

When we feel overwhelmed by life situations, it is important to understand where the feeling is coming from.  Once we understand the source, it is important to normalize the situations that got us there and find balance in our lives.First, car accidents are common, and since they are accidents they are not a reflection of us.   When we have an accident we feel anxious, worried, and may have some trauma after the accidents.  If you have been experiencing anxiety since the car accident, talk to your doctor or therapist about it.  Second, a lot of people fail classes, tasks, deadlines, etc. but they don’t give up on their goal.  We have to remember that failing is part of the learning process, and having the courage to try again is what gives us determination and character.  Remind yourself what motivated you to leave your job, and the courage and determination that took to do so, then channel that energy back into school.  Third, when we have problems in our relationships, is helpful to look for ways to improve communication, discuss our concerns and how we want to resolve them, but it may be that the relationship needs to end if there isn’t enough interest in one of the parts or if there’s verbal or emotional abuse.  Consider talking to your boyfriend and set some boundaries regarding appropriate communication.At all times:  focus on being kind to yourself and improving your self-esteem: increase self-care activities, do more things that you enjoy, meditate in what gives you peace and make an effort to have more of that in your life.   At the end, you are the one in control of your life, and you determine who you become.¿Qué puedo hacer cuando siento que mi vida está fuera de control?Estuve en un accidente de auto, y fue pérdida total.  Deje mi trabajo de 9 años para completar un grado a tiempo completo.  Falle una clase, y mi novio piensa que soy estúpida, el quiere dejarme.  No tengo a donde ir y siento que lo estoy perdiendo todo.Cuando nos sentimos agobiados es importante reconocer donde estamos parados y entender de donde vienen esas emociones.  Ya que entendemos la fuente de agobio, es importante normalizar las situaciones que lo causaron, y volver a encontrar el balance en nuestra vida.Primero, los accidentes de auto son comunes, y por ser accidentes no son un reflejo de nosotros o nuestras destrezas.  Cuando experimentamos accidentes no s sentimos ansiosos, preocupados, y puede que experimentemos algún trauma.  Si sientes ansiedad, extrema preocupación habla con tu doctor o terapista al respecto.  Segundo, muchas personas fallan clases, tareas, fechas de entrega, pero no se rinden.  Tenemos que recordar que fallar es parte del proceso de aprendizaje, y tener el valor de intentarlo de nuevo, es lo que nos da determinación y carácter.   Recuerda que te impulsó a dejar tu trabajo y canaliza esa energía en la escuela.  Tercero,  cuando tenemos problemas en las relaciones, es importante comunicar nuestras preocupaciones y diferencias, pero puede ser que la relación termine si no hay interés mutuo o si hay algún tipo de abuso.   Considera hablar con tu novio y establecer límites respecto a la comunicación apropiada.En todo momento: enfócate en cuidarte a ti misma y mejorar tu autoestima, aumenta las actividades que te ayudan a sentirte bien, medita sobre lo que te paz y pasa más tiempo practicando esas actividades.

### Instruction: I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks. Sometimes I feel i'm not worth knowing or i'm never going to do anything right. Are they right, am I depressed? ### Response:

Hello. Being a teenager in our society today can cause depression quite easily. We look at the world in which we live, and the doubts we have about being able to make a contribution, or to have value and worth with the people around us, and we begin to internalize those messages of self-worth. If that alone were not enough, you are trying to figure out where you want to go in life, and who you are supposed to be in the world. Teens are faced with pressures of being judged by your peers for how you present yourself; following current fashions; possessing the trendy things; and hanging out with the "in crowd." Here's a "secret" that might help with most of those issues: Not much of those problems I've just described will really matter as they might seem to right now, in the real world. If you are feeling depression because you feel you lack some of those things that are seen as important by others (like your peers), I can assure you that being someone who is kind; compassionate; understanding of another person's suffering; and the effort you make to be the best person you can become in the world, will far outweigh anything you experienced in your teen years.When we are young, we judge everything based on what our peers have, what they say, the way they dress, who's popular, who's not popular, and for the most of it, all of that is external. So the question becomes, are you trying to fix the feelings on the inside (the internal stuff), with the trappings of all the stuff on the outside (the internal)? That is to say, do you feel that if you had what your friends have, you would be happy and less depressed? Depression is usually a symptom of something much bigger, it is not typically a problem by itself (just as a person who experiences a high temperature may likely have a cold). So fixing the symptom requires looking at the possible causes. In your post, you mentioned that you live with your dad. Are your parents divorced or separated, or has your mom passed away? Either of these circumstances could certainly cause depression. Finding out when you started feeling depressed, might be able to pinpoint the trigger that caused it, which requires looking at when you last felt really happy. It is also important to keep in mind, that as a teenager, your emotions are often being experienced very randomly, and sometimes without cause. It is part of your emotional development, but as you grow older can learn how to manage those emotions better and practice doing things that help you feel better (without causing harm to yourself).Have you tried talking to your dad about your feelings, or maybe another relative if you feel safer doing so? Do you have a friend who is your best friend...someone who is there for you no matter what? If not, there is a service you can use that is a national number for teens to talk with teen peer counselors. They are teens like yourself, but they have some insights that might be helpful. Its called Teen Line (https://teenlineonline.org/). It helped me when I was in my teens, and has helped lots of other teens as well. You might find a place to get some referrals to other local services in your area. If you want are in Washington state and would like to connect with me directly, you call link to me via my profile page. Or perhaps finding a counselor in your local area might be useful. Most towns and cities have some form of low cost counseling. You might also check with your school for assistance.Don't be afraid of not always knowing how you are supposed to feel. Adults don't always have a handle on it either. Being a teenager carries a lot stress, fear, and uncertainty. But you are not alone, and there is help if you reach out for it. I wish for you the very best, and bright future.

### Instruction: What am I doing wrong? My wife and I are fighting all the time. What can I do? We don't agree on anything and she usually jumps to conclusions, which are usually wrong on how I feel. She is very family-oriented while all of my family left me on my butt, abused, ignored and messed up with me mentally. I'm not a family-oriented person. I only have two people in my life - my best friend and my wife. My mother forced my father out of my life so I do not know who he really is. We've gotten in contact but he just makes comments on how much I look like her when in fact I look more like him. This makes me mad because I don't want to look like my mother. I hate her. All that she did was bring me down and make me homeless, which she was successful at. I need guidance in my life. I don't want to lose my wife but we need to have a space because we usually hit each other and it's not healthy. I'm dying to make our relationship healthy. I've never wanted anything more than this. Please help me. I need your advice. ### Response:

Hello. It sounds to me like you are carrying an enormous amount of emotional weight, and maybe even an equally enormous amount of guilt and feelings of failure about your marriage. I cannot imagine how challenging this is for you right now. Marriages take lots of work, and often the only examples we tend to have are of those we saw when we were young - good, bad, or indifferent. There are no easy answers to your questions, and I won't presume that my response to you will be the linch-pin that heals all your pain. But I can maybe give some thoughts and reflections. First and foremost, cut yourself some slack. No one is perfect. We fail more often than we succeed, but in the end we learn, and that learning helps us grow. Yes, you're right, the abusive aspects of your marriage are not good, and need to stop. You probably are doing more harm than good in that regard, and this will quickly destroy anything you have in your marriage that is even remotely in your favor. Seeing a therapist for yourself, and then seeing a therapist as a couple is a good approach. You have issues that you need to resolve, that, while they impact your marriage because they are part of the history of your life, they are separate from your marriage in many respects.Joining a marriage support group can also be helpful. You can find these through local counseling resources. Sometimes your local crisis numbers can provide services in your area that can be helpful. If you belong to a religious or spiritual community, then you might see if there is any type of counseling offered for free or at a reduced rate. Sometimes pastoral support is focused on the spiritual side of any issues addressed, so if you feel this is important it might be a viable option for you.Lastly, parents are imperfect. Yep...its true. They had no more of a guaranteed parenting success manual than you do at having chances for a perfect marriage. We limp along and do our best. Having said that, we can still take the best from our past and apply to our future, no matter how small or insignificant it might be for us. The bad stuff serves as lessons of what to avoid, and we are each responsible and accountable for our actions in this life. Both with ourselves, and toward other people. So this becomes a guiding principle in our actions. It may be that you discover that the marriage you are in is not a good fit.  I am sure that remains to be seen, but either way you both must be involved in saving it. If only one of you cares, then 100% of the energy to salvage the marriage rests on the shoulders of one person. That's not fair. So be sure you have a clear understanding from your wife about what she wants, and work to create an amicable solution. All of this said, seek out supportive friends, and actively work to do your part to make the changes you want to see in your life. One way or the other, you will benefit from it.Be well.

### Instruction: What am I doing wrong? My wife and I are fighting all the time. What can I do? We don't agree on anything and she usually jumps to conclusions, which are usually wrong on how I feel. She is very family-oriented while all of my family left me on my butt, abused, ignored and messed up with me mentally. I'm not a family-oriented person. I only have two people in my life - my best friend and my wife. My mother forced my father out of my life so I do not know who he really is. We've gotten in contact but he just makes comments on how much I look like her when in fact I look more like him. This makes me mad because I don't want to look like my mother. I hate her. All that she did was bring me down and make me homeless, which she was successful at. I need guidance in my life. I don't want to lose my wife but we need to have a space because we usually hit each other and it's not healthy. I'm dying to make our relationship healthy. I've never wanted anything more than this. Please help me. I need your advice. ### Response:

Hello. It sounds to me like you are carrying an enormous amount of emotional weight, and maybe even an equally enormous amount of guilt and feelings of failure about your marriage. I cannot imagine how challenging this is for you right now. Marriages take lots of work, and often the only examples we tend to have are of those we saw when we were young - good, bad, or indifferent. There are no easy answers to your questions, and I won't presume that my response to you will be the linch-pin that heals all your pain. But I can maybe give some thoughts and reflections. First and foremost, cut yourself some slack. No one is perfect. We fail more often than we succeed, but in the end we learn, and that learning helps us grow. Yes, you're right, the abusive aspects of your marriage are not good, and need to stop. You probably are doing more harm than good in that regard, and this will quickly destroy anything you have in your marriage that is even remotely in your favor. Seeing a therapist for yourself, and then seeing a therapist as a couple is a good approach. You have issues that you need to resolve, that, while they impact your marriage because they are part of the history of your life, they are separate from your marriage in many respects.Joining a marriage support group can also be helpful. You can find these through local counseling resources. Sometimes your local crisis numbers can provide services in your area that can be helpful. If you belong to a religious or spiritual community, then you might see if there is any type of counseling offered for free or at a reduced rate. Sometimes pastoral support is focused on the spiritual side of any issues addressed, so if you feel this is important it might be a viable option for you.Lastly, parents are imperfect. Yep...its true. They had no more of a guaranteed parenting success manual than you do at having chances for a perfect marriage. We limp along and do our best. Having said that, we can still take the best from our past and apply to our future, no matter how small or insignificant it might be for us. The bad stuff serves as lessons of what to avoid, and we are each responsible and accountable for our actions in this life. Both with ourselves, and toward other people. So this becomes a guiding principle in our actions. It may be that you discover that the marriage you are in is not a good fit.  I am sure that remains to be seen, but either way you both must be involved in saving it. If only one of you cares, then 100% of the energy to salvage the marriage rests on the shoulders of one person. That's not fair. So be sure you have a clear understanding from your wife about what she wants, and work to create an amicable solution. All of this said, seek out supportive friends, and actively work to do your part to make the changes you want to see in your life. One way or the other, you will benefit from it.Be well.

### Instruction: I feel like I'm trying to convince myself that I'm okay when I'm not. I'm always blocking out the bad things and forgetting. I also feel like nobody cares for me and they never will. I feel truly alone. ### Response:

I can relate! When things are going badly, I feel like my life has always been and will always be that way. (But I also do this when things are going well. That is, I forget how good things can turn bad. Personally, to avoid this emotional roller-coaster, I try and heed the famous advice by author and feminist Rita Mae Brown: "One of the keys to happiness is a bad memory."So maybe this weakness of your for forgetting is really a strength! It sounds a lot like living in the moment to me. And while it’s hard to manage my past and my future, the moment seems like a small enough piece of temporal real estate to sort out. So that’s the “what” of my answer. The “how” goes like this: Choose one from column A, two from column B, and three from column C in the following chart. Then try doing them for as long as you can. Then see what happens.A                                            B                                                  CGratitude                                Forgiveness                                 AppreciationExpectations                           Meditation                                    ExerciseBitterness                               Distraction                                    Volunteering Resentment                            Substances                                  WorryRegret                                    Possessions                                 PessimismShame                                    Desire                                          SuperstitionRage                                      Isolation                                        WishingSelf-loathing                           Criticism                                       Withholding If you feel as though what you think and believe are out of your control, or that your values were imposed on you, or that nothing good will ever happen again, then we will have to respectfully disagree. You’ve ask a very deep and insightful question, proving that your hope has gotten you this far. Hang onto that hope because I’m an example of things working out despite my previous way of looking at my life.Instead of “convincing” yourself that you’re okay when you’re not, how about calling it “accepting yourself as okay just the way you are, without judging your okayness.” You probably have high standards (perfectionism?) and that’s a thing to talk with a counselor about. The opposite of perfect is not horrible. It’s called “good enough.”Blocking out the bad things and forgetting is as natural as eating and sleeping. All the other mammals do it (except when it comes to life-threatening bad things) so why shouldn’t we? This might be called optimism. Feeling alone and uncared for is a worse feeling than being despised. This is good! This means (I suppose) that you don’t despise yourself as much as you just don’t care for you (because we can often project our own self-beliefs onto others). This is an abstract concept that will take some time to get used to. But I have a suspicion that, with just a little more self-care, and a little more caring for others, you might be better off very soon.

### Instruction: How does a person start the counseling process? ### Response:

Hello. Counseling often begins way before the client ever actually calls the local therapist. There is often a tipping point in the internal struggle that the client experiences, where they can no longer deal with the issues on their own and thus giving the motivation to seek external help. That said, clients usually go seeking therapists based on what their insurance will cover, or what is likely to be more and more the case in the near future...what they are able to pay for out of pocket. That first phone call to a prospective counselor can often feel like torture, but it doesn't have to stay that way. Counselors are well trained to acknowledge the inherent goodness of all clients, and should be able to see and hear the sense of fear in the client of being judged or put down in some way. The counselor you select should be compassionate, caring, able to join with you on your journey to resolving your issues or concerns, and to do so without negative judgment of you as a person of worth.Once you have found a counselor you want to work with, you would then schedule an appointment to meet. That first session is often very low key. There might be some forms for you to complete, which will help the counselor address your concerns and learn a bit more about you. The counselor will typically provide you with what we generally call in the profession a professional disclosure or practice statement. This document (which may be several pages long) usually outlines the counselor's credentials; practice rules; forms of payment; office hours; emergency contact details; and confidentiality guidelines under state and federal law, among other details. All of this benefits you as the client, so that you are well informed and can focus your attention on why you are meeting with the counselor.In the first session, it is absolutely okay to be nervous. Here's a really big secret (which is important to keep in mind as counseling begins): Counselors are often as nervous (if not more) to meet a new client, as the client is to meet their new counselor. It's true. We as professionals are trying to put our best foot forward to impress you with our awesome counseling skills. While simultaneously hiding all the troubling unwanted issues that we ourselves have in our life too, and being worried that we might not know if we can help the client sitting in front of us. What makes it even more challenging, is that counselors are often put on a giant pedestal of perfection by clients (all while we as counselors tend to look at it like we're standing on a three legged stool). This is normal for us when seen from the eyes of the client. Counselors and clients are both human, and we both make mistakes. Coming from that place of understanding, might bring a sense of ease to both the client and the therapist as they seek to work together. Part of this perception of perfection held by clients toward counselors, is that the skills of the counselor might look like they have all the answers. We honestly do not, plain and simple. Counselors come from life experiences (where they might be farther down on life's road than you); they hold completion of various forms of training; and have advanced education. Yet we are in the end, imperfect beings struggling to help imperfect people. This makes it easier to be compassionate to new clients walking through our door with the hope that we will receive that same compassion in return. Very often, we can find ourselves reflected in our clients' lives with their struggles and can become more effective at helping if we have resolved similar issues in our own life. So as you begin to seek out a therapist, try looking for one who is aware of their own life issues and is actively working on them too. Someone who can meet you where you are at emotionally and can understand your sense of your struggle that you are facing at the present moment. That counselor may be a good example for you as you enter into therapy and build your own strength, and thus begin dealing with the issues more effectively you bring up in therapy.

### Instruction: How does a person start the counseling process? ### Response:

Hello. Counseling often begins way before the client ever actually calls the local therapist. There is often a tipping point in the internal struggle that the client experiences, where they can no longer deal with the issues on their own and thus giving the motivation to seek external help. That said, clients usually go seeking therapists based on what their insurance will cover, or what is likely to be more and more the case in the near future...what they are able to pay for out of pocket. That first phone call to a prospective counselor can often feel like torture, but it doesn't have to stay that way. Counselors are well trained to acknowledge the inherent goodness of all clients, and should be able to see and hear the sense of fear in the client of being judged or put down in some way. The counselor you select should be compassionate, caring, able to join with you on your journey to resolving your issues or concerns, and to do so without negative judgment of you as a person of worth.Once you have found a counselor you want to work with, you would then schedule an appointment to meet. That first session is often very low key. There might be some forms for you to complete, which will help the counselor address your concerns and learn a bit more about you. The counselor will typically provide you with what we generally call in the profession a professional disclosure or practice statement. This document (which may be several pages long) usually outlines the counselor's credentials; practice rules; forms of payment; office hours; emergency contact details; and confidentiality guidelines under state and federal law, among other details. All of this benefits you as the client, so that you are well informed and can focus your attention on why you are meeting with the counselor.In the first session, it is absolutely okay to be nervous. Here's a really big secret (which is important to keep in mind as counseling begins): Counselors are often as nervous (if not more) to meet a new client, as the client is to meet their new counselor. It's true. We as professionals are trying to put our best foot forward to impress you with our awesome counseling skills. While simultaneously hiding all the troubling unwanted issues that we ourselves have in our life too, and being worried that we might not know if we can help the client sitting in front of us. What makes it even more challenging, is that counselors are often put on a giant pedestal of perfection by clients (all while we as counselors tend to look at it like we're standing on a three legged stool). This is normal for us when seen from the eyes of the client. Counselors and clients are both human, and we both make mistakes. Coming from that place of understanding, might bring a sense of ease to both the client and the therapist as they seek to work together. Part of this perception of perfection held by clients toward counselors, is that the skills of the counselor might look like they have all the answers. We honestly do not, plain and simple. Counselors come from life experiences (where they might be farther down on life's road than you); they hold completion of various forms of training; and have advanced education. Yet we are in the end, imperfect beings struggling to help imperfect people. This makes it easier to be compassionate to new clients walking through our door with the hope that we will receive that same compassion in return. Very often, we can find ourselves reflected in our clients' lives with their struggles and can become more effective at helping if we have resolved similar issues in our own life. So as you begin to seek out a therapist, try looking for one who is aware of their own life issues and is actively working on them too. Someone who can meet you where you are at emotionally and can understand your sense of your struggle that you are facing at the present moment. That counselor may be a good example for you as you enter into therapy and build your own strength, and thus begin dealing with the issues more effectively you bring up in therapy.

### Instruction: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven. When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety. Am I crazy? I don't think these thoughts are normal. ### Response:

Hi California, What you're experiencing is indeed anxiety; it's very common. Through research we know a lot of things about how to reduce anxiety. I'll get you started and it's a great idea to connect with a therapist who can build on these ideas and get to know you well.It's natural to have random thoughts that unsettle us. Our brains are complex, wonderful things. Fearful and anxious thoughts are a part of this picture; their purpose is to prepare us for the future and to help us make sense of the past and learn from it. But what happens sometimes is that our alarm systems get out of whack and get set off too easily. We often spend TOO MUCH time worrying about things that happened or might happen. When these thoughts take away from our enjoyment of life, it becomes a problem. So, while fear and anxiety try to protect us, they also seek power and will take any power they can get.In general, fear and anxiety try to tell us one or both of two things: that something is wrong with us, or that something bad will happen (or that something bad will happen because there's something wrong with us). They will use anything they can as evidence to convince you. For example... "That person looked at you funny. You're strange looking". Well there are dozens of possible explanations for the look on that person's face, and it's unlikely it had anything to do with you. For you personally, your thoughts are about the afterlife...about living forever. What does fear tell you will be uncomfortable about living forever? What would the worst part be? A therapist would help you dig deep to find the core of what you fear. It might be that you have no control over who you are or where you go. It might be that you fear going to hell because you're "bad". Search for that deepest fear.I invite you then to picture that thought as a glass of water on a shelf. It's a heavy glass, and if you held it in your hands for a while and stared at it, it would get in the way; you'd be uncomfortable and unable to focus on your life. That's what's happening now. I suggest that the problem is not so much the thought you're having; we all have random silly thoughts that usually aren't true. The problem is how long you're holding it in your hand. You could have that thought (pick up that glass) a hundred times a day and, as long as you put it right back on the shelf, it's not a problem. The trick is to get it back on that shelf.Right now, you're using distraction to do this. You're trying to focus on other things around you, but I think the glass is still in your hand. It's not enough; you're looking for more tools to get that glass back on the shelf.  And the key is in your thoughts. Once you find out what fear is trying to tell you, then you can "talk back to" fear. So, as an example, if fear is saying to you "you have no control over anything", then you can work to accept the pieces you don't have control over, learn to tolerate that feeling, and claim back the pieces you CAN control. You CAN control the extent to which you let fear take you over. With a therapist you can learn to "refute" fears' ideas. You can learn to look for concrete evidence of fear's lies and gain back control over your thoughts. I wish you the best!

### Instruction: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven. When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety. Am I crazy? I don't think these thoughts are normal. ### Response:

Hi California, What you're experiencing is indeed anxiety; it's very common. Through research we know a lot of things about how to reduce anxiety. I'll get you started and it's a great idea to connect with a therapist who can build on these ideas and get to know you well.It's natural to have random thoughts that unsettle us. Our brains are complex, wonderful things. Fearful and anxious thoughts are a part of this picture; their purpose is to prepare us for the future and to help us make sense of the past and learn from it. But what happens sometimes is that our alarm systems get out of whack and get set off too easily. We often spend TOO MUCH time worrying about things that happened or might happen. When these thoughts take away from our enjoyment of life, it becomes a problem. So, while fear and anxiety try to protect us, they also seek power and will take any power they can get.In general, fear and anxiety try to tell us one or both of two things: that something is wrong with us, or that something bad will happen (or that something bad will happen because there's something wrong with us). They will use anything they can as evidence to convince you. For example... "That person looked at you funny. You're strange looking". Well there are dozens of possible explanations for the look on that person's face, and it's unlikely it had anything to do with you. For you personally, your thoughts are about the afterlife...about living forever. What does fear tell you will be uncomfortable about living forever? What would the worst part be? A therapist would help you dig deep to find the core of what you fear. It might be that you have no control over who you are or where you go. It might be that you fear going to hell because you're "bad". Search for that deepest fear.I invite you then to picture that thought as a glass of water on a shelf. It's a heavy glass, and if you held it in your hands for a while and stared at it, it would get in the way; you'd be uncomfortable and unable to focus on your life. That's what's happening now. I suggest that the problem is not so much the thought you're having; we all have random silly thoughts that usually aren't true. The problem is how long you're holding it in your hand. You could have that thought (pick up that glass) a hundred times a day and, as long as you put it right back on the shelf, it's not a problem. The trick is to get it back on that shelf.Right now, you're using distraction to do this. You're trying to focus on other things around you, but I think the glass is still in your hand. It's not enough; you're looking for more tools to get that glass back on the shelf.  And the key is in your thoughts. Once you find out what fear is trying to tell you, then you can "talk back to" fear. So, as an example, if fear is saying to you "you have no control over anything", then you can work to accept the pieces you don't have control over, learn to tolerate that feeling, and claim back the pieces you CAN control. You CAN control the extent to which you let fear take you over. With a therapist you can learn to "refute" fears' ideas. You can learn to look for concrete evidence of fear's lies and gain back control over your thoughts. I wish you the best!

### Instruction: I feel like I'm trying to convince myself that I'm okay when I'm not. I'm always blocking out the bad things and forgetting. I also feel like nobody cares for me and they never will. I feel truly alone. ### Response:

I can relate! When things are going badly, I feel like my life has always been and will always be that way. (But I also do this when things are going well. That is, I forget how good things can turn bad. Personally, to avoid this emotional roller-coaster, I try and heed the famous advice by author and feminist Rita Mae Brown: "One of the keys to happiness is a bad memory."So maybe this weakness of your for forgetting is really a strength! It sounds a lot like living in the moment to me. And while it’s hard to manage my past and my future, the moment seems like a small enough piece of temporal real estate to sort out. So that’s the “what” of my answer. The “how” goes like this: Choose one from column A, two from column B, and three from column C in the following chart. Then try doing them for as long as you can. Then see what happens.A                                            B                                                  CGratitude                                Forgiveness                                 AppreciationExpectations                           Meditation                                    ExerciseBitterness                               Distraction                                    Volunteering Resentment                            Substances                                  WorryRegret                                    Possessions                                 PessimismShame                                    Desire                                          SuperstitionRage                                      Isolation                                        WishingSelf-loathing                           Criticism                                       Withholding If you feel as though what you think and believe are out of your control, or that your values were imposed on you, or that nothing good will ever happen again, then we will have to respectfully disagree. You’ve ask a very deep and insightful question, proving that your hope has gotten you this far. Hang onto that hope because I’m an example of things working out despite my previous way of looking at my life.Instead of “convincing” yourself that you’re okay when you’re not, how about calling it “accepting yourself as okay just the way you are, without judging your okayness.” You probably have high standards (perfectionism?) and that’s a thing to talk with a counselor about. The opposite of perfect is not horrible. It’s called “good enough.”Blocking out the bad things and forgetting is as natural as eating and sleeping. All the other mammals do it (except when it comes to life-threatening bad things) so why shouldn’t we? This might be called optimism. Feeling alone and uncared for is a worse feeling than being despised. This is good! This means (I suppose) that you don’t despise yourself as much as you just don’t care for you (because we can often project our own self-beliefs onto others). This is an abstract concept that will take some time to get used to. But I have a suspicion that, with just a little more self-care, and a little more caring for others, you might be better off very soon.

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

Goodbyes can be hard. Chances are most of the goodbyes you have experienced in your life have been difficult. Saying goodbye to a therapist can be different. It can be an opportunity to create a healthy ending in a positive relationship in your life. If you work with a therapist who is skilled, then saying goodbye can be just as transformative as the therapy itself. Ending therapy is also known as “termination.” I know, “termination” doesn’t have a great ring to it! However, it is what it is. It is an ending of the relationship as it existed. It is reality cold and stark. Of course, when I talk to clients I don’t use the word “termination,” I usually say “our goodbye.”  Under what circumstances does therapy usually end? Therapy should end when a client does not need further assistance, is not receiving any benefit from therapy, or might be harmed by continuing to work with a particular therapist.In the best case scenario the decision to move on from therapy and “say our goodbyes” happens when both the therapist and the client feel like the client is ready to move on and move up!  Ending the therapeutic relationship should actually be worked on from the very first session. What I mean by that is, there should be an understanding that the work we do together will have an ending and that is a good thing because it means the client has gained the skills to continue working on themselves independently. So the first session I have with clients usually outlines a plan where the end goal is discussed and we both have an understanding of the skills the client wants to learn or what they hope to achieve. Now sometimes there are situations where the therapist ends the relationship and the client may take that personally, it is hard when any relationship ends and it might bring up feelings of sadness, and fear or abandonment. Any good therapist will end the relationship based on what is right for the client. What are some situations where a therapist might end the relationship?If the situation the client is dealing with is out of the therapist's scope of practice, the therapist may end the relationship and refer the client to someone else. This is in the client’s best interest. Another reason a therapist might end the relationship is that the therapist is in a place in her life which prevents her from being objective and helpful.  A therapist who is going through a painful divorce may have difficulty working with a couple that considering divorce. A good therapist may see that their judgement may be clouded and want to refer the client to see someone else. This is good practice and helps the client.If a client is actively suicidal or actively using substances then the therapist may end the relationship and refer out for a higher level of care. The client may need to be hospitalized or may need an inpatient substance abuse treatment program. Therapy may be terminated while they are being treated and may continue after the intensive program is completed.  Ending therapy should be a time for connection and bringing together accomplishments, or reviewing the next important step the client needs to take. It should not be an experience of abandonment. A skilled therapist will help a client gain a new perspective on closure. For some clients, it may be the one time in their lives when they get a clean ending in a healthy relationship and they get to feel a sense of control on creating that ending. Good luck to you!

### Instruction: I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me. Why do I feel this way? ### Response:

It is normal to seek other’s attention and noticing that some people would not be interested.  After all, we belong to a social environment where we constantly receive other’s feedback, which at times validates us, makes feel important and useful, like we belong; but also at times makes us feel isolated, different and neglected, which we could interpret as hate.The key is to be aware of what you think about what people think of you.   Got it?  This part can be tricky at times, because, what others think about us does not really affect us, what really affects us is what we decide to believe, internalize, and make our reality.  For example, I could choose to ignore a person’s comment about me, or I could decide to focus on it all day, analyze why they said that and what have I done to them to get to that conclusion.  Eventually, since we became so focused on that thought, we may end up believing that what the other person said about us was true, even if we did not agree to begin with.So how can we fix this?  Awareness is the key!  It is important that you understand the way you internalize external inputs, like comments, and to go through a process of discarding negative ones.  It is also helpful to talk to your counselor about how you process feedback and validation so you learn to balance your positive traits from negatives and how that affects your relationships and self-esteem.¿Cómo me puede importar menos lo que la gente piensa?Siempre siento la necesidad de impresionar a otros, ya sea mi familia, la gente de la escuela o extraños.  Y sé que no importa lo que haga o cuanto haga, siempre habrá personas que me odian.  ¿Por qué me siento así?Es común que busquemos la atención de otros y notemos que algunas personas no están interesadas.  Después de todo pertenecemos a un ambiente social donde constantemente recibimos comentarios, que a veces nos validan, alagan y nos hacen sentir como parte importante y funcional de la sociedad; pero en otros momentos nos hacen sentir aislados, ignorados y diferentes, lo cual lo pudiéramos interpretar como odio.La clave es estar conscientes de lo que pensamos que los otros piensan de nosotros. ¿Me sigues?  Esta parte puede ser algo confusa, porque lo que piensan otras personas de nosotros, no nos afecta directamente, lo que si nos afecta es lo que decidimos creer que otras personas piensan de nosotros; y luego lo internalizamos y hacemos parte de nuestra vida.  Por ejemplo,  podemos decidir ignorar lo que una persona dice de nosotros, o podemos decidir enfocarnos en ello todo el día, analizando en detalle porque lo dijeron y que hemos hecho para hacer que ellos piensen así. Eventualmente nos enfocamos tanto en ese pensamiento, que terminamos creyendo que es verdad, aun cuando originalmente no lo creíamos así.¿Entonces como lo arreglamos? La clave es concientización.  Es importante entender la manera en que internalizamos las opiniones de otros, y que pasemos por un proceso de discriminación, donde descartemos los comentarios negativos, hasta que aprendamos a ignorarlos. También ayudaría hablar con un Consejero sobre como internamente validas y descartas los comentarios y opiniones externas, y como eso puede estar afectando tus relaciones y tu autoestima.  

### Instruction: I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me. Why do I feel this way? ### Response:

It is normal to seek other’s attention and noticing that some people would not be interested.  After all, we belong to a social environment where we constantly receive other’s feedback, which at times validates us, makes feel important and useful, like we belong; but also at times makes us feel isolated, different and neglected, which we could interpret as hate.The key is to be aware of what you think about what people think of you.   Got it?  This part can be tricky at times, because, what others think about us does not really affect us, what really affects us is what we decide to believe, internalize, and make our reality.  For example, I could choose to ignore a person’s comment about me, or I could decide to focus on it all day, analyze why they said that and what have I done to them to get to that conclusion.  Eventually, since we became so focused on that thought, we may end up believing that what the other person said about us was true, even if we did not agree to begin with.So how can we fix this?  Awareness is the key!  It is important that you understand the way you internalize external inputs, like comments, and to go through a process of discarding negative ones.  It is also helpful to talk to your counselor about how you process feedback and validation so you learn to balance your positive traits from negatives and how that affects your relationships and self-esteem.¿Cómo me puede importar menos lo que la gente piensa?Siempre siento la necesidad de impresionar a otros, ya sea mi familia, la gente de la escuela o extraños.  Y sé que no importa lo que haga o cuanto haga, siempre habrá personas que me odian.  ¿Por qué me siento así?Es común que busquemos la atención de otros y notemos que algunas personas no están interesadas.  Después de todo pertenecemos a un ambiente social donde constantemente recibimos comentarios, que a veces nos validan, alagan y nos hacen sentir como parte importante y funcional de la sociedad; pero en otros momentos nos hacen sentir aislados, ignorados y diferentes, lo cual lo pudiéramos interpretar como odio.La clave es estar conscientes de lo que pensamos que los otros piensan de nosotros. ¿Me sigues?  Esta parte puede ser algo confusa, porque lo que piensan otras personas de nosotros, no nos afecta directamente, lo que si nos afecta es lo que decidimos creer que otras personas piensan de nosotros; y luego lo internalizamos y hacemos parte de nuestra vida.  Por ejemplo,  podemos decidir ignorar lo que una persona dice de nosotros, o podemos decidir enfocarnos en ello todo el día, analizando en detalle porque lo dijeron y que hemos hecho para hacer que ellos piensen así. Eventualmente nos enfocamos tanto en ese pensamiento, que terminamos creyendo que es verdad, aun cuando originalmente no lo creíamos así.¿Entonces como lo arreglamos? La clave es concientización.  Es importante entender la manera en que internalizamos las opiniones de otros, y que pasemos por un proceso de discriminación, donde descartemos los comentarios negativos, hasta que aprendamos a ignorarlos. También ayudaría hablar con un Consejero sobre como internamente validas y descartas los comentarios y opiniones externas, y como eso puede estar afectando tus relaciones y tu autoestima.

### Instruction: A girl and I were madly in love. We dated for over a year and were even talking about marriage and future plans together. She moved away for school, and we attempted a long distance relationship. We eventually broke up. It's been a year now, and I still haven't lost my feelings for her. I still love her the same way I did. I've suffered from depression ever since the breakup and have been unable to connect with anyone else. It's damaging me and my life. ### Response:

Hi Boise, I'm sorry that you've lost this love. The fact that you were planning marriage and a future tells me that you meant something very special to each other at that time. It's different now...you're not together anymore, but you can't accept this, right? Good for you for identifying that this situation is damaging your life. You've been grieving for longer than you were together. Oh, but really you've not been grieving...you're stuck still loving her instead of moving forward. Unrequited love is a recipe for eternal heartache. Let's look at some possible blocks to moving forward.It could be that there's something unfinished for you. Maybe you felt hurt and you didn't have the chance to say so, or you felt you hurt her and you didn't have the chance to make it right. Maybe there's a burning question you need to ask or something else you need to say. Maybe you want to tell her you've never stopped loving her, and see if she feels the same way. If this is the case, you have two choices, right? You can reach out and say what you need to say, or you can stop ruminating on that question and let it go. If you reach out, there's no guarantee it will go well or that she'll even respond. Maybe write her a letter and don't send it (or send it...it might be worth the risk). Use the next paragraph to help you decide. Do you know how she feels? How did it end? Did she end it? Was it ended just because of the distance, or are there more differences between you that didn't work? Sometimes people are so in love that they can't clearly see that the other person isn't in love with them anymore. Use the information you have about what she wants for her life...can you honour what she says she needs? If she's asked for distance, you would do well to honour that.A key to moving forward: look at your thoughts and where they're getting stuck. Write it down. What bad thing can happen if you let it go? Or "If I move forward, that will mean..."  Keep going...what would be the worst part of that?  This kind of exploring can help you identify your stuck place.It is possible that you've turned this ending into some kind of negative meaning about you or your future. As in "If this person doesn't love me, then I'm unlovable", or "No one will ever love me as much as she did". So your need to cling to her in your heart is your way of rejecting that negative message about yourself or the future. Can you find another way to reject that message? Try saying these things to yourself:I know she loved me. There is evidence of that.I was a good partner. There is evidence of that.It's part of life to fall in love and then have to move forward...I can do this and learn from it.Many people like me...that's how I know I'm lovable.It's normal to feel sad. I'm grieving a lost love.I want to move forward and not stare in the rearview mirror.I know more love awaits me if I can get fear out of the way.If this person loved me, others can too, (but not if I'm clinging to some old memory)These are the kinds of things a therapist would explore with you. I wish you well!

### Instruction: A girl and I were madly in love. We dated for over a year and were even talking about marriage and future plans together. She moved away for school, and we attempted a long distance relationship. We eventually broke up. It's been a year now, and I still haven't lost my feelings for her. I still love her the same way I did. I've suffered from depression ever since the breakup and have been unable to connect with anyone else. It's damaging me and my life. ### Response:

Hi Boise, I'm sorry that you've lost this love. The fact that you were planning marriage and a future tells me that you meant something very special to each other at that time. It's different now...you're not together anymore, but you can't accept this, right? Good for you for identifying that this situation is damaging your life. You've been grieving for longer than you were together. Oh, but really you've not been grieving...you're stuck still loving her instead of moving forward. Unrequited love is a recipe for eternal heartache. Let's look at some possible blocks to moving forward.It could be that there's something unfinished for you. Maybe you felt hurt and you didn't have the chance to say so, or you felt you hurt her and you didn't have the chance to make it right. Maybe there's a burning question you need to ask or something else you need to say. Maybe you want to tell her you've never stopped loving her, and see if she feels the same way. If this is the case, you have two choices, right? You can reach out and say what you need to say, or you can stop ruminating on that question and let it go. If you reach out, there's no guarantee it will go well or that she'll even respond. Maybe write her a letter and don't send it (or send it...it might be worth the risk). Use the next paragraph to help you decide. Do you know how she feels? How did it end? Did she end it? Was it ended just because of the distance, or are there more differences between you that didn't work? Sometimes people are so in love that they can't clearly see that the other person isn't in love with them anymore. Use the information you have about what she wants for her life...can you honour what she says she needs? If she's asked for distance, you would do well to honour that.A key to moving forward: look at your thoughts and where they're getting stuck. Write it down. What bad thing can happen if you let it go? Or "If I move forward, that will mean..."  Keep going...what would be the worst part of that?  This kind of exploring can help you identify your stuck place.It is possible that you've turned this ending into some kind of negative meaning about you or your future. As in "If this person doesn't love me, then I'm unlovable", or "No one will ever love me as much as she did". So your need to cling to her in your heart is your way of rejecting that negative message about yourself or the future. Can you find another way to reject that message? Try saying these things to yourself:I know she loved me. There is evidence of that.I was a good partner. There is evidence of that.It's part of life to fall in love and then have to move forward...I can do this and learn from it.Many people like me...that's how I know I'm lovable.It's normal to feel sad. I'm grieving a lost love.I want to move forward and not stare in the rearview mirror.I know more love awaits me if I can get fear out of the way.If this person loved me, others can too, (but not if I'm clinging to some old memory)These are the kinds of things a therapist would explore with you. I wish you well!

### Instruction: I am divorced and happily remarried. Our blended family of children are in their 20s. My youngest, age 20, continues to call me crazy and favors her dad. He was abusive to me, and I left with injuries. He never wanted kids, and I did. He paid child support only through forced wage earners. Now my daughters favor him after all the sacrifices I made for them the past 15 years as a single mom. I don’t deny them a relationship with their dad, but to be called crazy and then watch them hang out with him hurts me to the very core. I’m not sure how to handle this. ### Response:

Hi Arkansas, Your situation sounds like a case of parental alienation. Your ex-partner unfortunately has the power to say things to your children that poison their relationship with you. It's a form of woman abuse and child abuse. He's likely doing this to hurt you and have power over you, and he's not considering how it's affecting the kids. I've seen this happen in many families; parents who once had a strong loving relationship with their children suddenly feel abandoned in favor of the other parent. In some cases, children actually stop having contact with one parent, who is left bewildered and powerless. It's your ex's job to support your relationship with your kids, not try to destroy it. While you can't change his behaviours, and I think you know that, there are things you can do for yourself and your kids. For your children, you can refuse to enter into the war he's setting up. He's trying to provoke you into acting "crazy", but you don't have to fall for this. If you run around screaming "he's lying!", it only makes you look more 'crazy'. Try to stay calm, and don't put their dad down to them, no matter how tempting it is. One day, they may be ready to hear the truth of your relationship with their father, but wait until they ask. Trust that they have their own experience of their dad, and trust that he doesn't have the power to destroy their love for you. Children, in the long term, lose respect for parents who denigrate the other parent. They see who their dad is already, I'd bet, but they don't know how to cope with that. If he's the only one fighting a war, you're helping them feel less trapped in a parental conflict. Don't engage on his level. Don't blame your children completely. Although I have to say that for them to call you names like crazy is not acceptable and you don't need to tolerate that disrespect, try to deal with this behaviour without bringing their dad into it. They are acting out their father's agenda, likely because they instinctively see his weakness. Children often support the weaker parent, rather than abandon them. You get the worst because they trust your love. But you can still have boundaries. Letting them abuse you isn't the answer, but have compassion for their position. This picture isn't their fault, but as adults, they can be held accountable for their choices.Reassure yourself that you are the mom you know you are. You don't need them to gush all over you in order to know that you made sacrifices. Hold onto the likelihood that some day, they will come back and be grateful. It may take a while, you can't rush it, but they will see you for who you are. Your power is in giving them a consistently calm, generous, connected, supportive mom who refuses to play games or be walked on. I'd recommend trying to connect with other parents who experience this phenomenon, or a therapist who can reinforce these goals and help keep you grounded. Good luck!

### Instruction: I am divorced and happily remarried. Our blended family of children are in their 20s. My youngest, age 20, continues to call me crazy and favors her dad. He was abusive to me, and I left with injuries. He never wanted kids, and I did. He paid child support only through forced wage earners. Now my daughters favor him after all the sacrifices I made for them the past 15 years as a single mom. I don’t deny them a relationship with their dad, but to be called crazy and then watch them hang out with him hurts me to the very core. I’m not sure how to handle this. ### Response:

Hi Arkansas, Your situation sounds like a case of parental alienation. Your ex-partner unfortunately has the power to say things to your children that poison their relationship with you. It's a form of woman abuse and child abuse. He's likely doing this to hurt you and have power over you, and he's not considering how it's affecting the kids. I've seen this happen in many families; parents who once had a strong loving relationship with their children suddenly feel abandoned in favor of the other parent. In some cases, children actually stop having contact with one parent, who is left bewildered and powerless. It's your ex's job to support your relationship with your kids, not try to destroy it. While you can't change his behaviours, and I think you know that, there are things you can do for yourself and your kids. For your children, you can refuse to enter into the war he's setting up. He's trying to provoke you into acting "crazy", but you don't have to fall for this. If you run around screaming "he's lying!", it only makes you look more 'crazy'. Try to stay calm, and don't put their dad down to them, no matter how tempting it is. One day, they may be ready to hear the truth of your relationship with their father, but wait until they ask. Trust that they have their own experience of their dad, and trust that he doesn't have the power to destroy their love for you. Children, in the long term, lose respect for parents who denigrate the other parent. They see who their dad is already, I'd bet, but they don't know how to cope with that. If he's the only one fighting a war, you're helping them feel less trapped in a parental conflict. Don't engage on his level. Don't blame your children completely. Although I have to say that for them to call you names like crazy is not acceptable and you don't need to tolerate that disrespect, try to deal with this behaviour without bringing their dad into it. They are acting out their father's agenda, likely because they instinctively see his weakness. Children often support the weaker parent, rather than abandon them. You get the worst because they trust your love. But you can still have boundaries. Letting them abuse you isn't the answer, but have compassion for their position. This picture isn't their fault, but as adults, they can be held accountable for their choices.Reassure yourself that you are the mom you know you are. You don't need them to gush all over you in order to know that you made sacrifices. Hold onto the likelihood that some day, they will come back and be grateful. It may take a while, you can't rush it, but they will see you for who you are. Your power is in giving them a consistently calm, generous, connected, supportive mom who refuses to play games or be walked on. I'd recommend trying to connect with other parents who experience this phenomenon, or a therapist who can reinforce these goals and help keep you grounded. Good luck!

### Instruction: I've been with my husband for eight years now. We have split twice before, and the first time was because he cheated. I took him back months later, and he really tried making it up to me by making a lot of changes. However, we continued to have issues because of my lack of trust. My insecurities and trust issues lead to physical abuse, which lead to us separating again. During that separation, he consoled himself by talking to the same girl he cheated on me with. But we then ended up back together and worked it out for a while until I got pregnant with our second child. The baby was a few months old, and he confessed to me about his secret relationship with her. He told me how he could never stop talking to her and how, during our issues, she has been and is the only women he's gone behind my back with (but on a friendship level because she's miles away). He confessed how he fought feelings for her and feels like he's possibly in love with her too. He said he feels like he's in love with the both of us now because this women has fallen for him, and she hasn't been able to leave him alone since. Even though she knows that he's still with me and happy with our family, she can’t help it, and he confessed how his feeling for her are mutual. Being that he loves me too, he wanted to be with the both of us at the same time. He wanted to have affairs with her behind my back by flying her out and staying at a hotels, but he didn't want me to find out, so he told me everything. He said he didn't want to continue to lie to me and so I can finally stop accusing him of being with other women when it's only been this one girl the whole time. He feels like my insecurities and trust issues are what pushed him closer towards her, and that no matter what he did to do right, I would still accuse him. He's caught up in his feelings and pretty much says that he wants her but doesn't want me to leave him because I'm the one he wants to be with for the rest of his life. I'm of course hurt and in shock. I feel like I have to make a decision on whether I want to allow it and deal with having to share him or walk away. Both of these decisions are really hard to make because I feel like whether I stay or go, my heart will still be torn apart. I have to make a decision quick because she will be flying out sooner than I thought. ### Response:

Hi Jayuya, I'm struggling in this moment with my own biases. I have biases that are about respect and every individual's need for and right to respect. Your husband lies, cheats and physically hurts you. He makes excuses and blames you for these behaviours and trains you to do the same. He demonstrates many controlling and abusive behaviours. And now, in an attempt to manipulate and silence you, he wants to have his cake and eat it too and suggests you should share him? There aren't many crumbs of this cake left for you, are there?So, my biases about respect don't make me want to rescue you or tell you what to do; I can't do that, and I don't think either of those things will help you. I'd like to ask you some questions though...Are you happy? Do you know what happy is? Do you know what respect is? Are your children safe? Are your children witnessing violence (because if they are, then they're not safe)? Do you have supports? Do your family and friends know what's happening in your life? Have you ever been to a women's shelter? Are you willing to sit down in an office with a professional who can help you think clearly? That's what I suggest. These are big decisions, you deserve some support. I wish you the best.

### Instruction: I've been with my husband for eight years now. We have split twice before, and the first time was because he cheated. I took him back months later, and he really tried making it up to me by making a lot of changes. However, we continued to have issues because of my lack of trust. My insecurities and trust issues lead to physical abuse, which lead to us separating again. During that separation, he consoled himself by talking to the same girl he cheated on me with. But we then ended up back together and worked it out for a while until I got pregnant with our second child. The baby was a few months old, and he confessed to me about his secret relationship with her. He told me how he could never stop talking to her and how, during our issues, she has been and is the only women he's gone behind my back with (but on a friendship level because she's miles away). He confessed how he fought feelings for her and feels like he's possibly in love with her too. He said he feels like he's in love with the both of us now because this women has fallen for him, and she hasn't been able to leave him alone since. Even though she knows that he's still with me and happy with our family, she can’t help it, and he confessed how his feeling for her are mutual. Being that he loves me too, he wanted to be with the both of us at the same time. He wanted to have affairs with her behind my back by flying her out and staying at a hotels, but he didn't want me to find out, so he told me everything. He said he didn't want to continue to lie to me and so I can finally stop accusing him of being with other women when it's only been this one girl the whole time. He feels like my insecurities and trust issues are what pushed him closer towards her, and that no matter what he did to do right, I would still accuse him. He's caught up in his feelings and pretty much says that he wants her but doesn't want me to leave him because I'm the one he wants to be with for the rest of his life. I'm of course hurt and in shock. I feel like I have to make a decision on whether I want to allow it and deal with having to share him or walk away. Both of these decisions are really hard to make because I feel like whether I stay or go, my heart will still be torn apart. I have to make a decision quick because she will be flying out sooner than I thought. ### Response:

Hi Jayuya, I'm struggling in this moment with my own biases. I have biases that are about respect and every individual's need for and right to respect. Your husband lies, cheats and physically hurts you. He makes excuses and blames you for these behaviours and trains you to do the same. He demonstrates many controlling and abusive behaviours. And now, in an attempt to manipulate and silence you, he wants to have his cake and eat it too and suggests you should share him? There aren't many crumbs of this cake left for you, are there?So, my biases about respect don't make me want to rescue you or tell you what to do; I can't do that, and I don't think either of those things will help you. I'd like to ask you some questions though...Are you happy? Do you know what happy is? Do you know what respect is? Are your children safe? Are your children witnessing violence (because if they are, then they're not safe)? Do you have supports? Do your family and friends know what's happening in your life? Have you ever been to a women's shelter? Are you willing to sit down in an office with a professional who can help you think clearly? That's what I suggest. These are big decisions, you deserve some support. I wish you the best.

### Instruction: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents. I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust. ### Response:

Hi there. Being 15 years old can be a very difficult time in your teenage life. I remember when I was 15 and how I often felt my parents weren’t listening to me. It’s even more difficult when you feel that you do not have a friend that you can confide in. Having depression in the past and being able to get through it shows me that you can get through anything! Depression alone is a very difficult problem to work through. In addition to the communication problem with your parents, it appears that you are also struggling with stress and anxiety. We all have stress and anxiety in our lives. If we didn’t, none of us would be living. Anxiety & stress keep us on our toes! Often, I have to remind myself of this as well. However, it is how we manage stress and anxiety, so it will not overcome our lives. Are you familiar with relaxation techniques, such as: deep breathing exercises, meditation or yoga? Relaxation Techniques can help you tremendously in reducing your stress and anxiety. Deep breathing exercises are helpful when you are on the go, such as school, shopping, out with friends or whatever extracurricular activities you engage in. Most people do not take full advantage of their lung capacity. I know, that sounds silly. But, it’s true. You would be surprised how much air you lungs can hold. Imagine being in the Doctor’s office and taking deep breaths. This is what you want to do when you are feeling overwhelmed and/or stressed. Take a moment to take in at least 10 deep breaths and let them out slowly. You will be surprised how well you feel afterwards. Meditation and Yoga are also healthy forms to working through stress and anxiety. You will need a quiet place for your meditation. You want to be “in the moment” and take in the peace and serenity. All it takes is a quiet place, closing your eyes and thinking of your “happy place.” Some people use meditation music as well. If you have access to this type of music and or the internet for more ways to practice meditation, please go for it! Yoga on the other hand will take a little more work and practice. I would not suggest you learning this on your own, if you have never attempted yoga before. Find an experienced Yoga instructor to teach you the ropes and/or ask your school counselor about the possibility of getting someone to come to the school to teach the students. Lastly, in regards to your parents it is very important to be able to have a relationship where you feel comfortable communicating. I would recommend writing a letter to them, if you are unable to express how you feel in person. A letter is more intimate and requires a little more effort on their end. If they are open on working on this relationship, maybe suggest family counseling to fully work on this issue. I hope this was helpful for you and I wish you the best! 

### Instruction: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents. I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust. ### Response:

Hi there. Being 15 years old can be a very difficult time in your teenage life. I remember when I was 15 and how I often felt my parents weren’t listening to me. It’s even more difficult when you feel that you do not have a friend that you can confide in. Having depression in the past and being able to get through it shows me that you can get through anything! Depression alone is a very difficult problem to work through. In addition to the communication problem with your parents, it appears that you are also struggling with stress and anxiety. We all have stress and anxiety in our lives. If we didn’t, none of us would be living. Anxiety & stress keep us on our toes! Often, I have to remind myself of this as well. However, it is how we manage stress and anxiety, so it will not overcome our lives. Are you familiar with relaxation techniques, such as: deep breathing exercises, meditation or yoga? Relaxation Techniques can help you tremendously in reducing your stress and anxiety. Deep breathing exercises are helpful when you are on the go, such as school, shopping, out with friends or whatever extracurricular activities you engage in. Most people do not take full advantage of their lung capacity. I know, that sounds silly. But, it’s true. You would be surprised how much air you lungs can hold. Imagine being in the Doctor’s office and taking deep breaths. This is what you want to do when you are feeling overwhelmed and/or stressed. Take a moment to take in at least 10 deep breaths and let them out slowly. You will be surprised how well you feel afterwards. Meditation and Yoga are also healthy forms to working through stress and anxiety. You will need a quiet place for your meditation. You want to be “in the moment” and take in the peace and serenity. All it takes is a quiet place, closing your eyes and thinking of your “happy place.” Some people use meditation music as well. If you have access to this type of music and or the internet for more ways to practice meditation, please go for it! Yoga on the other hand will take a little more work and practice. I would not suggest you learning this on your own, if you have never attempted yoga before. Find an experienced Yoga instructor to teach you the ropes and/or ask your school counselor about the possibility of getting someone to come to the school to teach the students. Lastly, in regards to your parents it is very important to be able to have a relationship where you feel comfortable communicating. I would recommend writing a letter to them, if you are unable to express how you feel in person. A letter is more intimate and requires a little more effort on their end. If they are open on working on this relationship, maybe suggest family counseling to fully work on this issue. I hope this was helpful for you and I wish you the best!

### Instruction: 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? ### Response:

First, congratulations on your new job.  Apparently your employers think highly of you, since they hired you!You say that "people keep telling" you that you have "anxiety" - how do they know?  Have you told others you are sometimes upset or nervous?  Have you been treated for anxiety?  Or is that a perception that others have that you haven't been able to counter?It's a new job, and it requires you to do new things, in new places, with new people.  Being nervous is not just normal, it may actually help you be on your toes and do a good job.  Unless YOU think you have anxiety, do not let others predict your future.If you believe you are anxious, get in to see a therapist and address it.  Anxiety is very treatable, and you don't have to suffer with it - but you do have to acknowledge it and work towards health.However....If, in  your experience, this is more a nervous energy than an anxiety issue, there are things you can do to address it:  Make sure you take good care of yourself, especially in the first month or two of the new job.  That means eating well, getting adequate rest, moving your body (walking, swimming, dancing, etc) every day, and staying in touch with friends and family who are positive and supportive.Below is an article I wrote that might give you more tips too.A quick way to combat stressDo you ever feel like your brain is"bouncy" and won't settle down? Your brain, that magnificent machine, is notmuch different than the brain that kept your ancestors alive in dangeroussituations.  Today, though you may notneed to worry about a mountain lion having you for dinner, other stresses areperceived and processed just you’re the physical dangers your ancestors faced.That means a looming deadline or a fight withyour partner creates the same "fight/flight/freeze" response thatsaved your ancestor way back in the day. If you "burned off" that adrenaline and cortisol cocktail byrunning or fighting off a predator, you would feel the relief and exhaustionbut you would have also metabolized the stress chemicals that are meant to keepyou alive. However, when there is no physical response tothe stressor your body is "all wound up with no place to go".  Over time this creates not only the"bouncy brain" feeling of distractibility and distress, but canmanifest itself in physical ailments.It’s impossible to avoid stress forever, butsometimes you just need a way to relieve the pressures of life for a moment.Here's a quick way to settle your brain into a feeling of rest instead ofdistress:Put one hand on your chest at collarbone leveland one on your belly just under your naval. Now, take a slow deep breath filling your abdomen with air, just likeyou would fill a glass with water...from the bottom up.  When you are full of air, pause for just amoment and really feel the fullness. Then slowly exhale, just like you would pour water out, from the topdown.  Pause again at "empty"and feel the relief of space.  Repeat for5-10 cycles.If you find yourself feeling stressed anddistressed too often, and you are a California resident, let’s talk!  Book a complimentary 15 minute video consulthere: abalancedapproach.com

### Instruction: He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining. ### Response:

Hello and thank you for your question. I worked for a number of years with people who have been both abused in their relationships and those who have been abusive. Being involved in a relationship with a partner who does the behaviors you describe can be incredibly difficult, and many would argue is even harder than overcoming actual physical violence. I was a little confused about whether you're are still broken up with this person or if you are still thinking about it. I am going to assume you are still undecided. Some of the things you are describing sound like emotional abuse. Even without physical abuse, being emotionally abused can still be traumatizing. When partners question and accuse, they are often trying to exercise power and control over their partners by hurting them with unfounded accusations.  The accusations serve to make someone feel guilty and to manipulate them. For example, if your partner accuses you of cheating when you go out bowling with friends, you may elect not to go bowling just to satisfy your partner and prevent a fight from occurring. The person being accused or questioned often tries to prove over and over again that they have done nothing wrong, but it doesn't matter. And that brings me to the point of what some people who experience these behaviors do in order to start feeling like they have some power again. Here are just a few things:1. They realize there is no right answer. Trying to be logical with someone who doesn't want to be logical doesn't work. Many people simply stop trying to defend themselves against false accusations because there was no answer that would satisfy their partner anyway. In addition, the rules of the relationship seem to change on a daily basis, and what may be okay with your partner one day may make them angry the next. And this can leave people constantly feeling like they are on eggshells.  2. The find support. Finding a support group or a group of people who remind you on a daily basis that you are a decent person is always a good idea. One of the things that can happen when we are with someone who does emotionally abusive things is begin to have a negative concept of ourselves. Surrounding yourself with people who remind you that you are a good person is a great idea. 3. They reinvest in themselves. Try to find some time for yourself. This couldn't possibly sound more cliché, but it is actually true. Whether that is taking up a new hobby or doing an old one. One thing that can happen when emotional abuse takes place in a relationship is the person being abused can begin to isolate and not do the things that make them enjoy life. Taking some time for the self can sometimes bring things into perspective.I don't know if you are still in counseling, but if you are and you are getting what you need then that is great. If not, there are others you can try. It's important to find the right fit. As for the question of whether or not you should leave your partner, that is a question that can only be answered by you. But you could ask yourself some questions  like these to help you decide:1. What are some of my values about relationships? Do I want Trust? Honesty? Ask yourself if you have these things in your relationship.2. Do I feel like this relationship brings out the best in me, or does it seem to bring me down?3. If I want to stay in this relationship, what are some specific things that need to change? Hope some of these suggestions help. Good luck to you. Be well.Robin Landwehr, DBH, LPC, NCC

### Instruction: He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining. ### Response:

Hello and thank you for your question. I worked for a number of years with people who have been both abused in their relationships and those who have been abusive. Being involved in a relationship with a partner who does the behaviors you describe can be incredibly difficult, and many would argue is even harder than overcoming actual physical violence. I was a little confused about whether you're are still broken up with this person or if you are still thinking about it. I am going to assume you are still undecided. Some of the things you are describing sound like emotional abuse. Even without physical abuse, being emotionally abused can still be traumatizing. When partners question and accuse, they are often trying to exercise power and control over their partners by hurting them with unfounded accusations.  The accusations serve to make someone feel guilty and to manipulate them. For example, if your partner accuses you of cheating when you go out bowling with friends, you may elect not to go bowling just to satisfy your partner and prevent a fight from occurring. The person being accused or questioned often tries to prove over and over again that they have done nothing wrong, but it doesn't matter. And that brings me to the point of what some people who experience these behaviors do in order to start feeling like they have some power again. Here are just a few things:1. They realize there is no right answer. Trying to be logical with someone who doesn't want to be logical doesn't work. Many people simply stop trying to defend themselves against false accusations because there was no answer that would satisfy their partner anyway. In addition, the rules of the relationship seem to change on a daily basis, and what may be okay with your partner one day may make them angry the next. And this can leave people constantly feeling like they are on eggshells.  2. The find support. Finding a support group or a group of people who remind you on a daily basis that you are a decent person is always a good idea. One of the things that can happen when we are with someone who does emotionally abusive things is begin to have a negative concept of ourselves. Surrounding yourself with people who remind you that you are a good person is a great idea. 3. They reinvest in themselves. Try to find some time for yourself. This couldn't possibly sound more cliché, but it is actually true. Whether that is taking up a new hobby or doing an old one. One thing that can happen when emotional abuse takes place in a relationship is the person being abused can begin to isolate and not do the things that make them enjoy life. Taking some time for the self can sometimes bring things into perspective.I don't know if you are still in counseling, but if you are and you are getting what you need then that is great. If not, there are others you can try. It's important to find the right fit. As for the question of whether or not you should leave your partner, that is a question that can only be answered by you. But you could ask yourself some questions  like these to help you decide:1. What are some of my values about relationships? Do I want Trust? Honesty? Ask yourself if you have these things in your relationship.2. Do I feel like this relationship brings out the best in me, or does it seem to bring me down?3. If I want to stay in this relationship, what are some specific things that need to change? Hope some of these suggestions help. Good luck to you. Be well.Robin Landwehr, DBH, LPC, NCC

### Instruction: My wife and mother are having tense disagreements. In the past, they’ve had minor differences. For example, my wife would complain to me my mother is too overbearing; my mother would complain my wife is lazy. However, it’s intensified lately. I think the cause is my wife talked back to her once. Now, any little disagreement is magnified, leading to major disagreements. What can I do? ### Response:

What you are describing is something psychologists have termed "triangulation" which is what happens when one family member will not talk to the one they have a problem with and goes to a third member of the family to complain instead. You have been "triangulated" by your wife and mother.This is often seen in families. It's seen everywhere. How many times have you had a problem with someone but you didn't go to them to tell them, you went to someone else to complain? It is usually difficult for a person to confront another, especially in relationships where there is a power differential. For example, I bet it's easier to complain to a coworker about your boss rather than go to the boss with your complaint.I'm not saying triangulation is always a bad thing. Sometimes a third party mediator is needed to help solve problems between two people who disagree. That's what therapists do every day! Sometimes just getting someone else's perspective can help you see the issue clearer. However, in your situation it sounds like this is becoming a problem. You are stuck in the middle between two people that love you and that you love.If you want to put a stop to this triangulation, you will need to encourage the two of them to talk to each other and work out their differences. Perhaps it was a simple misunderstanding that some open communication can clear up. Even if they really don't like each other and can't get along, your relationship with the both of them is going to continue to deteriorate the longer you are stuck in the middle. Try to understand what might be the feelings behind their behavior. It is possible that they may both feel threatened by the other. These are the two most important women in your life and they both know it. Your mother may be afraid that she will lose you if she confronts your wife. I heard one mother-in-law describe her son's wife as the gateway to her son. The wife has the power to dictate when and how often the mother gets to see her son. The wife also is the gateway to the grandchildren. If your wife doesn't like her mother-in-law she can severely hamper or damage her mother-in-law's relationship with you and any children you two may have. From your wife's viewpoint, this is the woman that she may feel like she can never live up to. If you regularly praise your mom's cooking, her housework, gardening, or anything else your wife may feel that you are putting down her own efforts in these areas and can feel unappreciated. This can be especially difficult if your wife and mother are nothing alike. I am not saying that this is the case with your family's situation. These are just a few examples from other families in a similar situation as yours. Regardless of what the cause is, if this dysfunctional pattern is allowed to continue, your mom and your wife will begin to get upset with you when you don't agree with them. They will get upset if you don't align yourself with them against the other. They will be offended when it seems like you are choosing the other one's side or that you are not standing up for them like they think you should. In worst cases, if it continues to escalate you may even find yourself in the impossible position of having to choose between your wife and your mother which may mean cutting off contact with the other, ending that relationship. Change the dynamics before it spirals even further.

### Instruction: My wife and mother are having tense disagreements. In the past, they’ve had minor differences. For example, my wife would complain to me my mother is too overbearing; my mother would complain my wife is lazy. However, it’s intensified lately. I think the cause is my wife talked back to her once. Now, any little disagreement is magnified, leading to major disagreements. What can I do? ### Response:

What you are describing is something psychologists have termed "triangulation" which is what happens when one family member will not talk to the one they have a problem with and goes to a third member of the family to complain instead. You have been "triangulated" by your wife and mother.This is often seen in families. It's seen everywhere. How many times have you had a problem with someone but you didn't go to them to tell them, you went to someone else to complain? It is usually difficult for a person to confront another, especially in relationships where there is a power differential. For example, I bet it's easier to complain to a coworker about your boss rather than go to the boss with your complaint.I'm not saying triangulation is always a bad thing. Sometimes a third party mediator is needed to help solve problems between two people who disagree. That's what therapists do every day! Sometimes just getting someone else's perspective can help you see the issue clearer. However, in your situation it sounds like this is becoming a problem. You are stuck in the middle between two people that love you and that you love.If you want to put a stop to this triangulation, you will need to encourage the two of them to talk to each other and work out their differences. Perhaps it was a simple misunderstanding that some open communication can clear up. Even if they really don't like each other and can't get along, your relationship with the both of them is going to continue to deteriorate the longer you are stuck in the middle. Try to understand what might be the feelings behind their behavior. It is possible that they may both feel threatened by the other. These are the two most important women in your life and they both know it. Your mother may be afraid that she will lose you if she confronts your wife. I heard one mother-in-law describe her son's wife as the gateway to her son. The wife has the power to dictate when and how often the mother gets to see her son. The wife also is the gateway to the grandchildren. If your wife doesn't like her mother-in-law she can severely hamper or damage her mother-in-law's relationship with you and any children you two may have. From your wife's viewpoint, this is the woman that she may feel like she can never live up to. If you regularly praise your mom's cooking, her housework, gardening, or anything else your wife may feel that you are putting down her own efforts in these areas and can feel unappreciated. This can be especially difficult if your wife and mother are nothing alike. I am not saying that this is the case with your family's situation. These are just a few examples from other families in a similar situation as yours. Regardless of what the cause is, if this dysfunctional pattern is allowed to continue, your mom and your wife will begin to get upset with you when you don't agree with them. They will get upset if you don't align yourself with them against the other. They will be offended when it seems like you are choosing the other one's side or that you are not standing up for them like they think you should. In worst cases, if it continues to escalate you may even find yourself in the impossible position of having to choose between your wife and your mother which may mean cutting off contact with the other, ending that relationship. Change the dynamics before it spirals even further.

### Instruction: My parents seem okay with other sexualities, but normally they only talk about being gay. When they do talk about bisexuality, they say things like “they'll do anything” or things that make me very uncomfortable because I am bisexual. I don't know if I am ready to come out to them. ### Response:

Hello, and thank you for your question. Being bisexual can be particularly difficult because it is often misunderstood, even by people who are “supposed” to be part of your own community, such as lesbians and gays. It happens so often that there is actually a term for it –  bi-erasure. This is simply something that happens when people deny that bisexuality is a real thing, or discriminate against bisexuals due to beliefs like your parents seem to have. The unfortunate truth is that you can never be sure of how you parents may take this kind of information. It sounds promising that they are accepting of other sexual orientations, and it may simply be that your parents lack education about bisexuality. With accurate information, they may come around, but there is no way to be sure. Some of my colleagues have already given you good information. Here are some more things that you can consider and questions you can ask yourself before making the decision to tell them:   1.      If they don’t respond the way you want them to, have you developed a support system to support you through it? This is very important. The truth is that all the friends in the world won’t prevent pain or sadness if your parents don’t respond as you hope, but they will at least be there to remind you that you ARE okay as you are. And that is critical for you to remember.   2.      There is great information on the internet about bisexuality that you can offer your parents if you think it would be helpful. It may be important for them to know the kind of damage that is being done to bisexual adults and young people because of the myths surrounding bisexuality. Here is an article from GLAAD about bi-erasure: http://www.glaad.org/bisexual/bierasure   3.      Coming out to people is obviously deeply personal and should only take place when you are ready. Sometimes people get pressured from friends, media, and even people they are romantically involved with to come out before they are ready. It really is up to you. If you are feeling pressure from others, don’t feel bad about setting your boundaries and telling them that you will come out on your own time. Intimate partners should respect you enough to understand this.   4.      Something else to think about is your own comfort in being bisexual. Just because someone is LGBTQ doesn’t mean that they necessarily want to be. Many people struggle with this. Having your own doubts or insecurities may also play a part in how comfortable you are in telling your parents. So, perhaps do some self-exploration about your feelings toward yourself.   Sometimes people take friends with them when they decide to come out to their parents. This is something you may want to consider. The important thing to remember is that you are okay. Really. If your parents don’t respond well, that doesn’t mean that they never will. Some start off upset, but then work their way through it. Best of luck to you. Robin J. Landwehr, DBH, LPC, NCC

### Instruction: My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me. He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way? ### Response:

As someone who specializes in sexuality and polyamory, I can tell you that your experience is incredibly common. It can be helpful to keep in mind that alcohol lowers our inhibitions, and for first time threesomes or any new sexual behavior really, we humans tend to enjoy a little extra oomph to our courage levels. That being said, it also lowers our ability to make well thought-out decisions. This combined with the brain rewarding novelty (new lover, new experience with our partner etc.) and maybe even some over-zealousness and performance anxiety could likely explain why your husband was on her more than you. My encouragement to you is to try not to overthink it at this stage. Now, IF you two choose to bring her or someone else into the bedroom again and a similar thing keeps happening, I would definitely push the issue and see what's up from his perspective.The empty feeling could be any number of things including:Fear that "you're not enough for him"Fear that "she's better than you" in some wayFear that "if we keep doing this thing, he will need it and what happens if I no longer want it?"Opposite fear of "what if I now want her more than him" or "if I want the threesomes and he doesn't?"Fear of "does this mean our sex life isn't good enough as it is?"...."do we have to always add a little spice to keep it hot?"Or like Robin alluded to, preconceived notions about what culture, religion, family and friends etc. say about what marriage and sex "should" look like.  I also agree with her encouragement to explore the empty feeling further and see what nuances of other feelings are in there...jealousy? insecurity? shame? regret? longing?  When you can identify and name them, they are easier handled. Some of the resources I recommend poly/ sexually open couples are:“Love in Abundance: a Counselor’s Advice on Open Relationships” by Kathy Labriola“The Jealousy Workbook: Exercises and Insights for Managing Open Relationships” by Kathy Labriola“Rewriting the Rules: an Integrative Guide to Love, Sex, and Relationships” by Meg Barker“More Than Two: a Practical Guide to Ethical Polyamory” by Franklin Veaux & Eve Rickert“The Game Changer: a Memoir of Disruptive Love” by Franklin Veaux“The Ethical Slut: a Practical Guide to Polyamory, Open Relationships, and Other Adventures” by Dossie Easton & Janet Hardy“Opening Up: a Guide to Creating and Sustaining Open Relationships” by Tristan Taormino“Open All the Way: Confessions From my Open Marriage” by Sadie Smythe“Henry and June: From ‘A Journal of Love’ – The Unexpurgated Diary of Anais Nin (1931-1932)“Personally, I find your cravings to be healthy and quite normal. The key is to make them work well for you and your partner(s). Robin's also right about communication being key. Some of the suggested resources above can help get those conversations started. And if you need further assistance, absolutely I would find a sex-positive, poly-positive counselor to chat with.Best of luck to you!Tamara Powell, LMHC

### Instruction: I’m a teenager. My entire family needs family therapy, and more than likely individual therapy. My parents refuse to take action, and I'm tired of it. Is there any way I can get out of this myself? ### Response:

This is a question that I often get from patients.  Can I get my family into therapy? How can I get someone else to do something that I think is best for them?  The answer is you can suggest, but you can’t force them.  I spend a lot of time teaching my patients the importance of recognizing the difference between the things that we can change and the things or people that we cannot.   Understanding that we do not have control over other’s outcome, gives a break to breathe and reduce our anxiety.   It also helps up to recognize that we CAN create change by changing ourselves.  “BE  THE CHANGE YOU WANT IN YOUR LIFE”. Have you heard that quote?  It means that by changing your thinking, what you say and your actions, you can impact your surroundings.  Talking to your parents about how you feel regarding your family dynamics and suggesting in a sensitive and loving manner that therapy may be helpful for all of you, is a good way to approach the subject.  Whether or not they receive the suggestion seek your own therapy, talk to them about your experience and show them with your actions how your life is moving beyond family issues. 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.    ¿Cómo encuentro un terapista para mi familia siendo yo un menor?Soy adolecente.  Toda mi familia necesita terapia familiar y probablemente terapia individual.   Mis padres se reúsan a tomar acción,  estoy cansado de esto.  ¿Hay alguna manera en que me pueda salir de esta situación?Esto es una pregunta que comúnmente recibo de mis pacientes.  ¿Puedo hacer que mi familia venga a terapia?  ¿Cómo puedo lograr que otras personas hagan lo que yo creo que es mojos para ellos?  Puedes sugerir, pero no puedes obligarlos.  Dedico mucho tiempo en enseñarles a mis pacientes la importancia de reconocer la diferencia entre las cosas que podemos controlar y las cosas o personas que no podemos controlar.  Al entender que no tenemos control sobre otros, nos permite relajarnos y reducir la ansiedad.   También nos ayuda a reconocer que podemos crear cambios cuando decidimos cambiar nosotros.   “SE EL CAMBIO QUE QUIRES EN TU VUDA” ¿Has escuchado esa frase?  Significa que cambiando lo que piensas, dices y tus acciones, puedes cambiar tus circunstancias.  Hablar con tu padres sobre cómo te sientes en respecto a la dinámica familiar, y sugerirles de manera sensible que pueden recibir ayuda terapéutica, puede ser la mejor manera de iniciar la conversación. Pero si reciben o no tu sugerencia, es importante que busques iniciar tu proceso de terapia, háblales de tu experiencia y demuéstrales con tus acciones como superas los obstáculos más allá del drama familiar. 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.

### Instruction: My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me. He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way? ### Response:

As someone who specializes in sexuality and polyamory, I can tell you that your experience is incredibly common. It can be helpful to keep in mind that alcohol lowers our inhibitions, and for first time threesomes or any new sexual behavior really, we humans tend to enjoy a little extra oomph to our courage levels. That being said, it also lowers our ability to make well thought-out decisions. This combined with the brain rewarding novelty (new lover, new experience with our partner etc.) and maybe even some over-zealousness and performance anxiety could likely explain why your husband was on her more than you. My encouragement to you is to try not to overthink it at this stage. Now, IF you two choose to bring her or someone else into the bedroom again and a similar thing keeps happening, I would definitely push the issue and see what's up from his perspective.The empty feeling could be any number of things including:Fear that "you're not enough for him"Fear that "she's better than you" in some wayFear that "if we keep doing this thing, he will need it and what happens if I no longer want it?"Opposite fear of "what if I now want her more than him" or "if I want the threesomes and he doesn't?"Fear of "does this mean our sex life isn't good enough as it is?"...."do we have to always add a little spice to keep it hot?"Or like Robin alluded to, preconceived notions about what culture, religion, family and friends etc. say about what marriage and sex "should" look like.  I also agree with her encouragement to explore the empty feeling further and see what nuances of other feelings are in there...jealousy? insecurity? shame? regret? longing?  When you can identify and name them, they are easier handled. Some of the resources I recommend poly/ sexually open couples are:“Love in Abundance: a Counselor’s Advice on Open Relationships” by Kathy Labriola“The Jealousy Workbook: Exercises and Insights for Managing Open Relationships” by Kathy Labriola“Rewriting the Rules: an Integrative Guide to Love, Sex, and Relationships” by Meg Barker“More Than Two: a Practical Guide to Ethical Polyamory” by Franklin Veaux & Eve Rickert“The Game Changer: a Memoir of Disruptive Love” by Franklin Veaux“The Ethical Slut: a Practical Guide to Polyamory, Open Relationships, and Other Adventures” by Dossie Easton & Janet Hardy“Opening Up: a Guide to Creating and Sustaining Open Relationships” by Tristan Taormino“Open All the Way: Confessions From my Open Marriage” by Sadie Smythe“Henry and June: From ‘A Journal of Love’ – The Unexpurgated Diary of Anais Nin (1931-1932)“Personally, I find your cravings to be healthy and quite normal. The key is to make them work well for you and your partner(s). Robin's also right about communication being key. Some of the suggested resources above can help get those conversations started. And if you need further assistance, absolutely I would find a sex-positive, poly-positive counselor to chat with.Best of luck to you!Tamara Powell, LMHC

### Instruction: Is this something I should be worried about? Should I do something about it? ### Response:

My son plays alone at recess.Is this something I should be worried about? Should I do something about it?Every mom is the expert on their children’s behavior.  First of all, I suggest checking with your son, asking him if he is happy while playing alone, or does he complain that no one wants to play with him?  Does he plays alone in school, but is social in other environments, with family or neighbors?Playing alone is healthy for children, it helps them to be independent and confident, it allows them to explore their environment and use their imagination, among other benefits.  On the other hand, it is also important to develop social skills early on and become confident in our skills as we grow.  Children go through stages of exploration until they develop a sense of “social confidence”. Depending on your son’s age, he might need some input or advice.  Provide the opportunity to interact with other children, without pushing it.  Take him to the park to play with a friend or to children’s activities in your neighborhood.  Later ask him, what did he thought of the activity, and if he enjoyed playing there.  Children also follow their parent’s model, so you can encourage social interaction by greeting other and asking your son to do the same, ask him to receive the guests who come to the house with you and sit to enjoy the conversation. If you notice any shakiness, becoming tearful, anxious or aggressive when approaching social encounters, you may want to talk to the school counselor or children’s therapist to evaluate those symptoms and rule out any behavioral problems or social anxiety.Mi hijo juega solo en el receso.¿Debería preocuparme al respecto?  ¿Debería hacer algo al respecto?Cada mama es experta en la conducta de sus hijos.  Primero que nada te sugiero que revises con tu hijo y le preguntes si él se siente contento jugando solo, o si se queja porque nadie quiere jugar con él.   Observa si él juega solo en la escuela, pero es sociable en otros ambientes como con la familia  o los vecinos. Jugar solo puede ser saludable para los niños, les ayudo a ser independientes, desarrollan sentido de seguridad, y les permite explorar su ambiente y utilizar su imaginación, entre otros beneficios.Por otro lado, también es importante desarrollar destrezas sociales y perfeccionarlas con la práctica.   Los niños van por etapas de exploración y prueba hasta que desarrollan un nivel de confianza en sus destrezas sociales.  Dependiendo de la edad de tu hijo, puede que el necesite algunos consejos.  Provéele la oportunidad de interactuar con otros niños, sin obligarlo. Ya sea yendo al parque a jugar con vecinos, o a actividades comunitarias infantiles con algún amigo.  Luego pregúntale como le pareció la actividad y si le gusto compartir allí.  También recuerda que los niños siguen el modelo de sus padres, así que puedes motivarlo invitándolo a que salude a otros después de ti, o invitándolo a recibir a la visita que llega a la casa y que los acompañe durante la conversación.Si observas que tu hijo está nervioso, lloroso, o agresivo cuando se acerca alguna actividad social, consulta con el consejero escolar o un consejero infantil para evaluar sus síntomas y descarta cualquier problema de conducta o ansiedad. 

### Instruction: He wants to wear makeup and heels. He even tucks his penis away to resemble a vagina. He wants me to wear a strap on and have anal sex with him. I have tried this for him, but I don’t like it and have told him so. He keeps making comments about it and says he can't live without it. ### Response:

Depending on your own sexual history and what you grew up expecting to be "normal" in the bedroom, I can easily imagine that this came as quite a shock to you!  It DOESN'T necessarily mean, however that your husband is: gay, bisexual transgender, or even necessarily a cross-dresser etc. unless he has already told you so. I agree with the other poster who recommended you try and ask him more questions with an open and curious attitude and see if he might be open to explaining more with you. That being said, what we also know from research is that frequently what turns us on isn't always what we identify as.  Lots of people have fantasies or even sexual behaviors they may enjoy from time to time without considering themselves to be a part of any label or subculture. For example, many women are okay with having their hair pulled or bottom spanked during a particular rowdy sexual encounter but certainly don't consider themselves kinky, submissive, or anything else.  It could be that your husband enjoys pretending/ fantasizing that he is something completely different in the bedroom from time to time from what most other see him as outside in the corporate world or in other roles he plays as husband, father, son, friend etc.  Many of my kink clients are drawn to their particular fetish simply because it's the opposite of what their life typically entails (e.g., a high profile CEO who is always responsible for making the decisions enjoys being at "the mercy" of someone else once a week). Each of us has a sexual script - a blueprint if you will of what we like and don't like in the bedroom and also what we have each come to see as being "normal."  It's also an internal guideline for how we each define our role in sexual expression, sexual orientation, sexual behaviors, sexual desires, and how big a part our sexual identity plays in our everyday lives (Gagnon & Simon, 1973).You've been clued into the fact that your husbands greatly differs from yours on the surface level at the moment. ALL of us are sexual beings yet none of us is exactly identical to one another in our sexual definitions and script expectations. It's like our own sex fingerprint. In my role as a couples counselor, I often help partners become aware of their own sexual script and explore where it overlaps their partners and where it may always differ.  If a couple is able to successfully navigate formulating a plan for both to feel validated and sexually satisfied, the relationship thrives. Most counselors would agree that a healthy script includes:Both partners taking ownership for the couple's sexual experiences.Both partners learning to communicate openly and honestly about their feelings.Both partners learning to meet one another's - needs, desires, and wishes while making sure his/her own needs are being met.If "pegging" your husband as it's called is a hard and fast no for you, that will likely need to be respected as it may be too far off your own sexual script.  However, if your husband is for sure absolutely adamant about "needing" to dress in a female fashion and/or be anally penetrated, you may seek professional counseling to help navigate how both of you will come to an agreement about fulfilling these desires in a way that doesn't hurt either one of you or the marriage.My warmest wishes to you both!

### Instruction: He wants to wear makeup and heels. He even tucks his penis away to resemble a vagina. He wants me to wear a strap on and have anal sex with him. I have tried this for him, but I don’t like it and have told him so. He keeps making comments about it and says he can't live without it. ### Response:

Depending on your own sexual history and what you grew up expecting to be "normal" in the bedroom, I can easily imagine that this came as quite a shock to you!  It DOESN'T necessarily mean, however that your husband is: gay, bisexual transgender, or even necessarily a cross-dresser etc. unless he has already told you so. I agree with the other poster who recommended you try and ask him more questions with an open and curious attitude and see if he might be open to explaining more with you. That being said, what we also know from research is that frequently what turns us on isn't always what we identify as.  Lots of people have fantasies or even sexual behaviors they may enjoy from time to time without considering themselves to be a part of any label or subculture. For example, many women are okay with having their hair pulled or bottom spanked during a particular rowdy sexual encounter but certainly don't consider themselves kinky, submissive, or anything else.  It could be that your husband enjoys pretending/ fantasizing that he is something completely different in the bedroom from time to time from what most other see him as outside in the corporate world or in other roles he plays as husband, father, son, friend etc.  Many of my kink clients are drawn to their particular fetish simply because it's the opposite of what their life typically entails (e.g., a high profile CEO who is always responsible for making the decisions enjoys being at "the mercy" of someone else once a week). Each of us has a sexual script - a blueprint if you will of what we like and don't like in the bedroom and also what we have each come to see as being "normal."  It's also an internal guideline for how we each define our role in sexual expression, sexual orientation, sexual behaviors, sexual desires, and how big a part our sexual identity plays in our everyday lives (Gagnon & Simon, 1973).You've been clued into the fact that your husbands greatly differs from yours on the surface level at the moment. ALL of us are sexual beings yet none of us is exactly identical to one another in our sexual definitions and script expectations. It's like our own sex fingerprint. In my role as a couples counselor, I often help partners become aware of their own sexual script and explore where it overlaps their partners and where it may always differ.  If a couple is able to successfully navigate formulating a plan for both to feel validated and sexually satisfied, the relationship thrives. Most counselors would agree that a healthy script includes:Both partners taking ownership for the couple's sexual experiences.Both partners learning to communicate openly and honestly about their feelings.Both partners learning to meet one another's - needs, desires, and wishes while making sure his/her own needs are being met.If "pegging" your husband as it's called is a hard and fast no for you, that will likely need to be respected as it may be too far off your own sexual script.  However, if your husband is for sure absolutely adamant about "needing" to dress in a female fashion and/or be anally penetrated, you may seek professional counseling to help navigate how both of you will come to an agreement about fulfilling these desires in a way that doesn't hurt either one of you or the marriage.My warmest wishes to you both!

### Instruction: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected? ### Response:

Piggybacking on the other respondent's suggestions, I also agree that most couples could use more frequent and more bonding communication in their relationships, and this is a GREAT place to get the ball rolling towards reconnecting.Surveying the demographical data on long-term relationships, it's pretty common for couples to start to struggle around the 7-10 year mark and in fact, that's often when first time divorces happen. And for lots of reasons...most of them having something to do with beginning to take one another for granted and no longer doing the little things that nourish the relationship and light our partners up.  Seems like you've encountered this in your own relationship...where he appears to be neglecting your need for emotional connection with him.Doesn't have to be this way though. And from my own personal clinical experience, I can tell you that when even ONE partner is willing to make some small but powerful changes, they can often ripple outward to the other partner and bring about miraculous outcomes! So my encouragement to you is this - if you're still in love with him...even a little bit...and you're down to try something new, there's hope!  As hard as it may be, I would ask you to try and focus on YOUR own side of the street when approaching him. Use an open and curious approach with him. Ask him what he thinks he needs in a marriage. What is it about you he fell in love with? What helps him feel more fulfilled as a man and as a husband? What little things that you have done over the years does he appreciate? Like Sherry said, if you can get him talking, there'll be plenty to work with. We only need a spark to kindle a fire. If he can give you a list, you'll have a blueprint for getting him to reconnect with you and it opens the door for you to offer him little suggestions as well.By the time a couple reaches the point where you're at, there's usually very little fun going on. We've stopped enjoying one another's company. Try and think creatively about some shared experiences he might be willing to do. A picnic? Happy hour? Concerts, museums, cooking class, new sexual behaviors...the list is as infinite as you want it to be! Some of my favorite suggestions for couples looking to understand how they got here and how to build their way out are:"The Secret to Desire in a Long-Term Relationship" (Ted Talk) by Esther Perel"Getting Together & Staying Together: Solving the Mystery of Marriage" by William & Carleen Glasser"Divorce Busting - A Step By Step Approach to Making Your Marriage Loving Again" by Michelle Weiner-Davis"The Relationship Cure: a 5 step Guide to Strengthening your Marriage, Family, and Friendships" by John Gottman & Joan DeClaire"The Seven Principles for Making Marriage Work" by John Gottman & Nan Silver"The Five Love Languages" by Gary ChapmanAnd of course, I'd be remiss if I didn't suggest that if you're open to the idea, maybe some individual and/ or couples counseling could be helpful too.My very warmest regards to you,Tamara Powell, LMHC

### Instruction: Is this something I should be worried about? Should I do something about it? ### Response:

My son plays alone at recess.Is this something I should be worried about? Should I do something about it?Every mom is the expert on their children’s behavior.  First of all, I suggest checking with your son, asking him if he is happy while playing alone, or does he complain that no one wants to play with him?  Does he plays alone in school, but is social in other environments, with family or neighbors?Playing alone is healthy for children, it helps them to be independent and confident, it allows them to explore their environment and use their imagination, among other benefits.  On the other hand, it is also important to develop social skills early on and become confident in our skills as we grow.  Children go through stages of exploration until they develop a sense of “social confidence”. Depending on your son’s age, he might need some input or advice.  Provide the opportunity to interact with other children, without pushing it.  Take him to the park to play with a friend or to children’s activities in your neighborhood.  Later ask him, what did he thought of the activity, and if he enjoyed playing there.  Children also follow their parent’s model, so you can encourage social interaction by greeting other and asking your son to do the same, ask him to receive the guests who come to the house with you and sit to enjoy the conversation. If you notice any shakiness, becoming tearful, anxious or aggressive when approaching social encounters, you may want to talk to the school counselor or children’s therapist to evaluate those symptoms and rule out any behavioral problems or social anxiety.Mi hijo juega solo en el receso.¿Debería preocuparme al respecto?  ¿Debería hacer algo al respecto?Cada mama es experta en la conducta de sus hijos.  Primero que nada te sugiero que revises con tu hijo y le preguntes si él se siente contento jugando solo, o si se queja porque nadie quiere jugar con él.   Observa si él juega solo en la escuela, pero es sociable en otros ambientes como con la familia  o los vecinos. Jugar solo puede ser saludable para los niños, les ayudo a ser independientes, desarrollan sentido de seguridad, y les permite explorar su ambiente y utilizar su imaginación, entre otros beneficios.Por otro lado, también es importante desarrollar destrezas sociales y perfeccionarlas con la práctica.   Los niños van por etapas de exploración y prueba hasta que desarrollan un nivel de confianza en sus destrezas sociales.  Dependiendo de la edad de tu hijo, puede que el necesite algunos consejos.  Provéele la oportunidad de interactuar con otros niños, sin obligarlo. Ya sea yendo al parque a jugar con vecinos, o a actividades comunitarias infantiles con algún amigo.  Luego pregúntale como le pareció la actividad y si le gusto compartir allí.  También recuerda que los niños siguen el modelo de sus padres, así que puedes motivarlo invitándolo a que salude a otros después de ti, o invitándolo a recibir a la visita que llega a la casa y que los acompañe durante la conversación.Si observas que tu hijo está nervioso, lloroso, o agresivo cuando se acerca alguna actividad social, consulta con el consejero escolar o un consejero infantil para evaluar sus síntomas y descarta cualquier problema de conducta o ansiedad.

### Instruction: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected? ### Response:

Piggybacking on the other respondent's suggestions, I also agree that most couples could use more frequent and more bonding communication in their relationships, and this is a GREAT place to get the ball rolling towards reconnecting.Surveying the demographical data on long-term relationships, it's pretty common for couples to start to struggle around the 7-10 year mark and in fact, that's often when first time divorces happen. And for lots of reasons...most of them having something to do with beginning to take one another for granted and no longer doing the little things that nourish the relationship and light our partners up.  Seems like you've encountered this in your own relationship...where he appears to be neglecting your need for emotional connection with him.Doesn't have to be this way though. And from my own personal clinical experience, I can tell you that when even ONE partner is willing to make some small but powerful changes, they can often ripple outward to the other partner and bring about miraculous outcomes! So my encouragement to you is this - if you're still in love with him...even a little bit...and you're down to try something new, there's hope!  As hard as it may be, I would ask you to try and focus on YOUR own side of the street when approaching him. Use an open and curious approach with him. Ask him what he thinks he needs in a marriage. What is it about you he fell in love with? What helps him feel more fulfilled as a man and as a husband? What little things that you have done over the years does he appreciate? Like Sherry said, if you can get him talking, there'll be plenty to work with. We only need a spark to kindle a fire. If he can give you a list, you'll have a blueprint for getting him to reconnect with you and it opens the door for you to offer him little suggestions as well.By the time a couple reaches the point where you're at, there's usually very little fun going on. We've stopped enjoying one another's company. Try and think creatively about some shared experiences he might be willing to do. A picnic? Happy hour? Concerts, museums, cooking class, new sexual behaviors...the list is as infinite as you want it to be! Some of my favorite suggestions for couples looking to understand how they got here and how to build their way out are:"The Secret to Desire in a Long-Term Relationship" (Ted Talk) by Esther Perel"Getting Together & Staying Together: Solving the Mystery of Marriage" by William & Carleen Glasser"Divorce Busting - A Step By Step Approach to Making Your Marriage Loving Again" by Michelle Weiner-Davis"The Relationship Cure: a 5 step Guide to Strengthening your Marriage, Family, and Friendships" by John Gottman & Joan DeClaire"The Seven Principles for Making Marriage Work" by John Gottman & Nan Silver"The Five Love Languages" by Gary ChapmanAnd of course, I'd be remiss if I didn't suggest that if you're open to the idea, maybe some individual and/ or couples counseling could be helpful too.My very warmest regards to you,Tamara Powell, LMHC

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

Goodbyes can be hard. Chances are most of the goodbyes you have experienced in your life have been difficult. Saying goodbye to a therapist can be different. It can be an opportunity to create a healthy ending in a positive relationship in your life. If you work with a therapist who is skilled, then saying goodbye can be just as transformative as the therapy itself. Ending therapy is also known as “termination.” I know, “termination” doesn’t have a great ring to it! However, it is what it is. It is an ending of the relationship as it existed. It is reality cold and stark. Of course, when I talk to clients I don’t use the word “termination,” I usually say “our goodbye.”  Under what circumstances does therapy usually end? Therapy should end when a client does not need further assistance, is not receiving any benefit from therapy, or might be harmed by continuing to work with a particular therapist.In the best case scenario the decision to move on from therapy and “say our goodbyes” happens when both the therapist and the client feel like the client is ready to move on and move up!  Ending the therapeutic relationship should actually be worked on from the very first session. What I mean by that is, there should be an understanding that the work we do together will have an ending and that is a good thing because it means the client has gained the skills to continue working on themselves independently. So the first session I have with clients usually outlines a plan where the end goal is discussed and we both have an understanding of the skills the client wants to learn or what they hope to achieve. Now sometimes there are situations where the therapist ends the relationship and the client may take that personally, it is hard when any relationship ends and it might bring up feelings of sadness, and fear or abandonment. Any good therapist will end the relationship based on what is right for the client. What are some situations where a therapist might end the relationship?If the situation the client is dealing with is out of the therapist's scope of practice, the therapist may end the relationship and refer the client to someone else. This is in the client’s best interest. Another reason a therapist might end the relationship is that the therapist is in a place in her life which prevents her from being objective and helpful.  A therapist who is going through a painful divorce may have difficulty working with a couple that considering divorce. A good therapist may see that their judgement may be clouded and want to refer the client to see someone else. This is good practice and helps the client.If a client is actively suicidal or actively using substances then the therapist may end the relationship and refer out for a higher level of care. The client may need to be hospitalized or may need an inpatient substance abuse treatment program. Therapy may be terminated while they are being treated and may continue after the intensive program is completed.  Ending therapy should be a time for connection and bringing together accomplishments, or reviewing the next important step the client needs to take. It should not be an experience of abandonment. A skilled therapist will help a client gain a new perspective on closure. For some clients, it may be the one time in their lives when they get a clean ending in a healthy relationship and they get to feel a sense of control on creating that ending. Good luck to you!

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

Goodbyes can be hard. Chances are most of the goodbyes you have experienced in your life have been difficult. Saying goodbye to a therapist can be different. It can be an opportunity to create a healthy ending in a positive relationship in your life. If you work with a therapist who is skilled, then saying goodbye can be just as transformative as the therapy itself. Ending therapy is also known as “termination.” I know, “termination” doesn’t have a great ring to it! However, it is what it is. It is an ending of the relationship as it existed. It is reality cold and stark. Of course, when I talk to clients I don’t use the word “termination,” I usually say “our goodbye.”  Under what circumstances does therapy usually end? Therapy should end when a client does not need further assistance, is not receiving any benefit from therapy, or might be harmed by continuing to work with a particular therapist.In the best case scenario the decision to move on from therapy and “say our goodbyes” happens when both the therapist and the client feel like the client is ready to move on and move up!  Ending the therapeutic relationship should actually be worked on from the very first session. What I mean by that is, there should be an understanding that the work we do together will have an ending and that is a good thing because it means the client has gained the skills to continue working on themselves independently. So the first session I have with clients usually outlines a plan where the end goal is discussed and we both have an understanding of the skills the client wants to learn or what they hope to achieve. Now sometimes there are situations where the therapist ends the relationship and the client may take that personally, it is hard when any relationship ends and it might bring up feelings of sadness, and fear or abandonment. Any good therapist will end the relationship based on what is right for the client. What are some situations where a therapist might end the relationship?If the situation the client is dealing with is out of the therapist's scope of practice, the therapist may end the relationship and refer the client to someone else. This is in the client’s best interest. Another reason a therapist might end the relationship is that the therapist is in a place in her life which prevents her from being objective and helpful.  A therapist who is going through a painful divorce may have difficulty working with a couple that considering divorce. A good therapist may see that their judgement may be clouded and want to refer the client to see someone else. This is good practice and helps the client.If a client is actively suicidal or actively using substances then the therapist may end the relationship and refer out for a higher level of care. The client may need to be hospitalized or may need an inpatient substance abuse treatment program. Therapy may be terminated while they are being treated and may continue after the intensive program is completed.  Ending therapy should be a time for connection and bringing together accomplishments, or reviewing the next important step the client needs to take. It should not be an experience of abandonment. A skilled therapist will help a client gain a new perspective on closure. For some clients, it may be the one time in their lives when they get a clean ending in a healthy relationship and they get to feel a sense of control on creating that ending. Good luck to you!

### Instruction: My boyfriend and I have been together for five years now. Throughout the entire first day that we met, he and I had the opportunity to interact quite a lot and instantly sparked a deep connection with one another. That same night, he and a friend stayed over at my house (without my mom's acknowledgment) and we kissed. The next two days were a repetition of the first day. On the third night, my mother finally caught us, and I was kicked out of my house. I left with him of course, and we went from meeting each other to being like a married couple. It was very hard for us. His stepdad also kicked him out of his home, and we were staying at cheap hotels and friend's houses with the little money we had. I quit my job and dropped out of school because it was hard to do anything without a stable home. There were times when we had nowhere else to go but sleep in the car outside a Walmart parking lot. Our honeymoon stage, as they call it, probably only lasted one month. After that, it was a downward spiral. We were constantly arguing about money, food, and our families. We kept having the famous "you're doing it wrong—do it this way" argument. After six months, we moved across the country only to live the same thing, and that's when the violence started. One afternoon, after a serious argument, he got into his truck and threatened to leave me. I was frightened that he would actually go through with his word, given that we had just moved to a place where we knew no one. He told me to let him leave or he would hit me. He had once promised he would never touch me, so I challenged him to do it. He slapped me, and ever since that time, when we have serious fights, he loses control and hurts me. I haven't had the courage to leave him, and there's really nothing stopping me now. I don't live with him, I don't depend on him, and we don't have children. We both haven't been able to let go of that deep connection that we still have and that has been damaged so badly. He always apologizes, and at the beginning, he was more willing to change. Now he just wants me to understand why he does it and how I don't ever make the effort to try to be okay. I've read enough about domestic violence to know that it's not my fault that he loses control, so that's not even an issue for me. I know he has to change that on his own. I just want to know if there's people who have gone through this and had the tables turned? Is there hope for a better future together? ### Response:

Hi Winters, I learned a long time ago that I can't ever predict who will change and who won't. I meet couples who seem to have all the ingredients but can't make it work, and others who have severe issues and they decide to make better decisions and things change. But in reading your story, the image of a slot machine came to mind. You're gambling your life away on the chance that this guy will change. Only you can decide how many years to give it. I see him giving you clear signs that he doesn't even believe in himself or want to change though. What are you waiting for?Although you say you know his behaviours aren't your fault, something tells me that you're hoping your love for him will turn the key that unlocks something and makes him want to change. It doesn't work that way. Just like the slot machine, you have no power to change him or make this work. You can only decide when you've paid too much. I bet there's someone out there who loves and misses you. He's not your only support. 

### Instruction: My boyfriend and I have been together for five years now. Throughout the entire first day that we met, he and I had the opportunity to interact quite a lot and instantly sparked a deep connection with one another. That same night, he and a friend stayed over at my house (without my mom's acknowledgment) and we kissed. The next two days were a repetition of the first day. On the third night, my mother finally caught us, and I was kicked out of my house. I left with him of course, and we went from meeting each other to being like a married couple. It was very hard for us. His stepdad also kicked him out of his home, and we were staying at cheap hotels and friend's houses with the little money we had. I quit my job and dropped out of school because it was hard to do anything without a stable home. There were times when we had nowhere else to go but sleep in the car outside a Walmart parking lot. Our honeymoon stage, as they call it, probably only lasted one month. After that, it was a downward spiral. We were constantly arguing about money, food, and our families. We kept having the famous "you're doing it wrong—do it this way" argument. After six months, we moved across the country only to live the same thing, and that's when the violence started. One afternoon, after a serious argument, he got into his truck and threatened to leave me. I was frightened that he would actually go through with his word, given that we had just moved to a place where we knew no one. He told me to let him leave or he would hit me. He had once promised he would never touch me, so I challenged him to do it. He slapped me, and ever since that time, when we have serious fights, he loses control and hurts me. I haven't had the courage to leave him, and there's really nothing stopping me now. I don't live with him, I don't depend on him, and we don't have children. We both haven't been able to let go of that deep connection that we still have and that has been damaged so badly. He always apologizes, and at the beginning, he was more willing to change. Now he just wants me to understand why he does it and how I don't ever make the effort to try to be okay. I've read enough about domestic violence to know that it's not my fault that he loses control, so that's not even an issue for me. I know he has to change that on his own. I just want to know if there's people who have gone through this and had the tables turned? Is there hope for a better future together? ### Response:

Hi Winters, I learned a long time ago that I can't ever predict who will change and who won't. I meet couples who seem to have all the ingredients but can't make it work, and others who have severe issues and they decide to make better decisions and things change. But in reading your story, the image of a slot machine came to mind. You're gambling your life away on the chance that this guy will change. Only you can decide how many years to give it. I see him giving you clear signs that he doesn't even believe in himself or want to change though. What are you waiting for?Although you say you know his behaviours aren't your fault, something tells me that you're hoping your love for him will turn the key that unlocks something and makes him want to change. It doesn't work that way. Just like the slot machine, you have no power to change him or make this work. You can only decide when you've paid too much. I bet there's someone out there who loves and misses you. He's not your only support.

### Instruction: My mom is always bossy and treats me like a child even though I'm in my 20s. She argues with me over stupid stuff. ### Response:

This is a common issue. You grow up gradually, and parents often forget to shift their habitual responses according to your newfound level of maturity and growing need for freedom and independance. I'm all for helping you find new ways to cope and interact with your mom. Ultimately, you only have control over yourself, so that's the place to start. You can remind yourself that Mom's behaviours don't mean that she doesn't trust you or love you; it's just that she has habitual ways of talking to you that seem stuck in the fourteen year old range. If you can see her responses as habits, rather than a reflection of how she feels about you, then you can keep yourself calm. The more calm you are, the more she will buy into it when you invite her into a different sort of relationship. Take a look at the picture from her perspective. She may feel overwhelmed with finances (are you in college?), and feel burdened by the mundane tasks in life that she doesn't know how to recruit help for. I bet your mom spends a lot of time picking up after you, cleaning, cooking, doing laundry...all those thankless mom tasks. Take a look at how she talks to you... is she nagging about chores? Can you see that underneath the nagging there's a pretty overwhelmed and powerless person who needs assistance?  Okay, so my guess is that you both have a legitimate beef. She wants help. You want respect. Let's talk about how you get both.I propose that you sit down with mom and negotiate out a different sort of dynamic. "Mom...I see us as stuck in how we interacted when I was fourteen. Can we do this differently in a way that we both get what we want?" Sell it as "win-win". Then you write down some things that end up forming a contract. The first part is stuff that's your business and your business alone: things you want your mom to respect, like your room, your school, your job, your personal relationships and hygiene.... Mom's voice has no place in these arenas, unless you are storing food in your room and it's a health hazard. This is a "Mom says nothing about" list. The second part is about what Mom needs from you. What are her expectations about your role in the home as an adult. Does she want you to contribute to rent? Buy your own food? Do your own laundry? What items can we put in your control that would take some burden off of Mom? How will these things be enforced? What will happen if you don't follow through? Write it all down so it's really clear. It has to all be mutually agreed upon.The third part of the conversation is about how she talks to you, and how you talk to her. You can let her know that you don't want to be told what to do or when to do it; that doesn't work when you're 20 years old. Listen to what she wants too. Beyond the contract you've just written up, anything else you want from each other is a request, it's optional, and whether and when you do it is at your discretion. My guess is that if she spoke to you with more respect, you'd be more willing to help out. AND, I think if you participated a bit more she would nag at you less. Go for the win-win. I wish you well as you negotiate a new relationship with Mom. :) 

### Instruction: I'm in my late 50s. I never loved or have been loved. I need deeper help than is offered in my small town, but I cannot leave this town because of agoraphobia. I find myself losing hope more and more. My brain barely works anymore, and my memory so small, I forget in a moment. I serve no purpose. I'm incapable of work or anything of value, and I never have been. I’m a complete waste of time and resources, and yet I keep trying. Why? Why does God insist that I continue to exist? I’m not suicidal, just tired. ### Response:

Hi Oak Harbor,My heart goes out to you. Sometimes when I'm working with a client who experiences depression or anxiety, I ask them for a glimpse into their worst moments in their minds. "What are the worst thoughts that run through your head?". Often they struggle, perhaps out of shame; maybe they don't want me to know their worst thoughts. But I can help them better if I do know, because then we have a place to work from. You are feeling hopeless and worthless, and your thoughts support these intense emotions. I don't know you, but I strongly believe that you have someone in your life who, if they heard your thoughts, would say "That's not true. I know where her value is." I believe that there are people who would see your value clearly, even if in small things. Can you imagine those voices?You mentioned God, so let's invite God into the conversation. What might God say to you? What evidence might God...who sees all..have of your worth? What hint might God give you about your purpose? You suffer from severe anxiety, and the agoraphobia works together with fear; they're a tag team. Fear tells you perhaps that people will reject you (or something equally bad), and then agoraphobia steps in and traps you and uses as evidence the fact that no one seems to be reaching out to you to convince you that you have no worth. Do you see their plan? Make her scared... keep her here alone...convince her it's hopeless. They both try to convince you that they are your only friends, except they're lying to you. They only want power over you.You forget your worth. You forget that we all have worth. No one is a waste. I believe all God's creatures have worth, and that we're here to use our gifts to improve the world, and to remind each other of our value. There are people out there needing your support as much as you need theirs. Can you find them? My guess is you've been alone and isolated for a very long time and it's impossible for you to see your worth in this situation. We need mirrors to see our worth and other people are our mirrors. We see our value in their eyes. Do you remember the first time you questioned your worth? What was happening that you blamed yourself for? Can you speak to that child and tell her (or him) that whatever's happening isn't her fault? It's that child who cannot see her own worth, probably because someone treated her as though she had none. That's only a story though; not the truth. Can you find another thread of a story? Who might tell a story of your worth?Oak Harbor, I believe that there is help closer than you think. Fear wants you to believe it's hopeless. You reached out here...can you reach out again? Start with just one person, and that will lead you to somewhere. We don't know where that somewhere is but could it be better than sitting alone? You've stopped living. You can choose any moment to start. I wish you peace and hope. :)

### Instruction: My mom is always bossy and treats me like a child even though I'm in my 20s. She argues with me over stupid stuff. ### Response:

This is a common issue. You grow up gradually, and parents often forget to shift their habitual responses according to your newfound level of maturity and growing need for freedom and independance. I'm all for helping you find new ways to cope and interact with your mom. Ultimately, you only have control over yourself, so that's the place to start. You can remind yourself that Mom's behaviours don't mean that she doesn't trust you or love you; it's just that she has habitual ways of talking to you that seem stuck in the fourteen year old range. If you can see her responses as habits, rather than a reflection of how she feels about you, then you can keep yourself calm. The more calm you are, the more she will buy into it when you invite her into a different sort of relationship. Take a look at the picture from her perspective. She may feel overwhelmed with finances (are you in college?), and feel burdened by the mundane tasks in life that she doesn't know how to recruit help for. I bet your mom spends a lot of time picking up after you, cleaning, cooking, doing laundry...all those thankless mom tasks. Take a look at how she talks to you... is she nagging about chores? Can you see that underneath the nagging there's a pretty overwhelmed and powerless person who needs assistance?  Okay, so my guess is that you both have a legitimate beef. She wants help. You want respect. Let's talk about how you get both.I propose that you sit down with mom and negotiate out a different sort of dynamic. "Mom...I see us as stuck in how we interacted when I was fourteen. Can we do this differently in a way that we both get what we want?" Sell it as "win-win". Then you write down some things that end up forming a contract. The first part is stuff that's your business and your business alone: things you want your mom to respect, like your room, your school, your job, your personal relationships and hygiene.... Mom's voice has no place in these arenas, unless you are storing food in your room and it's a health hazard. This is a "Mom says nothing about" list. The second part is about what Mom needs from you. What are her expectations about your role in the home as an adult. Does she want you to contribute to rent? Buy your own food? Do your own laundry? What items can we put in your control that would take some burden off of Mom? How will these things be enforced? What will happen if you don't follow through? Write it all down so it's really clear. It has to all be mutually agreed upon.The third part of the conversation is about how she talks to you, and how you talk to her. You can let her know that you don't want to be told what to do or when to do it; that doesn't work when you're 20 years old. Listen to what she wants too. Beyond the contract you've just written up, anything else you want from each other is a request, it's optional, and whether and when you do it is at your discretion. My guess is that if she spoke to you with more respect, you'd be more willing to help out. AND, I think if you participated a bit more she would nag at you less. Go for the win-win. I wish you well as you negotiate a new relationship with Mom. :)

### Instruction: I'm in my late 50s. I never loved or have been loved. I need deeper help than is offered in my small town, but I cannot leave this town because of agoraphobia. I find myself losing hope more and more. My brain barely works anymore, and my memory so small, I forget in a moment. I serve no purpose. I'm incapable of work or anything of value, and I never have been. I’m a complete waste of time and resources, and yet I keep trying. Why? Why does God insist that I continue to exist? I’m not suicidal, just tired. ### Response:

Hi Oak Harbor,My heart goes out to you. Sometimes when I'm working with a client who experiences depression or anxiety, I ask them for a glimpse into their worst moments in their minds. "What are the worst thoughts that run through your head?". Often they struggle, perhaps out of shame; maybe they don't want me to know their worst thoughts. But I can help them better if I do know, because then we have a place to work from. You are feeling hopeless and worthless, and your thoughts support these intense emotions. I don't know you, but I strongly believe that you have someone in your life who, if they heard your thoughts, would say "That's not true. I know where her value is." I believe that there are people who would see your value clearly, even if in small things. Can you imagine those voices?You mentioned God, so let's invite God into the conversation. What might God say to you? What evidence might God...who sees all..have of your worth? What hint might God give you about your purpose? You suffer from severe anxiety, and the agoraphobia works together with fear; they're a tag team. Fear tells you perhaps that people will reject you (or something equally bad), and then agoraphobia steps in and traps you and uses as evidence the fact that no one seems to be reaching out to you to convince you that you have no worth. Do you see their plan? Make her scared... keep her here alone...convince her it's hopeless. They both try to convince you that they are your only friends, except they're lying to you. They only want power over you.You forget your worth. You forget that we all have worth. No one is a waste. I believe all God's creatures have worth, and that we're here to use our gifts to improve the world, and to remind each other of our value. There are people out there needing your support as much as you need theirs. Can you find them? My guess is you've been alone and isolated for a very long time and it's impossible for you to see your worth in this situation. We need mirrors to see our worth and other people are our mirrors. We see our value in their eyes. Do you remember the first time you questioned your worth? What was happening that you blamed yourself for? Can you speak to that child and tell her (or him) that whatever's happening isn't her fault? It's that child who cannot see her own worth, probably because someone treated her as though she had none. That's only a story though; not the truth. Can you find another thread of a story? Who might tell a story of your worth?Oak Harbor, I believe that there is help closer than you think. Fear wants you to believe it's hopeless. You reached out here...can you reach out again? Start with just one person, and that will lead you to somewhere. We don't know where that somewhere is but could it be better than sitting alone? You've stopped living. You can choose any moment to start. I wish you peace and hope. :)

### Instruction: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age. ### Response:

I understand that at times it’s difficult to share with our parents what we have been trough, due to fear of judgment or punishment; but I have noticed that keeping our experiences secret, intensifies them.  And Post Traumatic Stress Disorder can haunt us for a long time if we do not learn to process the memories that cause those symptoms.  If you have been victim of a traumatic event that you are not prepared to share with your parents, it’s important that you seek help with a counselor, therapist or psychologist.  Trauma Focused Cognitive Behavioral Therapy is a great technique to cope with physical symptoms, you could also use Narrative therapy, Creative Therapy or Journaling as a way to express memories and process them with your therapist.  A psychiatrist can also prescribe medication to manage the symptoms, but is very important that you address the trauma so you can heal and go back to live your life.   Many organizations like the United Way (2-1-1 in many states) offer resources and referrals to put you in touch with mental health providers, you could also talk to your school counselor, doctor or church to find referral that could help. Tip: You don’t have to tell you story to each person you ask for help, you can just start by asking for a counselor referral. ¿Cómo puedo superar el Desorden de Estrés Post Traumático sin que mis padres se enteren?Comprendo que muchas veces puede ser difícil compartir nuestras experiencias con nuestros padres, muchas veces por miedo a que nos juzguen o castiguen; pero he observado cómo mantener un secreto, lo vuelve más fuerte y difícil de manejar.   El Desorden de Estrés Post Traumático puede ser una condición que nos persigue por mucho tiempo si no aprendemos a procesar las memorias que causan esos síntomas.  Si has sido víctima de un trauma que tal vez no estás listo(a) para compartir con tus padres, es importante que busques la ayuda de algún consejero profesional, terapista o sicólogo.  La Terapia Cognitiva Conductual enfocada en el Trauma, es una técnica que te ayudara a manejar muchos de los síntomas, también puedes utilizar diarios o Terapia Narrativa o creativa, para expresar memorias y procesarlas luego en terapia.  Un Psiquiatra también te puede proveer medicamentos que ayudan a manejar los síntomas del Estrés Post Traumático, pero es importante que atiendas el problema inicial para poder sanar por completo y volver a tomar las riendas de tu vida.   Muchas organizaciones como los Fondos Unidos (2-1-1 en muchos estados) tiene recursos que proveen referidos a consejeros o profesionales de la salud mental.  También puedes preguntarle a tu consejero escolar, doctor o en la iglesia.   Sugerencia: No tienes que contarle a todos tu problema, solo pide que te recomienden a un consejero o terapista. 

### Instruction: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age. ### Response:

I understand that at times it’s difficult to share with our parents what we have been trough, due to fear of judgment or punishment; but I have noticed that keeping our experiences secret, intensifies them.  And Post Traumatic Stress Disorder can haunt us for a long time if we do not learn to process the memories that cause those symptoms.  If you have been victim of a traumatic event that you are not prepared to share with your parents, it’s important that you seek help with a counselor, therapist or psychologist.  Trauma Focused Cognitive Behavioral Therapy is a great technique to cope with physical symptoms, you could also use Narrative therapy, Creative Therapy or Journaling as a way to express memories and process them with your therapist.  A psychiatrist can also prescribe medication to manage the symptoms, but is very important that you address the trauma so you can heal and go back to live your life.   Many organizations like the United Way (2-1-1 in many states) offer resources and referrals to put you in touch with mental health providers, you could also talk to your school counselor, doctor or church to find referral that could help. Tip: You don’t have to tell you story to each person you ask for help, you can just start by asking for a counselor referral. ¿Cómo puedo superar el Desorden de Estrés Post Traumático sin que mis padres se enteren?Comprendo que muchas veces puede ser difícil compartir nuestras experiencias con nuestros padres, muchas veces por miedo a que nos juzguen o castiguen; pero he observado cómo mantener un secreto, lo vuelve más fuerte y difícil de manejar.   El Desorden de Estrés Post Traumático puede ser una condición que nos persigue por mucho tiempo si no aprendemos a procesar las memorias que causan esos síntomas.  Si has sido víctima de un trauma que tal vez no estás listo(a) para compartir con tus padres, es importante que busques la ayuda de algún consejero profesional, terapista o sicólogo.  La Terapia Cognitiva Conductual enfocada en el Trauma, es una técnica que te ayudara a manejar muchos de los síntomas, también puedes utilizar diarios o Terapia Narrativa o creativa, para expresar memorias y procesarlas luego en terapia.  Un Psiquiatra también te puede proveer medicamentos que ayudan a manejar los síntomas del Estrés Post Traumático, pero es importante que atiendas el problema inicial para poder sanar por completo y volver a tomar las riendas de tu vida.   Muchas organizaciones como los Fondos Unidos (2-1-1 en muchos estados) tiene recursos que proveen referidos a consejeros o profesionales de la salud mental.  También puedes preguntarle a tu consejero escolar, doctor o en la iglesia.   Sugerencia: No tienes que contarle a todos tu problema, solo pide que te recomienden a un consejero o terapista.

### Instruction: My parents seem okay with other sexualities, but normally they only talk about being gay. When they do talk about bisexuality, they say things like “they'll do anything” or things that make me very uncomfortable because I am bisexual. I don't know if I am ready to come out to them. ### Response:

Hello, and thank you for your question. Being bisexual can be particularly difficult because it is often misunderstood, even by people who are “supposed” to be part of your own community, such as lesbians and gays. It happens so often that there is actually a term for it –  bi-erasure. This is simply something that happens when people deny that bisexuality is a real thing, or discriminate against bisexuals due to beliefs like your parents seem to have. The unfortunate truth is that you can never be sure of how you parents may take this kind of information. It sounds promising that they are accepting of other sexual orientations, and it may simply be that your parents lack education about bisexuality. With accurate information, they may come around, but there is no way to be sure. Some of my colleagues have already given you good information. Here are some more things that you can consider and questions you can ask yourself before making the decision to tell them:   1.      If they don’t respond the way you want them to, have you developed a support system to support you through it? This is very important. The truth is that all the friends in the world won’t prevent pain or sadness if your parents don’t respond as you hope, but they will at least be there to remind you that you ARE okay as you are. And that is critical for you to remember.   2.      There is great information on the internet about bisexuality that you can offer your parents if you think it would be helpful. It may be important for them to know the kind of damage that is being done to bisexual adults and young people because of the myths surrounding bisexuality. Here is an article from GLAAD about bi-erasure: http://www.glaad.org/bisexual/bierasure   3.      Coming out to people is obviously deeply personal and should only take place when you are ready. Sometimes people get pressured from friends, media, and even people they are romantically involved with to come out before they are ready. It really is up to you. If you are feeling pressure from others, don’t feel bad about setting your boundaries and telling them that you will come out on your own time. Intimate partners should respect you enough to understand this.   4.      Something else to think about is your own comfort in being bisexual. Just because someone is LGBTQ doesn’t mean that they necessarily want to be. Many people struggle with this. Having your own doubts or insecurities may also play a part in how comfortable you are in telling your parents. So, perhaps do some self-exploration about your feelings toward yourself.   Sometimes people take friends with them when they decide to come out to their parents. This is something you may want to consider. The important thing to remember is that you are okay. Really. If your parents don’t respond well, that doesn’t mean that they never will. Some start off upset, but then work their way through it. Best of luck to you. Robin J. Landwehr, DBH, LPC, NCC

### Instruction: I'm a teenage girl, and my dad is an alcoholic. I hate being at home with him because he just stresses me out. He can be picking me up from basketball practice or piano lessons, and half of the time, I don't even know if he's sober or not. I refuse to get into the vehicle with him and walk home sometimes. I've either been barely sleeping or I over sleep, so I'm always tired. I live in a small town, so there's no one I can really talk to because I'm not really that close with my family. ### Response:

Hello, and thank you for your question. You are clearly a resourceful young person to reach out like this to find help. Good for you. I have a few ideas and perhaps some other counselors will add some thoughts, too. First, good for you for taking care of yourself and making really good decisions – such as not getting into the car with dad when he is intoxicated. It is really important that you consider your safety above all else. To answer your heading question, yes, it is quite common for people to blame themselves for other people’s actions. There are various reasons why we do this. For one thing, someone may tell us that their behaviors are our fault. And depending on things like our relationship to that person, past experiences, and our self-esteem, we may actually start to believe it. What is important to remember is that your parents have the responsibility to be sure that you are safe and cared for, not the other way around. As for the other things you mentioned, I am concerned about both your physical and emotional safety and well-being. It sounds like your father has an alcohol abuse problem, and living with someone who is struggling with addiction can be hard for anyone, let alone a teenager who is also trying to deal with things like school. You may want to see if your school has a counselor or someone you can talk to about what is going on. I will tell you that in some states, what you have told me may be something that a counselor would have to report to child protection services, but not necessarily. If you are concerned about that, ask the counselor what they are obligated to report. If you don’t know a counselor, think about any other adult that you would feel comfortable talking to. They may have some ideas. Sometimes individual states have non-profit chat lines or hotlines for teens to call if they are struggling with things. You may be able to find something like that in your state. I do warn your about doing random searches, not every website is good, so be careful. This is clearly a tough spot for you to be in, so one of the things that I encourage you to do while searching for support is to focus on taking care of yourself. Sometimes things like this can really bring us down and we stop doing the things we enjoy. Try really hard not to let that happen. If you have interests, do them. If you catch yourself thinking too hard about things, try to find something fun to do to distract yourself. Try to take care of yourself in other ways, such as eating well. Exercise can really help when we get stressed. I hope some of this was helpful. Good luck.   Robin J. Landwehr, DBH, LPC, NCC

### Instruction: I'm a young adult woman, and I have trouble finding my true identity being at home. This all started when I had a boyfriend about 10 months ago. My boyfriend and I were dating for a couple months and decided to get in to sexual acts. At the time, I was pretty religious, but I let this happen. I don't know why. I felt kind of guilty but mostly because I know my parents wouldn't like it. My parents are very religious—they're Christians. We did things every time he'd come over to my house. We didn't have anything to do at our house, so we would get tempted to do things when we'd watch movies by ourselves. One day, my parents found out I did this stuff with him because my dad read my messages. As soon as my dad found this out, he told my mom. They were both aggravated. They told me he was just a boy that wanted to get inside my pants. They said he wanted me for sex and he's not a Christian. I took their advice and broke up with him. Once we broke up for about a month, I decided to get back together with him a little after school started. My parents found out eventually, and I decided to not listen this time. I would constantly talk to my boyfriend about what they say about him: how's he's not the right one for me, and God totally forbids him. I would kind of try to break up with him, and then eventually I would just never listen to my parents. They're always yelling at me about how I shouldn't date this boy. I felt too old to listen to them. Now I'm kind of just stuck. Is the real me religious? Have I been brainwashed by him? I don't talk to my parents anymore about him, and my parents think I'm deceiving because of it. They threatened me that if I'm still with him, I can't do track and they won't support me. They've also called me slut, and now they called me basically a devil worshipper. They say my boyfriend is taking me away from my parents. I'm actually very happy with him. They also say I'm living a separate life at home than I am at school. They say they want what's best for me and love me because they adopted me. ### Response:

What a tough situation you must be in, feeling torn between your parents and someone who is very special to you. I would say the first thing you want to do is (if you haven't already), have a calm reciprocal conversation with your parents, telling them how you feel and letting them know what you need from them. If communication attempts are unsucessful then you will need to make a decision with how you would like to move forward. You, unfortunately, will not be able to change your parent's feelings or opinions but you can agree to disagree on certain matters by keeping them separate from the relationship you have with your parents. It always helps to try and see things from another angle. You might want to, for example, try and understand your parent's perspectives and let them know you understand that they are upset. Validating other's feelings can be very helpful with communicating effectively. Are you living with your parents and do they support you? If so, are you willing to give that up should you decide to not follow their rules? Know that there is nothing wrong with being happy with someone or loving somebody so deeply. Your feelings and actions certainly do not make you brainwashed or a devil worshipper. Not everyone will always approve of the choices we make and sometimes we need to be okay with that. Best of luck to you.

### Instruction: I'm a young adult woman, and I have trouble finding my true identity being at home. This all started when I had a boyfriend about 10 months ago. My boyfriend and I were dating for a couple months and decided to get in to sexual acts. At the time, I was pretty religious, but I let this happen. I don't know why. I felt kind of guilty but mostly because I know my parents wouldn't like it. My parents are very religious—they're Christians. We did things every time he'd come over to my house. We didn't have anything to do at our house, so we would get tempted to do things when we'd watch movies by ourselves. One day, my parents found out I did this stuff with him because my dad read my messages. As soon as my dad found this out, he told my mom. They were both aggravated. They told me he was just a boy that wanted to get inside my pants. They said he wanted me for sex and he's not a Christian. I took their advice and broke up with him. Once we broke up for about a month, I decided to get back together with him a little after school started. My parents found out eventually, and I decided to not listen this time. I would constantly talk to my boyfriend about what they say about him: how's he's not the right one for me, and God totally forbids him. I would kind of try to break up with him, and then eventually I would just never listen to my parents. They're always yelling at me about how I shouldn't date this boy. I felt too old to listen to them. Now I'm kind of just stuck. Is the real me religious? Have I been brainwashed by him? I don't talk to my parents anymore about him, and my parents think I'm deceiving because of it. They threatened me that if I'm still with him, I can't do track and they won't support me. They've also called me slut, and now they called me basically a devil worshipper. They say my boyfriend is taking me away from my parents. I'm actually very happy with him. They also say I'm living a separate life at home than I am at school. They say they want what's best for me and love me because they adopted me. ### Response:

What a tough situation you must be in, feeling torn between your parents and someone who is very special to you. I would say the first thing you want to do is (if you haven't already), have a calm reciprocal conversation with your parents, telling them how you feel and letting them know what you need from them. If communication attempts are unsucessful then you will need to make a decision with how you would like to move forward. You, unfortunately, will not be able to change your parent's feelings or opinions but you can agree to disagree on certain matters by keeping them separate from the relationship you have with your parents. It always helps to try and see things from another angle. You might want to, for example, try and understand your parent's perspectives and let them know you understand that they are upset. Validating other's feelings can be very helpful with communicating effectively. Are you living with your parents and do they support you? If so, are you willing to give that up should you decide to not follow their rules? Know that there is nothing wrong with being happy with someone or loving somebody so deeply. Your feelings and actions certainly do not make you brainwashed or a devil worshipper. Not everyone will always approve of the choices we make and sometimes we need to be okay with that. Best of luck to you.

### Instruction: I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal. Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes. ### Response:

Hi Winters, I'm so glad you wrote, because I think there are a lot of young women experiencing the exact same thing. You feel self-loathing for both being a virgin, and for being sexually active. Young women have always gotten crazy mixed messages about what they're supposed to be. They feel pressure to be pure, and they also feel pressure to be the vixen and please men sexually. But you can't be both, so you can't ever win if you buy into all that horse manure (excuse my language). This current hook-up culture puts added pressure on girls to expect nothing more than random sexual encounters that leave you feeling empty and used; perhaps desirable in that moment but mostly worthless. The stupid part is that research tells us that young men are also impacted negatively by this cultural norm that values sex and not relationship; they feel guilt, and loneliness.  I urge you to talk to other girls and women about your feelings. My hope and prayer is that they will echo my words here.Your value and power cannot ever be found in whether a man wants you, whether you turn his eye, or how he treats you. Your sexuality is a beautiful part of who you are, and it is to be celebrated. I love that you want to celebrate it with someone who cares. Who you are is so very much more than your sexuality. You sound like you have a lot of things going for you. Try to see all of those things when you think of yourself.There are many more virgins out there, and many are afraid, like you, that they don't fit in. We are all different, and you don't have to be anything but who you want to be; who you are. You don't have to have any kind of sex until you're ready, and that makes you brave and smart, not weird.You're tall and beautiful, and guys may be intimidated by that. It may take time for you to meet the right guy, but he's out there. The question is: How do you want to spend your time until he crosses your path? I hope you talk to someone soon and find out that your feelings are normal. I wish you the best.

### Instruction: I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal. Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes. ### Response:

Hi Winters, I'm so glad you wrote, because I think there are a lot of young women experiencing the exact same thing. You feel self-loathing for both being a virgin, and for being sexually active. Young women have always gotten crazy mixed messages about what they're supposed to be. They feel pressure to be pure, and they also feel pressure to be the vixen and please men sexually. But you can't be both, so you can't ever win if you buy into all that horse manure (excuse my language). This current hook-up culture puts added pressure on girls to expect nothing more than random sexual encounters that leave you feeling empty and used; perhaps desirable in that moment but mostly worthless. The stupid part is that research tells us that young men are also impacted negatively by this cultural norm that values sex and not relationship; they feel guilt, and loneliness.  I urge you to talk to other girls and women about your feelings. My hope and prayer is that they will echo my words here.Your value and power cannot ever be found in whether a man wants you, whether you turn his eye, or how he treats you. Your sexuality is a beautiful part of who you are, and it is to be celebrated. I love that you want to celebrate it with someone who cares. Who you are is so very much more than your sexuality. You sound like you have a lot of things going for you. Try to see all of those things when you think of yourself.There are many more virgins out there, and many are afraid, like you, that they don't fit in. We are all different, and you don't have to be anything but who you want to be; who you are. You don't have to have any kind of sex until you're ready, and that makes you brave and smart, not weird.You're tall and beautiful, and guys may be intimidated by that. It may take time for you to meet the right guy, but he's out there. The question is: How do you want to spend your time until he crosses your path? I hope you talk to someone soon and find out that your feelings are normal. I wish you the best.

### Instruction: 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? ### Response:

Hello and thanks for your question! It's important to have the right therapist. I encourage you to start by checking out the website of the therapist. Their blog articles will reflect the kind of work they do and the approach they may take while working with you. If there's an email listed, go ahead and reach out. Ask the particular questions that are on your mind. Share a little of what you are looking for in a therapist. Are you a goal-direct, solution-focused individual who is looking for someone to listen and ask questions? Are you less self-directive and desire a therapist who can give you the consistent push to move forward? Are you interested in intertwining certain theory approaches? Maybe a cognitive-base or experiential? Art therapy or engaging in exercise while talking? Your therapist is out there. It's OK to try out a therapist for a session or two. Interview them as they interview you. It's also OK to change therapists; ask your present therapist for a referral. He or she should be willing to provide you with names of other providers and there's no shame in asking for it. You deserve to work with someone who fits your style!I imagine there's already enough things happening in your life if you are searching for a therapist. Do you really want to "train" your therapist? After all, you are paying them for their knowledge and expertise. It does take time to develop a relationship and developing one with your therapist is vital to your growth and satisfaction. Participating in therapy, for the most part, should be a time you anticipate and not avoid. Can you be honest with them? Are you trusting of the confidentiality they provide? Has this person clearly shared with you the limits of confidentiality if using insurance versus paying privately? Is there any part of you that "just isn't sure"? It's okay to assert yourself in therapy. As a therapist, I invite you to assert yourself as it's a way to develop self-confidence and resiliency. Not everyone thrives in therapy by sitting in an office or lounging on a couch. Some folks benefit by challenging themselves in various environments, or are more comfortable in their homes, online, in the community, at a retreat, etc. Give yourself a gift of spending some time finding the person that can work with you towards what you are searching. Although there's the convenience of the local non-profit agency in your area, it may not be what you need. Also, limiting yourself to the names of providers listed on your insurance may not lead to the "right one". There are many forms of therapy that insurances refuse to cover. When this happens, many times you can be reimbursed for your expenses by your insurance or you can use a Health Savings Card or Flexible Spending Card, there are many, many options. Therapy is about exploring yourself. Go ahead and feel free!If you feel as if you need to "train" your therapist, it seems that person is not the right fit for you. Engaging in treatment should be quite comfortable from the outset of treatment. Many independent practitioners or small group providers offer a free consultation to start the relationship. Perhaps that's a place for you to begin? Good luck and I wish you well!

### Instruction: I'm a teenage girl, and my dad is an alcoholic. I hate being at home with him because he just stresses me out. He can be picking me up from basketball practice or piano lessons, and half of the time, I don't even know if he's sober or not. I refuse to get into the vehicle with him and walk home sometimes. I've either been barely sleeping or I over sleep, so I'm always tired. I live in a small town, so there's no one I can really talk to because I'm not really that close with my family. ### Response:

Hello, and thank you for your question. You are clearly a resourceful young person to reach out like this to find help. Good for you. I have a few ideas and perhaps some other counselors will add some thoughts, too. First, good for you for taking care of yourself and making really good decisions – such as not getting into the car with dad when he is intoxicated. It is really important that you consider your safety above all else. To answer your heading question, yes, it is quite common for people to blame themselves for other people’s actions. There are various reasons why we do this. For one thing, someone may tell us that their behaviors are our fault. And depending on things like our relationship to that person, past experiences, and our self-esteem, we may actually start to believe it. What is important to remember is that your parents have the responsibility to be sure that you are safe and cared for, not the other way around. As for the other things you mentioned, I am concerned about both your physical and emotional safety and well-being. It sounds like your father has an alcohol abuse problem, and living with someone who is struggling with addiction can be hard for anyone, let alone a teenager who is also trying to deal with things like school. You may want to see if your school has a counselor or someone you can talk to about what is going on. I will tell you that in some states, what you have told me may be something that a counselor would have to report to child protection services, but not necessarily. If you are concerned about that, ask the counselor what they are obligated to report. If you don’t know a counselor, think about any other adult that you would feel comfortable talking to. They may have some ideas. Sometimes individual states have non-profit chat lines or hotlines for teens to call if they are struggling with things. You may be able to find something like that in your state. I do warn your about doing random searches, not every website is good, so be careful. This is clearly a tough spot for you to be in, so one of the things that I encourage you to do while searching for support is to focus on taking care of yourself. Sometimes things like this can really bring us down and we stop doing the things we enjoy. Try really hard not to let that happen. If you have interests, do them. If you catch yourself thinking too hard about things, try to find something fun to do to distract yourself. Try to take care of yourself in other ways, such as eating well. Exercise can really help when we get stressed. I hope some of this was helpful. Good luck.   Robin J. Landwehr, DBH, LPC, NCC

### Instruction: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from. Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas? ### Response:

It sounds like you are aware of your positive traits but you are struggling with someone who does not acknowledge nor celebrate your efforts or achievements.   It seems like that is affecting your inner voice, which allows you to accept yourself for who you are.My suggestion is to explore that relationship and decide if that person’s opinion should determine how you feel about yourself.   If this is an important relationship, you could communicate to this person how the lack of positive feedback is affecting you.  Then, work on spending more time with those who value you, and can give you praise, encouragement, and constructive criticism.  Also, explore your religious beliefs, and what is they say about who you are as a person.  Finally, explore with a Counselor your inner voice and try to figure out if the negative message is settling in and harming your self-esteem.   Through therapy, you could learn to self-compassion and acceptance wich will help your self esteem.¿Cómo manejo el sentirme que “no soy suficiente bueno”?Siempre me dicen que no soy suficientemente bueno o no trato lo suficiente.  Yo pongo el 100% en todo.  Estoy agotado, he trabajado en todas mis relaciones, estoy muy bien en la escuela, trato bien a las personas que lo necesitan.  Me aferro a mis creencias religiosas y dejo espacio para los errores, y aprendo de otros para no tener que cometer los mismos.  Aun así no soy suficiente y nada de lo que hago funciona, me siento desesperanzado.  ¿Alguna idea o sugerencia?Al parecer estas consiente de tus características positivas, pero estás teniendo  dificultad con alguien que no reconoce tus esfuerzos, ni logros, y eso está afectando esa voz interior que te permite aceptar quien eres.Mi sugerencia es que explores esa relación y analices si la opinión de esta persona va a determinar cómo te valoras a ti mismo.  Si es una relación valiosa, puedes comunicarle a la persona en cuestión como te afecta la falta de comentarios y opiniones positivas.   Luego enfócate en pasar más tiempo con personas que te valoran, te dan halagos, te motivan y te aconsejan.  También explora que dice tu religión sobre quién eres como persona y cuál es tu valor.  Y por último, explora con tu Consejero si ese mensaje negativo esta afectando tu autoestima.  A través de la terapia puedes aprender tecnicas auto compasión y aceptación que ayudaran a fortalecerte.

### Instruction: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from. Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas? ### Response:

It sounds like you are aware of your positive traits but you are struggling with someone who does not acknowledge nor celebrate your efforts or achievements.   It seems like that is affecting your inner voice, which allows you to accept yourself for who you are.My suggestion is to explore that relationship and decide if that person’s opinion should determine how you feel about yourself.   If this is an important relationship, you could communicate to this person how the lack of positive feedback is affecting you.  Then, work on spending more time with those who value you, and can give you praise, encouragement, and constructive criticism.  Also, explore your religious beliefs, and what is they say about who you are as a person.  Finally, explore with a Counselor your inner voice and try to figure out if the negative message is settling in and harming your self-esteem.   Through therapy, you could learn to self-compassion and acceptance wich will help your self esteem.¿Cómo manejo el sentirme que “no soy suficiente bueno”?Siempre me dicen que no soy suficientemente bueno o no trato lo suficiente.  Yo pongo el 100% en todo.  Estoy agotado, he trabajado en todas mis relaciones, estoy muy bien en la escuela, trato bien a las personas que lo necesitan.  Me aferro a mis creencias religiosas y dejo espacio para los errores, y aprendo de otros para no tener que cometer los mismos.  Aun así no soy suficiente y nada de lo que hago funciona, me siento desesperanzado.  ¿Alguna idea o sugerencia?Al parecer estas consiente de tus características positivas, pero estás teniendo  dificultad con alguien que no reconoce tus esfuerzos, ni logros, y eso está afectando esa voz interior que te permite aceptar quien eres.Mi sugerencia es que explores esa relación y analices si la opinión de esta persona va a determinar cómo te valoras a ti mismo.  Si es una relación valiosa, puedes comunicarle a la persona en cuestión como te afecta la falta de comentarios y opiniones positivas.   Luego enfócate en pasar más tiempo con personas que te valoran, te dan halagos, te motivan y te aconsejan.  También explora que dice tu religión sobre quién eres como persona y cuál es tu valor.  Y por último, explora con tu Consejero si ese mensaje negativo esta afectando tu autoestima.  A través de la terapia puedes aprender tecnicas auto compasión y aceptación que ayudaran a fortalecerte.

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

Hello.It sounds like you are really concerned about your daughter because you have noticed a significant change in her behavior .   It's really a great first step that you are reaching out to get some ideas about what might be going on .  You are clearly an observant and hands on  mom who wants to be sure that her daughter is ok.This is a tough question to answer without more information .  With that said , I have found that "under stress people regress."  In other words , many people , children and adults alike , often regress and behave differently - as if they were younger than their actual age - when under stress .   Therefore , my first question would be : has anything been happening recently that is causing your daughter stress ?  This could be anything from conflict at home , recent changes such as moving , divorce , a loss of some kind , switching schools , or losing a friend or friends .   Additionally , sometimes if children are feeling bullied or left out by same age peers , they may gravitate toward younger playmates as a way to boost their social confidence .    I would suggest that you think about what stressors / changes may have occurred recently.  You may also want to check in with her teacher (s) to see if they have noticed any changes in your daughter's behavior at school .I also think that you can have a conversation with your daughter in order to see if you can get a sense about whether or not something has been bothering her.  Something as simple as " I have noticed that you aren't spending time with the friends you used to hang out with ; it seems like you have been playing with a lot of younger kids lately .  Am I right about that ? " and then if she says yes you might ask a few questions such as : "did something happen with your friends that  is making you not want to be with them?" "Has something been bothering you lately ? Are you feeling upset or worried ? " If she denies that there is anything wrong you might even say " I know that sometimes when I feel stressed or worried , I tend to act a little differently - sometimes I withdraw from my regular group of friends , or I get cranky and feel less like myself .  I wonder if something like that is happening with you ?" If you are really concerned and not getting any answers from her and / or her teachers , perhaps you can consult with a therapist to discuss your concerns further and decide if it might  help for your daughter to talk to a therapist a few times , or at the very least you can get more specific tips from a therapist about how to approach this issue with your daughter more effectively . The more detail you can provide about what you have noticed with your daughter , including any changes or new stressors ,  any possible patterns to this behavior , if school has become more difficult socially and or academically , the more a therapist can guide you about how best to handle your concerns and talk with your daughter in a way that is helpful to her. Good luck!   I believe that this may just be a phase and it seems to me to be well within the normal range of children's behavior.  I do, though, think that you will feel more assured about this  if you can get to the bottom of what's going on .  

### Instruction: I struggle with depression as well as pretty intense mood swings throughout the month. I experience highs where I feel amazing and energetic and then lows where I lack focus, energy, and generally have a more dark outlook on my life. How can I live a more balanced life? ### Response:

Are you certain your highs and lows are directly related to your cycle?  It's possible that there are at least some contributing factors, even if they are  as a result of hormonal fluctuations.For example, at the start of your period, do you have that "I feel great" feeling, or are you tired and down?  Mid-cycle (assuming your periods are regular), do you find yourself napping or ready to run a race?  Either way, how you feel may be leading you to behaviors that contribute to your changes in energy and optimism. Let's say that the few days before your period, you feel cranky, bloated and want salty food.  Your natural inclination might be to isolate, stay inside and eat chips.  The next day, you feel even more tired, cranky and bloated.  It STARTS with a hormonal symptom, but what you do with that can change how you  end up feeling.  So if you notice feeling cranky, bloated and craving salt, what if you pull up a restorative yoga video online, spend an hour being restful and centered in your body and have a good meal with a healthy balance of fats, proteins and carbs, with fresh veggies and fruits before you turn in early to give your body the rest it is asking for ?  That sets you up to feel MUCH better!And those "on top of the world days" - who doesn't love them??  But even those days, be mindful of how you are treating yourself.  Exercise for sure, but don't do twice the workout you normally would just because you can!  You might feel super energy and skip meals which sets you up for poor sleep and feeling crummy after a day or two.All that aside, if you have a couple rough days before your period, pay attention to what is bugging you.  Christiane Northrup, MD, likens our menstrual cycle to the tide.  When the tide is out (just before your period), you see all the garbage cluttering up your ocean floor, but you don't have the energy to address it, so there it stays, bugging you.  At the height of physical and emotional energy (usually mid-cycle/ovulation), the tide is back in and you don't see all that annoying stuff you saw before.  Since you have good energy at this time, take advantage of it by doing some "clean up" on the things you saw there when you felt crummy.  Maybe it's that conversation you have been putting  off with your partner, or having the long-delayed closet clean out, or searching for a job that feels/pays/fits you better.  Whatever it is, those "PMS blues" may hold important messages for you.If taking good care of yourself, staying tuned in to your needs and keeping an eye on the "tides" don't help, then  see your doctor.  Something else may be going on - our hormones all work together like a symphony - it only takes one to be out of tune to throw the whole thing off!

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

Hello.It sounds like you are really concerned about your daughter because you have noticed a significant change in her behavior .   It's really a great first step that you are reaching out to get some ideas about what might be going on .  You are clearly an observant and hands on  mom who wants to be sure that her daughter is ok.This is a tough question to answer without more information .  With that said , I have found that "under stress people regress."  In other words , many people , children and adults alike , often regress and behave differently - as if they were younger than their actual age - when under stress .   Therefore , my first question would be : has anything been happening recently that is causing your daughter stress ?  This could be anything from conflict at home , recent changes such as moving , divorce , a loss of some kind , switching schools , or losing a friend or friends .   Additionally , sometimes if children are feeling bullied or left out by same age peers , they may gravitate toward younger playmates as a way to boost their social confidence .    I would suggest that you think about what stressors / changes may have occurred recently.  You may also want to check in with her teacher (s) to see if they have noticed any changes in your daughter's behavior at school .I also think that you can have a conversation with your daughter in order to see if you can get a sense about whether or not something has been bothering her.  Something as simple as " I have noticed that you aren't spending time with the friends you used to hang out with ; it seems like you have been playing with a lot of younger kids lately .  Am I right about that ? " and then if she says yes you might ask a few questions such as : "did something happen with your friends that  is making you not want to be with them?" "Has something been bothering you lately ? Are you feeling upset or worried ? " If she denies that there is anything wrong you might even say " I know that sometimes when I feel stressed or worried , I tend to act a little differently - sometimes I withdraw from my regular group of friends , or I get cranky and feel less like myself .  I wonder if something like that is happening with you ?" If you are really concerned and not getting any answers from her and / or her teachers , perhaps you can consult with a therapist to discuss your concerns further and decide if it might  help for your daughter to talk to a therapist a few times , or at the very least you can get more specific tips from a therapist about how to approach this issue with your daughter more effectively . The more detail you can provide about what you have noticed with your daughter , including any changes or new stressors ,  any possible patterns to this behavior , if school has become more difficult socially and or academically , the more a therapist can guide you about how best to handle your concerns and talk with your daughter in a way that is helpful to her. Good luck!   I believe that this may just be a phase and it seems to me to be well within the normal range of children's behavior.  I do, though, think that you will feel more assured about this  if you can get to the bottom of what's going on .

### Instruction: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected? ### Response:

Your question highlights your pain very clearly.  What you are describing is one of the most common scenarios I see in my practice with couples: One partner feels terribly lonely and unimportant in response to the other partner either turning towards other people and activities or being withdrawn and turning inward. My mind immediately goes to a question for you: What happens when you are feeling alone and uncared for? What do you say to yourself about you, about your spouse, and about your relationship?  What do you do in response to these feelings? Do you ask for what you need?  Does this lead to arguments?  Do you stay silent or withdraw?Very often, couples enter into negative patterns where one partner feels afraid of rejection by the other partner and so withdraws from the relationship (and is often seen as "cold and aloof" towards the relationship), and the other partner feels afraid of abandonment by the withdrawing partner and so pursues the other (and is often seen as "critical and nagging").  Regardless of "who started it," these patterns can turn into infinity loops that take on a gravity of their own, and ultimately cause both partners to withdraw and dissolve the relationship.  If both partners want to work on saving and improving the relationship, the way out of this is to learn about your emotions and patterns together so that you can slow down the pattern and stay in touch with the emotions that pull people together.  As the patterns slow down, partners are better able to get more deeply in touch with their vulnerabilities, needs and longings, and ask for them to be met in such a way that doesn't leave the other partner feeling criticized, threatened, abandoned, or uncared for.Some couples can do this without the help of a therapist.  The book "Hold Me Tight: 7 Conversations for a LIfetime of Love" by Sue Johnson is a self-help book based on Emotionally Focused Therapy (the most scientifically validated couples therapy that currently exists), and has been helpful to many couples that I see.  When a therapist is needed to help partners reconnect or overcome betrayals, I recommend seeking couples therapists who are trained in a scientifically tested model of couples therapy (such as Emotionally Focused Therapy.  You can learn more about EFT or find an EFT therapist here: http://www.iceeft.com).To summarize:Your pain is understandable and valid.  It's telling you what you are missing and what you want.Reconnection comes when we can listen to what our feelings are telling us, express those feelings in a safe way, and assert our wants/needs, while remaining open to the vulnerabilities and needs of our partner.If you can do that on your own, and your relationship is responsive, that's fantastic!  If you encounter challenges in resolving this yourself, consider therapy with a trained couples therapist using a model that is scientifically validated.  Pain means this is important!  You and your marriage are worth the effort!

### Instruction: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected? ### Response:

Your question highlights your pain very clearly.  What you are describing is one of the most common scenarios I see in my practice with couples: One partner feels terribly lonely and unimportant in response to the other partner either turning towards other people and activities or being withdrawn and turning inward. My mind immediately goes to a question for you: What happens when you are feeling alone and uncared for? What do you say to yourself about you, about your spouse, and about your relationship?  What do you do in response to these feelings? Do you ask for what you need?  Does this lead to arguments?  Do you stay silent or withdraw?Very often, couples enter into negative patterns where one partner feels afraid of rejection by the other partner and so withdraws from the relationship (and is often seen as "cold and aloof" towards the relationship), and the other partner feels afraid of abandonment by the withdrawing partner and so pursues the other (and is often seen as "critical and nagging").  Regardless of "who started it," these patterns can turn into infinity loops that take on a gravity of their own, and ultimately cause both partners to withdraw and dissolve the relationship.  If both partners want to work on saving and improving the relationship, the way out of this is to learn about your emotions and patterns together so that you can slow down the pattern and stay in touch with the emotions that pull people together.  As the patterns slow down, partners are better able to get more deeply in touch with their vulnerabilities, needs and longings, and ask for them to be met in such a way that doesn't leave the other partner feeling criticized, threatened, abandoned, or uncared for.Some couples can do this without the help of a therapist.  The book "Hold Me Tight: 7 Conversations for a LIfetime of Love" by Sue Johnson is a self-help book based on Emotionally Focused Therapy (the most scientifically validated couples therapy that currently exists), and has been helpful to many couples that I see.  When a therapist is needed to help partners reconnect or overcome betrayals, I recommend seeking couples therapists who are trained in a scientifically tested model of couples therapy (such as Emotionally Focused Therapy.  You can learn more about EFT or find an EFT therapist here: http://www.iceeft.com).To summarize:Your pain is understandable and valid.  It's telling you what you are missing and what you want.Reconnection comes when we can listen to what our feelings are telling us, express those feelings in a safe way, and assert our wants/needs, while remaining open to the vulnerabilities and needs of our partner.If you can do that on your own, and your relationship is responsive, that's fantastic!  If you encounter challenges in resolving this yourself, consider therapy with a trained couples therapist using a model that is scientifically validated.  Pain means this is important!  You and your marriage are worth the effort!

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

Hi there,I first want to let you know that having these thoughts is completely normal. Studies have been done that show that 80% of human thoughts are "negative" so you are not alone. I like to think of thoughts as a tornado... if you are in a tornado, you are completely consumed by it and it is nearly impossible to do anything beneficial. However, when you are, let's say, a mile away from a tornado, it is still scary but you have the option to do something that is important to you such as get shelter or make sure your family and friends are safe. When unhelpful or scary thoughts arise, we tend to start a "war" with them, which is the equivalent of jumping into the tornado. This makes the thoughts and emotions bigger and intensifies the feelings that go with them. So the question I imagine you have is "how do I get out of the tornado?" There are 3 steps to doing this:Get distance from your thoughts by adding "I am noticing I'm having the thought that...." to the front of them. For example, "I am noticing I am having the thought that something bad is going to happen to me."   The purpose of this is not to decrease your fear or get rid of the thought. These thoughts might always be there and that is okay because that is how the mind naturally works so struggling with that is a waste of time and energy. The purpose is to gain some distance from the thoughts so you don't get swept away by them. You can imagine them floating along like leaves in a stream or clouds in the sky (and often the same thought will come back again and again but that's okay... just continue to notice it with curiosity). I imagine the thoughts get in your way of doing what really matters to you so if you can get a little bit of distance, you can do things that are fulfilling and meaningful to you. Tune into your body and notice what sensations come up and where you feel them most intensely. Then breathe into them and make room for them. Our 5 main emotions are: joy, sadness, fear/anxiety, shame, and anger. ALL of these emotions are part of being human and there is no escaping them. So again, struggling with them ends up intensifying them. Instead, let them be and make a little bit of room for them. Often a side effect of this is the intensity will decrease but it might not. The purpose is to keep them from becoming more intense. Contact the present moment. Notice what is happening here and now. One way of doing this is tuning into the five senses. What are some things you hear, see, taste, smell, and feel? Another way is to notice what is happening in your body (without trying to change it). How deep are your breaths, what is happening with your heart rate, are you cold/warm, etc?Implementing these three steps can help you to refrain from getting caught up in your unhelpful thoughts. Unfortunately there is no way to get rid of thoughts or feelings completely. So the only option that works in the long run is to accept them while continuing to do what matters to you and what is fulfilling to you.I hope this helps!

### Instruction: I love my girlfriend so much. I get an erection even just thinking about her or seeing her. But the two times we tried to have sex I couldn't get an erection. We've only had sex once and it was a long time ago. Why this is happening and what can I do about it? ### Response:

This is something I have had to address with individuals often since working with couples is one of my practice's focuses.  The answer can depend upon several reasons all which tend to be explored while in session.  If you or your counselor utilizes an integral approach, in which one of the main premises makes sure to check the four irreducible perspectives (subjective, intersubjective, objective and interobjective – also known as the four quadrants) in determining where the challenges are, it then becomes possible to identify what might be contributing to or causing the challenge as well as offering up ways to address the situation.In this case, from the upper-right or behavioral and physical perspective, we would want to make sure there is no physical limitation or ailment meaning that you would need to visit your doctor and have the basics checked (such as blood pressure.  We would also look at particular behaviors to see if you are doing something with is effecting performance (such as masturbating often or being influenced by pornography). Next we would look at the upper left quadrant (thoughts, cognitions, identity, feelings) to look at what is going on here both during sexual activities and at other times.  If you are worried about your job, your family or under immense pressure to perform at work or while intimate, this can contribute to your situation.  From there we would turn to the lower left quadrant (cultural rules and tools) to see who you have learned to interpret challenges that come up during sex and look for ways to shift, update and/or reshape the way you view sex and its challenges.  It would be here that we would see whether one is even comfortable using a service like counseling based upon how your family/culture of origin views the profession. Finally, we would need to account for challenges that show up in the lower right quadrant (systems, laws, rules of society) such as your economic ability to try services and products as well as whether such services and products were even available.  Once we have rolled through these areas it then becomes possible to look at which aspects might need to be looked at further in a more meaningful way to help you change a perspective or if just getting a blood pressure medication is all you need.To sum your question then of why you can’t keep an erection we would need to look at your thoughts (look at your actual thoughts during the act as well as before and after), look at your behaviors, look at your physical body for issues, look at where you picked up your rules and tools (culture) and look at your ability to access goods and services.  They all contribute equally and need to be taken into account.  So - as you can see, there is no one possible answer to this, but several.  I hope this helps. 

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

Hi there,I first want to let you know that having these thoughts is completely normal. Studies have been done that show that 80% of human thoughts are "negative" so you are not alone. I like to think of thoughts as a tornado... if you are in a tornado, you are completely consumed by it and it is nearly impossible to do anything beneficial. However, when you are, let's say, a mile away from a tornado, it is still scary but you have the option to do something that is important to you such as get shelter or make sure your family and friends are safe. When unhelpful or scary thoughts arise, we tend to start a "war" with them, which is the equivalent of jumping into the tornado. This makes the thoughts and emotions bigger and intensifies the feelings that go with them. So the question I imagine you have is "how do I get out of the tornado?" There are 3 steps to doing this:Get distance from your thoughts by adding "I am noticing I'm having the thought that...." to the front of them. For example, "I am noticing I am having the thought that something bad is going to happen to me."   The purpose of this is not to decrease your fear or get rid of the thought. These thoughts might always be there and that is okay because that is how the mind naturally works so struggling with that is a waste of time and energy. The purpose is to gain some distance from the thoughts so you don't get swept away by them. You can imagine them floating along like leaves in a stream or clouds in the sky (and often the same thought will come back again and again but that's okay... just continue to notice it with curiosity). I imagine the thoughts get in your way of doing what really matters to you so if you can get a little bit of distance, you can do things that are fulfilling and meaningful to you. Tune into your body and notice what sensations come up and where you feel them most intensely. Then breathe into them and make room for them. Our 5 main emotions are: joy, sadness, fear/anxiety, shame, and anger. ALL of these emotions are part of being human and there is no escaping them. So again, struggling with them ends up intensifying them. Instead, let them be and make a little bit of room for them. Often a side effect of this is the intensity will decrease but it might not. The purpose is to keep them from becoming more intense. Contact the present moment. Notice what is happening here and now. One way of doing this is tuning into the five senses. What are some things you hear, see, taste, smell, and feel? Another way is to notice what is happening in your body (without trying to change it). How deep are your breaths, what is happening with your heart rate, are you cold/warm, etc?Implementing these three steps can help you to refrain from getting caught up in your unhelpful thoughts. Unfortunately there is no way to get rid of thoughts or feelings completely. So the only option that works in the long run is to accept them while continuing to do what matters to you and what is fulfilling to you.I hope this helps!

### Instruction: My long-term girlfriend broke up with me recently. She says it's because of my anger. ### Response:

I need help controlling my anger.Anger is like a blanket that contains other emotion from bursting out and serves as a shield to protect us when we are not able to manage external issues.   Anger also helps us understand that there’s something wrong that needs to change.  Once we understand that something else caused us to feel angry, then we can explore the source of anger. Ask yourself: Why am angry, Am I hurt, disappointed, confused, embarrassed etc.?  Once you find the answer, explore how often that happens and what’s your reaction.  Then explore how else you could respond or react.  You could use I-statements as a way to communicate your true feelings to your girlfriend or whoever is involved in the scenario.  This is a good exercise to practice with your Counselor or mental health provider because many unresolved issues may arise during this exploration, especially if you have been angry for a long timeAlso, it is important to understand the difference between anger and aggression and learn to manage our anger before we act on it.  Anger is a feeling; aggression is when you act out your anger physically, verbally and psychologically.  Find ways to vent: crying or sweating will help to release your anger, and balance the chemical response that our body creates when you become angry.  Physical activity and meditation exercises can also provide a break when you manage strong emotions.Necesito ayuda para controlar mi coraje.El coraje es como una manta que cubre otras emociones evitando que se desborden y sirve como un escudo que nos protege cuando no podemos manejar problemas externos.  El coraje también nos ayudo a entender que hay algo mal que debemos cambiar.  Cuando entendemos que algo mas causo el coraje entonces podemos explorar la fuente.Pregúntate a ti mismo: ¿Por qué tengo coraje, estoy herido, decepcionado, confundido, avergonzado, etc.?  Ya que encuentres la respuesta, explora cuan frecuente tienes esa reacción.  Luego explora como puedes reaccionar en otra ocasión.  Puedes usar expresiones del Yo para comunicar tus verdaderos sentimientos a la persona envuelta en la situación.  Esto es un buen ejercicio para practicar con tu Consejero o profesional de la salud mental ya que otros conflictos sin resolver pueden surgir durante este proceso de exploración.También es importante entender la diferencia entre el coraje y la agresión, y aprender a manejar el coraje antes que actuemos.  El coraje es un sentimiento y la agresión es cuando expresas tu coraje agrediendo a alguien, física, emocional o sicológicamente.  Encuentra maneras de desagotare, llorar o sudar te pueden ayudar en este proceso al balancear la respuesta química que crea el cuerpo cuando estamos molestos.  El la actividad física y la meditación también pueden ayudarte a relajarte y tomar un descanso cuando manejas emociones fuertes.