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Instruct: I use to be so happy. No matter what, I always was happy. I got into a relationship with this guy. I love him so much. We’re both teenagers. The week after his birthday, my mom made me stop talking to him. It broke me. He came to my house and talked to her, and she let us date again but not see each other. He comes up to my school every day and it tears me apart that I have to lie to her. Output: I understand that this can be difficult when you care about someone. Have you had a discussion with your mom as to why she does not want you and this boy to see each other, and what her concerns are? It sounds as though you and your mom may be able to use some help with communicating, and compromising. It is understandable that you do not to feel comfortable having  to lie to your mom. It  would be helpful if she could understand that you having to lie to he is getting in the way of you being able to go to her with any issue and  feel she will hopefully understand or try to understand where you are coming from.  Have either one of you been in family therapy? This may be something you may want to suggest to your mom to help you both understand where each one is coming from. If your mood is sad, and your feeling worse, it is important that you reach out to an adult, parent, person at school whom you trust to share your feelings and help you feel understood and work through your problems.

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

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

Instruct: Is it normal for people to cry during therapy, or is it just me? Output: Yes, it is very normal to cry in therapy. Expressing your feelings is very cathartic and allows you togain a deeper understanding into yourself and how the issue is affecting you.

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: Few people are actually 100% straight or 100% gay.  Sexual preference exists on a continuum. Over the course of many years a person's sexual preference may shift.

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 have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal. Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes. Output: It is very hard to want a loving relationship, and either see or imagine all around you, the great times other couples are having. Extra hard is that other people's comments may start giving you the sense that you are letting them down to not have a relationship!All the fantasies that develop from viewing Facebook photos and imagining everyone or most people in ideal relationships, just augments any frustration of not being part of this group.Your post sounds like you're being true to yourself and honoring who you are really, by developing clear standards of what you'd expect from a relationship.For the longterm, whatever develops in your relationship life, you will always be able to look back and know you had self-integrity. By being your natural self, you're being attractive.   Probably very unlikely that a young woman who would like a relationship, will never have one.Maybe the young men in your school are not yet emotionally mature enough to know how to see and appreciate you.Even though it may be hard, have patience with bringing in someone who is good for you.  And, continue your keen insight of yourself because it is guiding you to be the best in all areas of living.Sending good luck in all areas!

Instruct: My boyfriend and I have been together for five years now. Throughout the entire first day that we met, he and I had the opportunity to interact quite a lot and instantly sparked a deep connection with one another. That same night, he and a friend stayed over at my house (without my mom's acknowledgment) and we kissed. The next two days were a repetition of the first day. On the third night, my mother finally caught us, and I was kicked out of my house. I left with him of course, and we went from meeting each other to being like a married couple. It was very hard for us. His stepdad also kicked him out of his home, and we were staying at cheap hotels and friend's houses with the little money we had. I quit my job and dropped out of school because it was hard to do anything without a stable home. There were times when we had nowhere else to go but sleep in the car outside a Walmart parking lot. Our honeymoon stage, as they call it, probably only lasted one month. After that, it was a downward spiral. We were constantly arguing about money, food, and our families. We kept having the famous "you're doing it wrong—do it this way" argument. After six months, we moved across the country only to live the same thing, and that's when the violence started. One afternoon, after a serious argument, he got into his truck and threatened to leave me. I was frightened that he would actually go through with his word, given that we had just moved to a place where we knew no one. He told me to let him leave or he would hit me. He had once promised he would never touch me, so I challenged him to do it. He slapped me, and ever since that time, when we have serious fights, he loses control and hurts me. I haven't had the courage to leave him, and there's really nothing stopping me now. I don't live with him, I don't depend on him, and we don't have children. We both haven't been able to let go of that deep connection that we still have and that has been damaged so badly. He always apologizes, and at the beginning, he was more willing to change. Now he just wants me to understand why he does it and how I don't ever make the effort to try to be okay. I've read enough about domestic violence to know that it's not my fault that he loses control, so that's not even an issue for me. I know he has to change that on his own. I just want to know if there's people who have gone through this and had the tables turned? Is there hope for a better future together? Output: Hi Winters, I learned a long time ago that I can't ever predict who will change and who won't. I meet couples who seem to have all the ingredients but can't make it work, and others who have severe issues and they decide to make better decisions and things change. But in reading your story, the image of a slot machine came to mind. You're gambling your life away on the chance that this guy will change. Only you can decide how many years to give it. I see him giving you clear signs that he doesn't even believe in himself or want to change though. What are you waiting for?Although you say you know his behaviours aren't your fault, something tells me that you're hoping your love for him will turn the key that unlocks something and makes him want to change. It doesn't work that way. Just like the slot machine, you have no power to change him or make this work. You can only decide when you've paid too much. I bet there's someone out there who loves and misses you. He's not your only support. 

Instruct: I was “mentored” by this guy for a few years spiritually. It was okay at times, but other times, it was just weird. I try not to think about it too much, but a lot of manipulation and lying happened, yet no one else really believed me when I told them. It's like he's two different people, and no one else really sees that side of him. I was blamed for a lot of our troubles, and now we don't really talk much. I'm worried because he's in a trusted position of leadership and no one suspects anything. They just think I'm attacking his character. How do I know for sure? Output: You may intuitively be sensing what many professionals in the social sciences and psychology have already understood.Just Google "psychopaths and leadership" and many articles come up about boardroom politics and that psychopaths are very successful in these roles.Theoretically, is it terrible that corporate leadership qualities match those of psychopaths?  Well, yes.  And, I consider your question as a mark of your sensitive awareness toward other people.  Being able to recognize social dynamics, is a strength that you have.Psychopaths know how to be charming and to twist words so that others believe that their own interest is the same as the psychopath's.I agree with you about not being able to change people's minds who are attached to this person's interactions.The only way you can introduce a change in the relationship system of a psychopath is that if you are aware of illegal or law breaking activity, and you have evidence of this, that you contact relevant authorities.No one is allowed to break laws, including psychopaths.

Instruct: She's in her early 20s, and she has a toddler. Output: It may be helpful to first have a discussion about what you are expecting and put a timeframe on it that if she is not doing certain things by a certain date, she will have to leave. If you don't know where she can go, there is probably a list of shelters for the county that you live in.

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

Instruct: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about? Output: Oh, crying in therapy is very normal! I have a stack of kleenex boxes in my office. Cry away, therapist are very used to it:) First time being in therapy is scary, but you'll soon know if you are a good match.

Instruct: I'm always listening to my husband, but it feels like he never listens to me. How do I get my husband to listen to me instead of me listening to him all the time? Output: Thanks for writing. There are many different house of things that may be helpful here. I can give you some general ideas, but if some of these things don't get you to where you would like to go, consider seeing a therapist who specializes in couples:Remember that you can only guarantee change in yourself. You can ask him to make changes, but you can't control whether he does or not. You can control your reactions and what you do about your own thoughts, feelings, and actions in the relationship.If you're going to talk about something important or you really want him to listen, first ask whether this is a good time.Try to talk to him without blaming, finger-pointing, or asking him to change (this can be difficult, but it also opens a lot of doors for effective discussions).Be mindful of your packaging. By that, I mean that you may have a very important message that you're trying to get across. If you able to say it in a way that is clear and wrapped in such a way that he can hear what you're actually saying, that is helpful. If you are talking in ways that are angry, or as I sometimes say, wrapped in spikes, that can be difficult to hear and receive. Rather than hearing what you're actually trying to get across, he may just hear the fact that you are angry.If your husband is able to listen to you and/or restate what you are saying and get it right or close to right, let him know what that feels like to you and how important it is.If you're asking questions, try to avoid "why" question and use "what makes, how, when, where, who" instead. Questions starting with "why" can not only be difficult to answer, but can also trigger a lot of emotions that some people are not ready to deal with right away.Also, keep in mind that listening and being able to reflect what you are saying does not imply agreement. This may be something that would be good to discuss with your husband – just because he is hearing what you're saying doesn't mean that he's agreeing with you.Lastly, but importantly, some people really don't know how to listen effectively. There are people who just are not taught to do that until much later in their lives. Sometimes listening to someone can actually be very vulnerability-producing. It may be helpful to ask your husband if he knows what makes him struggle with being able to listen if you notice that he's really struggling.

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

Instruct: I have been married for ten years. My husband is 29 years my senior. We have a young daughter. Ever since she was born, my husband has "shut down." We have no intimacy; he doesn't even kiss me. I've told him how I feel for years, and he swears he loves me and wants to make me happy, but I still have to literally beg for sex and affection. My self-esteem is gone, and I feel so alone. He has stranded me. He uses his passive-aggressive ways and ignores every comment I make. He refuses to talk to me in detail. Output: Hi Smyrna,Your husband is avoiding dealing with this problem. I understand how lonely you must feel, not only sexually, but emotionally too.From what you describe, it seems that he wants to be there for you, but he clearly has barriers to engaging fully around this issue. My hunch is that he doesn't know what to do or how to talk to you. But I think he does have something to say.Your husband is 29 years older and you've been together for ten years...that puts you at around thirty perhaps and him at almost sixty? Has any wise older woman sat you down to explain that men sometimes have erectile issues or hormone-related low sex drive as they age? It's possible that your husband is bewildered, angry, grieving or anxious about changes in his sex drive or his ability to maintain an erection, and that he doesn't know how to talk to you about this. He may feel like he's letting you down, and he's scared it will get worse, so he's sticking his head in the sand. Of course, that doesn't help, does it?The worst case scenario is that you get angry or hopeless, that he senses danger or disapproval from you and pulls away even further in shame. Eventually, you stop chasing him, and you drift further apart. It's a bit of a conundrum...how to honour both your need for connection and honesty and his need for a safe place to explore his fears and insecurities. Maybe lower your expectations for a bit? Your husband will need to believe that you are a safe place to share his fears, and you would need to hold onto the fact that he's really scared, and that he's not rejecting you...just protecting himself.I would suggest having a gentle conversation that sounds something like "Sweetheart, we both know that something's not right here. I think you've been trying to handle this on your own or hoping it would get better, but can we agree that it's not? I need you to either talk to me about what's happening, or please go see a doctor. What I need is to see that you are doing some little step to help us. Either of those things would show me that."In the end, you need to know that he's heard you and that he's willing to look at the issue in some way. If he does neither, then at least you know where you stand and you can decide whether to live in a sexless marriage. I wonder if showing him this answer to your question might help? Just a thought.

Instruct: I am currently living in a hotel and I don’t have a family. I met a guy a month ago. He is a bisexual. He has a lot of gay friends on social networking sites. He would not help pay for the room. When I asked for the TV remote control, he threw it elsewhere and asked me to get it. I slapped him and asked him to leave my room. We recently just got back together. One time I was sick. He came to visit and feed me but left no money. Then he texts me and brags about his house and car knowing that I have struggles living at a hotel. He says that he has a whole house where he can put me in and orders me to text him whenever I need someone to have sex with. He left his bath soap so he could come and get it. I think that he is trying to find a way to come back. Please help me. What’s going on? I am a good, loyal woman. Why is he treating me like this? Output: I am less concerned about this man as bisexual and having gay friends, than about how you feel is treating you.  You are in a vulnerable position because of social isolation.  If you have friends to talk to, please reach out.  While this man has money, it is not his job to take care of you financially unless the two of you have decided that together.  It sounds like he sometimes cares for you and other times you feel disrespected.  I would suggest you look for a man that is consistent in his love and care.  This is not your fault.  But you are in control of removing him from you life or choosing not to because he meets some of your needs.  Take care. 

Instruct: I've been going through a rough time lately. I been into nothing but women. I’ve never thought about men until a week ago. I’m very upset and depressed about this. It's not normal to me. I looked at gay porn more than once to prove that I’m not gay. I get the same results each time, and I feel disgust. This is tough on me. I'm scared that I looked too many times. I keep thinking about it and shake all the time. Output: Hi Brookfield, It can be unsettling when we feel something as fundamental as our sexual orientation shifting. I like that you're honest enough with yourself to say "I'm struggling with this". To accept that there is a question is a brave place to be. And...it doesn't necessarily mean you're gay.Unfortunately, we live in a culture that wants to put people in slots...male or female, straight or gay...we tend to not like those grey areas so much as a culture. The truth is that, if we grew up in a society where there wasn't this categorization...if we felt free to explore and grow sexually, we might be surprised at who we are attracted to. You don't have to put yourself in a slot. Our sexual preferences are more fluid than we think, and it can change over time.We also live in a culture where there is prejudice against homosexuality or "differentness" in general. The wish to not be gay can be powerful. Many people who are gay spend years believing they were heteroxual...fighting against, repressing  or ignoring their gay thoughts. This is needless pain. If you are gay, there is no shame in that and you can still have a glorious life filled with love and passion.Having said all that...just because you have thoughts about men or get turned on by gay porm doesn't mean you're gay. Many heterosexual people have thoughts and fantasies about the same sex; it's arousing because it's naughty...we're curious about the forbidden, or we're just curious. Becoming aroused by gay porn is normal for many heterosexual men. Sexual orientation isn't just about sex either. A different gauge of who you are sexually can be found in your emotions towards men or women. Are you drawn into emotional connections with men more than women? Who do you feel the urge to explore and be close to?Exploring your sexuality through being open to different experiences can help too. How does it feel to kiss a man, to touch a man, as compared with a woman...sometimes this feels like such a big and forbidden step that it's a barrier to discovering ourselves. We don't want to open that door. I wish you well as you do exactly what you are supposed to be doing...exploring and discovering yourself. It's an exciting journey and you might want to find a trusted person to talk more about this with.

Instruct: He owns his own business. Sometimes, he stays out all night but doesn't tell me. We have a son together, and I get to stay home with him. He says I complain too much about what he's doing. We've been together a year and a half. I got pregnant after being together for a month. We moved in together when I had my son in July. Everything was great, and then he started the staying out. He then started not spending time with either of us. I just don't know if I'm doing something wrong. We've talked and he says this is just how he is, but he wasn't like this before. Output: Congrats on the birth of your son!Your situation sounds painful, lonely, and isolating.And, these features are eating away at your self-confidence.Start by believing in yourself.  The feelings and ideas you describe here would only be arising from within you because they are at the very least, partly true.Ask your boyfriend if he is willing to listen and understand your point of view.  If he does, then hopefully the two of you will more easily talk with one another about the truth of feeling overwhelmed by the quick pace of your courtship and becoming a family.If these discussions continuously include him blaming you for having your own feelings and expecting him to more actively be a part of your and your son's life, then you'll need to start valuing your feelings and what is best for you and your son, by yourself.I send you lots of good luck!

Instruct: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this. Output: Have you said anything to your husband about the way you're feeling?Start with this.Sex is after all, a two person enterprise.If he would like to talk about the way you're feeling, great and wonderful.  The two of you already are continuing to grow trust in your communication and relationship.If he doesn't want to talk about how you're feeling, then you're facing a different problemYour feelings are real and need to be handled.If you end up facing your feelings of frustration about your husband not wanting to have sex with you, on your own, then does your husband give you a truthful sounding reason as to why not?Ask what explains his disinterest in having sex with you.If he doesn't want to address this question, then you are a little further down the rung of trust and care about you.Depending on how satisfied you are with his answers, will guide you on how much dissatisfaction you can live with and why, longterm.

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

Instruct: I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them. Output: Have you tried counseling?  Having PTSD from multiple abusive sexual experiences is very overwhelming for one to handle alone.  You may need the guidance, experience and support of a professional to identify all the triggers that effect you and obtain the best coping skills that would work for you.  

Instruct: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore. Output: It is difficult to implement healthy boundaries when the person is a parent or family member. I would encourage you to identify how it makes you feel after talking with your mother. Work on establishing healthy boundaries where you do not feel obligated to engage the complaining daily. Maybe setting a time limit to talk with your mother and practicing how to be assertive and not disrespect or aggressive. Helping your mother understand how you feel using  "I" statements  i.e  ( I feel _____ when you call to talk about my sister). Maybe asking your mom how can you be supportive of her during this time other than listening to her vent. It may also be helpful for your mother to get connected with support groups to help her cope with this life change. 

Instruct: I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face. It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do. Output: Check out my latest blog:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!

Instruct: I'm in my early 20s. I’ve been married once, and he cheated on me. Ever since then, I've felt ugly no matter what. I'm engaged, and I still feel ugly. I don't like to take pictures of myself. Output: Sounds as though you're taking the blame for the bad actions of your former husband.He did an ugly action, and instead of feeling only your own emotions in response to being cheated on, you are holding his ugly behavior within you and feeling it.Does this sound like a possible explanation of why your feeling of ugliness started after the cheating incident?You may start feeling better by looking within your own heart for the full effects of having been hurt.  It is possible there is more suffering within you than you've realized until now.As you address all the emotional pain you've lived through, the feeling of ugliness may drop out all of its own. Because you'd be focused on you, not on any of the ugliness introduced into your life by your cheating ex husband.

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

Instruct: I know I need to deal with my depression. But I don't know how and I don't want to tell anyone. How can I deal with depression without telling anyone? Output: It can be really tough to tell someone - anyone - that you're feeling depressed. But finding that supportive person that you can share with is a big part of the battle with depression. Depression thrives on being secret, it seems to grow the more we isolate ourselves and hide it away so I'm with Laura Cassidy, when she suggests finding that professional support person so you can start fighting back against your depression. If that feels like too big a step right now, maybe check out a book or two... I'm a big fan of a book called 'Feeling Good' by Dr. David Burns if you want some practical thoughts on tackling depression and on 'Radical Acceptance' by Tara Brach if you prefer something a little more spiritual.

Instruct: I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age. Output: I understand that at times it’s difficult to share with our parents what we have been trough, due to fear of judgment or punishment; but I have noticed that keeping our experiences secret, intensifies them.  And Post Traumatic Stress Disorder can haunt us for a long time if we do not learn to process the memories that cause those symptoms.  If you have been victim of a traumatic event that you are not prepared to share with your parents, it’s important that you seek help with a counselor, therapist or psychologist.  Trauma Focused Cognitive Behavioral Therapy is a great technique to cope with physical symptoms, you could also use Narrative therapy, Creative Therapy or Journaling as a way to express memories and process them with your therapist.  A psychiatrist can also prescribe medication to manage the symptoms, but is very important that you address the trauma so you can heal and go back to live your life.   Many organizations like the United Way (2-1-1 in many states) offer resources and referrals to put you in touch with mental health providers, you could also talk to your school counselor, doctor or church to find referral that could help. Tip: You don’t have to tell you story to each person you ask for help, you can just start by asking for a counselor referral. ¿Cómo puedo superar el Desorden de Estrés Post Traumático sin que mis padres se enteren?Comprendo que muchas veces puede ser difícil compartir nuestras experiencias con nuestros padres, muchas veces por miedo a que nos juzguen o castiguen; pero he observado cómo mantener un secreto, lo vuelve más fuerte y difícil de manejar.   El Desorden de Estrés Post Traumático puede ser una condición que nos persigue por mucho tiempo si no aprendemos a procesar las memorias que causan esos síntomas.  Si has sido víctima de un trauma que tal vez no estás listo(a) para compartir con tus padres, es importante que busques la ayuda de algún consejero profesional, terapista o sicólogo.  La Terapia Cognitiva Conductual enfocada en el Trauma, es una técnica que te ayudara a manejar muchos de los síntomas, también puedes utilizar diarios o Terapia Narrativa o creativa, para expresar memorias y procesarlas luego en terapia.  Un Psiquiatra también te puede proveer medicamentos que ayudan a manejar los síntomas del Estrés Post Traumático, pero es importante que atiendas el problema inicial para poder sanar por completo y volver a tomar las riendas de tu vida.   Muchas organizaciones como los Fondos Unidos (2-1-1 en muchos estados) tiene recursos que proveen referidos a consejeros o profesionales de la salud mental.  También puedes preguntarle a tu consejero escolar, doctor o en la iglesia.   Sugerencia: No tienes que contarle a todos tu problema, solo pide que te recomienden a un consejero o terapista.

Instruct: My husband and I would've been married for five years come June 2016. Our infant daughter just had her birthday. Shortly before, he told me he wanted a divorce. He has four other children, three of which are from his first wife. He decided to end that marriage when his youngest was an infant. The children do not have a good relationship with him now. He has another child from a woman he was dating. He decided he didn't want to be with her anymore when the child was an infant. It seems to me that there is a pattern. He easily detaches from relationships at the same time in the child's life but wants a relationship with them when they are older. I've tried to research online, but I'm not getting any answers. He also has an unhealthy dependency on alcohol and does not believe in mental health disorders such as depression and bi-polar disorder. He also does not believe in therapy or seeking help from professionals. Is there a detachment disorder or some form of mental block he could have? Where do you recommend researching this? Output: This sounds really difficult and I can understand your motivation to get to bottom of why this behaviour has occurred - especially if your husband (who sounds like he is an ex-husband?) continues to have a relationship with you and your children. With that being said - relationships and mental health are very complicated and you are unlikely to find the answers you are looking for. In order for someone to be diagnosed with a mental illness or in order for them to identify what leads them to fall into particular patterns in relationship - they would need to be willing to seek help and honestly talk about their challenges, something that you say your ex is not willing to do.  While it might be a relief to understand what is going on with him - it might be more comforting for you to get support for yourself in processing your feelings and everything that has come up for you as a result of his choices. 

Instruct: I'm a teenager. My dad has been jail for the last five years. It's tough, but my mom really tries to give a normal life to my two sisters, my brother, and I. I feel like I took upon a parent role when I'm the second youngest, and I'm not stable. My mother and sisters say I'm overdramatic. I’m just so hurt, and I keep breaking down. Output: It sounds like you have a lot of weight on your shoulders.I'm not sure what you mean when you say you're not stable and you are breaking down. If you are crying because you're sad, that is okay. If you are crying a lot or having trouble eating or sleeping, that's different than just crying sometimes because you are sad. It may be helpful to talk with a local mental health professional in your area. They can help you to figure out what you could do differently to have the role in your family that you would like while also supporting yourself and what you want.

Instruct: After first meeting the client, what is the process that a counselor facilitates? Output: Hi.  This is an excellent question !   I think that the answer probably varies depending upon the particular therapist .  In my work with people , once we have met and I have gotten an idea of the person'a concerns and the issues they want help with , I spend the next few sessions gathering as much history and as much information about the client's current concerns in order to formulate some ideas about what may be causing distress .  I would then share my thoughts with the client to see if they feel I am understanding them and on the right track.  We would then discuss the best plan to address the client's concerns .  Usually I will suggest strategies that I think may be helpful and ask the client for feedback about whether or not they think my suggestions feel helpful .   I always encourage clients to be really honest with me about this.  I tell them that I would hate for them to agree to try things that they know they won't try just to avoid "hurting my feelings" or "offending me."  I want to be helpful and while I have the expertise as far as typically helpful  strategies, I really like to work collaboratively and have clients tell me what they do and don't like / agree with or not agree with when I share my thoughts about a treatment plan .  We the   work together to come up with a plan that will be helpful , but also realistic and then revise it and try new things if necessary as we go along.   If things aren't improving , I am very happy and willing to try something new ! I hope this is helpful for you ! 

Instruct: I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing. What can I do to manage my stress? Output: Being in this position is tough. If seeking another career opportunity isn't viable, there are a couple of things you can do to manage stress on the job.  1. Have a ritual to begin the day:  Consider setting a one sentence intention and plan tasks for the day2. Take the breaks you are offered. I know it can be difficult to step away from your desk to eat lunch or take 10-minute breaks during the day, but prioritize this if you can. Sometimes 30 minutes of downtime and fresh air can help you feel better. 3.  Have a ritual to end the day:  If you commute by car consider an end of the day playlist.  Take a walk. Light a candle.  Clear your desk and write tasks for the next day. Whatever it is, send a signal to your brain that it is time to end the day.4. If you do work from home or are expected to be available after hours, set boundaries where you can.  Set a timer for answering emails and stick to that.  Have phone free meals.    Try to engage in activities that are rejuvenating like spending time the friends and family.  5. Try to limit alcohol/ drugs.  Move as much as you can.  Get outside in natural sunlight.  These are just ideas/ suggestions.  Even doing one of these things could be a step in the right direction.  Best of luck!

Instruct: I just took a job that requires me to travel far away from home. My family and I really need this job. People keep telling me I have "anxiety" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do? Output: Anxiety can cause such a feeling of discomfort in our bodies that it can seem unbearable. The concern that I can hear in what you have written is that the thought of having some anxiety has now left you uncomfortable with any anxiety at all - and that can become a problem, indeed. As opposed to thinking about your anxiety as something much bigger than you, it could be helpful to start breaking it down. What are the things specifically that cause you anxiety about this new job? Is it being away from your family? If so, why? Once you start breaking down what causes you to feel anxiety into smaller "mouthfuls", then we are far better able to understand what has led to discomfort and start to problem solve the issue. 

Instruct: Does counseling really do anything that can help people? Output: I believe that counseling (and finding a GOOD therapist) will be of significant help when the individual seeking therapy desires change, improvement, and overall growth. Most counseling involves homework and a level of commitment outside of session that also contributes to resolution of problems and an ability to cope with stresses in a productive way. Here are some of the key ways that therapy can help. 1. Helps to define the problem and gain a clearer understanding of where it originates. Many people seek counseling because of symptoms they are experiencing. These can include feeling sad, increased sleeping, substance use, panic attacks, self-harm, isolating one’s self, academic decline, etc. Often times, people are not aware of what is causing these symptoms. Having a therapist to help guide and explore why the symptoms are occurring and where they come from will give individuals increased insight and awareness into their problems. 2. Allows for a safe outlet to vent. Not everyone likes to share their problems with close friends or family members. Maybe they don’t want others to know of their flaws. Maybe they don’t want to burden others with their problems. Or maybe they just are not comfortable talking about themselves. And in some situations people do not have the option of talking with someone they know because they have no friends or family. While talking with those we know can help bring some relief it is also nice to talk with someone like a therapist who is objective and emotionally removed from given situations. Counseling gives a safe outlet in which one can express their personal feelings and thoughts without feeling judged. 3. Counselors can offer various problem solving solutions. A good therapist usually will not directly point their client in the direction they need to go. Counseling is about growth and teaching the client to identify triggers and use effective coping strategies that will bring about emotional and psychological relief. Counselors will help clients to explore the various options available in given situation, based on the client’s needs, wants, and values and will help them to choose the option that best fits with their desired outcome. 4. Gives one the tools needed to cope with current and future problems. Many individuals that seek therapy have never learned good coping strategies. Perhaps they did not have parents or caretakers to model productive ways to cope or maybe the symptoms they are suffering from are overbearing and take away the energy needed to cope. Different diagnoses require different tools; however some are beneficial for any problem and any individual. These include but are not limited to relaxation techniques, breathing exercises, development of healthy routines, using mindfulness, improving communication skills, and recognizing and changing maladaptive thought patterns. A good counselor will teach clients how to use these tools, will often practice them during session, and will assign homework for further practice and mastery of the skills.  

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: One thing you could try is to talk to your partner when she's not angry about the following:If she's angry, maybe she can talk with you about what she is angry about rather than calling you names.If she gets angry and then calms down a little while later, maybe one of you can take a timeout in the discussion and set a time when you will come back to it.Discuss what it is that you find acceptable for you to do during an argumentDiscuss what it is that you find unacceptable for you to do during an argumentDiscuss what is acceptable for her to do during an argumentDiscuss what is on acceptable for her to do during an argumentYour partner can answer the same questions related to herself and you.I can't emphasize enough how important it is to have this discussion when there is not an argument going on. Perhaps you could mention that you would like to talk about something that is really important and see if the current time is a good time. If not, consider when in the next 24 to 48 hours would be a good time.It may also be helpful to discuss these ideas with a local therapist. The therapist may also be able to help both of you figure out where the anger is coming from and where she has learned to react this way.If it is abuse, it may be even more difficult to have these important discussions. It may be helpful for you to see a local therapist by yourself to assess things like physical and emotional safety.

Instruct: I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed. Output: As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C

Instruct: Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me. Output: Realize that you are human, not perfect and will make the wrong decisions at times.   That is OK, we all have.  However, the best way is to say OK, I did it, learned from it, will not do that again.  EVER!!!  You can get pass it; grow from it.  Unfortunately, we forgive others faster than we do ourselves because we hold ourselves to higher standards or expected better behavior from ourselves.  It can be embarrassing, hurtful, almost unforgiving at times.  But how do you forgive yourself? Take a Deep Breathe..... and then acknowledge that you did something wrong, acknowledge it, and say to self,  "I forgive me".  Just like you would say to someone else.   This starts the process of forgiving. Also ask yourself these questions:   What lesson did I learn?  What would I have done differently?  What will be a trigger that will make me do that again, if I happened to be weak or tempted?  Avoid or prepare for those triggers....  Forgiving yourself will set you free from the prison you have put yourself in.  You would start back living.

Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child? Output: The thing that confuses a child the most is for a parent to come and go from their life. Children have a way of making things their fault, even when they have done nothing wrong. Because of this, when parents cut off contact, the child thinks it's their fault. As hard as that already is for a child, it is even worse when a parent pops in and out of their life. This makes the belief even more strong for them. They start to think, "why does dad keep leaving? What am I doing to keep making him go away?"I believe a child needs both parents in their life. Whether she used you for a child or not, that child still exists and never asked for this. They didn't ask to be born into drama and two parents that can't make things work. You can move on and start over while still maintaining a relationship with your child. If you start over far away, this may mean less visits but you'll still be a part of their life. Just make sure when you make a commitment to this child to stick to it. Every child deserves that much. Good luck to you! :-)

Instruct: Is it normal for people to cry during therapy, or is it just me? Output: Absolutely normal! Therapy should be a place where you can feel safe to explore and express all of your emotions. Some clients may cry easier than others and there is no "right way" to do therapy. I have many clients who cry each session. And I have many other clients who cry periodically. And I have others who haven't cried once. Each person is different however therapy should be a place where you feel safe expressing yourself.

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

Instruct: I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them. Output: I encourage you to seek out and work with a therapist who specializes in treating complex trauma.  Somatic Experiencing, Brainspotting, and Internal Family Systems Therapy are all highly effective treatments for people dealing with complex trauma.  If you are interested in reading a book that is supportive and compassionate, Bessel van der Kolk's The Body Keeps the Score is a wonderful book that discusses treatment options in depth.

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: This is a great question. Finding the right therapist can be tricky because you don't really know how someone will be like until you meet them. A few ways to prescreen are to:- Visit the therapist's website, psychologytoday profile, social media, etc...- Have a phone call with the therapist prior to your first appointmentOnce you meet your therapist it is important to be clear with your wishes and expectations. We are trained in helping you thrive in your life but we cannot mind read so if you don't tell us, we won't know. Don't be shy about what you like and what you don't like. A good therapist will listen to your needs, process them with you, and create a customized plan that works for you and your life. A good therapist will also not take anything you say (even criticism) personally. Coming to therapy is hard and often times you might not want to go. What makes a good therapist is someone who understands this and tries to make you feel as comfortable as possible while you address uncomfortable topics.

Instruct: What can I do to stop grieving my mother’s death? When I am awake I just cry every day. I don't have anyone to talk to. I need help; I am still cry over her. Will I ever stop crying? It’s been 3 years. Output: I am sorry that you lost your mother. That is a really hard thing for someone to go through.There is really no set time for grief to be over, but I agree that if it has been three years and you are still crying every day then this is past the time for normal grief. I do not know how old you are and if you are in school or have a job, but I would imagine that if by now you literally were doing nothing but crying every day all day, someone would have noticed and would have gotten you some help. For one thing, bills have to be paid.There are typically five stages of grief and they can come in any order. You can go back to another stage that you previously experienced. Denial, anger, bargaining, depression, and acceptance are the stages. At first, people are usually in denial over the fact that they lose someone or are losing someone. This may mean that you deny they are ill or deny that they have actually died.Then comes bargaining, in which you may beg God that if you can only have this person back then you will do whatever. Depression is when the reality has settled in and when we cry and really feel the loss. It sounds like you are stuck in this phase.Finally, acceptance is when we accept that it has happened and we pick up the pieces of our life and move on.When we lose someone we never forget them. We may always have certain days that are tough, such as holidays or any special remembrance of your loved one. But we do get to the place where we accept that death is part of life and that it is inevitable, and that life goes on.A therapist can help you explore the reasons for your extended grief and can help you with coping skills to better deal with it. One suggestion I have is not to try to run from the sad feelings, don’t try to not feel them. Embrace the feelings. Let the feelings wash over you and accept them. Trying not to feel something is not going to help. Sadness is a part of life and needs to be felt just like happiness does. Unpleasant feelings are not to be avoided.I am sincerely sorry that you lost your mother and that you have had such a hard time of it for three years now. You deserve to be happy and to live a full life. I am sure your mother would not want you being sad for so long. I wish you all the best as you continue to try to heal from this loss and deal with your grief.

Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again. Output: This is actually more common then we often realize, and actually understandable, as he has gone through a trauma, an unresolved existential crisis.  He was taken care of by others and now is again left alone with his own internal, and rather horrific inner struggle.In my work with CCT, or Contextual Conceptual Therapy, (see www.suicidetherapy.com) I have learned how trapped suicidal people are in their own isolation, also called a "mysterious isolation," a form of self protection which cuts the off from their Self, or spirit.  And unless they address this message from their soul, accompany a guide on a journey to discover their own missing information, that is to recognize how their own uncomforted emotional pain has resulted in a coping stategy which has effectively cut themselves off from their own beauty, their Self, and their ability to receive love from themselves and others. Their attempt to kill themselves is a cry from their soul or spirit that they cannot live the life they are living any longer.  They take this literally and try to end their life, when in fact what their soul or spirit is saying is they need to begin to live the life they came here to live.

Instruct: I've been in a relationship for over a year. He's cheated and lied. I heard he's married, but he says he's not. Everything is very up and down; there's no trust. Recently, he went on a trip, and I promised him I'd behave and not drink because when I drink, I drink too much, and I tend to make poor choices. This time, I made a huge mistake: I drank too much, and I cheated on him. I slept with another man for about five minutes before realizing what I was doing is wrong. I told him and he just got really rude. He called me names and threatened me. I feel bad as I do love him. We just have so many issues. I'm not a bad person, I've just made a lot of bad mistakes. It’s unintentional, and I know right from wrong, but why do I still make the wrong choice? Output: Hi Calgary (Canada!),  Let me get this straight...you're in a 'relationship', but he might be married. You both cheat and lie and he's abusive. The short answer is that there is too much wrong here for this therapist to try and fix it. Relationships don't heal us and they don't help us grow up. We have to be mature and stable enough to love someone before it's going to work. I'd recommend you focus on yourself alone for a while. You have a lot to sort out. 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: This is a really important question, because you don't want to waste your time and money with a therapist who is not a good fit for you.  I think the most important factor that makes a good therapist match is trust-- do you trust this person to be able to help you meet your therapy goals?  There are few things you can do upfront to test this out, without spending a dime.  First, ask for personal recommendations from friends or others.  If you know someone who had a great experience with a certain therapist, you'll feel more confident in that person right off the bat.  Second, do your online research.  Google the person's name and read everything you can find.  Many therapists are starting to develop more of an online presence because they know that's a way future clients can develop trust without even stepping in their door.  See if they have a blog, social media posts, or even just read the tone of the content on their website.  This might give you a glimpse of their therapy style.  Finally, you can call or email potential therapists and provide a brief overview of your presenting problem and describe what you're looking for in your ideal therapist.  It sounds like you have a specific idea of what you're looking for... most therapists will be honest if they don't feel they're going to meet your expectations.  Some therapists offer free short phone consultations which can help you both decide if you would work well together.  Do your homework upfront, and you'll be well on your way to finding a great therapist for you!

Instruct: Over the years, I have slowly lost everything: my jobs, my cars, my freedom, and my money. I am a stay-at-home mom who doesn't make any money, doesn't have a car, never goes out, and cleans all day long everyday. Output: There are an infinite number of possibilities here. You included a lot of things that you don't have. Is there anyway that you can have some freedom for a few hours a week, at least? A lot of times stay at home moms have groups when they meet at different public places where their children can play together and they can talk together. I don't know how old your child or children is/are, but perhaps going back to work is something that can happen in the future.I wonder if you may consider who you have in your life who can support you. I don't know whether you have a spouse or parents or siblings who could help out with some different things. I wonder if you could consider where you would like to go if you had two or three hours that you could do whatever you wanted? If you can sort out some possible answers to that, maybe you can work together with friends or family to make it happen.Also, again depending on the age of your children, some parents can do things while the children are sleeping, even if you are in the same room. For example, if your children are sleeping for about two hours, maybe 30 minutes of that could be reserved for you and the rest could be for cleaning or other things you need to do.

Instruct: My partner lives in Canada while I live in the US. We visit each other, but we go months in between visits. I have anxiety, and I'm always anxious about him cheating or still having feelings for an ex that he dated for three years. He doesn't understand my anxiety. How do I stop myself from worrying so much? Output: Would you worry less if you and your partner had a plan as to when you will be together as a couple?Long distance relationships are not for everybody.   Some people need the daily or frequent interaction to feel secure.The question is not so much how to deal with anxiety that your partner is cheating on you than whether your own emotional and relationship requirements are satisfied with a long distance relationship.Anyway, cheating has nothing to do with distance since married people cheat while living together for years under the same roof!

Instruct: My husband and I are separated. He says he needs some time apart. He says he needs to get back the “in love” part of a relationship but doesn’t want to lose me. Should I wait or start over new? Output: It's not uncommon for relationships to go cold over time. It is a matter of one or the other becoming complacent. If you and your husband have been together for quite some time it's likely that you are very comfortable and familiar with each other. While this is a good thing in some ways, it can also become boring and you run the risk of losing that "in love" feeling he is referring to. Couples simply become ambivalent. For some of the couples I work with in my practice, I find that helping to organize a time apart, which I call a "Therapeutic Separation" can do wonders for the relationship. I offer homework to be done during this time. Reading, worksheets and individual counseling helps people learn more about themselves and what they desire out of their relationship. It often times brings more appreciation for their partners. When the pair comes back together, we are able to push the reset button and begin a new chapter that is more fulfilling and exciting than before.

Instruct: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out. Output: If your husband is changing his mind about whether or not he wants to stay in the relationship, I wonder if you both might benefit from seeing a therapist who specializes in couples. In my training working with couples, partners come into counseling with one of three goals in mind: strengthening the relationship, getting a divorce, or making a decision. The decision could be whether or not stay together or it could be any number of other things, such as what state to live in.When you ask whether you have to respect whatever decision he makes, respecting his decision does not mean that you have to agree with what he decides. While you do not have the power to change his decision, he also does not have the power to change yours or how you feel about it. Having said that, if he is changing his mind a lot, chances are that the only decision he has made is that he needs to make a decision. Weighing the options of an important decision (any type of important decision) can be anxiety-producing its own right.The fact that you said you were diagnosed with severe depression leads me to believe that you are already seeing a therapist. Perhaps he or she can assist you in navigating through this. I'm wondering how you feel when you are around your husband. I'm not sure whether you are saying that having him there is a source of comfort for you or that it leads you to feel more sad. Maybe it is a little bit of both.

Instruct: After a domestic abuse situation, I went to a therapist, and then my husband went. The therapist discussed her assessment of borderline personality disorder with me. She then told my abuser the results of my tests. Output: It sounds like it may have been a violation of confidentiality for your therapist to disclose information about you without your permission.  There are some exceptions to the general rule of confidentiality however.  For example, when a therapist has a reasonable concern that a client (or someone else) is in imminent danger, he or she is generally allowed to disclose confidential information to protect that person.If you believe your counselor has violated your confidentiality, you can always contact your states' counseling regulatiory board.  The board will then investigate the allegations and can take appropriate action.

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: It sounds like your in quite a rough place, my recommendation just based on what you type might warrant a visit to a psychotherapist to resolve what may be going on, I am not entirely sure but it sounds like he might have a bit of a sex addiction problem. One thing you need to ask yourself is "Am I happy?", "Do I feel loved?", these are deep questions, but the answers to those questions will give you a direction to travel in.

Instruct: I suffer from checking and cleaning OCD. Can counseling help me to get over it? Output: Counseling can be very effective for OCD. In particularly, a kind of therapy called Exposure Response (Ritual) Prevention Therapy is considered the 'gold standard' for the treatment of OCD. What this is, is a specific protocol that helps you build relaxation strategies and to increase the amount of time between your checking/cleaning rituals while also helping you to face any of the fears that OCD given you until those rituals and fears are no longer interfering with your life. Research has shown that this kind of therapy may even be more effective for OCD than medication, https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.162.1.151

Instruct: My wife and I got separated because I asked about her contact with a male friend of hers. The next day, she kicked me out. She let me move back two days later. Yesterday, she said she wanted a divorce then quickly changed her mind. I asked if the other guy was a factor, but she says it's not my business. Output: When "threats" of leaving, such as what you described in your question ("kicking you out, wanting divorce") are continuous in your marriage, it can start to erode at the foundation of your relationship, impacting both partners. And, if you're concerned about the influence of another male in the relationship, and are unable to express your concerns or fears to your wife, it's extremely difficult to build a secure functioning relationship. From the information provided in your question, it seems as if there is some avoidance evident in your relationship. Avoidance of being able to express yourself and have honest communication about your relationship. If your wife is willing, I would recommend seeing a marriage counselor to help you both during this time. Or, for you to talk with an individual therapist, if marriage counseling isn't an option.

Instruct: I'm a Christian teenage girl, and I have lost my virginity. My boyfriend is a Christian teenager too, but things just got out of hand between us in a sexual manner. I planned to abstain from sex but I guess I wasn't clear about this because I was also tempted and led him on. We continued to have sex. Does it mean that he isn't the one God planned for me? We're so young, but that doesn't stop me from dreaming of a potential future together. I really do feel like he is in my life for an important reason. I'm incredibly happy for I was able to escape from several abusive relationships because of him. I love him very much. Output: Having sex with your boyfriend is and was a mistake. Mistakes can be forgiven and you can make amends.But it is not the end of your relationship or God's will for you.Have a serious talk with your guy and get back on track with where you want to be. Talk to a counselor or your priest/pastor. Get someone to be your guide and mentor. Check in with them regularly.Getting back to square one could actually strengthen your relationship.Have a plan for the future where you will not be put into a place of temptation. Group dates, public places and no alone time where temptations might arise.Forgive yourself and move on.

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

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

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

Instruct: Ever since I was little, I loved the idea of loving someone and spending my whole life with them. I treated everyone nice. For girls I liked, I would spend every second with them. It always ends the same way: “I like you as a friend,” or “I love your attention but not you.” Output: Attention is often something that is both wanted and sometimes not wanted all the time. Maybe when you're in a relationship with someone you can discuss the amount of attention that you are both comfortable with and/or what you are both looking for as far as amount of connection.

Instruct: Why am I so afraid of it? I don't understand. Output: Why are you afraid of rape? Because it is a problem in the United States! The National Sexual Violence Resource Center reports that one in five women (0r 20%) will be raped (http://www.nsvrc.org/sites/default/files/publications_nsvrc_factsheet_media-packet_statistics-about-sexual-violence_0.pdf) and that 80% of women know their assailant. Given these statistics, it is perfectly logical to be afraid. However, there are things you can do to reduce the risk of rape, such as being aware of your surroundings, and limiting the use of drugs or alcohol.The Enhanced Access, Knowledge, Act program for college-aged women has been shown to reduce the risk of rape by more than 50%. (http://www.blueprintsprograms.com/factsheet/eaaa-enhanced-assess-acknowledge-act-sexual-assault-resistance-education) You may want to see if a program like this is available in your area. Another great app for when you need to walk somewhere alone, is the Companion App (http://www.companionapp.io). Friends or family can track your progress from one point to another via the GPS in your phone.In addition, talking with a counselor about your fears would also be a good idea. Sometimes fears are rational and reasonable. Sometimes they are over-reactions and unreasonable. When then are over-reactions and unreasonable, they can have a negative impact on your life. In this case, a counselor could help you understand why your fears are unreasonable, and how you can stop them from negatively impacting your life.

Instruct: My dad refuses to acknowledge my anxieties about going to parties, dinners, etc. Whenever I have an opinion it gets shut down. My mom and everyone else behaves likewise. For my father who heads a company, this is normal. He has to be right all the time. He blatantly refuses to even try to see it from my angle. Recently however, it's been getting to the point where I feel pressured and unable to speak my mind. It isn't possible for me to get professional one-on-one help. He tells me to grow a pair and get over it. I recently have been developing more severe body image and self-confidence issues, which I have had all my life. I feel invalidated by my dad. I have been more paranoid lately as well. I can't turn on location services anymore on my phone because of a past incident. He makes me feel guilty about it. I feel rather worthless more often than not, unfortunately. What do I do? Output: I'm sorry to hear that you are unable to get through to your parents. It sounds like you are experiencing a great deal of anxiety that needs to be addressed by a professional (despite the fact that you are unable to at the moment). I would recommend talking with another adult such as a school counselor that can offer you support in this area. Perhaps they can work with you on your anxiety issues and schedule a meeting with your parents so that he/she may help mediate the conversation with them.If you are unable to reach out to a school counselor maybe you can try a member of the family such as an aunt or an uncle that feels comfortable addressing the issue with your parents. Sometimes it helps hearing it from a third party before the situations is taken seriously enough.Good luck!

Instruct: My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me. I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on? Output: I think there are many different directions we could go as far as answering your question.  I think the first and most important question you need to ask yourself is do you truly believe in your heart that you can forgive him and trust him again?  Once you answer that question honestly then you can move in one of two directions.  First, if you truly love this guy and see yourself being with him long term and for the "long haul", so to speak...and you genuinely want to forgive him and trust him again, that is completely do-able and possible if you both put in the work.  But, there's a greater issue here that needs to be addressed.  You say your relationship is "good", but there's been a sexual disconnect between the two of you and that usually indicates some type of emotional disconnect is at the core.  Would you agree with that, or what are your thoughts?  Were you giving him less sexual attention than you normally do or were you guys never on the same page about sexual needs and having compatible sex drives?  If you are more of an emotional person than he is, you may have been less interested sexually because he hasn't been meeting your emotional needs.  For instance, if you hadn't been feeling loved, cared about, validated, appreciated, cherished, and special to him than you may have felt less connected physically and been less interested.  This is a common issue with couples, and can easily be addressed if the communication in your relationship is strong and you can find a way to express to him your frustrations.  In essence, many women tend to have more emotional needs than men, this is the way we are hard-wired, and there are exceptions to this of course, but if you have been feeling neglected emotionally than your lack of interest in sex is actually completely understandable and NORMAL!  Until he understands this, and can learn to tune into your needs emotionally, you may struggle with feeling you are out of sync emotionally (and sexually).  This leads to you both being frustrated, but if all this is ringing true to you, he seriously probably has no clue what's going on and may not know how you're feeling.  You need to communicate your needs to him; if you are super lost with how to do that, there's an awesome book called The Five Love Languages.  It's not that long, and it's very approachable and easy to apply the concepts to your relationships. Invaluable resource for relationships and truly eye opening; really!!This is a long post, I'm sorry!  But this is such an important issue that is very common and many people feel lost about how to handle it.  So back to the second direction you can go....you feel very betrayed, you aren't sure if you can ever trust him again and you see yourself perhaps being paranoid forever and never being able to completely get over this.  For instance, if he says he is working late, or if he doesn't call or text right away when he usually does, you may immediately jump to the worst case scenario that he is cheating again.  Of course, it may not be true, he may have legit reasons for his behaviors, but the point is if you are going to be in paranoia-mode OR you just will always be unsure whether he loves you and is committed to you and only you, then the trust may not be able to be re-built.  You need to think long and hard about this, and if you decide you have the capacity to forgive him and rebuild your foundation of trust and honesty, then you need to let him know very explicitly what you need him to do to earn that trust back.  You can't just tell him vaguely "I need to trust you again"; if he wants his family back and he's willing to do the work, you need to line out exactly what he needs to do and he needs to do it.  But, be prepared that he might throw out there that he cheated because he felt you weren't attracted to him anymore (or he tries to put the blame on you somehow because he says you weren't meeting his physical needs)...if he throws that out there, but you weren't showing him the affection because you were frustrated emotionally, then it all starts with you communicating that to him.  Get that book!In conclusion, if you feel in your heart there is no way you will be able to trust him again and you will always wonder if he's cheating when his behavior isn't spot on, you will be a nervous wreck and perhaps cutting your losses now would spare you the continued heartache.  There is certainly a way to work through this, but you both have to be motivated and you have to get to the source of why the cheating happened in the first place.  Rebuilding trust can be a long process, maybe even years, and for some people, they may never be able to fully trust and let go of the past.  I truly recommend starting with the book, and then going from there.  If you decide you want to stay with him, you would really benefit from couples counseling, as it sounds like a professional could help you strengthen your communication and ability to trust again.

Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her. Output: I would suggest possibly talking with a physician about all the different types of protection. They may be able to help you to know about all of the options that are available.It sounds like your partner is open to understanding your concerns. Perhaps until you have the chance to speak with someone about the effectiveness of different contraception and forms of protection, are either of you open to other forms of engaging in sexual intimacy (without penetration, but with use of vibrators, toys designed for sexual interactions, etc.)?

Instruct: Every winter I find myself getting sad because of the weather. How can I fight this? Output: One theory is that instead of "fighting" your feelings, accept your sad feelings and work with them.   Feeling sad may open many doors to reflect and make peace with the source of your sadness.Also, I believe fighting against the natural cycle of rest and hibernation may not even be possible to succeed.   Winter for most creatures is a time of withdrawal and slowdown.  Our bodies and moods are part of nature as well.  Fighting what is part of nature seems like a tiring fight which the person will lose.Last point, there are the winter holidays to break up the dark and cold of winter.   Maybe you can invent some of your own winter celebrations so you'll have a few gatherings to look forward to hosting.

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: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore. Output: It sounds like you have been thinking about how past hurts have influenced you, and when you try to talk about these hurts with people in your life, you are feeling invalidated. It also sounds like current conflicts are continuing to leave you feeling hurt and devalued. In working with a therapist, you may be able to get some clarity about your past, who you are, and what kinds of boundaries you want in your relationships, so that you can lead a life that is more satisfying to you.

Instruct: My mom made a lot of mistakes a couple years back, and I can't seem to forgive her. I want to say that it's okay, but I can't. I feel like even if I did forgive her, I wouldn't be able to say it to her face. Output: Hi Cleveland, I think I get what you're feeling. You're scared that if you forgive your mom, that would mean it wasn't so bad, or she'll think it's okay to do it again, or she won't realize how hurt you are. I invite you to look at forgiveness in a different way. Forgiveness doesn't have to mean what she did was okay. Not at all. Forgiveness can mean "I accept what she did, and I don't want to live in her worst moments constantly. I want to put it down and move past it because I want her in my life, because fear and resentment interfere with my relationship with her, and mostly because I'm tired of carrying them (fear and resentment) around constantly."You can forgive your mom for yourself, not for her.  If there is evidence that your mom wants to respect you moving forward, then it might be worth it to risk putting down the resentment and the grudge that you think you need to protect yourself.  Your ability to draw boundaries with her in the present is your biggest protector; let her know in the present what hurts you, and notice her responses.You don't have to say it to her face. Saying it to yourself is more important. Again, forgiving your mom helps you...it reduces your own burden of fear and resentment, leaving space for better things.

Instruct: I have been pushing people away all my life. I finally have a great boyfriend who loves me, but I keep pushing him away and I don't want to. I need to learn to open up. Output: Figuring out the space we need between ourselves and others is an ongoing and unsolvable task.  But it sounds like you may be feeling stuck in a pattern of pushing people away and are wanting to change that.  Pushing others away may be your way of surviving relationships and may have proven to be very helpful at one point in your life.  Or it may be serving some other purpose.  One helpful way to consider changing that is to seek out a therapist.  Psychotherapy can provide you with a relationship that is in tune to you and that can provide the reflection and supportive challenges to help determine the function the 'pushing away' is serving.  It also may be helpful for you to take time to reflect on the moments when interpersonal guardedness snuck its way into the interaction.  What were you feeling right before this?  Did it provide relief?  Reflecting on what was happening just before and right after can provide some clues as to what purpose the 'pushing away' serves.It may be helpful to communicate to the boyfriend how you experience intimacy and the discomfort it can bring you at times.  This may help him be as sensitive as you need him to be about the pace of the relationship, and to understand what may be happening when you push him away.

Instruct: My husband and I would've been married for five years come June 2016. Our infant daughter just had her birthday. Shortly before, he told me he wanted a divorce. He has four other children, three of which are from his first wife. He decided to end that marriage when his youngest was an infant. The children do not have a good relationship with him now. He has another child from a woman he was dating. He decided he didn't want to be with her anymore when the child was an infant. It seems to me that there is a pattern. He easily detaches from relationships at the same time in the child's life but wants a relationship with them when they are older. I've tried to research online, but I'm not getting any answers. He also has an unhealthy dependency on alcohol and does not believe in mental health disorders such as depression and bi-polar disorder. He also does not believe in therapy or seeking help from professionals. Is there a detachment disorder or some form of mental block he could have? Where do you recommend researching this? Output: This sounds really difficult and I can understand your motivation to get to bottom of why this behaviour has occurred - especially if your husband (who sounds like he is an ex-husband?) continues to have a relationship with you and your children. With that being said - relationships and mental health are very complicated and you are unlikely to find the answers you are looking for. In order for someone to be diagnosed with a mental illness or in order for them to identify what leads them to fall into particular patterns in relationship - they would need to be willing to seek help and honestly talk about their challenges, something that you say your ex is not willing to do.  While it might be a relief to understand what is going on with him - it might be more comforting for you to get support for yourself in processing your feelings and everything that has come up for you as a result of his choices.

Instruct: I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks. Sometimes I feel i'm not worth knowing or i'm never going to do anything right. Are they right, am I depressed? Output: Hello. Being a teenager in our society today can cause depression quite easily. We look at the world in which we live, and the doubts we have about being able to make a contribution, or to have value and worth with the people around us, and we begin to internalize those messages of self-worth. If that alone were not enough, you are trying to figure out where you want to go in life, and who you are supposed to be in the world. Teens are faced with pressures of being judged by your peers for how you present yourself; following current fashions; possessing the trendy things; and hanging out with the "in crowd." Here's a "secret" that might help with most of those issues: Not much of those problems I've just described will really matter as they might seem to right now, in the real world. If you are feeling depression because you feel you lack some of those things that are seen as important by others (like your peers), I can assure you that being someone who is kind; compassionate; understanding of another person's suffering; and the effort you make to be the best person you can become in the world, will far outweigh anything you experienced in your teen years.When we are young, we judge everything based on what our peers have, what they say, the way they dress, who's popular, who's not popular, and for the most of it, all of that is external. So the question becomes, are you trying to fix the feelings on the inside (the internal stuff), with the trappings of all the stuff on the outside (the internal)? That is to say, do you feel that if you had what your friends have, you would be happy and less depressed? Depression is usually a symptom of something much bigger, it is not typically a problem by itself (just as a person who experiences a high temperature may likely have a cold). So fixing the symptom requires looking at the possible causes. In your post, you mentioned that you live with your dad. Are your parents divorced or separated, or has your mom passed away? Either of these circumstances could certainly cause depression. Finding out when you started feeling depressed, might be able to pinpoint the trigger that caused it, which requires looking at when you last felt really happy. It is also important to keep in mind, that as a teenager, your emotions are often being experienced very randomly, and sometimes without cause. It is part of your emotional development, but as you grow older can learn how to manage those emotions better and practice doing things that help you feel better (without causing harm to yourself).Have you tried talking to your dad about your feelings, or maybe another relative if you feel safer doing so? Do you have a friend who is your best friend...someone who is there for you no matter what? If not, there is a service you can use that is a national number for teens to talk with teen peer counselors. They are teens like yourself, but they have some insights that might be helpful. Its called Teen Line (https://teenlineonline.org/). It helped me when I was in my teens, and has helped lots of other teens as well. You might find a place to get some referrals to other local services in your area. If you want are in Washington state and would like to connect with me directly, you call link to me via my profile page. Or perhaps finding a counselor in your local area might be useful. Most towns and cities have some form of low cost counseling. You might also check with your school for assistance.Don't be afraid of not always knowing how you are supposed to feel. Adults don't always have a handle on it either. Being a teenager carries a lot stress, fear, and uncertainty. But you are not alone, and there is help if you reach out for it. I wish for you the very best, and bright future.

Instruct: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender. Output: If you're feeling like your gender is different than the gender you are born with, and there are many different terms to help describe that. Gender is actually looked at on a spectrum. Transgender is just one of those terms, but looking at the information here may help: http://www.transequality.org/about-transgender. I'm not saying that you should use the term transgender to describe yourself because that may not accurately describe what you are experiencing, but I'm just trying to point you to some more resources.As for what to say to someone who asks your gender, that becomes a question with a lot of different parts. This is probably something that would be best talked out with someone else who you trust. I don't know whether that is your family, friends, and mental health professional, and member of the clergy, or someone else. There are many different things than you could say and they are all related to how much you already to share with other people about how you feel regarding your gender.Generally, I would suggest it would be important to become comfortable with how you feel yourself and possibly tell some people whom you really trust first. Also consider that once you tell someone something, it's not possible to undo it, so if you tell someone, they may tell someone else. Then there is also the matter of people having very different reactions related to different genders and not everyone will be supportive. I hope that you are able to surround yourself with some people who are willing to understand and work through this with you so that you have some ideas how to react if you come across someone who does not understand.Please remember that there is always someone to talk with.

Instruct: Every winter I find myself getting sad because of the weather. How can I fight this? Output: Thank you for sharing. It seems like since the "winter blues" happens to you every year it may also be impacting your quality of life and possibly relationships. What you report sounds like you may be experiencing Seasonal Affective Disorder (SAD) and is quite common to many from about fall thru winter seasons; but, also can impact folks during the Spring and summer months.The best care and treatment for SAD includes discussing it with your PCP (primary care physician), integrating light therapy (full-spectrum lighting) throughout home and workplace (where possible), psychotherapy, and possibly medications (e.g. Wellbutrin XL, Aplenzin).Be sure to exercise good self-care and checkout the Mayo Clinic's website for SAD here: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047.

Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again. Output: I appreciate that you are concerned about your husband's emotions and want to support him as best you can right now. I imagine that you must be going through your own difficult time too. You've had a complicated shock and trauma in your life and in your marriage; it's normal for both of your emotions to move from hope to despair to fear, anger, gratitude... there is no wrong way to feel and there is no particular pattern your emotions or his will follow. Try not to assume what he is feeling but ask him instead. "How are you doing today?" is something that can be asked over and over again and your love and compassion for him will come through. If he has a hard time talking, you can share your observations. "I notice you're more withdrawn. This worries me." Certainly it will help you if you know what he's thinking and feeling because he hid his intentions to hurt himself. It's normal that you want to know. If there is depression and hopelessness, this likely was part of what led to his initial despair. There is help out there. Depression is treatable, and seeking that treatment is important right now at this vulnerable time. This is the kind of complex situation that can be assisted by a therapist who is qualified to help you both understand and manage your emotions. Whether your husband seeks help or not, I hope that you do.

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: Are you possibly mixing up an impulse to nurture and protect someone, such as by offering housing, and your own need to feel loved and appreciated as a romantic partner?Maybe your feeling of jealousy is really your awareness of a reasonable need to be loved by a partner.Even though you are quite detailed in your description of your partner, one piece which is missing, is whether you feel you are loved by her.Maybe too, what she considers your insecurity, is really her unwillgness to love you.It's always easier to put distance between two people by insulting them.I hope this gives you a few new ways to look at your situation.A few therapy sessions, either by yourself or together w your gf, would give you more chance to know more deeply what it is you are facing.

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

Instruct: My mom made a lot of mistakes a couple years back, and I can't seem to forgive her. I want to say that it's okay, but I can't. I feel like even if I did forgive her, I wouldn't be able to say it to her face. Output: How someone feels when they forgive another, is at peace with themselves and their understanding of what went wrong, who was responsible for what in the situation, and clarity on their own motivation, actions, emotions including pain, regret, resentment, sadness.These steps ideally allow a new door to open in order to develop new paths in the existing relationship or accept that this will not be possible due to either person's way of handling themselves.The long answer would be that you're not yet through with this process.I commend you on being truthful with yourself about yourself.You're on the right track by expecting to feel resolved when you've reached resolution, and not before.Finding patience with the unpredictable amount of time needed to thoroughly examine all the details of the incidents you mention, sometimes is a frustration of its own.Keep up your good work of knowing your own life.It is a worthwhile endeavor!

Instruct: I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal. Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes. Output: I think one of the first questions that springs to mind for me is, "what's the rush?"  Just because other people in your circle have had experiences that you are still warming up to does not mean that there's something wrong or something to be ashamed of.  If anything, I want to commend you on the self-respect you have in wanting to wait and share this most intimate of experiences with someone that will feel the same way about it.  One of the most common distortions in our thinking is when we try to directly compare ourselves to others; while these people and even those in your family share a level of closeness to you they are not exactly like you - they don't see or feel things in the exact same way as you nor do they share the exact same perspective. It's important to be making choices for you and for your own desires and life goals.  Once you stop comparing your happiness, you may find that you are already experiencing it and allow more of your guard to fall down. 

Instruct: I'm in a relationship with my fiancé and I currently found out that she's been cheating on me with a co-worker. I was very upset none the less. I understand what she did was wrong, but I want to spend the rest of my life with her. So I'm willing to forgive and move on. We have been together for a little over 9 years, and we have a son. At the beginning of our relationship, I was unfaithful and she caught me cheating. She forgave me for what I've done to her and since then I been completely faithful. I'm worried about our relationship and want to move forward but its been very unsettling. All I can think about is her with another man. I don't know what to do or where to go for advice? Output: My first question for you would be to see if you've talked with her about it yet? You mentioned you found out....and I know this can be so painful. It can also be frightening to bring up the experience when it hurts a lot, when you feel so unsettled as you mention. But you can look at this as a vital and important piece of information about what's happening in your relationship, and an invitation to get really honest and genuine with each other. You have a long history, being together 9 years, and a son, so you are very bonded no matter what changes happen in your relationship. It may be incredibly helpful to find a counselor you can both go talk with. Having a third party who is neutral and cares about your process and hers can be such a relief when you need to discuss things you feel scared about. Even just a few sessions can make a huge difference. If this doesn't feel possible for you right now.....ask your fiancee for time to set aside for a meaningful heart-to-heart talk. Say you'd like to set it up on the calendar, and make sure you have a babysitter for your son. Set aside at least 4 hours. Let her know that you'd like to hear her honest truth about what's going on, and share with her your truth as well. It's not a time for criticizing or condemning, and I don't sense that is your intention at all--you have a great deal of love for her. Speaking honestly and listening openly is an amazing gift, both for yourself and for your partner. You can do it.

Instruct: I've been experiencing a lot of anxiety and panic attacks lately. I was recently diagnosed by my psychiatrist with obsessive-compulsive disorder. Lately, I've been questioning everything from my career to my relationship. My boyfriend and I just moved in a few months ago. All of a sudden, I don't feel as comfortable around him as I used to, although I can't seem to find a reason as to why I feel this way. Output: Hi New Jersey,You talk about two very big changes in your life that have happened lately; the diagnosis/anxiety, and the moving in together. That's a lot!I love how you recognise that you been 'questioning everything'. I think anxiety's got its toe in the door and it's pushing you around, wanting some power over you. Fear and anxiety try to convince us that we need protection and that it's best to either pull away or fight. But letting anxiety control how you see your relationship isn't the answer here. I think you know that already.You must have moved in with him for a reason, and it's appropriate now to simply trust that, to ask him for some patience, and to focus on learning to manage the anxiety rather than questioning this decision to move in. Fear is getting in the way of you trusting yourself and your decision. You can figure the anxiety piece out while living with your boyfriend.When you're in a bit of a crisis is not the right time to make a major change. I suggest you use a therapist who works with cognitive behavioural therapy to learn to manage the anxiety, and then the relationship will likely seem more clear.

Instruct: For some reason I feel very uncomfortable with my girlfriend showing off her body in certain poses on social media. I know she is proud of her body and I respect that, but I dont feel comfortable with her openly showing off her body the way she does. Anytime I bring it up to her she thinks Im calling her a whore. How can I deal with my girlfriend showing off her body on social media and not hurt her feelings? Output: Ask her to consider your feelings not only her own defensiveness that she is called a whore by you.Clearly since you're writing on a site which offers psychological and emotional support and guidance, you do not consider your gf to be a whore.She may not realize or considered that you are somewhat protective of who sees her body.   In the end she may not want the privacy over her body which you are encouraging her to have.At least you will have the satisfaction to know you stated your actual reasons for your request, and did not rely on the ones she imagined you have.

Instruct: For the last year, my adolescent son and daughter have been driving me nuts with fighting. I'm at my wits end. How can I get them to stop and get along? Output: That is a good question. Unfortunately there is no generic answer with this one. Kids fight for different reasons - wanting attention, wanting respect, feeling jealous, wanting space and to be left alone, or a whole bunch of other reasons. Regardless of the underlying motivations for fighting, most conflicts result from misunderstandings and assumptions about the motivations of others and one of the best ways to start figuring out what is going on is to sit them down and have some conversations with them. These conversations should be centred on getting a better understanding of why they are angry with each other and really understanding them. It is important that they each know that you are committed to understanding their experience rather than simply sitting them down and lecturing them about what they are doing wrong. The more they are able to understand each other and feel understood the more likely they will be cooperative and considerate of each other. One exercise for doing this that can be very helpful is "active listening" where one person speaks and the other person reflects back what they heard the other person say and then checks for understanding. This is hard to do but it often illuminates where the misunderstandings and assumptions are. If this doesn't work it may be time to get a family therapist or counsellor involved who can help facilitate dialogue and resolve conflict. 

Instruct: We’ve been together almost three years. We argue and he ends it by telling me he doesn’t love me. It's hurtful because I am all about resolving the problem, and he dwells on the issue even if I drop what he's done and just swallow my pride and say I am sorry. How can this be resolved? We have kids, and I don't want a broken family because we can't communicate. Output: You can't fix this by yourself, but I applaud you for trying. One person working hard in a relationship can make things better for a while., but in the long haul you need two people giving some effort. I'm reading between your lines here and I wonder if your need to keep the family together is getting you to apologize when you've done nothing wrong and ignore things you've felt hurt by. I sense that you're doing all the work...that it's not balanced. I have worked with many couples and I've learned never to underestimate what kind of change is possible; anything is possible. But in order for change in a couple to occur, you need two people who are both willing to own their choices and behaviours, and who have empathy. Your boyfriend doesn't appear to have these components; he pushes you away and blames you when he's done something hurtful.Can you be honest with yourself about what's happening? I encourage you to sit down with a trusted friend or therapist and look at what you have here and what your options are. I wish you well. 

Instruct: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child? Output: If you have a good relationship with your child then you have already accepted and been accepted as this child's parent and you have a commitment and an obligation to play that role.  If you suddenly absent yourself from this child's life then you may be doing real damage. Working out an arrangement with the child's mother for regular visits the child can count on and committed to by both parents will serve the best interest of the child, which I assume is what both parents are truly concerned with.  The visits don't have to be every day, once a week, even once a month, is better than hit and miss with long absences in between.  Best of luck to you, and the fact that you asked the question says volumes about your parenting potential.  Feel free to follow up with me, on line or in person.

Instruct: I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments. Output: Check this blog out:  Four-ways-add-self-esteem-friends-listHope you find a few nuggets of helpfulness in this.

Instruct: Every once and a while, I think about my ex-boyfriend from four years ago, and my current friend. It’s like I can't get past it, and I need some kind of closure. I keep thinking about how we had something, but it got cut off due to parental intervention. Nothing was ever wrong with it. Now we've become friends, but there's this huge sexual tension between us, or at least I feel it when we're physically in the same place. Two summers ago, we saw each other casually for a while, but we never had sex then or while we were dating, which was only for two months three years ago. I'm now in my 20s, and my current boyfriend is amazing and in his 30s. Despite the age difference, I know we're a really good match. We've never really fought and are able to make compromises and talk everything out. I tell him everything. Also, my ex-boyfriend has a girlfriend now as well. He’s been seeing her on and off for the past two and a half years, besides when they broke up and we had our casual thing. That summer, I told him I didn't want anything serious and broke it off. Only a week later, he had gotten back together with his girlfriend. His girlfriend is kind of mean spirited. I'm sure she may be different around him, but I worry about him committing to her in the long run. They're supposed to move in together soon. But still, I feel this connection with my ex-boyfriend, and I feel like he does too. I don't know what to do. I need some closure or I'm not going to be able to move on from this. I don't know what it is, but it's driving me crazy. I’m so happy with my current boyfriend, and I know he will do everything in his power to make my life beautiful and fulfilling. He’s such a good person. I also know my ex-boyfriend smokes marijuana and does other things, but I can't get it out of my head. I'm trying to take a nap right now between classes, but I can't sleep because my mind is racing. I've never been so hung up on something for this long ever. I want to just talk it out with my ex-boyfriend, but I don't know if that's a good idea because of the possibility that it could blow up in my face. If he told his girlfriend, everything could go wrong because she hates me. If my current boyfriend knew, he would be crushed. On one hand, I want my ex-boyfriend to say no to having feelings for me, but I would be terrified of what to do if he said he has feelings too. Where would I go from there? On the other hand, I feel like I can't move forward in my relationship with my current boyfriend without closure from this. Sometimes I wish I could just cut off everything that had to do with my ex, but I don't want to. Please help me, because I really have no idea what to do. Output: If you're in a relationship and you're having strong thoughts about someone else, it's important to pay attention to that. Although you say you're happy, I'd suggest looking really carefully at the relationship you have and whether you're getting everything you need. Is there a physical connection with your ex that you don't have with your current boyfriend? It could be that your boyfriend is marvelous in many areas, but that you just don't feel excited about him for some reason. That's a pretty important element to be missing.It may be that, even if you are happy with your current boyfriend, you still hold something special for your ex. If you feel the need to see what is possible there, I think you have to tell your boyfriend about that and end it with him first. You can't have everything.If you truly feel that you want to be with your current boyfriend, you will do well to stop thinking about and focusing on your ex, because thoughts of him will interfere with the growth of your current relationship. The grass isn't greener... A therapist can help you to focus your energies and thoughts on the present, rather than an imagined version of the past or future.

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 most important agent of change in therapy is your relationship with your therapist. It is so important for you to find a therapist that you trust and feel comfortable enough to just lay everything out there and be vulnerable with. Therapy is really building a safe and healthy relationship with a professional that can then help guide you in some of the most intimate and emotional parts of your life. This relationship does take time to build, but usually you can get a sense of a therapist's personality and approach from their bio and website. Once you have found someone that you think you could really connect with, then it's about looking at do they have the expertise you need. Do they have training in relationship counseling or in working with anxiety, depression, or trauma? It is important to find an expert in the field so you are getting the best care possible...just like if you were to go to a general family doctor versus a specialist. I hope that is helpful!

Instruct: If I tell him I don't like certain things, he does when it pertains to me. He tells me it's not like that. He never has anything to say about me until I tell him something about himself. Output: It sounds like there are issues with communication between you and your husband.  Your perceptions of interactions that you are having don't sound like they match up.  It would probably be helpful for you both to work on communicating using "I" statements (I feel----when you---).  This is a more effective way of communicating your needs than directly criticizing the other person.  If you work on communicating in new, less critical ways you both may learn more about your spouse's feelings and perspective.

Instruct: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines. Output: Depending on your daughter’s age, this could be a learning disability.  I suggest contacting the school counselor and asking for an evaluation, once she is evaluated and depending on the diagnosis, she could be provided with treatment recommendations like occupational therapy, reading glasses, or assistance in class. These and more accommodations are enforced under the 504 act. Consider if the observations that you have done are affecting her performance in school only, or also in other settings.  Observe her behavior and or her emotions and see if they change as well.  Discuss these with your daughter’s counselor as well.¿Tiene mi hija un desorden mental?Mi hija está en la escuela elemental.  Ella no puede colorear dentro de la línea.  Mezcla las palabras cuando escribe, a menos que tenga grandes espacios, o brinca las líneas.Dependiendo de la edad de tu hija esto puede ser un problema de aprendizaje.  Te sugiero que contactes al consejero escolar y solicites una evaluación, dependiendo de la diagnosis, ellos pueden recomendar tratamientos como: terapia ocupacional, lentes para leer o asistencia en clase.   Estos acomodos son provistos bajo la acta 504.  Considera si las observaciones que has hecho afectan el desempeño de tu hija en la escuela, o en otras áreas, también observa su conducta y emociones y repórtaselo al consejero escolar.

Instruct: In particular during family gatherings (such as funerals), where there are different customs. Output: I think the best thing you can do is be respectful of each family member's wishes. Although everyone may not agree with one another, the most important thing you can do for each other is to respect their faith and beliefs instead of trying to sway them in a certain direction. There are many families that are united despite their differences. For example, a mother may be Catholic and the father Jewish. By introducing the children to each faith until they are ready to decide for themselves can be beneficial. Also, it's not uncommon for views to change as one ages or faces different life experiences. So don't get too discouraged if your child wants to explore different avenues. Creating a loving and accepting environment is most essential.

Instruct: I would like to be able to have more positive relationships in the present. Output: Take one day at a time!!!  Each day do things that make you happy, moves to a positive place, focusing on the future, give you a sense of fulfillment and accomplishment.  Journal at the end of the day of how well you did that day in focusing on these things.  Each day should be a step better than the previous day.  You will have days that you didn't do as well....that is human and OK.  Just get back on track the next day....At the end of the week, review how well you did and give your self a grade.  If did well, you deserve ice cream, etc.  If not so good, OK....tell yourself next week "got to focus one day at a time".  You can do it....it takes practice but will get better each day,  I wish you happy days and happy future...

Instruct: I am so angry. I feel like the arguments with my parents have caused me so much anxiety and stress, and I don't know what to do. I want to sit down with a psychologist, but I cannot afford one, nor do I have my own health insurance. I can feel myself starting to get violent. I throw things of value when I start to get mad. I have punched holes in my wall. I can feel my aggression getting worse. Output: First off, it is great that you recognize that some changes need to be made. It is also really good that you understand where the source of your anxiety and stress comes from. Fortunately there are many self help books and internet sources that provide free tools to help you cope with life's obstacles, including anger management. There are several strategies that you can try to help control your anger, but the ones that I would recomend first are the following:1. Try a different way of communicating with your parents. Since arguing with them is a great source of anger for you, learning more effective ways of communicating with them will likely be of great benefit. Choose a time to talk with them about "heated issues" when everyone is calm and emotions are not heightened. Use "I phrases" by telling them how the arguments effect you, as opposed to placing blame on them. Validate what you hear your parents say in order to allow them to know that you understand their point of view.2. When you feel yourself becoming angry, take a break. Simply excuse yourself from the situation, find a quiet place to be by yourself, and do some deep breathing. Close your eyes, slowly count to four as you inhale, and exhale even slower, counting to 6. Focus on nothing except for your breathing and do this for 5 minutes.3. Stop any negative thoughts in their tracks. Often times when we get upset, we catastrophize and do not see things clearly. When you catch yourself thinking negatively stop the thoughts and ask yourself if your thinking is logical and rational. If you cannot find much or any evidence that your thoughts are valid, then let them go and replace them with realistic, logical thoughts.4. Finally, find a friend or someone to talk to and/or keep a journal. Keeping your emotions to yourself will not help you. Being able to express your feelings and problem solve will allow for some relief when feeling sad or angry.I wish you all the best!

Instruct: I'm unemployed just relocated. I can't get approved for a place to live because of past mistakes which follow me to this day. I'm depressed and on the verge of loosing my partner because I'm overwhelmed and have trouble functioning on a daily basis. I see no light at the end of this tunnel and need some help. I see no point in this chaos infested joke some call life. Output: It sounds like you are feeling like things are hopeless and out of control and you're not sure what to do about it. If you can find a competent therapist to work with, together you may be able to come up with some strategies for alleviating the overwhelming distress that you are experiencing and gain some insight into what may be contributing to these challenges. Additionally, a therapist may be able to support you in getting back on your feet in regards to work, a place to live, and showing up with your partner in a way that will be more satisfying to you.

Instruct: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her. Output: I would suggest possibly talking with a physician about all the different types of protection. They may be able to help you to know about all of the options that are available.It sounds like your partner is open to understanding your concerns. Perhaps until you have the chance to speak with someone about the effectiveness of different contraception and forms of protection, are either of you open to other forms of engaging in sexual intimacy (without penetration, but with use of vibrators, toys designed for sexual interactions, etc.)?

Instruct: I have had a crush on this guy for years. I last talked to him a few years ago when we graduated from high school. We left off on a good note. Should I message him and see how he is doing, or is it too late? Output: It's never to late to let a person know how you feel.  You never know where it will take you.  You don't want to hold this regret of not letting your feelings known and wondering "what if" for the rest of your life.   That can be torturous.   Now prepare for whatever..if his feelings are the same or if they are not.  If they are the same...great.  If they are not, feel good that at least you let a person know they hold a special place in your life and wish him love, peace and happiness in his life.

Instruct: My therapist is gay so there are no sexual issues here. However, my therapist for six years has made me believe that he cares about me and that we are friends. I have loaned money to him many times, and he always paid me back. I had a medical emergency last weekend and I was heavily medicated. I knew that this therapist came into my home and wrote down my credit card information so he could pay back what he owed me, but this therapist dropped me off and never came again. I don't know what to do. Output: Therapists, regardless of the discipline (i.e. licensed professional counselor, social worker, psychologist) are expected to put the health and well-being of the client first. Each professional discipline does have a code of ethics as well as a licensing board in each state. In order to get licensed the therapist must agree to abide by the highest standards of conduct including state, local and federal regulations in addition to the code of conduct. You do have the option of reporting this person to the appropriate licencing board in your state. The other concern is if this person has unauthorized access to your credit card. If you did not give it to him or authorize use this becomes a legal matter that you can also report to the legal authorities in your city or town. Therapy and counseling are effective because professionals gain the trust of the client. Betrayal of that trust by crossing boundaries and developing a relationship outside the therapist/client relationship is hurtful. Please know that the vast majority of counselors are highly ethical individuals who put the welfare of the client first.

Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client? Output: Hopefully both the client and counselor would together decide when to terminate counseling sessions. It's really helpful for the client to leave counseling with a solid sense of what he or she has accomplished in counseling, so it can be a good idea to spend some time acknowledging that in the last session or sessions. Sometimes, however, a client has needs beyond the scope of the counselor's expertise. That's a good time for a conversation about those needs and ideas of  how best to meet them, whether by adding in care with an additional mental health professional or transferring care entirely to a new mental health provider.

Instruct: After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again. Output: I'm thankful to read your husband found care and that his suicide attempt wasn't successful.   While he was hospitalized, and prior to his release, your husband would've been provided in writing a self-care action plan. This typically includes things like committing to a contract 'not to harm' and what to do if he felt overwhelmed by his anger, depression, and hopelessness (e.g. call 911, call therapist, go to nearest hospital emergency department). Additionally, his protocol would've provided instructions for his taking medication(s) as directed, having a follow-up appointment(s) with his psychiatrist/psychologist/clinical social worker, and participating in some form of small group support.  If your husband's struggling as you describe, and you are feeling overwhelmed or frightened for his (your) safety, I'd encourage you to seek immediate assistance.

Instruct: Is it normal for people to cry during therapy, or is it just me? Output: Yes, definitely crying is normal during therapy.   Anyone in the midst of new awareness of how they've been hurt, or feel despair or great sadness from burdensome life situations, naturally will feel tears come up.Therapists are familiar with people crying during a session and will know how to be present for you while you sort through your painful emotions.

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

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: My fiancé and I recently had an argument over finances. He gives me the money each month to pay his automobile insurance. He no longer has one of the vehicles on the policy. He realized he was still paying for the coverage and asked why I was allowing him to continue to do that since I was physically paying it for him. My response was that he was giving me the money, and I just made the payment. I didn't think of the coverages. He was angry about it. I still can't figure out that anger. Output: I'd be more worried generally about a fiancee who assumes you are responsible for tracking what in fact are his responsibilities, than about the anger per se.What you describe holds the seeds of classic abusive behavior, which is blaming the partner for what in fact are the person's own responsibilities.Start by withdrawing yourself from paying his bills.If he is on his own in terms of tracking what and when is due regarding his auto policy, then surely the only one for him to blame will be himself.Stay clear of involving yourself in doing favors for him if the favor involves something that he is the one accountable.Tell him it is so the relationship remains fair for each of you.