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<s>[INST] What makes a healthy marriage last? [/INST] In my mind, a healthy marriage has two participants, meaning both people participate equally in the intimate connection of marriage. An unequal participation comes in many forms, such as one person checking out of conversations when it becomes emotional, or speaking over and for each other in these conversations. Couple’s should strive for engagement and support, but doing it in a way that works for each person individually. I hope this helps. </s>

<s>[INST] At school, it feels like I've lost all my friends, and I've been really weird with my sleeping patterns. I used to cut myself, and I really want to again, but I change in the locker rooms because I don’t want anybody to see. I get ticked off easy and overreact. At night, I’m very depressed and listen to sad music and all that sort of stuff. Please help me. I just want to be happy again, and I feel like I’m starting to fake a smile at school. [/INST] As silly as it may sound, making sure that we are getting the right amount of *restful* sleep is very important when we are feeling low.  The reason for this is the lack of proper sleep significantly affects our ability to problem solve and critically evaluate our situation and can lead to a domino effect in our thinking.  I know you feel that you may be losing your friendships, but what are the facts that have led to this belief? Really ask yourself, "are they facts?" or are they your perspective on events.  In regards to your coping behaviours at night, it sounds very isolating and also very silenced.  As opposed to the sad music, why not try all music, allowing yourself to experience the wide breadth of emotions that are circling within you.  One of the other recommendations I would make would be to try and journal about some of those thoughts and fears in order to release them in a positively cathartic way. Some of the behaviours that you have mentioned are a bit more significant, though and I would recommend speaking with someone directly in the near future. </s>

<s>[INST] I get really mad easily at my parents and family. [/INST] Anger is not necessarily a bad thing. If you are angry and you can talk about your feelings, that would be very helpful. Anger usually comes along with something else, like feeling sad, worried, overwhelmed, confused, and many others. Consider looking at what you notice in addition to anger and you may have a different starting point. If you get along well with friends and don't get angry with them, look at the differences. Do you feel criticized by your parents or family? Misunderstood? There could be any number of things.I wonder if you start getting angry very slowly and it builds or if it happens quickly. Try to keep an eye on the patterns and see if you can stop and look at what else is going on as you start to get angry. Anger is a real emotion in itself. It almost always connects to something else as well. </s>

<s>[INST] I don't know how to tell someone how I feel about them. How can I get better at expressing how I feel? [/INST] Let's just start with being real. Expressing yourself is vulnerable, and being vulnerable is hard. It takes courage and work to be vulnerable. My guess is that you have been shown in your lifetime that being vulnerable (ie, expressing yourself) is unsafe. My assumption would be you have been criticized, or ignored when you have expressed yourself in the past, it has taught your emotional self to simply not do it again. This is a normal protective mechanism that you have used to cope with past feelings of hurt. It will take time and work to engage again in an emotional way.I would start my practicing and identifying how you feel to yourself. Check in with yourself multiple times a day to gage where you are at emotionally. After you feel you have a good grasp on this, start to engage in emotional conversations with others. Choose others that feel safe to you, a good friend that knows you well, or a sibling or family member. Expressing yourself is a behavior that you have suppressed out of protection, so you can choose to engage in safe emotional expression behaviors just the same. Best of luck! </s>

<s>[INST] I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends. I spent the weekend with him and it upset my boyfriend. Was i wrong? [/INST] This can be a very complicated situation. The boundaries of relationship include the rules to follow in the relationship. It is important to follow the rules of your relationship  in regards to each person being able to spend time with exes. If you and your boyfriend agree upon a rule about spending time with exes, then there should be no problem. </s>

<s>[INST] I am currently suffering from erectile dysfunction and have tried Viagra, Cialis, etc. Nothing seemed to work. My girlfriend of 3 years is very sexually frustrated. I told her that it is okay for her to have sex with other men. Is that really okay? [/INST] Hi, First and foremost, I want to acknowledge your efforts to gain (your) ideal erectile function. If the medications are not working and you have taken them as prescribed, I would encourage you to seek the help of a sex therapist as the dysfunction may be due to a psychological and/or relational issue rather than a physical/medical one. As for your question, only you can answer this. Is it OK? Are you OK with her sleeping with others? Have you thought through what this may look like, feel like, become for you and her? Opening up a relationship is a choice only the people in the relationship can answer. Even then, the answer may change at any point by either of you. I encourage you to also determine what the intention is underneath your telling your girlfriend she could sleep with others. Be clear with the intention and then together have continuous conversations about the expectations of opening up (i.e.: are there any kinds of sex that is off limits, areas of the body where touch or intimacy is not allowed, are uses of safer sex required or not, do you want to know the details or not, so forth). An excellent resource would be the book "Opening Up" by Tristan Taormino. I wish you the best of luck!Dr. Lily Zehner, MFT-C </s>

<s>[INST] There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person. [/INST] I'd say you're letting fear get a hold on you! You would really enjoy some sexual activities that your wife hasn't initiated in a long while, but it's a big leap to go from that to "I married the wrong person". Fear is telling you that she doesn't respect or like or want you? Look at the bigger picture. What is the evidence that your wife wants to please you?...that she is the "right" woman for you?...that she loves you?...that she cares about what's important to you?  If there is evidence there, then you owe it to the marriage to rein in your fearful thoughts.Talking to your wife is so important right now. We all have moments when we really just want to sit and stew in our self pity over our partner not vacuuming or cooking or saying loving things often enough...but they can't read our minds! Can you lovingly let her know what you miss? ...what you hope for?...what you need? This is the meat of a loving relationship. Sharing who we are, so that we can love each other better. Your wife deserves the benefit of the doubt that she'll listen to what you long for. Can you risk feeling vulnerable? You can't control her answer, but can you trust her to care? </s>

<s>[INST] I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship. [/INST]   Thanks for sharing and asking for help.  You mention that you're the one who ended the relationship in the past, yet are haunted by nightmares and flashbacks. Your comments here lead me to wonder that you may have experienced some form of trauma in this past relationship; and, if so, I would encourage you to additionally consider the whole of your story-line as it relates to trauma. Doing so will serve you well for your own peace-of-mind especially so in your current relationship.  The best way to do all of this in a supportive fashion is to work with an experienced therapist who specializes in trauma-focused care. The therapist may, if indicated, wish to to incorporate EMDR (Eye Movement Desensitization and Reprocessing) which "...is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.  Best wishes.Resource for Your Consideration: http://www.emdr.com/ </s>

<s>[INST] My friend is abusing her prescription medicine. Even though she told me she didn't have any more pills, I found she has prescriptions for anxiety medications. [/INST] Your good intentions to help your friend stay clean, are very caring about her.Unless your friend feels like stopping pills,  taking them away will mean she finds them some place else.The problem that anyone who is addicted to pills has, is that the person is psychologically and at least with xanax, physically addicted.Taking pills has basically become a standard part of your friend's life.Her problem is bigger than your ability to care.If you haven't already done so, tell your friend directly about your opinion on the way she is using pills.This is not a guarantee that she'll stop.It isa way of you showing that you care about her.Offering love and advice are the only things you can do for her.Meanwhile, knowing she is hurting herself is probably hurting you.Be sure to keep a sense of balance within yourself.  Offer your concern and know she is the one who must decide to stop using. </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] Everyone has topics to discuss when they start therapy.   There is no correct number of topics.youSometimes people go to therapy for one specific area of their life.   Not everyone has the time or interest to utilize therapy just when a significant topic arises in their life.Since you are one person, no matter how many or few topics you would like to address in therapy, all the topics relate to you.Possibly the result of your therapy will be more transformational than if you talked only on one topic.  Lucky you, to be on the cusp of clearing and resolving many vulnerabilities at once.   You will feel brand new by the time you finish your therapy work! </s>

<s>[INST] I have known I was always different. This year, in December, I found out that I never felt female. I did research and have identified myself as male but don't know how to tell my dad. [/INST] I admire your courage.If you are concerned about telling your dad regarding your gender identity, I would suggest a couple of things. There are a lot of groups or other supports for people who are working through some of the same changes that you may be going through now. I don't mean to convey that everyone thinks, feels, or acts the same by any means, but rather that it may be helpful to talk to others who have had some similar experiences.I was trying to include some links for you, but that particular button isn't functioning window. If you search for "transgender support" on Google, you'll find GLAAD and PFLAG, both of which are national organizations. This does not mean that you have to identify as "transgender," but researching that term may help you to find both national and local resources.As far as telling your dad, if that is particularly concerning for you, I suggest either talking through the details with a local therapist or considering if you have a trusted friend or family member (one who will respect your privacy with regard to who you would like to know about what you are experiencing at this time) so that you can talk with some people to have support. This may help with two things: allowing you to find some support for yourself as you work through the changes that you are going through now and also possibly talking with someone who knows your dad and may be able to talk with you regarding how or when to tell him.One thing that I tell anyone who wants to discuss something that is very important to them is to ask the person they want to talk to whether this is a good time for an important conversation. That way, you have greater chances of having the person's attention and/or not needing to end the conversation quickly. Also, please remember that you know yourself best, as each of us does. </s>

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

<s>[INST] All my friends have either hooked up or had a girlfriend but me. I try to be happy for them, but I get really upset every time they hook up. [/INST] If you mean “hooked up” as having sex with no care for the person, and you’d like a girlfriend, then realize relationships require more complex alignment with a partner than being a sex buddy.Pay attention to all your feelings toward a girl so that you’ll approach someone who attracts you for reasons in addition to sexual allure.Also, the process of knowing someone takes much more time than only to sleep with someone.Have patience and kindness toward yourself while you get to know the qualities which attract you to a potential girlfriend. </s>

<s>[INST] Sometimes, when I look at my pet cat, I think about how innocent he is and how somebody could hurt or kill him. It makes me sad because I love him, but I always think about how helpless he is. There've even been split-seconds where I felt almost tempted to kick him, followed by shame and guilt. [/INST] A lot of different things could be happening here. Do you feel angry or sad or anxious when you think about how helpless he is? If you have not actually kicked him, then I would encourage you to look at feelings other than guilt, since you did not hurt him. What else is there?It would probably be very helpful to talk with a therapist about the specifics of this so that you can see what else is happening for you. It could be that you feel safe with your cat, so strong emotions come up because you feel safe. </s>

<s>[INST] People have been calling me names, and I have had enough of it. I cannot stand it anymore I'm done. I have told someone this, and that is why I am writing this. The thoughts are awful. [/INST] It's sounds like you are feeling pretty overwhelmed with intrusive thoughts and are feeling very criticized by others as well. I think it is great that you are reaching out and I can tell that you want this to change. Working with a competent therapist may be a good option for getting some more clarity about what is going on, developing ways to cope, and eventually getting relief from these overwhelming experiences. </s>

<s>[INST] My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines. [/INST] There could be a number of things going on here. For instance, have her eyes been checked by an optometrist? She might just not like writing or coloring. She could be rushing through assignments so that she can spend time with friends, play games, or do something else. She might need some extra help with fine motor skills. What are her grades like? Does she rush through other things like cleaning her room or getting ready for bed? </s>

<s>[INST] How do you know you have the right therapist for you? How would I know how to "train" my therapist to be able to give me what I need from treatment? [/INST] If you are seeking personal development and challenge resolution in a Christian context, I am the right counselor for you. I will balance the needs of your temperament with scripture, prayer, and cognitive therapy techniques. </s>

<s>[INST] I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from. Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas? [/INST] Hi, I'm Amelia! Oh, this is a common problem, unfortunately! Let me say first of all, that doing more, giving more, loving more, performing more will never provide you with a sense of worth. Nor will it satisfy those that are critical and judgmental. I am so sorry to hear that this is what you've heard all your life! You are a human BEING not a human DOING.If you can get yourself in counseling with a trusted therapist who will accept you, encourage you, hear you and support you, you can begin to work on what truth worth is.  My best to you! </s>

<s>[INST] I have dog obsession disorder and I am having problems with my girlfriend because I am placing more importance to my two dogs over her. How do I get over this problem and prioritize my girlfriend over my two dogs? [/INST] Hey, dogs are cool. They adore pleasing humans and often LOVE to work on learning what you want and expect from them. Your girlfriend on the other hand, likely has her own desires and needs that she attend to before tuning into yours. You are good with dogs, that tells me that you've spent some time observing their behavior. The first step in working through this issue would be similar, start to tune into and observe your girlfriend more often... Observation is a skill when it comes to relationship building. The skills you have mastered in relating with your dogs can carry over, you will just have to relearn what behaviors you are watching. And keep in mind that also means observing yourself in relationships. </s>

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

<s>[INST] After first meeting the client, what is the process that a counselor facilitates? [/INST] Each counselor may have a different process, so I'm not the end all authority here.  For myself, I review policies and confidentiality concerns with people first and answer any questions they have. Then I'll let them know I'll be writing a lot in this session and I have an assessment form that I like to get completed, but I want to have a conversation and I'll ask questions as we go.  My first question is usually, "How do you feel I can best help you today?"  Some people are very at ease and tell me many details.  Others are a bit more reserved and I have to demonstrate more curiosity.  Even people who have been very apprehensive are usually feeling very relaxed by the time the session is over.  Usually, when we get close to end of session time, I'll summarize what I think are the biggest concerns from what I've heard and confirm whether or not the person wants to work on those things.  I also try to give an exercise targetting my biggest concern for them to work on in between sessions.  For instance, a relaxation method if they are very anxious.  Counselors are just humans as well, so it does take a bit of time to really get to know another person.  I always tell people that are apprehensive to give the counselor 3 or 4 sessions to determine if they really connect with them.  I hope that helps, Allison </s>

<s>[INST] I'm a girl, and I can't tell whether I'm bisexual or gay. I like girls a little more than boys, but I don't really know. [/INST] Sexual orientation is not always something that is clearly definable. Some people look at it on a continuum where being attracted to only boys is at one end, only girls is at the other, and bisexual is in the middle. Anywhere in between those points can be any amount of attraction to boys or girls.If you don't know whether you are gay or bisexual, that is okay. A lot of people don't know for quite some time. In addition to that, after people do know who they are attracted to, a lot of times they do not use the terms "gay" or "bisexual" for quite a while.It's okay not to know.Think about what sorts of expectations you have for your ideal relationship. Some examples may include trust, respect, availability for conversation or connection, etc. Whatever it is that you find important in a relationship is likely what matters most.If you are struggling with learning what it is that you would like in a relationship or any other feelings connected with what you are thinking and feeling, I would suggest connecting with a local therapist so you have a place to talk about what you are experiencing. </s>

<s>[INST] I panicked over a minor parking lot mistake. It was totally my fault, but due to another insurance issue, I left a note with an illegible phone number. Guilty over this, I got an envelope containing several hundred dollars. Unfortunately, by the time I returned, the other driver had seen my ersatz note and drove away. Since I cannot make this up to that individual, how do I atone for my cowardly act? I have been trying to do random acts of kindness in hopes that karma will somehow even out. [/INST] Thanks for sharing as it shows your humanity and that you have a sensitive conscience. In your example here I'd encourage you to always think, "safety first"; and never offer a stranger at the accident scene "...several hundred dollars". Why? Because it could go badly against you (i.e. extortion, robbed, or would this be considered a bribe).   To the point, I'm reminded of Steps Eight and Nine in many 12-step programs regarding making amends. In your specific example since the injured unidentified party departed, and by your own admission you've been doing random acts of kindness, it seems to me you've acted in reasonable good faith fashion to make amends. Well done.   I'm not a karma expert but as a therapist I would invite you to explore the deeper story behind your use of the words "cowardly", "guilty", and what it does for you to engage in "random acts of kindness". What a fascinating journey this could be for you. Best wishes. </s>

<s>[INST] How do I stop those thoughts? [/INST] The thoughts you are having are just thoughts.  Not actions.  It is your choice whether you act on these thoughts.  If you decide to explore having sex with adults of different genders that is great.  If you find yourself obsessed with sexual thoughts, you may want to see a cognitive-behavioural therapist.  Take care.  </s>

<s>[INST] I start to think of an issue that doesn't even matter or something bad that happened years ago. Then, I cry, pull at my hair, plug my ears, hit myself, and throw things. In loud public places, I get on edge and start being sarcastic and moody. I have an awful fear of people leaving me (which normally ends up happening) and I feel like I'm too clingy. [/INST] There is a reason you are having breakdowns. I can't agree that they happen for "no reason at all".   Finding out the reason is going to be your biggest challenge because that may require you to dig deep into your past, uncover hurtful experiences, or recognize something that would be extremely pain.  However, if you don't find professional help to carefully guide you through whatever you may confront, the symptoms mentioned will continue and may even get worse.  There is a light at the end of the road but you need some help to find the right road to get on so you can see it. </s>

<s>[INST] I have family issues, and my dad was both violent and a cheater. [/INST] Hi New York, There's no way to keep your past from affecting your present and future, because it's a huge part of who we are. The GOOD news is, though, that the effect doesn't have to be negative. I'm met many people who have horrific pasts and it helps them know confidently, every day, what kind of person they want to be and what kind of world they want to live in, and it helps them make really great decisions. You can accept your past, integrate your traumas and move forward in a very different way. If you see negative ways in which your past affects you (and this is also common), you are wise to seek professional help. Without knowing more, it's impossible to give you a lot of direction here. Basically, our past creates emotional "bruises" that are touch on and triggered by present situations. But our reactions are often about more than just the present moment. I think you know that.I wish you the best as you sort it out.   </s>

<s>[INST] I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because it’s easier. I just want answers. I'm sick of feeling this way. It’s ruining my relationships with people. [/INST] Maybe you have depression.The name of your condition matters much less than the descriptions you wrote of how you feel.Since you've observed how you sometimes interact with people and realize you aren't happy with the result, you've a very solid starting point for reflecting on your deeper wishes in relating to others.Start with asking reasons of yourself about the puzzling aspects of how you're engaging with others.Theorizing as to "why" you feel that pushing people away is "easier", and easier than what?Googling the keywords of how you feel, may open a starting point for ideas on knowing yourself and what you wish for. </s>

<s>[INST] 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. [/INST] That's a good question. I would say learn to pick your battles. What types of behavior/situations can you let go of? If you allow yourself to worry about the various areas in life that you cannot control, you will find yourself stressed out and unable to manage everything. Know that toddlerhood comes with lots of "no's," tantrums, non-compliance, and a growing need for independence. When your toddler does something that you don't approve of, remain calm, explain to him/her the appropriate way to act, and model it for him/her. Remember to give your toddler praise when he/she does something good or acceptable. Be consistent and follow through with your instructions. Finally, know that you are not alone. Parenting comes with its set of challenges but all you can do is your very best. Good luck to you! </s>

<s>[INST] We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?. [/INST] Just ask him.I'm not sure how you saw his phone if you're in a long distance relationship, because long distance means you live far apart from each other and don't get to see each other in person. Therefore, I think we may have a different understanding of the definition of "long distance relationship" which makes it hard for me to adequately answer this question for you.I don't know how old you are, but if you're an adult, after two and a half years, I don't think it's unreasonable to have an open and honest talk with each other about where the relationship is going and what you both want and expect. Long distance relationships are difficult to keep alive because you don't ever see each other in person. Talking, texting, and video chatting isn't enough, and the longer the physical distance remains, the more difficult it becomes to keep an emotional closeness. It may be time to evaluate the situation, figure out when (if ever) the two of you will be able to be together in person, and if you can and want to wait that long. Do you both want the same things out of life? If one of you wants to take the relationship to the next level but the other doesn't, then it doesn't matter if it's long distance or not - if you aren't on the same page with the relationship, it is going to be difficult to make it work.Trust is important. Issues with trust, insecurity, jealousy, lying and/or hiding things from each other, being afraid to speak up and have an honest conversation - these things can ruin relationships if not addressed. I know confrontation of any sort can be hard for some people, but it is necessary at times. Evaluate your true feelings for him. Are you with him for reasons other than love, such as being afraid to be alone or thinking you wouldn't be able to find someone else? Has he ever given you reason to be suspicious of his female coworkers or friends before? Some people, unfortunately, develop a track record of indiscretions and give their significant others ample reason for distrusting them. However, if this is not the case, you may be unfairly judging his texting through the eyes of your own insecurities. It may be time for you both to take an honest assessment of your own reasons for being in the relationship, figure out what you want, and make a decision. This may result in bringing the two of you closer and taking the relationship to the next level. Or, it could lead to a decision to end things. I know that can be difficult, but you both deserve to be happy and to be allowed to make the decisions that will lead to your personal happiness. </s>

<s>[INST] I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? [/INST] Let me begin by offering my condolences for your loss. I can understand how difficult this time maybe for you especially if you have several unanswered the questions due to the circumstances surrounding the death of your friend.  It's during this time, that you may experience the various stages of grief. This includes denial, anger, bargaining, depression and finally acceptance. In the bereavement process, there is so specific time frame or lengths of time for someone to work through each step. Its imperative to note  that one may express each stage with different levels of intensity. Also, the five stages do not necessarily occur in any specific order. We often move between stages before achieving a more peaceful acceptance of death. Just note that everyone greives differently, some internalize their feelings and emotions, others express it externally, while other avoid it all together.Coping with loss is ultimately a deeply personal and singular experience. Sometimes we feel that no one understands what we are feeling or going through, much less comprehend our emotional state of mind . What's important, is that you allow others to comfort you through the various stages. My recommendation is to allow yourself to go through the emotions and feel the grief. Avoiding or resisting may only delay the healing process. Reaching the acceptance stage of mourning is a gift not not everyone is awarded, but seeking the help of a Grief counselor may assist in deciphering your emotions and set you on a more positive path to achieve closer. </s>

<s>[INST] I always feel like I'm not good enough and it literally is so hard living. I don't know how to talk to my parents about it. [/INST] Are you a teen?  This is a really hard problem for more teens (and adults) than let on.  When I was about 15, I remember asking my parent's friend, Herman, whether life gets any easier when you get older.  He said the problems are actually harder, but you gain the ability to deal with them better.  I've been an adult a long time now, and that is so true. If you need someone to talk to, consider a teacher or a school guidance counselor or someone you respect, maybe in church.  If they're good and they don't know how to help you, they may know how to get you to someone who can.  Also, the idea of not being "good enough" is a common psychological event.  In CBT it's called a "core belief," but I call it a "core lie" in my book, Living Yes, a Handbook for Being Human.  If you are serious about changing yourself, read about it  at www.LivingYes.org and pick up a copy there or on Amazon.  I hope this was helpful.  The future is filled with possibility if we don't prejudge it!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org) </s>

<s>[INST] I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together? [/INST] The first step for making this sort of change is being motivated to change and it sounds like you have that, so you are already on the right track.As far as learning how to listen, try some of these steps:Ask whether a certain time is a good time for your girlfriend to have an important conversationIf she has a subject that she would like to discuss, consider listening to her as an investigative reporter and asking questions that help you to gain more understanding of her experience. These questions usually begin with words like who, what, where, when. Questions starting with the word why can sometimes make people very uncomfortable because they may not explicitly know why they are asking for something or feeling a certain way. You can try communicating this way for just five minutes or so on until you feel as though you can restate what your girlfriend is saying and have her agree that you are recapturing the essence of what she is trying to communicateThen you can switch so she is listening to you trying to understand your experience. You could also start by talking about something that is important to you.Remember that stating that you follow or hear something that she is saying doesn't mean that you agreeAlso, try sticking to one subject at a time. It's difficult to really understand one topic if you are on to the next within just a minute or twoTry to use the word want or wish instead of need. Saying that you need something (or if your girlfriend would say that) that is not a need for safety or something like that can make whatever you are asking for sound like an obligation. That takes away from that whole motivation to change from inside the partner who is agreeing to change or try to changeSomething else to try would be using some sort of timeout. Consider this:Discuss the idea of using timeout before you actually need it and before the discussion starts. Timeout is a way to give each of you a way to calm down for five, 10, 15 minutes, or maybe even an hour. When there are a lot of emotions happening, each person gets wrapped up in protecting themselves from the emotions they are feeling and can lose track of what is actually going on in the conversation as compared to what they are perceiving.When using timeout, say to your girlfriend (or she can say to you) "I need an hour before we can go back to this." Then actually come back to the discussion.Some people are very afraid to use this technique because in the past not talking about something right away meant that it never was returned to and was never resolved in any way. This is why the agreement is important before you need it.While it may be helpful to ask your girlfriend what it is she may want from you, it is you that would be in charge of deciding whether you want to make that change and putting it into practice.Try to remember that part of being in a couple is holding onto your own wants, wishes, and desires while recognizing those of your partner.As one final idea, consider spending about 15 minutes a week together where you are not problem-solving about anything, just connecting with one another.I encourage you to see a therapist who specializes in couples if you would like some more specific ideas for what is happening within each of you and between you.Best wishes! </s>

<s>[INST] I have an ex-boyfriend who just lies about everything. He is super lazy. He lies to everyone that he has a good job, builds trust, and then start borrowing money—and large amounts too. It has come to the point where he has gone through several group of friends. He is leaving a trail behind full of friends in debt because he would put on a sob story, borrow money, then disappear. He refuses to work, so he sits at home playing games all day and either lies to his mom for money or lies to his friends. I used to think his lying was due to his drug habit, but now I'm hearing from other ex-friends of his that this started even before the drugs got into his life. He would borrow anywhere from $5,000 to $50,000 from everyone and it would all disappear. He's in debt with bills. He doesn't gamble, but he spends his money on random stuff. Although he has this habit of lying compulsively and spending money, he seems to be a good person. He'll always give a homeless person all his change no matter what. My brother has epilepsy and is really antisocial—my ex-boyfriend makes an actual effort to socialize with my brother. He takes him out to the movies and plays video games with him. He drives me to school and work every day and picks me up—just basically the small things that add up to the fact that he's not totally a horrible human being. Is he just simple a pathological liar or is there something that could possibly be deep down in there? [/INST] It sounds like you have some ambivalent feelings towards your ex-boyfriend that are difficult to sort out. You notice that there are both desirable and undesirable things about him, and this is true of everyone to one degree or another. One question that I would have for you is, are you satisfied with your relationship with him as it currently stands? Are you happy with the boundaries between the two of you, or would you like them to be different? Negotiating through conflict and establishing different boundaries are definitely things you could work on with the help of a therapist. Another question I would have for you is, what would it mean for you to find out what motivates his behavior? Discovering the roots of such behavior is something that he would have to work on in his own therapy and not something that you and a therapist could discover without him. </s>

<s>[INST] My fiancé and I recently had an argument over finances. He gives me the money each month to pay his automobile insurance. He no longer has one of the vehicles on the policy. He realized he was still paying for the coverage and asked why I was allowing him to continue to do that since I was physically paying it for him. My response was that he was giving me the money, and I just made the payment. I didn't think of the coverages. He was angry about it. I still can't figure out that anger. [/INST] A few things come to mind. I wonder if your fiancé is still angry about it or if he was angry in that moment and has now worked through it.It sounds like there was also a difference in expectations here. You were just  paying the bill with the money he was giving to you and he may have assumed you were reading it. You thought that you were following his directions. It could be that you could have a discussion about it, but that depends on how much of a hot button issue it still is for either of you.If you're going to talk about it, I might suggest asking whether this would be a good time to have a discussion about what happened with the automobile insurance so that you can both use the opportunity to learn more about yourselves and each other around this particular issue. </s>

<s>[INST] Is it normal for people to cry during therapy, or is it just me? [/INST] It is normal to feel an array of emotions in therapy. Most people use therapy as a way to process their life's struggles and often times this results in them crying during session. Crying is a way to release those negative emotions and to cope with what is happening in life. We have come to believe that crying is something bad at times and so have conditioned ourselves to avoid crying out in public places. In therapy though, where there are no such expectations and where you can be open and honest about how you are feeling it is normal to cry. </s>

<s>[INST] I am conflicted with this guy I work with. He is a coworker and close friend whom I've had a crush on since meeting him four years ago. We made out once after years of flirting. I was hoping for more, but nothing happened. I distanced myself a lot after. [/INST] Hello! Emotions run high in "crush" situations and when emotions run high it's not uncommon for us to have emotion-based instead of fact-based thoughts. After reading your question, I wondered how you went from "making out" to "nothing happened?" I wondered if this happened because of an emotion-based thought that sounded like "If he liked me, he would make something happen." A truer and more empowering thought might be "I want something different to happen with him and I want to take a different action to see if that can happen." This thought focuses more on the one thing you can control: YOU.  Hopefully, the thought also empowers you to think through what you can do to gauge interest/talk with him about his feelings on the matter. I hope this helps and good luck to you! </s>

<s>[INST] I am in high school and have been facing anxiety issues lately. Whenever I get close to being in a relationship, some kind of anxiety takes over and keeps me from the relationship. This anxiety causes me depression at times and even makes me want to vomit. While a semi-relationship should be joyous, for me, it’s an emotional nightmare I can’t get to the bottom of. I’ve had this before and had to leave the semi-relationship to avoid throwing up every time I made contact with my crush. What could be the reason behind this? Is it massive nerve problems? Is it a fear of a bad relationship? While I’m not quite ready to be in one anyway, I want to get to the bottom of this for a brighter future in which I can be in one. I don’t take medications and have no desire to, I have read forums, and I’ve talked about the issue with my sister who has faced similar problems. [/INST] Hi Helena,I felt a bit sad when I read this. This is a new term for me... "semi-relationship". What does it mean? I know that today's culture for young people is more of a "hook-up" culture than a dating one. Maybe that means that you develop connections to people but you keep yourself from hoping for a full relationship because no one is doing that anymore. That makes me feel sad. I hear a lot of young women (I'm not sure you're female, but that's my guess) say that they struggle with hook-ups because they can't let themselves hope for a phone call after a hook-up. Research tells us that, after a hook-up, college age women tend to feel used and unworthy, and men tend to feel guilty. I think this scenario works better for men than women, but many of both genders are left unsatisfied in the end.This is only one possible explanation for your anxiety...that your gut knows that it wants to feel fully coupled with someone but you struggle with whether it's okay to want or expect that.Maybe take a moment and listen to anxiety. Anxiety tends to try to convince us that something's wrong with us or something bad's going to happen. Anxiety sometimes prefers to stay vague (it's more difficult to refute it then), but you can try to clarify it's whisperings by asking yourself these questions: What am I afraid of? What is the worst thing that might happen here? Then what might happen, and what would be the worst part of that? Keep going until you find the very worst thing that might happen? Might someone not want you...might you feel rejected...or feel not good enough...you might get hurt?Then when you find that core fear, you can look at your life and I bet you'd find a place where that idea or fear originated. A big moment (or many smaller ones) when you actually DID feel or get rejected or abandoned or hurt. In the end, it's a feeling you're trying to avoid (not life or relationship), and anxiety is trying to help you avoid it by making you overcautious. But this doesn't work for you! Good! With the help of a qualified therapist, you can learn to talk back to anxiety and move forward in life and love with calm. confidence. </s>

<s>[INST] 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. [/INST] Your situation sounds a little painful.Have you brought up any of these topics for discussion with your fiancé?Now is a good time for finding out if and how your future husband is interested and addresses the way you are feeling.Until the two of you open up what bothers you, all you or anyone who talks to you about the situation, can do is take guesses as to what is driving your finance's behaviors.Also, in the moment of when your fiancé texts you words you find surprising or startling, you can tell him this.   Maybe by being clear and truthful about how what he writes affects you, then next time he will change what he tells you.And if he doesn't, then you know that you explained yourself, he had this information about you and that , he isn't that willing to consider what you told him. Really, the best first step is to open up all the topics you wrote about here, with him.  This way you'll give each of you to discuss how to care about one another in a meaningful way. </s>

<s>[INST] I think adult life is making him depressed and we often sleep in on weekends untill 1 or 2 pm. We just eat, smoke weed, watch movies, and he'll go on his phone all day. He doesn't seem motivated to do much and he's often angry. I have no clue how to help him take his mind off the negative, or to distract him into a different light. How do I help him? [/INST] How do you help yourself to believe you require more than what he offers to you?What do you get from this relationship which feels satisfying?To answer this question may in the longterm be the best way to help your bf. </s>

<s>[INST] I want to live with my mom. My dad gets angry and makes me feel like everything is my fault. I still talk to my mom although My dad tells me that I'm no allowed to. I'm scared I will make the wrong decision and that my dad will hate me. How do I tell him that I want to live with my mom? [/INST] Yes, from what you wrote, your dad doesn't accept responsibility for the way he feels and blames you for his feelings.I'm glad you recognize he's handling himself less as a grown person and more like a young child.I also understand your hurt and frustration that your father handles himself in a way which shows for now that he is unwilling to respect your wishes.Your decision is not surprising since most people wouldn't want to live with a parent who shows little interest to respect their kids' decisions.In terms of how to tell him your choice, do this in simple and most basic information terms.   "I've decided for now to live w mom".I suggest to not offer reasons to him bc he doesn't seem interested in hearing them.   Giving him reasons would likely trigger him to rebut them.If he asks questions, answer them as simply as possible.If and when you feel he is more willing to understand and know you, then you'd feel more free to have genuine dialogue with him.Right now he doesn't seem very ready to handle this. </s>

<s>[INST] 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? [/INST] It is absolutely a typical response.  Many of my clients are nervous the first couple of times we meet.  This is essentially a stranger with whom you are sharing your feelings.   </s>

<s>[INST] I have been noticing myself really enjoying watching/reading about gay or lesbian couples. I've also been imagining what it might be like to date a girl, and I like the idea. I also find guys cute too. Does this make me bisexual? [/INST] Hello!  Thank you for your question.  Exploring your sexual orientation and attraction is a wonderful opportunity to get to know yourself!  I would be curious to know what feelings you might have related to the possibility of being bi; What messages you may have received related to this orientation and any concerns you have about possible sexual orientations.   </s>

<s>[INST] I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident? [/INST] The answer would require a more in-depth knowledge of you and your situation. A lot of times, these feelings are the result of the people in your life treating you a certain way. You internalize it and accept it as your reality. The first step is to evaluate the people close to you, especially your parents. Even if you are an adult, think back to your childhood. Children who grow up in an unstable home often grow up to be adults with insecurities and emotional problems. The obvious, such as being abused, can certainly lead to a person having little to no confidence and self esteem, but there are other situations that might surprise you to hear they can be damaging to a person.You may have never been physically or sexually abused, but what about emotionally? Were you yelled at, berated, put down? Were you told you'd never amount to anything? Were you compared to siblings and felt like you always fell short, couldn't live up to expectations? When you hear something over and over again, you start to believe it.Maybe you weren't yelled at. Maybe it was the opposite. Studies show that children who grow up with a parent who is depressed show signs of emotional neglect. A chronically depressed mother, for example, may have seemed cold, detached, emotionless. She may have been less likely to show interest in a child's life, not give praise for accomplishments or show support by going to ballgames or performances. If one of your family members were chronically ill while you were growing up, chances are, a lot of the attention went to them, which could have led to your needs not being met.Any of these situations could cause a person to grow up feeling unimportant, unheard, unloved, or like they don't matter.Maybe nothing I've described here fits your situation. If you can't pinpoint what has caused you to feel this way on your own, a counselor can help.I am not saying "blame it on your parents" or telling you there's nothing you can do to change it! Quite the opposite! Understanding WHY you feel that way is a first step towards making the changes needed to feel better. Cognitive behavior therapy focuses on cognition - figure out the WHY. Then behavior - the HOW.  </s>

<s>[INST] 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? [/INST] Those words must have been extremely difficult to hear or read. It sounds like you are both having difficulty with the distance, and I can only imagine that you have both been coping with this distance as well as you can. There are a few scenarios that I think would have pretty radically different paths for your own mental health, and I would like to explore them separately. The first scenario is that she has this crush, but still chooses you and wishes to stay with you. Keeping the value of her choice in mind, and the bravery she has shown in admitting this crush, handling her gently in that vulnerable place will pay off. You may find it worthwhile to explain your feelings about it, to share how it is hurting you to know of this, and what she means to you. Explaining those feelings will help you to not act out in your with emotions to cover up by becoming angry or withdrawing. Acting in this way will help assure her of her choice in you, and sharing these emotions and feeling supported by her may help you cope with this.The other scenario is that she has a crush on this man and she is wanting to leave the relationship with you to have one with this other person. As before, it would be useful for you to share your feelings with someone. It can be difficult to process through these emotions, as they are intense and often overwhelming. In this scenario, it may be too difficult to share these feelings with your girlfriend, but it is still important that you acknowledge this loss and allow the associated emotions to have its place. Grieving the end of this relationship could be a great source of personal growth.I hope this has been of some help. </s>

<s>[INST] For the past year, I have been feeling pressured to do well in school, and it put a ton of stress on me. I have been bullied for five years, and for some reason, it is now sinking in, and I can't stop it. For some other reason, I can't find a hobby I can see myself doing without thinking bad about myself. [/INST] You may have reached the natural end point of working very hard in school and putting up with bullies or not knowing how to step to the side of people who bully you.Both conditions you have been living under, pressure to perform well in school, and the tension of someone bullying you, are quite draining.Now is probably time to recuperate from your emotional ordeal.Hobbies may be a little too lighthearted and distracting from the more major task of grounding yourself in feeling secure and settled, especially after such arduous effort academically and socially.Let your natural self guide you.If right now you need to simply grow strong again, then allow this process to slowly develop.Eventually all on its own when the time is right, you will find a hobby.Now is your time to trust yourself to live the rhythms of your life. </s>

<s>[INST] How do I decide if I should end my relationship with my boyfriend? [/INST] That's a loaded question.  Typically, if we are contemplating if we should or not, it is for a reason.  To really come to a place of decision, you need to know where you are right now, what is not working, what the potential resolution would be and if it is realistic.  If you can answer those questions, you may gain some insight.   If it is realistic and your boyfriend is on the same page, seek help putting a plan in motion for resolution.  And I mention him being on the same page because if he is not, then it will never come to fruiting.  Without much other information, this is this is a solid approach. </s>

<s>[INST] 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. [/INST] That's a good question. I would say learn to pick your battles. What types of behavior/situations can you let go of? If you allow yourself to worry about the various areas in life that you cannot control, you will find yourself stressed out and unable to manage everything. Know that toddlerhood comes with lots of "no's," tantrums, non-compliance, and a growing need for independence. When your toddler does something that you don't approve of, remain calm, explain to him/her the appropriate way to act, and model it for him/her. Remember to give your toddler praise when he/she does something good or acceptable. Be consistent and follow through with your instructions. Finally, know that you are not alone. Parenting comes with its set of challenges but all you can do is your very best. Good luck to you! </s>

<s>[INST] I’ve been with my boyfriend for a year and a half. He loves me a lot, and I love him. It hurts to be apart from him for so long. It hurts all over, and then I feel like it won't last. [/INST] I would suggest that you look up the word codependency and it's characteristics.  See if you relate to those characteristics.  I have a feeling  you have suffered some form of loss in your life that you have not dealt with properly.  For some reason you are depending on your boyfriend to fill that loss.  Considering working with a counseling to work through your emotions and resolve any lingering issues. </s>

<s>[INST] I keep getting into relationships with men that are in bad situations. I take them on and help them and do all I can and the relationship still fails. How do I learn to not get in relationships with men in bad situations? I see someone in need of help, I jump in. And it is getting me nowhere. I am alone sad and frustrated. [/INST] Sounds like you already see what's amiss. You're looking for fix-er-uppers! When you meet these men they need you. And you're filled by fixing them.  And when they are fixed, what do they have to give you? What's your need in relationship? What if you found someone who didn't need fixing?  </s>

<s>[INST] I am a teenager. I have been experiencing major episodes of depression (if that's even what it is) for several years. It’s always getting worse. I have been having panic attacks, feeling like I can't control my fears, and I can't even bring myself to care if I live or die anymore. The problem is that I don't know who to ask for help. When I try to talk to my parents, I freeze completely and can't do anything but make a joke because never once in my life have we talked about our feelings. [/INST] I understand that talking about our feelings can be awkward and using jokes is a way to relieve that awkwardness, but there is a right or wrong way to talk about your feelings. The important part is to recognize that you need help addressing those feelings and reaching out, which you are doing already.  Having small conversations with your family is helpful, you can explain to them that you have been experiencing emotional discomfort and would like to talk to them about it.   Since you been experiencing anxiety, panic attacks, and have thought about dying,  It is VERY important that you ask them to help you make an appointment with a mental health professional.  Those symptoms indicate that your body is having a hard time managing intense feelings and it will be helpful if you understand why they occur and how to cope with them. You may contact your school counselor or you may schedule an appointment with a local therapist.  You may contact the Texas Crisis Hotline 800-989-6884 where you can talk or chat with mental health professionals or schedule a teletherapy session.   The National Crisis Hotline is also available for calling and texting 1-800-273-8255.I am a Licensed Professional Counselor in Texas, currently providing services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.   ------------------------------------------------------------------------------------------------------------------------------------------¿Cómo hablo de mis sentimientos de depresión y con quién hablo?Soy un adolecente.  He estado experimentando episodios de depresión severa (si es lo que creo) por muchos años.  Siempre se pone peor.  He estado teniendo ataques de pánico, sintiendo que no puedo controlar mis miedos y sintiendo que ya no importa si quiero vivir o morir.  El problema es que ya no sé a quién pedirle ayuda.  Cuando intento hablar con mis padres, Me congelo y solo puedo hacer bromas porque nunca en mi vida hemos hablado de nuestros sentimientos. Entiendo que hablar de tus emociones puede hacernos sentir inadecuados, y bromear es una manera de manejar ese sentimiento incómodo, pero no hay forma correcta o incorrecta de hablar sobre tus sentimientos.  Lo importante es reconocer que necesitas ayuda para manejarlos, y ya tu estas en ese proceso.  Tener pequeñas conversaciones con tu familia te ayudara a explicarles los sentimientos que estas experimentando.  Es importante que les pidas hacer una cita con un profesional de la salud mental, ya que has estado experimentando síntomas que indican que tu cuerpo ya no puede manejar tus sentimientos y necesita nuevas herramientas.  Puedes contactar a tu consejero escolar, o a un proveedor de salud mental cerca de ti o por teléfono.  Mientras tanto, puedes llamar a la línea de crisis de Texas 800-989-6884 para hablar con un profesional de salud mental.  La línea nacional de crisis también esta disponible en todos los Estados Unidos y proveen servicios en español 1-800-273-8255 Yo soy una Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478. </s>

<s>[INST] I did some horrible sexual things as a kid and I regret everything. Can someone help me cope with myself? Can someone help me remember my past? [/INST] I'm very sorry to hear this. Hypnosis can be a valuable tool that a trained therapist can use to bring back suppressed memories. However, keep in mind that hypnosis doesn't work for everyone. I think regardless, speaking with a therapist about your sexual issues would be beneficial. It seems like you have experienced some painful experiences in the past and may need help dealing with them in order to move forward. In addition, if past memories do resurface a trained therapist will be able to help you cope with them as they arise. I wish you the best of luck and I hope you receive the treatment that you deserve. </s>

<s>[INST] I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. It’s mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole "If you love them, let them go," but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can’t break up with her. I’m literally trapped. [/INST] Hi Fort Worth,  I applaud your awareness and insight into the relationship.  Most of us come into relationships carrying old baggage and although you can't change her,  what you can do, is change yourself.  We can usually begin to understand ourselves better in the context of our own upbringings.  That is where we learn what a relationship looks like and it is often not the best teacher.  I wonder about your jealously, insecurity, feeling trapped and a lack of trust.  Has that ever showed up anywhere before?  It has more to do with you and less to do with her.   Your relationship with her is tapping into unresolved issues within yourself.  That is really where you want to focus. Once you understand it and resolve it, you will no longer need to ask anyone else what to do, because you will know.  You are young and just getting started in the relationship world and the healthier you are, the better you will know what healthy looks like.   Know yourself, understand yourself and love yourself.  The rest will take care of itself.  Finding a Therapist can be a big help in this process.  You are asking the question, so I suspect you are ready to look at the man in the mirror.  I believe in you and am wishing you all the best.Sandra Cooper, RN, LPCMH </s>

<s>[INST] I had to put a restraining order against my ex-fiancé. He was served last night. He was mentally and verbally abusive towards me. I thought it was my nerves, but every time I stand up, I get sick. If I sit and rock, I'm fine. [/INST] Hello, and thank you for your question. You may be right, your physical symptoms of getting sick to your stomach may very well be your nerves or anxiety. That is totally normal and understandable given your circumstances. Another thing that is not unusual is that you feel better when you sit and rock. That is actually a fairly common way that many people comfort themselves in times of high stress. If you are concerned that there is an actual physical illness causing these symptoms, you may want to visit your primary care provider. They may tell you that they don't see anything physically wrong with you, and at that point you may want to visit a counselor about the symptoms and your relationship experience. A visit with a counselor may be a good idea either way. I work as a counselor in primary care, and I promise you that many people have very real physical symptoms when they have gone through abuse. Unexplainable stomach and headaches are very common. Sometimes, with counseling, those physical symptoms actually stop. Be well, and I hope you feel better soon.Robin J. Landwehr, DBH, LPCC, NCC </s>

<s>[INST] I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking to get him something special with my country's name on it, and I remembered that he likes wine. My country is known for that. Is it appropriate to give him wine as a gift after Christmas? [/INST] I don't think it's appropriate to give your counselor a bottle of wine. Your counselor helped you and supported you, which is great, But a gift is inappropriate. I can understand that you want to show your gratitude. There are many other ways to do that. You could drop your counselor a note or card, thank him in person, or tell him how much he helped you. These small gestures can be very meaningful for both of you. </s>

<s>[INST] She's my stepmom. I'm pretty sure she's illegally buying the drugs and hiding them from my dad. [/INST] I would suggest having a conversation with your dad and then having a conversation as a family with your stepmom.  Usually there are other signs of use that can often be missed.  Be aware of behavior changes and mood swings.  Be supportive and ready to listen often times individuals suffering from addiction will deny use until they are ready for help. </s>

<s>[INST] I've been bulimic for about 6 years now. I'm in my early 20s. I am about to start back to school to become an RN, and I really need to get better once and for all. I lose control of myself and become angry and anxious and just eat and purge. Over and over. Can someone please point me in the right direction for help? [/INST] Eating disorders usually result from a sense of insecurity about who the person is, whether they are good enough compared with anyone else, and whether the way they person lives is effective.If you have a style you're already happy with to reflect on these sorts of topics, keep following your own logic with the aim to free yourself, which usually takes place gradually, from these sort of self-doubts.The other approach would be to find an unperson or an online discussion group where you'd be able to offer and receive the support from other people who live with a similar problem.Good luck in your studies! </s>

<s>[INST] I've been suppressing it for quite some time, but there are days when I can't make eye contact with her. I think she knows, and we both admitted there was some type of vibe, but the overall discussion was vague. I think she could possibly be dating someone that works with us. It's driving me crazy. As an act of expression, I have purchased a gift for her that's personalized. I haven't given it to her yet. [/INST] Human attractions can be tricky things, and in this case - a power dynamic. In the workplace, a boss usually has the power to hire, fire, set schedules, approve vacations, and evaluate performance. Because of this power dynamic, most employee handbooks expressly forbid supervisors and their direct employees being in a romantic relationship. Perhaps you should check your employee handbook.  It is possible that if you or your supervisor act on your feelings, one of you might have to be reassigned, or if no reassignment is available, asked to resign. While you may be attracted to your boss, and your feelings may be strong, it might be in your best interests to resist acting upon them. </s>

<s>[INST] 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? [/INST] I would ask you first what made you give him another chance after he repeatedly lied and broke every promise to you?  I would imagine if he repeatedly lied to you that it will damage your ability to trust him now.  Is he in therapy? Does he recognize that he has a problem and is he trying to repair it?  Even if he truly forgot to tell you about the woman at work I think the real issue here is TRUST.  I am not saying that he doesn't have a lying problem.  Instead of asking someone else if you should be upset, ask yourself how you truly feel about him and this situation. </s>

<s>[INST] I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together? [/INST] The best tool for becoming a better listener that I know of is called Imago Dialogue. It consists of 3 steps:1. Mirroring what she says (without judging, commenting, refuting, defending, arguing, or scoffing--just listening, no matter the content) and repeating it back, word-for-word. Continue to ask if she has more to add until she doesn't.2. Validating. You tell her you you understanding why she feels this way. (If you don't understand, then find a way.) You can also say, "That makes sense" or "I hear you" or "I get that."3. Empathizing. Tell her how you think she must feel about what she's telling you. Your job is to try and feel what it feels like to be her.This is a very different way of communicating than we're used to. My guess is that the arguments, discussions, and debates you've had with her have been counterproductive because you're both trying to win. With Imago Dialogue, you both win. She gets to be heard and you get to hear for a change.At the end of the exercise, switch roles. For more info: http://imagorelationships.org/pub/about-imago-therapy/imago-dialogue-101/ </s>

<s>[INST] What are the basic skills a good counselor needs to have? [/INST] Here is a list of skills I use every session, and a short explanation of what they are:Reflecting: Paraphrasing what clients have said so that they know you understand themValidating: Helping clients to know that their point of view is valuable and rationalClient-centered talk: Maintaining focus on the client in therapy sessions, rather than a therapist talking about themselvesAttending: Nonverbal or verbal cues that indicate I am listening to a client (i.e., nodding, leaning in, affirmations)Reframing: Helping a client to see a problematic behavior or situation in a different way (usually only works well after they feel heard and understood) </s>

<s>[INST] When my boyfriend gets in a snit, he gives me the silent treatment for days. When I ask what is wrong, I get nothing: no reply, no phone call. If he does reply, it is something very sarcastic and hurtful. He never admits he is wrong and never apologizes. [/INST] You are in an abusive relationship-not because of your boyfriend's silences but because he is comfortable being sarcastic and hurtful, never admits he is wrong and never apologizes. It is your choice to participate in an abusive relationship. You can not stop an abusive partner from being abusive no matter how wonderfully you treat your partner. You can either accept the terrible relationship as it is or reach out for the support that you need to leave the abusive relationship. I wish you well, always. </s>

<s>[INST] I'm not the same anymore, I don't know how to get back to who I am. I'm sad and confused and angry and tired. I don't sleep well. [/INST] Being tired can really affect almost everyone's ability to work through things that make them sad, confused, or angry, among other emotions. If you're having difficulty sleeping, try to get into a habit of going to bed and waking up close to the same time every day. Also consider only using the bed for sleeping so your brain knows that it's time to sleep when you are in bed. If you are not sleeping while you are in bed, consider getting up and reading a book or doing something to make you tired before going back to bed. Hopefully you'll be able to establish a pattern.Sometimes sadness and other emotions make sleeping very difficult as well. Try keeping track of your moods to see what is leading up to the changes.If you're still struggling, consider talking with a therapist about the specifics and/or maybe talking with your primary care physician. There are natural sleep remedies that he or she may recommend for you. </s>

<s>[INST] I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends. I spent the weekend with him and it upset my boyfriend. Was i wrong? [/INST] While you can't be responsible for your boyfriend's feelings, relationships do come with expectations.  Both people in a relationship bring their own expectations into it.  These expectations are usually unspoken, but result in conflict as you are experiencing here!  Your boyfriend expects you not to spend the weekend with this guy.  He may expect you not to spend the weekend with any guy at all.  He may expect you to spend every single weekend with him!  You'll have to decide if his expectations are ones you can live with.  Relationships do require some compromise out of concern for our partner, but you get to choose how much you compromise. We get upset about things that make us feel insecure.  You spending the weekend with an ex makes your boyfriend feel insecure.  That doesn't mean you did anything wrong.  It just means that you have to decide if it's more important for you to maintain your freedom to spend weekends with whomever you wish, or to help your boyfriend feel secure in your relationship. Good luck!  Hope that helps,Allison  </s>

<s>[INST] I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends. I spent the weekend with him and it upset my boyfriend. Was i wrong? [/INST] Hello. There are a number of factors playing into this situation. A former romantic partner coming back onto the scene during a current relationship; you spending alone time (and spending the night) with that former partner; and the uneasy feelings experienced by your current partner (boyfriend). Now those are the ones you have openly expressed. There are very likely other issues that prompted this behavior on your part. You ask if you were wrong. It is not a question I will be able to answer, because it is not one I am meant to answer. It is up to you to find that truth. Now, if you are feeling guilty, was it because of some sexual engagement occurred when you spent the night? If so, you might want to look at why that happened. Do you feel secure in your current relationship? Is this the relationship you want, or do you want to be with the former boyfriend?Important questions, but ones you need to ask and answer. Odds are, there is something that triggered this event to occur and it becomes a focal point in discovering any unexplored discomfort or other issues with your current boyfriend. Seeking relationship counseling can be effective in sorting this out, so be open to that possibility to help you clarify your thoughts and feelings.Best of luck to you. </s>

<s>[INST] I'm in my late 20s. I have two jobs right now, I'm in school, and I feel like I just have a lot under my belt right now. I get stressed out really easily. I tend to worry and over-think. I'm just worried about money and everything. [/INST] A good start is to pay attention to some basic issues: sleep, nutrition, exercise and socially supportive relationships. A great car on an empty tank will not get you very far. </s>

<s>[INST] I'm dealing with imposter syndrome in graduate school. I know that by all accounts I am a phenomenal graduate student, and that I am well-published. I am well liked by students and faculty alike. And yet I cannot shake the feeling that I'm going to be found out as a fraud. How can I get over this feeling? [/INST] It sounds like you are on the right track. Recognizing these nagging thoughts of self- doubt as "imposter syndrome" is a huge step in the right direction.  From what you have written here, it appears that you are able to challenge your own thoughts and provide yourself with evidence that counteracts the imposter syndrome.   Continuing to remind yourself of what you have accomplished and looking at the facts at hand can help diminish doubt.  Remember, many successful people battled imposter syndrome on the way to the top (and still manage it).  It might be helpful to read some of their stories so that you don't feel alone.  "The Cut" has a great article on "25 Famous Women on Imposter-Syndrome and Self-Doubt".   Business Insider has a great article about men and the imposter syndrome too.  Remember, if you jumped through all of the hoops to get into school and get published-- you belong.  </s>

<s>[INST] I don't feel like myself anymore. For example, I could walk up an entire flight of stairs before realizing that my legs are moving. I feel like I’m watching my life be lived by someone else. [/INST] You may be experiencing a form of dissociation called depersonalization.  People with this type of dissociation may feel disconnected from their bodies, feel that they are watching their bodies from a distance, or may not recognize their image in the mirror.  Dissociation sometimes occurs after someone experiences something traumatic.  I would suggest working with a therapist who specializes in dissociative disorders as dissociation does not typically resolve on its own.  On my website, I have some information specific to dissociation that you may find helpful.  Best of luck to you. </s>

<s>[INST] I've worked with this guy for about three years now, and I knew the first time I saw him that I was attracted. Over time, he became a very dear friend, and we talked about our relationship problems, family, dreams, and so on. There was always flirtation with us, and one day pretty recently, it progressed to making out. We agreed to keep it quiet, and we did, but in the back of my mind, I hoped it would become something more. It didn't, and three months later, I'm still not over it. I'm trying so hard to maintain the friendship because that's what he wants. We're no longer in the same office, which I thought would help me get over these feelings, but we still talk about work, and he's constantly touching me, so I'm still very drawn to him. He's a hugger and such a sweet guy, so I find myself fantasizing all the time about what could have been and what could still be, but he's clearly not interested. He's younger than me and prefers model types, but I see him checking me out a lot, which gives me hope. How do I get him out of my system and still maintain the friendship? [/INST] How frustrating to want a relationship with someone who does not feel similarly!The person who needs to be at the top of your list of those whose interest you consider, is yourself.Most often, staying engaged in dialogue, affection, sex, with someone who has different reasons than you have, for doing so, creates longing, frustration and sadness.Since the guy has told you he would like limiting his involvement with you, more than likely you will be protecting yourself from disappointed wishes, by taking his words seriously.Since you've made your interest in him clear, it sound like he's taking advantage of what you're willing to offer him.As long as he's not reciprocating with the involvement you'd like, why continue being available to him?The one area that is open to you in a positive way, is to understand which qualities of this guy you find attractive.By understanding more about your own interests about a potential partner, the stronger you will be able to step away from those who would like you for their reasons, which have nothing or very little in common  with yours.Good luck with defining the qualities of a partner with who you will feel fulfilled by sharing yourself. </s>

<s>[INST] My friend is abusing her prescription medicine. Even though she told me she didn't have any more pills, I found she has prescriptions for anxiety medications. [/INST] Your good intentions to help your friend stay clean, are very caring about her.Unless your friend feels like stopping pills,  taking them away will mean she finds them some place else.The problem that anyone who is addicted to pills has, is that the person is psychologically and at least with xanax, physically addicted.Taking pills has basically become a standard part of your friend's life.Her problem is bigger than your ability to care.If you haven't already done so, tell your friend directly about your opinion on the way she is using pills.This is not a guarantee that she'll stop.It isa way of you showing that you care about her.Offering love and advice are the only things you can do for her.Meanwhile, knowing she is hurting herself is probably hurting you.Be sure to keep a sense of balance within yourself.  Offer your concern and know she is the one who must decide to stop using. </s>

<s>[INST] I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship. [/INST] It sounds like you have not had the opportunity to process through the trauma you have endured. It would help if you have the opportunity to speak with someone on a regular basis until the symptoms of your trauma have subsided. </s>

<s>[INST] My husband and I have been together for seven years now. I will be honest: I have a problem lying to him about stupid stuff. I recently stupidly lied to my husband about an accident because I was afraid to tell him what happened. Ever since then, he gives me the cold shoulder. He gets so mad and ignores me for days. He's really verbally and emotionally abusive. He tells me all the bad things about me and calls me awful names. Should we call it quits? I'm tired of crying, but we have a toddler together. [/INST] Hi Texas, Thanks for your honesty; it helps me know where to go in answering you. What strikes me in your question is that you describe several ways in which your husband is hurtful/abusive/controlling with you, and then you ask "Should we call it quits?". We? I wonder if maybe the first step is for you to start seeing this decision as yours, rather than yours together. The way your husband treats you is not your fault, Texas. Your lies are a natural and normal way of you avoiding situations and encounters that feel unsafe for you. The problem is not your lying. The problem is that you don't feel safe enough to be honest with a person you're supposed to be able to trust.There's an analogy that I sometimes use; I don't know if this is scientifically true or simply a useful story, but it's powerful either way, so I will tell it to you.If you take a frog and drop it into a pot of boiling water, the frog will jump out immediately, knowing instinctively that if it stays in the pot, it will die. If you take a frog, however, and put it in a pot of cold water, and slowly, slowly, heat it to boiling, the frog will boil to death because it will fail to recognise the moment when it no longer has the energy to jump out of the pot; by the time it realises it's dying, it has lost its strength. It's called "learned helplessness". When your power or your voice has been taken away for a long time, you get used to that, and you fail to see the options that are available to you. You have a toddler, and you may be under the impression that staying in the marriage is best for the child. In my experience, and what research backs up, is that children first and foremost need a safe environment and parents who are happy. You are likely underestimating the effects on your child of living in a home with woman abuse. This is a complex picture, and if you were my client, I would want to get you to a stronger place emotionally where you're seeing the situation clearly and gathering resources and supports before you make any big decisions, but I do see that there are decisions that are there for you to make that can lead to a happy life for you and your child. I sincerely hope you seek professional help, with either a shelter for abused women or a therapist. I wish you the best. </s>

<s>[INST] My husband always works. He does work from home, but his hours are from morning until night, and he neglects his family. If I have anything I want to do, I have to find a babysitter, but he does what he wants. He rarely comes to bed when I do, and we never have date nights. [/INST] Hi Ohio, The crazy things about situations like this is that, almost guaranteed, while your husband is out working and away from home, he feels he's doing it all for you and the kids; he believes he's loving you. He might feel like he's carrying his family on his shoulders. Your 'love language' is different...you'd rather spend time with him or talk to him...you want to feel like he's a bigger part of the family and feel connected to him. I absolutely understand that, and I support you asking for that.He might very well miss that feeling of connectedness too, but he's likely also feeling the weight of financial responsibility. A lot of men (and women) don't talk about this but they feel it. Sometimes they feel like they can't win either way; there's pressure to earn and pressure to be home. He has needs too; he probably wants more appreciation and less blame. I urge you to talk to him about how you feel, find out how he's feeling, and use a professional to assist you if your communication styles aren't great. Right now you WANT to spend time with him and that tells me that you have a good chance of addressing this problem successfully. </s>

<s>[INST] I am broke, but I am sure I have been depressed for the past couple of years. I have always had anxiety. I just need someone to talk to right now. I don't have any friends or family I can talk to. I'm on the verge of just giving up. [/INST] Good question. There are resources out there - people to talk to. I'd try going to this link and calling the free 24/7 hotline: http://www.suicidepreventionlifeline.org/ </s>

<s>[INST] He's been losing feelings and he doesn't know why. I love him very very much. He sometimes thinks I'm obsessed when I'm not at all. I give him his space and I make sure he's okay but sometimes I think if me and him saw each other more it would be better? I truly want me and him to get better, it's kind of hard not to stress about it, because the love of my life is losing feelings which is a sad feeling. He's a great guy! I just don't know why he's been losing feelings towards me. He's starting to put less effort in talking to me. At this point I'll do anything to just make us better as a couple. I tried talking to him but he doesn't like talking about it much. Advice on what to do? [/INST] I'm willing to bet that this isn't what you are hoping to hear, but I'd suggest giving him space. Ooph, that's a tough one, right?! I know. But here's the thing, when you keep trying to process and talk it out with him you keep pushing him away. He needs to feel like a solid and whole person (as you do too) to be able to be fully in your relationship. It's the work of being in relationship to learn this. I get that this is tough stuff. I wonder, outside of being with him, how do you soothe and calm yourself? That's the stuff for you to tune into and focus on right now. </s>

<s>[INST] I keep having these random thoughts that I don't want. Things like "you aren't worth anything." I know they're my own thoughts but it feels like someone else is saying it. What is wrong with me, and how can I stop having these thoughts? [/INST] Many people have thoughts like those you describe, and often it feels like someone else is saying it because they are things that may have been said to you when you were very young.  When young children hear negative things about themselves they tend to internalize these negative ideas and to form negative core beliefs.  The good news is we can learn to stop these thoughts and to replace them with healthier thoughts.  The first step is to catch yourself when you are thinking these thoughts, and to stay "stop!"; then replace it with another thought.  So for instance, maybe you fail a test or get rejected by a romantic interest.  You catch yourself saying "you aren't worth anything". Stop this thought, and replace it with "You didn't do as well on that test as you would have liked.  Let's figure out how you can do better next time."  Or "she may not want to go out with you, but someone else will". So the idea is to develop a voice of a "friend", who can tell you the kind of things you would say to your own best friend.  You might also pick up the book, Feeling Good, by David Burns. He gives many tips for how to change Negative Self Talk. </s>

<s>[INST] I was born a girl, but I want to be a boy. Because of my religion I can't tell my family. I know they won't accept me. What do I do? [/INST] Desire to inhabit the opposite sex's body derives from too fast of a re-entry into a new (feminine) body, after being released in a previous life, from an old (masculine) body.You remember the previous life's connection with the masculine experience and body, and wish to find a way to be more comfortable.We will approach this matter, spiritually, and I reckon you'll feel a great deal better :) </s>

<s>[INST] 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? [/INST] Feeling alone in your marriage is one of the most painful feelings. Wanting connection with your spouse yet feeling the all too familiar distance that's keeping you apart can be so hurtful. But, change is possible. You might be able to move closer toward each other on your own but since there has been two years of distance, I would suggest looking into couples therapy with a trained couples therapist. They are trained in helping couples begin to examine what's been happening that has caused a drift in your marriage. I'm also curious if there was a significant event that occurred around the time you started feeling distant. If there was something that occurred during this time that is hard for you both to talk about, couples therapy can help with this also. It can provide a safe and supportive space for you both. </s>

<s>[INST] I told her that if daddy dies, we will never see him again. She started crying because I wouldn't make her daddy die. [/INST] Toddlers don't have the intellectual capacity to conceptualize.Better to find out why she wants daddy to die than explain the future consequences of death to your toddler.A person must be around 9, possibly 8 years old before absorbing the potential effects of an action taken in present time.Pretty much your toddler demonstrated to you here age appropriate and limited understanding of the loss of a parent, by crying that you weren't able to magically make her father disappear.Also, please pay attention and form your own opinions as to the reasons why your toddler would wish her father's death.She may be pointing out that the father behaves in frightening or harmful ways towards her. </s>

<s>[INST] Is this something I should be worried about? Should I do something about it? [/INST] The answer depends on how the other areas of your son's life are doing.Is he happy or does he seem happy, playing alone during recess?Does he have friends in other social circles besides the students whom he's with at recess?How is his academic progress?How is his social integration among his classmates?Are there any special or unusual circumstances in the home and family environment?Go through this list to form a fuller idea of whether your son simply likes alone time and takes this option during recess, or if any if the above areas show stress or difficulty for him and which need to be further understood and handled. </s>

<s>[INST] 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? [/INST] First decide what you truly would like in the current relationship. Understand your reasons for staying in the relationship.Three years is a substantial amount of time to be involved with someone.   Whatever attachment you feel toward this man is deep and complex.Instead of deciding to leave or not leave, change your question to figuring out your satisfactions and dissatisfaction with the man. Also important is to tell the man your feelings.Whatever problem you are feeling may become clarified by discussing what bothers you.At the very least, you will give the guy a chance to show how interested he actually is in the tension you currently feel and have felt for a while. </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] There are never too many issues in living. In a way we take on too many issues at one time. Then we become over whelmed with "anxiety and depression."  A skillful, caring therapist will help you find a place to start and deal with one issue at a time. when this helps the other issues. Then the other issues become more manageable. I gain. confidence I can take on life better and, importantly , enjoy living life more. My best to you. Dr. Spencer </s>

<s>[INST] My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband. [/INST] In order to develop a better intimate connection with your husband, it's important to first cultivate a strong connection with yourself.  I would take some time to explore your own body, notice what feels pleasurable, and play with different ways to achieve orgasm on your own.  Explore your own willingness to be open emotionally, sexually, and to play and have fun.Once you've engaged in a process of self exploration, I would check in with yourself and be honest about why you're not enjoying sex.  Are there specific reasons you're not enjoying sex with your husband?  Sometimes the reasons might be of a sexual nature and other times there could be emotional blocks (or anxiety) or other reasons that prevent you from wanting to be fully open and let go with your partner.  From a sexual perspective, I would explore what you can do to increase your own pleasure, learn ways to communicate your needs in a loving way, and focus on pleasure and play (rather than outcome and orgasm).   Begin by taking the pressure off orgasm and enjoy a naked massage together-- focusing on exploring what feels pleasurable.  Lastly, if you're wanting to learn new skills, check out a local sex workshop. </s>

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

<s>[INST] My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines. [/INST] Contact your daughter’s school and ask for an occupational therapy evaluation. An occupational therapist can determine if your daughter struggles with eye-hand coordination, visual processing or sensory motor difficulties. The therapist will develop a plan of care if your daughter demonstrates delays or difficulties in learning. OTontheGo.org mobile therapy that comes to you! Accepting most insurance. </s>

<s>[INST] 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? [/INST] First of all, my heart goes out to you. Infidelity is an extremely challenging obstacle to overcome. There are some things that you should consider. First of all, did he seem truly remorseful? If you felt in his heart that he was truly sorry for what he had done, it will give you a piece of mind that it was a  mistake. Secondly, was he forthcoming with this information? How about with answering your questions after the truth was uncovered? If you found that he was still lying or not forthcoming, the sting is even more painful. He should be able to answer any question you have honestly and without hesitation.Thirdly, has he shown a positive difference after this experience? At this time, he should still be proving his faithfulness to the marriage, you and the children.Keep in mind that experiencing infidelity is a form of grief. It is not a quick process that can easily be overcome. What you are experiencing is 100% normal. My best suggestion would be to see a marriage therapist. Find out what drove your husband to cheat in the first place and decide if this aspect in his life has been resolved. I know its important for you to keep your family together but children can sense anger and frustration, this is not a healthy environment either. If you decide that you can no longer remain in the relationship, a therapist will also be able to help you cope with the separation along with addressing your children's needs.Please know that you are not alone and that unfortunately, many relationships have endured this very thing. It may also be helpful to reach out to people who have experienced similar obstacles. The web is a great resource to find groups whether online or in person to use as a support or sounding board.Best of luck to you and your family! </s>

<s>[INST] I constantly have this urge to throw away all my stuff. It’s constantly on my mind and makes me feel anxious. I don’t sleep because I’m thinking about something I can get rid of. I don’t know why I do it. I started years ago when I lived with my dad then I stopped when I moved in with my mom. Years later, it has started again. [/INST] Since you wrote that you noticed a change in your throwing away urge when you changed with which parent you lived, would you feel that throwing away things is connected to wanting to be done with certain areas of influence with either parent?Play in your mind with the metaphor of "throwing away" and whatever associations you feel toward this.  Are you feeling alarmed or freed, by throwing away things?  I'm only suggesting these, not telling you that they apply necessarily.Anxiety comes up when people feel helpless to manage a meaningful part of their lives.  So pay attention whether your stuff represents difficult scenarios or phases of your growing up years.   Possibly you are trying to rid yourself of painful feelings which were part of your early years' relationship with either parent.Basically, sounds as though you are trying to establish a clearer sense of who you are and the throwing away part is a means of discovering who you are, once all the clutter is released. </s>

<s>[INST] I want a secure relationship with someone that wants to be with me and who will actually put effort into it. I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call. I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process? [/INST] You may be interested in reading my most recent post, Intimacy Begins With You. In it I offer 7 expert tips to help you get started on a path of self connection and discovery. This is important stuff to do in order to work through that stuff that's holding you back from the relationships you desire. You may find that it's especially helpful to do this work with the alliance of a skilled individual therapist. </s>

<s>[INST] I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on? [/INST] Initially, everything is a reminder because there is a trace of that other person present in everything in your life. When we lose someone, we're saying goodbye to what we thought our future was going to be.  Accepting that's changed and allowing ourselves to envision a new future is necessary to "move on". Start learning something new or try a new activity that you've always wanted to do.  Find whatever is "good" about being out of the relationship and focus on those things.  This can be an exciting time of transformation for you.   As time goes by, you'll add new things in your life that aren't entwined with this relationship and those things will begin to crowd out those things associated with the relationship.  Give yourself a little empathy, no one goes through a breakup without being sad.  It's ok to be sad.  It's even ok to feel devastated.  Loss of a relationship touches a primal need we have to belong.  It makes us feel insecure, unanchored.  In truth, we are ok, safe even.  This experience will open different perspectives for you.  There are lessons you'll take from it that will add another facet to you as a person.  Maybe in time, you'll even appreciate this experience.  I'm sorry you're hurting right now.  Best wishes to you, Allison  </s>

<s>[INST] My roommate has had a drinking problem for a while. She goes out, gets trashed, and then expects everyone to take care of her. The next morning, she apologizes constantly until she feels validated. She also thinks everyone hates her all the time. If I don't seem anything other than happy, she asks me "Do you hate me? You hate me. Tell me you love me," and I feel like I have to pity her because she has also been suicidal before. [/INST] It does sound like your roommate may have a drinking problem, and the short answer is that you can't do anything about it, only she can. We can't change what other people say, think, or do. We can only change our reactions. It does sound like your roommate may be having a hard time. You can suggest that she enter counseling or therapy. You can reassure her that you like her (if that's true), but you don't have to pity her. </s>

<s>[INST] 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? [/INST] Feeling alone in your marriage is one of the most painful feelings. Wanting connection with your spouse yet feeling the all too familiar distance that's keeping you apart can be so hurtful. But, change is possible. You might be able to move closer toward each other on your own but since there has been two years of distance, I would suggest looking into couples therapy with a trained couples therapist. They are trained in helping couples begin to examine what's been happening that has caused a drift in your marriage. I'm also curious if there was a significant event that occurred around the time you started feeling distant. If there was something that occurred during this time that is hard for you both to talk about, couples therapy can help with this also. It can provide a safe and supportive space for you both.  </s>

<s>[INST] I'm a teenager, and I just got my first job. I am a month and a half in. Yesterday, my boss pushed me to the point where I had to go to the restroom and cry. She didn't see me, and I'm glad, but when I went to talk to her about it today, I let a tear or two come out. I hate it. I feel like they're not going to keep me anymore. [/INST] Getting your first job is an exciting, terrifying, and challenging experience. It is something you will remember for a long time and it shapes how you begin to think about yourself as a worker. You are literally "learning as you go" in this completely new environment. You are going to make mistakes. You are not going to get it right the first time. It can be even more challenging if you are having a difficult time building relationships that are supportive at work. A couple of things to remember here: 1) You are there to do a job and you are getting paid to do it, 2) There is a reason or reasons for you wanting to be there and do that work, 3) you know best what you need in order to be successful. These three items can be helpful to remember, especially when we feel our emotions are taking over in a place where we do not feel safe to express them fully. If you feel like your supervisor is approachable, meaning someone you could talk to because they express confidence in you, let them know you are nervous about doing a good job. Also let them know how you learn new tasks, information, or expectations so they can deliver the message in a way that you understand. Becoming a successful worker doesn't happen overnight, but each day you can identify what works for you and what doesn't by communicating with your work team, the easier it will be for you. We all had a first job once, and were all worried about doing well. Hang in there, and call a counselor if you need more help. </s>

<s>[INST] We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going? [/INST] Hello. You are asking a very good question about how to sustain a long-distance relationship. Although maintaining a long-distance relationship has its challenges, with the proper communication, commitment, and understanding, many long-distance couples are able to thrive and maintain a close connection. Without knowing more about the "complicated" nature of your relationship, I wonder whether your boyfriend has given you reason not to trust him that makes afraid that he will find someone else. Has he cheated on you in the past and has shown romantic interest to another person that made you fear losing him?  Or, is your thought just a fear but not based on evidence? Knowing that distinction is important because if it is the latter, you may benefit from refocusing on the wonderful qualities about your partner that makes you feel good about him and the relationship rather than focusing on the unknown or uncertainty of the future. The more you focus on "what if" situations, the more you may feel anxious about a reality that is not accurate and make you act in ways that are insecure. However, if there is reason for you to question his fidelity, you may have to speak to your boyfriend about how to build trust in the context of a long-distance relationship. To help the conversation, you may need to consider what you may need to experience or receive as support to feel safe in the relationship to build trust. Is that you wish him to contact you regularly, or to include you more in his life, or to make a clear commitment? For many of my clients in my private practice, that may include talking to their partner often and using a variety of modalities including text, phone, and Skype. It's hard to believe in a relationship when you never talk to your partner, and it's hard to build a relationship when you don't know what's going on in your partner's life. Other times, it is Making sure they talk often to their long-distance partner so that they can participate in each others lives and to feel their presence.. Regular communication, understanding and caring is the key to sustaining any relationship, but this is especially true for long-distance ones. Dr. Virginia Chowwww.PsychologyResource.ca </s>

<s>[INST] I feel angry, anxious, and depressed. The PTSD I suffer is from a past relationship. [/INST] If the symptoms are to the extent that they are affecting your ability to function, you may want to consider seeking treatment. PTSD, anxiety, and depression all typically respond well to treatment if provided by a trained clinician. Common types of treatment for PTSD that you may want to look into include Cognitive Processing Therapy or EMDR. The nice things about Cognitive Processing Therapy is that it is time limited and only lasts 17 sessions typically.  </s>

<s>[INST] I recently went through a divorce. My ex-husband called my sister saying bad things about me. My sister never defended me. Now that I showed the truth, she's shutting me up and saying she doesn't care about the fight. Why didn't she convey that to him from the beginning? [/INST] Unfortunately, I can't tell you what your sister was feeling or why she reacted that way.I can say that divorces can be difficult or confusing for everyone involved. While the divorce is most impactful for the couple going through it, the divorce itself also changes extended family dynamics. Also, a lot of people don't act the same way around extended family (or other people) as they do at home behind closed doors, so there are times when divorce is a real shock to everyone who was not directly involved in it.I wonder if you are at a place where you can shift your focus into looking at your relationship with your sister, how she is treating you, how you feel around her now, etc. I do not know how close you were before all of this and how close you feel now, but perhaps if you can assess your overall relationship, you could find a time when you could ask about this (why she didn't convey that to him from the beginning) in a way that is calm, not defensive, and is honestly looking for an answer from your sister, not looking to defend yourself at that moment. If that conversation can happen, it may be quite a difficult one, so it may be good to have something to think of to remind yourself that you are trying to gather information from her and him that conversation, it's not about you, but is about where she was coming from. After you think you understand that (I'm saying that you understand where she's coming from, not that you agree with what she's saying), you could see if she's willing to listen to how you feel about it. </s>

<s>[INST] 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? [/INST] It can be uncomfortable talking to someone about your life in the great detail that is normally necessary for counseling to be beneficial. Since you're already going to counseling, congratulations on taking that big, first, stress-inducing step. Hopefully by now you are starting to feel a little more comfortable with your therapist. It can be helpful to address this big "elephant in the room" and talk to your therapist about this. I do my best to help people feel comfortable when they come to counseling, but regardless of how hard we try, sometimes it is just a little hard to get accustomed to. The good news is, the more you keep at it, the more "normal" it will become. </s>

<s>[INST] Does counseling really do anything that can help people? [/INST] Yes, counseling helps a lot of people, especially when there is a good rapport between the counselor and their client. Knowing your counselor is someone who is really on your side and wants to see you grow past your difficulties into a healthy, happy, successful life is more important than what kind of counseling method they use. If you are looking for a counselor, take your time and be sure you feel heard and respected as well as challenged to grow. </s>

<s>[INST] I feel that I am struggling with undiagnosed bipolar disorder, and it is making my day-to-day life extremely difficult. [/INST] It sounds like you are experiencing a great deal of distress and you're wondering if it may meet a diagnosis of Bipolar disorder. There are a few different types of Bipolar diagnoses in the DSM (diagnositc and statistical manual) and the best way to find out if your experiences would meet that diagnosis would be to meet with a mental health professional. You can also look up the diagnosis online and see if what you are going through meets the criteria.One question that I would have for you is, what would it mean for you to find out that you meet the criteria for such a diagnosis? It sounds like whether or not you do, you are suffering and working with a therapist may help you get into a better place. </s>

<s>[INST] I never feel like myself. I can’t even think straight anymore. I start stuttering and I can’t remember anything. I always get nervous and usually talk myself down but recently end up fighting with, what feels like, someone else. I don’t know why I feel this way, but I hate it. [/INST] Hello,I am wondering if you might be experiencing some form of dissociation.  People who dissociate might feel like the world around them is unreal and unfamiliar, or that they are not really in their bodies and that they are observing themselves from outside of their bodies.  Dissociation can also mean that there are parts of you that have "split off" and sometimes parts are can feel like they are at odds with each other or are locked in conflict.  Sometimes dissociation happens after someone experiences a trauma.  Therapy can help you to understand what is going on and help you to integrate your experiences and ultimately heal.I am a therapist in Houston who specializes in dissociation.  On my website I have information specific to dissociation that might be helpful to you. Sarah </s>

<s>[INST] I want to live with my mom. My dad gets angry and makes me feel like everything is my fault. I still talk to my mom although My dad tells me that I'm no allowed to. I'm scared I will make the wrong decision and that my dad will hate me. How do I tell him that I want to live with my mom? [/INST] Yes, from what you wrote, your dad doesn't accept responsibility for the way he feels and blames you for his feelings.I'm glad you recognize he's handling himself less as a grown person and more like a young child.I also understand your hurt and frustration that your father handles himself in a way which shows for now that he is unwilling to respect your wishes.Your decision is not surprising since most people wouldn't want to live with a parent who shows little interest to respect their kids' decisions.In terms of how to tell him your choice, do this in simple and most basic information terms.   "I've decided for now to live w mom".I suggest to not offer reasons to him bc he doesn't seem interested in hearing them.   Giving him reasons would likely trigger him to rebut them.If he asks questions, answer them as simply as possible.If and when you feel he is more willing to understand and know you, then you'd feel more free to have genuine dialogue with him.Right now he doesn't seem very ready to handle this. </s>

<s>[INST] My husband and I are separated and he doesn't even want to talk to me. He says he doesn't love me anymore, but I would do anything to get him back. Is there any hope? [/INST] I would focus on YOU right now. We cannot control him, his actions, his love, or his decisions. But we can work on you. Think about a few things: What do you want? What do you love about him? What made you two separate? What do you think about being in a relationship where your partner does not love you? Does that seem fair? He may want to work things out or he may be done. He may be done for a short period of time or be done forever. No one can answer that which is why I think you should change the focus. If you do get back together, will you still trust him to not leave you? What if he does not love you? If you never get back together, can you still have a healthy, happy life? Can you mourn that relationship but also learn from it?I want you to be strong, happy, and healthy with or without him. So yes, there is hope for you - with or without him. </s>