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Instruct: I want a secure relationship with someone that wants to be with me and who will actually put effort into it. I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call. I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process? Output: It is a good thing that you have recognized that you have been in some unhealthy relationships and that you are wanting to break this pattern. You seem to have some good insight into the situation.The type of behavior that you are describing is usually rooted in childhood issues with insecure attachment bonds with your caregivers, childhood trauma and/or abuse or neglect, or dysfunctional family issues that did not allow you to develop healthy boundaries for yourself or a sense of self. This is something that is going to take some time to work through in therapy. I recommend a book titled “Boundaries: Where you end and I begin” by Anne Katherine. Another book that might be helpful is “Codependent No More” by Melody Beattie. In the meantime, until you can work through your personal issues, absolutely do not enter into another relationship. Take however long you need to and work on becoming a whole, happy, emotionally healthy person on your own. Needing another person to define you is problematic. That’s too much to expect from any individual.For a relationship to be healthy and happy, both people in the relationship first need to be a whole person on their own. That means having a clear sense of self, knowing who you are and what you want, knowing how to set healthy boundaries, and knowing how to meet your own needs. It is unreasonable to expect your partner to meet all of your needs all of the time. There will be times that they won’t be able to meet your needs. You have to know how to meet those yourself. When you are working on becoming the best you that you can be, eventually the right person will come into your life. Then you can CHOOSE to be with someone because you want them in your life instead of feeling like you NEED them to complete you.

Instruct: My mother is combative with me when I say I don't want to talk with her about my depression. She hasn't been supportive of me in the past and she isn't someone that I feel comfortable opening up to. She constantly tries to instigate conversations where she asks me questions that I don't want to or can't answer. I tell her I don't want to talk and she starts arguments with me. How can I get her to understand? Output: Your situation sounds extremely frustrating.You're doing the right move to state you don't want to discuss your depression with her.I guess you could ask if she would like to know your reason to not speak w her about your depression.  If you feel she can handle a reasonable conversation, and you would like to tell her your true reason, then schedule this or bring up the topic at a neutral time, not in the middle of an argument.Having an unsupportive mom is difficult enough to accept.  You may feel greater success and peach of mind to meditate on accepting her lack of understanding than to engage in arguing when she starts this.

Instruct: My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt "ehh" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way. Output: I suggest seeking the support of an AASECT certified sex therapist to help work through much of the issues you address, you simply may need some really qualified support. Also, you might be interested in watching Esther Perel's ted talk on the secret to desire in a long term relationship, and/or you might want to sign up for my own 8-part-series on Reconnecting Parent Couples

Instruct: I have been diagnosed with general anxiety and depression by my family doctor. They wrote a prescription for me to have an emotional support dog, I have the paper work, and I gave it to my apartment manager. They said I can't keep the ESD because I'm not disabled. What do you suggest I do? Output: This can be a difficult situation.  Typically, only animals that are specifically trains to accomplish a specific task are legally protected as Service Animsls. Even though that can be very helpful, emotional support animals are not generally protected in the same way.You might not be able to make your landlord accommodate you. If possible, you may want to consider a different apparent that is more animal friendly.

Instruct: I'm a teenage gay girl, and I'm in love with a girl a few years older than me. She loves me too, but we're not physically together at the moment. I've been thinking about being transgender soon too, but my family doesn't accept me, so I honestly don't know what to do about that because I feel like I have to constantly hide the real me. It hurts so much to hide the real me. What can I do? Output: They would probably be helpful to speak with a local mental health professional about this, not because there's anything wrong with the real you, but because having these conversations can be difficult and you may choose to talk about your real self in different ways with different people.Maybe you could talk about your concerns with your significant other and discuss different ways you may be able to discuss your relationship that fit with how each of you defines your love for one another.Because you are saying openly that you are gay, and it sounds like you already identify yourself as gay, as compared to considering being transgender "soon," it may be worth considering disclosing the fact that you are gay now and disclosing the idea that you are transgender after you have worked through that yourself. I would like for you to be able to be true to yourself and show the real you. It could also be that you already know that you are transgender, but with the way that you  phrased it here, I'm not certain.Here is a link to a hotline that you may want to consider using. The Trevor Project is about helping teenagers who identify as LGBTQ: http://www.thetrevorproject.org/Here is another national site where you may be able to find a local chapter: https://www.pflag.org/I don't know what you mean when you said that your family will not accept you, but since you are concerned about your family's reaction, I would suggest that it may be helpful to have a therapist or some other support in place before telling your family. The decision of whether or not to wait longer to tell them is ultimately yours, but I wonder if you have a likelihood of explaining what you are experiencing in a way that would be truer to you and also perhaps easier for your family to follow if you had time to process it with supportive people first.Please remember that you are not alone in this. There are people in the world who can and will accept you for who you are.

Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client? Output: There are several reasons for a counselor to decide to end counseling.  A major reason to end counseling is if the counselor feels that he or she does not have the skills or experience to work with the client.  This may happen during the intake process or after working with the client for some time.  If the clinician feels that the client is not benefitting from the therapy, it is ethical to suggest that the client terminate the therapy.  The process of termination must not injure the client and, if necessary, the clinician may need to refer the client to other treatment modalities.  Another reason to terminate working with a client is if the client needs a higher level of care.  If the client has a crisis or is at risk of hurting himself or someone else, he or she may need a higher level of care.  In this circumstance, the clinician may need to involve outside services such as a crisis unit.  A third reason to terminate with a client is if the clinician feels that he or she cannot remain professional with the client relationship.  For example, if the issues that the client is working on bring up something significant for the clinician and the clinician feels that he is unable to separate that from the professional relationship.  In this instance, the clinician should refer the client to another therapist.  Finally, if the client has reached her goals for therapy and no longer needs treatment, the clinician and client should terminate treatment.

Instruct: I’m in my early 20s. My ex’s parents are friends with them and have told them bad things about me. I left my ex due to an abusive situation, and they are making me look like I was the bad one. Output: Maybe you can talk with your partner about this first look at the different elements of a possible conversation in the future. If you are at a place where you are willing or able to disclose the reason that you left your ex, that could be one element of the discussion, but it doesn't have to be.I don't know how long we have been together with your current partner, but perhaps his or her parents would see you for who you are and make their own opinions over time. That may be a discussion to have with them as well.Hopefully your partner will be a good sounding board before these conversations.

Instruct: My husband and I got into a huge dispute. He said he wanted a divorce, and I left. I still come home a lot and see my kids, and he has not filed yet even though he still said he is. What does that mean for our marriage? Output: In situations like this, in most cases, he probably will not fill anytime soon. It's more of the fact that he isn't ready to give that life yet... Now if you probably pressured him about it then yes, he would probably give in.. But if it hasn't been a big issue anymore or something you guys aren't talking about, then right now.. Everything is on a hold.

Instruct: I have four children. One of them is in her 20s, and she cannot afford to go, nor can I pay for her. She went last year for two weeks by herself. Output: I imagine you are trying to figure out a way to be "fair" to your adult kids.  The key word is "adult".  If your daughter can afford to join the family for a vacation that's great, she's welcome to come.  However, as you pointed out she took a vacation by herself last year - she chose to put her resources (time off work and money) into doing that.  Good for her - she did what she wanted.  If she wants to budget time and money for a family vacation she will.As for feeling guilty, let me echo the sentiments already offered - vacations are lovely, but not a survival need.  Your girl is in her 20s and it's her turn to provide for herself.  You did your parenting - now go enjoy your vacation with whoever can, and wants to, join you!

Instruct: I found messages between my boyfriend and this girl on social media. He was asking her for naked pictures and then hung out with her once, but nothing happened. I didn’t find out about the messages until last month and that was six months after it happened. I can’t trust him anymore and I'm just wondering if I ever will. He admitted that he wanted to have sex with her but he didn't. He was only talking with her because he thought we were going to have a break up. My heart is completely broken. I feel like I'm in competition with every girl on the planet for my boyfriend’s affection. I'm afraid that he doesn't like me anymore, but without me he's homeless and without a car. I love him so much. It's been tearing me apart. I don't feel pretty anymore though. I don't feel good enough for anyone or anything. I thought I knew him as well as I knew myself. Then all of a sudden my world was flipped upside down. I'm still trying to figure out which way is up. Output: I'm sorry for so much stress in your relationship life.In what ways does your boyfriend express his commitment and positive feelings about you, to you?From what you write, you feel more aggravation, stress, loneliness and insecurity, than satisfaction by being in this relationship.Does he care that you don't trust him?Very often people stay in relationships from fear of knowing who they really are.  The feeling is of needing a partner in a way that is similar to how a fearful child needs staying nearby a parent.My suggestion is to think over how much your sense of need for a partner, may be preventing you from actually seeing the amount of love and investment in your relationship, your boyfriend actually has.These realizations are sometimes painful and frightening to understand, especially if you grew up in a family that largely ignored or didn't adequately nurture you as a child.A therapist for your Self may be a good investment of time and cost in giving yourself a safe and trustworthy space to think deeply about your best interest.

Instruct: My mother has Alzheimer's and I can see that she has lost some of her intellectual abilities. Even though I know this disease is not her fault, I’m still finding it difficult to separate my own feelings of disappointment and frustration when my mom seems to ignore my opinions and wishes, and seems Output: Good observation on your part, to distinguish that your feelings in relation to your mom are not necessarily connected to the way she handles her part of the relation toward you.Has your mom usually ignored your opinions and wishes in relating to you?If prior to the onset of Alzheimer's, she never examined her way of relating to you, and if both of you have never had an open conversation about your sense of feeling hurt by her attitudes and manner with you, then the relationship between you and your mom will change in ways other than rational dialogue.She may continue ignoring or overlooking your wishes because she's been stuck in this attitude for most of your life.The good news for you about this is realizing that who you are and your way of relating to your mom, has very little to do with the way she relates to you.This is a more profound disappointment because it shows that her disconnect from you has been for longer than when the Alzheimer's began.You can however, feel a little more free knowing that you're not deserving of being ignored.

Instruct: I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? Output: Absolutely not. It sounds like you have significant trauma and it will continue to impact your depression until it is dealt with. Everybody has issues, though some more traumatic than others yet it is best to just start somewhere. I would encourage you to begin counseling and work through some of your history at your own pace in order to begin to impact and reduce your depressive symptoms.

Instruct: After I told them, they yelled at me. Output: I am sorry to read that this happened to you. If your family is not supportive of you, this can be a huge challenge. Are you dependent on them in some way (financially, etc.)? This could affect choices you make at this point. Make sure you connect with a supportive community or people and organizations that are afforming of you and your identity. If you are unable to receive support from your family, you can lean on them if necessary. If you feel your family needs more information you can always refer them to appropriate websites and organizations that can help them to understand that this is natural and normal and learn the negative effects of non-affirming people in the life of LGBTQ+ individuals.

Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here. I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it. How can I change my feeling of being worthless to everyone? Output: Hello, you sound like you have so much on your mind! I am relieved to hear that you have never tried or have contemplated suicide, but not being able to sleep, feeling worthless, and like you shouldn't be here are big issues that need addressing.Please get around to counseling.  Having someone to listen to you is a gift to yourself. You deserve the help of someone helping you change your feelings of worthlessness. You have not been able to do this alone. It's time to reach out for help.  You can do this! Best to you!

Instruct: Every time my partner gets angry for anything, she takes it out on me. Nothing I do is right, and once she's mad, she calls me all kinds of names and is verbally abusive. She says it isn’t abuse, it’s just angry verbal bashing, and that it’s different. It gets worse each time. The names are very vulgar now. Output: Ultimately it is only your partner who can decide whether to stop name calling or not.I would take very seriously that she doesn't show any willingness to hear and understand your point of view.In a relationship in which one person claims the right to verbally abuse the other, there isn't much genuine care and trust going on at all.It is never safe to open your heart to her since you can't tell in advance if you'll be treated with kindness or bashing.Think seriously how possible it is for you to enjoy your relationship if your partner is unwilling to accommodate your feelings.If the two of you are unable to agree on terms or discuss the problem as a mutual one, not just your problem, then you may wish to withdraw from the relationship.

Instruct: What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose. Output: I'm sorry you are feeling uncared for. I'm sure there are plenty of people that care and love for you that you are not taking into consideration. Sometimes when we get upset we may think irrationally and see the world as all or nothing. However, take a deep breath, relax and start focusing on the positive relationships you have with others, regardless of how small or insignificant they may seem. I think you will quickly realize there are people out there that care a great deal about you.I also think it would help for you to surround yourself among people who you can identify with and share common interests with. Maybe you can attend a religious service, join an interest group (i.e. reading club, sports group, etc.) or start a group of your own. Most importantly, you need to tap into your interests and surround yourself with things that are beneficial for your own mental and physical health. From this, relationships will start to immerse. You may also like to talk with a therapist regarding your feelings of being unloved. This is an unhealthy way to think of yourself and I think with a little help, you can see that you are more than deserving of a great relationship. Thanks for reaching out and I wish you the best of luck moving forward.

Instruct: I have four children. One of them is in her 20s, and she cannot afford to go, nor can I pay for her. She went last year for two weeks by herself. Output: Of what do you feel you'd be guilty?Family vacations are not a basic human right to existence.  They are fun, ideally.  You're not violating a basic human right.  You wrote that you don't have enough money to pay for her to come along.You may find yourself feeling more guilty toward yourself if you give more than you reasonably can afford to give.My suggestion is to tell your daughter your reason for not taking her along. Maybe this will open more dialogue between the two of you.

Instruct: I am a counselor at day camp where we have a child with severe autism. We try to keep him entertained by carrying cards around for when he starts acting up so we can get him to focus on something else. The day camp administrator has told us not to yell at him because he will zone out and not listen, so we just talk in a calm voice. However, other kids see the treatment as unfair. Output: Behavioral interaction with someone who has severe autism requires highly specialized training, both for any professional staff involved with the person and for the family members.It is an unfair situation for both the person who has autism as well as the campers who do not, to expect both sides to get along harmoniously.In order to achieve this, the campers would need specialized training to know how to respond to distress in the camper who has autism.This would obviously stretch and burden the summer camp budget as well as provide an activity which usually isn't part of summer camp for children.What you can do which may be productive in helping the camper who has autism, is to point out the interaction difficulty to the summer administrators.Ultimately it is their problem to only take campers who are able to reasonably adjust to socializing together and from what you write, the administration has overreached whom they consider reasonable camper mates.

Instruct: 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. Output: First, be aware that each end every one of us has anxiety at some point. That certainly seems to fit what you're describing here, but that doesn't mean you have an anxiety disorder, necessarily. That's where there is a difference. Anyone who has a hard time with public speaking or feels uncomfortable in large crowds, for example, is experiencing anxiety.It sounds like it would be helpful to look at the differences between the days when you are more comfortable on the days that you are not. If you notice your anxiety is keeping you from doing things that you need or want to do, it may be helpful to talk with and mental health professional.I wonder also whether your appetite and sleeping patterns are the same or similar to how they were before you experienced this anxiety, when your anxiety started, and whether you feel more comfortable when someone you trust is there with you.If you have an idea of times or situations in which you feel anxious, consider carrying a small smooth rock or another object that makes you feel calm and centered. Perhaps you can keep it in your pocket and remember specific comfortable times while you have it in your hand.

Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client? Output: For most:  When the money/insurance runs out.When best:  When the job is done... and you're feeling much better.

Instruct: I've been with my husband for eight years now. We have split twice before, and the first time was because he cheated. I took him back months later, and he really tried making it up to me by making a lot of changes. However, we continued to have issues because of my lack of trust. My insecurities and trust issues lead to physical abuse, which lead to us separating again. During that separation, he consoled himself by talking to the same girl he cheated on me with. But we then ended up back together and worked it out for a while until I got pregnant with our second child. The baby was a few months old, and he confessed to me about his secret relationship with her. He told me how he could never stop talking to her and how, during our issues, she has been and is the only women he's gone behind my back with (but on a friendship level because she's miles away). He confessed how he fought feelings for her and feels like he's possibly in love with her too. He said he feels like he's in love with the both of us now because this women has fallen for him, and she hasn't been able to leave him alone since. Even though she knows that he's still with me and happy with our family, she can’t help it, and he confessed how his feeling for her are mutual. Being that he loves me too, he wanted to be with the both of us at the same time. He wanted to have affairs with her behind my back by flying her out and staying at a hotels, but he didn't want me to find out, so he told me everything. He said he didn't want to continue to lie to me and so I can finally stop accusing him of being with other women when it's only been this one girl the whole time. He feels like my insecurities and trust issues are what pushed him closer towards her, and that no matter what he did to do right, I would still accuse him. He's caught up in his feelings and pretty much says that he wants her but doesn't want me to leave him because I'm the one he wants to be with for the rest of his life. I'm of course hurt and in shock. I feel like I have to make a decision on whether I want to allow it and deal with having to share him or walk away. Both of these decisions are really hard to make because I feel like whether I stay or go, my heart will still be torn apart. I have to make a decision quick because she will be flying out sooner than I thought. Output: Hi Jayuya, I'm struggling in this moment with my own biases. I have biases that are about respect and every individual's need for and right to respect. Your husband lies, cheats and physically hurts you. He makes excuses and blames you for these behaviours and trains you to do the same. He demonstrates many controlling and abusive behaviours. And now, in an attempt to manipulate and silence you, he wants to have his cake and eat it too and suggests you should share him? There aren't many crumbs of this cake left for you, are there?So, my biases about respect don't make me want to rescue you or tell you what to do; I can't do that, and I don't think either of those things will help you. I'd like to ask you some questions though...Are you happy? Do you know what happy is? Do you know what respect is? Are your children safe? Are your children witnessing violence (because if they are, then they're not safe)? Do you have supports? Do your family and friends know what's happening in your life? Have you ever been to a women's shelter? Are you willing to sit down in an office with a professional who can help you think clearly? That's what I suggest. These are big decisions, you deserve some support. I wish you the best.

Instruct: How do you know you have the right therapist for you? How would I know how to "train" my therapist to be able to give me what I need from treatment? Output: If your therapist is attentive and compassionate to what you are sharing then you will know you have a true connection with him or her and that he or she is the right match for you. Having a therapist who has a good location and inviting office is also a good sign that you have the right one!

Instruct: I'm a teenager, and I just got my first job. I am a month and a half in. Yesterday, my boss pushed me to the point where I had to go to the restroom and cry. She didn't see me, and I'm glad, but when I went to talk to her about it today, I let a tear or two come out. I hate it. I feel like they're not going to keep me anymore. Output: How sad for you!I'm sorry your first job is turning into a place of tension.Did the matter between you and your boss get resolved?Do you feel respected by your boss and does she listen to your point of view, even if afterwards, she disagrees?Keep an open mind over the next several weeks or few months on how you feel in your new work situation.Expect to be treated fairly and reasonably.If this is not the way you feel most of the time, then consider finding a new place to work.

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

Instruct: I am married, but I had sex with my friend. I feel guilty, but I feel not guilty too. Do I need to feel guilty? It's my body, and I have full rights to do what I like. Output: I don't think there's anything that you're supposed to feel. Some people feel tremendously guilty when they cheat, and others not at all. It could be that your partner doesn't know about the cheating and you haven't had to face his/her emotions and reactions. When something we do is hidden...a secret...it's easier to avoid feeling guilty. I wonder if you're avoiding your own emotions. But let's put that question aside for now. There are better questions.What do you want? Do you want your marriage? If not, this may be why you don't feel guilty. Do you want to be able to sleep with your friend? It's unlikely that both are possible (keeping the marriage and the affair). Yes, you get to do whatever you want with your body...and...there may be consequences. Affairs almost always get discovered. Who do you want to be? What kind of partner do you want to be? What might your partner feel if they knew? How might you feel then? Would you care? Has something happened that's affected how much you care about your partner?I suggest that these other questions might be a place to start. Exploring it with a therapist is something to consider maybe. I wish you the best as you sort it out. :)

Instruct: I have manic depression and last summer was very very bad. I have recurring nightmares and I avoid anything that will give me a similar feeling as I did that summer. Output: A PTSD diagnosis requires an event which occurred at least 6 months prior to the symptoms.   Depression is a common symptom of PTSD, but depression can come from many other sources as well.  In the end, diagnoses are systems of behavioral labels.  If you believe that one label (PTSD) is worse than another (Depression), you are creating a false hierarchy.   Consider consulting a CBT therapist, such as the fine clinicians listed in AcademyofCT.org.  You may also want to look at my book, Living Yes, for many ideas about challenging your thinking and improving you mood. www.LivingYes.org. I hope you feel better soon.  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org)

Instruct: I never get infections or scars or anything, and it doesn't bother me if it gets filled up with blood or something, but I'm concerned. Output: Hi Houston, The fact that you're concerned says a lot. If I was your therapist I'd ask you questions about your worries and how this is causing a problem in your life. You're causing perhaps permanent changes (damage?) to your body, and it's likely you're trying to express something...pain maybe? A therapist can help you to explore what's going on for you and how to get your needs for self-expression met in a more healthy way. Good luck!

Instruct: I just wanted to get to know one so I can hear about their college experience and the courses they took. I also wanted to know if they enjoy their job and how long they were in school. Output: It's a great idea for you to reach out to find a psychologist to talk to if this is a field you might be interested in pursuing. Regarding the length of schooling, it generally takes 4 years of college and an additional 4 to 7 years of graduate school to earn a doctorate degree to become a psychologist. There are also other similar professions, including counseling that don't require a doctorate degree. Licensed counselors generally completed 4 years of college and an additional 2 years of graduate school. If you are thinking about a career in psychology, the local APA chapter would be a good place to start to find a local psychologist to talk to. Here's a link to the NJ APA chapter:https://www.psychologynj.org/

Instruct: I keep having these random thoughts that I don't want. Things like "you aren't worth anything." I know they're my own thoughts but it feels like someone else is saying it. What is wrong with me, and how can I stop having these thoughts? Output: We all suffer from random thoughts from time to time. Being able to manage your thoughts and choose what to think about yourself is something you would learn in  counseling. An effective treatment modality for this situation is cognitive behavioral therapy.

Instruct: I'm in my mid-twenties now, and my boyfriend of seven years and I want to start a life. My mother is 100% codependent on me and is extremely manipulative. She suffers from type 1 diabetes, which she uses to guilt me if I ever leave her. The problem is that I will feel guilty. Output: Focus more on your own life and less on the very heavy descriptors you wrote to describe your mom.All the words you wrote represent psychological conditions which are either lifelong or take a lot of motivation and effort to change.Since the only person who can change how your mom handles her life, is your mom, and you are the only one who can do the same for yourself, devote more energy and time to living your own life fully, despite the emotions you feel regarding her.

Instruct: I have known her for years. She was dating my brother-in-law when we met. My kids think of her as their aunt. On Halloween 2014, I lost my mom to cancer. My mom and dad were still married when she passed away. My friend was there for me through that and my own cancer diagnosis. She has been a very big part of both me and my kids’ life, but now last month, my dad told me that he really likes my friend and wants to marry her. She’s like a sister to me. My kids hate the idea. Output: That's intense. This person moving from a friend of yours to both a friend of yours and, in  a sense, your step mom is a lot. I wonder if you have let your dad know what's going through your mind with this and how it is affecting you. I can imagine that could feel awkward and emotional. Still, getting him to understand might be as simple as letting him know, in your words, how this feels from your view as well as what you wish. It may not change the outcome (he may still marry her), but your thoughts will not go unsaid and opens it up for conversation. Best luck!

Instruct: They don't go away, and I feel like I'm going crazy. Does that ever stop? Can it be a symptom of medication? Output: Since you realize that hearing voices in your head is not usual for you, then definitely there is a problematic situation happening within your awareness of who you are.if you recently started taking a new drug or increased dosage of one you already were taking, and the voices started shortly after, then yes, it is possible medication created your problem.Start by telling whoever gave you the presecription, about the problem you're having."Crazy" has some flexibility as to whether someone is this way or not.Certainly a very positive sign that you're not crazy, is that you're self-aware of a problem within yourself. And, you're responsible toward yourself and making effort to address this problem.Crazy people usually don't do responsible behaviors.

Instruct: How do you know you have the right therapist for you? How would I know how to "train" my therapist to be able to give me what I need from treatment? Output: The first thing I would ask yourself is how do you feel when it is time to go to therapy? What do you notice inside your body? Are you sick to your stomach? Neutral? Dreading it? Your body will give you indications as to how safe you feel. Your relationship with your therapist is like any other relationship...you need to feel safe, accepted and understood. You want to see someone who you look forward to sitting across from and feel comfortable talking about whatever is on your heart and mind.  What are you preferences? Do you feel more comfortable with a male or female therapist? Does their age matter? What kind of therapy do you want to do? Do you know? If not, you might want to talk to friends or family who have done therapy and ask them what they liked or didn't like, what worked for them and what the process was like. You can always talk to a prospective therapist about all the questions you have (Have they worked with others with your issues? Have they ever been in therapy? Where did they go to school? What kind of training do they have? Etc.) You may not know in the first session or two if you have the right therapist but pay attention to how you feel while you are there. Your therapist should check in with you and ask how you are feeling. If it's not a good match for you, your therapist should try and help you find someone who will be a good match. Your trust and connection with your therapist is the biggest indicator for success in therapy. Both of you should be concerned about your alliance and any good therapist will want you to find the best therapist for you!

Instruct: I don't know how to notice or express my feelings besides anger. That's really the only one i feel. Output: Well, then give yourself some credit for noticing that you recognize at least one feeling that you have!What is your own theory as to what is difficult to know your feelings?  Your answer will give you clues as to unearthing your willingness to be aware of the way you feel.Sometimes the family in which someone grew up, did all they could to stop the kids from knowing who they were.In some families there were very severe consequences if a child spoke up with an independent mind.  By knowing where your difficulties started, you may very well be able to release the situation in which you learned to suppress your feelings.Also, spend some time with yourself just enjoying who you are.  Often, people who have difficulty in expressing themselves, suffered shame and humiliation as a child.  They have a chronic sense of worthlessness, and feeling worthless certainly works against self-expression.  By having a good time being with yourself, you may increase your self-appreciation and this will go a long way to believing that your feelings are worth knowing and stating.

Instruct: I don't remember when the voices in my head started, but I remember Hearing them when I was little. I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop? Output: This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well.However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you).If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help.

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

Instruct: I don't speak up if I'm uncomfortable and hardly ever make plans for us when we hang out. He is a very open and straightforward person, so he is getting upset with me for my lack of proper communication. We've been together two years and have identified this as our main problem. Arguments have arised from this single issue many times. Output: Do you know what you're afraid may happen if you do speak up?Usually people don't talk freely because they feel afraid to do so.  Sometimes the fear of being rejected by the other, of being criticized or judged by the other person, or that what you will say stirs anger in the other person.If you are able to know what your particular reason is for not talking, then maybe you and your partner can talk about what makes talking easy or hard.Also, since speaking up is new for you, then ask your partner to be patient while you learn to do so.  Everyone does better at learning new skills when they feel supported and welcomed.

Instruct: I'm a teenage girl. I don't know if I'm straight, bisexual, or gay. I've been straight all my life, but a sudden rush of questions have come over me, and I don't know anymore. Output: Hi Brentwood, While our society tends to want to put us into categories...slots...when it comes to sexuality, because this is nice and neat and convenient...many people find that they don't fit perfectly into one or the other. All you have to do is exactly what you're doing; be aware of yourself and allow yourself to explore these thoughts and emotions both alone and in connection with a safe partner. The people who love you will continue to love you as you sort through this. You can resist the temptation to please others by giving yourself a label. We are attracted to, and fall in love with, people...and we can't always predict what gender they might be. I love how open you are to discovering yourself. Keep on that track. :)

Instruct: I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk. In the past, I have even cheated on my boyfriend while I was under the influence of alcohol. But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem? Output: The short answer is yes - if you feel 'really guilty after a night of drinking', then you probably have a problem. What you could do is visit this website by the National Institutes of Health: http://rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/  There you will find information on how many drinks is too much, and the general answer for women is more than seven drinks in a week. There is also a quiz you can take anonymously that will help you determine if your drinking is a problem. The good news is that you can get help for substance abuse through counseling, self-help programs, or alcoholics anonymous.

Instruct: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest. Output:    The comments here from the other therapists are "spot on". As a Certified Sex Addiction Therapist-Candidate I'm convinced your partner's acting out creates trauma for you. Your partner's addiction is NOT your fault and his recovery IS his responsibility. What's paramount is for you to get immediate help from an experienced therapist who understands trauma as result of the partner's/spouse's problematic sexual behaviors. Your needs, safety, and the establishment of reasonable boundaries is vital to your well-being. I wish you the very best.Resources for Your Consideration: 1) https://www.iitap.com/, 2) https://www.sanon.org/, 3) http://www.cosa-recovery.org/

Instruct: 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? Output: 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.

Instruct: I need answers to my anger, possessiveness, and urges. I am angry all the time. I push people away so much that I actually blow up on people now because they ask me how my day is or was. I have a possessiveness to someone who is not even mine. I have these urges to hurt someone really bad. I want to see them beg for me to stop hurting. I want to hear their agonizing pained-filled voices. What is wrong with me? Output: What result are you hoping to get from the behaviors you describe?Maybe start by comparing the results you see yourself receiving from your current interactions, with how you would wish to feel from relating to others.Since you ask, "what is wrong with me?", there is a disconnect between what you are doing and what you'd like in return.This is true even with imagining doing harm to others.What are you really trying to accomplish for yourself by hurting others?Besides the unethicalness and criminality of this and legal consequences of arrest for such behaviors, what gain which is not evil, do you expect from overpowering and imagining you control another human being?

Instruct: I was a victim of an incident. I've been made fun of and have been beating myself up for it because I don't feel anyone honestly believes me. There are so many other factors I deal with on a daily basis. I ignore my problems when I'm with my friends, but it’s scary when I’m alone. Output:   As you seemed to have learned, the impact will not just "go away". Treatment of trauma is like surgery, it requires a skillful clinician to help resolve it. While you are contemplating getting help, you can focus on calming techniques like meditation and yoga. They will aid you when you begin the therapeutic process.

Instruct: I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking to get him something special with my country's name on it, and I remembered that he likes wine. My country is known for that. Is it appropriate to give him wine as a gift after Christmas? Output: This is a great question. In general it is not appropriate for counselors to accept gifts from their clients. There are some exceptions to this general rule - including a recognition that there may be a valid cultural aspect to this type of gift giving.It might be best to simply offer your counselor a holiday card as an expression of your feelings. You could also talk to your counselor about the gift and ask if him it if would be appropriate.In the end, I know he would most appreciate just knowing how much the counseling meant to you.

Instruct: My girlfriend was abused as a child. Now, if I hug or touch her in any kind of way she says she feels as if she is being abused as a child. What might be going on? Output: Was your gf always this way with you or did her withdrawal develop suddenly?Also, are there any other changes going on between the two of you in terms of feeling relaxed and at ease with each other, enjoying each other?Its possible her physical withdrawal, due to her sensitive nature about who touches her and the meaning of touch, reflects an underlying emotional hesitation about her feelings toward you.This can be either strong positive or negative feelings.She may be fearful of becoming more intimately attached to you, and withdraws.She may be actually withdrawing and expresses herself through the amount of touch she wants from others.Best way forward as almost always in a relationship, is to have a gentle conversation to open up the tension between the two of you.

Instruct: I don't know what's with me. I'm almost constantly angry. Even when I'm happy, I still feel anger inside me. When I acknowledge it, it ruins my mood and takes over. I get angry at the littlest things. Even if I think someone said something they didn't, it infuriates me. Something perfectly normal can make me go off. When my anger flares up, I get a terrible pain in my chest that lasts for a while. It's like there is a fire constantly burning in my body, and anger is gasoline. Output: Hi Nashville, I'm glad you want this to be different. It doesn't feel good to be angry all the time, and it's stealing your energy as well as affecting relationships, I'm sure.Working with a therapist, you can learn to recognise the deep emotions that lie underneath the anger. It's likely to be either powerlessness or worthlessness, and what happens is this... a small moment in the present touches on an old, tender, bruised emotion that we've simply felt too much of or too strongly in the past. We develop ways of avoiding these vulnerable emotions, and anger is one way of doing that. So, when someone looks at you in a certain way, or says something, you'd rather be angry than feel powerless, or unimportant (or whatever your kryptonite feeling is). In that moment, your instinct is to blame whatever happened, no matter how small, because that's the thing that happened just before you got mad. You fail to recognise that the problem is not the look on that person's face, or the shoe that someone left in front of the door...it's that you can't stand feeling something and you want to avoid it like you want to stamp your foot out if it's on fire.I suggest finding a therapist to work with. You can learn to take responsibility for your old emotions and find new ways to manage them. :)

Instruct: I don’t love my sister. I would never wish her harm, but if I could, I would wish for us not to be related. Is this cruel? Why must blood mean we have to be friends? Am I being unreasonable and is there a way to fix this? I do care about her, like I do every human being, but I’d rather be with my friends than be with her at all. It’s not just a "teenager phase." I still love my mom and dad, and I’m very close to them. However, it’s my sister I don’t love or have ever really liked at all. Output: Not liking someone is not cruel - even if it is a family member. There is nothing wrong with you for not liking your sister. Some people are fortunate to have siblings that they get along with really well, other don't. We all have different personalities and we are not going to like everyone - even if they are related. In fact, sometimes being related makes it harder because you know all of each other's flaws and imperfections. With that being said - it may be worth it to make an effort to talk about the things that get in the way of having the kind of relationship that you might ideally want with your sister. Sometimes it is hard to like someone if we have a lot of old frustration and resentment and being able to talk about it in a constructive and kind way can lead to more understanding and respect, and sometimes actually liking each other.

Instruct: He is an adolescent. He has peed his pant multiple times over the last few years, all at times when he is too wrapped up in a video game or video. We have taken away games and videos for long periods of time as punishment, but after a few months of having then back, he pees his pants again. Output: Sounds as though your son is "pissed off" about something.Punishment will most likely result in more of the same, not less of the peeing you would like to stop from happening."Laziness" is more of a social judgement than it is a characteristic of its own merit.Is this your description of your son or his description of himself?First step always before addressing any of the family dynamics, emotions, and psychology of the people involved, is a medical rule out as to why your son pees at times he plays video games.If he has medical clearance that there is no physiological  problem, then talk with your son on his opinions as to why he pees, if he is aware of the urge to pee and ignores it, or that his attention gets so absorbed he doesn't notice the urge to pee.See what modifications you can create by cooperating with your son.Maybe it is as simple as each two hours, he sets a timer and when it goes off, he takes a bathroom break.

Instruct: A lot of times, I avoid situations where I am to meet new people because I have a fear of embarrassing myself. I often avoid large groups of people, like parties, because I think they all constantly judge me. Output: Hello, and thank you for your question. First, I want you to know that you are certainly not alone on this issue. Everyone, at some point in time, has a fear of public embarrassment. But for many people, this fear can become so awful that it begins to have a real negative impact on their quality of life.  They will try to avoid any situation that they even THINK will cause them embarrassment or anxiety. Escaping a possible embarrassing moment by avoiding or isolating may cause some relief at first, but then many times the avoidance will eventually lead to loneliness, isolation, and even despair. By avoiding, we can also miss out on things that make us feel alive and bring enjoyment. There are many self-help books that offer advice on this issue. You can do an internet search, and I recommend reading the reviews of the book. That is  great way to find out if others have found the book helpful. Another option is to seek a counselor to help you with this fear. I would recommend a counselor who specializes in helping people who have anxiety or social anxiety. Acceptance and Commitment Therapy is  a good choice for helping with anxiety, but there are many others. The truth is that anxiety and fear of embarrassing ourselves is not something that any of us will ever "get over", but we can learn to respond to those feelings differently. A colleague may offer some other advice, as well.. Be wellRobin Landwehr, DBH, LPC, NCC

Instruct: I am in my early 20s and I still live with my parents because I can't afford to live alone. My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do? Output: That is a really tough situation that a lot of young people are experiencing right now. The first thing to under is that you can’t change who your parents are and cannot change their behavior. The thing to keep in mind is that you can control your responses and actions.  You may need to keep living at home with them for the next few months or years and the best way to do this is to have a plan. The second thing is to keep in mind that their controlling behavior is most likely not about based your behavior. Controlling parents are often driven by their concept of what will keep their children safe and happy. Unfortunately this is not always accurate but keep in mind it is not a personal attack.  There are ways you can deal with controlling parents – and most of them require creating a plan of action.Examples of action plans:Decide in advance how you’ll calmly and rationally respond to your parents when you feel they’re trying to control youArrange to phone a friend or trusted adult when you feel like you’re losing controlTalk in person to an adult you trust. There aren’t any quick tips on how to deal with parents who want to control you; you need to find strategies that are geared to your specific family situation. Get specific coping tips from books about family dynamics, such as:Toxic Parents: Overcoming Their Hurtful Legacy and Reclaiming Your Life by Susan ForwardCutting Loose: An Adult's Guide to Coming to Terms with Your Parents by Howard HalpernA counselor can be a good resource and provide support and guidance about issues addressing normal growth and development during periods of transition.

Instruct: I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? Output: Absolutely not! When we have the courage to accept the challenge to address whatever is causing us pain, the solutions often generalize to many, if not all of our symptoms. I would suggest that unresolved trauma from sexual abuse is likely a primary contributing factor. However, it is important that you first build a trusting relationship with a therapist experienced in trauma treatment as this is an area of specialty that not all therapists are skilled in treating. Choosing one issue to work on, such as anxiety or depressive symptoms, and starting there will allow you the opportunity to get to know your therapist, learn coping skills for managing distressing symptoms, and establish emotional safety before jumping into trauma work.

Instruct: I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least. I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me? Output: The world needs more people lately who have such a high degree of empathy which you describe in yourself!If it feels a little burdensome, then look to balance what is too much with its opposite.  Since you're giving a lot of empathy, maybe you'd like receiving a lot of empathy.In the situation you describe, when you start empathizing with others, real or cartoon, ask yourself whether you've felt empathy coming in your direction lately.Often people give to others what they feel within themselves is missing.The emotional brain reasons that if I give you my support, say, then at least I will feel half of what being supported is like.Obviously the wish to receive more empathy cannot be fulfilled by you directly.  Empathy is delivered by someone who is willing to offer it.Reflect on whether you are allowing those who are in your world, to know when you would like to receive their empathy.Is it possible you keep your feelings to yourself and present as though you are able to handle a great deal more than you'd like to handle without anyone's kindness to support you?Being open to others about your own inner thoughts and feelings is much more difficult than it sounds.It sounds easy to just tell someone how you feel.Sometimes the first step is the most difficult, of accessing how you feel.Start with knowing the amount of empathy you'd like from others and what stops you from asking.Also, about your diagnosis and the lack of  studies and lists and formulas.  Each person is unique, the instructions and guidelines don't necessarily mean very much.  Often having a diagnosis makes a person feel weak, stigmatized, incompetent. Forget the diagnosis and concentrate on what you need to do differently in order to feel better.The answers are inside you, not inside a book or website.

Instruct: She's in her early 20s, and she has a toddler. Output: Well, first let's identify what factors are involved in the situation about which you wrote.Are you the only decision maker regarding your stepdaughter living with you?Is her dad, and your partner, living under the same roof?Would you feel any obligation to consult with your husband about his opinion and his way of handling the situation?Have you talked with your stepdaughter about your observation and your reaction to the fact of her not honoring your boundaries?Consider too that there will be an effect on the toddler, your grandchild, if you kick out your daughter.Is your daughter financially ready to live on her own and support herself and her child?You certainly have the right to define the terms of what goes on under your roof.It is only fair to everyone that as many variables as possible, be considered.The conclusion may be that it is in everyone's best interest for your stepdaughter to move out.If everyone feels respected and a well thought out plan is developed, then the least amount of hurt and stress, and the most amount of happiness, will be possible from this change.

Instruct: How do I decide if I should end my relationship with my boyfriend? Output: The decision to end a relationship is difficult. There are a few questions you might want to ask yourself like, "Why am I asking myself if i should end it?", "What else am I looking for in a relationship that this one doesn't give me?", "is my boyfriend willing to discuss my doubts and willing to work at making this relationship better?", "Is he abusive in any way?" These are just a few questionsto think through in order to make this decision. Also talk to a trusted friend and see they're point of view of your relationship. Sometimes talking it over can help you think out loud and you're friend can point out details you can't thought about. Talking to a therapist is also a good option as a therapist can hello you figure out what you are looking for and address any issues that need to be addressed.

Instruct: I'm a teenager, and I created a sort of imaginary friend to help me cope with stressful situations or if I'm worried or upset. She "gives me advice" and comforts me and tells me it'll be okay. I've given her a name (Solace) and created a personality for her that's like a comforting motherly figure. I know it's just my own advice and my own thoughts, but it's just that I'm thinking of them through a voice other than my own. I do this because I know I never really listen to my own advice, and I thought it would be better if it was through someone else who knew my thought process in and out, through this imaginary friend. Is this normal? Could it develop into a separate personality with time if I continue a mentality that she is her own person? Output: Since you are saying that you know that the thoughts are yours and your thinking of them in a different person's voice to make them easier for you to follow through on, it doesn't sound like it could develop into another personality.It may be helpful to also find other things that give you comfort and to practice telling yourself that it will be okay in your own voice. If you start to do that slowly, it may be more comfortable for you. If you're following following through with your own advice, it sounds like some part of you knows that you are making choices that you agree with.What else gives you comfort? Maybe there's a room that you like to be in when you are home or a certain outfit or color that makes you feel good. Focusing on these things may also be comforting to you.

Instruct: I don't know what to say. I have never really known who I am. Output: What exactly is it that you are looking for? Different people define themselves in different ways. For example, one person may define himself by his values and morals while another identifies herself by her personality and characteristics. Still, another person may define himself by his interests and hobbies. Learning who you are as a person can take time and life experience. At the same time, who you are may change according to what experiences you have had and how you have dealt with them or felt about them. Try viewing the journey of finding yourself as exciting and ongoing. Allow yourself to feel emotions and learn how they relate to the experiences you have. This may help you to know more about what you value, what you like and dislike, and what you want for yourself in life. Best of luck to you!

Instruct: I've been hospitalized twice. Once was last month for psychiatric help. I'm on medicine, but I'm struggling with fighting the negative thoughts, irrational fears, and loneliness. The people around me aren't helping much. Output: If you are someone who usually has a job, pays or contributes to household bills, and generally manages your own daily life, then here are some suggestions.Start with small changes in your life so that you will feel successful in developing little areas of personal happiness.Since the people whom you currently are in your life "aren't helping much", consider branching out your life so that you are with those with whom you do feel help you.Follow your natural interests.  If you like reading, look online for a local book club.   If you like watching birds, look up a bird watching group.Social isolation increases the intensity of negative feelings.Also, the way healthcare is set up in the US, psychiatrists spend 15 minutes asking a person questions and then giving them a pill script.    There is almost no human interest in the person.If you'd like feeling better as a person, then find people.   Relying only on our mental health system will keep you feeling low and unsteady.If your life is a little more sheltered and you are in a group home setting or your basic needs are taken care of by someone or some organization, then similar advice is still valid.Find and participate in whatever human settings which appeal to you and are available on a somewhat regular basis.

Instruct: I was with my boyfriend for years on and off. We dated and broke up three times. Since we broke up five months ago I can't move on. I want to get back together but he won't talk to me. What should I do? Output: Probably being sad to lose the relationship would be a good next move for you.When a relationship ends the daily life structure changes significantly.  A break up means adjusting to differences in everyday life, not only that the person is no longer connected with us.Since your boyfriend isn't talking to you then you're keeping yourself sadder than necessary to not accept his actions.  There's nothing you or anyone else can do change the fact that when someone decides to stop talking, this person is the only one who's in charge to start talking.Maybe since you've had several breakups w this person that you require more time to pass before you're willing to accept that his changed interest in the relationship is permanent.Be patient with your uncertainty as to whether he will or will not resume the relationship.  Once enough time passes so that you're considerably past the point at which you and he come together, then accepting his leave-taking will feel natural.Right now its very understandable to have hope since you've been on this road before.  In time you'll have your answer as to whether your future is with him or not.

Instruct: I have a really bad temper. I get mad very easily then stay like that the whole day. I don't mean to be that way, but I can't help it. Output: A lot of times the anger someone expresses is from feeling a deep level hurt within themselves.   A surface situation, like, a store told you they'd have delivery of a certain item by Tuesday, and when that particular Tuesday comes, the store doesn't have what they told you they would, and you are furious.The fury may have more with many times before in your life, having been deeply let down by someone who mattered to your life at the time, who similarly promised something and failed to deliver whatever it.If at the time of feeling let down by someone important in your life, the relationship didn't allow for honest expression of all your emotions, you'd have learned to hold in what you realized would not be tolerated if you expressed it clearly.Without practice of being heard when feeling hurt by someone, eventually the person, possibly you, learned to contain and contain your emotions.It is possible that the anger you feel at a variety of situations lately, are muting hurt feelings that you've understood from relating to meaningful people in your personal history, to not talk about.As a way to find out if you feel other emotions in addition to anger, take some time to reflect on what triggered your anger and whether its possible that hurt emotions which nobody whom you know wants to hear,  are really the underlying source of your upset.I hope you will enjoy some new discoveries about yourself and your emotions!

Instruct: Sometimes 3 times a night. Output: Dreams are our chance to make sense of our waking lives.If you've got a lot going on in your life then your dreams are your assistants in understanding these happenings and dynamics.

Instruct: I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone. Output: Having this kind of conversation with a doctor can feel difficult. But remember, you are the expert on you. Any good medical professional will recognize that.You are absolutely right to think about the importance of being your own health care advocate. Generally, the best approach is simply to be honest. Let your doctor know what you are concerned about and tell your doctor what you think might help. If there is a specific issue that you’d like to address in counseling, let you doctor know about it. And don’t hesitate to directly ask for a referral.I know this may all feel a little overwhelming. It might help to bring a family member or significant-other with you to provide support when you talk to your doctor. It’s great that you’ve already taken this first step to reach out. You’re on the right track.

Instruct: I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and it’s with the girl that works with us. I've been trying to get over it, but now my confidence and self-esteem are low, and sometimes I feel like he’ll do it again or that he's not ready to be with me. I think about it all over again when I see her. He says he's in love with me, and with the last time he cheated, it didn't feel right, and that's when he knew he had to stop because his feelings were for me. He's contacted her and told her he will not communicate with her because he's in a relationship with me. How do I gain confidence? Should I let him go? If I let him go, I don't want to be sad about it being that we work together. I try to tell myself I'm beautiful every day, and I think I am a pretty attractive female with a great personality, but I don't like the fact that she works there. Output: Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for couple's therapy in which there has been infidelity.Understand within yourself whether you'd like being with your boyfriend and what you'd like him to do so that you start feeling more secure in the relationship.If yes, then tell him what you now know about yourself as partner in the relationship.For example, some people who are getting over being cheated on, would like knowing details about the affair person, some people want to see the phone of the one who cheated.Recuperating after a cheating incident takes many months.If he tells you he'd like earning back your trust, give him some time to see if there is progress in this area.As results unfold, you will feel clearer on the direction your relationship is naturally taking.About the girl at work, she will feel less meaningful to you as you work together with your boyfriend on securing the relationship.She has her greatest meaning right now because you are at the beginning stage of knowing what direction to take.As you go along this road, more than likely, you'll be more at ease in naturally finding a way of relating to her that feels ok to you.

Instruct: Is it normal for people to cry during therapy, or is it just me? Output: Crying in therapy is a natural response, a relief to what you are going through. It is an expression of emotions, which is why you are going to therapy - to express yourself in a safe, nonjudgmental space. Rather than trying to stop crying, sit on the couch with it until it is done and you have finished with the clearing. The energy is not blocked, is moving - a good thing. It's good to cry.

Instruct: I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? Output: It takes a lot of courage to go to therapy.  I have gone myself as a Counselor and know what that feeling is like. This is normal but hopefully you have become more comfortable with your therapist. This might be something to bring up to your Therapist and openly discuss (scary to do but its ok) this may even relieve some of your anxiety.  If it continues, you may want to consider trying another therapist as this one may not be the best fit for you.

Instruct: In 2008 my former husband of 14 years walked away from my life and we've been separated ever since. We have always been together sexually and both have experienced sleeping with others. I stopped because I wanted my marriage to work out but he did not. If he stops sleeping with other women, can our marriage be saved? Or should we just part ways? I still care deeply about him after all that I did and he has done. But he is seeing someone else on and off for years now. Will our marriage still be saved if he decides that he wants to try to do so? Output: Sorry to hear about the stress in your relationship.  There is definite value in being clear as you are, about your own emotional investment in your husband and that you expect sexual exclusivity from him as part of the foundation of your marriage.Also positive is your awareness that only your husband is the one who must similarly decide his own standards of being sexually exclusive to you, or not.Whether your marriage can be saved depends on what each person is willing to accept about the other one.Is sleeping with other women the only criterion of what will satisfy you about being together with your husband?Love and care are not enough to make a marriage work. Partners need to be able to compromise and cooperate with each other. That you care for him definitely intensifies any emotion you feel toward your husband.  It intensifies any frustration and sadness about the relationship too.Decide how much emotional sadness and hurt you're willing to tolerate and the reason you're willing to do so.From what you write, you are being very generous of yourself and not being reciprocated for this.If your husband doesn't start taking steps toward satisfying your wishes, this may be your time to question your own generosity in waiting for him to do so.

Instruct: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest. Output: There is a lot of information out there right now about how porn is harmful...to a person's brain chemistry, to a relationship and one's ability to love, and to how men see women and sex in general. Your partner demonstrates a clear disregard for your needs. There is evidence, as you suggest, that there is addiction here. I recommend seeing a therapist who can help you sort out where to go from here.

Instruct: After 40 years of being straight, how could I now find myself interested in people of the same sex? I have had a few same sex encounters of my own doing. Output: Sexuality is fluid. It is possible to find yourself attracted sexually or affectionally to different types of people at different times in your life.

Instruct: 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? Output: 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!

Instruct: I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? Output: Let me start by saying there are never too many concerns that you can bring into counselling. In fact, most people who come to see me for counselling have more than one issue they would like to work on in psychotherapy and most times these are all interconnected. In counselling, we work together, collaboratively, to figure out which issues you would like to address first and then together we develop an individualized plan of care. Basically, it’s like a road map of where you want to go, how are you going to get there, looking at stopovers, some scenic routes others possibly not so scenic, however, necessary. Of course, these plans can also change due to internal (what we have control over like our thoughts, feelings and behaviours) or external reasons (those things that are outside our control). I would encourage you to take the next step and reach out to a professional you can trust and build rapport with by co-journeying through whatever concerns you have by examining what has been working so far as you have learned to cope with some of your issues like insomnia, depression and anxiety, as well as being a breast cancer survivor. Then to help you by developing new coping strategies. Psychotherapy can be such a powerful tool to help you get to where it is you want to be. I know you can do it and you will see first-hand how psychotherapy will help you to move past these points in your life where you are feeling stuck. I like to quote Nike where their motto is, “just do it.” You can do it.

Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not. Output: Hi Louisiana,It's normal when trust has been broken in the past for fear and insecurities to come up from time to time. His reactions may not mean that he doesn't trust you, but rather that he gets scared that he's going to be hurt again. You're a bit vague about the past. You don't say whether you cheated or not. If you did, then you might try taking an approach where you a) take responsibility for your past actions, b) show an understanding of and compassion for his pain about that, c) do everything you can to demonstrate trust and show that he is your priority, and d) reassure him when he says he's scared or feeling insecure. I'm suggesting that part of healing is you having tolerance of his emotions and demonstrating that you're so confident you can be faithful that you can handle his moments of fear. This is what he and the marriage need in order to heal from the attachment injury.Part of the issue might be that when he brings it up, he's coming across as angry, accusing or suspicious, rather than scared and insecure. This often happens. A therapist can help both of you understand that fear is behind the anger, and it works best if he shows you his vulnerable emotions rather than the anger (which is also natural, but less helpful in those moments), and then you can more easily recognise the cue for you to reassure him. As much as you want to forget about it, he might need to talk about it sometimes, and that's normal. His needs are important. Also important, however, is your need for respect. If he approaches it in a disrespectful way, that's a separate problem. If it's brought up as a weapon, used to shut you down, or used to control or punish, those are unhealthy ways of dealing with past hurts. You can both offer compassion to him and use your sense of boundaries to protect yourself from being flogged with the past.A qualified therapist can help you sort through this trick territory. Best of luck.

Instruct: I have suffered many things at home and school. We never went to the doctor to diagnose depression or anything like that, but I always feel like a part of my heart is missing. I try to fill it in with objects or, in this case, a woman. Output: There are a lot of ways to look at this. It sounds as if there is a part of you that is looking for support. I wonder what it is that you feel when you're not in a relationship?Because of the way you asked the question, I'm getting the impression that you are referring to romantic relationships. I wonder if you have close friendships that could form a network to help with this when you are not romantically involved with someone. Even when you are in a relationship with a romantic partner, having friends is still an important element.I wonder if you could also notice what changes for you inside of yourself (as far as emotions) when you move from not being in a relationship to being in one.Perhaps you could take a look at what you value about yourself.In general, it is natural for people to want to be in relationships with others (in this case, relationship has many meanings and degrees). Most of us enjoy sharing elements of our days, thoughts, feelings, etc. with someone else who we trust and care about – also hoping they care about us in return.

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

Instruct: 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. Output: Your, sitting in your car for 30 minutes, story sounds so sad and frustrating.Yes, you're describing classic symptoms of anxiety.Anxiety itself is the indirect result of repeatedly being in positions of feeling helpless or frightened.Are you able to recall from your growing up years of feeling insecure?You may not have felt loved and nurtured as much as you needed.Some people develop anxiety from missing enough love.  They feel lacking in ability to take care of themselves, similar to the lack of being sufficiently taken care of when younger.Try understanding if you felt neglected emotionally.If "yes", then start the slow process of emotionally rewarding and acknowledging yourself.Progress will be slow.Eventually you'll stabilize the way you feel toward yourself.This will gradually result in decreased anxiety.

Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not. Output: I'm sorry to hear about the trust issues in your relationship. Trust, as you clearly know, is essential to healthy relationships. Past indiscretions or dishonesty can damage this trust and make it really hard to confidence that these things will not happen again despite reassurances. We tend to be very sensitive to betrayal and risks to our relationship security. Rebuilding trust takes time and effort for both parties. On your end, you may need to provide more reassurance and more concrete evidence that you are trustworthy, gestures of transparency (e.g. - giving him more information about where you are going and who you will be with, letting him know when you get texts or emails from people that might give him pause or trigger insecurities), and more patience and empathy for his fears. On his end, he may need to learn to be with his insecurities and fears and ask for reassurance about your love and commitment in ways that do not lead to criticizing you, attempting to control you, or limiting your freedom. If you are not able to come to agreements about how to put his fears to rest without it negatively impacting your life, I would suggest getting some professional help from a marriage counsellor or couples therapist.

Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on? Output: Dealing with a breakup is difficult. We have high hopes and then those hopes and dreams are dashed and we feel at a loss for how to deal with this sudden change in our lives. First, it is important to acknowledge that losing a relationship is a loss and we need to grieve that loss. If we don't allow ourselves time to process and move through the grieving process, we may remain stuck and it may make it hard to move on. So in some ways, you don't want to move on too soon by just trying to ignore your feelings. Instead, take good care of yourself, talk to friends and give your self time to heal. The second most important thing is to forgive yourself; this is also an important part of taking care of yourself. You might be blaming yourself and re-living moments when you wish you would have done things differently. By replaying those thoughts you remain stuck. When we begin to forgive ourselves, we truly begin to heal. Lastly, in my experience the people who have the most difficulty moving on have not really severed all ties with their ex. They are still following them on social media or even checking in with texts. This is probably the hardest part for some people, but to move forward there needs to be a clear boundary and a clear ending. If you have a clear ending, you can have a new beginning. I hope this helps. Take good care of yourself! 

Instruct: I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from. Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas? Output: The feeling of never feeling good enough usually stems from our early relationship with our parents or significant role models who made us to feel we were never good enough to meet their standards. In the healing process, you'll need to work on discovering the root source of where these thoughts and feelings come from and then learn to accept yourself just as you are unconditionally. I'd be pleased to help you in this process. I provide online private counseling through proventherapy.com. Dr. Rachelle Vaughan

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

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

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

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

Instruct: I am a peaceful person, but I often find myself having thoughts about killing people. Eventhough I like the thoughts at the time, they make me cry. Why do I feel like this? Output: Maybe because you have great emotional pain stored inside you of which you are not aware exists.Sometimes people who feel greatly hurt by others or who feel unloved by others, imagine if they do the opposite of love, which is to kill, that they will get the recognition and acknowledgement from others which they wish would come to them in a loving way.This is my theory, it is not necessarily a definitive description of your inner dynamic.Most important is to keep an open mind to self-discovery on your feelings, including the ones which are uneasy, such as killing, to consider.

Instruct: Sometimes 3 times a night. Output: That's a difficult question to answer. Dreaming is a normal (and healthy) part of the sleep cycle. The current thought is that we all generally experience roughly the same number of dreams - the difference often is just whether we remember the dreams or not.An increase in the number or frequency of distressing dreams (or nightmares) can be a symptom of stress, anxiety, or PTSD.  If the dreams are disturbing to you, talking to a local counselor could help. If the dreams themselves are not troubling, you may just be remembering them more than most people do.

Instruct: The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says "here lays my emotions. R.I.P." I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me? Output: It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets. I do not know what all is going on in your family, and I cannot answer for your dad’s actions or his reasoning behind this.I would recommend that you focus on developing healthy coping skills. We cannot change what others do but we can change how what they do affects us. If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress. It is really good to have a wide variety of interests such as friends, hobbies, games, etc. Develop other things that you care about and are passionate about.Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don’t have healthy ones, you may develop some very unhealthy ones. You have to cope somehow, right? Developing unhealthy ways of coping with life is only going to make life more difficult for you.I don’t know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe. Both of these environments can lead you to develop some unhealthy ways of coping with life. Please talk to a trusted adult about your feelings before it gets any worse.

Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not. Output: I'm sorry to hear about the trust issues in your relationship. Trust, as you clearly know, is essential to healthy relationships. Past indiscretions or dishonesty can damage this trust and make it really hard to confidence that these things will not happen again despite reassurances. We tend to be very sensitive to betrayal and risks to our relationship security. Rebuilding trust takes time and effort for both parties. On your end, you may need to provide more reassurance and more concrete evidence that you are trustworthy, gestures of transparency (e.g. - giving him more information about where you are going and who you will be with, letting him know when you get texts or emails from people that might give him pause or trigger insecurities), and more patience and empathy for his fears. On his end, he may need to learn to be with his insecurities and fears and ask for reassurance about your love and commitment in ways that do not lead to criticizing you, attempting to control you, or limiting your freedom. If you are not able to come to agreements about how to put his fears to rest without it negatively impacting your life, I would suggest getting some professional help from a marriage counsellor or couples therapist.

Instruct: What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation? Output: This sounds like a potentially serious situation. The most important thing is to make sure the child is safe.  If you suspect that a child is (or has been) harmed, I would strongly recommend that you report your concerns to your local law enforcement or to Child Protective Services. If you don't think that a child is in danger, you can still report your suspicion of counselor misconduct to the state regulatory board.

Instruct: 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? Output: I'm glad to read about your willingness to develop new ways to invest yourself with your partner.The easier way to fix a relationship is when both people are helped to recognize the ways the couple dynamic falls short of what each person would like.Couples therapy is exactly this.Still, relationships can change if one person changes since changing one part of a system will change the system itself.Besides starting to work with a therapist on what you can do differently, reflect within yourself on the situations when problems arise between the two of you.See if you can figure out what you wanted and what you partner wanted in that particular moment. Was one of you trying to help the other and the person felt insulted by the suggestion of needing help?This is only an example of how intentions are misread or not welcome by one partner from the other.Also keep in mind there is a limit to everyone's flexibility.Reflecting and self-awareness are the first step.The second step is to know when you've reached the end of possibilities to change yourself and not be accepted for who you are.This raises the question of whether the two of you are far apart in similarities in order to be happy together.Good luck in enjoying the changes you will try to make!

Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on? Output: Dealing with a breakup is difficult. We have high hopes and then those hopes and dreams are dashed and we feel at a loss for how to deal with this sudden change in our lives. First, it is important to acknowledge that losing a relationship is a loss and we need to grieve that loss. If we don't allow ourselves time to process and move through the grieving process, we may remain stuck and it may make it hard to move on. So in some ways, you don't want to move on too soon by just trying to ignore your feelings. Instead, take good care of yourself, talk to friends and give your self time to heal. The second most important thing is to forgive yourself; this is also an important part of taking care of yourself. You might be blaming yourself and re-living moments when you wish you would have done things differently. By replaying those thoughts you remain stuck. When we begin to forgive ourselves, we truly begin to heal. Lastly, in my experience the people who have the most difficulty moving on have not really severed all ties with their ex. They are still following them on social media or even checking in with texts. This is probably the hardest part for some people, but to move forward there needs to be a clear boundary and a clear ending. If you have a clear ending, you can have a new beginning. I hope this helps. Take good care of yourself!

Instruct: I constantly feel like everyone is up against me and trying their best to shut me down. It's ruining my mood and even my whole self. I have trouble sleeping, and I keep having sleep paralysis while dreaming of others mocking and judging me. Output: The problem you describe sounds very wearing on your spirit.Are there particular reasons for why you feel everyone hates you?Have you been in a clash of ideas or opinions and feel yourself in the minority viewpoint?Or does your sense of being shut out start within your own mind, as though you anticipate that others will not like what you say?If actual conversations are leading you to feel left out, then evaluate whether to bring up certain points to the other person.Or, you may also decide that the relationships in which you feel shut out, are no longer worthwhile ones for you.If the problem is hesitating to interact because you imagine others will reject you, then maybe you can coach yourself into trying a small step toward introducing yourself and your thoughts to others.

Instruct: After 25 years, I fell in love for the first time. The person acted for a week and left me without even saying goodbye. My heart is burning, and I can't take this pain. Output: Hi, San Diego. I'm sad that this was your first experience (in 25 years) with feeling in love. You deserve better. My understanding of today's (western?) social cultural norms is that it is somehow acceptable to abruptly stop communicating with someone you've been seeing, without explanation. I don't get it. It's rude. You're better off without this person around. There are still people who operate with respect, but this person isn't one of them.If I'm reading this right, you knew this person for a week? In my humble opinion, much heartache and many poor relationships come from attaching too soon. It takes years to get to know someone deeply. I know it's hard to keep yourself from falling in love, but you owe it to your heart to take these things more slowly, because everyone puts their best self forward at the beginning and it takes time for that to relax and for you to see who they are when times are tougher and real stuff happens.If I was your therapist, I'd be curious about how this is the first time you've fallen in love? Or is it that you were in love 25 years ago?  Was your heart broken then, or did something encourage your heart to close? What has kept you from either meeting people or letting yourself fall in love until now? Is there a danger that you will decide love isn't worth the risk? This is a crucial time for you to potentially seek professional support from a therapist in order to understand yourself and not shut down, if that's what happened before. :)

Instruct: I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? Output: If you have only been to a couple of sessions, it makes sense that you might still feel apprehensive at first. Therapy is hard work! You may be talking about some things that you never talked to anyone about before. Opening up to stranger can be scary. After you feel comfortable with your counselor, and trust has built up and you feel understood in session, you should feel more relaxed. I would encourage you to talk to your counselor about feeling a little shaky. Sharing what the process is like for you is important in your work. If you still feel unsure about sharing after several sessions, it is important to take a look at that and try to understand where that may be coming from. For example, are you and the therapist not a good fit? But, again if you are just starting out in working together, feeling a little bit nervous makes perfect sense, and I encourage you to give it a bit more time and to talk to your therapist about how you are feeling.

Instruct: My wife and I are newly married, about 2 months. We've had some issues surrounding sex, particularly her lack of libido. She's on an anxiety medication, of which diminished libido is a side effect, but I think our issue is also partly one of a lack of intimacy/romance centered around my hectic schedule. Our sex life has suffered as a result. Tonight she made a genuine effort to let me know she wanted sex, which is a big deal. Once things started, she had the most obviously fake orgasm I've ever encountered. I was honest with her about why, and told her that the most important thing to me in sex was knowing that she was legitimately enjoying it. She responded angrily with a complete denial of the faking. I don't know how to broach this subject and have an honest conversation. I think she will continue to lie to me about faking it which will cause our sex life to spiral further. Please help. Output: You are newly married, you Have a hectic schedule, your wife is on anti anxiety medication. What if you take the focus (hint: pressure) off of her orgasms and focus instead on connecting with one another. You know, like the gestures you each likely made while dating.  It turns out that these little moments of connection throughout our days are actually foreplay. Spend a few weeks making a real effort to focus on building up your little daily moments of connection, I wrote a post about this a while back, you can find it here: http://connectfulness.com/little-moments/ And have fun with it! 

Instruct: 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. Output:   After stopping the abuse of alcohol, depressive symptoms are common. She may benefit from exploring why she wants to move and see if she would still want to move if she did not feel depressed. 12 step meetings can also be helpful.

Instruct: I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk. In the past, I have even cheated on my boyfriend while I was under the influence of alcohol. But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem? Output: Usually when someone asks if they have a problem, they believe they do have a problem!The first step is to understand your own theory and definition as to what problem you feel you have.  Some possibilities are feeling unhappy in the relationship to your boyfriend, not having enough discussion between the two of you, not feeling cared about by your boyfriend, not liking your boyfriend.Did you grow up in a family in which the grownups drank to the point of excess at the times they felt stressed?Family modeling of how to handle problems may have left you no knowing how to handle stress except to drink to excess.Ask yourself what it is you feel guilty of doing?The guilt may point you in a good direction if it is your sense of self-esteem telling you to find better ways of managing your life.Do you drink alone or together with friends?Try defining your specific reasons for drinking because this is the first step to know how to handle the situation differently.

Instruct: There are issues from my past that have me very heavily burdened in my heart. I've been torn for so many years and I need help so I can move on with my life. I experienced trauma when I was 8 years old and I did come out about it until I was 40. Now I know this is what's holding me back on my happiness. I've met a very loving and caring man but because I'm holding on to these things from my past I’m pushing him away. How can I get my life back? Output: I'm so sorry you had that horrible experience! It's common for those who've experienced childhood trauma(s) to not disclose the events until later in life. Sometimes it doesn't feel safe enough to share the information until the person who hurt them is far away, or even dead.  Trusting and vulnerability are difficult, especially when we've been hurt. So, it's not uncommon for clients to share that their desire to be close to their loved one (emotionally, physically and/or sexually) doesn't match the reality of what they are able to actually experience.But, there is hope!You have met a loving and caring man, and you have a self-awareness that you did not experience before. I am confident that the help of a licensed professional counselor (preferably trained in trauma recovery) can help you navigate this healing journey and help you gain the tools needed for the life you want.

Instruct: Is it normal for people to cry during therapy, or is it just me? Output: Yes, it is very normal to cry during a therapy appointment.  When you meet with a counselor, you are opening yourself up and sharing very vulnerable sides of yourself.  Through this deep introspection, emotions (sometimes unexpected) can come out and this is completely okay and very healthy.  Research has shown that crying reduces pain by releasing oxytocin and endorphins and reduces stress through the release of stress reduction hormones.

Instruct: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life. Output: One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo manejar mi ansiedad y depresión para sentirme normal otra vez?Mi motivación se ha ido. Es difícil salir de la cama.  No sé qué hacer.  Soy Miserable.  Mi ansiedad y depresión han tomado el control de mi vida.Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico. 

Instruct: I'm being verbally abused on a daily basis by my parents in front of my child. I feel like I’m trapped and I have no escape. I feel like I have to listen to the horrible things they say and just take all of it. I need some way of learning how to cope with listening to it especially since I have nowhere else to go. I feel very emotionally drained How can I deal with this? Output: I am so sorry you are experiencing this situation.  Considering that you mentioned not having a place to go, it may be best to address the problem as oppose to “just take all of it”. Confrontation can be done in a healthy and effective way.  Being able to communicate your feelings with the intent of improving the problem can be a great skill needed in multiple settings in life.  The therapy process can help build this skill set and goal plan to remove yourself from the home.  Good luck.

Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client? Output: This is a question that is very specific to each person. There are definitely some variables, but I can give you some general ideas for when counseling might end:When a client has met all of their goals, at least to a degree when they feel that they no longer need to work on them with the assistance of a counselorSometimes a decision is made that a client is no longer benefiting from counseling at a certain timeSometimes clients have to remain in counseling in order to receive medication. This depends on agency policy, but sometimes it is a requirement. If the medication is necessary and cannot be prescribed by a primary care physician, frequency of sessions is usually decreased greatlyI'm not sure why you are asking this question, but it is also something that is often discussed at the beginning of treatment. Oftentimes "discharge goals" change as treatment progresses because more is known about clients, their goals, changes in their goals, and many other things. Changes are normal, but your counselor probably has discharge goals in mind, at least generally, from the beginning. I strongly encourage you to ask about it!

Instruct: I feel like I have to be promiscuous in order to keep people around? It started after I got raped by my ex-boyfriend. Output: I recommend that you seek professional services to address the trauma you experienced. EMDR has been proven to be very effective in treating trauma. In addition, a support group might be helpful to find a more stable support network. Either a support group for victims of rape or sex/love addiction www.sa.org sound appropriate. Whichever group resonates the most with you will be the most helpful. If you have any additional questions or concerns, please feel free to ask.

Instruct: I'm a girl, and I can't tell whether I'm bisexual or gay. I like girls a little more than boys, but I don't really know. Output: I would ask you, "do you feel like you need to come up with a label?" Is there something about identifying as one or the other that would be helpful for you? From what current science has told us about sexual orientation, it's a spectrum. There are people on the spectrum who are clearly gay, or clearly heterosexual, and then there is everyone in between, which includes being "bisexual" (which I guess in the spectrum would be smack in the middle?)It may be too early for you to identify as any one thing on that spectrum (as you say, "but I don't really know"), or maybe as you move through life you just won't identify as any one thing, and that's totally okay. The most important thing, in my professional opinion, is to accept yourself, fully, for whatever it is that you are. The second most important thing, in my professional opinion too, is to be honest with yourself and your partners about however you do identify your sexual orientation.