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### Instruction: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this? ### Response:

Emotional pain is different from physical pain that way, isn't it? Even many years later, an old wound can be ripped open again by a small trigger.You were betrayed by two people close to you. That's a complex injury. I don't know whether you're still in the marriage or not, or whether your sister is still in your life. Perhaps not, as your contact with her seems to be through watching her facebook activity. I'm curious about why you're just now seeing her facebook posts again. Are you feeling more open lately to seeing how she's doing in her life? I guess if you were open to having your sister even in the periphery of your life again, you will have to figure out how to handle those triggers. If you can't, maybe consider unfollowing her or detaching from facebook for a while. So your sister is happy, or she at least appears happy. Your mind might go to some unhelpful places, like "She doesn't regret the affair" (you don't know that), "She doesn't deserve happiness" (that would be a harsh judgement), or "She doesn't care that I'm hurt" (again, there's no evidence of that). Where does your mind go? It's important to identify your worst thoughts in connection to her. When you have those worst thoughts identified, ask yourself "What evidence supports that thought as truth?" It's likely that either there's no evidence, or that the truth is so far from you that you can't know what she's feeling or thinking, which makes having those thoughts pretty futile.A therapist can help you determine what emotions are being triggered here. It doesn't help you and your happiness to carry around resentment, ill wishes, or the need for revenge. Forgiveness is not about saying that something was "okay". It's about saying "It happened. I accept that I can't change it, and I don't want to carry the emotional burden around all the time". Forgiveness is putting it down. She... (trust me this is true)...she carries her own burden of shame for what she did. For you to spend time feeling angry doesn't affect her burden. It only adds to yours. Can you find the tender emotion under your anger? You're hurt. Validate that hurt. Honour that hurt. Take care of that hurt. You can stay away from people who disregard your needs, and you have the power to forgive those who make mistakes out of their simple humanity if you want them in your life. If you continue to struggle, please seek the help of a professional who can assist you in navigating these waters. :)

### Instruction: Last year, I just always felt hopeless. I don't have a great relationship with my sister. I lost my mother recently, and that really added to my sadness. My sister always brings up how I was never close to my mother. ### Response:

I am so sorry about your loss.  Losing someone you love is always difficult, however, losing a mother is a significant loss in a daughters life.  What makes this loss complicated is that it appears you have also had a loss in your relationship with your sister.  It is difficult to know what happened with your sister with the limited information you have provided, but what I suspect is that there are some unresolved issues between the two of you and that she may be projecting her pain on to you.  It is important to remember that your sister is also grieving the loss of your mother and may not be dealing with it in a very healthy way.  By her bringing up your relationship with your mother and suggesting that you were "never close" to her is her opinion.  Only you can define and determine what your relationship was like with your mother.  If there is truth to this, then it may be something you may need to talk about with a counselor.   There could be an added layer of ambiguous loss in that you are not only grieving her physical absence, but could be grieving the loss of a relationship you wish you could have had with her and the realization that you never will.  You and your sister are both in the heart of the grieving cycle.  When two people are grieving the same loss at the same time, it is difficult to provide support to each other because of their own struggle, even if they both were on good terms with each other.  Depression is part of the cycle of grief.  It is absolutely normal to feel sad, as well as experiencing other depressive symptoms (i.e., feelings of isolation, lack of motivation, low energy, sleep or appetite changes, etc.).  Anger is another phase of the grief cycle.  Your sister may be stuck in the anger phase, not wanting to connect with her own feelings of sadness, so this may be why she is being hurtful towards you, in projecting her anger onto you in order to avoid the vulnerability of experiencing her own grief.Finally, it appears that your depression proceeded the loss of your mother and is making your experience with grief more complicated.  Were you officially diagnosed and treated for depression prior to your loss?  Depression in grief is different than a depressive mood disorder.  Depression can be situational (i.e., triggered by an event) or related to genetics, undiagnosed health issues, stress, trauma or other potential risk factors.  If you have a family history of depression, you are more susceptible to have depression.  It would be wise for you to discuss this with a mental health provider, and if necessary, get treatment through counseling and medical interventions.

### Instruction: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time. ### Response:

Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wanting to know what the rules are, and all you have to do is show her clearly where the lines are. I'll give you some tips.First, remind yourself that it's her job to learn what the rules are, and where her power is. Don't be so surprised when she wants it her way. If we go through our days being ready and prepared for these beautiful creatures to have minds of their own, we're less caught off guard when it happens. Avoid situations that invite power struggles. Any time you tell your daughter "do this now", you set up a power struggle. The good thing is that she's young enough you can pick her up; now is the time to teach her that mom's (or dad's) word means something. So, if you say "let's get you dressed", then be prepared to pick her up right away and show her that when you say something will happen, you can make it happen. And I'm talking about gently picking her up here...not roughly. Pick your battles; only give instructions when you have the power to make it happen.Give her choices, so she can see her power. Instead of opening her drawer and asking what she wants to wear, give her two choices. Here's an example...she's on the ipad and you say ipad time is over. She says "no". You can say "ipad time is over. If you put it down, you can play later. If I have to take it away, you don't play it later." The choice is hers. Then follow through."When...then" statements are really helpful. Your child asks for something. Instead of saying no, try "as soon as the toys are picked up, we can have a snack". You're simply a pleasant parent who wants the same thing they do...but they have to earn it. Staying calm yourself is the key, because then at least you will feel in control of yourself, which is the ultimate goal. Use self-talk to calm yourself. Remind yourself her behaviour is normal and healthy. Breathe through a moment in which you would have reacted, and it will be over by the time the breath is done. You can give yourself time to think before you make parenting decisions. Time is a useful tool not enough parents use. Good luck!

### Instruction: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time. ### Response:

Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wanting to know what the rules are, and all you have to do is show her clearly where the lines are. I'll give you some tips.First, remind yourself that it's her job to learn what the rules are, and where her power is. Don't be so surprised when she wants it her way. If we go through our days being ready and prepared for these beautiful creatures to have minds of their own, we're less caught off guard when it happens. Avoid situations that invite power struggles. Any time you tell your daughter "do this now", you set up a power struggle. The good thing is that she's young enough you can pick her up; now is the time to teach her that mom's (or dad's) word means something. So, if you say "let's get you dressed", then be prepared to pick her up right away and show her that when you say something will happen, you can make it happen. And I'm talking about gently picking her up here...not roughly. Pick your battles; only give instructions when you have the power to make it happen.Give her choices, so she can see her power. Instead of opening her drawer and asking what she wants to wear, give her two choices. Here's an example...she's on the ipad and you say ipad time is over. She says "no". You can say "ipad time is over. If you put it down, you can play later. If I have to take it away, you don't play it later." The choice is hers. Then follow through."When...then" statements are really helpful. Your child asks for something. Instead of saying no, try "as soon as the toys are picked up, we can have a snack". You're simply a pleasant parent who wants the same thing they do...but they have to earn it. Staying calm yourself is the key, because then at least you will feel in control of yourself, which is the ultimate goal. Use self-talk to calm yourself. Remind yourself her behaviour is normal and healthy. Breathe through a moment in which you would have reacted, and it will be over by the time the breath is done. You can give yourself time to think before you make parenting decisions. Time is a useful tool not enough parents use. Good luck!

### Instruction: My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying "whatever" and "leave me alone." But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore. ### Response:

Hi Rockford, While no relationship is "perfect", and it's natural for the passionate beginnings of a relationship to lessen with time, because we have established the trust and love needed as a foundation and we don't have to smother each other with attention anymore, your situation sounds like something different. "He has no time for me"... yet you don't fight. Hmmm...Is it that you don't fight because you don't bring up what's bothering you? Are you avoiding conflict? Many people do. What do you fear would happen if you let him know how you feel about his recent pulling away? As an engaged couple, now is a really good time to see what happens when you bring a concern to your fiance. Better to find out now what happens when you rock the boat by being real. Or maybe you have spoken to him about it. If so, what happens? Does he listen and help you understand him better? Or does he avoid and reassure you...or maybe dismiss you? This is really important data to gather about how your fiance handles conflict and how you work together. He says "leave me alone". That's a pretty bold statement about what he wants. He doesn't seem to have the same idea that you do about what marriage is, and how close you want to be. Plus, I have to say, those words sound more like what a closed-off fourteen year old would say to a parent than a loving fiance to his bride to be! Giving him the benefit of the doubt, it could be that your fiance is scared about getting married and this is a temporary reaction that will change. But if this is true, he needs to tell you that so you can understand. So, I suggest that the fact that when you're together you're "okay" is perhaps not the best barometer for how you're doing as a couple. Listen to your gut. I encourage you to be really open with your fiance about what your feelings and fears are. This may get rockier before it gets better, but until you face what's not working, you won't know who you truly are as a couple.  When you're engaged, it's a really cool time to see a therapist too...to get some conflict resolution skills down before you're a married couple. 

### Instruction: My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying "whatever" and "leave me alone." But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore. ### Response:

Hi Rockford, While no relationship is "perfect", and it's natural for the passionate beginnings of a relationship to lessen with time, because we have established the trust and love needed as a foundation and we don't have to smother each other with attention anymore, your situation sounds like something different. "He has no time for me"... yet you don't fight. Hmmm...Is it that you don't fight because you don't bring up what's bothering you? Are you avoiding conflict? Many people do. What do you fear would happen if you let him know how you feel about his recent pulling away? As an engaged couple, now is a really good time to see what happens when you bring a concern to your fiance. Better to find out now what happens when you rock the boat by being real. Or maybe you have spoken to him about it. If so, what happens? Does he listen and help you understand him better? Or does he avoid and reassure you...or maybe dismiss you? This is really important data to gather about how your fiance handles conflict and how you work together. He says "leave me alone". That's a pretty bold statement about what he wants. He doesn't seem to have the same idea that you do about what marriage is, and how close you want to be. Plus, I have to say, those words sound more like what a closed-off fourteen year old would say to a parent than a loving fiance to his bride to be! Giving him the benefit of the doubt, it could be that your fiance is scared about getting married and this is a temporary reaction that will change. But if this is true, he needs to tell you that so you can understand. So, I suggest that the fact that when you're together you're "okay" is perhaps not the best barometer for how you're doing as a couple. Listen to your gut. I encourage you to be really open with your fiance about what your feelings and fears are. This may get rockier before it gets better, but until you face what's not working, you won't know who you truly are as a couple.  When you're engaged, it's a really cool time to see a therapist too...to get some conflict resolution skills down before you're a married couple.

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

To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basis, depending on the frequency of the appointments.  Once the therapy goals have been met, there is a closing session, the counseling relationship is ended, and the client can stop attending sessions.  In some cases, the client can also establish new goals and determine if I am a good fit for their therapy needs or if they need a new provider, in which case I provide multiple referrals.The counseling relationship could also end due to other factors like noncompliance= when a client is not committed to the agreed treatment process, or when the client’s or a counselor violates the counseling relationship.  Either the counselor or the client is able to end counseling.  Although, as mental health providers we need to provide a reason for terminating our therapeutic relationship and referral options, as a client no explanation is needed, a closing session is highly recommended.  ¿Cómo termina la terapia?¿Cómo un consejero decide cuando terminar las sesiones de consejería o terminar de trabajar con un paciente?Para poder determinar el final de la relación del consejero, debemos comprender las metas y parámetros de la terapia.  Usualmente durante la evaluación inicial se identifican metas a corto y largo plazo con el cliente, y se discute con el cliente como esas metas serán alcanzadas.  Durante el proceso de terapia el consejero revisa las metas mensual o trimestralmente dependiendo de la frecuencia de las citas.  Ya que las metas de terapia son alcanzadas, hay una sesión de cierre y el cliente puede terminar la terapia.   En algunos casos el cliente puede identificar nuevas metas para la terapia y determinar si el mismo consejero u otro consejero le pueden asistir. La relación de consejería también puede terminar por no conformar o violentar los parámetros  establecidos para la terapia.   Tanto el consejero como el cliente pueden terminar la relación de terapia.  Como proveedores de salud mental los consejeros estamos obligados a proveer un razón para la conclusión del tratamiento y proveer referidos según aplique, los clientes no necesitan proveer una explicación, aunque es recomendable discutirlo en una sesión de cierre.

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

To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basis, depending on the frequency of the appointments.  Once the therapy goals have been met, there is a closing session, the counseling relationship is ended, and the client can stop attending sessions.  In some cases, the client can also establish new goals and determine if I am a good fit for their therapy needs or if they need a new provider, in which case I provide multiple referrals.The counseling relationship could also end due to other factors like noncompliance= when a client is not committed to the agreed treatment process, or when the client’s or a counselor violates the counseling relationship.  Either the counselor or the client is able to end counseling.  Although, as mental health providers we need to provide a reason for terminating our therapeutic relationship and referral options, as a client no explanation is needed, a closing session is highly recommended.  ¿Cómo termina la terapia?¿Cómo un consejero decide cuando terminar las sesiones de consejería o terminar de trabajar con un paciente?Para poder determinar el final de la relación del consejero, debemos comprender las metas y parámetros de la terapia.  Usualmente durante la evaluación inicial se identifican metas a corto y largo plazo con el cliente, y se discute con el cliente como esas metas serán alcanzadas.  Durante el proceso de terapia el consejero revisa las metas mensual o trimestralmente dependiendo de la frecuencia de las citas.  Ya que las metas de terapia son alcanzadas, hay una sesión de cierre y el cliente puede terminar la terapia.   En algunos casos el cliente puede identificar nuevas metas para la terapia y determinar si el mismo consejero u otro consejero le pueden asistir. La relación de consejería también puede terminar por no conformar o violentar los parámetros  establecidos para la terapia.   Tanto el consejero como el cliente pueden terminar la relación de terapia.  Como proveedores de salud mental los consejeros estamos obligados a proveer un razón para la conclusión del tratamiento y proveer referidos según aplique, los clientes no necesitan proveer una explicación, aunque es recomendable discutirlo en una sesión de cierre.

### Instruction: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward? ### Response:

It is completely understandable that you are struggling to forgive and forget this betrayal, and I'd like to echo the sentiment of Danielle Alvarez: infidelity takes time to heal from, so allow yourself to grieve and find the support you need. I'd highly suggest going to couples therapy and addressing all the issues that Danielle raised, especially whether he has expressed genuine remorse and is being completely transparent with you and is taking responsibility for the choice he made, including acknowledging the immense impact it had on you, your relationship, and your ability to trust him. If you have doubts about being able to trust him, he needs to be willing to earn back your trust and do whatever it takes to do so. If he accepts this challenge, then that is a good sign you are on the path toward healing your relationship. Also, please don't ever forget that regardless of what led him to cheat, it was his decision to take that action rather than addressing whatever issues he was having in your relationship. Couples affected by betrayal typically have some underlying issue(s), whether it is a lack of connection or intimacy or another factor, and it is possible to heal and grow even stronger as a couple after betrayal. Because you are grieving, though, allow yourself to acknowledge and accept your feelings of hurt and pain, as they will likely come in waves, but the pain will lessen over time and with supportive therapy, along with the commitment to repair your relationship-from both you and your husband. Also, in regards to your concern about hurting your children, keep in mind that parents model healthy relationship behavior for their children. If your relationship with your husband remains disconnected, untrusting, or bitter, your children will see that and not only feel sad that their parents are both suffering, but also grow up feeling that experiencing such ongoing pain is tolerable or even normal in a relationship. Having parents who learn to handle conflict or heal deep wounds in healthy ways is crucial for children's emotional and psychological development. Whether they see you heal together as a married couple or heal separately as loving but divorced co-parents, they will learn what it is like to expect healthy communication and boundaries in relationships, which I'm sure you want for your children! Take care of yourself, and I wish you much peace and healing. Also, here is a good book I would recommend, along with books by Gottman, as Rebecca Wong suggested:Private Lies: Infidelity and the Betrayal of Intimacy

### Instruction: My son stole my debit card and lied about it. It's not the first time he has lied. I don't know what to do anymore. I don't know if I should punish him or make him do something. I've tried talking to him and asking if anything was wrong. I have grounded him, but nothing works. What should I do? ### Response:

A lot depends on the age of your child, but given that it was a mis-used debit card, I am going to guess he's a teen?  Assuming that, there are a couple of important things to keep in mind...1.  That he lied about the misuse indicates he knows he was in the wrong.  That's a dreadful feeling - getting caught out- and an impulsive lie may have popped out of his mouth before he thought it through (after all a debit spend is pretty easy to track).  2. Once he lied he stuck with the lie.    Somewhere along the line, even though he knew that you knew he wasn't telling the truth, he stuck with his story.  And as you said, it's not the first time he lied.  Now it looks like a habit has formed.Going forward, when there is a dishonest act of any kind, it's essential that you set it up so your son can be truthful.  Simply put, do not ask questions.  If you know for certain that he has, for example, misused your debit card, say so.  Asking "did you" invites him to get creative with denial; asking "why did you" implies that, with a good enough reason, he might not be in hot water with you.  Instead, say what is:  "I see this charge on my debit card and realize you used it without my permission".  (You can only do this if you know for sure it was him but it sounds like you do).  If he meets with denial, stay calm, restate that you are aware this happened.  Then deliver consequences that match the transgression (he has to return the item if it's returnable or find a way to pay you back for the charge as well as any fees incurred in using it).  Make it harder to find your card because he isn't that great at curbing the impulse to use it yet.And most importantly, once the consequence is delivered you have to let it go.  Continuing to bring it up won't benefit him, but it does have the potential to make him more sneaky.  Every time he asks respectfully to use it, whether you allow him to or not, be sure to praise him for asking nicely.  "Catch" him doing it right as often as possible.Hang in there - this isn't super unusual behavior but it isn't acceptable, so address it but don't let yourself get too wound up about it.

### Instruction: I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair. ### Response:

Clearly you seem interested in being other people, and you are also concerned about your husband being unfaithful online.  But it seems like there is something that keeps you with your husband.   And I have so many questions for you: What are you looking for outside of your marriage?  Are you willing to give that up if your husband is not able to provide it?  Do you want to stay together and make it work? Do you want to open the lines of communication with your husband, so you could analyze the situation together?I suggest attending couple’s therapy or even couple’s mediation to assess and discuss where you want to go whit your relationship.  It will also help to establish healthy lines of communication, where you could express the pros and cons of the relationship, analyze if you are willing to work to stay together, or have some closure and process a separation. I provide a combination of counseling and mediation in couple's therapy, you can call 787466-5478 to make an appointment.¿Deberé divorciarme?Le he sido infiel a mi esposo al menos diez veces en los últimos cinco años.   En el trabajo pretendo que no soy casada.  Recientemente se fijo, pero mentí para cubrirlo. El hablaba con mujeres por el internet, pero yo he tenido varias aventuras.Claramente tu estas interesada en ver a otras personas, y estas preocupada de que tu esposo haya sido infiel.  Pero al parecer hay algo que aun sostiene la relación.  Tengo varias preguntas para ti: ¿Que estas buscando fuera de tu matrimonio?  ¿Estás dispuesta a dejar lo que encuentras fuera del matrimonio, si tu esposo no puede dártelo?  ¿Quieres quedarte con él y hacerlo funcionar? ¿Te gustaría abrir las líneas de comunicación con tu esposo, para que puedan analizar su relación?Les sugiero hacer terapia de pareja o inclusive mediación, para asesar y discutir a donde quieres llegar con tu relación.  También les ayudaría a re-establecer líneas  de comunicación de manera que puedan expresar los pros y contras de estar juntos, ver si pueden trabajar para mejorar su matrimonio o partir amigablemente.  En mi consultorio proveo una combinación de consejería de pareja y mediación, puede llamar al 787-466-5478 para una cita.

### Instruction: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward? ### Response:

It is completely understandable that you are struggling to forgive and forget this betrayal, and I'd like to echo the sentiment of Danielle Alvarez: infidelity takes time to heal from, so allow yourself to grieve and find the support you need. I'd highly suggest going to couples therapy and addressing all the issues that Danielle raised, especially whether he has expressed genuine remorse and is being completely transparent with you and is taking responsibility for the choice he made, including acknowledging the immense impact it had on you, your relationship, and your ability to trust him. If you have doubts about being able to trust him, he needs to be willing to earn back your trust and do whatever it takes to do so. If he accepts this challenge, then that is a good sign you are on the path toward healing your relationship. Also, please don't ever forget that regardless of what led him to cheat, it was his decision to take that action rather than addressing whatever issues he was having in your relationship. Couples affected by betrayal typically have some underlying issue(s), whether it is a lack of connection or intimacy or another factor, and it is possible to heal and grow even stronger as a couple after betrayal. Because you are grieving, though, allow yourself to acknowledge and accept your feelings of hurt and pain, as they will likely come in waves, but the pain will lessen over time and with supportive therapy, along with the commitment to repair your relationship-from both you and your husband. Also, in regards to your concern about hurting your children, keep in mind that parents model healthy relationship behavior for their children. If your relationship with your husband remains disconnected, untrusting, or bitter, your children will see that and not only feel sad that their parents are both suffering, but also grow up feeling that experiencing such ongoing pain is tolerable or even normal in a relationship. Having parents who learn to handle conflict or heal deep wounds in healthy ways is crucial for children's emotional and psychological development. Whether they see you heal together as a married couple or heal separately as loving but divorced co-parents, they will learn what it is like to expect healthy communication and boundaries in relationships, which I'm sure you want for your children! Take care of yourself, and I wish you much peace and healing. Also, here is a good book I would recommend, along with books by Gottman, as Rebecca Wong suggested:Private Lies: Infidelity and the Betrayal of Intimacy

### Instruction: I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair. ### Response:

Clearly you seem interested in being other people, and you are also concerned about your husband being unfaithful online.  But it seems like there is something that keeps you with your husband.   And I have so many questions for you: What are you looking for outside of your marriage?  Are you willing to give that up if your husband is not able to provide it?  Do you want to stay together and make it work? Do you want to open the lines of communication with your husband, so you could analyze the situation together?I suggest attending couple’s therapy or even couple’s mediation to assess and discuss where you want to go whit your relationship.  It will also help to establish healthy lines of communication, where you could express the pros and cons of the relationship, analyze if you are willing to work to stay together, or have some closure and process a separation. I provide a combination of counseling and mediation in couple's therapy, you can call 787466-5478 to make an appointment.¿Deberé divorciarme?Le he sido infiel a mi esposo al menos diez veces en los últimos cinco años.   En el trabajo pretendo que no soy casada.  Recientemente se fijo, pero mentí para cubrirlo. El hablaba con mujeres por el internet, pero yo he tenido varias aventuras.Claramente tu estas interesada en ver a otras personas, y estas preocupada de que tu esposo haya sido infiel.  Pero al parecer hay algo que aun sostiene la relación.  Tengo varias preguntas para ti: ¿Que estas buscando fuera de tu matrimonio?  ¿Estás dispuesta a dejar lo que encuentras fuera del matrimonio, si tu esposo no puede dártelo?  ¿Quieres quedarte con él y hacerlo funcionar? ¿Te gustaría abrir las líneas de comunicación con tu esposo, para que puedan analizar su relación?Les sugiero hacer terapia de pareja o inclusive mediación, para asesar y discutir a donde quieres llegar con tu relación.  También les ayudaría a re-establecer líneas  de comunicación de manera que puedan expresar los pros y contras de estar juntos, ver si pueden trabajar para mejorar su matrimonio o partir amigablemente.  En mi consultorio proveo una combinación de consejería de pareja y mediación, puede llamar al 787-466-5478 para una cita.

### Instruction: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them. ### Response:

Hi California,I'm happy to hear you want to get a hold of this problem. Relationships don't tend to last when we treat people poorly. It is very possible for you to learn different ways of relating, with some strong effort. I would highly suggest working with a therapist, and I will give you a few things to think about in the interim.Sometimes anger is there because we feel something is unjust or unfair, but many times, anger is a "secondary emotion", and it's simply there to protect us from other, more vulnerable emotions that we would rather not feel and will do anything to avoid. Discovering what vulnerable emotions you are protecting yourself from is important. Perhaps you feel powerless, or unloved, or unimportant. It may take some time before you recognise this emotion. Once you do, you can ask yourself about the other times in your life when you have felt that emotion. Where did it originate? At what age did you feel "too much" of that feeling...so much so that you can't stand it even in tiny amounts?You will learn in therapy to identify the thoughts you have that are connected to that feeling. They are typically incorrect thoughts, like "No one lifes me", or "People will always hurt me". Fear tends to generalize and predict bad things that aren't likely.Your habit is so strong that you likely have a poor sense of self-worth and you don't believe people will love you...so you hurt them to keep them at a distance. This happens in a subconscious level. Do you see how that would help you to keep people off balance or afraid or a distance away if you didn't believe in your worth? So, it's backwards really, because you think you're getting mad at people who "piss you off", but you're really just not wanting to face how mad you are at yourself.In addition to this work, you can start to purposely treat people more kindly. Find out what respect is, make amends and  resolve to spreading peace. It might sound too simple, but if you act as though you're a person of peace, you will start to feel more peaceful.But I hope you do contact a therapist. It will take time and support to reach your goal.

### Instruction: I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time because before our child she said she was raped by a family member but she never went to the hospital or the cops. Now me and my family don't talk. She's always telling me I'm annoying and just belittles me. Nothing I do is right. She says I work you watch the baby. On her days off she never cooks or cleans. I have no friends or family and a couple months ago she was confiding to some guy, but says he's not any thing to her. What do I do? I don't want to leave. ### Response:

It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more beneficial for you and your child to move out.On the other hand, if you are just wanting the relationship to work out despite its current state, you need to evaluate whether the relationship is worth salvaging. It seems as though you are very unhappy and undervalued in this relationship. Although your question revealed just a short bit of information, I didn't read about any positives in the relationship. Sometimes it's extremely hard to leave a relationship even though you know that the relationship itself is harmful for you. However, with time and focus you can do it. Each day will get a little easier and you have to trust yourself that you are making the right situation for you and your child.However, if you really feel that you want to stay in the relationship, you have to be upfront with her. You need to tell her exactly how you feel and give her specific examples of how she is hurting you. This gives her a chance to render the situation. If after this there is no improvement, I suggest that you start reconsidering your decision to stay.I also think it would be valuable for you to start engaging in things outside of the home that make you happy. Are there any hobbies you enjoy? Are there any groups in the area that you can join such as playgroups that will allow you to engage with other parents? Start looking into these options and finding an avenue for you to do something for your own benefit.It is certainly not healthy for you to isolate yourself from friends and family. You need to have additional support networks besides the one with your girlfriend, especially since this has not been a healthy environment lately.Thank you for reaching out. I wish you the best of luck with your relationship.

### Instruction: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them. ### Response:

Hi California,I'm happy to hear you want to get a hold of this problem. Relationships don't tend to last when we treat people poorly. It is very possible for you to learn different ways of relating, with some strong effort. I would highly suggest working with a therapist, and I will give you a few things to think about in the interim.Sometimes anger is there because we feel something is unjust or unfair, but many times, anger is a "secondary emotion", and it's simply there to protect us from other, more vulnerable emotions that we would rather not feel and will do anything to avoid. Discovering what vulnerable emotions you are protecting yourself from is important. Perhaps you feel powerless, or unloved, or unimportant. It may take some time before you recognise this emotion. Once you do, you can ask yourself about the other times in your life when you have felt that emotion. Where did it originate? At what age did you feel "too much" of that feeling...so much so that you can't stand it even in tiny amounts?You will learn in therapy to identify the thoughts you have that are connected to that feeling. They are typically incorrect thoughts, like "No one lifes me", or "People will always hurt me". Fear tends to generalize and predict bad things that aren't likely.Your habit is so strong that you likely have a poor sense of self-worth and you don't believe people will love you...so you hurt them to keep them at a distance. This happens in a subconscious level. Do you see how that would help you to keep people off balance or afraid or a distance away if you didn't believe in your worth? So, it's backwards really, because you think you're getting mad at people who "piss you off", but you're really just not wanting to face how mad you are at yourself.In addition to this work, you can start to purposely treat people more kindly. Find out what respect is, make amends and  resolve to spreading peace. It might sound too simple, but if you act as though you're a person of peace, you will start to feel more peaceful.But I hope you do contact a therapist. It will take time and support to reach your goal.

### Instruction: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help? ### Response:

Certainly counselling can help. however, there is a caveat, namely, you will need the right counsellor with the right approach. This leads to two questions: 1) What are the identifiers for the right counsellor, and 2) What is the right approach?1) What are the identifiers for the right counsellor? The right counsellor will almost certainly have a lot of experience. He or she will have done a lot personal work and have an ongoing practice of inner work both on their own and with the support of an experienced therapist. This person will be viewing you as a human being with challenges, not as a diagnostic category. He or she will be willing to work with you over an extended period of time and have experience doing such work. Further they will be well versed in approaches that are responsive to you in the moment and overall. The in-depth work will be collaborativel designed in an ongoing way that is responsive to you, the moment, your overall life experience, and their in-the-moment experience. It goes without saying that you will subjectively evaluate the felt sense of connection with this person and the feeling that they are invested in their work with you, value you as a human being, and value the connection. As well, it is crucial that you feel this connection and that your therapist 'gets you.' 2) What is the right approach?  As Carl Jung stated, "When the doctor sits down with the patient he (or she) must drop all theories and learn the theory of this person." The approach must include a bond between you and your therapist that is in a continuous process of development, attention to pre-verbal imprinting, development of awareness ability, ongoing development of the ability to attend to and stay with inner experience, development of a process orientation, attention to egoic structures that were seeded from the earliest days in the service of perceptions of threats to needs being met, identification of current egoic states and work with these inner selves and their relationship with each other to facilitate movement from developmental points of arrest, increased ability to access and contain non-ordinary states of consciousness, attending to what is, and working with this in the service of moving towards optimal human development.depression is generally experienced as the system shutting down. anxiety is a signal that something is wrong. anxiety is not the problem. it is a sign that there is a problem. the core of these issues is a lack of inner security that is the outcome of insufficient bonding. the work of psychotherapy is to establish an environment and relationship that will facilitate work with the bonding ruptures and re-initiation of the developmental process that stopped at an early stage.

### Instruction: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help? ### Response:

Certainly counselling can help. however, there is a caveat, namely, you will need the right counsellor with the right approach. This leads to two questions: 1) What are the identifiers for the right counsellor, and 2) What is the right approach?1) What are the identifiers for the right counsellor? The right counsellor will almost certainly have a lot of experience. He or she will have done a lot personal work and have an ongoing practice of inner work both on their own and with the support of an experienced therapist. This person will be viewing you as a human being with challenges, not as a diagnostic category. He or she will be willing to work with you over an extended period of time and have experience doing such work. Further they will be well versed in approaches that are responsive to you in the moment and overall. The in-depth work will be collaborativel designed in an ongoing way that is responsive to you, the moment, your overall life experience, and their in-the-moment experience. It goes without saying that you will subjectively evaluate the felt sense of connection with this person and the feeling that they are invested in their work with you, value you as a human being, and value the connection. As well, it is crucial that you feel this connection and that your therapist 'gets you.' 2) What is the right approach?  As Carl Jung stated, "When the doctor sits down with the patient he (or she) must drop all theories and learn the theory of this person." The approach must include a bond between you and your therapist that is in a continuous process of development, attention to pre-verbal imprinting, development of awareness ability, ongoing development of the ability to attend to and stay with inner experience, development of a process orientation, attention to egoic structures that were seeded from the earliest days in the service of perceptions of threats to needs being met, identification of current egoic states and work with these inner selves and their relationship with each other to facilitate movement from developmental points of arrest, increased ability to access and contain non-ordinary states of consciousness, attending to what is, and working with this in the service of moving towards optimal human development.depression is generally experienced as the system shutting down. anxiety is a signal that something is wrong. anxiety is not the problem. it is a sign that there is a problem. the core of these issues is a lack of inner security that is the outcome of insufficient bonding. the work of psychotherapy is to establish an environment and relationship that will facilitate work with the bonding ruptures and re-initiation of the developmental process that stopped at an early stage.

### Instruction: I've have lived for sometime with depression but things have gotten a lot better, but why is it so hard to get over anxiety and social isolation? ### Response:

The best way to handle depression and anxiety is with a combination of appropriate medication given to you by a medical doctor, and therapy to help you understand the thoughts, feelings, and behaviors that are causing the depression and anxiety in the first place and then to replace these with more positive thoughts and behaviors. This is not something that anyone should just “white knuckle” and try to get through on their own with no help. Cognitive Behavioral Therapy is a technique that has been proven helpful for depression and anxiety. This takes a therapist trained in CBT. There are some things in life that you cannot change and must learn to accept. A lot of people spend time trying to change things that they have no control over. This may be the behavior of someone else in your life or it could be a situation that you cannot change, such as the recent death of a loved one, a lost relationship, or an accident or illness which has left you handicapped. In cases like this, what can change is your attitude and thoughts about the situation that you now find yourself in. One thing that is inevitable about life is that stuff happens and it is not always pleasant. Some people take these unpleasant occurrences very hard and it throws them into a deep depression. Other people seem to be able to handle life’s ups and downs and bounce back. They do this with having positive coping skills in their life. Learning new coping skills is something your therapist can help you with.A lot of people are so focused on trying to change the things in their life that they cannot change and are ignoring the things that they can change. There are things that you can do. Here is a quote for you to consider. “You are getting almost everything that you are getting based on the choices that you have made. You will continue to get the same thing out of life until you make some changes.” Another quote I like is “You will find a way or you will find an excuse.” Don’t ever say that you have no choice. Everyone has a choice. You might not particularly like any of the choices that you are facing, but you do have choices. Not happy in a relationship? You can leave it. Hate your job? Get a new one. If it matters to you, you will find a way. Don’t sit there complaining about everything but not doing anything different or better.Take care of yourself. Exercise is very important not only for your physical health, but for your mental health as well. Eating right and exercising will help you feel better about yourself. Also, find a meditation that works for you. There are progressive muscle relaxation exercises, visual and mental meditations, and many many more. Start making some positive changes in your life today! You can do it!

### Instruction: I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time because before our child she said she was raped by a family member but she never went to the hospital or the cops. Now me and my family don't talk. She's always telling me I'm annoying and just belittles me. Nothing I do is right. She says I work you watch the baby. On her days off she never cooks or cleans. I have no friends or family and a couple months ago she was confiding to some guy, but says he's not any thing to her. What do I do? I don't want to leave. ### Response:

It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more beneficial for you and your child to move out.On the other hand, if you are just wanting the relationship to work out despite its current state, you need to evaluate whether the relationship is worth salvaging. It seems as though you are very unhappy and undervalued in this relationship. Although your question revealed just a short bit of information, I didn't read about any positives in the relationship. Sometimes it's extremely hard to leave a relationship even though you know that the relationship itself is harmful for you. However, with time and focus you can do it. Each day will get a little easier and you have to trust yourself that you are making the right situation for you and your child.However, if you really feel that you want to stay in the relationship, you have to be upfront with her. You need to tell her exactly how you feel and give her specific examples of how she is hurting you. This gives her a chance to render the situation. If after this there is no improvement, I suggest that you start reconsidering your decision to stay.I also think it would be valuable for you to start engaging in things outside of the home that make you happy. Are there any hobbies you enjoy? Are there any groups in the area that you can join such as playgroups that will allow you to engage with other parents? Start looking into these options and finding an avenue for you to do something for your own benefit.It is certainly not healthy for you to isolate yourself from friends and family. You need to have additional support networks besides the one with your girlfriend, especially since this has not been a healthy environment lately.Thank you for reaching out. I wish you the best of luck with your relationship.

### Instruction: I’m trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset? ### Response:

Do you want to be upset about a girl that he forgot about?  Think about it for a minute.  Do you want to measure your trust based on knowing how many female co-workers your husband has?  And if so, what does that say about your marriage?  Trust is something that we earn based on our actions and the actions of people we interact with; it’s also based on our ability to communicate and understand what we value and have in common.  If you are focused on every little detail around your relationship, it may turn into an unhealthy obsession and it may harm your relationship more.   If instead you focus on opening the lines of communication, let him know what you expect from him, and discuss how you could both build trust again, you may become closer and give your relationship the opportunity to grow.  ¿Debería este molesta porque mi esposo me mintió de nuevo?Estoy tratando de hacer que mi matrimonio funcione después de una separación.  Antes de separarnos el mentía mucho y rompía todas sus promesas.  No creo que me haya sido infiel.  El mes pasado, le pregunté cuantas mujeres trabajan con él, y él me dijo.  Ayer, me enteré que se olvido de una muchacha.  ¿Debería estar enojada?¿Quieres estar molesta porque se le olvido con cuantas mujeres trabaja?  Piénsalo por un momento.  ¿Quieres determinar la confianza que le tienes en tu esposo basándote en su capacidad de reportar la cantidad de mujeres que trabajan con él?  Si tu respuesta es sí, ¿qué refleja eso sobre tu matrimonio?  La confianza es algo que se gana basado en nuestras acciones y las de aquellos con quienes interactuamos; también en nuestra habilidad de comunicar y entender los valores que tenemos en común. Si practicas estar preocupada por cada pequeño detalle en tu relación, esto se puede convertir en una obsesión que potencialmente dañara tu relación.  Si en cambio te enfocas en abrir las líneas de comunicación, le dejas saber lo que esperas de él y discuten cómo pueden trabajar juntos para recuperar la confianza, pueden volverse más cercanos y darse la oportunidad de que la relación crezca.

### Instruction: My fiancée suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. She curls up in corners at the mall and has panic attacks. She won't eat or drink in public. If she isn't having a panic attack or crying, she's clinging to me and avoiding everything and everyone. Her depression flares up out of nowhere and causes her to become very suicidal and self-harming. She get really sick from anxiety and scared to the point that I can't even get her to eat, drink, leave the bed, or go outside. She always tells me how she grew up around so much fighting and fear that it makes her scared of loud sounds, yelling, conflict, and even talking to strangers in public. She will refuse to go to a store unless I am with her to talk to the cashier for her. She is so scared that I can't even get her to drive. She doesn't want to get her license because she's scared of trying to drive. Some people have recommended medication, but I believe it's just going to cover up her illness and not solve it. I don't want my fiancée pumped with drugs. I believe a psychiatric service dog would be the best bet for her. When we first met my poodle, it would calm her down a lot. She took the dog out every time we went out, and she seemed much calmer and happier. She slowly would eat, and the dog seemed to make her feel a lot better. I am worried and want to help her without medication. ### Response:

It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health issues. Based on what you have explained, it sounds like she needs to get a medical and/or psychiatric evaluation. Whether or not she decides to take medication is her (and your) decision, but keeping an open mind about treatment options is important. I suggest that she see a therapist on her own in order to better understand and cope with her anxiety and depression, especially given her suicidal thoughts. You would also likely benefit from therapy, individual or couple's therapy, in order to address how you are feeling and best learn how to support her and your relationship. I wish the very best for both of you and hope that things will improve sooner than later.

### Instruction: I’m trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset? ### Response:

Do you want to be upset about a girl that he forgot about?  Think about it for a minute.  Do you want to measure your trust based on knowing how many female co-workers your husband has?  And if so, what does that say about your marriage?  Trust is something that we earn based on our actions and the actions of people we interact with; it’s also based on our ability to communicate and understand what we value and have in common.  If you are focused on every little detail around your relationship, it may turn into an unhealthy obsession and it may harm your relationship more.   If instead you focus on opening the lines of communication, let him know what you expect from him, and discuss how you could both build trust again, you may become closer and give your relationship the opportunity to grow.  ¿Debería este molesta porque mi esposo me mintió de nuevo?Estoy tratando de hacer que mi matrimonio funcione después de una separación.  Antes de separarnos el mentía mucho y rompía todas sus promesas.  No creo que me haya sido infiel.  El mes pasado, le pregunté cuantas mujeres trabajan con él, y él me dijo.  Ayer, me enteré que se olvido de una muchacha.  ¿Debería estar enojada?¿Quieres estar molesta porque se le olvido con cuantas mujeres trabaja?  Piénsalo por un momento.  ¿Quieres determinar la confianza que le tienes en tu esposo basándote en su capacidad de reportar la cantidad de mujeres que trabajan con él?  Si tu respuesta es sí, ¿qué refleja eso sobre tu matrimonio?  La confianza es algo que se gana basado en nuestras acciones y las de aquellos con quienes interactuamos; también en nuestra habilidad de comunicar y entender los valores que tenemos en común. Si practicas estar preocupada por cada pequeño detalle en tu relación, esto se puede convertir en una obsesión que potencialmente dañara tu relación.  Si en cambio te enfocas en abrir las líneas de comunicación, le dejas saber lo que esperas de él y discuten cómo pueden trabajar juntos para recuperar la confianza, pueden volverse más cercanos y darse la oportunidad de que la relación crezca.

### Instruction: My fiancée suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. She curls up in corners at the mall and has panic attacks. She won't eat or drink in public. If she isn't having a panic attack or crying, she's clinging to me and avoiding everything and everyone. Her depression flares up out of nowhere and causes her to become very suicidal and self-harming. She get really sick from anxiety and scared to the point that I can't even get her to eat, drink, leave the bed, or go outside. She always tells me how she grew up around so much fighting and fear that it makes her scared of loud sounds, yelling, conflict, and even talking to strangers in public. She will refuse to go to a store unless I am with her to talk to the cashier for her. She is so scared that I can't even get her to drive. She doesn't want to get her license because she's scared of trying to drive. Some people have recommended medication, but I believe it's just going to cover up her illness and not solve it. I don't want my fiancée pumped with drugs. I believe a psychiatric service dog would be the best bet for her. When we first met my poodle, it would calm her down a lot. She took the dog out every time we went out, and she seemed much calmer and happier. She slowly would eat, and the dog seemed to make her feel a lot better. I am worried and want to help her without medication. ### Response:

It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health issues. Based on what you have explained, it sounds like she needs to get a medical and/or psychiatric evaluation. Whether or not she decides to take medication is her (and your) decision, but keeping an open mind about treatment options is important. I suggest that she see a therapist on her own in order to better understand and cope with her anxiety and depression, especially given her suicidal thoughts. You would also likely benefit from therapy, individual or couple's therapy, in order to address how you are feeling and best learn how to support her and your relationship. I wish the very best for both of you and hope that things will improve sooner than later.

### Instruction: I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? ### Response:

Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that you are not giving up, that you are working to figure this out, and make this work, it sounds like you are engaged and motivated to receive support from a professional, your continued  dedication and motivation will take you far. I would first start by asking if you have discussed this with your therapist, if you feel comfortable enough telling your therapist what is going on, maybe inform the therapist that  that you feel nervous and shaky. I am a firm believer in open communication between the client and therapist as this builds a healthy therapeutic relationship that yields positive outcomes, if this can be obtained and well received. This is YOUR time for healing and therapy should be a safe, supportive environment to not only process but to seek support and guidance from a professional who can help you move past the barriers. If you feel you are comfortable and able to speak to your therapist, that would be my first suggestion, is to tell he or she how you are feeling. If they know then they can help determine the potential cause and allow you to process and move forward. If this is left un resolved it will be hard for you to move forward. If you are not comfortable discussing this with your therapist, this may be something to take into consideration and worthy of thinking about: why you are not comfortable speaking to the therapist. I understand this is difficult. If I may offer one more suggestion, breathing exercises are very beneficial. Remind yourself what you are working to achieve, close your eyes in a safe moment and breathe in and out slowly, in slowly through your nose and out through your mouth with pursed lips. Breathe in for approximately 5-10 seconds, then let it out slowly. Be sure and do this when you are in private, and feel safe environment. When you begin, I suggest putting your hand on your stomach, over your belly button to feel yourself actually taking in those deep breaths. I know it may sound kind of silly but they really work and are incredibly helpful. We often forget to breathe, especially when we  are feeling anxious. You are supported here and try taking yourself through the above thought process and breathing and practice the breathing several times a day. I hope this shaky and uneasy feeling eases. Wishing you the very best!Laura Cassity, LMSW, LMAC

### Instruction: I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? ### Response:

Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that you are not giving up, that you are working to figure this out, and make this work, it sounds like you are engaged and motivated to receive support from a professional, your continued  dedication and motivation will take you far. I would first start by asking if you have discussed this with your therapist, if you feel comfortable enough telling your therapist what is going on, maybe inform the therapist that  that you feel nervous and shaky. I am a firm believer in open communication between the client and therapist as this builds a healthy therapeutic relationship that yields positive outcomes, if this can be obtained and well received. This is YOUR time for healing and therapy should be a safe, supportive environment to not only process but to seek support and guidance from a professional who can help you move past the barriers. If you feel you are comfortable and able to speak to your therapist, that would be my first suggestion, is to tell he or she how you are feeling. If they know then they can help determine the potential cause and allow you to process and move forward. If this is left un resolved it will be hard for you to move forward. If you are not comfortable discussing this with your therapist, this may be something to take into consideration and worthy of thinking about: why you are not comfortable speaking to the therapist. I understand this is difficult. If I may offer one more suggestion, breathing exercises are very beneficial. Remind yourself what you are working to achieve, close your eyes in a safe moment and breathe in and out slowly, in slowly through your nose and out through your mouth with pursed lips. Breathe in for approximately 5-10 seconds, then let it out slowly. Be sure and do this when you are in private, and feel safe environment. When you begin, I suggest putting your hand on your stomach, over your belly button to feel yourself actually taking in those deep breaths. I know it may sound kind of silly but they really work and are incredibly helpful. We often forget to breathe, especially when we  are feeling anxious. You are supported here and try taking yourself through the above thought process and breathing and practice the breathing several times a day. I hope this shaky and uneasy feeling eases. Wishing you the very best!Laura Cassity, LMSW, LMAC

### Instruction: I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? ### Response:

Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that you are not giving up, that you are working to figure this out, and make this work, it sounds like you are engaged and motivated to receive support from a professional, your continued  dedication and motivation will take you far. I would first start by asking if you have discussed this with your therapist, if you feel comfortable enough telling your therapist what is going on, maybe inform the therapist that  that you feel nervous and shaky. I am a firm believer in open communication between the client and therapist as this builds a healthy therapeutic relationship that yields positive outcomes, if this can be obtained and well received. This is YOUR time for healing and therapy should be a safe, supportive environment to not only process but to seek support and guidance from a professional who can help you move past the barriers. If you feel you are comfortable and able to speak to your therapist, that would be my first suggestion, is to tell he or she how you are feeling. If they know then they can help determine the potential cause and allow you to process and move forward. If this is left un resolved it will be hard for you to move forward. If you are not comfortable discussing this with your therapist, this may be something to take into consideration and worthy of thinking about: why you are not comfortable speaking to the therapist. I understand this is difficult. If I may offer one more suggestion, breathing exercises are very beneficial. Remind yourself what you are working to achieve, close your eyes in a safe moment and breathe in and out slowly, in slowly through your nose and out through your mouth with pursed lips. Breathe in for approximately 5-10 seconds, then let it out slowly. Be sure and do this when you are in private, and feel safe environment. When you begin, I suggest putting your hand on your stomach, over your belly button to feel yourself actually taking in those deep breaths. I know it may sound kind of silly but they really work and are incredibly helpful. We often forget to breathe, especially when we  are feeling anxious. You are supported here and try taking yourself through the above thought process and breathing and practice the breathing several times a day. I hope this shaky and uneasy feeling eases. Wishing you the very best!Laura Cassity, LMSW, LMAC

### Instruction: I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are attractive, but not like before. I can also find men attractive now. I'm too ashamed to tell anyone. ### Response:

Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these feelings and desires it could certainty shake everything you thought you knew about yourself. My guess is that you becoming sick around the time that this started is likely a coincidence, but I understand how you would make the connection. I have a feeling that a few things may be going on here. It is really hard to say since I don’t know you, how old you are, etc. But, I will share you with you some thoughts. Some people, when they have undesirable thoughts that really surprise them, have a really tough time getting rid of them. Our reaction to the thought can be very strong and our tendency to try to block it out, stuff it, avoid it, etc. is not always successful. In fact, it’s usually not. It’s like telling you not to think of pink elephants. I would be willing to bet that you thought of a pink elephant just now. So, rather than fighting thoughts that you find confusing, sometimes it is helpful to allow yourself to explore the thought with curiosity and without judgement. Where is this thought coming from? What are my feelings about it? Asking yourself these questions may help you come to a resolution about what is going on. One possibility is that you have developed an anxiety about your thoughts and now you are in the process of obsessing about them, but another possibility is that you are legitimately exploring your sexuality and gender. I get the feeling from your question that you do not want to believe that it is second possibility. And that is okay. You can try some of my suggestions, but you can also see a counselor who may be able to help you work through your confusion. I would suggest someone who has experience working with sexuality issues. You can usually find out what a counselor works with on their website. What is important is that you find someone who is non-judgmental about what you are experiencing.   I wish you well. Robin J. Landwehr, DBH, LPC, NCC  

### 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:

Teenage years are rough for anyone, and this is a time for self-discovery and experimentation. Having older parents can certainly pose challenges. Most kids feel like their parents don't understand them, but yours are older than the average parents of teenagers. They're from a completely different generation than you are. It sounds like they love you, but may not understand you. The problem here is the generation/age gap, and there's not a whole lot you can do about that. What you can do is accept the situation and perhaps look at it a little differently. It seems like you're looking for affirmation from them, looking for their approval and understanding. It's never a good idea to look to others to define who you are or to get a self-esteem boost. Who you are and how you feel about yourself needs to come from inside, not from outside. One way you can have a better relationship with your parents is to stop looking at all the things you aren't getting from them that you want, and rather look at all the things you are getting from them. Yes, this is a glass half full or half empty point of view, but it works. The negative will overshadow the positive if you let it. Start looking for the good things in your relationship with your parents and your feelings towards them will become more positive.I'm not sure how your friends/peers made you feel like your childhood has been taken from you. That's a curious statement, and requires a deeper conversation to understand where that came from. However, I do understand feeling different and out of place, especially in high school. Find the strength within yourself rather than looking to others in your life to make you feel better or feel like a complete person. It helps to have friends and loved ones, but you can never rely on them to fulfill all of your needs. Set some goals for your future, work towards them. Focus on being the best YOU that you can be, and the right people will enter your life at the right time. 

### 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:

Teenage years are rough for anyone, and this is a time for self-discovery and experimentation. Having older parents can certainly pose challenges. Most kids feel like their parents don't understand them, but yours are older than the average parents of teenagers. They're from a completely different generation than you are. It sounds like they love you, but may not understand you. The problem here is the generation/age gap, and there's not a whole lot you can do about that. What you can do is accept the situation and perhaps look at it a little differently. It seems like you're looking for affirmation from them, looking for their approval and understanding. It's never a good idea to look to others to define who you are or to get a self-esteem boost. Who you are and how you feel about yourself needs to come from inside, not from outside. One way you can have a better relationship with your parents is to stop looking at all the things you aren't getting from them that you want, and rather look at all the things you are getting from them. Yes, this is a glass half full or half empty point of view, but it works. The negative will overshadow the positive if you let it. Start looking for the good things in your relationship with your parents and your feelings towards them will become more positive.I'm not sure how your friends/peers made you feel like your childhood has been taken from you. That's a curious statement, and requires a deeper conversation to understand where that came from. However, I do understand feeling different and out of place, especially in high school. Find the strength within yourself rather than looking to others in your life to make you feel better or feel like a complete person. It helps to have friends and loved ones, but you can never rely on them to fulfill all of your needs. Set some goals for your future, work towards them. Focus on being the best YOU that you can be, and the right people will enter your life at the right time.

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

Long distance relationships are very difficult to maintain, not just for the lack of communication, but also because of the lack of intimacy that comes along with it. Even if you have spectacular communication while in a long-distance relationship, it is difficult to maintain intimacy because you are lacking in the physical contact aspect of intimacy. Here, we are not talking about sex, but about the emotional connection that happens along with physical contact. It is also hard to have shared experiences when the two of you are in separate places. These are the challenges that you face, but there are some ways to improve your odds. The first thing to remember here is that dating is all about finding a person that you want to eventually dedicate your time, resources, and self to. If either of you finds that the relationship is one that you are not necessarily committed to, it is better to find out and have the opportunity to date others before a commitment is made. The second thing to remember is that open communication is a good sign in a relationship. That being said, I do not believe that sharing details about your "crushes" is the best thing for a relationship. Instead, I would recommend working on improving the relationship as best you can. It is a wonderful thing when we can feel that we have given our best efforts on something, especially something as important as the act of loving. Here are a couple things that you can do to improve even a long-distance relationship. Start by downloading the Gottman Card Decks App here https://www.gottman.com/couples/apps/. While on the phone or video chat, try asking each other some of these questions so that you can build a deeper knowledge of one another. Some may seem silly, but they help you know the other person more intimately. It is also helpful to make sure that you are having regular communication with each other. Some situations make it very difficult to communicate, but if at all possible, daily communication via phone or video chat would be best. Even if it is just for 30 minutes a day, really dedicate your time and attention to each other during those calls. Next, it can be helpful to know each other's love languages so you can show each other how much you really care. Take the assessment for the 5 Love Languages and talk about the results together. You can find the assessment here: http://www.5lovelanguages.com/profile/Attraction to other people is completely normal and involves biological processes. Intimacy, on the other hand, creates real connection and dedication to each other. Learn about each other, spend time together, and you will create intimacy.

### Instruction: I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past. Currently I'm going through anxiety and my thearapist is not available. How do I handle this? ### Response:

I am so sorry to hear you are going through this. Divorce can be so disruptive in a child's life.I'd really need a lot more information about your situation before I'd feel comfortable offering any advice or suggestions. There are so many variables, and not knowing the whole story, any advice could possibly make your situation worse.I do see some positives, though. One, you say you have a therapist. That's great! I hope you're able to talk to them about this soon. Still, they can't give you legal advice, and a lot of this situation may be dictated by the law. What your therapist can help with, though, is dealing with whatever situation you have to follow by law. If you can't change the situation, you at least need to learn how to cope with it better. Two, you're 17. When you're 18, you're legally an adult and will not be bound by any custody rules or visitation plans in place. Honestly, teenagers usually have a lot of say with the courts in custody arrangements. Since you didn't specify more on the situation, I have no idea what your specific situation is. Were your parents ever married? Are they separated or divorced? Was there ever a court hearing for custody? Not all couples have an official court order arrangement. All families are different, too. Was there abuse between your parents? Towards you by one of them? Does either of them have addiction issues, major health or mental health issues, or anything like that? You mentioned that you want to live with your mom, but didn't say why. Are you afraid to tell your dad you want to stay with your mom? Is mom the lenient and fun parent while dad is the more strict one, or is there something else going on? This isn't a decision that should be placed entirely on you, and it also isn't a decision that anyone else needs to make on your behalf without your input. But advice on what to do needs to come from the people who know more about your situation so they can help recommend the best thing for you. Whatever you do, hang in there! 18 will be here before you know it. Focus on that. Freedom. College. Plan for your future that YOU control, and focus on making it the best it can be. Do not let the anxiety and depression cloud your thoughts and make you do something irreversible. 

### Instruction: I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past. Currently I'm going through anxiety and my thearapist is not available. How do I handle this? ### Response:

I am so sorry to hear you are going through this. Divorce can be so disruptive in a child's life.I'd really need a lot more information about your situation before I'd feel comfortable offering any advice or suggestions. There are so many variables, and not knowing the whole story, any advice could possibly make your situation worse.I do see some positives, though. One, you say you have a therapist. That's great! I hope you're able to talk to them about this soon. Still, they can't give you legal advice, and a lot of this situation may be dictated by the law. What your therapist can help with, though, is dealing with whatever situation you have to follow by law. If you can't change the situation, you at least need to learn how to cope with it better. Two, you're 17. When you're 18, you're legally an adult and will not be bound by any custody rules or visitation plans in place. Honestly, teenagers usually have a lot of say with the courts in custody arrangements. Since you didn't specify more on the situation, I have no idea what your specific situation is. Were your parents ever married? Are they separated or divorced? Was there ever a court hearing for custody? Not all couples have an official court order arrangement. All families are different, too. Was there abuse between your parents? Towards you by one of them? Does either of them have addiction issues, major health or mental health issues, or anything like that? You mentioned that you want to live with your mom, but didn't say why. Are you afraid to tell your dad you want to stay with your mom? Is mom the lenient and fun parent while dad is the more strict one, or is there something else going on? This isn't a decision that should be placed entirely on you, and it also isn't a decision that anyone else needs to make on your behalf without your input. But advice on what to do needs to come from the people who know more about your situation so they can help recommend the best thing for you. Whatever you do, hang in there! 18 will be here before you know it. Focus on that. Freedom. College. Plan for your future that YOU control, and focus on making it the best it can be. Do not let the anxiety and depression cloud your thoughts and make you do something irreversible.

### Instruction: What can I do to stop grieving my mother’s death? When I am awake I just cry every day. I don't have anyone to talk to. I need help; I am still cry over her. Will I ever stop crying? It’s been 3 years. ### Response:

I am sorry that you lost your mother. That is a really hard thing for someone to go through.There is really no set time for grief to be over, but I agree that if it has been three years and you are still crying every day then this is past the time for normal grief. I do not know how old you are and if you are in school or have a job, but I would imagine that if by now you literally were doing nothing but crying every day all day, someone would have noticed and would have gotten you some help. For one thing, bills have to be paid.There are typically five stages of grief and they can come in any order. You can go back to another stage that you previously experienced. Denial, anger, bargaining, depression, and acceptance are the stages. At first, people are usually in denial over the fact that they lose someone or are losing someone. This may mean that you deny they are ill or deny that they have actually died.Then comes bargaining, in which you may beg God that if you can only have this person back then you will do whatever. Depression is when the reality has settled in and when we cry and really feel the loss. It sounds like you are stuck in this phase.Finally, acceptance is when we accept that it has happened and we pick up the pieces of our life and move on.When we lose someone we never forget them. We may always have certain days that are tough, such as holidays or any special remembrance of your loved one. But we do get to the place where we accept that death is part of life and that it is inevitable, and that life goes on.A therapist can help you explore the reasons for your extended grief and can help you with coping skills to better deal with it. One suggestion I have is not to try to run from the sad feelings, don’t try to not feel them. Embrace the feelings. Let the feelings wash over you and accept them. Trying not to feel something is not going to help. Sadness is a part of life and needs to be felt just like happiness does. Unpleasant feelings are not to be avoided.I am sincerely sorry that you lost your mother and that you have had such a hard time of it for three years now. You deserve to be happy and to live a full life. I am sure your mother would not want you being sad for so long. I wish you all the best as you continue to try to heal from this loss and deal with your grief.

### Instruction: Or how to send him somewhere that can help him, something like The Baker Act. ### Response:

More information would be needed for me to accurately answer this question, such as your age, whether you live with your dad or not, and what other family members live in the household. Something like this, alcoholism, is a whole family disease. In other words, family members often unknowingly contribute to the alcoholism and enable the alcoholic to continue the destructive behavior.First of all, you can’t make your dad do anything, and constantly nagging him or begging him to stop is just going to make him defensive and make this worse. Nobody can change another person. What you can do is change how you react to him and the things that you and other family members do for him. Research codependency. There’s a great book called Codependent No More. There are a lot of articles on the internet that you can read. In short, you have to stop enabling him. Like I said, you cannot control him, but you can control yourself. This means do not buy his alcohol. Do not make it easy for him to get. Don’t loan him the car keys or pay any household bills for him. Don’t call in sick to work for him or make excuses for him in any way. Do not bail him out of jail when he gets arrested. He needs to be responsible for himself. This may mean losing his job or losing his driver’s license. This may mean that he loses his family if he doesn’t stop. What you and your family can do is set boundaries about what you will put up with. It is his choice to drink, but it is your choice to put up with the behaviors of his drinking. A lot of people go into rehab because their spouse said if they don’t then they are getting a divorce.If you are an adult and you don’t live with your dad, then the best thing you can do for him is STOP doing things for him. If you are a child who lives at home with him, then this could be a case for child protective services. In my state this is called DHS. A report is made to this organization for child abuse or neglect. Substance abuse in the home qualifies. Of course, alcohol is legal and when consumed in moderation, there is no problems. The problem will be the result of his alcohol consumption. Does he drive with children in the car while intoxicated? Is he left to care for minors while in an intoxicated state? Are there any domestic violence issues due to his drinking? This could be a reason for the authorities to step in. You can look for a local meeting for family members of alcoholics. They are similar to the AA meetings that an alcoholic should go to, but are for the family members. They can help you.

### Instruction: I've been hurt by a man for five years. He doesn't involve me with the family or kids. Everyone in the family is against me. There is a Mass today for a family member, and he never asked me to go. I'm to sit home alone now and Christmas too. He expects me to sit alone while he enjoys being with the family. We are in our 50s, and it hurts that he won't even think of me or involve me as part of the family. He doesn't even care. I am leaving him as soon as possible, but I hurt so bad that I didn't know who to turn too. I'm now in this low funk of depression, and I'm scared because I do stupid things to myself and give up. I have no friends because I was a truck driver. I've been getting serious headaches and can't sleep. I don't eat; I've lost my appetite. This has been going on for a couple weeks now. ### Response:

Hi Florida,I get the sense that, aside from this relationship, you're quite isolated in general. It's sad that you're feeling excluded at Christmastime and family events. While I would suggest that you don't really know what he or his family are thinking or feeling (you assume they're against you, and that he doesn't care), he is certainly behaving in a very distant, excluding manner and it's understandable that you would feel rejected and hurt. How long has this part been happening? Has he always acted this way, or is it more recent? Did something happen recently? You mentioned doing "stupid things to yourself", and I don't know what that means. If you are engaging in self-harm he may be confused about what to do and he might need some time to think and be separate but is having trouble talking about this. Part of the problem, of course, is that you don't know what's going on for him. Certainly, you deserve the truth, and if he doesn't want to spend time with you, I would hope he would be honest. Have you been open to hearing the truth from him? Is there any reason for him to hesitate to tell you why he's being distant? Maybe you could ask him, if you are ready to hear.I'm glad to hear that you believe that you deserve a full, loving relationship, although it seems that moving forward might be difficult for you. Is it possible your happiness is a bit too dependant on this man? I'm just guessing, based on what you've said here.  It seems that it's possible your situation has led to some depression, and I would recommend a session with a qualified therapist to help you sort this out. You will need support, even if the relationship is repaired. Best of luck. 

### Instruction: I've been hurt by a man for five years. He doesn't involve me with the family or kids. Everyone in the family is against me. There is a Mass today for a family member, and he never asked me to go. I'm to sit home alone now and Christmas too. He expects me to sit alone while he enjoys being with the family. We are in our 50s, and it hurts that he won't even think of me or involve me as part of the family. He doesn't even care. I am leaving him as soon as possible, but I hurt so bad that I didn't know who to turn too. I'm now in this low funk of depression, and I'm scared because I do stupid things to myself and give up. I have no friends because I was a truck driver. I've been getting serious headaches and can't sleep. I don't eat; I've lost my appetite. This has been going on for a couple weeks now. ### Response:

Hi Florida,I get the sense that, aside from this relationship, you're quite isolated in general. It's sad that you're feeling excluded at Christmastime and family events. While I would suggest that you don't really know what he or his family are thinking or feeling (you assume they're against you, and that he doesn't care), he is certainly behaving in a very distant, excluding manner and it's understandable that you would feel rejected and hurt. How long has this part been happening? Has he always acted this way, or is it more recent? Did something happen recently? You mentioned doing "stupid things to yourself", and I don't know what that means. If you are engaging in self-harm he may be confused about what to do and he might need some time to think and be separate but is having trouble talking about this. Part of the problem, of course, is that you don't know what's going on for him. Certainly, you deserve the truth, and if he doesn't want to spend time with you, I would hope he would be honest. Have you been open to hearing the truth from him? Is there any reason for him to hesitate to tell you why he's being distant? Maybe you could ask him, if you are ready to hear.I'm glad to hear that you believe that you deserve a full, loving relationship, although it seems that moving forward might be difficult for you. Is it possible your happiness is a bit too dependant on this man? I'm just guessing, based on what you've said here.  It seems that it's possible your situation has led to some depression, and I would recommend a session with a qualified therapist to help you sort this out. You will need support, even if the relationship is repaired. Best of luck.

### 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:

I can think of several things that may help you to reconnect. I don't know how much time you actually spend together, but one thing you could try is to spend 15 minutes a week together talking about common interests or other things that make you feel connected.Have you considered a date night or anything (doesn't have to cost a lot of money, but could make each of you feel special)?Something else you could try is to consider talking to each other in a way where you summarize what you are hearing and reflect back to make sure that you got it right rather than just assuming so. Communicating this way can feel awkward at times, but it could reconnect how you are listening and deeply connecting with your partner. Also, you may discover that you are on two different pages about things on which you thought you understood what each other felt, wanted, or desired.Consider what makes your partner feel loved, valued, appreciated, or special. Can you name a few things and get them right according to your partner when you check in? Can he do the same for you?You could also try doing two things every day that would be appreciated by your partner without either of you having to ask for it. There is some more information here, although what you do for one another does not necessarily need to be on this list: http://www.couplesinstitute.com/tracking-success-by-doing-the-daily-double/Reconnecting is a bit of a process. Try to praise yourself and your partner for attempts that you make and recognize that you're not going to get it right 100% of the time. You may also find this book to be helpful (or there are other similar ones by the same author): https://smile.amazon.com/Love-Languages-Secret-that-Lasts/dp/080241270X/ref=sr_1_1?ie=UTF8&qid=1471479801&sr=8-1&keywords=Love+languagesIf this still seems difficult, consider seeing a local mental health professional. As one more thought, recall that this relationship involves both of you. If you are both committing to change your level of connection, change will likely not be a steady uphill climb (there could be plateaus or even some dips back in a negative direction) and each of you may change at a different rate.Best wishes in your quest for connection!

### Instruction: I was anxious to go to middle school. I was afraid of what people might say about me, so when school started, I wasn't acting like myself. I was quiet, which I'm usually not. I didn't talk to anybody and didn't have any friends. Then a few years later, my grandma died. I really became depressed and stop going to school for a little. I hated myself and still do. I just need help. I need someone to care for me. I need someone to show that they care. ### Response:

I agree; you need more care and support. No one deserves to feel alone, or like they hate themselves. We're all wonderful, imperfect, complicated people and we're at our best when we're all helping each other. I'm glad you wrote this question, because a lot of people have this feeling sometimes. I can tell that you're smart, because you seem to sense that the two things you wrote about are connected...you "not being yourself", and then how you felt when your grandma died. When Grandma died, you needed and deserved extra love and support, but the people around you didn't seem to give it to you, maybe. My hunch is that they wanted to, but that they didn't know how much you needed it, or what you needed exactly. The older you get, the more you will have to take charge of letting people know what you need. Maybe this is one of the suckier parts of being mature, but that's how it works. When you started middle school, it sounds like you changed; you got more quiet, right? That must have felt weird, to not be acting like yourself. It sounds like fear tricked you into thinking people wouldn't like you. Fear can be silly. So then, fear got you to not show yourself, and when we don't show ourselves, people can't see who we are; they don't know us as well and then they don't know what we need and they can't care for us as well either. Fear of not being liked isolated you from the people who love you. It does that to a lot of us. So, where you're at right now is because of what fear did to you, and also because when Grandma died you were already isolated so people couldn't see your pain and know that you needed support. There's a simple solution, but you'd have to be brave enough to look fear in the face and say "Get off my back!". "You're not helping me by telling me lies." Can you be brave enough to go back to your old, louder, self? If you talk to the people closest to you...tell them what you think and how you feel, then they'll be able to give you the care that you want and deserve. I wish you well as you try this!

### 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:

I can think of several things that may help you to reconnect. I don't know how much time you actually spend together, but one thing you could try is to spend 15 minutes a week together talking about common interests or other things that make you feel connected.Have you considered a date night or anything (doesn't have to cost a lot of money, but could make each of you feel special)?Something else you could try is to consider talking to each other in a way where you summarize what you are hearing and reflect back to make sure that you got it right rather than just assuming so. Communicating this way can feel awkward at times, but it could reconnect how you are listening and deeply connecting with your partner. Also, you may discover that you are on two different pages about things on which you thought you understood what each other felt, wanted, or desired.Consider what makes your partner feel loved, valued, appreciated, or special. Can you name a few things and get them right according to your partner when you check in? Can he do the same for you?You could also try doing two things every day that would be appreciated by your partner without either of you having to ask for it. There is some more information here, although what you do for one another does not necessarily need to be on this list: http://www.couplesinstitute.com/tracking-success-by-doing-the-daily-double/Reconnecting is a bit of a process. Try to praise yourself and your partner for attempts that you make and recognize that you're not going to get it right 100% of the time. You may also find this book to be helpful (or there are other similar ones by the same author): https://smile.amazon.com/Love-Languages-Secret-that-Lasts/dp/080241270X/ref=sr_1_1?ie=UTF8&qid=1471479801&sr=8-1&keywords=Love+languagesIf this still seems difficult, consider seeing a local mental health professional. As one more thought, recall that this relationship involves both of you. If you are both committing to change your level of connection, change will likely not be a steady uphill climb (there could be plateaus or even some dips back in a negative direction) and each of you may change at a different rate.Best wishes in your quest for connection!

### Instruction: I was anxious to go to middle school. I was afraid of what people might say about me, so when school started, I wasn't acting like myself. I was quiet, which I'm usually not. I didn't talk to anybody and didn't have any friends. Then a few years later, my grandma died. I really became depressed and stop going to school for a little. I hated myself and still do. I just need help. I need someone to care for me. I need someone to show that they care. ### Response:

I agree; you need more care and support. No one deserves to feel alone, or like they hate themselves. We're all wonderful, imperfect, complicated people and we're at our best when we're all helping each other. I'm glad you wrote this question, because a lot of people have this feeling sometimes. I can tell that you're smart, because you seem to sense that the two things you wrote about are connected...you "not being yourself", and then how you felt when your grandma died. When Grandma died, you needed and deserved extra love and support, but the people around you didn't seem to give it to you, maybe. My hunch is that they wanted to, but that they didn't know how much you needed it, or what you needed exactly. The older you get, the more you will have to take charge of letting people know what you need. Maybe this is one of the suckier parts of being mature, but that's how it works. When you started middle school, it sounds like you changed; you got more quiet, right? That must have felt weird, to not be acting like yourself. It sounds like fear tricked you into thinking people wouldn't like you. Fear can be silly. So then, fear got you to not show yourself, and when we don't show ourselves, people can't see who we are; they don't know us as well and then they don't know what we need and they can't care for us as well either. Fear of not being liked isolated you from the people who love you. It does that to a lot of us. So, where you're at right now is because of what fear did to you, and also because when Grandma died you were already isolated so people couldn't see your pain and know that you needed support. There's a simple solution, but you'd have to be brave enough to look fear in the face and say "Get off my back!". "You're not helping me by telling me lies." Can you be brave enough to go back to your old, louder, self? If you talk to the people closest to you...tell them what you think and how you feel, then they'll be able to give you the care that you want and deserve. I wish you well as you try this!

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

Hello, I commend you for your courage in taking a look at the role alcohol has in your life. It sounds like you're concerned about what happens when you drink too much and I suspect you already know the answer to your question about whether you have a problem or not. I imagine you would like to stop feeling guilty and would like to avoid cheating on your boyfriend or other negative consequences and maybe have a fear of being or becoming an "addict" or "alcoholic." You might have a "problem" but that does not necessarily mean that you are an addict. I don't have information to know if "addiction" or "dependence" or other words would best describe where you are with drinking, but it sounds like it's begun to have some negatives, so forgive me using words like addict, dependence and so on. I mean it more as a road map than a diagnosis. The feedback I'm writing here is very general and doesn't address physical dependence and many other factors that might apply to your situation.  One of the ways to think about substance (mis)use is to think of addiction as a disease of avoidance. Let me repeat that: it is a disease of avoidance. Your ultimate task in living a balanced life is to figure out what you're avoiding and develop other ways to manage those feelings, experiences, and so on. And of course, along the way, you may want to look at triggers, situations, biological vulnerability, social pressures, coping skills, relapse prevention planning and so on. Depending on where you are in your drinking, you might very well benefit from expertise and support. Remember also that alcohol depresses our central nervous system and disinhibits us. That means that alcohol is often a substance of choice to relax, destress, calm down, etc. Also, it allows feelings, thoughts, and behaviors that we usually inhibit to be expressed. If you were unfaithful and often angry, that's your first signpost. For angry drinkers, it is often true that you don't drink and then get angry, you drink in order to express anger. I recommend you find someone you can speak frankly with, who is knowledgeable about addiction. Wishing you the best health and wellness. 

### Instruction: A friend of mine taking psychology advised I go to my doctor to check if I have major depressive disorder. I'm afraid of the consequences of doing so. If I do become diagnosed with major depressive disorder, won’t that go on my records? I will never be able to become a counselor along with a list of other things I may be prohibited from. I’m also afraid of taking any anti-depressants. This year, my doctor gave me some for a "dislocated hip." I had a severe reaction and passed out moments after taking them. Everyone I know who has taken anti-depressants says it’s a bad idea all around and you’re better getting treatment without them. I’m concerned they might take me to a clinic and force me to take medication because I am unable to make decisions on my own. I’m not really suicidal, but I am not really taking care of myself either. Someone also told me they still use electroshock therapy. I’m not keen on that. I’m wondering if I am better off just getting self-help and working things out on my own. It’s just that I've been an emotional mess since I was in elementary school. I’ve graduated now and tried to stay positive and be happy, but I cannot deny I still am not good. ### Response:

I admire your courage for stating your view about anti-depressants.  Questioning mainstream thinking and being in touch with your own views, are signs of strength and clarity in a person.As a therapist, I always tell my patients to avoid anti-depressants.Their effectiveness is in suppressing a person's mood and feelings.  If someone does not know how they are feeling, then they will have more difficulty in understanding themselves, their uncertainties and hesitations, and overall, how they relate to others and what they expect from others.Anti-depressants mask how someone feels.In a crisis, temporarily taking anti-depressants may be helpful.  If someone is so overwhelmed that they are not functioning, then  suppressing unhappy feelings so that the person can get through a day, may be of benefit for a short while.Basically, respect and follow your own opinion about anti-depressants.   Your view is shared by many.   It is a minority opinion, and very valid. If you would like to shop for a therapist, ask the person on the phone, what their opinions are about anti-depressants.Ideally, you will eventually find a therapist who thinks in a way which is similar to you, or at least similar enough that you will have a sense that you are able to trust working with them on whatever you define as problematic.I hope you will have an easy and productive therapist search!

### Instruction: Recently my boyfriend broke up with me because of my bad language. But he thinks I'm a total b***h. I know I'm bipolar and can be selfish. He called me today and says he can't go through with the breakup. I was broken and didn't want a breakup to begin with, but I know I'm horrible at times and can't help it. It's like I'm battling myself. What do you feel? ### Response:

Both options seem reasonable.  Seeking individual therapy will help you to cope with the mood changes that come with bipolar disorder, will give you a space to vent your negative thoughts, and will allow you to find the coping mechanism to address life and relational challenges.  IF your boyfriend is interested in attending couples therapy with you, it will assist in identifying the problems in the relationship that pushed him to the breakup and will give both of you the tools to communicate and resolve conflicts.I am a Licensed Professional Counselor in Texas, currently providing individual, couples, and family therapy services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.    ¿Debería buscar ayuda yo sola o junto con mi novio?Mi novio me dejo recientemente por ser mal hablada.  El piensa que soy una p***a.  Yo sé que soy bipolar y que puedo ser egoísta.  El me llamo hoy para decirme que no puede continuar separado.  Yo estaba destruida y no quería que nos dejáramos desde el inicio, pero se lo horrible que puedo ser a veces y que no lo puedo evitar.  Es como si estuviera en guerra conmigo misma.  ¿Qué piensas?Ambas opciones son razonables.   Buscar terapia individual te ayudara a manejar los cambios de estado de ánimo que son partes del desorden bipolar, también te dará espacio para ventilar los pensamientos negativos y encontrar herramientas para enfrentar problemas relacionales y de la vida diaria.   SI tu novio está interesado, también pueden asistir a terapia de pareja para poder identificar las razones de la separación, y obtener las herramientas apropiadas para  comunicarse apropiadamente y resolver conflictos. 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: A friend of mine taking psychology advised I go to my doctor to check if I have major depressive disorder. I'm afraid of the consequences of doing so. If I do become diagnosed with major depressive disorder, won’t that go on my records? I will never be able to become a counselor along with a list of other things I may be prohibited from. I’m also afraid of taking any anti-depressants. This year, my doctor gave me some for a "dislocated hip." I had a severe reaction and passed out moments after taking them. Everyone I know who has taken anti-depressants says it’s a bad idea all around and you’re better getting treatment without them. I’m concerned they might take me to a clinic and force me to take medication because I am unable to make decisions on my own. I’m not really suicidal, but I am not really taking care of myself either. Someone also told me they still use electroshock therapy. I’m not keen on that. I’m wondering if I am better off just getting self-help and working things out on my own. It’s just that I've been an emotional mess since I was in elementary school. I’ve graduated now and tried to stay positive and be happy, but I cannot deny I still am not good. ### Response:

I admire your courage for stating your view about anti-depressants.  Questioning mainstream thinking and being in touch with your own views, are signs of strength and clarity in a person.As a therapist, I always tell my patients to avoid anti-depressants.Their effectiveness is in suppressing a person's mood and feelings.  If someone does not know how they are feeling, then they will have more difficulty in understanding themselves, their uncertainties and hesitations, and overall, how they relate to others and what they expect from others.Anti-depressants mask how someone feels.In a crisis, temporarily taking anti-depressants may be helpful.  If someone is so overwhelmed that they are not functioning, then  suppressing unhappy feelings so that the person can get through a day, may be of benefit for a short while.Basically, respect and follow your own opinion about anti-depressants.   Your view is shared by many.   It is a minority opinion, and very valid. If you would like to shop for a therapist, ask the person on the phone, what their opinions are about anti-depressants.Ideally, you will eventually find a therapist who thinks in a way which is similar to you, or at least similar enough that you will have a sense that you are able to trust working with them on whatever you define as problematic.I hope you will have an easy and productive therapist search!

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

1. She's an adult.2. She lives in your house? She follows your rules.3. What you're describing could be any number of things, but could potentially be a medical issue that needs attention. Thyroid issues, autoimmune diseases - there's a ton of medical possibilities for her symptoms. I'm not a doctor; this is a forum of therapists.4. I recommend the book "Codependent No More" which may help you navigate your rocky relationship with your adult daughter. You may be inadvertently making things worse by "helping" her which can instead enable her to continue her behaviors. Another book you may find helpful is "Boundaries: Where you end and I begin". You cannot control another person, especially an adult. The only person you can control is yourself. Tough love is sometimes needed, and she is an adult - treat her like one. Maybe then she'll act like one. If we were having this conversation in person, you would interrupt me at this point with a "but..." and then explain all the reasons why you can't tell her to move out, get a job, get up and cook or clean the house, etc. I already know that you have a myriad of excuses for things being the way they are. Yes, I said excuses instead of reasons, because that's what they are. You may feel stuck and like you have to take care of her, but you have choices - you just may not like them. I know that when children are small, parents' lives are focused around them (some more than others) and decisions are made around what is best for your child. But you said your daughter is an adult. The relationship dynamics must change if the relationship is to be a healthy one. I know how difficult it is to watch your child make life choices that you wouldn't want for them, no matter what that choice may be. As a parent, we want to force them to do what we think is "the right thing" but trying to do that only results in frustrations for everyone involved. Whether the issue is a hair color, a tattoo, a lifestyle choice, a job, or choosing not to work or take care of their health, or doing drugs, or drinking - the choice is theirs and theirs alone and so are the consequences of those choices. 

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

You have several things going on here. The sleep should be addressed with a primary care physician to rule out any physical issues. Sleep is the big reset and allows us to function in the day. What happens during a depression is that our thoughts race and it is as though our “brain won’t shut off.” Medication can help with this. I also use a Pranayama yoga breathing technique called the four fold breath which has great usefulness for relaxing us  and often does work quite well with allowing us to sleep.. You can read about it here:    https://billleavitttherapy.com/breathing-techniques-the-four-fold-breath/Your thoughts on feeling worthless to everyone fall under a heading of thinking error in Cognitive Behavioral Therapy (CBT) known as overgeneralization. In CBT thoughts lead to emotions, so we are going to pick the statement apart and then reframe it. First list the evidence that contradicts the thought. Has anyone in the past made positive comments toward you? This might be hard to recall if we are in a rut, but at some point in life we frequently have had some positives expressed towards us by others.  “Everyone” is an absolute. The specifics on why you are thinking this need to be addressed. How are you arriving at this conclusion? There may be specific people that we want more validation from. Or specific people might have made offhand hurtful comments, (such as a family member, teacher or co-worker) but if I extrapolate that to a global and think that everyone thinks I am worthless, that thought is not rooted in facts.  What are the Pros and Cons of thinking this way? What are the Benefits and Costs? There are very little pros or benefits to thinking this way. It’s just going to continue to tear you down and make you feel bad. So can we reframe the thought about the situation? Is there another way of looking at the situation? Again, we need the specifics on how you are arriving at this conclusion, and a one on one therapist can definitely help you with this, but the thinking that you are using to arrive at the conclusion needs to be re-cast into a more helpful mindset.

### Instruction: My mother-in-law is mentally ill. She has been for most of her life. She cuts herself. She has been in and out of psychiatric hospitals for about 40 years. She has voices in her head that tell her to cut herself. She has had multiple shock therapy treatments, and she’s on enough medication to take down an elephant. Her parental rights for her two children were taken away from her when my husband was a boy—he is now in his late 30s. She doesn’t even have custody of herself. She hasn’t asked yet, but she has been insinuating that she wants to babysit my child. How do I go about saying no without creating an issue? ### Response:

Hi Fontana,Thanks for providing all the details needed in order to respond to your question. It seems very clear to me that "no" would be the appropriate response. I like your healthy boundaries, and I'll help you explore possible ways to respond to her. First, she hasn't asked yet, and you don't know that she will. Right now, you can pleasantly ignore her hints. They're not hurting you and if you ignore them, they're more likely to go away. You can address and reduce your own anxiety about the possibility of her asking by reassuring yourself that you have the right as parents to make this decision, and that if she's offended, that doesn't mean that you're being mean; it means that she has unrealistic expectations. So, the first goal is to put it out of your mind as a worry. You might never have to face that moment. But, I understand that you want to be prepared.As her son, perhaps your husband is the best one to answer the question, should it ever come. Is he willing to do this? But if you are comfortable, and if you're the one she asks, you can confidently give her a simple, honest response about why it won't happen. And I would suggest presenting a firmly closed door, rather than saying "but maybe later". No need to apologize or hum and haw..."We love that you want to be around Junior, and we definitely want you in his/her life. (try to leave out the "but" here). You're not in a healthy place, and we're not comfortable with you caring for him/her on your own."If she pushes the issue, this is evidence of her denial or inappropriate boundaries. I'd let her know that it's not negotiable, that you understand if she's disappointed, but you're not open to discussing the issue. Really, there's nothing to discuss. Learning not to take responsibility for her emotions is part of having an ill person in your life. I wish you the best.

### Instruction: My mother-in-law is mentally ill. She has been for most of her life. She cuts herself. She has been in and out of psychiatric hospitals for about 40 years. She has voices in her head that tell her to cut herself. She has had multiple shock therapy treatments, and she’s on enough medication to take down an elephant. Her parental rights for her two children were taken away from her when my husband was a boy—he is now in his late 30s. She doesn’t even have custody of herself. She hasn’t asked yet, but she has been insinuating that she wants to babysit my child. How do I go about saying no without creating an issue? ### Response:

Hi Fontana,Thanks for providing all the details needed in order to respond to your question. It seems very clear to me that "no" would be the appropriate response. I like your healthy boundaries, and I'll help you explore possible ways to respond to her. First, she hasn't asked yet, and you don't know that she will. Right now, you can pleasantly ignore her hints. They're not hurting you and if you ignore them, they're more likely to go away. You can address and reduce your own anxiety about the possibility of her asking by reassuring yourself that you have the right as parents to make this decision, and that if she's offended, that doesn't mean that you're being mean; it means that she has unrealistic expectations. So, the first goal is to put it out of your mind as a worry. You might never have to face that moment. But, I understand that you want to be prepared.As her son, perhaps your husband is the best one to answer the question, should it ever come. Is he willing to do this? But if you are comfortable, and if you're the one she asks, you can confidently give her a simple, honest response about why it won't happen. And I would suggest presenting a firmly closed door, rather than saying "but maybe later". No need to apologize or hum and haw..."We love that you want to be around Junior, and we definitely want you in his/her life. (try to leave out the "but" here). You're not in a healthy place, and we're not comfortable with you caring for him/her on your own."If she pushes the issue, this is evidence of her denial or inappropriate boundaries. I'd let her know that it's not negotiable, that you understand if she's disappointed, but you're not open to discussing the issue. Really, there's nothing to discuss. Learning not to take responsibility for her emotions is part of having an ill person in your life. I wish you the best.

### Instruction: I'm in my early 20s, and I've been seeing my boyfriend for a year now. My boyfriend has always been the sweetest guy until recently. He has made comments such as “you would look better as a Tumblr girl" or "you should start doing more squats." It's really hurtful. ### Response:

Hello, and thank you for your question. I am very sorry that you are experiencing this. To be honest, this kind of behavior is really emotionally abusive, and you likely know that already. The unfortunate truth is, there is very little we can actually do to change another adult's behavior if they are not interested in changing it. Many people who behave in this way actually feel justified in saying what they say, or even believe that they are "helping" in some way by telling you how to improve yourself. What is actually going on is an attempt to control or change something about you by being coercive and abusive. It is important to know that this kind of behavior doesn't necessarily show up right away. That is why I am not surprised that you are a year in to this relationship and are just now noticing these behaviors. Some people actually don't see them until they are already married! You didn't mention that there has been any physical abuse, but I would warn you that this is sometimes a possibility once a person has already begun to be emotionally abusive. Other things to watch out for is your boyfriend trying to control who you hang out with, what you do and how you dress, etc. These are just more examples of emotional abuse and control. Here are some things to consider and some ideas:1. You could talk to your boyfriend about this behavior, if you believe it is safe to do so. Perhaps he will recognize that his behavior is not okay, and change. If not, then you may need to decide what you want to do about this relationship, given the fact that you cannot force him to change. 2. You can call a local domestic violence program. They do not only work with people who have been physically abused or have been married. They are trained to talk about emotional abuse, also. It may be a good thing for support. Your calls are confidential. 3. Check out the wheel in the link below. On it you will find some other common ways that abuse can happen in a relationship. If any of these are happening to you, or begin to happen, talking to a domestic violence program, a trusted friend or family member, or a counselor would be a good idea. http://www.domesticviolence-wilm.org/Portals/97/Images/violence_wheel.gif  Be well.... Robin J. Landwehr, DBH, LPC, NCC

### Instruction: I'm in my early 20s, and I've been seeing my boyfriend for a year now. My boyfriend has always been the sweetest guy until recently. He has made comments such as “you would look better as a Tumblr girl" or "you should start doing more squats." It's really hurtful. ### Response:

Hello, and thank you for your question. I am very sorry that you are experiencing this. To be honest, this kind of behavior is really emotionally abusive, and you likely know that already. The unfortunate truth is, there is very little we can actually do to change another adult's behavior if they are not interested in changing it. Many people who behave in this way actually feel justified in saying what they say, or even believe that they are "helping" in some way by telling you how to improve yourself. What is actually going on is an attempt to control or change something about you by being coercive and abusive. It is important to know that this kind of behavior doesn't necessarily show up right away. That is why I am not surprised that you are a year in to this relationship and are just now noticing these behaviors. Some people actually don't see them until they are already married! You didn't mention that there has been any physical abuse, but I would warn you that this is sometimes a possibility once a person has already begun to be emotionally abusive. Other things to watch out for is your boyfriend trying to control who you hang out with, what you do and how you dress, etc. These are just more examples of emotional abuse and control. Here are some things to consider and some ideas:1. You could talk to your boyfriend about this behavior, if you believe it is safe to do so. Perhaps he will recognize that his behavior is not okay, and change. If not, then you may need to decide what you want to do about this relationship, given the fact that you cannot force him to change. 2. You can call a local domestic violence program. They do not only work with people who have been physically abused or have been married. They are trained to talk about emotional abuse, also. It may be a good thing for support. Your calls are confidential. 3. Check out the wheel in the link below. On it you will find some other common ways that abuse can happen in a relationship. If any of these are happening to you, or begin to happen, talking to a domestic violence program, a trusted friend or family member, or a counselor would be a good idea. http://www.domesticviolence-wilm.org/Portals/97/Images/violence_wheel.gif  Be well.... Robin J. Landwehr, DBH, LPC, NCC

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

Hello, I commend you for your courage in taking a look at the role alcohol has in your life. It sounds like you're concerned about what happens when you drink too much and I suspect you already know the answer to your question about whether you have a problem or not. I imagine you would like to stop feeling guilty and would like to avoid cheating on your boyfriend or other negative consequences and maybe have a fear of being or becoming an "addict" or "alcoholic." You might have a "problem" but that does not necessarily mean that you are an addict. I don't have information to know if "addiction" or "dependence" or other words would best describe where you are with drinking, but it sounds like it's begun to have some negatives, so forgive me using words like addict, dependence and so on. I mean it more as a road map than a diagnosis. The feedback I'm writing here is very general and doesn't address physical dependence and many other factors that might apply to your situation.  One of the ways to think about substance (mis)use is to think of addiction as a disease of avoidance. Let me repeat that: it is a disease of avoidance. Your ultimate task in living a balanced life is to figure out what you're avoiding and develop other ways to manage those feelings, experiences, and so on. And of course, along the way, you may want to look at triggers, situations, biological vulnerability, social pressures, coping skills, relapse prevention planning and so on. Depending on where you are in your drinking, you might very well benefit from expertise and support. Remember also that alcohol depresses our central nervous system and disinhibits us. That means that alcohol is often a substance of choice to relax, destress, calm down, etc. Also, it allows feelings, thoughts, and behaviors that we usually inhibit to be expressed. If you were unfaithful and often angry, that's your first signpost. For angry drinkers, it is often true that you don't drink and then get angry, you drink in order to express anger. I recommend you find someone you can speak frankly with, who is knowledgeable about addiction. Wishing you the best health and wellness.

### Instruction: I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and it’s with the girl that works with us. I've been trying to get over it, but now my confidence and self-esteem are low, and sometimes I feel like he’ll do it again or that he's not ready to be with me. I think about it all over again when I see her. He says he's in love with me, and with the last time he cheated, it didn't feel right, and that's when he knew he had to stop because his feelings were for me. He's contacted her and told her he will not communicate with her because he's in a relationship with me. How do I gain confidence? Should I let him go? If I let him go, I don't want to be sad about it being that we work together. I try to tell myself I'm beautiful every day, and I think I am a pretty attractive female with a great personality, but I don't like the fact that she works there. ### Response:

Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for couple's therapy in which there has been infidelity.Understand within yourself whether you'd like being with your boyfriend and what you'd like him to do so that you start feeling more secure in the relationship.If yes, then tell him what you now know about yourself as partner in the relationship.For example, some people who are getting over being cheated on, would like knowing details about the affair person, some people want to see the phone of the one who cheated.Recuperating after a cheating incident takes many months.If he tells you he'd like earning back your trust, give him some time to see if there is progress in this area.As results unfold, you will feel clearer on the direction your relationship is naturally taking.About the girl at work, she will feel less meaningful to you as you work together with your boyfriend on securing the relationship.She has her greatest meaning right now because you are at the beginning stage of knowing what direction to take.As you go along this road, more than likely, you'll be more at ease in naturally finding a way of relating to her that feels ok to you.

### Instruction: I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and it’s with the girl that works with us. I've been trying to get over it, but now my confidence and self-esteem are low, and sometimes I feel like he’ll do it again or that he's not ready to be with me. I think about it all over again when I see her. He says he's in love with me, and with the last time he cheated, it didn't feel right, and that's when he knew he had to stop because his feelings were for me. He's contacted her and told her he will not communicate with her because he's in a relationship with me. How do I gain confidence? Should I let him go? If I let him go, I don't want to be sad about it being that we work together. I try to tell myself I'm beautiful every day, and I think I am a pretty attractive female with a great personality, but I don't like the fact that she works there. ### Response:

Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for couple's therapy in which there has been infidelity.Understand within yourself whether you'd like being with your boyfriend and what you'd like him to do so that you start feeling more secure in the relationship.If yes, then tell him what you now know about yourself as partner in the relationship.For example, some people who are getting over being cheated on, would like knowing details about the affair person, some people want to see the phone of the one who cheated.Recuperating after a cheating incident takes many months.If he tells you he'd like earning back your trust, give him some time to see if there is progress in this area.As results unfold, you will feel clearer on the direction your relationship is naturally taking.About the girl at work, she will feel less meaningful to you as you work together with your boyfriend on securing the relationship.She has her greatest meaning right now because you are at the beginning stage of knowing what direction to take.As you go along this road, more than likely, you'll be more at ease in naturally finding a way of relating to her that feels ok to you.

### Instruction: I'm concerned about my boyfriend. I suffer from anxiety, but I always have this feeling he wants to hurt me because he told me he was interested in BDSM intercourse. We haven't tried it, but I've had this feeling he always wants to. ### Response:

Hello! Thank you for your question. There are few things that people find more personal than their sexual relationships. When we feel connected to our partner, sex can be best thing since sliced bread. However, if we feel disconnected in some way, sex can feel degrading and even painful. I don’t know the specifics about your relationship or how comfortable you are in talking to your boyfriend, but this is one of those situations where communicating your fears is a good idea. The only exception to that would be if you believe he is actually a threat to you in some way. If you believe that, then you should do whatever you think is safe. It sounds like there is a part of you that is already afraid of him, and if that is the case then remaining safe is your top priority. Assuming you are able to share with him your feelings, telling him what you are and are not interested in sexually is very appropriate and sexually healthy. Sex is something that is supposed to be enjoyable for all parties. All parties should feel respected and able to say “no” to absolutely anything they are not comfortable with. I call the respectful agreement between sexual partners, “sex trust.” Sex Trust means your partner respects your boundaries. It means they won’t degrade you sexually with hurtful words, forced sex, or forcing or coercing sex in ways someone is not interested in having.  Your personal safety and mental well-being is what is most important. Now, if there is a part of you that is curious about BDSM and may be interested in participating in it, there are many websites that you can explore to learn information. I will warn you, some websites and articles are better or worse than others, but you may at least feel more informed. Many people engage in BDSM and have happy relationships, but again, it completely depends on what each person in the relationship wants. It is also important to know that BDSM is not just one thing and people practice it differently based on comfort. If it is something you are uncomfortable with, then you shouldn’t feel obligated to do it.   I hope this was helpful. Be well.   Robin J. Landwehr, DBH, LPC, NCC

### Instruction: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore. ### Response:

Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective of those with whom you have shared your concerns, it might be assumed that based on where you are in life and who you are now, that you have already worked through any issues from your younger years. Some of our deepest scars in life are indeed invisible and suppressed. We have to get to the place where we can take care of the inner child that is still hurting, by recognizing that those who hurt us - however they did, might have had their own challenges which prevented them from functioning and behaving in ways we might have deeply needed. Those who have directly hurt you, may not be capable of acknowledging and understanding how you were affected by their actions - even in the worst of cases. They themselves may be doing what they can, either out of shame or heartbreak for their own actions, to work on forgetting how they behaved toward you all those years before. How are they behaving toward you now? Can you find it in your heart to forgive those who have hurt you? Forgiveness is the gift we give ourselves, and isn't dependent on an apology from an offender. By forgiving (even in the absence of any apology), we are releasing the weight of the burden we are carrying that reflects the offense we feel was committed against us. Sometimes therapy can be helpful in this process. Talking with someone who can be non-judgmental and reflects an empathetic position toward you might be what you need right now. Seeking out a therapist to help you work through these negatives feelings and thoughts is much easier, than trying to go it alone. I would encourage you to reach out and find someone who resonates with you on that journey, so that you can begin a path toward healing.Warm regards,Shawn Berthel, M.S., LMHC

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

1. She's an adult.2. She lives in your house? She follows your rules.3. What you're describing could be any number of things, but could potentially be a medical issue that needs attention. Thyroid issues, autoimmune diseases - there's a ton of medical possibilities for her symptoms. I'm not a doctor; this is a forum of therapists.4. I recommend the book "Codependent No More" which may help you navigate your rocky relationship with your adult daughter. You may be inadvertently making things worse by "helping" her which can instead enable her to continue her behaviors. Another book you may find helpful is "Boundaries: Where you end and I begin". You cannot control another person, especially an adult. The only person you can control is yourself. Tough love is sometimes needed, and she is an adult - treat her like one. Maybe then she'll act like one. If we were having this conversation in person, you would interrupt me at this point with a "but..." and then explain all the reasons why you can't tell her to move out, get a job, get up and cook or clean the house, etc. I already know that you have a myriad of excuses for things being the way they are. Yes, I said excuses instead of reasons, because that's what they are. You may feel stuck and like you have to take care of her, but you have choices - you just may not like them. I know that when children are small, parents' lives are focused around them (some more than others) and decisions are made around what is best for your child. But you said your daughter is an adult. The relationship dynamics must change if the relationship is to be a healthy one. I know how difficult it is to watch your child make life choices that you wouldn't want for them, no matter what that choice may be. As a parent, we want to force them to do what we think is "the right thing" but trying to do that only results in frustrations for everyone involved. Whether the issue is a hair color, a tattoo, a lifestyle choice, a job, or choosing not to work or take care of their health, or doing drugs, or drinking - the choice is theirs and theirs alone and so are the consequences of those choices.

### Instruction: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore. ### Response:

Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective of those with whom you have shared your concerns, it might be assumed that based on where you are in life and who you are now, that you have already worked through any issues from your younger years. Some of our deepest scars in life are indeed invisible and suppressed. We have to get to the place where we can take care of the inner child that is still hurting, by recognizing that those who hurt us - however they did, might have had their own challenges which prevented them from functioning and behaving in ways we might have deeply needed. Those who have directly hurt you, may not be capable of acknowledging and understanding how you were affected by their actions - even in the worst of cases. They themselves may be doing what they can, either out of shame or heartbreak for their own actions, to work on forgetting how they behaved toward you all those years before. How are they behaving toward you now? Can you find it in your heart to forgive those who have hurt you? Forgiveness is the gift we give ourselves, and isn't dependent on an apology from an offender. By forgiving (even in the absence of any apology), we are releasing the weight of the burden we are carrying that reflects the offense we feel was committed against us. Sometimes therapy can be helpful in this process. Talking with someone who can be non-judgmental and reflects an empathetic position toward you might be what you need right now. Seeking out a therapist to help you work through these negatives feelings and thoughts is much easier, than trying to go it alone. I would encourage you to reach out and find someone who resonates with you on that journey, so that you can begin a path toward healing.Warm regards,Shawn Berthel, M.S., LMHC

### Instruction: My boyfriend can't get over my promiscuous past. He says he loves me but says the thought of my past is disgusting and a sexual distraction. He says he should have had more sex with different people. I don't know how to handle this. ### Response:

I am sorry to hear of your relationship struggles. One thing I wonder is did you volunteer the information about your past or is this something that he asked about? In the future, it is probably best to leave details out of conversations like this. I think it is common and natural for partners to ask about the sexual history. For one thing, it is a good idea to be checked for STD’s before entering into a sexual relationship with someone, and it is fair to share that information with each other. Partners usually want to know how many you have been with and what kind of sexual preferences you have or if there is anything you don’t like to do. This gets into a gray area for some people. I don’t necessarily want to know how many people my partner has been with and I certainly don’t want a whole lot of details. Sometimes that is an image I just don’t want in my head about my partner. Vague details are usually enough.However, I understand that your partner has the details and is not happy with your past. This is a reflection on him, not you. This shows insecurities on his part. You cannot control how he will react to information that you provide to him and you cannot control how he feels about the information. The past should remain in the past and not be held against you in the present or future. If he cannot handle your past then it is going to cloud your relationship. You can offer couples counseling to him and see if he will go with you. I have seen relationships recover from some very serious problems such as infidelity. It takes two people who both want it to work to make it work though. If your boyfriend cannot get over your past, you may have to let him go. Don’t keep yourself tied to someone who is not right for you. Constantly holding your past over your head and holding that against you is only going to bring you down and eventually you may start having insecurities or low self-esteem due to this type of treatment. I don’t see that you have done anything wrong. If you aren’t cheating on him now and you answered his questions about your past honestly, how he handles that information is on him. Ultimately, relationships have a tendency to come and go. Don’t fight to hold onto someone who is not right for you. It is okay to be single and enjoy being the best you that you can be. In time, the right person for you will enter your life.

### Instruction: What can I do to stop grieving my mother’s death? When I am awake I just cry every day. I don't have anyone to talk to. I need help; I am still cry over her. Will I ever stop crying? It’s been 3 years. ### Response:

I am sorry that you lost your mother. That is a really hard thing for someone to go through.There is really no set time for grief to be over, but I agree that if it has been three years and you are still crying every day then this is past the time for normal grief. I do not know how old you are and if you are in school or have a job, but I would imagine that if by now you literally were doing nothing but crying every day all day, someone would have noticed and would have gotten you some help. For one thing, bills have to be paid.There are typically five stages of grief and they can come in any order. You can go back to another stage that you previously experienced. Denial, anger, bargaining, depression, and acceptance are the stages. At first, people are usually in denial over the fact that they lose someone or are losing someone. This may mean that you deny they are ill or deny that they have actually died.Then comes bargaining, in which you may beg God that if you can only have this person back then you will do whatever. Depression is when the reality has settled in and when we cry and really feel the loss. It sounds like you are stuck in this phase.Finally, acceptance is when we accept that it has happened and we pick up the pieces of our life and move on.When we lose someone we never forget them. We may always have certain days that are tough, such as holidays or any special remembrance of your loved one. But we do get to the place where we accept that death is part of life and that it is inevitable, and that life goes on.A therapist can help you explore the reasons for your extended grief and can help you with coping skills to better deal with it. One suggestion I have is not to try to run from the sad feelings, don’t try to not feel them. Embrace the feelings. Let the feelings wash over you and accept them. Trying not to feel something is not going to help. Sadness is a part of life and needs to be felt just like happiness does. Unpleasant feelings are not to be avoided.I am sincerely sorry that you lost your mother and that you have had such a hard time of it for three years now. You deserve to be happy and to live a full life. I am sure your mother would not want you being sad for so long. I wish you all the best as you continue to try to heal from this loss and deal with your grief.

### Instruction: I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why, I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it. How can I help myself to change my behavior? ### Response:

Hello. I have to wonder from a behavioral perspective if what you are doing is useful for you. In other words, does it serve a purpose in some way when you find yourself doing it. Yes, this could well be an expression of anxiety, or maybe some type of coping skill you have developed over the years to deal with stressful situations. Yet it sounds like you have developed a sort of knee-jerk behavioral conditioning that causes you to do this behavior during specific (or perhaps even non-specific) circumstances. Do you think it is a self-soothing behavior? Do you feel good after you have done it? The behavior itself is likely causing some form of slow physical damage, so I would recommend you have yourself checked by a doctor, to rule out any injury. If none exists, this obviously doesn't excuse the behavior, it just says that for the moment luck is on your side.When we do any behavior of any kind, it is good to ask if what we are doing has merit or value. Is the behavior helping us to solve our problem, or is it merely creating yet another problem by doing the behavior in the first place. In the same way that a person might drink excessively because they are stressed and need to cope with some unresolved issue, when they are done drinking the original problem will still likely be there, but now they are intoxicated. No closer to solving the issue. When we deal with things like anxiety or depression, we need to do things that work on dealing with the symptoms, but also get to the root issue that created those feelings and find effective solutions. So the things we do to cope with life events need to not be ones that cause us harm, but rather support us as we move forward and work to deal with what life throws at us.Sometimes seeking support from a friend or a counselor is a good idea. Being given the opportunity to express your feelings about what is going on around you and getting feedback and insight from others is much more effective than actions of self-harm, wouldn't you agree? So I would encourage you to find a counselor or a trusted friend who can help you find positive behaviors you can take to deal with your feelings, as you also work to find the answers to the day to day issues of living a life filled with promise and opportunity.Reach out if you need help...there will likely be a hand there waiting for you.

### Instruction: I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental. I cannot help myself from thinking about smoking. What can I do to get rid of this addiction? ### Response:

Breaking any habit is no easy feat.   Cutting down or cutting out cigarettes is very challenging, and there aren't any one size fits all solutions.  Fortunately, there are a lot of tricks and tools that you can use to stop smoking.  1. Many habits that we have are paired habits. If we do one thing, then we will do the other thing.  Think about the activities that you do when smoking and try to pair those activities with another activity other than smoking.  For instance, many people smoke while they drive.  Consider planning another activity to do while driving. (It might not be driving for you, but you get the idea! :)).  It might be taking a walk instead of smoking on your break at work.  2.  Create distance between you and the habit you are trying to break.  This approach could be used in a variety of different ways.  If you smoke first thing in the morning, consider leaving your cigarettes in a different room in your home.  Walking the extra couple of feet could help you decide not to smoke.   Leave your credit or debit cards at home and carry less emergency cash than a pack of cigarettes.  With this strategy, you are trying to create some distance between you the cigarettes so that you have to jump through extra hoops to get them.  3.  Consider cutting back before cutting out.  If you are smoking 10 cigarettes a day, try smoking 9. Then cut back to 8 and so on.  Having a plan to reduce harm may be more sustainable than cutting things out altogether. 4.  You could also talk to your doctor about the safety of nicotine patches. If you aren't already pregnant, this could be a great resource to help boost your success.  5. Focus on what you are gaining instead of what you are loosing. You may be losing cigarettes, but you are gaining money, health, taste buds, an increased sense of smell, lung capacity, a healthy baby etc.  You could plan small rewards/ treats with the money you save from decreasing cigarette purchases.  I recommend making these purchases small and frequent to keep up the momentum rather than waiting for a big payout a couple of months down the road.  Good luck! Cutting out cigarettes will be good for you and your baby.  

### Instruction: I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are attractive, but not like before. I can also find men attractive now. I'm too ashamed to tell anyone. ### Response:

Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these feelings and desires it could certainty shake everything you thought you knew about yourself. My guess is that you becoming sick around the time that this started is likely a coincidence, but I understand how you would make the connection. I have a feeling that a few things may be going on here. It is really hard to say since I don’t know you, how old you are, etc. But, I will share you with you some thoughts. Some people, when they have undesirable thoughts that really surprise them, have a really tough time getting rid of them. Our reaction to the thought can be very strong and our tendency to try to block it out, stuff it, avoid it, etc. is not always successful. In fact, it’s usually not. It’s like telling you not to think of pink elephants. I would be willing to bet that you thought of a pink elephant just now. So, rather than fighting thoughts that you find confusing, sometimes it is helpful to allow yourself to explore the thought with curiosity and without judgement. Where is this thought coming from? What are my feelings about it? Asking yourself these questions may help you come to a resolution about what is going on. One possibility is that you have developed an anxiety about your thoughts and now you are in the process of obsessing about them, but another possibility is that you are legitimately exploring your sexuality and gender. I get the feeling from your question that you do not want to believe that it is second possibility. And that is okay. You can try some of my suggestions, but you can also see a counselor who may be able to help you work through your confusion. I would suggest someone who has experience working with sexuality issues. You can usually find out what a counselor works with on their website. What is important is that you find someone who is non-judgmental about what you are experiencing.   I wish you well. Robin J. Landwehr, DBH, LPC, NCC

### Instruction: I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental. I cannot help myself from thinking about smoking. What can I do to get rid of this addiction? ### Response:

Breaking any habit is no easy feat.   Cutting down or cutting out cigarettes is very challenging, and there aren't any one size fits all solutions.  Fortunately, there are a lot of tricks and tools that you can use to stop smoking.  1. Many habits that we have are paired habits. If we do one thing, then we will do the other thing.  Think about the activities that you do when smoking and try to pair those activities with another activity other than smoking.  For instance, many people smoke while they drive.  Consider planning another activity to do while driving. (It might not be driving for you, but you get the idea! :)).  It might be taking a walk instead of smoking on your break at work.  2.  Create distance between you and the habit you are trying to break.  This approach could be used in a variety of different ways.  If you smoke first thing in the morning, consider leaving your cigarettes in a different room in your home.  Walking the extra couple of feet could help you decide not to smoke.   Leave your credit or debit cards at home and carry less emergency cash than a pack of cigarettes.  With this strategy, you are trying to create some distance between you the cigarettes so that you have to jump through extra hoops to get them.  3.  Consider cutting back before cutting out.  If you are smoking 10 cigarettes a day, try smoking 9. Then cut back to 8 and so on.  Having a plan to reduce harm may be more sustainable than cutting things out altogether. 4.  You could also talk to your doctor about the safety of nicotine patches. If you aren't already pregnant, this could be a great resource to help boost your success.  5. Focus on what you are gaining instead of what you are loosing. You may be losing cigarettes, but you are gaining money, health, taste buds, an increased sense of smell, lung capacity, a healthy baby etc.  You could plan small rewards/ treats with the money you save from decreasing cigarette purchases.  I recommend making these purchases small and frequent to keep up the momentum rather than waiting for a big payout a couple of months down the road.  Good luck! Cutting out cigarettes will be good for you and your baby.

### Instruction: I have been with my husband for almost 7 years. We got engaged a little after 5 years of being together. I had always been clear that I wanted to get married and I sadly would drop hints about how i wanted him to propose. When he did propose it was during a random vacation that I had planned. I was happy but I couldn't help feeling disappointed too. I had told him numerous times before that I wanted him to do it in front of my friends and family. I know it sounds dumb to be upset but I couldn't help how I was feeling. We are now married but the wedding and ring were also far from what I wanted and it wasn't due to lack of funds. I know this is all material and the marriage is the most important thing but I cant help but get jealous and envious every time I see someone get a proposal or wedding that I had wanted. I cant help my anger because I know we only get one proposal and one wedding. What I wanted will never happen. I have been working on my feelings for the past year and half to get over it. I try to focus on our marriage but every time I see someone have the best proposals and weddings I get upset. I know it is selfish and I know its petty but I just can't control it. It's ruining our relationship because I constantly think about it. Plus, I get mad at him for small things because I am trying to hide the fact that I am so disappointed. Why can't I move on? ### Response:

It's hard to let go of the dreams you had regarding your wedding and engagement. This was something that you and most women think about for years, so it's understandable to be disappointed. But please be aware that it is rare that any wedding is perfect. You may envy your friends' weddings but more than likely they had a few mishaps of their own and/or it wasn't as perfect as they had planned it either. However, like you know, the marriage is the most important thing. How many women are envious that you are in a happy, stable relationship? I assure you that there are plenty. Try to live in the present considering that dwelling on the past can still not change how you were proposed to or how your wedding day transpired. Focus on what you can control NOW. Perhaps, you can plan an extravagant renewal of your vows or change the look of your ring?I would also be upfront with your husband and explain why you've been short lately. But after that, close that chapter and move on. It sounds like you have a wonderful companion and you certainly don't want to lose this due to a situation that is impossible to change.

### Instruction: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do? ### Response:

Thanks for asking this question. I think the most important part of what you mentioned was that you do it because it makes you happy. For that reason, I would encourage you to keep doing what makes you happy.As far as telling girls or keeping it a secret, I don't really think that it's necessarily one or the other, at least not the first time that you meet. In other words, one part of your decision-making could be whether it is something that you always want to address in the first date, or perhaps something that you address after you've known each other for a couple of meetings. The answer to that question may also change depending on who you are dating. I would imagine that each person that you are with mainly due to a different decision this was when to disclose this. It sounds like this is an important part of you, so I would think that if you were going to date someone long-term, you would want them to know about the most important parts of you, including that.I also encourage you to remember that if you meet someone who is not comfortable with this, that does not mean that there is anything wrong with what you are doing, but rather something that the other person is in some way deciding not to continue learning about or choosing to have someone they are dating like to cross-dress.I'd also ask you to consider this: Are the people who you say this to expecting it? My guess is that the answer is probably not. Along with that, Are they going to have questions? I would imagine so.Are you comfortable answering questions?I wonder if you could figure out yourself or with friends (or perhaps even with a therapist) how you would answer these sorts of questions:What exactly is cross-dressing?Does that change the gender that you're attracted to?What does it mean to you?Why is it important to you?And what you want your listening person to know about you related to cross-dressing.There could even be ways that you can start the conversation by asking them to be open to listen to you and ask questions about what they are thinking before they make any quick decisions about you or the relationship.I certainly hope that you find the right person for you. I imagine that having this conversation could be stressful, especially considering the idea that you have had some negative reactions in the past. Remember that talking this through with a therapist could be very helpful.

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

Hello, and thank you for your question. Boy, ending relationships is tough, isn't it? Sometimes it's tough even when we are 100% sure that it is the right thing to do!I am going to give you some of my thoughts, and hopefully some colleagues will add some others. One of the things that I want to point out is that "letting go" is not really a thing. In other words, it's not really something you can reach out and grab. It's more of a process. This is good news, because you don't necessarily have to be at the end of the process to end an unhealthy relationship. We just have to accept that there will be feelings that come up even after the relationship is over. For example, someone can end an unhealthy relationship today, but then be reminded of the good times on what would have been their "anniversary." This could make the person very sad. They may even regret ending the relationship for a little while. It would important, then, for the person to remind themselves why the relationship needed to end, and that they are healthier because of it. This is relevant for you. It's hard to walk away from a relationship. We fear all kinds of things, including being single! Sometimes it's helpful to compare what you are getting out of the relationship to what you want from a relationship. It's helpful to be honest about what we have given up for an unhealthy relationship. It's fine to admit uncertainly about ending things. It's okay to be afraid. It's okay to have moments of doubt and sadness along with a dash of guilt. And even with all of that, someone can still leave if it is the healthiest thing for them. They can have sadness later on, and still not go back.It sounds like you are feeling responsible for making sure he is okay because of this divorce. The truth is that there is not necessarily a "perfect" time to end any relationship. There would be no guarantee that he would be doing any better after the divorce. Sometimes NOT making decisions stresses us out A LOT more than making a decision and living with the consequences, both good and bad. You may be at that crossroads. Be well..Robin J. Landwehr, DBH, LPC, NCC

### Instruction: Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me. ### Response:

Hi Ohio, I totally get how it can be more difficult to forgive ourselves than to forgive others. My guess is that you tend to come down too hard on yourself a lot. That's a huge barrier to happiness that you can work to reduce. I'll get you started.You feel shame in a debilitating way that is probably way out of proportion to the incident. Is it triggering some old shame? Unfortunately, a lot of adults use shame as a motivator for kids. It doesn't work. When was the first time you remember feeling a lot of shame, as in "I'm bad", or "I'm worthless"? Is there a younger version of you who is still feeling shame over something that wasn't your fault? Sometimes shame shadows are connected to an absent or hurtful parent, sexual abuse or some family loss or trauma. If so, picture yourself at that age. Can you tell your child self that whatever horrible thing happened to them isn't their fault? Can you have compassion for that child who first felt shame or had shame heaped on them? That's your first goal...to go to the source of the shame and heal that child's wound with compassion. What happens to children is never their fault (and fault is a pretty useless concept anyway).Once you take the layers of old "I'm bad" shame off, the load is lighter and you can use self talk to further reduce the shame. Here are some things you can say to yourself...every day...I'm human and that's okay. I don't have to be perfect.I can have compassion for my mistakes.I can feel proud that I'm facing my mistake and making things right.I deserve forgiveness and compassion, and I have that for other people too.There's no purpose to holding on to shame.I can learn from my mistakes and move forward.Everyone makes mistakes.Other people don't want me to carry this shame around.I don't need shame to remind me not to do it again. I've figured that out.Shame tries to convince you that you need to carry "it" around in order to prevent further mistakes. Poppycock.  You've learned your lesson, now you can move forward to other mistakes. Sorry...but you're human and you'll keeping making... hopefully different, glorious mistakes. Embrace the learning. Lean into the experiences of life. It's all juicy stuff, and you're in good company; we're all in the same position of being mortal.

### Instruction: Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me. ### Response:

Hi Ohio, I totally get how it can be more difficult to forgive ourselves than to forgive others. My guess is that you tend to come down too hard on yourself a lot. That's a huge barrier to happiness that you can work to reduce. I'll get you started.You feel shame in a debilitating way that is probably way out of proportion to the incident. Is it triggering some old shame? Unfortunately, a lot of adults use shame as a motivator for kids. It doesn't work. When was the first time you remember feeling a lot of shame, as in "I'm bad", or "I'm worthless"? Is there a younger version of you who is still feeling shame over something that wasn't your fault? Sometimes shame shadows are connected to an absent or hurtful parent, sexual abuse or some family loss or trauma. If so, picture yourself at that age. Can you tell your child self that whatever horrible thing happened to them isn't their fault? Can you have compassion for that child who first felt shame or had shame heaped on them? That's your first goal...to go to the source of the shame and heal that child's wound with compassion. What happens to children is never their fault (and fault is a pretty useless concept anyway).Once you take the layers of old "I'm bad" shame off, the load is lighter and you can use self talk to further reduce the shame. Here are some things you can say to yourself...every day...I'm human and that's okay. I don't have to be perfect.I can have compassion for my mistakes.I can feel proud that I'm facing my mistake and making things right.I deserve forgiveness and compassion, and I have that for other people too.There's no purpose to holding on to shame.I can learn from my mistakes and move forward.Everyone makes mistakes.Other people don't want me to carry this shame around.I don't need shame to remind me not to do it again. I've figured that out.Shame tries to convince you that you need to carry "it" around in order to prevent further mistakes. Poppycock.  You've learned your lesson, now you can move forward to other mistakes. Sorry...but you're human and you'll keeping making... hopefully different, glorious mistakes. Embrace the learning. Lean into the experiences of life. It's all juicy stuff, and you're in good company; we're all in the same position of being mortal.

### Instruction: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life. ### Response:

One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo manejar mi ansiedad y depresión para sentirme normal otra vez?Mi motivación se ha ido. Es difícil salir de la cama.  No sé qué hacer.  Soy Miserable.  Mi ansiedad y depresión han tomado el control de mi vida.Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico. 

### Instruction: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life. ### Response:

One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo manejar mi ansiedad y depresión para sentirme normal otra vez?Mi motivación se ha ido. Es difícil salir de la cama.  No sé qué hacer.  Soy Miserable.  Mi ansiedad y depresión han tomado el control de mi vida.Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico.

### Instruction: I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why, I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it. How can I help myself to change my behavior? ### Response:

Hello. I have to wonder from a behavioral perspective if what you are doing is useful for you. In other words, does it serve a purpose in some way when you find yourself doing it. Yes, this could well be an expression of anxiety, or maybe some type of coping skill you have developed over the years to deal with stressful situations. Yet it sounds like you have developed a sort of knee-jerk behavioral conditioning that causes you to do this behavior during specific (or perhaps even non-specific) circumstances. Do you think it is a self-soothing behavior? Do you feel good after you have done it? The behavior itself is likely causing some form of slow physical damage, so I would recommend you have yourself checked by a doctor, to rule out any injury. If none exists, this obviously doesn't excuse the behavior, it just says that for the moment luck is on your side.When we do any behavior of any kind, it is good to ask if what we are doing has merit or value. Is the behavior helping us to solve our problem, or is it merely creating yet another problem by doing the behavior in the first place. In the same way that a person might drink excessively because they are stressed and need to cope with some unresolved issue, when they are done drinking the original problem will still likely be there, but now they are intoxicated. No closer to solving the issue. When we deal with things like anxiety or depression, we need to do things that work on dealing with the symptoms, but also get to the root issue that created those feelings and find effective solutions. So the things we do to cope with life events need to not be ones that cause us harm, but rather support us as we move forward and work to deal with what life throws at us.Sometimes seeking support from a friend or a counselor is a good idea. Being given the opportunity to express your feelings about what is going on around you and getting feedback and insight from others is much more effective than actions of self-harm, wouldn't you agree? So I would encourage you to find a counselor or a trusted friend who can help you find positive behaviors you can take to deal with your feelings, as you also work to find the answers to the day to day issues of living a life filled with promise and opportunity.Reach out if you need help...there will likely be a hand there waiting for you.

### Instruction: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do? ### Response:

Thanks for asking this question. I think the most important part of what you mentioned was that you do it because it makes you happy. For that reason, I would encourage you to keep doing what makes you happy.As far as telling girls or keeping it a secret, I don't really think that it's necessarily one or the other, at least not the first time that you meet. In other words, one part of your decision-making could be whether it is something that you always want to address in the first date, or perhaps something that you address after you've known each other for a couple of meetings. The answer to that question may also change depending on who you are dating. I would imagine that each person that you are with mainly due to a different decision this was when to disclose this. It sounds like this is an important part of you, so I would think that if you were going to date someone long-term, you would want them to know about the most important parts of you, including that.I also encourage you to remember that if you meet someone who is not comfortable with this, that does not mean that there is anything wrong with what you are doing, but rather something that the other person is in some way deciding not to continue learning about or choosing to have someone they are dating like to cross-dress.I'd also ask you to consider this: Are the people who you say this to expecting it? My guess is that the answer is probably not. Along with that, Are they going to have questions? I would imagine so.Are you comfortable answering questions?I wonder if you could figure out yourself or with friends (or perhaps even with a therapist) how you would answer these sorts of questions:What exactly is cross-dressing?Does that change the gender that you're attracted to?What does it mean to you?Why is it important to you?And what you want your listening person to know about you related to cross-dressing.There could even be ways that you can start the conversation by asking them to be open to listen to you and ask questions about what they are thinking before they make any quick decisions about you or the relationship.I certainly hope that you find the right person for you. I imagine that having this conversation could be stressful, especially considering the idea that you have had some negative reactions in the past. Remember that talking this through with a therapist could be very helpful.

### Instruction: I’ve known my boyfriend for several years. We were friends for a long time. In 2013 we started a relationship, and he even asked me to move in with him since I lived out of state. I planned to move in with him in 2014 after I finished school and he found a job. However, during this time we had a few arguments and broke up with each other for a short period of time. We decided later to make it work. Shortly after, I found out that I was pregnant. I wanted to tell him during his next visit. However, he never came to see me and instead asked me for money. After I gave him money, he quit answering my phone calls and texts. Soon after, I experienced a miscarriage. I texted him about what had happened, and he didn’t seem to care. I was extremely hurt by this. I still decided to move back as I had originally planned. He helped me with the move and replaced the money I had lent him. During this time, I asked if he wanted to be in this relationship because I needed to know. Although he says he did, I hardly ever see him. He never got a job, which was in the original plan. After that, we both started seeing other people for a short amount of time but once again got back together. Once we got back together, I cut all ties with the former relationship I had been in. I thought he had too. But I found out that he did not attempt to do as I did and was still talking with another woman. In fact, he had even sent inappropriate pictures to her. When I confronted him about this, he wasn’t apologetic. He said that he only did it to get even with me and was actually mad at me for looking through his phone. He even closed his car window on my finger and tried to throw me out of his car. I don’t know what to do. ### Response:

There are plenty of red flags that you have been presented with:Several breakups Not holding up his end of the bargain regarding workLack of empathy for your miscarriageLying about his involvement with another womanPhysical violence, which is of most concern. This seems to be a very unhealthy relationship. In my experience, relationships such as these rarely become positive ones. Violence is never okay and regardless of his reasoning (you looking through his phone), it is indefensible. You have to look at these red flags and ask yourself, “Is this really someone I want to marry? Is he an asset to my life?” I think you’ll realize he is not.Best of luck to you and please know that you deserve someone who treats you with kindness, dignity and respect.

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

Hello, and thank you for your question. Boy, ending relationships is tough, isn't it? Sometimes it's tough even when we are 100% sure that it is the right thing to do!I am going to give you some of my thoughts, and hopefully some colleagues will add some others. One of the things that I want to point out is that "letting go" is not really a thing. In other words, it's not really something you can reach out and grab. It's more of a process. This is good news, because you don't necessarily have to be at the end of the process to end an unhealthy relationship. We just have to accept that there will be feelings that come up even after the relationship is over. For example, someone can end an unhealthy relationship today, but then be reminded of the good times on what would have been their "anniversary." This could make the person very sad. They may even regret ending the relationship for a little while. It would important, then, for the person to remind themselves why the relationship needed to end, and that they are healthier because of it. This is relevant for you. It's hard to walk away from a relationship. We fear all kinds of things, including being single! Sometimes it's helpful to compare what you are getting out of the relationship to what you want from a relationship. It's helpful to be honest about what we have given up for an unhealthy relationship. It's fine to admit uncertainly about ending things. It's okay to be afraid. It's okay to have moments of doubt and sadness along with a dash of guilt. And even with all of that, someone can still leave if it is the healthiest thing for them. They can have sadness later on, and still not go back.It sounds like you are feeling responsible for making sure he is okay because of this divorce. The truth is that there is not necessarily a "perfect" time to end any relationship. There would be no guarantee that he would be doing any better after the divorce. Sometimes NOT making decisions stresses us out A LOT more than making a decision and living with the consequences, both good and bad. You may be at that crossroads. Be well..Robin J. Landwehr, DBH, LPC, NCC

### Instruction: I've only been married three months. Every week, we argue about something, and it seems to be getting worse. ### Response:

At the begin g of marriages, we expect to be living on an eternal honeymoon, but the reality can be different.  This is a process of adaptation, even if you had known your better half for a long time, during the first months and years of marriage you go through a process of settling in your new roles and confront new challenges together that as you resolve become new rules and agreements.Yes, you can work this issues by practicing assertive communication, being clear with each other about what is the problem, how you feel about it and how would you like to resolve it.  Learn to close arguments with resolutions, and reminding that you care about each other, that’s why you choose to be together.  Discuss your roles and expectations, this is normally done over a marriage preparation class, is never too late to sit down a talk about what you want and look for in a husband/wife and clarify your roles and rules. Find couples therapist who mediates communication and helps both of to you learn assertive communication skills and conflict resolution. ¿Cómo puedo arreglar mi matrimonio?He estado casado por tan solo tres meses.  Cada semana discutimos sobre algo y parece ponerse cada vez peor.Al inicio del matrimonio, esperamos vivir una eterna luna de miel, pero la realidad es diferente.  Es un proceso de adaptación, sin importar por cuánto tiempo hayas conocido a tu pareja.   Durante estos primeros meses se definen los roles en el matrimonio, también enfrentan nuevos retos juntos que según resuelven se convierten en reglas y acuerdos.Sí, puedes resolver estos problemas practicando comunicación asertiva. Deben aclarar sobre cuál es el problema, como se sienten al respecto y como lo quieren resolver.  Aprendan a resolver las discusiones con decisiones claras y recordando que si les importan uno al otro, y por eso decidieron estar juntos en primer lugar.  Discutan sus roles y expectativas, regularmente esto se hace durante clases de preparación matrimonial, pero nunca es tarde para hablar sobre lo que les gustaría que fuera su matrimonio y lo que esperan de su pareja, así clarifican los roles y reglas que aplicaran a su unión.Encuentren un consejero matrimonial que les ayude a mediar los problemas de comunicación y les ayude a aprender destrezas de comunicación asertiva y resolución de conflictos.

### Instruction: I've only been married three months. Every week, we argue about something, and it seems to be getting worse. ### Response:

At the begin g of marriages, we expect to be living on an eternal honeymoon, but the reality can be different.  This is a process of adaptation, even if you had known your better half for a long time, during the first months and years of marriage you go through a process of settling in your new roles and confront new challenges together that as you resolve become new rules and agreements.Yes, you can work this issues by practicing assertive communication, being clear with each other about what is the problem, how you feel about it and how would you like to resolve it.  Learn to close arguments with resolutions, and reminding that you care about each other, that’s why you choose to be together.  Discuss your roles and expectations, this is normally done over a marriage preparation class, is never too late to sit down a talk about what you want and look for in a husband/wife and clarify your roles and rules. Find couples therapist who mediates communication and helps both of to you learn assertive communication skills and conflict resolution. ¿Cómo puedo arreglar mi matrimonio?He estado casado por tan solo tres meses.  Cada semana discutimos sobre algo y parece ponerse cada vez peor.Al inicio del matrimonio, esperamos vivir una eterna luna de miel, pero la realidad es diferente.  Es un proceso de adaptación, sin importar por cuánto tiempo hayas conocido a tu pareja.   Durante estos primeros meses se definen los roles en el matrimonio, también enfrentan nuevos retos juntos que según resuelven se convierten en reglas y acuerdos.Sí, puedes resolver estos problemas practicando comunicación asertiva. Deben aclarar sobre cuál es el problema, como se sienten al respecto y como lo quieren resolver.  Aprendan a resolver las discusiones con decisiones claras y recordando que si les importan uno al otro, y por eso decidieron estar juntos en primer lugar.  Discutan sus roles y expectativas, regularmente esto se hace durante clases de preparación matrimonial, pero nunca es tarde para hablar sobre lo que les gustaría que fuera su matrimonio y lo que esperan de su pareja, así clarifican los roles y reglas que aplicaran a su unión.Encuentren un consejero matrimonial que les ayude a mediar los problemas de comunicación y les ayude a aprender destrezas de comunicación asertiva y resolución de conflictos.

### Instruction: I have been with my husband for almost 7 years. We got engaged a little after 5 years of being together. I had always been clear that I wanted to get married and I sadly would drop hints about how i wanted him to propose. When he did propose it was during a random vacation that I had planned. I was happy but I couldn't help feeling disappointed too. I had told him numerous times before that I wanted him to do it in front of my friends and family. I know it sounds dumb to be upset but I couldn't help how I was feeling. We are now married but the wedding and ring were also far from what I wanted and it wasn't due to lack of funds. I know this is all material and the marriage is the most important thing but I cant help but get jealous and envious every time I see someone get a proposal or wedding that I had wanted. I cant help my anger because I know we only get one proposal and one wedding. What I wanted will never happen. I have been working on my feelings for the past year and half to get over it. I try to focus on our marriage but every time I see someone have the best proposals and weddings I get upset. I know it is selfish and I know its petty but I just can't control it. It's ruining our relationship because I constantly think about it. Plus, I get mad at him for small things because I am trying to hide the fact that I am so disappointed. Why can't I move on? ### Response:

It's hard to let go of the dreams you had regarding your wedding and engagement. This was something that you and most women think about for years, so it's understandable to be disappointed. But please be aware that it is rare that any wedding is perfect. You may envy your friends' weddings but more than likely they had a few mishaps of their own and/or it wasn't as perfect as they had planned it either. However, like you know, the marriage is the most important thing. How many women are envious that you are in a happy, stable relationship? I assure you that there are plenty. Try to live in the present considering that dwelling on the past can still not change how you were proposed to or how your wedding day transpired. Focus on what you can control NOW. Perhaps, you can plan an extravagant renewal of your vows or change the look of your ring?I would also be upfront with your husband and explain why you've been short lately. But after that, close that chapter and move on. It sounds like you have a wonderful companion and you certainly don't want to lose this due to a situation that is impossible to change.

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

There are different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with. A person may have come to the counselor talking about a particular issue but either when they first met or as counseling progressed, it may become clear that the issue is in fact something different or that there is an additional related issue. If that issue is outside the competence of the counselor, the counselor should look for alternatives, the most common of which would be to terminate and refer. Beyond clinical issues, this could also come up around particular other related facts, such as the culture of the client or linguistic issues. This could also be the choice of the counselor if they know someone that they feel would be a better match for the client's issues. Another reason for discharge (and possible referral) would be if the relationship does not seem to be a good fit. No counselor is the right person to work with everyone. If the right level of connection is not happening, the counselor will often look first at what they are doing, might talk about it with the client and ultimately will admit that things don't seem to be working to allow the desired therapeutic process to work. A similar process would be followed if the counselor determined that the client might not yet be ready for counseling as evidenced by lack of engagement such as frequent cancellations, not doing any agreed on work between sessions, showing up late or being really guarded in session. The easiest situation to decide on is when a person has met their counseling goals and have nothing new that they are working on. While this is the easiest one to determine, it is also probably the hardest one for the counselor as they may be like the client in not wanting the relationship to come to an end. However, counselors know that this is part of the process. They will also determine this by regularly reviewing the treatment plan or by sending in the sessions that the work has come to an end. This type of termination maybe final or may be with the intent that the client will return later to address other things that have been identified but for which they are not ready to move into. All of these (and other) situations involves the counselor being open to the relationship ending, to monitoring how things are going, then engaging in self reflection, possibly talking with the client and then coming to a conclusion on which the counselor  follows through. 

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

There are different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with. A person may have come to the counselor talking about a particular issue but either when they first met or as counseling progressed, it may become clear that the issue is in fact something different or that there is an additional related issue. If that issue is outside the competence of the counselor, the counselor should look for alternatives, the most common of which would be to terminate and refer. Beyond clinical issues, this could also come up around particular other related facts, such as the culture of the client or linguistic issues. This could also be the choice of the counselor if they know someone that they feel would be a better match for the client's issues. Another reason for discharge (and possible referral) would be if the relationship does not seem to be a good fit. No counselor is the right person to work with everyone. If the right level of connection is not happening, the counselor will often look first at what they are doing, might talk about it with the client and ultimately will admit that things don't seem to be working to allow the desired therapeutic process to work. A similar process would be followed if the counselor determined that the client might not yet be ready for counseling as evidenced by lack of engagement such as frequent cancellations, not doing any agreed on work between sessions, showing up late or being really guarded in session. The easiest situation to decide on is when a person has met their counseling goals and have nothing new that they are working on. While this is the easiest one to determine, it is also probably the hardest one for the counselor as they may be like the client in not wanting the relationship to come to an end. However, counselors know that this is part of the process. They will also determine this by regularly reviewing the treatment plan or by sending in the sessions that the work has come to an end. This type of termination maybe final or may be with the intent that the client will return later to address other things that have been identified but for which they are not ready to move into. All of these (and other) situations involves the counselor being open to the relationship ending, to monitoring how things are going, then engaging in self reflection, possibly talking with the client and then coming to a conclusion on which the counselor  follows through.

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

There are different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with. A person may have come to the counselor talking about a particular issue but either when they first met or as counseling progressed, it may become clear that the issue is in fact something different or that there is an additional related issue. If that issue is outside the competence of the counselor, the counselor should look for alternatives, the most common of which would be to terminate and refer. Beyond clinical issues, this could also come up around particular other related facts, such as the culture of the client or linguistic issues. This could also be the choice of the counselor if they know someone that they feel would be a better match for the client's issues. Another reason for discharge (and possible referral) would be if the relationship does not seem to be a good fit. No counselor is the right person to work with everyone. If the right level of connection is not happening, the counselor will often look first at what they are doing, might talk about it with the client and ultimately will admit that things don't seem to be working to allow the desired therapeutic process to work. A similar process would be followed if the counselor determined that the client might not yet be ready for counseling as evidenced by lack of engagement such as frequent cancellations, not doing any agreed on work between sessions, showing up late or being really guarded in session. The easiest situation to decide on is when a person has met their counseling goals and have nothing new that they are working on. While this is the easiest one to determine, it is also probably the hardest one for the counselor as they may be like the client in not wanting the relationship to come to an end. However, counselors know that this is part of the process. They will also determine this by regularly reviewing the treatment plan or by sending in the sessions that the work has come to an end. This type of termination maybe final or may be with the intent that the client will return later to address other things that have been identified but for which they are not ready to move into. All of these (and other) situations involves the counselor being open to the relationship ending, to monitoring how things are going, then engaging in self reflection, possibly talking with the client and then coming to a conclusion on which the counselor  follows through.

### Instruction: I’ve known my boyfriend for several years. We were friends for a long time. In 2013 we started a relationship, and he even asked me to move in with him since I lived out of state. I planned to move in with him in 2014 after I finished school and he found a job. However, during this time we had a few arguments and broke up with each other for a short period of time. We decided later to make it work. Shortly after, I found out that I was pregnant. I wanted to tell him during his next visit. However, he never came to see me and instead asked me for money. After I gave him money, he quit answering my phone calls and texts. Soon after, I experienced a miscarriage. I texted him about what had happened, and he didn’t seem to care. I was extremely hurt by this. I still decided to move back as I had originally planned. He helped me with the move and replaced the money I had lent him. During this time, I asked if he wanted to be in this relationship because I needed to know. Although he says he did, I hardly ever see him. He never got a job, which was in the original plan. After that, we both started seeing other people for a short amount of time but once again got back together. Once we got back together, I cut all ties with the former relationship I had been in. I thought he had too. But I found out that he did not attempt to do as I did and was still talking with another woman. In fact, he had even sent inappropriate pictures to her. When I confronted him about this, he wasn’t apologetic. He said that he only did it to get even with me and was actually mad at me for looking through his phone. He even closed his car window on my finger and tried to throw me out of his car. I don’t know what to do. ### Response:

There are plenty of red flags that you have been presented with:Several breakups Not holding up his end of the bargain regarding workLack of empathy for your miscarriageLying about his involvement with another womanPhysical violence, which is of most concern. This seems to be a very unhealthy relationship. In my experience, relationships such as these rarely become positive ones. Violence is never okay and regardless of his reasoning (you looking through his phone), it is indefensible. You have to look at these red flags and ask yourself, “Is this really someone I want to marry? Is he an asset to my life?” I think you’ll realize he is not.Best of luck to you and please know that you deserve someone who treats you with kindness, dignity and respect.

### Instruction: Ever since my ex-boyfriend and I broke up, I can't seem to get close to anyone else. I know I'm completely over him, but I just can't break down my walls and let someone new into my life. ### Response:

Hi Bend, You're scared, right? That makes sense. Each time we have a break-up we are a bit more in touch with how much is at stake in this whole love and relationship business. We are falling in love and letting someone close to our hearts and there's a vulnerability in that; we can get hurt. Who you partner with long-term is a big decision and it determines 90% of our happiness in life. The good news is that when we're just starting to get to know someone, we can take it slow. I think maybe you are slowing yourself down instinctively here, and that's okay. We are naturally people of attachment and it won't likely last if you are normally an open and accessible person who doesn't put up walls. So part of what I want to say here is don't pressure yourself too much. Take the time to heal naturally and listen to your instinct that is telling you to take things slow. :)As well, there are a few things you can do to make sure that the walls do eventually come down, or will come down for the right person. First, think about the lessons you learned from this past relationship. What do you feel proud of? What do you need in a partner? What mistakes did you make? Use this experience to grow in your awareness of how you work in a relationship and what you need from a partner.Look at your thoughts. Are you having generalized negative thoughts like "No one will ever love me again?", or "I'm going to get hurt again", or "I can't trust myself"? If so, write down what these thoughts are, and then ask yourself what evidence supports these thoughts. Fear tries to convince us that there is either something wrong with us or that something bad will happen, but it does so with little or no evidence of this ever happening!! It sells us a line based on no concrete evidence. Then ask yourself what evidence supports the opposite thought. What is the evidence that I am lovable... that there are safe, good people out there... that I can trust myself? Eliminate the negative thoughts, and add the positive ones. It's simple but very powerful.Lastly, take concrete and careful steps to act as though there are no walls. What is the evidence of the walls? Can you take purposeful baby steps in the direction of lowering those walls? When we act as though something is true, we start to feel it and believe it more.I hope you will find yourself back on track eventually, with time. :)

### Instruction: I'm dating this guy, Peter. My friend Jennifer used to date him a while ago, and she's fine with us dating. My ex-boyfriend, Paul, broke up with Jennifer, and she's devastated about it. Peter and I are going through a rough patch in our relationship. All of a sudden, Paul is in "love" with me, and he wants me back. I don't know what to do because I can't hurt my friend or my boyfriend, but I think I might Paul again. ### Response:

Hello. The dynamics of having a romantic relationship with someone is not always clear. Sometimes we jump from one relationship to another without giving ourselves a chance to adjust and grieve for the one we had to leave behind. When you find yourself in a situation where a previous partner is coming back into your life and desires to be with you again, it is important to ask yourself what the motivations are prompting that return. Is the person afraid of being alone? Are they jealous of your current relationship? Do you feel the same way about this returning relationship as you did before it was ended? How long and/or how committed is the current relationship you are in now with your current partner? Does your former partner not like being "dumped" and maybe they just want to get back together with you so that they can "dump" you instead? Some of these questions you may not be able to answer, and some of them might require your own internal reflection.You likely want to make a good decision, and you also might want to consider who it will impact, and how that will happen. Other friends might be upset at this sudden change, and it could create a strain on your friendship. You will want to carefully consider the value of that friendship before you take any actions that could damage it. Also perhaps think about what led you to end the relationship with your previous partner in the first place. Has there been a change in events or behavior that would cause you to think of a valid reason to give that person a second chance? How it will it impact your current relationship?Going into relationships should be done with reflection, patience, and full awareness. Ultimately you choose who is in your life, so you want to make those choices based on appropriate decision making, and with the ability to protect yourself from harm. No one else can make this choice for you. However, gaining the insight of friends or family can be helpful, as can seeking out the counsel of a therapist. In your heart, you will likely find the right answer. Learn to trust that more, as that is where the core of emotion tends to be when you need it. Use your mind to analyze things, but allow yourself to also feel your way through the situation too. The answer will arrive if you let it.

### Instruction: Ever since my ex-boyfriend and I broke up, I can't seem to get close to anyone else. I know I'm completely over him, but I just can't break down my walls and let someone new into my life. ### Response:

Hi Bend, You're scared, right? That makes sense. Each time we have a break-up we are a bit more in touch with how much is at stake in this whole love and relationship business. We are falling in love and letting someone close to our hearts and there's a vulnerability in that; we can get hurt. Who you partner with long-term is a big decision and it determines 90% of our happiness in life. The good news is that when we're just starting to get to know someone, we can take it slow. I think maybe you are slowing yourself down instinctively here, and that's okay. We are naturally people of attachment and it won't likely last if you are normally an open and accessible person who doesn't put up walls. So part of what I want to say here is don't pressure yourself too much. Take the time to heal naturally and listen to your instinct that is telling you to take things slow. :)As well, there are a few things you can do to make sure that the walls do eventually come down, or will come down for the right person. First, think about the lessons you learned from this past relationship. What do you feel proud of? What do you need in a partner? What mistakes did you make? Use this experience to grow in your awareness of how you work in a relationship and what you need from a partner.Look at your thoughts. Are you having generalized negative thoughts like "No one will ever love me again?", or "I'm going to get hurt again", or "I can't trust myself"? If so, write down what these thoughts are, and then ask yourself what evidence supports these thoughts. Fear tries to convince us that there is either something wrong with us or that something bad will happen, but it does so with little or no evidence of this ever happening!! It sells us a line based on no concrete evidence. Then ask yourself what evidence supports the opposite thought. What is the evidence that I am lovable... that there are safe, good people out there... that I can trust myself? Eliminate the negative thoughts, and add the positive ones. It's simple but very powerful.Lastly, take concrete and careful steps to act as though there are no walls. What is the evidence of the walls? Can you take purposeful baby steps in the direction of lowering those walls? When we act as though something is true, we start to feel it and believe it more.I hope you will find yourself back on track eventually, with time. :)

### Instruction: I'm dating this guy, Peter. My friend Jennifer used to date him a while ago, and she's fine with us dating. My ex-boyfriend, Paul, broke up with Jennifer, and she's devastated about it. Peter and I are going through a rough patch in our relationship. All of a sudden, Paul is in "love" with me, and he wants me back. I don't know what to do because I can't hurt my friend or my boyfriend, but I think I might Paul again. ### Response:

Hello. The dynamics of having a romantic relationship with someone is not always clear. Sometimes we jump from one relationship to another without giving ourselves a chance to adjust and grieve for the one we had to leave behind. When you find yourself in a situation where a previous partner is coming back into your life and desires to be with you again, it is important to ask yourself what the motivations are prompting that return. Is the person afraid of being alone? Are they jealous of your current relationship? Do you feel the same way about this returning relationship as you did before it was ended? How long and/or how committed is the current relationship you are in now with your current partner? Does your former partner not like being "dumped" and maybe they just want to get back together with you so that they can "dump" you instead? Some of these questions you may not be able to answer, and some of them might require your own internal reflection.You likely want to make a good decision, and you also might want to consider who it will impact, and how that will happen. Other friends might be upset at this sudden change, and it could create a strain on your friendship. You will want to carefully consider the value of that friendship before you take any actions that could damage it. Also perhaps think about what led you to end the relationship with your previous partner in the first place. Has there been a change in events or behavior that would cause you to think of a valid reason to give that person a second chance? How it will it impact your current relationship?Going into relationships should be done with reflection, patience, and full awareness. Ultimately you choose who is in your life, so you want to make those choices based on appropriate decision making, and with the ability to protect yourself from harm. No one else can make this choice for you. However, gaining the insight of friends or family can be helpful, as can seeking out the counsel of a therapist. In your heart, you will likely find the right answer. Learn to trust that more, as that is where the core of emotion tends to be when you need it. Use your mind to analyze things, but allow yourself to also feel your way through the situation too. The answer will arrive if you let it.

### Instruction: I love him, but he doesn’t show me love. He talks badly about me to his friends. ### Response:

Hello, and thank you for your question. Loving someone who doesn’t respect or treat you well can be enormously difficult and painful. Many people who find themselves in an emotionally hurtful relationship say that it was wonderful when it first started, but that over time their partner’s behaviors changed and they became emotionally or physically abusive. I want to say right away that it is not your fault in any way if someone is abusive to you. It does not mean that you are broken or that there is something wrong with your character if you have not left the situation. People stay for many reasons, such as fear, finances, children, pressure from others, and love. Many people have had to leave their abusive partners who they still love to preserve their own safety and regain the sense of self they may have lost. It is a very difficult thing to do, even if you know it is the right thing. The person who really needs to take a hard look at themselves is the person doing the abusing. It is very common for mental and emotional abuse to wear away at someone’s self-esteem. This can lead to other problems, like depression and anxiety. These issues sometimes require professional support to manage, such as a counselor or perhaps a doctor who may prescribe medication. A counselor may be able to help you sort through your fears and concerns about staying or leaving. To look at things from different angles, and to help you decide what is best for you. You have not said that your husband has been physically abusive to you, but if that has been the case, then you must consider your physical safety first. Leaving an abusive relationship is the most dangerous time. Getting help from professionals would be critical, and I would recommend your local domestic violence program. Whatever you decide to do is the right thing for you. I would encourage you to ask yourself honestly about your reasons for staying and the barriers that may keep you from going. You do deserve to be happy and emotionally safe. If you do not feel like you have that safety, then seeking someone to help you sort through these things is a good plan. I wish you well. Robin J. Landwehr, DBH, LPC, NCC  

### 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:

It is very hard to want a loving relationship, and either see or imagine all around you, the great times other couples are having. Extra hard is that other people's comments may start giving you the sense that you are letting them down to not have a relationship!All the fantasies that develop from viewing Facebook photos and imagining everyone or most people in ideal relationships, just augments any frustration of not being part of this group.Your post sounds like you're being true to yourself and honoring who you are really, by developing clear standards of what you'd expect from a relationship.For the longterm, whatever develops in your relationship life, you will always be able to look back and know you had self-integrity. By being your natural self, you're being attractive.   Probably very unlikely that a young woman who would like a relationship, will never have one.Maybe the young men in your school are not yet emotionally mature enough to know how to see and appreciate you.Even though it may be hard, have patience with bringing in someone who is good for you.  And, continue your keen insight of yourself because it is guiding you to be the best in all areas of living.Sending good luck in all areas!

### Instruction: I'm concerned about my boyfriend. I suffer from anxiety, but I always have this feeling he wants to hurt me because he told me he was interested in BDSM intercourse. We haven't tried it, but I've had this feeling he always wants to. ### Response:

Hello! Thank you for your question. There are few things that people find more personal than their sexual relationships. When we feel connected to our partner, sex can be best thing since sliced bread. However, if we feel disconnected in some way, sex can feel degrading and even painful. I don’t know the specifics about your relationship or how comfortable you are in talking to your boyfriend, but this is one of those situations where communicating your fears is a good idea. The only exception to that would be if you believe he is actually a threat to you in some way. If you believe that, then you should do whatever you think is safe. It sounds like there is a part of you that is already afraid of him, and if that is the case then remaining safe is your top priority. Assuming you are able to share with him your feelings, telling him what you are and are not interested in sexually is very appropriate and sexually healthy. Sex is something that is supposed to be enjoyable for all parties. All parties should feel respected and able to say “no” to absolutely anything they are not comfortable with. I call the respectful agreement between sexual partners, “sex trust.” Sex Trust means your partner respects your boundaries. It means they won’t degrade you sexually with hurtful words, forced sex, or forcing or coercing sex in ways someone is not interested in having.  Your personal safety and mental well-being is what is most important. Now, if there is a part of you that is curious about BDSM and may be interested in participating in it, there are many websites that you can explore to learn information. I will warn you, some websites and articles are better or worse than others, but you may at least feel more informed. Many people engage in BDSM and have happy relationships, but again, it completely depends on what each person in the relationship wants. It is also important to know that BDSM is not just one thing and people practice it differently based on comfort. If it is something you are uncomfortable with, then you shouldn’t feel obligated to do it.   I hope this was helpful. Be well.   Robin J. Landwehr, DBH, LPC, NCC

### 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:

It is very hard to want a loving relationship, and either see or imagine all around you, the great times other couples are having. Extra hard is that other people's comments may start giving you the sense that you are letting them down to not have a relationship!All the fantasies that develop from viewing Facebook photos and imagining everyone or most people in ideal relationships, just augments any frustration of not being part of this group.Your post sounds like you're being true to yourself and honoring who you are really, by developing clear standards of what you'd expect from a relationship.For the longterm, whatever develops in your relationship life, you will always be able to look back and know you had self-integrity. By being your natural self, you're being attractive.   Probably very unlikely that a young woman who would like a relationship, will never have one.Maybe the young men in your school are not yet emotionally mature enough to know how to see and appreciate you.Even though it may be hard, have patience with bringing in someone who is good for you.  And, continue your keen insight of yourself because it is guiding you to be the best in all areas of living.Sending good luck in all areas!

### Instruction: My boyfriend can't get over my promiscuous past. He says he loves me but says the thought of my past is disgusting and a sexual distraction. He says he should have had more sex with different people. I don't know how to handle this. ### Response:

I am sorry to hear of your relationship struggles. One thing I wonder is did you volunteer the information about your past or is this something that he asked about? In the future, it is probably best to leave details out of conversations like this. I think it is common and natural for partners to ask about the sexual history. For one thing, it is a good idea to be checked for STD’s before entering into a sexual relationship with someone, and it is fair to share that information with each other. Partners usually want to know how many you have been with and what kind of sexual preferences you have or if there is anything you don’t like to do. This gets into a gray area for some people. I don’t necessarily want to know how many people my partner has been with and I certainly don’t want a whole lot of details. Sometimes that is an image I just don’t want in my head about my partner. Vague details are usually enough.However, I understand that your partner has the details and is not happy with your past. This is a reflection on him, not you. This shows insecurities on his part. You cannot control how he will react to information that you provide to him and you cannot control how he feels about the information. The past should remain in the past and not be held against you in the present or future. If he cannot handle your past then it is going to cloud your relationship. You can offer couples counseling to him and see if he will go with you. I have seen relationships recover from some very serious problems such as infidelity. It takes two people who both want it to work to make it work though. If your boyfriend cannot get over your past, you may have to let him go. Don’t keep yourself tied to someone who is not right for you. Constantly holding your past over your head and holding that against you is only going to bring you down and eventually you may start having insecurities or low self-esteem due to this type of treatment. I don’t see that you have done anything wrong. If you aren’t cheating on him now and you answered his questions about your past honestly, how he handles that information is on him. Ultimately, relationships have a tendency to come and go. Don’t fight to hold onto someone who is not right for you. It is okay to be single and enjoy being the best you that you can be. In time, the right person for you will enter your life.

### Instruction: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore. ### Response:

It is understandable that it's very hard for you to hear daily complaints from your mother regarding the caregiving of your niece. You cannot change your mother's feelings and responsibilities, which could create feelings of frustration and helplessness. It must be equally hard for your mother to assume full responsibility for your niece at a time where your sister cannot take care of her. This type of responsibility usually produces an enormous amount of stress and pressure because your mother and niece would both need to adapt to this new relationship, living situation, and the feeling of being "abandoned." Not knowing the history of your relationship with your mother and how you respond to each other in times of need, it may be difficult to fight the right recommendation on how to deal with this situation. Nonetheless, it is not easy to have to face daily complaints and you may have to set a healthy balance between empathy and boundary setting with your mother and some personal boundaries for yourself. It is likely that your mother's "complaints" may be her desperate cry for help because she does not know how to cope with stress or how to ask for the right kind of support. In this case, you could calmly and respectfully tell her the next time you hear her complain, "This must be very difficult for you because I hear the stress in your voice almost everyday. It's very hard for me to hear you feeling so overwhelmed. I feel helpless in this situation and would like to suggest that it might be helpful for you to seek some professional help and support to deal with such a big matter of importance." When empathy and understanding is communicated, recipients are usually more open because they hear and feel the caring behind it and are more likely to seek additional help.After sharing this message of empathy and encouragement to seek help, the next step is to protect yourself by explaining to your mother where your limits are so that she understands what she can expect from you. This means that you can decide the kind of support or help you are willing to give your mother and/or niece that is within your ability to provide without feeling overwhelmed. This could involve inviting them to dinner occasionally, taking them out to see a movie or inviting your niece over to give your mother respite. You could then say to her if she complains again, "I cannot change the way you feel in this situation and I encourage you to seek professional advice about that but what I could do is .........(explain what you could do to help)."www.PsychologyResource.ca

### Instruction: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore. ### Response:

It is understandable that it's very hard for you to hear daily complaints from your mother regarding the caregiving of your niece. You cannot change your mother's feelings and responsibilities, which could create feelings of frustration and helplessness. It must be equally hard for your mother to assume full responsibility for your niece at a time where your sister cannot take care of her. This type of responsibility usually produces an enormous amount of stress and pressure because your mother and niece would both need to adapt to this new relationship, living situation, and the feeling of being "abandoned." Not knowing the history of your relationship with your mother and how you respond to each other in times of need, it may be difficult to fight the right recommendation on how to deal with this situation. Nonetheless, it is not easy to have to face daily complaints and you may have to set a healthy balance between empathy and boundary setting with your mother and some personal boundaries for yourself. It is likely that your mother's "complaints" may be her desperate cry for help because she does not know how to cope with stress or how to ask for the right kind of support. In this case, you could calmly and respectfully tell her the next time you hear her complain, "This must be very difficult for you because I hear the stress in your voice almost everyday. It's very hard for me to hear you feeling so overwhelmed. I feel helpless in this situation and would like to suggest that it might be helpful for you to seek some professional help and support to deal with such a big matter of importance." When empathy and understanding is communicated, recipients are usually more open because they hear and feel the caring behind it and are more likely to seek additional help.After sharing this message of empathy and encouragement to seek help, the next step is to protect yourself by explaining to your mother where your limits are so that she understands what she can expect from you. This means that you can decide the kind of support or help you are willing to give your mother and/or niece that is within your ability to provide without feeling overwhelmed. This could involve inviting them to dinner occasionally, taking them out to see a movie or inviting your niece over to give your mother respite. You could then say to her if she complains again, "I cannot change the way you feel in this situation and I encourage you to seek professional advice about that but what I could do is .........(explain what you could do to help)."www.PsychologyResource.ca

### Instruction: I have been with a guy for 4 years, he's a great guy and we also have a son together. The problem is that I'm in love with a guy that I've been talking to for about 2 years but I've never met him in person. Honestly I'm bored with the relationship I have with the first guy and he makes want to go after the second guy, I don't know how to tell him that. What should I do? ### Response:

Hi there. Wow, this sounds like a sticky situation; however, I’m here to help guide you through this decision. First and foremost, you must ask yourself, if you ever loved your sons’ father or was it a situation to where you two got pregnant and stayed together for the child. It’s very common to stay with your partner when a child is involved regardless, if love is involved or not because “it’s the right thing to do.” Right? Well, not entirely. Although, staying with your partner because you have a child together may seem right, in fact, it hurts the child in the long run. If you are not love with your partner, you will show distance, unhappiness, sadness, possibility of frequent arguments and cheating. When a child grows up in the home and witnesses these types of emotions & behaviors it is unhealthy as he/she will expect their own relationships to be such. As a responsible adult, you are supposed to be there to shape and model the future for your child. Just remember, what you do, your child will model. Secondly, do not sell yourself short from love. Everyone deserves to be happy and to have someone to share their love and intimacy with. However, being in love with someone you have never seen before can be very risky. Honestly, that sounds like lust and the longing of love. Humans have needs and when people are unhappy in their current relationship, they often seek out what they need. If you decide to pursue the second relationship, I would suggest setting up an outing with a friend or two in order to get to know this person as there are a lot of scammers these days. Finally, I am not convinced that this has anything to do with choosing between two guys. This seems as if you are making a decision to end the relationship with your child’s father or not. You should ask yourself, if you were in love with your child’s father first off. If you were, you would have never sought after love. I hope this was helpful for you and I hope I was able to shed a different light on your situation. Take care of yourself!

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

Feelings are real, is very unlikely that you are making them up since they are a response to the thoughts in your mind and your daily experiences and interactions. Often we assume that feeling sadness is bad and that we should only feel happiness and joy; but all feelings have a purpose: joy, sadness, anger, frustration, excitement, anxiety, among others.   Is not healthy to experience the same feeling for a long time, so we should learn to identify what causes them and how to process them so you can navigate through life experiences with more ease. I am a Licensed Professional Counselor in Texas, currently providing services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.   ------------------------------------------------------------------------------------------------------------------------------------------Me he estado sintiendo tristeCuando salgo con una persona en particular o cuando llego a casa, estoy triste o irritado.  El sentimiento viene y va todo el día. No sé qué está mal.  No estoy seguro si estoy inventando los síntomas y problemas en mi cabeza o si algo realmente está mal. Los sentimientos son muy reales, y es muy poco probable que los estés inventando, por que los sentimientos son una respuesta tanto a los pensamientos que hay en nuestra cabeza, y, a las situaciones que nos ocurren día a día.  Muchas veces pensamos que sentirnos triste está mal, y que solo debemos sentirnos alegres, pero todas las emociones tienen un propósito y razón de ser, tanto la alegría, como la tristeza, el coraje, la frustración, la excitación o el desespero, entre otros.  No es bueno quedarnos estancados una emoción.  Así que es importante aprender a identificar que causa nuestros sentimientos, como procesarlos para poder superar nuestras emociones y movernos de una experiencia a otra con más tranquilidad. Soy Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478.

### Instruction: I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone with my dad the whole time. I also forget things a lot. ### Response:

With the way you described your anxiety, it sounds like you have different types of anxiety. I'm not sure whether you have anxiety of public places, large crowds, being alone  (sometimes called separation anxiety), or some combination thereof.One thing that would be helpful would be to track your anxiety and see how anxious you are (on a scale of 1 to 10) in different situations. Also, if you know what leads up to your anxiety, it would be good to know this as well so you can look for patterns.As for forgetting things, you could be anxious because you are forgetting things or you could be forgetting things because you are anxious. When you are having anxiety, certain parts of your brain are overactive because you are in a kind of protective mode. It's also possible that forgetting things and anxiety are not related.Something else to try would be to notice where you feel your anxiety in your body and put your hand there is a way of giving yourself comfort.Another thing about anxiety is that having anxiety can lead to more worry about having more anxiety. One thing that helps for some people is to go to the regular primary care doctor to make sure that there are no physical problems (just for the regular physical) so they know that there are no physical problems and that the anxiety will lessen in a few minutes.Also, if you are able to notice your feet on the floor or your hips in the chair, this is helping you to be mindful of your body and connecting you to your surroundings. During this in combination with naming your emotions can be soothing as well. For example, in the grocery store, if you are feeling anxious, you could say to yourself "I'm anxious right now and I'm okay" while gently shifting your weight from one foot to the other. No one around you would notice what you were doing and the motion may be soothing to you.Anxiety can have a lot of different causes and things that trigger it. If it is difficult for you to work it out on your own (which is very common), consider talking with a local therapist so you can have more specific ideas.Also consider making a list of people who you trust and what it is about them that makes you feel comfortable.

### Instruction: Does counseling really do anything that can help people? ### Response:

A lot of things affect how helpful counseling is for each person, including at least these things, but often many others:The therapeutic alliance (this refers to the bond, connection, or trust between the client and the counselor)What the person is coming in to work onHow motivated the person is to work on what it is they would like to changeSome people also ask how counseling is different from friendship. There is a similarity in the sense that hopefully both counselors and friends will listen to what you are experiencing, but that is really the end of the similarities. Some differences are:Counselors are specifically trained to phrase questions or statements in ways that help you to gain more awareness of one could be contributing to what it is that you are trying to change, both within yourself, and possibly with people around youCounselors have experience in using lots of different types of techniques (for example, focusing on finding solutions, looking at how the present situation could relate to your past, using role-plays or examples in session to help you learn new skills or ways of looking at situations, and probably hundreds of other things)Counselors are taught to look at what you are experiencing and ask questions about other related ideas that you may not have connected to what you are experiencingThere is a treatment plan in place (usually after the first, second, or third session) so both you and the counselor have an idea of where you would like to go with counseling (what you are hoping to change or learn) and a general idea of a plan for getting to your goalsIn general, I would say the following:Yes, counseling can help people who want something to be different in their livesCounseling is most helpful when the connection between the counselor and the client is strong enough that some trust forms (in other words, not every counselor or technique is helpful for every person)A lot of counselors will talk to you on the phone for a few minutes prior to you coming in for your first appointment to answer any general questions that you may haveIf you are working with a counselor and you feel as though you are not "clicking" or connecting with one another, give it three or four sessions before you change. Trust is not happening in one hour for most of peopleIf you are working with a counselor and you would like to be getting more or something different out of it, tell the counselor about that because typically modalities can be changedIf you are asking this question because you would like help with a specific issue, call a local counselor and discuss it so that you could have a more specific answer about possible options for counseling

### Instruction: I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone with my dad the whole time. I also forget things a lot. ### Response:

With the way you described your anxiety, it sounds like you have different types of anxiety. I'm not sure whether you have anxiety of public places, large crowds, being alone  (sometimes called separation anxiety), or some combination thereof.One thing that would be helpful would be to track your anxiety and see how anxious you are (on a scale of 1 to 10) in different situations. Also, if you know what leads up to your anxiety, it would be good to know this as well so you can look for patterns.As for forgetting things, you could be anxious because you are forgetting things or you could be forgetting things because you are anxious. When you are having anxiety, certain parts of your brain are overactive because you are in a kind of protective mode. It's also possible that forgetting things and anxiety are not related.Something else to try would be to notice where you feel your anxiety in your body and put your hand there is a way of giving yourself comfort.Another thing about anxiety is that having anxiety can lead to more worry about having more anxiety. One thing that helps for some people is to go to the regular primary care doctor to make sure that there are no physical problems (just for the regular physical) so they know that there are no physical problems and that the anxiety will lessen in a few minutes.Also, if you are able to notice your feet on the floor or your hips in the chair, this is helping you to be mindful of your body and connecting you to your surroundings. During this in combination with naming your emotions can be soothing as well. For example, in the grocery store, if you are feeling anxious, you could say to yourself "I'm anxious right now and I'm okay" while gently shifting your weight from one foot to the other. No one around you would notice what you were doing and the motion may be soothing to you.Anxiety can have a lot of different causes and things that trigger it. If it is difficult for you to work it out on your own (which is very common), consider talking with a local therapist so you can have more specific ideas.Also consider making a list of people who you trust and what it is about them that makes you feel comfortable.

### Instruction: Does counseling really do anything that can help people? ### Response:

A lot of things affect how helpful counseling is for each person, including at least these things, but often many others:The therapeutic alliance (this refers to the bond, connection, or trust between the client and the counselor)What the person is coming in to work onHow motivated the person is to work on what it is they would like to changeSome people also ask how counseling is different from friendship. There is a similarity in the sense that hopefully both counselors and friends will listen to what you are experiencing, but that is really the end of the similarities. Some differences are:Counselors are specifically trained to phrase questions or statements in ways that help you to gain more awareness of one could be contributing to what it is that you are trying to change, both within yourself, and possibly with people around youCounselors have experience in using lots of different types of techniques (for example, focusing on finding solutions, looking at how the present situation could relate to your past, using role-plays or examples in session to help you learn new skills or ways of looking at situations, and probably hundreds of other things)Counselors are taught to look at what you are experiencing and ask questions about other related ideas that you may not have connected to what you are experiencingThere is a treatment plan in place (usually after the first, second, or third session) so both you and the counselor have an idea of where you would like to go with counseling (what you are hoping to change or learn) and a general idea of a plan for getting to your goalsIn general, I would say the following:Yes, counseling can help people who want something to be different in their livesCounseling is most helpful when the connection between the counselor and the client is strong enough that some trust forms (in other words, not every counselor or technique is helpful for every person)A lot of counselors will talk to you on the phone for a few minutes prior to you coming in for your first appointment to answer any general questions that you may haveIf you are working with a counselor and you feel as though you are not "clicking" or connecting with one another, give it three or four sessions before you change. Trust is not happening in one hour for most of peopleIf you are working with a counselor and you would like to be getting more or something different out of it, tell the counselor about that because typically modalities can be changedIf you are asking this question because you would like help with a specific issue, call a local counselor and discuss it so that you could have a more specific answer about possible options for counseling

### Instruction: I'm always listening to my husband, but it feels like he never listens to me. How do I get my husband to listen to me instead of me listening to him all the time? ### Response:

Thanks for writing. There are many different house of things that may be helpful here. I can give you some general ideas, but if some of these things don't get you to where you would like to go, consider seeing a therapist who specializes in couples:Remember that you can only guarantee change in yourself. You can ask him to make changes, but you can't control whether he does or not. You can control your reactions and what you do about your own thoughts, feelings, and actions in the relationship.If you're going to talk about something important or you really want him to listen, first ask whether this is a good time.Try to talk to him without blaming, finger-pointing, or asking him to change (this can be difficult, but it also opens a lot of doors for effective discussions).Be mindful of your packaging. By that, I mean that you may have a very important message that you're trying to get across. If you able to say it in a way that is clear and wrapped in such a way that he can hear what you're actually saying, that is helpful. If you are talking in ways that are angry, or as I sometimes say, wrapped in spikes, that can be difficult to hear and receive. Rather than hearing what you're actually trying to get across, he may just hear the fact that you are angry.If your husband is able to listen to you and/or restate what you are saying and get it right or close to right, let him know what that feels like to you and how important it is.If you're asking questions, try to avoid "why" question and use "what makes, how, when, where, who" instead. Questions starting with "why" can not only be difficult to answer, but can also trigger a lot of emotions that some people are not ready to deal with right away.Also, keep in mind that listening and being able to reflect what you are saying does not imply agreement. This may be something that would be good to discuss with your husband – just because he is hearing what you're saying doesn't mean that he's agreeing with you.Lastly, but importantly, some people really don't know how to listen effectively. There are people who just are not taught to do that until much later in their lives. Sometimes listening to someone can actually be very vulnerability-producing. It may be helpful to ask your husband if he knows what makes him struggle with being able to listen if you notice that he's really struggling.