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I just took a job that requires me to travel far away from home. My family and I really need this job. People keep telling me I have "anxiety" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?

It is ok to have anxiety.   Please don't be anxious about being anxious.If you feel anxiety coming over you, then pull off the road to a safe place.   Concentrate on centering yourself and to breath slowly.   Take some sips of water.  Sit still.     The anxiety should pass in about twenty minutes.If it does not pass, then continue calming yourself until you feel safe enough to drive to your hotel.     You can always explain to your supervisor that you were taking care of a medical problem, because anxiety is a medical problem.

I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them.

I'm glad you're willing to keep optimistic about life improving and offering better relationships than some of the ones in which you greatly suffered.One suggestion is to develop patience with yourself and the process of regaining your willingness to trust other people.Sexual intimacy engages all of who we truly are.   Being cautious as to who and how much you allow someone into your life, is natural for anyone recovering from trauma.Allow yourself to withdraw when situations feel dangerous.   Your sense of danger is most likely on higher alert than had you not been victimized.Be attentive and cooperate with your own sense of readiness to engage in conversation, discussions and sex with your partner.Explain all this to your partner so the person can develop their own patience with your recuperation process.

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

Since as husband and wife your lives are closely joined, how your husband feels greatly influences the way you feel.Give yourself some time to concentrate on how you've been affected by your husband's suicide attempt.   Even if you decide against immediately telling him how you're feeling, knowing this about yourself will guide how and the topics you bring up with him.Is your husband talking easily with you?Do you have some ideas as to what is creating his feeling of hopelessness?The ideal approach would be if the two of you are able to discuss what bothers him and what bothers you.Depending on how far away you each are from such a position, you may benefit from speaking with a licensed professional therapist who can guide you and or you and your husband on opening up for discussion what feels stressful enough to merit taking one's own life.

I have three children. The oldest is nine and not my biological child. The middle child is three and the youngest is one. I have a great relationship with the oldest two children but I haven't developed the same level of attatchment to the youngest child. I rarely want her around and look forward to her nap times. Is this normal?

Congrats on being honest about the way you feel!Many people state having a favorite child so the reverse would also be possible, of having a least favorite child.Try to understand your own reasons for not liking your youngest child as much as the others.One point to consider is whether it is the child' personality or the way they interact with you which gives you the feeling of not liking this child as much as the others, or does the reason have more to do with younger children requiring more care?Also, do you generally prefer older kids to younger ones?   It is possible the problem will go away as your youngest grows older.Is there another parent in the household who can make up for what you feel unable to naturally give to your youngest?Is it possible you feel your own need to be involved with activities or to have time on your own?   Maybe you simply need a break from constant mothering.Continue to give as much as possible to your youngest child.

She refuses to talk to me and told my mom (her grand mother) that she is remembering things from the past. I don't know what to do. My daughter blames me and swears she hates me. My parents say I should just let my daughter live with her dad, but I don't see how I could fix things if I only see her every other weekend. What should I do?

Sorry to hear about your high degree of stress.How old is your daughter?Who abused yours daughter?The answers make a difference to your decision.Obviously if the father was the abuser, then unless your ex demonstrates to you and you believe, he will not abuse her, your daughter should stay with you.If someone other than the father was the abuser and the father has a good relationship with your daughter, then it is possible that the time away from your household will give each of you time away from arguing with one another.What does your daughter tell you she wants?Her wishes must be considered too.Relationships can be fixed.   Sometimes being apart helps this process because the two people each have time to reflect more deeply on what they value about the other.

Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her. When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand?

Do you know why your girlfriend doesn't believe you?It is strange that your girlfriend prefers you to take the phone call of another woman.Have you blocked the unwelcome phone calls?Has your girlfriend said she doesn't believe you or is this your interpretation?Find out the answer and then ask your girlfriend to tell you her reasons behind her thoughts.It is much easier to help someone understand a situation if the person is engaged in a conversation.Whether or not she understands is up to her.All you can be responsible to do is to offer your explanation, which sounds like you've already substantially offered.Keep or reintroduce the topic for the two of you to talk about again.

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?

I'm sure you've tried to talk to your husband, but if not, could you? Have a conversation with him about him and his life, his work, etc. See if he relaxes and opens up to you, even a little bit. Don't try to have a heavy conversation or even unburden yourself to him during this first conversation - just try to be light-hearted and focus on hearing him. It's the first step towards getting your needs met too, and ending any emotional standoff that might have come about between you.

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?

There is always hope. So don't give up on hope.However, you knew I would say that, there is a lot work ahead of you.You need to see someone to talk things out.Get some space between you and your husband. Don't chase and please don't stalk him.Do some deep searching as to why he left and what part you had to cause the split.You can't change him but you are in control of your own change.With the help of a professional counselor you can get help and direction where you need to change. 

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.

It's encouraging that you say you want "to be better connected with [your] husband," and since he hasn't left you, he must care about you and the relationship more than he does about just having sex. You don't say whether he complains or not, but even if he doesn't it seems there's a sense of something important missing for both of you.Most likely to connect better with him physically you'll need to become better connected with yourself and your body. Men often feel fulfilled by sex simply because it happened - the woman they want received them, allowed them to make love with her. For women that can sometimes be more complicated. A woman who loves sex most likely also loves her body, knows what pleasures her, and feels confident asking for what she wants. Self-pleasuring can be a way for you to discover more about your sexuality, and a classic resource is Betty Dodson's book Sex for One: The Joy of Selfloving. A good counselor or sex therapist can be very helpful with your whole relationship as well as the sexual part of it, but not all counselors are comfortable working with sexual issues. Shop around and be sure you find someone who can help you and your husband get better connected on all levels.

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.

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.

I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?

I can offer you hypnosis for confidence in presentations, via Skype, if you're in Cali.

I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?

A good way to start is the language or "self talk" that is happening inside your mind.  Looking at your question, when it is said that the presentations "make me feel stress" you are giving the responsibility of the stress to the presentations and taking that away from your self.  The presentations cannot give or take away your stress, that's something only you can do and you can do it!   What language can you change in your self talk?  For example, are you saying "I can't speak in front of an audience! I'll fail?"  That sounds a lot different than "I studied my butt off and if I practice speaking out loud, I can ace this presentation!"  Although this is a short answer, I do believe that counseling will help you overcome these stressful feelings and bring out your inner confidence.   

I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?

I am so sorry to hear about what happened to you! What you are describing is being in a state of shock. You haven't suddenly become a sociopath - this is a normal reaction to an event that is completely overwhelming. There are most likely too many feelings to feel right now, so your body in its wisdom is shutting them down. You absolutely can recover, and it would be really important to get some trauma counseling with a counselor who feels safe for you to talk with. This is not the kind of situation to try and handle totally on your own. 

I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments.

Check this blog out:  Four-ways-add-self-esteem-friends-listHope you find a few nuggets of helpfulness in this.

I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face. It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do.

Check out my latest blog:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!

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.

Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this provides a few nuggets of helpfulness to you!

I feel like I'm ugly, stupid, useless, and that I can't make anyone happy.

Check out my blog post on:  Four-ways-add-self-esteem-friends-list/I hope this offers you some nuggets of helpfulness!  

I always need alcohol to feel better and use that as a excuse.

Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!  

I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?

Terrible things do happen in life, and I am sorry to hear about what happened to you. Please rest assured that you are not a sociopath, and that your reactions are normal responses to traumatic events. I'm guessing you are experiencing a sense of numbness, which is a common response to trauma. The best thing you can do is to get some trauma counseling with a professional counselor.  As you process your experience, you will be able to feel emotions again. However, the first feelings to come back may be related to trauma, such as fear, panic, and a sense of hyper vigilance. A professional counselor will be able to help you tolerate these feelings, manage them, and heal from your trauma.

Why am I so afraid of it? I don't understand.

Why are you afraid of rape? Because it is a problem in the United States! The National Sexual Violence Resource Center reports that one in five women (0r 20%) will be raped (http://www.nsvrc.org/sites/default/files/publications_nsvrc_factsheet_media-packet_statistics-about-sexual-violence_0.pdf) and that 80% of women know their assailant. Given these statistics, it is perfectly logical to be afraid. However, there are things you can do to reduce the risk of rape, such as being aware of your surroundings, and limiting the use of drugs or alcohol.The Enhanced Access, Knowledge, Act program for college-aged women has been shown to reduce the risk of rape by more than 50%. (http://www.blueprintsprograms.com/factsheet/eaaa-enhanced-assess-acknowledge-act-sexual-assault-resistance-education) You may want to see if a program like this is available in your area. Another great app for when you need to walk somewhere alone, is the Companion App (http://www.companionapp.io). Friends or family can track your progress from one point to another via the GPS in your phone.In addition, talking with a counselor about your fears would also be a good idea. Sometimes fears are rational and reasonable. Sometimes they are over-reactions and unreasonable. When then are over-reactions and unreasonable, they can have a negative impact on your life. In this case, a counselor could help you understand why your fears are unreasonable, and how you can stop them from negatively impacting your life. 

I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?

You're not a sociopath - you're traumatized. Shutting off feelings is our brain's automatic way of protecting us when something bad happens and we just can't deal with any more pain. It's temporary - which is both good and bad news, because after the numb goes away and your brain decides you're ready to handle it, you'll feel the emotional pain.  My advice is to get a therapist ASAP so you have a safe place and a safe person when that happens.This is a horrible thing that happened to you, but you are not a horrible person. With good therapy you will learn to assimilate this into the rest of your life. You'll never forget, but you won't have the same pain about it  .Good luck! You can do this!

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?

What an important question, and the fact that you're asking it is a big step in the right direction. To answer in detail would require having quite a bit more information about what "relationship problems" have occurred  that woke you up to the fact that you're not listening as well as you could and that you're running the risk of losing her.Given that I don't have all that information, I'll offer one simple suggestion. Your girlfriend is the expert on what she needs and wants in relationship. You could simply say to her that you know you still have a lot to learn about how to have a good relationship and you realize you're not yet understanding what she needs and you really want to. Then take a deep breath, settle down, and listen. Don't argue, don't interrupt, don't judge... listen. Let her know what you understand and that you're open to hearing more, learning more if you're not quite getting it yet... and then listen some more. Be present and curious about this person you love dearly and don't want to lose. This is the first step toward intimacy.

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?

Hello, and thank you for your question. First, I want to say that it is great that you are are willing to admit that you share some responsibility in some of the relationship problems you are having. This isn't always easy to do, but it sure is important if you want to see improvement. It does sound cliche, but communication really is the bedrock of relationships. And not just intimate partner relationships, but really any relationship that is significant to us. It sounds like you are saying that you have a difficult time really listening to what your partner is telling you and then responding in a way that is helpful. I want to tell you that you are not alone. Good communication skills are not really something you are born with, we actually have to learn them. The good news is that there is great information available to help you do that. Ultimately, some people must seek professional help through couple's counseling in order to get help with this process. This is because some of the hurt and anger could be at such a level already that you may need help setting boundaries, creating a plan, learning new skills, and staying on track. If that is not something you can afford or can do right now, here are a few suggestions that may help. Personally, I am big fan of Dr. John Gottman. He is an expert in relationships and wrote a really great, easy-to-read book called The Seven Principles for Making Marriage Work. Dr. Gottman discusses the kind of communication that healthy couples seem to have, which can be helpful and worth trying. You can buy Dr. Gottman's book on Amazon for under $9. It's a good deal. There are a variety of websites that have good information that may help you build your communication. Here is one that I found that has a few good tips. http://www.helpguide.org/articles/relationships/effective-communication.htm You can try them and see if they are helpful. ***It is important to remember that like all new skills, communication requires practice and we surely fail several times before we start getting good at it. If you were ever a pitcher in baseball, then you know you have to throw thousands of pitches before you really start hitting your strike zone consistently. Allow yourself to make mistakes, own them, and start again. I hope these suggestions help, and good luck.Robin Landwehr, DBH, LPCC

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?

Thanks for your question. Becoming a good listener is an essential piece in being a better communicator. Being an effective communicator will almost always improve the quality of your relationships. What stands in your way of listening to her? Do you find yourself becoming defensive when she brings up issues? Do you often find yourself thinking of what you want to say next? Do you take her words personally, preventing you from having the ability to problem solve?Here are some tips that may help you with being a better listener:1. Concentrate on what you are hearing, not on what you will say next.2. Ask questions if you need clarification or don't understand.3. Summarize what you're hearing after every couple of minutes to make sure that you're not missing anything.4. Ask your partner what she needs from you. Is she expecting advice or does she simply need to vent?5. Keep eye contact and avoid using non-verbal cues that demonstrate defensiveness or irritation such as eye rolling or crossing your arms.6. Remember that it's okay to disagree and, if this is the case, then decide as a team, how you want to move forward.I hope this helps. Good luck to you!

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?

I love that you are so thoughtful and proactive about this!  If only every client came in as solution focused as you, my job would be so much easier. I would second Robin's suggestion of reading ANYTHING by Gottmann. He's fantastic. Other favorites of mine are:“Getting Together and Staying Together: Solving the Mystery of Marriage” by Dr. William & Carleen Glasser“Eight Lessons for a Happier Marriage” by Dr. William & Carleen Glasser“Hold Me Tight” by Dr. Sue Johnson“Divorce Busting: A Step-By-Step Approach to Making Your Marriage Loving Again” by Michele Weiner-Davis, M.S.W.“The Five Love Languages” by Gary Chapman“The Flight from Intimacy: Healing Your Relationship of Counter-Dependency – the Other Side of Co-Dependency” by Drs. Janae & Barry WeinholdI'll also add to Miriam's assertion that your partner is the expert on her. You can help things along by becoming a better expert on you as well. What is it that you are craving and likely trying to get your need met in potentially unhelpful ways from your girlfriend or in ways she doesn't understand or vibe with?  If you can better explain your own needs while trying to understand hers, you all have a recipe for great success! When both partners seek to serve one another and stay curious about each other in the process, intimacy abounds!Best of luck my friend! And if you get stuck, of course seeking help from a professional is always a great idea too. ;)

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?

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!

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?

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/

I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?

Have you tried rehearsing to yourself or a trusted friend what you will present to the class?   The more confident you feel in a safe space, the more chance there will be of making the same presentation to a larger group.Giving presentations is not necessarily a difficulty with communication.   It has more to do with performance than expressing yourself clearly.Practice, practice, and practice, until you see yourself improve in how you present.Also, keep in mind that whatever anxiety you may feel about making a mistake, the audience is almost alway much more forgiving than the person who feels anxious.Anxiety heightens fear, so whatever concerns you have, check if they are growing from anxiety instead of a realistic assessment of your abilities or audience receptivity.Good luck!

I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?

Sociopaths don't know they are sociopaths.Clearly, you realize you have pretty deep emotions and have lived through several severely distressing situations.Your sense of self may be protecting for a while until you recover the practical aspects of daily life and feel some sense of predictability and stability in your life.Knowing and feeling disturbing emotions which rupture basic trust that other people are safe, is itself a raw process.Yes, it is possible to become numb emotionally.   The good purpose is to protect you from additional hurt.When your inner world feels itself ready, more of your emotions from the recent distressing events will be accessible.If many months pass and you see no progress, then definitely consider a few sessions with a therapist who would be able to guide you to become more open to your feelings.

My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my sex drive. I love him so much. Why do I do this?

Are you sure it is only the birth control pills which has changed your sex drive?My guess would be that possibly due to the hormonal changes of the pill, your own awareness and understanding of yourself in this relationship, is what is actually changing.Birth control pills control ovulation.   They don't directly prevent people from all desire to express affection.Allow yourself some time to reflect on how you feel toward your BF.   It is possible the birth control pills triggered a change in your attitude toward him.And, maybe independent of the pill, maybe you just are done with the relationship.

I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.

Hello,While one can be sad from time to time, feeling sad "all the time" could be a sign of depression. If you feel sad on most days, it is worthwhile speaking to a psychologist to determine whether you suffer clinical depression. Feeling sadness is a normal response to loss, whether you lose a family, friend, job, or something you deem important in your life. However, feeling sadness all the time is a signal that you are not happy about something in your life. If it is related to your family and often relationship with family members could affect our self-esteem and self-worth, then perhaps it is worthwhile exploring what you find unhappy about your relationship with your family. Is it that you do not feel heard, supported or loved? Is it that you feel disrespected, disregarded or feel unimportant? These are just a few examples of common issues that people report that contribute to their depression. To help you to uncover your reasons for your sadness or depression and to cope with them in a healthier and more constructive way, it may be helpful to contact a therapist who could support you with this process. You do not have to deal with it alone. Dr. Virginia Chow, Montreal Psychologist. For more information about depression, please consult my website at www.PsychologyResource.ca

I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?

Wow, congratulations on being in a masters program. You are in a unique place. So few have reached that level. You should give yourself a pat on the back.Confidence is not something that comes naturally. But can and does come with practice.Having gone through two masters programs I can sympathize with your your dilemma. So how is the stress affecting you?Is it serious enough to stop you from presenting or is it just "butterflies"?There are many ways of dealing with the anxiety and stress. Much depends on how serious the stress is.So here are a few ideas:1. Practice in front of a mirror.Sounds strange but the practice helps.2. Ask some friends to listen to your presentations. Not so much for their input as to just get used to presenting.3. Focus on the material you are presenting. The subject matter is what you want to get across. Step away from your nerves and get into the facts you want to present. Let the material you present be the focus. 4. Remember everyone else is just as nervous as you. Share your fears with some of your classmates and gain support from them. Focus on a friendly face during the presentation. Be a support to them in return.5. "Fake it, till you make it". Yes it sounds blunt. But sometimes that's what it takes. Even if you feel like it, you won't die.So much more can be discussed with a competent counselor. Take the time to let a professional help you work through this.Again you have come a long way to be in a graduate program. Congratulations you have done great work so far. It's just one step at a time, take the steps.

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

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

My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my sex drive. I love him so much. Why do I do this?

There could be many reasons that you push your boyfriend away. It could be part of how you were raised, it could be because of culture, it could even be your own insecurities about yourself that are then outwardly manifested in you "pushing" him away. What is important in all this is that you both find a way to connect. So what if you aren't a hugger, a kisser, or a toucher you have to find what works for the both of you and your relationship. There are many ways to show affection that aren't physical (words of affirmation, giving of time and/or gifts, etc). If your boyfriend wants the physical attention then work on ways that are comfortable for the both of you making sure to start out slow and to work your way up to more physical touching.

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

Here is the truth: You will never get her to understand! because that would mean changing her and we can't change other people we can only change ourselves. I would recommend to take the time to self reflect on what exactly it is that you are doing that is contributing to the mixup. You both have very valid feelings and those won't magically go away until you address the root problem (which could be many factors). I am curious to know more about past relationships the both of you have had and how that plays a role in your current relationship. Many times we don't realize how past relationships truly impact our current behaviors. 

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.

I work with many couples that experience a wide range of sexual and relationship challenges. The one aspect I tell many folks that I work with, is this: Every person and relationship is different. There really isn't a "normal" amount of sex a person should have or want to have. If having sex 4 to 5 times in the course of your relationship is satisfying to you and your husband, there is nothing wrong with it. If you or your husband would like to have sex more often, I suggest talking with a counselor about this to find ways to engage in a sexual life in which you are both satisfied. The aspect of connectedness is an important one. While sex can be very connecting for many couples, it isn't the only way to connect. I find that communication about the matter of frequency of sex, checking in to see how you and your husband feel, as well as communicant about your needs for connection are an important start to fulfilling this need.

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

Hello, and thank you for your question. Nervousness, when doing something new, especially something sexual that can feel so personal, is very common. Indeed, despite the fact that nervousness can be uncomfortable, it is also part of the excitement of trying something new. Many people who engage in open, polyamorous, and/or other-type relationships, will tell you that difficult feelings, such as jealousy and anger, do show up sometimes. This doesn't prove that there is something wrong with the relationship, it just shows that you retain normal human emotions while in one. And many people who are in polyamorous relationships have written about the work it sometimes takes to make such relationships work. Of course, all relationships take work, so polyamorous and other types of relationships are simply not an exception. There could be several reasons why you are feeling the way you do. One reason could be that you are simply not as comfortable with the idea as you think you are. Some time and good communication with your husband may help you with this. Another reason this may be bothering you is because, on some level, you are aware of the messages society gives us about marriages. They are supposed to be monogamous, heterosexual, etc. etc. Just because you may not agree with these beliefs doesn't mean that you haven't been influenced by them. We all have. Another reason this may be upsetting you is because it may feel a little frightening. Perhaps there are a lot of "What ifs" going on in your mind. When you get the "empty" feeling, it may be helpful to try to really nail down the emotions that are attached to that feeling. One thing that I do think is very important is that you communicate these feelings to your husband. It may even be a good idea to talk about expectations or "ground rules", if you will. It is important that you are both on the same page about what this is, and why you are doing it. If you continue to struggle, I suggest finding a counselor who has experience in sex and sexuality.  I wish you well.Robin J. Landwehr, DBH, LPCC, NCC

I don't know how to tell someone how I feel about them. How can I get better at expressing how I feel?

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!

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

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

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?

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

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?

You're right that long-distance relationships can be complicated. If he loves you and you love him, that's a great start. I wonder if you would be able or willing to have a discussion about what you love about each other and what makes each of you feel loved, valued, special, and appreciated.When having important discussions, consider the following:Make sure it is a good time to have a discussion (and if you're doing it in writing because of the distance, you could type something in the top of the message about not reading any further if the person who is reading doesn't have 10 minutes or something like that)Try to listen as though you are an investigative reporter trying to find out information about each other. Asking more questions in this manner can be a helpful way to be less defensive during difficult or emotional conversations.When having discussions face-to-face, I often recommend using timeout when things become very emotional and saying that you agree to go back to the conversation in 15 minutes or one hour or some short duration of time that allows for some of the immediate emotions to dissipate so it is easier to also talk about them. As for how that translates to distance, maybe each of you would say that you are working on figuring out how best to explain it and will answer the next time you have access to the Internet (or, if possible, use some kind of timeframe).Consider what questions you would like answers to. For example, are you wondering:What should I do if I miss you or want to talk to you more? I don't want to make you feel guilty, but I also don't want to hide my feelings. Can I share them with you?If you have days or weeks when we cannot be in contact directly, can I keep sending you messages or is that overwhelming?How will you ask for support from me?Some couples really want to protect each other. In doing so, instead of hiding our emotions, can we share them and work through them together?Whatever else comes to mind.Gary Chapman is famous for his books about the 5 Love Languages. He has one specifically for military families: The 5 Love Languages Military Edition: The Secret to Love That Lasts.Here's a list of books related to loving from a distance: http://www.longdistancerelationships.net/bookstor.htmI have not read these books myself, but I have read other works by a lot of the authors.One final tip: Consider making a list of times when you work together and both feeling calm, safe, and comfortable. These memories could be helpful to you during difficult moments.Best wishes to you. Remember that you could each see therapists in your respective locations if that would be helpful to you.

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?

There is a lot of information that needs to be filled in first. So what the custody arrangement? Does your dad have full custody? Is the custody shared? What does your mom think about the situation? Is she willing to go to bat for you?What is your age? Usually you have the right to choose based on age requirements set by the state.Legally you can't be kept away from your mom unless there is some legal complications that prevent it.Is your father abusive and should you seek protection?Many details need to be filled in.You can seek counseling without your parents approving or knowing, depending on your age.Find counseling through school or local agencies.You have rights and one of those is the right to choose.

I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?

You ask a very deep and sensitive question which reflects good self-awareness.It is possible you are a more sensitive and aware person than the people whom you describe as listening and not really hearing you.Not everyone has the same capacity or willingness to pay careful attention to what is going on in life.Maybe for right now, until you are able to find in person friends whom you're able to feel hear you the way you'd like to be heard, find online forums and groups of likeminded people.If you google a topic which you wish your friends would be better at understanding, there will be scores of groups, including google groups, which come up.You're not alone in the sense that there are definitely people on this earth who are sensitive, caring, and willing to talk and understand others.

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?.

If you'd like to ask a question, then go ahead and ask!Boyfriend/girlfriend is a close relationship and it is usually understood as an exclusive relationship.  You're definitely entitled to know if your wishes to not have him texting another woman, are being respected.Often people are afraid to ask because they fear the truth will hurt them.In the short term this is definitely true.In the long term, knowing you are getting what you want and at the very least stating your expectations to your boyfriend, will clarify for him, what is meaningful in your relationship.

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?

You're wise to be aware of possible changes to your relationship once your bf is away from you for extended time periods.All you both can do is state your intentions and wishes, keep in contact as much as possible, and wait to see how your relationship unfolds.To a large degree, each of you is relying on faith that if the relationship is meant to last for a while, then it will.   The military may add stress.This doesn't necessarily mean the stress will dissolve the relationship.Sometimes all anyone is able to do, is try.

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?.

I agree with Sherry that in a close intimate relationship, you are entitled to ask questions about his relationship with significant others. These questions help couples to build connection and trust. It's based on the idea that if you reach out to him for whatever reason (support, openess, understanding, empathy), you can count on him and can expect him to be responsive. How he responds to your question will give you an idea whether he helps you to feel more emotionally secure and builds trust or if you feel that you cannot be open with him. If your partner responds in an open and understanding manner, it usually indicates that he cares about your feelings and values your importance. If he responds in a defensive manner, it could mean that he does not like that you are questioning your trust in him or that he has something to hide. Either way, you may wish to explain that building trust is something that is very important to you in a relationship and that talking to him openly helps to foster that. If he continues to be defensive or evasive, then there might be some bigger issues at stake and the two of you may benefit from couples counselling or having a discussion about the values that are important to you in the relationship and how the two of you will go about supporting those values with actions.Dr. Virginia Chowwww.PsychologyResource.ca

I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?

This happens slowly and can be done.You already are at the first step of realizing that you hate yourself, not that the feelings of self-loathing are the best of what you're able to expect from life.A way to start building confidence is to pay close attention to the way you handle interactions and make decisions.If you start to notice what you'd like from an interaction, and afterwards, reflect on how well you handled yourself, especially with any unexpected circumstances, you'll build confidence in your ability to be good at something.Do you know why you hate yourself?This answer may help you address within yourself , a new type self talk which has more positives in it than what you've been accustomed to telling yourself.

I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?

Let yourself know what you feel.   There is no timetable or known length of how much time a particular person requires in order to feel that the dissolved relationship is behind them.Probably the more you allow yourself to acknowledge your sadness from seeing the reminders, the sooner you will feel fresh and new again.

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

You may not get her to understand your point of view with any more success than your wife is having with you to do the same.It is possible you are a balanced couple in the sense of neither one of you understanding the other.The deeper question to ponder is whether each of you can accept the other person even though you each have very different terms for defining "cheating".You will find either there are enough strong similarities to keep the two of you happy as a couple, or there aren't these similarities.Then, the new question would be whether either of you want to address your findings or not.

I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Hello, and thank you for your question. Overcoming fears is something that everyone struggles with at one time or another. Sometimes we come across something that scares us, we push through it and suddenly we aren't afraid anymore. But sometimes it can seem like our fears just take over and we cannot overcome them. There are some options:1. You can go to a counselor and receive some type of treatment. What kind of treatment would depend on the type of fears you are experiencing. For example, if you have a general phobia about something, they may use various techniques to help you manage it.  2. There are different websites and even some self-help books that you can use to try to overcome your fears. When it comes to overcoming certain fears or phobias, exposure therapy well-studied and proven to work. A therapist would help you with this, but some websites give instructions for how to do it yourself. I am not sure how well it works when you try it by yourself, but here is a link to a website that does offer some tools. http://psychology.tools/anxiety.htmlSome colleagues may offer you some other types of advice. Be well.Robin J. Landwehr, DBH, LPCC, NCC

I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?

Although we can have moments when we feel alone, even with the presence of family and friends, feeling alone most of the time could be a sign that there is a lack of connection between you and your loved ones. Generally, the lack of connection can occur when you don't feel heard, understood or valued. These are common emotional needs that result in a good and secure emotional connection that reduces feelings of loneliness. You mentioned that "they listen but don't understand." Do you communication clearly about what you need emotionally (understood, accepted, valued, heard, empathized)? To help you ask for the right type of support, you can ask yourself what it is about the situation that is bothering you and how you would wish for your friends and family to respond to you. The result may be an answer that is more informative to your loved ones. For example, you might say, "Thank you for listening to me. When I feel alone, I feel like nobody cares about me because everybody seems busy with their lives. I just wanted to hear and feel that I'm valued by receiving caring messages and phone calls." Dr. Virginia Chowwww.psychologyresource.ca

I know I'm ruining my life with a lot of the decisions I make. I consistently tell myself I need to make some serious changes in my life, but I just can't seem to even though I really want to. Why can't I force myself to change?

Hello, and thank you for your question. Changing unwanted behavior is one of the hardest things a person can do. I agree with Sherry that being patient with yourself is important. Here are a few things I would suggest:1. Get clear on the behaviors you really want to change, and make sure they are behaviors that CAN be changed. Sometimes we will set a goal like, "I want to be more confident" but that is hard to measure and prove to yourself that you accomplished it. Saying you are going to accept a date or go on a job interview is something you can actually do, and something that you may consider to be demonstrating confidence. Whatever your change of behavior is, make sure it is something you can actually change. 2. If you are going to give up a behavior, decide what you are going to do in place of it. So, if you are going to stop showing up late for work, then you are deciding to be on time for work and demonstrating your value of being punctual. 3. If you are going to make changes, really nail down WHY you want to make them. What is it about making these changes that is important to you as a person? For example, if you have the goal of weight loss, the reason this is important to you as a person may be because you value self-care. Knowing WHY you want to make changes is both your motivation and your compass for getting there. 4. Once you know WHY you want to make these changes, I strongly suggest setting small goals. If you set too high of goals you may not accomplish them and just feel worse. So, make the goal small, realistic, and guided by the the things you want to be as a person. 5. As Sherry mentioned, finding a counselor is sometimes a good idea if you really feel stuck. Any counselor who does work with goal-setting and motivation can probably help. Be well,Robin Landwehr, DBH, LPCC

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

Hello there.  As you have courageously explained your soulful dilemma. I can appreciate the complexity of this situation.  You have identified some key factors that may be contributing to your sense of feeling "empty".  One, is the ultimate goal here able to be acquired from this arrangement?  Are you trying to have your fulfillment with another woman while in the presence of your husband but not with him 'on her' as much or at all?  Are you trying to ask him to be more passive participant?  Perhaps be careful of not drinking too heavily... In the whole event, how do you want to feel intimate or connected ?  Were you craving all along, him to really be all over you along with her?  These are questions that arise; maybe not solutions.  Its always good to be very clear with oneself of what is the ultimate target here... And always measure the potential danger..  Peace - keith

I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?

Hello there.  Thank you for sharing your heart here.  I want to start off by saying, in kind of an ironic way, your struggle is something many people go through, I might say quite often.  Many feel alone with one another quite frequently.  THe reasons for feeling alone vary much between person to person.  In reading how you presented things, I will just respond from how this strikes me.  Sometimes feeling alone might be the result of not completing the second half of the equation; meaning that although people "listen" it wont necessarily equate the elimination of being alone. Instead, its when you follow up by inquiring and listening to others that you  may discover they feel and think and struggle just like you do. And as a result, you discover you really were never alone; when people discover common struggle and feelings, we are connected.  Second, we as humans are sometimes feeling alone because we may be lacking some self-acceptance.  Not fully accepting myself or situation , can be in the way of feeling the presence of others or the hearing the voice of others too. Or in other words, not bein 'ok' with myself makes it difficult being with others.  Third; feeling alone may be us not clear on what we are really needing from another person?   These are just some thoughts to consider.  Aloneness feels so real; and yet it has much to do with our perspective and view of things...  we are all alone in a crowded world until we speak and listen more closely.Kindly-keith hughes M.A.  keithcounseling.com

Sometimes, I'm fine and can go out or meet people, but other days, my heart races and words physically cannot come out of my mouth. I've always thought it was normal and I was just nervous, but the other day, it took me almost 30 minutes of sitting in my car to find the courage to enter Target by myself.

Feelings of anxiety can be scary and sometimes we're not aware of the triggers that lead up to moments of anxiety, i. e., heart racing, sweaty palms, sweating, shortness of breath. It's important to realize that in moments of anxiety our body & mind are experiencing a reaction from our primal or reptilian brain that is signaling the flight or fight response within us, which kicks the hypothalamus into action flooding our body with chemicals, like adrenaline or cortisol.  So, one way to work with anxiety is to find out what the triggers are that lead to anxiety, such as fear, stress. negative thought patterns, not enough food or sleep. Keeping a daily journal can help you track the patterns and triggers and once you identify the triggers you can ameliorate them by learning new skills & techniques and by reducing stress and getting enough sleep. One quick way to reduce anxiety is by taking deeper breathes, sometimes this is called belly breathing. When you breath in make sure your belly rises and expands and as you breath out the belly deflates. Many of us do shallow breathing up in our chest which does not allow for a full breath, and getting a full breath is so important as a tool to help relax us in times of stress & anxiety . 

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?

Scary thoughts can feel overwhelming at times as well as feeling quite real. I want to acknowledge how scary they can feel, but there is hope and new skills you can learn to work with these types of thoughts. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particulate thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain," he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories,  this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. 

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?.

I think honesty is the right approach in this situation. Share with him that you looked at his phone, as well as sharing with him any fears or concerns that you're having about the long distance relationship. Trust is the foundation of any successful relationship and when doubt & distrust creep into a relationship it can undermine the long term health of the relationship. Hopefully, he will understand your concerns and appreciate your honesty. This also might be a good time to seek couples counseling to work on relationship & communication skills.

I suffer from adult ADHD, anxiety disorder, and depression. It has been difficult to find a doctor in my area and my primary physician won't help. I am unemployed and overwhelmed. What would you suggest I do?

I would check out agencies that offer affordable counseling based on your income or very low cost counseling sessions, i.e., Pacific Clinics, Hathaway Sycamore, Pasadena Mental Health Center, Burbank Family Center. If you google affordable or low cost therapy in your particular area you will find resources to help you. 

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

Religious questioning is a complex and often philosophical topic, and these types of questions, especially around heaven, hell, and an afterlife can bring up a host of difficult & confusing feelings. What I want to focus on is the fear & anxiety you seem to be feeling that are deeply connected to your questions. Scary thoughts, negative thoughts, obsessive thoughts sometimes feel like they're out of control and there is nothing we can do to stop them, but I want to offer two techniques that might assist with your panic & anxiety. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particular thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain," he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories,  this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. I would also suggest when you're having the thoughts about death take a moment to notice how you're breathing. Often when we are feeling anxiety we are doing shallowing chest breathing rather than taking in a full, deep breath or what is called belly breathing. If you take a moment to focus on your breathing and allow a couple of full breaths, bringing in the breath so the belly rises and then the belly natural falls as you exhale, just noticing the breath and practicing breathing can slow down the anxiety cycle as it begins.

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

You need to have an honest conversation with each other about WHY you both want a threesome. Evaluate the status of your relationship with each other. Are you having issues? Fighting? Not feeling satisfied with each other? How has your sex life been with each other?  If there are any problems, insecurities, issues, introducing something like this may only make your relationship worse. Open relationships and threesomes rarely work out well. Sure, there are some who successfully live this lifestyle, but it only works when both people are completely secure in their relationship with each other, harbor no jealousies or insecurities, and aren't looking to someone else to satisfy needs that aren't getting met by their spouse. Let me say that again: This is not likely to work out well for you if either of you are insecure, jealous, or looking to have needs met by this other person that you aren't getting from your spouse. That empty feeling you're having - listen to it. Dig deep to find out where it is coming from. What thoughts are going through your head when you feel that way? You'll get the answer.The other thing that helps make something like this work is for both of you to listen and respect each other. If you don't like it that he paid more attention to the other girl, he needs to know that, and he needs to respect that.  If you're going to do it again, he needs to know what you're comfortable with and what you want. Set the limits before you're in the moment, before it's too late to take an action back. Turn it around and ask him what he would be comfortable with if it were a man instead of a woman.It is perfectly natural to be curious and want to experiment. A lot of people get that out of the way before settling down in a monogamous relationship. People who marry young and/or inexperienced may still feel that curiosity about things like that and want to experience them, but don't want to hurt their spouse. The REASON you are both doing this matters a lot. If there are problems in your relationship, this is likely to only make things worse.

I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single.

Hi there! It sounds like you have already started to answer your own question by stating that you love cross dressing very much, and I am glad you enjoy it! Cross dressing is something many people enjoy, and there is no harm in it whatsoever. My question to you would be: What is making you feel torn about it? There is unfortunately still a lot of negative stigma associated with people who express their gender or sexuality in ways that differ from the majority. (And sometimes certain sexual interests are actually very common or even in the majority, but because people carry shame about being different when it comes to gender and sexuality we assume we are all alone!)Being a sexual or gender minority or someone who participates in kink or expresses their sexuality or gender identity in a unique and personal way often means suffering from something called "internalized oppression". We grow up being exposed to certain assumptions and beliefs about what is "acceptable" behavior and even face consequences sometimes if we don't "fit in" the way others tell us to. Even if those assumptions are harmful and wrong, we still internalize them and feel guilty about who we are. There is nothing wrong with us, but feeling stigmatized and isolated can lead to feelings of shame, embarrassment, or like something is "wrong" with us.But there is absolutely nothing wrong with you, so be proud of who you are and what you enjoy. You can continue to simply enjoy it privately, or maybe you'd eventually like to share it with a partner or maybe even join a community with similar interests. I'll leave you with a quote from comedian Eddie Izzard, who identifies as, in his own words, a "straight transvestite": "They’re not women’s clothes. They’re my clothes. I bought them!" Take care, and thanks for your question!

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

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

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?

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

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?.

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.

My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.

You're probably not going to like my answer.Your question says a lot about what YOU want rather than what she wants or what may be best for her. Sometimes, what's best for a person is the hardest thing to do, and may be completely opposite of what YOU want.Addictions don't happen in a vacuum. If you've had any experience with addicts at all, then I'm sure you've heard the term "enabler". A lot of the times, when people think they're "helping", they're actually enabling the addict to continue their self-destructive behavior. Tough love and clear boundaries are needed in a lot of situations, but especially with addictions. Family and friends are often the biggest contributing factor to someone choosing to use/drink, continuing to do so, or relapsing back into it.You said she recently quit. You said she is depressed. She wants to move. When a person receives counseling for addictions, they are encouraged to make changes like this. They need to break the habit, and this means removing people from their lives at times. It means moving to new locations. Anything that may trigger a relapse needs to be identified and removed. Not only that, but the addict needs to do a lot of personal reflection to figure out WHY they use/drink in the first place, and not only break the physical addiction to it, but deal with whatever is the root cause that led them to use in the first place. She may need some time alone to figure out who she is as a person, time to make some decisions for herself and do what she needs to do to be healthy.Don't pressure her to stay. Let her have the freedom to do what she needs to do. If she stays, the decision needs to be hers and hers alone. It doesn't need to be made under pressure. That will only lead to resentment. Support her, but don't try to change her or make her do anything, especially for selfish reasons. Let her go. It sounds like she needs some time to focus on herself right now. It wouldn't be a bad idea for you to do the same.

I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Biologically, fear is designed to protect us from harm. Fear is not always a bad thing, and in fact can be quite healthy and appropriate depending on the situation. A phobia, however, is different. You used the term "fear" rather than "phobia". A phobia is an irrational fear - meaning it is not rational for you to fear that thing. If your situation is a phobia, exposure therapy can help. This consists of gradually exposing yourself a little at a time to the thing you are afraid of. Some people with phobias find that the irrational fear interferes with their life and they do need to overcome it. Someone who is afraid to drive over bridges may go to great lengths to avoid routes that have bridges. People who are afraid of elevators may always use the stairs instead, which may not always be feasible. If overcoming a phobia will improve the quality of your life, then by all means, seek professional help to overcome it.Everyone has fears, or things that make them nervous. Public speaking, asking a person out, fear of failure. Examine what your fear is and try to determine the reason for the fear. When you can get to the root cause of the fear, you can deal with that issue. A lot of times, it is a self-esteem issue. You may be able to peel back the layers of the fear and find out what's causing it and deal with the real issue. Some fears are caused by trauma. Someone with PTSD is going to have an exaggerated fear response and will find themselves being kicked into "fight or flight" mode over things that someone without the trauma experience wouldn't notice or react to. In cases like this, exposure therapy would be the wrong approach and could actually make things worse. If there is a possibility that a past trauma is the cause of your fear, I strongly urge you to seek a therapist - not just any therapist, but one who is trained to work with trauma and abuse victims.

I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?

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. 

My dad makes me feel like shit and like I'm worthless. He calls me names and makes me feel depressed. I want to move out because I swear if I stay here, I'm going to lose it. What can I do?

Are you old enough to move out? Then by all means, what's stopping you?If not, is it possible for you to move in with another family member?If you're a minor, CPS may need to step in. They often do in cases of abuse. Your safety is the number one priority.It's difficult to offer advice without knowing more about your situation. But I can say this: Don't let other people define your self worth. You can choose NOT to allow him to make you feel anything. It really is that simple. By looking at it as a choice you make, you will be empowered to take control over your emotions and learn to feel better about yourself because your self-worth will no longer be defined by what someone else says about you or how they treat you.Let me say that again in a different way: Your self-worth is NOT defined by someone else. The way he treats you is a reflection of who he is as a person - not you. Don't take ownership of that! I understand that if you are a minor, setting healthy boundaries and refusing to accept this kind of treatment can be difficult. Reach out to others for help. But if you are 18 and over, there is absolutely no excuse for you to be there having to put up with maltreatment. Put up some boundaries and create the distance needed to protect yourself emotionally. You owe it to yourself, and deserve to live a healthy, happy life. Anyone who tells you otherwise is wrong.

My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my sex drive. I love him so much. Why do I do this?

I sympathize with you! It is actually quite common for one partner to have a higher sex drive than the other, and can lead to discord in the relationship. The good news is, there are ways to deal with this.You may have already answered your question. There are many medications that can alter one's sex drive. If your birth control pills are the cause of this, talk to your doctor about switching to a different brand. You may even consider alternate methods for birth control, such as condoms.However, there are some other things to ask yourself. First, you used the term "affection" but then talked about sex. They're not the same thing. There are different kinds of intimacy, and many different ways to show love for someone. A book you might find useful is "The Five Love Languages".Defining what "affection" means to you, and to him, and discovering all the ways you both can show this towards each other, may help lessen some of your anxiety over this.Humans are hard-wired to need appropriate physical touch. In fact, studies have shown that newborns/premies who can receive skin-on-skin contact with their parent can recover faster than babies who don't receive this touch. It's called Kangaroo Care. Children who have grown up in neglectful environments where they're not hugged and kissed and shown appropriate physical contact can often be unable to show this to their partners and children when they're adults. One question to ask yourself is, were you having intimacy issues before starting the medication? If so, there may be other, deeper issues at play here.For someone who has received the wrong kind of sexual/physical touch (sexual abuse, physical beatings) it can be difficult to allow someone to be physically close to you. A therapist could help you work through this.Sometimes, a person may lose their sexual feelings for their partner due to issues in the relationship. Once those issues are resolved, the sex drive comes back. Examine your relationship and see if either of you are unhappy, if you've been arguing a lot, or if there are any problems in your relationship that need to be addressed.Finally, look for the other ways that the two of you may be intimate in a non-sexual way. You may be doing things for each other that you don't even realize, and noticing these will help you appreciate it more. Take the stress off of the sexual gratification and focus on showing your love in other ways. Some people like to give gifts, do the other person's chores, or do other things they think the person will appreciate.If, after all of this, you still have a discrepancy with one of you having a higher sex drive, there are many articles online that offer advice for couples dealing with this situation that you may find useful. It is a very common issue for a lot of couples.

I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Fears are not that difficult to deal with, first you need to train yourself to relax using some relaxation strategy, once you are able to employ that in your daily life, you then need to start facing your fear, for instance I'll use an example of a man who has a fear of driving over a bridge. We would build a hierarchy of fears, that is a list of fears ranging from least to most, for example the man may want to start by looking at a picture of a bridge while employing his relation technique, then he may want to see a real bridge from a distance while employing that same relaxation technique, then moving closer to the bridge, then maybe standing on a bridge, all the while moving closer to his fear while relaxing, until you come to most fearful proposition which is crossing that bridge, or you can also engage in flooding which is for example, if you were scared of an elevator, go into an elevator until you are not panicking anymore, in the movie Batman Begins, Bruce Wayne who has a great fear of bats, goes into this cave and allows himself to be surrounded by bats until he is no longer fearful of them. Secondly, look at your fears, do they even need to be worked on, some fears are healthy, for example if i was a therapist in New York City and someone came to me and said "I'm scared of snakes", I would probably say that is OK because there are very little snakes left in ManhattanHope that helps C

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

First off, let's start with really validating the potential emotional pain you are feeling right now. There is generally no lack of uncertainty, anxiety, fear, sadness, and anger. These are all normal emotions and being allowed to feel them is the beginning of the healing process. It might be helpful to talk about these feeling with your fiancé, a friend or a counselor.Now to get to your primary question. Can a relationship move past infidelity? The short answer is yes. A bit longer of an explanation is that is sounds like you and your fiancé had pieces of a solid foundation to base a relationship on. For many couples they encounter a primary challenge, sometimes that's money, or parenting and for some it's sexuality. If you and your fiancé are both committed to balancing the positive aspects of your relationship while improving the challenges than it's definitely possible to move past this. This is not an easy process and for many couples takes months or years of healing while engaging in relationship counseling. Good luck to you and your continues healing and growth!

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?

Loving someone in the military is hard. My husband and I joined the USAF two months after we got married! How long do you expect to be apart? Do you have access to Skype or something similar? How far away from each other are you? Can you meet half way periodically? I have a number of military friends who have dates over the miles with facebook live. They pick a restaurant, order, and talk about their day. It's super cute and sweet. What are some things that you have tried?

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.

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?

I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?

Post Traumatic Stress Disorder can occur after any traumatic event where a real and present threat of harm or loss of life to yourself or others is present. Yes, a car accident could increase PTSD symptoms such as hyper-vigilance, anxiety, nightmares, re-playing the event, etc. Depending on the severity of the accident new triggers might exist. This is not to say that you cannot recover. Are you currently experiencing additional trauma symptoms?

I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I’m unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do?

As a prior military spouse myself I can happily report that you have several options in this case. First, you can go to the visitors center and let them know what has happened to get a temporary pass for a new id. Also, you can call the squadron commander or other official from your husband's unit to get them to tell you how to proceed. You can also contact the military personnel flight for more information The best thing is to get a new id as soon as you can. There should be no problems because it was stolen and yu might need to report it to the military police or security forces on base.

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

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

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?

I'm sorry you're going through this problem of scary thoughts in your mind.None of us are able to directly stop thoughts from coming.What is possible is to question their value, accuracy, and believability.Maybe if you examine the thoughts which upset you, you'll be able to feel better by understanding that the thoughts are not very relevant to your actual life.Also, another choice of what to do with the upsetting thoughts, is to redirect them.  When a stressful or frightening thought shows up in your mind, give it a happy resolution.   Basically, turn the fright into something pleasant or at least bearable.I hope this helps you at least a little bit!

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

Have you told either of your parents that the current house rotation of where you stay, bothers you?Since each parent has an interest to be together with you, I imagine that to some degree, each cares how you feel.If these conversations are not getting your problem solved, then maybe your therapist can have a family session with your parents together and depending on the outcome, with you and each parent.

I have high functioning autism and I have been on a lot of dating sites like meet me, match, and zoosk. I haven't had any luck on any of the dating sites I have been on. I really want a boyfriend but I don't know what I should do. I just want to be in a relationship. How can I meet someone?

Are there dating sites for people who have autism on the high functioning end?If not, then find out the names of different organizations which support people who have autism.  At least one of these groups will have some guidance as to social activities for dating or even specific sites for dating when autism is a criteria.All the rejection on dating sites is rough for anyone to handle.How do you know that you're being passed over by guys who are on dating sites because you have autism?    Any reason is possible.Unless you've heard from a few particular guys that their reason for looking beyond you is because of your autism, it is possible you're in the same boat as everyone else who feels similarly frustrated by dating site rejection!

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

It's possible but challenging. Both partners need to be feel motivated enough to repair the relationship and dedicated to the work needed to address whatever underlying issues led to the serious breach of trust. For some people, cheating is an absolute deal breaker—for others, the context of the cheating allows them to see it as a mistake that they can forgive their partner for. So it depends on how you feel about the relationship and whether you want to put in the work to repair it.If you're not sure how you feel, counseling can help you resolve the ambiguity, either individually or with your partner. Then, depending on what you decide, a counselor can help you either repair the relationship or decouple from your former partner.

I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments.

If you are a people-pleaser type or a natural caretaker, you can slowly "lose yourself" over time if you are always tending to the needs of others and neglecting yourself.  If this sounds like a familiar pattern for you, this may have happened without you even realizing it if you were raised in a family where you had to pick up the slack alot.  Maybe your parents were addicts or they might have even just worked all the time and you learned to "take care of everything" because that is what you had to do to help the family run smoothly. Over time, a person who grows up in this type of environment learns that you put the needs of others before your own.  You might also be stuck in these types of patterns in intimate relationships as well; if you completely give yourself over to your significant other and you don't create a life for yourself with your own interests and supportive friends, you are at risk of losing what is unique and amazing about you.  If you grew up in a family where you learned this role out of survival or because it was needed to take care of your family, it's easy to re-create this in adult relationships.In both scenarios, if there is no awareness that this "self sacrifice at the expense of others" is going on, your identity is shaped around being a caretaker/enabler/people-pleaser and down the road it can lead to depression, low self esteem, and a confused sense of self.  Basically, you spend so much time helping other people that you don't make time for yourself or create a life of fulfillment.  Before you realize it, you have been living a life for others instead of yourself and you have no idea who YOU are.  Supporting loved ones and friends is important and certainly admirable, but if you are always that person that rescues, those that rely on you begin to take advantage of you and they will suck you dry if you let them.  In conclusion, learning to set boundaries with those in your life that are too needy becomes a really important part of the process when you begin to recognize that you are unhappy and unfulfilled in life.  It sounds like you may be at that crossroads right now.  Take one small step at at a time.  Identify the worst offenders in your life that suck time and energy, and limit your contact and/or set some strong boundaries with those people so you can refocus and do some soul-searching.  Meanwhile, engage in pleasurable activities with people you enjoy being with, get yourself outside in the fresh air, get some good sleep, and eat some nourishing food!

My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?

You can "move on and not live in the past" in the context of your ex-relationship, but that does not mean moving on from your child. "Moving on" then would involve accepting the end of the relationship and developing a civil relationship with your ex-partner as far as is possible for the sake of your child's development.Generally, it's good for a functional (non-abusive) parent to spend time with his/her child, but only insofar as that doesn't cause your child unnecessary stress. That requires the two adults to act like adults with each other for the sake of their child.What's confusing for children is seeing their parents act uncivilly or manipulatively. Children also do well with routines so regular dependable visitation is preferable to random visitation or, worse, not following through on commitments.But if one person is exploiting their child to harm their ex-partner, then visiting your child in that context may be stressful to him/her (depending on what you mean by using your child as a pawn). When dealing with a hostile ex-partner, your first challenge is to negotiate rules and boundaries with your ex-partner about appropriate behavior for the good of your child. If you cannot come to an agreement, a counselor can help mediate a conversation. If that's not an option, then it may be possible to turn to family court to stipulate visitation rules (for which you'd have to consult with an attorney).

I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

This answer could be very different depending on the fear, the degree of it, and what it connects to.I wonder the following:On a scale of 1 to 10, how upset, anxious, or scared to you get when you think about overcoming this? If it's more than a 5/10, I would definitely recommend talking with a therapist in your area.A lot of fears that we have come from something that at one time was self-protective and important. Do you know where your fear started? If you think it is still protecting you or helping you in some way, talk with someone (like a therapist) about it.If it is something that you know is irrational (for example, fear of being hurt by static cling from winter clothing), is there some part of that that you are not afraid of?I really encourage you to consider whether your fear has a lot of emotions connected to it or if it ties from something in your past that was very emotional for you at the time. If it does, consider working with a therapist to establish emotional safety before taking away the fear or anxiety that may actually be helpful to you.Also, the fact that you notice that you are afraid of something and you don't want to be afraid of it anymore is a big step in the forward direction.

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

OK first things first. We have to think of your safety and take care of those thoughts of hurting yourself.Yes, this is a major problem for you and can cause anxiety and depression. You have the right to be sick and tired. Kids often are pawns in this marital problems that their parents have. I'm sorry that this is happening to you.I am not sure of your rights in the state you live in but as far as I know you as a 17 year old you have the right to stay where you want. So your'e going through an anxiety episode and your therapist is not available.  If I'm the therapist we would have already set up a plan so that if you are in this situation you would know what to do. In the worst case scenario you would be able to contact me.But I would have given you several exercises to help reduce your anxiety.Staying with your mom should be your choice. I know you probably don't want to hurt anyone's feelings but there are ways to ease the tension. Maybe with your permission and their agreement, we all could meet together for a session or two to ease your tensions and get over and through this hassle. 

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?

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

I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Fear is a part of life. In fact, our five main emotions are joy, fear, sadness, shame, and anger. We tend to spend a lot of time and energy running away from or trying to get rid of most of those emotions and the more we do that, the more we set ourselves up for failure and disappointment. As a result of viewing our human emotions as "bad" or "wrong," we often get caught up in a trap of thinking we have to overcome them or get rid of them before we can do what matters to us. In reality, you can do what is important to you while having your fears! My question for you is, what would you do if this fear was completely gone? What behaviors would you have if you were the ideal you? What skills, knowledge, or personal qualities would you develop? What kind of relationships would you have?I imagine your fear has kept you from achieving those goals because your mind tells you you can't do it until the fear is gone. I challenge you to do the following exercise:What is a goal you would like to achieve? Example: I would like to change careersWhat actions are necessary to complete this goal? Example: see a career counselor to determine my ideal career, go back to school/get a certification, network with others in my desired industryWhat thoughts, feelings, or urges might get in my way? Example: thoughts of "What if I fail? I'm not smart enough. I can't do it. I'm too busy to put energy into this." Feelings of fear, shame, excitement. Urges to distract myself through drinking or watch tv instead of taking action.It would be helpful to remind myself that: example: It is natural to have these thoughts, feelings, and urges but I can take action anyway. I deserve to have a fulfilling life.The smallest and easiest step I can take now: example: research career counselors in my area and write down their phone numbersThe time, day and date that I will take that first step, is: example: Tonight at 7pm At least think through these answers but it is most beneficial to write them down. I hope this helps!

Does counseling really do anything that can help people?

Yes, Counseling provides an area for people to speak to an unbiased professional about their concerns to address their unique needs. While length of time varies, counseling is a process and can be done from as little as one session to multiple sessions. Counseling provide a safe, non-judgmental, empathetic atmosphere from a professional helper provide the service 

My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.

You should start by speaking with her about what has her so down. Have their been some significant events in her life that have affected her? Have their been significant events in your relationship that can be affecting  you both? If she just stopped drinking, she may be struggling to finding an alternative and healthier behavior. This is something the two of you can explore together. Also, if need be perhaps she can speak to a therapist to discuss her feelings about quitting alcohol. It sounds like you really care and right now she could use all the support she can get despite her pushing you away. 

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

Affairs and infidelity are tough areas to address. The power of the affair comes from the feeling of injustice that seems to have happened to you. The struggle I notice people have is with the forgiveness. Forgiveness is something that is asked of you from your partner but also you have the power to give. I assume you want to forgive or have forgiven. However, the forgetting part is difficult. It seems that image of her happiness may have triggered something in you that isn't happy. I'm not sure how often you are triggered by her but it seems there is something there you need to process. The forgetting part sadly is difficult to put past your mind. However, it's being able to see the unfortunate situation they did and be able to walkthrough it even though it's painful. I think maybe speaking with a local therapist about this as it's often difficult to process alone. Also, see how you are feeling as days go on. Do you find yourself obsessed? If so, you may need to seek a professional counselor. 

What makes a healthy marriage last?

This answer varies based on you relationship. However, I do believe their are some basic fundamental areas that are beneficial for a healthy marriage:1.) Effective Communication2.) Trust3.) Love/Passion4.) Loyalty. 5.) Unconditional Positive Regard. Everyone has their favorite qualities they feel best fit a marriage. However, these are what I think are great starting points. 

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?.

The best way to get an answer is to just ask. I would defintely let him know you are asking out of concern and not to judge or criticize. Allow him to explain his answer and see how you feel about it. Try to ask him when you both are already discussing other topics and just say, "Can I ask you something?" Earl Lewiswww.RelationshipsGoneRight.com

Does counseling really do anything that can help people?

Hi there! Thank you for your question. It's a great question and one that many people want to know the answer to. The short answer is, YES! Counseling can be very helpful to people struggling with many different things. There has been a lot of research conducted to prove that counseling is an effective way to help people with mental health concerns, life stressors, and many other issues. In addition, there are many people who would tell you that counseling made a positive, profound impact on their lives. Indeed, some would tell you that counseling saved their lives. Now, not everyone would tell you that counseling helped. But when you think about it, there are many medical treatments for a variety of healthcare issues that also do not help everyone. So, is counseling guaranteed? No. But, it is something that is worth trying if someone is suffering or is just wanting some perspective or support. Also, there is many different types of counseling. Different counselors have different styles and have different training for various issues. This means that you are likely to find someone who has a good style and expertise in an area that you want to work on. If you don't know where to go, I suggest contacting your state's counseling association. They can help. I think the real question that most people have is, how? How does it help? That question is a bit more complicated, because there are many different models of counseling/therapy that work in different ways. What I can tell you is that, regardless of the model of counseling, the relationship between counselor and client is the most important factor. I don't mean that the relationship has to be ooowy goowy... but it does have to be one where there is trust and openness. A counselor will spend time to make sure that you are working together as a team toward a common goal. If you go to counseling and you don't feel this is the case, tell your counselor. An ethical counselor will welcome your feedback. I hope this is helpful, please ask more questions! I hope some colleagues add some other thoughts, too. Be well,Robin J. Landwehr, DBH, LPCC, NCC

Does counseling really do anything that can help people?

Counselling offers a number of ways to help one to improve their situation.  For some, this process can take a very long, winding path of self-discovery, while, for others, they are seeking a purposeful, solution-based way to approach and manage a specific problem. It's important to remember that there are different styles of therapy, some of which will work great with some, but poorly with others, specifically to help those to decide how they wish to move forward. I often recommend speaking with a number of therapists before beginning treatment to find out more about how they practice, in order to make sure their style aligns with your goals. On a more specific note, there is myriad research out in the world that indicates both counselling and medication can have an affect on changing our moods and behaviours.  However, medication is not an effective way of treating the problem, as it treats the symptoms of that problem (increased anxiety, lowered mood, etc.) and research has shown that the most effective route for better mental health care comes from a combination of counselling and medication. 

Does counseling really do anything that can help people?

There are multiple ways that counseling helps people. The most basic is that it gives you someone to talk to about and through what you are facing. It is better than a friend because this is a space for your stuff and you get to focus on what you need and don't have to worry about the other side. This is also a place where you do not have to worry about how else the other person is involved in the situation. Beyond this basic level, a counselor will have expertise they can bring in terms of how people, including you, can effectively deal with this kind of situation. The counselor may also be aware of connections that you would not otherwise see. A good counselor will also recognize if and when you need other help or support in the situation. Why wouldn't you benefit from having someone walk with you in your journey to peace and wholeness. 

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

Sometimes we let our insecurities get the best of us, causing us to make some interesting choices. Honesty is always the best policy, but honesty comes with risk.  Perhaps you may want to start with your family first, explaining to them what you have done and why.  Perhaps they can help you to practice talking about your insecurities with your friends. Another way is to start, slowly, to dress more and more like yourself and your true body shape. Some of your "friends" may make fun of you, true, but then you must ask yourself...why do you want to be friends with people like that? 

I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?

A car accident can be a traumatic event. Especially,  if it was serious, you could have feared for your life, felt everythingvwas out of control and had normal reactions to an abnormal situation afterwards. This may or may not be related to the traumas that you experienced in the military. If it is then it is possible that you will see a direct effect in triggering off PTSD symptoms. Even if it didn't, it is possible that the complexity of the two situations will interact inside you to be a combined response. Having already been diagnosed with PTSD, this might be a good time to reconnect with the help system you had around military experiences and explore it a little bit about the new experience. The right exploration does not have to make things worse and can be a good source of prevention. 

I've been depressed for quite a while. I've been trying to work through it, and my boyfriend has been my rock. He is honestly the only person I trust enough to talk to about anything, but he decided to break up with me because of my depression. I cannot afford to see a therapist or anything, so he saw no hope in staying with me. My insurance has a $5000 deductible, so I’m screwed. I've had everything from suicidal thoughts to trying to quit my job. I have no one. My family doesn't care about me; they kicked me out when I turned 18 a few years ago. I had friends, but they have all moved on with their lives and have no time for me. My ex-boyfriend is trying to help but is making things worse because every time I see or hear him, I break down into tears. I found out that I will never be promoted now because of my depression.

It sounds like you have been struggling with this for quite some time, using many of the same coping techniques that feel tried and true to no avail. Often, we fall back on coping techniques that would be helpful in other problems (stress, social anxieties, etc.) for our depression, but the truth is that depression requires it's own little tool kit. Depression is all-encompassing, and, based on what you've written, the symptoms are already affecting work and your personal life in myriad ways.  The best route forward would be to seek out counselling, admittedly, but if your insurance deductible is too high, that can be very expensive. I would recommend contacting your Employee Assistance Program (EAP) if offered by your employer. If not, you can look into community centres for counselling options, check if your doctor will give you a referral or your local religious organization. If, however, you are motivated to get your depression under control, there are some great workbooks out there that you can use on your own or with your therapist (as long as your therapist is trained in Cognitive Behavioural Therapy, or CBT), such as "Mind Over Mood".   

Does counseling really do anything that can help people?

A counselor can do a few things that can be helpful:1) Give you a space where you can explore what's in your head without worrying about being judged or punished.2) Help you better understand yourself, your choices, your motivations.3) Give you tools and information you can use to help create change in your life. Ultimately, though, it's up to the client to take action, because action is what creates change. So, a counselor can't create change ... but they can facilitate and support it. 

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?

Hard to say a whole lot without knowing more. However, if you focus your attention on her, what she's saying, what she's feeling instead of trying to make yourself heard and understood first, that's often a good step. Also, work on building win-win agreements with her, and follow through on them. Those are the areas I see men fall short on most often. Hope that helps!

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

Sounds like a lot is going on right now at such a young age. I'd start with discussing with mom your concerns and ideal situation. I'm unsure what prevents you from staying there, but whoever you are staying with, it should be brought to their attention. In regards to your anxiety attacks, deep breathing is always a benefits. I have a link you can use to help to do this online if you are interested. In addition, finding ways you usually cope with anxiety and what's worked before can help and if it isn't, exploring new way to calm you down can be beneficial. This is something you can speak with your therapist about going forward when they are available.In regards to feeling suicidal: I would call suicide prevention hotline (You can google them) if you truly feel the ideation is getting worse. They are professional agents who can speak with you about your ideation and help you through the process. Hope this helps.