Datasets:

vivekdugale

/

llama2_filtered_dataset_458_amod_helios_mental_health_convos

like 0

<s>[INST] I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop? [/INST] Where do you go and what is your reason to go wherever this is Try to understand these reasons because the answers may give you good guidance as to other ways to get what it is your trying to reach by sneaking from your home at night.If for example you're sneaking out because your parents are arguing and you feel hurt by this and want to escape hearing their arguments then you can come up with other ways to hear less of their arguments.If you sneak out bc your parents restrict your friends or time to socialize with your friends and your friends are doing legal and safe behaviors then maybe you could do some socializing online w them.Also I wonder the reason why either of your parents isn't aware that you leave the house. Do you feel your parent would offer and would you ask your parent to give their suggestions so you feel more motivated to stay home </s>

<s>[INST] I suffer from checking and cleaning OCD. Can counseling help me to get over it? [/INST] Counseling can be very effective for OCD. In particularly a kind of therapy called Exposure Response Ritual Prevention Therapy is considered the 'gold standard' for the treatment of OCD. What this is is a specific protocol that helps you build relaxation strategies and to increase the amount of time between your checking cleaning rituals while also helping you to face any of the fears that OCD given you until those rituals and fears are no longer interfering with your life. Research has shown that this kind of therapy may even be more effective for OCD than medication </s>

<s>[INST] I suffer from checking and cleaning OCD. Can counseling help me to get over it? [/INST] Possibly yes and definitely worth a try.First read about different types of therapy for OCD so that you find a therapist who does the type of therapy which feels best when you read about it. </s>

<s>[INST] I'm a teenager and I get these really intense mood swings. My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out. Can you explain what's going on? [/INST] Mood swings and getting frustrated when things don't work out is totally normal. Sometimes we get tied to one thing we really want to do and it can feel pretty intense when that gets interrupted or doesn't work out. This said you're coming to CounselChat and so I'm guessing this is something that is pretty intense for you and something that you are concerned about. If this is getting in the way of your life it may be worthwhile to reach out to a therapist or doctor to get some help with this and see if there might be something more going on. While for most people frustration mood swings is related to typical life and stress if very intense it can be a sign of a number of challenges ranging from anxiety to a traumatic experience to something like Bipolar Disorder where a person's mood and energy might fly so high mania that one feels like they can do anything but often become frustrated when interrupted note there is a lot more to Bipolar Disorder than this and this is certainly not a diagnosis . Wish you well </s>

<s>[INST] I'm a teenager and I get these really intense mood swings. My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out. Can you explain what's going on? [/INST] Why do you blame other people who had nothing to do with your actions If it is because after the fact you wish you had accepted their help then the person who is responsible for this is you Since you are aware of your tendencies and how the interfere with your life try to become aware of when you do these habits.This way you can interrupt your own patterns a little bit at a time. </s>

<s>[INST] I'm a teenager and I get these really intense mood swings. My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out. Can you explain what's going on? [/INST] Teenagers are prone to mood swings due to developmental and hormonal changes that are rapidly and intensely occurring in your body and mind - so some of this happens to many people in your stage of development. You are not at all alone.You've taken the first and very important step in regulating your moods by just identifying that you are having these intense changes instead of being completely submerged in them and unaware The more you are able to be a witness to your emotions and thoughts the more you can learn to manage them. Your question offers several clues for strategies that you can try - for example identify the warning signs for becoming irritated and plan a response such as taking a deep breath informing the person you are becoming irritated and need some space or find a distraction temporarily like listening to music or going for a walk. Since you are aware of blaming others for things not working out you can proactively make a personal commitment to taking ownership or personal responsibility by just thinking about it and practicing thoughts such as I am responsible for my efforts and Blame is not helpful for anyone and other thoughts that you believe and can repeat related to this insight. When you practice thinking more rational healthy thoughts you are actually rewiring your brain so practice is key </s>

<s>[INST] For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about. [/INST] It's important to take a look inside and find out why you are experiencing these feelings. It could anything and it will change your life to know what your particular issue or trigger is. Please contact us a call with the method that is most comfortable for you. </s>

<s>[INST] For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about. [/INST] Write down your nightmares and discuss them with an analyst or psychotherapist who specializes in dreams as I do. If you are hearing voices while awake see a doctor right away. If the voices are strictly in your dreams do call for therapy and talk to your caring others about what's happening. </s>

<s>[INST] My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1. [/INST] I do not think there is such a thing as a psychotic seizure however there is something called a pseduoseizure or psychogenic non-epileptic seizure. Basically this is when a person shows signs of a full-on seizure such as falling and convulsing but they are not producing brain waves consistent with a seizure. Psedoseizures tend to be brought on by high stress emotional challenges and trauma history. </s>

<s>[INST] My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1. [/INST] The best path is to ask your doctor what s he meant when telling you about your high risk for psychotic seizure.Your doctor knows you better than any of the therapists who write on this blog. And because your doctor knows your health will likely have suggestions and advice for you regarding the seizures s he thinks you may develop. </s>

<s>[INST] Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts? [/INST] There are some great thoughts offered by others here. I would just add that typically the most natural response to fearful thoughts is to want to stop avoid or get rid of them - which doesn't work if you're really caught up in a cycle of OCD or other form of anxiety. In the long run the more effective thing to do is the harder and less intuitive option to have those uncomfortable thoughts on purpose. This may mean writing out in detail what the worst case fear you are thinking of is and then reading it over and over again until it becomes boring. It may also mean pausing through the course of the day to merely observe all the thoughts going on and realizing that thoughts are merely thoughts. They are not the same as reality and the unpleasant ones can become a lot less scary when we realize we can coexist with them without them coming true. </s>

<s>[INST] Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts? [/INST] Such a great question I'm so sorry you are struggling You may be experiencing Intrusive thoughts. These are thoughts that seem to come from no where and victimize us. I can strongly recommend a book called When Panic Attacks by Dr. David Burns. It helps you to identify the thoughts and the help you create ways to counteract them There is another technique called Thought Stopping. Thought Stopping can be as simple as saying Stop loudly if you are alone or in your head if you are in public. It's a quick way to distract you from the distressing thought and allow you to refocus. I recommend using this technique followed by some deep breathing while visualizing something that helps you feel relaxed a favorite place a pet etc. . These three things in conjunction can be of great assistance. One key component in addressing anxious thinking is building the skill of relaxation. I recommend an App called Headspace which teaches relaxation through some simple guided mediation. Super easy to do and a great way to begin to build relaxation skills. Plenty of sleep and reducing caffeine intake can also be things to explore. Hope this helps </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 was with my friends fishing by a pond. I found a frog and stabbed it with my friend's knife. I'm not sure why I did it. My friends saw me do it it and were shocked and got really mad at me. Now if someone brings it up I get really upset and panicked. I don't know why I feel like this. Does this mean there is something wrong with me? [/INST] The good news is your awareness that being violent to animals feels out of character for you. I'm glad you have awareness and I'm glad you are not at ease with killing frogs.Fairly likely that you were acting out aggressively toward the frog feelings of being on the receiving side of similar type of violence.Basically you did unto the frog what someone has or to you feels like has been done to you.Use your surprising finding of how strong your anger and most likely inward pain. Reflect on your closest relationships and how these people treat you. It is possible you feel more hurt by someone who is close to you than you ever realized.Stabbing innocent frogs is wrong. It is understandable as a way to show you how much inner pain you probably have.It is also wrong that someone close to you hurt you.The direction to go is to recognize your pain and then decide how to go about changing what is possible on your side of that or those relationship s . </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] She was diagnosed a type one diabetic two years ago and had a very tough time dealing with it. She has an attachment issue also; her mother just moved to a much nicer home, and she gets angry and demands to go back to her prior home. We do not understand what is going on, and it is driving us crazy. [/INST] There are many possible answers here. It could be that she misses friends that she felt safe in the other house emotionally safe and comfortable or dozens of other things. Will she talk about it when she's not mad You mentioned that she has an attachment issue. It could also be that she was attached to the house. It's not the same as being attached to a person but possessions and safe places certainly mean a lot. </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] For some reason, I look at my phone, and in no time, five hours has passed. During those five hours, I'm playing games and trying to find out how to make my phone fun to use so I don't feel like I wasted my time trying to improve my phone's performance in my life. [/INST] Start by spending small amounts of time with your own thoughts and feelings.Always being focused on what a phone offers keeps people at a distance from knowing themselves.As long as you make time to spend in an activity which is not interactive the way a phone is and instead depends only upon your actions you will be investing time and energy into your own life.Whether by consciously considering your own interests or doing housecleaning or chores by devoting yourself to areas which you decide to be involved in you will increase your knowledge of your own interests.Then to not be so involved with your phone will be natural and easy. </s>

<s>[INST] This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers. [/INST] You definitely want to make sure not to inadvertently create an inappropriate dual relationship with a client. In fact it is not uncommon for state regulatory boards to determine that a clinician and client being in the same 12 step group is professional misconduct. You might want to consider attending a 12 step meeting that is located in a different community than the one you work in. Another option would be to look for one-on-one or small group recovery support. </s>

<s>[INST] This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers. [/INST] Hello and thank you for your question. I know that workplaces have some latitude when it comes to requiring certain behaviors from their employees. For example they may require you to tell them if you get into some kind of legal trouble. But this situation seems completely different. For one thing 12 step meetings are supposed to be anonymous. I am not sure how they would know that you attended unless you or someone else told them. I agree that it seems like to cross a line. Usually each state has an office that manages complaints related to employment such as the Department of Labor or EEOC. You may want to see which entity is in your state and contact them. It would be worth asking them to see if this is a legal practice. If it is but you still want need to stay at this job then you may want to look for alternate sources of support for your sobriety. There are active online support groups that would allow you to do things from the privacy of your home. </s>

<s>[INST] I have a relative who is in his twenties. He was in a drug rehabilitation program and got kicked out for using drugs again. No one informed family that he was using drugs again. He subsequently overdosed and was found dead. Is their accountability of counselors, therapists or the halfway house for not reporting that he had relapsed? Is there a legal case for failing to report? [/INST] I'm so sorry to hear of your loss. This sounds like a really difficult situation for the whole family. Since the answer to this question will depend a lot on the applicable state laws I would suggest talking with a local attorney. That being said I see two competing issues here. On the one side is the duty of confidentiality the counselors owed to your relative. On the other side is the duty the counselors had to act reasonably to protect your relative from harm. Generally there is not a requiremt for substance abuse treatment centers to notify family members if an adult client relapses.A local attorney will be able to provide more specific guidance on the legal obligtions and liabilities in this situation. </s>

<s>[INST] I have a relative who is in his twenties. He was in a drug rehabilitation program and got kicked out for using drugs again. No one informed family that he was using drugs again. He subsequently overdosed and was found dead. Is their accountability of counselors, therapists or the halfway house for not reporting that he had relapsed? Is there a legal case for failing to report? [/INST] I am so sorry for your loss. Generally therapists only have a duty to report self harm to ones self or others if it is expressed to them. Often times they will not report relapses due to the fact that proper releases were not signed or patient has specifically asked them not to for fear of shaming or failure again. I understand this may not be the answer you were hoping for. I would encourage the family to seek therapy themselves for help coping with such a loss. </s>

<s>[INST] I had a dispute with my therapist regarding an appointment cancellation. Now, she is blocking me from seeing other psychologists at the same clinic (which takes my insurance), which is also where I get my psychiatric services. There is a strict 48 hour cancellation policy, and my appointments are at 3:00 on Tuesday. I called to cancel at 4:30 the previous Friday. I was late, so we contacted my doctor to tell her that I would be out of town. She said I could do a phone in session. The thing is we do double sessions. [/INST] My recommendation would be to try to talk to your therapist about this from your description it sounds like you have a legitimate explanation for missing your scheduled session. Maybe if you could explain that to her she would be willing to work with you. If she is not willing to consider your explanation and if she is not willing to continue working with you she still has an ethical obligation to provide you with referral resources to another therapist. </s>

<s>[INST] I terminated my counseling relationship with a social worker several years ago. I am now realizing that I would like to begin counseling again. The social worker’s voicemail message says that he returns calls in 24 hours, but he hasn't called me back. I called him on the weekend and made it clear that I want him to call me back. Can he just ignore me? [/INST] Mental health providers should promptly return calls from current clients as well as from potential clients. This is even true if the social worker or counselor is unable to make an appointment with the caller. In that case the social worker should call you back to let you know that he is unable to schedule an appointment with you.In addition mental health providers have an obligation to follow through with their own communication standards. For example if the social worker in this case has an outgoing voicemail message that promises returned calls within 24 hours he has an obligation to follow through on that promise.All that being said it is also worth remembering that mental health professionals are just people too. It is possible that he had an unforeseen emergency that kept him from from returning your call promptly.In the end I agree with Sherry's advice. If you feel this social worker is not a good fit for you you probably should trust your gut and find someone else who is a better fit. </s>

<s>[INST] I terminated my counseling relationship with a social worker several years ago. I am now realizing that I would like to begin counseling again. The social worker’s voicemail message says that he returns calls in 24 hours, but he hasn't called me back. I called him on the weekend and made it clear that I want him to call me back. Can he just ignore me? [/INST] Yes your former social worker should return your phone call.It is the professional ethic to do so and plain human decency to do so.If he doesn't there is nothing you can directly do about the fact of his ignoring you.There are formal complaints you can make which you can consider doing.What matters most is receiving social work service.Stick with looking for another social worker who is willing to help you.The self-doubts you mention may be worth examining.They do not however excuse the social worker mishandling himself. </s>

<s>[INST] I think I have depression, anxiety, bipolar disorder, and I have anger issues. I told my mom over and over again. She told me she would get me a therapist, but she never did. I just found out that my mom can't afford a therapist for me. [/INST] It can be difficult to get counseling if you don't feel supported by family members. There might be a few options. If you are in school I'd recommend talking to a school counselor or school nurse. They often will be able to help you access free or affordable counseling resources in your community. In addition depending on where you live it's also often possible to call 211 for referrals to free or low cost counseling services in your area.I'd encourage you not to give up. You are on the right track. </s>

<s>[INST] I have major depression, severe, PTSD, anxiety disorder, and personality disorder. I had an appointment with my doctor. I was very upset, and I shared with him about that particular drug. [/INST] Your doctor might be required to tell your psychiatrist - especially if your doctor is concerned about your safety.It was definitely a good thing that you told your primary care physician about what is going on. I know that must have been difficult to talk about with him. By having that conversation you are helping your primary care physician and your psychiatrist work together to best support your health. </s>

<s>[INST] How does a counselor decide when to end counseling sessions or to terminate working with a client? [/INST] There are typically three reasons why therapy is terminated 1 Client has met therapy goals2 Client is not progressing 3 Therapist is not a good fit for clientIn order to properly assess whether therapy is helping and what progress is being made the therapist needs to have ways of consistently checking in with clients sessions-by-session to determine what is helping what isn't and where the client is at in relation to their original therapy goals. When a client has met their goals that is a good time to end counselling sessions unless the client has new goals or simply wants to check-in periodically to make sure that they are still on track sometimes referred to as relapse prevention . When a client is not progressing and feedback has been taken and attempts have been made to make the therapy more helpful for the client but to no avail than it is considered unethical to continue to work with the client. In these circumstances referring out to another therapist who may be a better fit is a good idea. </s>

<s>[INST] I need help dealing with stress. How can I handle it all and feel less stressed out? [/INST] There are many causes for feeling stressed out. Between a demanding job family responsibilities and everything else that can come up stress becomes more and more part of our everyday life. One of the best ways to combat the toxic effects of stress on our bodies social lives and overall well being is to engage in self-care. But not the self-care that most people think of like vacations or massages. The best self-care is the kind that helps you live the life that you already have rather than escape it. You see the reason why vacations and massages don't work long term in reducing stress is that they allow you to escape from what is causing the stress without truly fixing it so you just return to what already stressed you out. So instead you need to find ways to help live with the stressors that you already have. They can be things like creating a more manageable schedule introducing healthy eating or exercising financial planning and even learning a few simple relaxation skills. The key to combatting stress is to make small but consistent changes to your life so that it becomes more manageable and more enjoyable. </s>

<s>[INST] I need help knowing how to deal with stress. What can I do? [/INST] Something different works for each of us.There are the outward answers of self-pampering and making your home and work environment as pleasant as possible.A deeper level way to decrease stress is through exercise or alternative practices like yoga or tai chi.If the stress is more deeply rooted than temporarily feeling irritated for a few days then give yourself some time to reflect and clarify what the meaning of the stress is to you.Self-understanding and appreciating your efforts to know yourself may decrease stress because you'll be more focused and attentive to who you are. This will influence you overall to make good decisions for yourself and these will naturally be ones which decrease stress as much as possible. </s>

<s>[INST] I need help knowing how to deal with stress. What can I do? [/INST] Our body reacts to stress typically by breathing more shallowly increasing our heart rate and tensing our muscles - so one thing that I find really effective is to try to do the opposite of that which sends the signal to our mind that we are relaxed. So that means taking slower fuller breaths and trying to relax any areas where we might be gripping our muscles. Check out meditation apps such as 'Breathe' which can talk you through a relaxing breath exercise. I recommend using the app daily whether you feel stressed or not and then also using it when you re feeling particular moments of stress - that way you are practicing the skill when you feel calm wish and it'll be ready and able to help you when stress hits hard. </s>

<s>[INST] I am a young adult, and I was sexually assaulted by an older man when I was a teenager (which has really intensified the guilt/shame). However, I've been attracted to much older men since I was even younger than that. [/INST] Sometimes the reason for being attracted to older men is because of growing up with a father who was distant.If you grew up having enough interaction with your dad to know you'd have liked more and didn't receive this then maybe your longings of childhood are still active within you.It is ok to like older men.Just be sure you're not idealizing them or anyone else.Because regardless of age a relationship is based on who the two people really are not how we'd like imagining them. </s>

<s>[INST] I have been experiencing a lot of sexual tension with a lot of the guys that I talk to nowadays. I keep imagining having sex with them. I have never had sex before, nor have I had a boyfriend. I feel lonely and empty. I feel like my body is not okay, and I am missing something. I talk to so many boys in school, and I always fantasize about half of them. I want this feeling to stop because it is interfering with my time to study since most of the time, I am busy thinking about sex. [/INST] I'm glad you wrote. What you're experiencing is normal. We're sexual beings. We have a built-in desire to connect sexually with others because it feels good to keep procreation going and mostly to connect with other people because connecting with others makes us feel fulfilled and valuable. Sexual desire is a healthy part of you. Maybe your body is telling you it wants to dive into that water and taste it instead of just staring at it It sounds like you're beginning to explore yourself sexually and that's okay.At your young age you also have another innate burning desire and that is to know yourself. I see both of these desires burning and competing in you. It's a bit of a crazy time...you want to connect with others but you're not sure who you are or what you want from them. You want to know yourself but you can't learn about yourself in a vacuum. It's okay to trust your instincts. It's okay to connect sexually with others as long as you're preventing disease and pregnancy and you know how to protect your boundaries. But even as I write this I think maybe I'm being controlling and overprotective of you it's your body and you're in charge of what happens to it But I do want you to be safe...whatever that means to you . Maybe talk to someone you trust. With each encounter you have with other people sexual or not you will learn more about yourself and what you want both sexually and just in relationship or friendship. You will develop a sense of who you are.Have you tried to get to know yourself sexually This is a super place to start and knowing how your own body works can give you confidence when you eventually connect with others. When you explore your own body what feels good What brings you to orgasm I wish you well as you explore both who you are and how it feels to connect with others safely. </s>

<s>[INST] Back in high school, my friend and I used to masturbate around each other. I hate even talking about it now because it's so weird. We didn't even realize how messed up it was at the time. One time, it escalated and we ended up doing it for each other. It wasn't supposed to be a gay thing, but it sure sounds like it now that I talk about it. I pushed this away until it recently came up in my head again. I'm having a lot of trouble. [/INST] Writing about your high school masturbation times with your friend is itself a form of acknowledging the full picture of who you are. You are doing well to reflect on your actions in the truthful way you are doing.Also positive is that you have perspective that at your age and social maturity you were innocently doing something that in adult terms would be considered in a negative way.Maybe through your more mature mind's eye of today you can feel some compassion and understanding for your high school self. This way your sense of self-judgment may start to dissolve a little bit more. </s>

<s>[INST] Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me. Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me? [/INST] I'm sorry that you are having a difficult time.I wonder about how your friendships are in person. If you get along well with people and have effective conversations with them face-to-face there could be some kind of technology-related problem.Have you tried gently talking to people about how you send a message and they didn't answer If you can phrase it in such a way that they recognize that you are asking for information and not blaming them for not answering you that could be effective.I'd also encourage you to consider how much this is bothering you. If it is causing a significant amount of anxiety say more than 5 10 if 10 is really anxious I would suggest talking with a local therapist.In the meantime consider talking about this with someone you trust to whom you can get more details to get a more specific answer. </s>

<s>[INST] She mostly targets me on social media. The bullying used to be much worse, but it is still going on. The comments are so vague, but I know that they are meant for me. Even when I confront her, she messages me short phrases to try to get in my head. If I try to fight back, she will ruin me. [/INST] Sorry to hear of your problem situation. Feeling intimidated by another person is very unsettling.Stop having contact with the person.Bullies only interact with others either by intimidating someone or by themselves feeling intimidated by someone.Bullies do not have the same dynamics as everyone else.No one can convince or persuade or talk a bully out of their behavior.The best protection for yourself assuming you are not being physically threatened by the person is to close contact with them.This does not take away any of the disappointment or sadness of wishing for a better relationship with the person.Until the bully wants to interact differently with others only harm can result from contact with them.Step one is to stop the bleeding then to assess and learn to live with not having the person in your life. </s>

<s>[INST] I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years. How can I deal with being bullied at school when the teachers won't help? [/INST] To be bullied is very painful.I'm glad you know the bullies are doing the wrong thing and whatever they are telling you is pure meanness.Depending on how independent you feel why not tell either your classroom teacher or schedule an appointment with the vice principal Bullying other students is taken very seriously in some states and schools are expected to address the bullying until the victimized student feels safe.If you hesitate to do this on your own then would you ask either of your parents or even a friend of yours who is also in the school to report the problem In case you are afraid the bullies will retaliate for reporting them then tell this to whatever school authority you decide to ask for help.You're entitled to be protected by your school. </s>

<s>[INST] I nanny a three year old. When he wakes up in the morning he calls out for someone to come get him. If I am the one to go get him out of bed he gets really upset and refuses to let me near him. He screams that he wants his mom or dad (they work from home). The rest of the day he loves me. But not in the mornings. What can I do? [/INST] It doesn't sound like he hates you just misses mom and dad in the mornings. You could validate his feelings by saying something like I know you want to see mom and dad right now but they are working and then give him a couple options of things that may take his mind off of it. This could be choosing what he has for breakfast or playing a game of his choice. If possible it may also be helpful if you could create a routine in which he stops by mom and dad to say good morning. If this is routine he will come to understand that he will be able to see mom and dad for a minute and not become anxious about seeing them. </s>

<s>[INST] I nanny a three year old. When he wakes up in the morning he calls out for someone to come get him. If I am the one to go get him out of bed he gets really upset and refuses to let me near him. He screams that he wants his mom or dad (they work from home). The rest of the day he loves me. But not in the mornings. What can I do? [/INST] Be lighthearted this toddler may not be a morning person He is most likely wanting to connect with either parent when he arises in the morning. It could be helpful to talk with his parents and establish a routine that he would be comfortable with. </s>

<s>[INST] How do therapists classify the type of personality their clients have? What characteristics do they look at to decide what type of personality the client has? I've read about this online, but I'd like to understand this from a therapist's point of view. [/INST] This is a great question and I am happy to have the opportunity to explain my approach. When I am determining what type of personality a client has I take my time and really absorb their lens point of view to themselves and others. Determining a personality type takes some time getting to know the person and building rapport. After taking time to get to know them and learning about their view they have of themselves and others it is important to pick-up on more specific personality traits which comprehensively contribute to a personality type. Clinicians including myself often witness certain traits that are enduring and consistent which indicate a type of personality. </s>

<s>[INST] How do therapists classify the type of personality their clients have? What characteristics do they look at to decide what type of personality the client has? I've read about this online, but I'd like to understand this from a therapist's point of view. [/INST] That's a great question. There is such a wide range of ways to define personality that it is difficult to identify specific characteristics that are used to identify personality types.That being said some clinicians will use standardized tests or assessments to assess a client's type of personality. While these tests can't tell us everything about a person they can help us understand where we are within larger groups of different personality styles.Some counselors will also use a diagnostic tool like the DSM or ICD to help a client understand a diagnosis that is related to a personality disorder. </s>

<s>[INST] How do therapists classify the type of personality their clients have? What characteristics do they look at to decide what type of personality the client has? I've read about this online, but I'd like to understand this from a therapist's point of view. [/INST] In my therapy practice I avoid characterizing people except for whether or not they are self-harming or a risk to harm other people.As long as someone is sincerely trying to know more about themselves my work is help the person clarify who they really are and how their true self may be quite different than the life the person created for themselves based on satisfying other people's standards.In broad terms personality disorders have stock characteristics which change very minimally over time instead of uniqueness which constantly flows and changes with circumstances over time. </s>

<s>[INST] I'm currently struggling with diagnosed depression, anxiety, and Misophonia. Also, I am 99% sure I have Borderline Personality Disorder and Avoidant Personality Disorder. I read the DSM-IV, taken college psychology, etc. I know it in my heart I have them. Is self-diagnosing okay with the right research? [/INST] Hello and thank you for your question. Self-diagnosing is something that we all do about one health issue or another. Taking a guess about what may or may not be happening to us is completely normal however the actual clinical diagnoses of a mental health disorder requires a licensed mental health professional. Here are a few reasons for this 1. Making a clinical diagnosis often requires other things besides matching up the symptoms of a disorder. To come to a diagnoses for any of the things you mentioned a counselor would consult the DSM but they may also use some type of screening tool assessment or scale. Many disorders have similarities and it requires someone with training to tease out the differences in the symptoms. 2. Our judgement is sometimes off when it comes to assessing ourselves. We really can't be objective. Something as serious as determining a diagnosis really needs to be done by someone who has that objectivity. In addition once you know your diagnosis treating it usually requires help from a professional. 3. Sometimes the symptoms of a mental health disorder makes self-diagnoses impossible in and of itself. For example someone could be having hallucinations or delusions and not realize it. That would clearly make it impossible for them to diagnose themselves. There a many examples where something like this could happen with different mental health disorders. There are other reasons but these are three important ones. Now does this mean that you are wrong about your diagnosis Maybe not. You may be correct. But it is important to get this confirmed by a professional mental health clinician. If a disorder is then found you can begin to talk about treatment. Hope this was helpful. </s>

<s>[INST] She has trouble falling and staying asleep and she's always either extremely hungry or not hungry at all. She also gets angry and feels like crying really easily for no reason. She says she is always "kind of down." Is this depression? What can I do to help her? [/INST] Sounds like signs of someone who is depressed.Since the person in question is your friend offer your friendship to listen to any situations or feelings she has about herself and the way her life is going.Depressed people are often lonely people and feel as though no one around them cares or notices them. Your willingness to be available to her may lift her spirits. Feeling loved goes a long way to dissolving depressed feelings.Also if in the beginning when you offer to talk there is a high chance she'll be defensive and turn down your offer.Try again on another day and then another day.When people feel depressed they usually shut down. So you may need a few or several tries before your friend accepts your offer to show her you care about how she is doing.Also watch for signs within yourself that your friends' depression is not sinking your emotions. Depressed people are draining to be around because they often see and talk about only the negatives and drawbacks of situations. </s>

<s>[INST] I had a very troubled up bringing and I'm currently dealing with alot right now. I know some people may not think so, but to me its a lot. I feel overwhelmed. Could this be depression? I use to be in therapy as a child. Alll throughout elementry, middle, and high school I had counseling 2-3 times a week. I haven't be in counseling lately though. [/INST] What matters most is how you feel and what you're doing with whom you're interacting whether you feel you've got enough interaction to be happy.Whether or not a clinician would decide to identify you as depressed matters much less than how you actually are feeling if you have some ideas as to what might improve your sense of being and how to go about reaching your goals.If therapy during your childhood made you feel better and you feel you may be depressed then trying therapy at this point in your life makes sense.The worst that can happen is you find you feel better than you first understood.The best that can happen is you find a caring therapist who helps you find faith in yourself again. </s>

<s>[INST] I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least. I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me? [/INST] Sometimes it's helps to have a name for a problem - it can make you feel less alone as in oh there's a name for this and other people have this experience too. On the other hand naming the problem can also make it stick around longer as in now I have a special problem that has a special name and that's an important part of who I am. Bottom line whether it's a disorder or not you would like life to be easier and not have to be pulled so much by other people's energy and feelings. You might want to try imagining that you have a volume dial on your empathy just like the volume dial or button on the tv that you can gently turn down to the point where you still feel what's going on but it's not so loud . You can also try imagining pulling your own energy back as if you were drawing your energy back home to the center of your own body and being letting go of the other people or characters that pulled your energy out so far. This is a way create better boundaries and protect your own vulnerability. Just like on an airplane where they tell you to put on your own oxygen mask first before helping anyone else your empathy will most likely not really help others if you allow yourself to be depleted. </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 your therapist is attentive and compassionate to what you are sharing then you will know you have a true connection with him or her and that he or she is the right match for you. Having a therapist who has a good location and inviting office is also a good sign that you have the right one </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] When you find the right therapist you will feel understood on a deeper level. You'll feel that they not only understood what you were saying but that they were also able to catch the in between the lines part and put into words what you have not been able to. The relationship with your therapist should be collaborative there should be a fundamental element of safety and trust. A strong relationship with your therapist takes time to cultivate but by the second or third session you'll know if that therapist genuinely see's the world from your perspective and has a plan to get on how they will support your growth through this journey. </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] The most important agent of change in therapy is your relationship with your therapist. It is so important for you to find a therapist that you trust and feel comfortable enough to just lay everything out there and be vulnerable with. Therapy is really building a safe and healthy relationship with a professional that can then help guide you in some of the most intimate and emotional parts of your life. This relationship does take time to build but usually you can get a sense of a therapist's personality and approach from their bio and website. Once you have found someone that you think you could really connect with then it's about looking at do they have the expertise you need. Do they have training in relationship counseling or in working with anxiety depression or trauma It is important to find an expert in the field so you are getting the best care possible...just like if you were to go to a general family doctor versus a specialist. I hope that is helpful </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] You know have the right therapist if Your counselor specializes in what you are seeking help for or they have experience with treating people with similar issues.They are ethical and are able to understand your culture or religious norms.They are licensed in your state.They are able to provide you treatment that is tailored to your needs so that you can meet your goals for therapy.They are non-judgmental and can show empathy to you.They can meet you were you are in your journey of healing and understand you.The location of the office or use of technology to hold sessions is something that you are comfortable with.Recognize that a relationship with a counselor is like a relationship with any other person sometimes you mesh well and sometimes you do not mesh well. A counselor should never take any offense if you do not feel like a good fit with the counselor just be honest with your counselor about how you are feeling about the relationship. If you feel the need to change counselors feel the freedom to change counselors as you will get more from therapy if you feel like you make a good team.To train your therapist Be honest about your needs expectations barriers and about your situation.Know thyself and share that with your counselor. Create attainable goals for yourself with the help of the counselor.Set the pace that you are comfortable with.Feel comfortable to share an agenda for each session. </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] Such a good question Sometimes clients will feel like they are not connecting with their therapist and will put it on themselves. In truth the bond between therapist and client is the 1 predictor of positive outcomes in therapy. Ask yourself these questions does it feel like this person can come to care about me Do they remember from week to week what we touched on Do I feel compassion from this person Do they allow me my difficult and painful feelings too or do they try to rescue me On your other question - I suggest you ask your therapist what goals he she has for your treatment. See if they respond with interest and participation or if they become clinical and distant. Ideally you and your therapist jointly develop your goals and check on your progress on a frequent basis. I don't know if you can actually 'train' your therapist - we can be a hard bunch to train - - but you can definitely tell your therapist what works for you and what didn't work at the end of each session. How they react will also tell you a lot about whether this is the right person for you. </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] Good question The client's job is to concentrate on stating the details of their problem and to thoughtfully engage in a dialogue about these areas with the therapist.The most difficult job for a client is willingness to self-examine hold oneself accountable for relationship and life situations and honestly feel the difficult often painful feelings and insecurities which troubling situations create.The client doesn't train the therapist.If you feel you are with a therapist who requires you to train them then politely decline continuing to pay for their services.Then find yourself a different therapist who feels secure and knowledgeable enough in their skills to not require training by their client. </s>

<s>[INST] Is it normal for people to cry during therapy, or is it just me? [/INST] It's more than just normal it's expected Quite honestly there are a very few days where at least one client hasn't cried during therapy throughout the day. </s>

<s>[INST] Is it normal for people to cry during therapy, or is it just me? [/INST] Yes it is absolutely normal A good therapist can help your feel safe enough to really identify painful wounds. There are some things that need to be cried about before they can heal. Therapists are fine with tears and buy tissues by the case. That said if you don't cry during therapy it doesn't mean you are doing it wrong . As long as you feel safe and have a sense that your therapist gets you and you feel progress during your course of treatment you are doing therapy right </s>

<s>[INST] Is it normal for people to cry during therapy, or is it just me? [/INST] Absolutely it's normal to cry in therapy sessions. Sometimes clients have stories they never shared with anyone or never said out loud and that results to crying. Crying is a normal reaction to feeling hurt or sad or sometimes angry. I welcome all crying to my therapy room. </s>

<s>[INST] Is it normal for people to cry during therapy, or is it just me? [/INST] Crying in therapy is a natural response a relief to what you are going through. It is an expression of emotions which is why you are going to therapy - to express yourself in a safe nonjudgmental space. Rather than trying to stop crying sit on the couch with it until it is done and you have finished with the clearing. The energy is not blocked is moving - a good thing. It's good to cry. </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] Let me start by saying there are never too many concerns that you can bring into counselling. In fact most people who come to see me for counselling have more than one issue they would like to work on in psychotherapy and most times these are all interconnected. In counselling we work together collaboratively to figure out which issues you would like to address first and then together we develop an individualized plan of care. Basically it s like a road map of where you want to go how are you going to get there looking at stopovers some scenic routes others possibly not so scenic however necessary. Of course these plans can also change due to internal what we have control over like our thoughts feelings and behaviours or external reasons those things that are outside our control . I would encourage you to take the next step and reach out to a professional you can trust and build rapport with by co-journeying through whatever concerns you have by examining what has been working so far as you have learned to cope with some of your issues like insomnia depression and anxiety as well as being a breast cancer survivor. Then to help you by developing new coping strategies. Psychotherapy can be such a powerful tool to help you get to where it is you want to be. I know you can do it and you will see first-hand how psychotherapy will help you to move past these points in your life where you are feeling stuck. I like to quote Nike where their motto is just do it. You can do it. </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] It is never too late to get help and begin making significant changes and improvements in your life. The right time is when you feel ready and open to change. Sometimes when we have a history of trauma like sexual abuse the impact of that trauma can affect many areas of our lives as adults. Working with a therapist who specializes in trauma is a great way to begin developing skills to manage present day life learn to regulate your emotions and nervous system when you become triggered and then in a safe environment have the opportunity to process past traumas so you can live your present life with more ease and joy. People can and do recover from the impacts of trauma at any stage in their life. It is never too late and you can feel better </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] You have been through so much and it sounds like you have a lot of things that have complied over the years. Regardless of the struggles you have been through you do not have too many issues for counseling. Many times when someone starts out their counseling and healing journey there are multiple things they would like to address and work on. If you decide to start counseling you and your therapist can decide collaboratively what you would like to process and work on first. Be sure to express to your counselor if any of the above experiences you've been through is causing a lot of distress as many times the first things addressed are the ones that are presently affecting your life or you emotionally. Often times when we experience negative situations in our life but do not address them they bottle up inside us and can manifest in other ways such as depression or even physical symptoms like IBS or neck pain. Counseling can give these bottled up emotions and situations a release. Given the situation you shared not only do I not think that you have too many issues for counseling but believe that you will be a great candidate and can get a lot from it. </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] Absolutely not In fact most people have many issues A lot lot of the issues you are describing commonly go hand in hand in therapy speak we call it co-morbid conditions I would venture that most of the feelings you are struggling with stem from your early trauma. You would benifit tremendously from counseling A good therapist will develope a treatment plan that addresses all of your needs. With help you could definitely live a happy life without all of your anxiety and depression getting in the way </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] This is a great question I personally don't believe that any client could ever have too many issues for counseling. In fact that type of thinking may be stopping you from seeking counseling so it may be hindering you from getting the help you need. In fact all of what you described points to the importance of you seeking help in order to cope with the many challenges in your life. If you seek counseling it will be important for you to understand that you may need to remain in counseling for a sustained period of time in order to work through each of these issues. All of these issues won't be able to be solved right away or in a brief period of time. Counseling will take commitment and hard work but it is possible for you to recover and heal from all of the issues you described.Many clients come into counseling with numerous issues rather than just one particular thing. Most of the time the issues relate to and exacerbate each other. We call these comorbid conditions which means that two or more mental health problems exist at one time. A lot of the times when you start to work on one issue the other issues get better as a result.I encourage you to find a professional therapist that can help you learn how to cope with all of the mental health difficulties that you described. You deserve the help just as much as anyone else. </s>

<s>[INST] I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about? [/INST] It is not uncommon to be a bit nervous meeting your therapist or another person for the first time. Your therapist understands that calling and getting an appointment was a big step for you and will do their best to put you at ease. Providing a safe environment for our clients includes not judging them and being comfortable with the information and emotions that they share with us. It is ok to cry and to trust that the therapist will honor this as part of your process. </s>

<s>[INST] I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about? [/INST] Yes if crying is how you are expressing an emotion then not only would it be normal but hopefully encouraged because it's an important part of therapy to have a safe space to express your emotions. We might encourage you to put words to the tears as well to help you expand on your experience and begin to make more sense of it.As a therapist our job is help you open up and feel comfortable enough doing so. I sincerely hope no therapist would ever shame you for whatever experience you are having in the room. </s>

<s>[INST] I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about? [/INST] It is is absolutely normal to cry in therapy. I can understand wanting to keep everything together and put your best foot forward with everyone you come into contact with but it can be such a powerful experience to cry with somebody that can hear you and accept you. It's so brave of you to go and share yourself with your counselor I hope you will keep being brave as you begin healing. </s>

<s>[INST] I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about? [/INST] When talking about difficult issues it is very normal to cry. Crying is a natural way for us to cope with the sadness that we experience in life. When confronting some of these things in a counseling session tears just seem to come naturally. Every Counselor should be well equipped to handle that level of emotion and you would be far from the first to cry when talking with a Counselor. </s>

<s>[INST] Thank you so much for your help [/INST] Its always my pleasure to help out each of you..Thank you for sharing your feelings.Take Care </s>

<s>[INST] Bye Bye [/INST] Bye Bye and Thank you for sharing your feelings. Take Care </s>

<s>[INST] Thank you so much [/INST] Pleasure is mine.Thank you for sharing your feelings.Take Care </s>

<s>[INST] Thank you so much for your help [/INST] Its always my pleasure to help out each of you..Thank you for sharing your feelings.Take Care </s>

<s>[INST] Bye Bye [/INST] Bye Bye and Thank you for sharing your feelings. Take Care </s>

<s>[INST] Thank you so much [/INST] Pleasure is mine.Thank you for sharing your feelings.Take Care </s>

<s>[INST] Thank you so much for your help! [/INST] You're welcome Is there anything else I can assist you with </s>

<s>[INST] Bye bye, see you later! [/INST] Goodbye Have a great day ahead. </s>

<s>[INST] Thank you for the information! [/INST] Glad I could help If you need more details feel free to ask. </s>

<s>[INST] Bye bye, take care! [/INST] Take care too Let me know if there's anything else I can do for you. </s>

<s>[INST] Thank you for the quick response! [/INST] You're welcome I'm here whenever you need assistance. </s>

<s>[INST] Thank you for listening to me. [/INST] You're welcome. Remember I'm here whenever you need someone to talk to. </s>

<s>[INST] Bye bye, feeling a bit better now. [/INST] Goodbye Take care of yourself and don't hesitate to reach out if you need support. </s>

<s>[INST] Thank you for the advice, it really helped. [/INST] I'm glad it was helpful. If you have more questions or need guidance don't hesitate to ask. </s>

<s>[INST] Bye bye, thanks for being understanding. [/INST] Goodbye Remember your feelings are valid and I'm here whenever you want to talk. </s>

<s>[INST] Thank you for the resources you provided. [/INST] You're welcome Feel free to explore those resources and reach out if you need further assistance or information. </s>

<s>[INST] Thank you for helping me understand my emotions. [/INST] I'm glad I could assist. Remember it's okay to feel the way you do. If you need more guidance I'm here. </s>

<s>[INST] Bye bye, feeling a bit more hopeful now. [/INST] Goodbye Hold onto that hope. If you need a listening ear don't hesitate to return. </s>

<s>[INST] Thank you for being patient with me. [/INST] Patience is a virtue here. I'm here to support you. Feel free to share whenever you need. </s>

<s>[INST] Bye bye, I appreciate your support. [/INST] Your progress matters. Take care and reach out if you need help along the way. </s>

<s>[INST] Thank you for the coping strategies you shared. [/INST] I'm happy those strategies could be of help. If you need more tools or guidance I'm just a message away. </s>

<s>[INST] What is a panic attack? [/INST] Panic attacks come on suddenly and involve intense and often overwhelming fear. They re accompanied by very challenging physical symptoms like a racing heartbeat shortness of breath or nausea. Unexpected panic attacks occur without an obvious cause. Expected panic attacks are cued by external stressors like phobias. Panic attacks can happen to anyone but having more than one may be a sign of panic disorder a mental health condition characterized by sudden and repeated panic attacks. </s>

<s>[INST] What are symptoms of panic attack vs. anxiety attack? [/INST] Panic attacks and anxiety attacks can share some similarities but they also have distinct features. It's important to remember that I am not a medical professional and if you or someone you know is experiencing these symptoms seeking help from a qualified healthcare professional is essential. Panic Attack Symptoms A panic attack is a sudden and intense surge of fear or discomfort that reaches its peak within minutes. Some common symptoms of a panic attack include 1. Heart palpitations pounding heart or accelerated heart rate. 2. Sweating or trembling. 3. Shortness of breath or feeling smothered. 4. Feeling of choking or a lump in the throat. 5. Chest pain or discomfort. 6. Nausea or abdominal distress. 7. Dizziness lightheadedness or feeling faint. 8. Chills or hot flashes. 9. Numbness or tingling sensations. 10. Fear of losing control or going crazy. 11. Fear of dying. 12. A sense of detachment from reality or oneself depersonalization . 13. A feeling of being detached from the surroundings derealization . It's important to note that panic attacks are often unpredictable and can occur even in situations where there is no immediate danger. Anxiety Attack Symptoms Anxiety attacks are different from panic attacks in terms of intensity and duration. While panic attacks are sudden and reach their peak rapidly anxiety attacks are typically associated with prolonged feelings of worry nervousness and fear. Symptoms of an anxiety attack may include 1. Excessive worrying or fear about future events or situations. 2. Restlessness or feeling on edge. 3. Muscle tension or aches. 4. Difficulty concentrating or mind going blank. 5. Irritability. 6. Fatigue or feeling easily fatigued. 7. Sleep disturbances such as difficulty falling asleep or staying asleep. 8. Avoidance of triggers or situations that provoke anxiety. Anxiety attacks can be triggered by specific stressors or occur without an apparent cause. They might build up gradually and persist for an extended period. Remember it's crucial to consult a qualified mental health professional to obtain an accurate diagnosis and receive personalized guidance and support. They can help develop a suitable treatment plan to manage panic attacks anxiety attacks or any other mental health concerns you may be facing. </s>

<s>[INST] What are the types of Mental Illness? [/INST] There are many different conditions that are recognized as mental illnesses. The more common types include 1. Anxiety disorders People with anxiety disorders respond to certain objects or situations with fear and dread as well as with physical signs of anxiety or panic such as a rapid heartbeat and sweating. An anxiety disorder is diagnosed if the person's response is not appropriate for the situation if the person cannot control the response or if the anxiety interferes with normal functioning. 2. Mood disorders These disorders also called affective disorders involve persistent feelings of sadness or periods of feeling overly happy or fluctuations from extreme happiness to extreme sadness. 3. Psychotic disorders Psychotic disorders involve distorted awareness and thinking. Two of the most common symptoms of psychotic disorders are hallucinations and delusions. Schizophrenia is an example of a psychotic disorder. 4. Eating disorders Eating disorders involve extreme emotions attitudes and behaviors involving weight and food. 5. Personality disorders People with personality disorders have extreme and inflexible personality traits that are distressing to the person and or cause problems in work school or social relationships. 6. Obsessive-compulsive disorder OCD People with OCD are plagued by constant thoughts or fears that cause them to perform certain rituals or routines. An example is a person with an unreasonable fear of germs who constantly washes their hands. 7. Post-traumatic stress disorder PTSD PTSD is a condition that can develop following a traumatic and or terrifying event such as a sexual or physical assault the unexpected death of a loved one or a natural disaster. </s>

<s>[INST] What does mental-illness mean? [/INST] Mental illness is a group of biological brain disorders that affect a person s thinking mood emotions sense of reality ability to relate and daily functioning. Common disorders are anxiety depression schizophrenia bipolar disorder etc. People of all ages are susceptible but adolescents & young adults are especially vulnerable. </s>

<s>[INST] How can you treat mental illness? [/INST] The treatment of mental illness is a multi-faceted approach that varies depending on the individual's specific condition and needs. Here are some general guidelines and options 1. Seek Professional Help It's essential to consult a mental health professional such as a psychiatrist psychologist or therapist. They can conduct a thorough evaluation provide a proper diagnosis and tailor a treatment plan to address your unique concerns. 2. Therapy or Counseling Different types of therapy like cognitive-behavioral therapy CBT dialectical behavior therapy DBT or psychotherapy can be effective in helping individuals cope with and overcome mental health challenges. 3. Medication In some cases medication might be prescribed to alleviate symptoms and stabilize your mental health. This should always be done under the guidance of a qualified psychiatrist. 4. Lifestyle Changes Implementing healthy lifestyle choices can significantly impact mental well-being. Regular exercise a balanced diet sufficient sleep and stress reduction techniques can all play a crucial role. 5. Social Support Connecting with friends family or support groups can provide a sense of belonging and understanding which can be beneficial in the recovery process. 6. Mindfulness and Relaxation Techniques Practices like meditation deep breathing exercises or yoga can help manage stress and promote a sense of inner calm. 7. Identify Triggers and Coping Strategies Learning to identify triggers that worsen your condition and developing healthy coping mechanisms can empower you to better manage your symptoms. 8. Education and Self-Help Resources Educating yourself about your mental health condition and seeking self-help resources such as books or online courses can be empowering and enlightening. Remember each person's journey to mental health is unique so it's crucial to be patient with yourself and not compare your progress to others. Recovery is possible and with the right support and dedication you can lead a fulfilling life. </s>

<s>[INST] Are patients with schizophrenia violent? [/INST] Due to incorrect representation of the disease in media & books there is a myth that schizophrenics are violent. The truth is most schizophrenics are docile and keep to themselves. The schizophrenics who have demonstrated bursts of violence are either in an acute stage of psychosis or are abusing an addictive substance. </s>

<s>[INST] How to manage stress? [/INST] Here are some personalized suggestions to help you cope with stress 1. Identify Triggers Take some time to identify what triggers your stress. This awareness can help you anticipate stressful situations and prepare for them. 2. Practice Deep Breathing When you feel stressed try taking slow deep breaths. Inhale deeply for a count of four hold for four and then exhale for four. This simple technique can help calm your nervous system. 3. Stay Active Engaging in regular physical activity can be a great stress reliever. Whether it's going for a walk doing yoga or any other form of exercise you enjoy it releases endorphins that can boost your mood. 4. Practice Mindfulness or Meditation Mindfulness techniques or meditation can help you stay in the present moment and reduce anxiety about the past or future. 5. Take Breaks and Practice Self-Care Incorporate moments of relaxation and self-care into your daily routine. Whether it's reading a book taking a bath or spending time in nature make time for activities that recharge you. 6. Limit Screen Time Excessive exposure to screens can contribute to stress. Consider taking short breaks from electronic devices to reduce mental strain. 7. Consider Professional Help If your stress becomes overwhelming or persistent don't hesitate to seek support from a mental health professional. They can provide guidance tailored to your specific needs.. Remember it's essential to be patient with yourself as you navigate through stressful situations. Everyone experiences stress but with time and practice you can develop effective coping strategies. If you ever feel overwhelmed don't hesitate to reach out to friends family or a professional for additional support. Take care of yourself and remember you're not alone in this journey. </s>

<s>[INST] My family has no history of mental illness. Does that mean I am immune? [/INST] I understand your concern and it's essential to recognize that mental health can be influenced by various factors. While having no known family history of mental illness may lower the likelihood of certain genetic predispositions it doesn't guarantee immunity to mental health challenges. Mental health is a complex interplay of genetics environment life experiences and other factors. Just like physical health mental health can be influenced by various aspects of your life. Stress traumatic events major life changes and even biochemical imbalances can all contribute to mental health conditions. It's crucial to prioritize your mental well-being regardless of your family history. Engaging in self-care practices maintaining healthy relationships seeking support when needed and adopting coping strategies can all be beneficial for maintaining good mental health. If you ever feel overwhelmed or notice any concerning changes in your emotions or behaviors don't hesitate to reach out to a mental health professional. They can provide personalized guidance and support tailored to your specific needs and circumstances. Remember seeking help is a sign of strength and there are resources available to assist you on your mental health journey. </s>

<s>[INST] Do children have mental health issues? [/INST] Absolutely children can experience mental health issues just like adults. Mental health problems can affect individuals of all ages including children and adolescents. It's important to remember that children's mental health is just as significant as their physical health and addressing any challenges they may be facing early on can lead to better outcomes in the long run. Children might encounter various mental health issues such as anxiety depression attention-deficit hyperactivity disorder ADHD behavioral disorders and more. These problems can be triggered by a range of factors including genetics environmental stressors trauma or difficult life events. If you have concerns about a child's emotional well-being it's essential to reach out to a qualified mental health professional. They can provide personalized support and interventions that are tailored to the child's unique needs and circumstances. Remember seeking help is a sign of strength and compassion and it can make a significant difference in a child's life. </s>

<s>[INST] What are the side effects of medication? [/INST] Like other medication psychiatric medication has its own set of side effects like Drowsiness Restlessness Dizziness Dry mouth Constipation Nausea and Vomiting. It is usually because of the body getting used to medication. It normally takes a month for the body to get used to these drugs. If you are feeling any of the above symptoms call your doctor immediately. </s>

<s>[INST] Are there cures for mental health problems? [/INST] When it comes to mental health problems it's important to clarify that the term cure might not be the most accurate way to describe the situation. Mental health issues can be complex and varied and there isn't always a straightforward cure like there might be for some physical ailments. However many mental health conditions can be effectively managed treated and even overcome with the right support interventions and coping strategies. Treatment options often include therapy counseling medication lifestyle changes and self-help techniques. The goal is to improve a person's overall well-being and ability to cope with challenges rather than just eliminating the problem entirely. It's essential to seek professional help if you or someone you know is struggling with mental health concerns. A mental health professional can provide personalized guidance and support tailored to individual needs. Remember it's okay to ask for help and with the right resources recovery and improvement are possible. </s>

<s>[INST] What causes mental health problems? [/INST] Mental health problems can arise from a combination of various factors and it's essential to remember that every individual's experience is unique. Some potential causes of mental health problems include 1. Biological Factors Genetic predisposition can play a role in certain mental health conditions making some individuals more susceptible to developing them. 2. Environmental Factors Traumatic life events chronic stress abuse neglect or significant changes in life circumstances can impact mental well-being. 3. Neurochemical Imbalance Imbalances in brain chemicals such as neurotransmitters can contribute to mood disorders and other mental health issues. 4. Psychological Factors Past experiences early life upbringing and coping mechanisms can shape how one responds to stress and emotional challenges. 5. Social Isolation A lack of social support or feeling disconnected from others can exacerbate mental health issues. 6. Physical Health Conditions Certain medical conditions or chronic illnesses may also impact mental well-being. 7. Substance Abuse Drug or alcohol use can adversely affect mental health and lead to additional problems. It's crucial to remember that seeking professional help and support is vital when dealing with mental health challenges. A qualified mental health professional can provide personalized insights and treatment strategies to address your specific concerns. If you ever need someone to talk to don't hesitate to reach out for assistance. Remember you are not alone and there is support available to help you through difficult times. </s>

<s>[INST] What do I do if I’m worried about my mental health? [/INST] I'm really glad you reached out and shared your concerns about your mental health. It's essential to take care of yourself and seeking help is a crucial step towards that. Here are some suggestions for what you can do if you're worried about your mental health 1. Talk to someone you trust Reach out to a friend family member or someone close to you who can lend a listening ear and provide support. 2. Seek professional help Consider talking to a mental health professional such as a psychologist counselor or therapist. They can offer expert guidance and support tailored to your specific needs. 3. Educate yourself Take some time to learn about the mental health issues you might be experiencing. Understanding what you're going through can help you feel more in control and less isolated. 4. Practice self-care Engage in activities that bring you joy and relaxation. This can include exercise spending time in nature meditation or pursuing hobbies you enjoy. 5. Prioritize your well-being Ensure you get enough rest maintain a balanced diet and try to establish a regular sleep routine. 6. Avoid self-judgment Remember it's okay to have struggles and seeking help is a sign of strength not weakness. Be kind to yourself throughout this process. 7. Consider support groups Connecting with others who may be experiencing similar challenges can be comforting and reassuring. 8. Limit stress Identify sources of stress in your life and try to find healthy ways to manage or reduce them. 9. Set realistic goals Take small steps towards improving your mental health and celebrate every achievement no matter how small it may seem. 10. If you ever feel overwhelmed or in crisis don't hesitate to reach out to a crisis hotline or emergency services in your area. Remember you don't have to go through this alone. There are people who care about you and professionals who are trained to help. Seeking support is a brave and important decision and it can make a significant difference in your journey towards better mental well-being. Take care </s>

<s>[INST] How do I know if I’m unwell? [/INST] If you're wondering whether you might be feeling unwell it's essential to pay attention to your thoughts emotions and behaviors. Some signs that you might be struggling with your mental health include 1. Persistent sadness feeling down or frequent mood swings. 2. Loss of interest or pleasure in activities you once enjoyed. 3. Changes in appetite or sleep patterns. 4. Difficulty concentrating or making decisions. 5. Fatigue or lack of energy. 6. Feelings of worthlessness or excessive guilt. 7. Withdrawal from social activities or relationships. 8. Increased irritability or agitation. 9. Thoughts of self-harm or suicide. It's important to remember that everyone experiences challenging emotions from time to time but if these feelings persist and start to interfere with your daily life it may be a sign that you could benefit from some support. If you're concerned about your mental health I encourage you to reach out to a mental health professional. They can provide a more accurate assessment and suggest appropriate steps for improving your well-being. Remember seeking help is a sign of strength and you don't have to go through this alone. </s>