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Instruct: I'm a teenage gay girl, and I'm in love with a girl a few years older than me. She loves me too, but we're not physically together at the moment. I've been thinking about being transgender soon too, but my family doesn't accept me, so I honestly don't know what to do about that because I feel like I have to constantly hide the real me. It hurts so much to hide the real me. What can I do? Output: Many people do not accept the reality of gender beyond male and female.Obviously if your family doesn't accept your questioning status then this feels painful.All you really can do is continue your self-examination and know you're in a non-supportive family of doing so.To know the truth about your surroundings is much better than to not know, and also much better than pretending you are not in your current phase of gender expression questioning.

Instruct: We rent from from my boyfriend's parents. His father drops by unannounced and stays for long periods of time. He lets himself into our home when we aren't there on a daily basis and takes our dogs to his house. He picks up our mail. He has NO boundaries. He's an opinionated, rude pushy person. He expects to spend every weekend around us, gives unsolicited advice on child rearing and does not respect our privacy at all. He barges in with no warning. He has a key and lets himself into our house without asking permission. I need help. How do I address this? Output: You're expecting reasonable behaviors from your boyfriend's father.Since the father is his, your boyfriend is the person in position to speak directly with his dad about the expectations you and he have of the father.If your boyfriend has a good relationship w his dad, which is not what this sounds like, then great!If your boyfriend has a stressed and tense relationship w his dad, then somehow he needs to develop or be coached and encouraged by the people in his life who truly care about and know him, a way to state the very reasonable standards you describe here.If all else fails, then a new living space is always another possibility!

Instruct: I’ve been in a long distance relationship with my girlfriend for just over a year. This past week she admitted to me that she has feelings for another guy. She says it’s “just a crush” but I don't know how to cope with it. How should I deal with this? Output: Often, communication is the key within relationships. When faced with our significant other telling us about a “crush”, it can create or highlight feelings or thoughts that can promote feelings of insecurity. Talk to your partner about their crush and use the conversation to strengthen your bond.

Instruct: I feel as though I'm suffering severe abandonment issues stemming from childhood. I convince myself I'm not worthy of happiness, and I’m always afraid I'm doing something wrong. It's as if I create little scenarios in my mind, and I start to believe them. Output: I would like to offer my compassion that you are struggling with with these feelings. With the information provided and not knowing what your childhood was like or what you've experienced, I will say that from my experience working with people, these feelings are normal, and a normal part  of the process  of healing and just by posting your question tells me you're aware and desire to change this. Very good! I commend your strength. Your feelings are not uncommon and the feelings of abandonment, or second guessing or loss of happiness are also not uncommon.  It's also not uncommon for these issues to arise and trickle into our adult life and relationships. Again, with little information about your situation, it is hard to give an exact answer. However, those who have experienced a dysfunctional childhood or trauma, often present with the issues and feelings you've described. The great news, is that with good therapy, you can regain your happiness, self worth and begin to feel  empowered, you deserve to be happy. Be patient, gentle and kind  to yourself. I would encourage you to begin with searching for a licensed therapist in your area, maybe go for a consultation session  and simply see how your feel about it. Therapy can be incredibly helpful and life changing. I wish you the very best! Laura Cassity, LMSW, LMAC

Instruct: I've been having this ongoing problem for most of my life now. I am a young adult, and right now, driving and even being a passenger gives me terrible panic attacks and anxiety. I can't ride in the backseat or the front seat with the safety belt on. I have to lean the seat back a bit because the pressure on my back terrifies me. I miss so many opportunities to go places with friends and family because of my fears of having a panic attack. My family offers little to no support. They think it's fake or "all in my head." It makes me feel guilty and at times depressed to the point where I'd rather never wake up anymore. I am not self-harming, I just feel meaningless. This constant fear has taken over my thoughts and my life. I was such a happy person. I want my life back. I want to travel with my friends and family again, but I don't know how. I've almost given up hope on getting better and just accepting the fact that I'll live with this anxiety forever. Output: Not having support from your family for such a significant problem, is a problem itself.How about your friends, are any of them nurturing or treat you kindly when you bring up that you've got this problem?Are any of your friends willing to accommodate the fact that right now you've got panic attacks from driving and being a passenger?Maybe being and feeling accepted while you're in this current phase of your life, would help diminish the panic attacks.If no support is coming to you, then a next step would be to evaluate the relationships in your life and to develop standards and expectations of others, especially that they are considerate of your great need at this time.Its possible you are bearing the emotional burden of a lot more people in your life than yourself.If no one wants to show they care about this situation, then release yourself from trying to please and satisfy everyone's wish that you be better, while they ignore your need for their support.Be realistic in what you're able to give back to people who want to be blind to your emotional need.Thinking this way will at first raise your anxiety level from fear of losing everyone.  Eventually, you'll stabilize within yourself and know that all you're asking for is some support for having a tough time. Hopefully, the others will be more responsive to you.If they don't you still know that you're being reasonable for what you'd like.

Instruct: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this? Output: A mediated safe talk session between. You and your sister.Then, you and your husband have a mediated safe talk.  So both hear what you feel in the respective relationships. Possibly the last step is a mediated  safe talk with sister, husband and youcoversation, in the future.

Instruct: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do? Output: Thanks for asking this question. I think the most important part of what you mentioned was that you do it because it makes you happy. For that reason, I would encourage you to keep doing what makes you happy.As far as telling girls or keeping it a secret, I don't really think that it's necessarily one or the other, at least not the first time that you meet. In other words, one part of your decision-making could be whether it is something that you always want to address in the first date, or perhaps something that you address after you've known each other for a couple of meetings. The answer to that question may also change depending on who you are dating. I would imagine that each person that you are with mainly due to a different decision this was when to disclose this. It sounds like this is an important part of you, so I would think that if you were going to date someone long-term, you would want them to know about the most important parts of you, including that.I also encourage you to remember that if you meet someone who is not comfortable with this, that does not mean that there is anything wrong with what you are doing, but rather something that the other person is in some way deciding not to continue learning about or choosing to have someone they are dating like to cross-dress.I'd also ask you to consider this: Are the people who you say this to expecting it? My guess is that the answer is probably not. Along with that, Are they going to have questions? I would imagine so.Are you comfortable answering questions?I wonder if you could figure out yourself or with friends (or perhaps even with a therapist) how you would answer these sorts of questions:What exactly is cross-dressing?Does that change the gender that you're attracted to?What does it mean to you?Why is it important to you?And what you want your listening person to know about you related to cross-dressing.There could even be ways that you can start the conversation by asking them to be open to listen to you and ask questions about what they are thinking before they make any quick decisions about you or the relationship.I certainly hope that you find the right person for you. I imagine that having this conversation could be stressful, especially considering the idea that you have had some negative reactions in the past. Remember that talking this through with a therapist could be very helpful.

Instruct: Every winter I find myself getting sad because of the weather. How can I fight this? Output: Change your total daily routine, different route, different lunch, different afternoon.  Sit outside for 10 minutes three times every day, use a therapy light during the day, aroma-therapy oils for stimulation, but....keep your routine bedtimes and wake up times......and exercise at least 3 times per week,  if after several weeks you are not feeling better....talk with your doctor.

Instruct: An organization admitted to implanting thoughts in my head with technologies. The study was to implant a fantasy other people are having, but to me, it's a nightmare. I lost my kids, my job, and all that. I was an unwilling participant. I no longer trust a therapist. I'm too afraid to go under hypnosis or anything. Output: Given your experience of being imposed upon against your will, and all the personal and professional loss that has come since, your fear of what will happen if you undergo treatment and trust a therapist is understandable. There is no technique or pill that can guarantee these thoughts will go away or be reversed, however, there are things that you can do which may help you to change your relationship to the thoughts and to the distress that they cause. I understand that working with a therapist sounds risky, given your experiences, and at the same time a good therapist may be a beneficial resource in helping you deal with the intrusive thoughts, cope with and alleviate the stress that they create, and perhaps even lead to the alleviation of the thoughts themselves. A therapist may also be able to help you discover strategies to work towards any goals you have around reconnecting with your children and working again. If therapy feels too unsafe at the moment, I would recommend looking into workbooks on how to deal with intrusive thoughts and coping with stress. Some popular approaches that you may want to look into are mindfulness techniques, Acceptance and Commitment Therapy, or Cognitive Behavioral Therapy. You may even be able to find some of these resources at a library, if affordability is an obstacle.

Instruct: I've only been married three months. Every week, we argue about something, and it seems to be getting worse. Output: One key factor to consider is, are you able to repair after your arguments? It seems from your question that repair is lacking after any disagreement or argument. When couples are able to repair after an argument, they have an opportunity to learn more about each other's needs moving forward. I'm also curious if you're having the same type of arguments over and over? If you're stuck in a particular pattern, and can start recognizing what happens between you when this pattern happens, then you can start to name it. Once you name it, then you can take a break to cool off and come back to each after your nervous system has had a chance to calm down (about 30 minutes). The key here though is to make sure you have a plan in place - when things are good between you - an agreement between you that when you both start to get escalated, you'll name it or have an agreed upon code word to signal you don't want to continue this cycle, and then agree to cool off and come back together at a later time. That way, when this is enacted during an argument, nobody feels abandoned during the cool off time. Rather, both partners know they will return at a time when they can truly hear each other and hear their needs. 

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: Hopefully you feel you have the time to follow this procedure.1. For a week - log when you smoke - time, place and activity2. Plan on cutting back 10% for a week.Cut out the easiest times.3.Next change the times and and activities for 3 days - consider water or candy or gum if it is very tough. 4. Cut another 10% each week until you are done. 

Instruct: What should I do when we see each other? Output: I am so sorry this happened.  Sharing a part of your private life without your permission can be so painful.  I might suggest (depending on your relationship) reaching out to your sister and discussing this (or setting boundary that you don't want to discuss your private life).  I might also speak with your wife and share how hurt you are and what you need to happen moving forward to begin to heal.

Instruct: Tonight, my husband seemed to put our son down through an incorrect approach. His approach was perfectly wrong. I found myself defending my son. I told him that what he did was not the way to encourage our son. Instead of watching my husband’s harsh behavior I decided to sit beside my son and, together, we worked on his science assignment in order to encourage him to study. My husband got upset and he was swearing at me. He threatened me. I knew that he was not joking. His words scared me a lot! Output: I have had these many cases, but in situations like this.... If it does get out of hand, the police do need to be involved. Sit down and talk to your husband when he is calm and collective.

Instruct: I snap easy and push people away. I need help before I push my boyfriend away. Output: Meditation may be able to assist you in dealing and looking at your anger differently. Anger is not usually just anger. Behind our anger may lie rejection, grief, loneliness, a longing to reconnect, etc. When we ignore or repress our anger, we are always ignoring these other emotions as well.Meditation is the midpoint between expressing and repressing anger. It allows us a space to stay present with it as it arises and recognize the many faces of anger. By doing this, we are able to become aware of our feelings to learn more about them and not be swept away by them. Learn more here: https://www.therapybyshannon.com/blog-2/2019/4/26/meditate-to-manage-anger

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

Instruct: I'm a female freshman in high school, and this question is for my male best friend. At the start of freshman year, we dated for about a week before his parents ended it because they said he is too young to date. He has been dating a really sweet senior girl for a month or two. I have nothing against her except for the fact that she has Tim's heart. He is convinced that they are in love, and maybe they are, but I don't really believe him. Lately, Tim had been expressing concern about what is going to happen when Sally leaves for college at the end of term this year. He's been asking me to help him with Sally and what girls like to show her how much he loves her. But he's also been thinking about breaking up with her just so they won't have to deal with it when she leaves. He seems really torn up about it, and I want to know what to say to him and how to help him once she leaves. He knows that I still crush on him. He doesn't rub it in my face. He's a good guy, but I want to actually help him out and recover before we think about maybe another relationship between us. How do I do that when the time comes? How do I support him and show him that I'm here without wanting to hook up? How do I make him feel better? He is convinced he's never going to be able to love anyone ever again, which I think is ridiculous. Output: First off, I think it is great that you are willing and able to help out your friend with issues regarding his current relationship, despite the fact that you have feelings for him. I think that the best thing you can do is let him know that you are there for him if he wants to talk about things. You can also help by presenting options that he has and help him weigh out the pros and cons of his decision, but ultimately he has to decide what to do. Know that you won't be able to heal the pain he feels when his girlfriend leaves but you can be a friend to him by simply listening, validating his feelings, and understanding. Regarding your question about being there for him without wanting to hook up....I'm not sure if that is possible. If you care for him on more than a friendship level, then that desire will likey be there for you no matter what. Be careful that you take care of yourself and don't jeopardize your own happiness while trying to help him with his issues. Good luck to you!

Instruct: After first meeting the client, what is the process that a counselor facilitates? Output: A good therapist will discuss what brought you to therapy in the first place and devise a therapy plan with you on some of the things that you may want to work on.  The plan is not set in stone as things may arise during your therapy sessions. You also agree on how often and when you would like to meet. 

Instruct: Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts? Output: Such a great question! I'm so sorry you are struggling! You may be experiencing Intrusive thoughts.  These are thoughts that seem to come from no where and victimize us.  I can strongly recommend a book called "When Panic Attacks" by Dr. David Burns.  It helps you to identify the thoughts, and the help you create ways to counteract them!  There is another technique, called Thought Stopping. Thought Stopping can be as simple as saying "Stop!" loudly (if you are alone) or in your head, if you are in public.  It's a quick way to distract you from the distressing thought, and allow you to refocus.  I recommend using this technique, followed by some deep breathing, while visualizing something that helps you feel relaxed (a favorite place, a pet, etc.).  These three things in conjunction can be of great assistance. One key component in addressing anxious thinking is building the skill of relaxation.  I recommend an App called Headspace which teaches relaxation through some simple guided mediation. Super easy to do, and a great way to begin to build relaxation skills.  Plenty of sleep and reducing caffeine intake can also be things to explore. Hope this helps!  

Instruct: I love him, but he doesn’t show me love. He talks badly about me to his friends. Output: So many questions comes to mind when I read your words...Do you love yourself?  What do you LOVE about him?  What are you getting from this relationship that is good for you?  What are you lacking in yourself that you allow yourself to be treated this way?....I can go on..If you can answer these questions, maybe you will answer your own question of WHY are you with your husband or even better, WHY you ALLOW your husband to be mean, show no love, disrespect you?  You seem to lack self-worth...seek a professional to help you with this.

Instruct: I'm very depressed. How do I find someone to talk to? Output: If there is no one in your life with whom you feel comfortable, I would recommend identifying someone on this site, psychology today or goodtherapy.org who is in your area, then give that therapist a call to see if you would be a good match.

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: This sounds like a possible boundary issue. Boundaries are important in relationships. They are invisible lines that we will or will not cross. It is up to us to create and hold them. We have the ability to rethink them and change them as needed. It sounds like you have thought it through and would like to makes changes in the relationship between your mother and you. In the main question, you want to avoid the family member, however in the following comment, it sounds like you may just want the avoid that conversation, not so much your mother. Once we review the issue and decide what we need (create the boundary), I suggest opening talking with the person when everyone is calm (not in the middle of a stressful moment when we often are unable to focus and hear the other person). Always understanding that we had time to think about this issue and the other person has not (catching them off guard). State clearly your need. Such as "I am not comfortable with hearing about my sister. It stresses me out. I would appreciate it if you would not bring it up anymore. If you do, I will not respond and I will change the subject " It is important to use "I" statements. I feel" this way". I will "do this". We only have power over our actions. Also when we use "you " comments, the other person can become defensive and unable to hear what we are saying. Once we let ourselves know what we need, then let the other people know our new boundary, then it is up to us to follow through. We will make mistakes. Not follow through every time with our boundary. That is okay. Start again. It gets easier with practice. It is also appropriate to reconsider and change your boundary as needed. Just let the others know when you need to change it. Remember, they can not read our minds. I wish you much strength and hope the best for you and your family.www.parishhealthandwellness.com

Instruct: How does a person start the counseling process? Output: Most counselors are very approachable and many offer a 15 minute chat by phone to allow you to talk about your issue, and to get a feel for the counselor.  If you like what you hear by phone, the next step is to set up a face-to-face meeting. Studies show that the most important element in effective therapy is that you feel a connection with your counselor.  Trust your instincts and if you don't feel comfortable, let him or her know that you don't think it's a good fit.  Many counselors list on websites like Psychology Today and Good Therapy.  Visit these websites to learn more about therapists in your area.

Instruct: When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared. I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people. I don't know what's wrong with me and why I feel this way. What should I do? Output: I am very sorry to hear that you are going through this! While animals can be a wonderful way to experience emotional support, you may want to consider opening up to a Life Coach or therapist to discuss some of your concerns. You are not alone, and many people are experiencing very similar anxieties. A Life Coach or professional therapist could help to guide you through these emotions and refer you to additional professional help if needed. It sounds as though you want to address some of these issues by first asking the question. Finding additional support from a trained professional whom you feel comfortable with could be the best way to get the help that you need. I wish you the best of luck on your journey!

Instruct: My boyfriend and I recently broke up. One week, we were fine, and the next, he told me he needed space. He completely deleted me out of his life. He does have an opiate addiction. He claimed he was sober, but since we've split, I've heard many lies from him. Could he be using again, and does this addiction affect the mind? Output: Studies have proven that addiction affects the brain, there are many coping skills that addicts use to enable their addiction as well.  I would recommend that you speak with someone abut your relationship and your concerns.  Not only so you can have more clarity in the situation but we often tend to gravitate around or toward the same types of individuals.  Being more aware of your relationship will help you in the future when re-engaging in personal relationships.

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: Ugh!  We spend so many hours at work, so if it's a tough environment it can really drag you down.  Is this your "dream job" gone sour or a "just pay the bills" deal that has gotten stale?  It makes a big difference in terms of next steps.For example, if this job is a step on the way to a bigger goal, it might be time to assess whether you need to be moving along to then next phase.  Have you learned what you needed to learn to make this a helpful experience?  Or do you sense there is more to learn, but you feel stuck in some way? If this current job is part of a bigger plan, then you need to practice some good self care, set up ways to remind yourself why you are doing what you are doing, and make sure you are including some "carrots" along the way.  That might mean spending some time each week networking (preferably live but online works well too) with peers in similar situations (entrepreneur groups, skill building trainings, etc).  Big dreams require small steps, but we all need support along the way.If , however, this is "just a job", then you really have to reassess your situation.  If you are burned out and not getting paid your worth then  look around for other opportunities.  You are employed, not owned.  You mentioned anxiety, and while I don't want to minimize the very real issues anxiety presents, is it possible that some of your anxiety can be seen as "revving your engine"  and readying you to move on?  Or is it that pervasive feeling  of never being able to finish your work, feeling like you will be "in trouble", or dreading every single moment of your workday?  The first is a potentially positive motivator, the second is just bad for you.   See the difference?In order to feel any satisfaction with your job, it needs to be financially rewarding (to a level that makes sense), be a good atmosphere to learn, be supportive and/or be a step on the way to a bigger plan you have.  If your job isn't fulfilling any of those criteria, you need to move on.  And finally, if the only reason you have this job is to pay the bills, and you truly see no way around keeping your current position for now, remember why you are there - this is a job, not a family.  You rent your brain and body to your employer, not your heart and soul.  Those belong to you and you are responsible for feeding them.  That means good self-care, making sure you have social engagement (face-to-face, not just online), move your body, feel the sun on your face daily, creating ways to refresh your body and mind and generally taking care of your whole being.Discomfort exists for a reason - it primes us for change, gives us the necessary motivation to take reasonable risks, and pesters us until we do so.  The first step is to figure out what change is realistic, and take action.

Instruct: I've felt this way for two years. I feel so much better now then I did when it started, but it is still there in the back of my mind at all times. Output: Best answer that I can give to you is that some level of de-personalization is quite normal for everyone, it will come and go throughout life, kind of like being on a roller-coaster, "here it is, then it's gone not to return for quite some time", like many things, the more that you fixate on it, the more stress it will cause you, consider it part of life, accept it, and move on, now if your having many, many ,many of these episodes or have some auditory or visual hallucination or disturbances or emotional unbalancing that accompany it than that is definitely something to look at, but for the most part nothing to worry about. Hope this helps,C

Instruct: I shake and have panic attacks. Output: One of the first things I would suggest is to see if you can keep track of what is leading you to feel anxious. If you shake all the time, consider talking with your primary care physician. Sometimes that can be a hormonal imbalance or another chemical imbalance (such as thyroid).One of the most difficult things about anxiety is that having anxiety (particularly panic attacks) can lead to anxiety about having more panic attacks. Also remember that panic attacks are typically part of your brain's protective response to what it considers to be some sort of threat. You may have heard of the fight or flight response. When you have an anxiety attack, your body is preparing you to react to something that isn't actually a threat, so it's almost as if you're fight or flight response is overactive. Here is an image that may be helpful: http://psychology.tools/fight-or-flight-response.htmlThere are many different things you can do. You can practice breathing, mindfulness, meditation, or yoga techniques. If you decide to try some breathing techniques, try breathing in for a count of five, holding for a count of five, breathing out for a count of five, and repeating five times.Also remember that it is easier to learn these techniques when you're not having a panic attack. At that point, it can be really difficult to use methods to not panic. Also remember that panic attacks typically last 5 to 10 minutes. Using techniques to slow your breathing or become focused on the room around you is probably most helpful when you first start to feel anxious.Here are some other techniques that may help to decrease anxiety: http://psychcentral.com/lib/9-ways-to-reduce-anxiety-right-here-right-now/As you figure out what is leading up to your anxiety, also consider asking yourself what is making that certain issue a big concern for you. Another important question could be when you have felt that way before.

Instruct: I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? Output: "Normal" can be an insidious word to use because it can undermine your sense of worth.  It implies there's one particular way you should be behaving and can leave you feeling crappy and "abnormal" if you're not behaving according to that prescribed standard.  Instead, what I'd recommend is to pay attention to your emotional experiences when you're attending therapy.  Explore your feelings and thoughts without judgement and try to reflect and understand what's going on that's causing you anxiety.  Once you figure out the underlying meaning of the anxiety, you can figure out a way to handle it and action steps to take to diminish it.  

Instruct: They discontinued treatment for no apparent reason after they thought to diagnose me with schizophrenia. Output: The general rule against medical abandonment says thst whenever healthcare providers discontinue treatment with you when you still need it, they are legally required to make sure that you have access to another provider of equal or higher ability.In this case, if your treatment team decided to discontinue your treatment based on a diagnosis of schizophrenia, they still will likely be required to provide you with a referral to someone who can provide you with treatment. If you haven't already done so, I'd recommend that you explicitly ask for a referral.

Instruct: How does a person start the counseling process? Output: Hello, There are many ways to approach a counselor and starting the process, however they all start with picking up the phone.  It's most definitely an uncomfortable feeling, but once that first step is taken it is often met with a wave of relief. My recommendation is always to call and speak with a therapist over the phone before scheduling an appointment. Listening to how they converse, use their tone and inflection, may give you a brief insight to how they will respond to you and increase your comfort right away. You may also discover, rather quickly, that this therapist is not the right match for you.Regardless of how you go about it, I like to remind all people who call, email, text or walk-in, therapists are a bit like pizzas - if you don't like the toppings, send it back! There are hundreds of therapists offering all kinds of styles of therapy - take the time to pick one that suits you. 

Instruct: I've been with my boyfriend over 3 years. He cheated on me and the woman is now pregnant. He is physically and mentally abusive towards me. I have attempted to talk with him in order to resolve our issues; however, he never wants to talk and often blames me for everything. I’m always there when he needs my help. He tells me although I help him doesn’t mean that I am a good person. He always discredits me as a woman and it’s hurtful. I spend most day crying and feeling lonely. I am unhappy and unsure of what I need to do. Output: That sounds like a very hurtful situation. Unfortunately, without a batterers intervention course or a desire to change, the abuse cycle is unlikely to stop. I do not recommend that you try to leave on your own due that being the most dangerous time when in an abusive relationship. As an abuser, his goal is to control you whether it's through mental or verbal means. I recommend that you contact a domestic violence shelter in your area. I have worked closely with Harbor House of Central Florida and know they provide housing, transportation, and any other needed resources to women leaving an abusive relationship. There is help out there and you are not alone. If you need any additional resources in your area, please don't hesitate to contact me.

Instruct: Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven. When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety. Am I crazy? I don't think these thoughts are normal. Output: Many people generate intense anxiety with obsessive thinking.  While the nature of your obsession about the afterlife and eternity appear very powerful and unique to you, the pattern of obsessing about one thing/area is common.  I suggest that you consider counseling to help you with your anxiety.  If you are so inclined, there are also medications which may bring relief.  Obviously, I can't diagnose you from one paragraph, so it would be wise to visit an experienced mental health professional (either a counselor or an MD in your area) to help you with disengaging from your self-destructive thoughts.  CBT, Cognitive Behavioral Therapy, is a very effective counseling approach for obsessive thinking.  If you'd like a see a top notch CBT therapist, visit www.AcademyofCT.org.  And of course I suggest you pick up my book, LIVING YES, A HANDBOOK FOR BEING HUMAN, which includes CBT concepts and many more tools which will help with obsession and anxiety.As for believing yourself "insane" (or "crazy") this is not a mental health term but a legal one (or a slang).  So as long as you don't commit a crime, no professional can legitimately call you insane or crazy!Take it slow!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)

Instruct: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job. Output: Sometimes changes make sense. It may be helpful to talk to someone who you trust to get a sense of whether the changes that you are making are those that are considered adaptable or important changes that allow us all to grow. Another possibility is that you are changing things in an effort to get away from something that is uncomfortable or difficult. There are many other possibilities along this continuum.I would ask you to consider the following:What is leading you to want to change your job?What feelings are associated with this change? (Happy, sad, scared, anxious/nervous, confused, motivated, etc.)How is the job that you are looking to transfer to going to be better or different? Are the concerns that you have now going to travel with you?If you are hesitating to get another perspective (from trusted friends or family or some sort of career advisor in your area), where is the hesitation coming from?

Instruct: My mother has Alzheimer's and she has become so nasty and mean to everyone and she always asks for unrealistic, silly or meaningless items. I get so frustrated and angry, but then I feel guilty because I know it probably isn’t her fault. How can I cope with feeling like this? Output: It's a good question man, and it must be terrible to see your mother in the state she's in.Understand that Alzheimer's is due to under-performing function of kidneys, adrenals, and connective tissue strengtheners; all of which may be corrected with appropriate protocols that are inexpensive and generally simple to follow.Imagine it like a flower that is not fed properly:  A once, beautifully blossom flower APPEARS to be wilting, but it's life-force, spirit, and essence remain fully there and present.  And your mom hears you.Let's clean her out, and see her smile return.

Instruct: I have three siblings. My mom loves them and not me. She’s always yelling at me, but when it comes to my siblings, she talks to them. I’m always crying in my room. Output: Have you ever tried talking with her about this when she's not angry? While I hear you saying that it feels like she doesn't love you, there could be a lot of other pieces to this. Have you ever told her about how much she means to you (when she's not angry)?

Instruct: I been having anger problems a lot lately. It only takes one word wrongly said to set me off. I use to not be like this until I got with my soon-to-be husband. I think his mood and rage/anger problems have rubbed off on me a lot. I don't get nearly as bad as he does, but I yell almost constantly and I can't seem to just stop. I have two young babies that have to hear this, and I don't want my girls growing up with a mommy like I have been lately. I just don't know how to get back to my old self. Output: My gut says that your own rage is being triggered partly because you feel trapped or shutdown by your fiance's moody/angry/rage responses and powerless to stop it. You can start by accepting that this is who he is and you won't change him. You can only change your own behaviours, and I see you taking responsibility for those, which is great. You want to protect your girls, and that's appropriate; children are greatly affected by this type of home environment. I urge you to see a therapist so you can understand your own emotions and sort out the choices you have to make, knowing that your fiance has to make his own choices about his behaviours. 

Instruct: My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband. Output: Hi there, Thank you for your openness about the challenge you are experiencing in your relationship. Sexual intimacy is an important part of many people's life, but how much importance is placed on it varies from couple to couple. The first step would be to have an open conversation with your husband. It's important you are both open about what you desire from sexual intimacy and how much intimacy each one of you wants. For example, asking your husband how often does he want to have sex/ week or /month. When having this conversation, it's important that you are both respectful and open with each other. The point of the conversation is to get to know each other and not to solve a problem, yet. There are couples who enjoy fulfilling platonic/friendship relationships with minimal or no sex because both partners are not interested in it. If you are both on the same page - lack of sex might not be a problem. If there is a difference in your sex drive and frequency of desire, I would recommend seeing a professional relationship & sex therapist as a couple to help you explore your current sexual dynamic, what's creating it, what's getting in a way of connecting sexually and to assist you and your husband in finding creative solutions.

Instruct: I'm a teenager. I get random spurts of anger, like complete, pure rage. I figured it was hormones, but others notice it too. I get self-destructive. I used to cut but stopped. Now when I get mad, I bite my arms and fingers, pull my hair, scratch my face, or punch my thighs. Basically, I do things I can hide instead of breaking anything in my room and having to explain it to my mom. I don't live in a bad household. I have a great family, a great relationship with my boyfriend, and a good job. I have no idea what this is and I don't know how to control it. It's over any little thing. Tonight, it was because I couldn't get my earrings out. This happens maybe two to three times on a good week, and it's always over stupid, petty things. Output: Hi. I'm glad you wrote. In general, when a small thing bothers us (and this happens to all of us), it's because the small thing triggers an emotion in us that we have felt "too much" or "too intensely" in the past, and we don't know how to manage that emotion effectively...we just want to avoid it as quickly as possible. Cognitive Behavioural Therapy with a qualified therapist can help you to understand what is being triggered in you and learn how to manage emotions productively. You say that your behaviours are self destructive, and I agree. It sounds like you have developed a habit of channelling your distress towards self-harm, and this is a separate and potentially more serious problem. This is a choice you make that points to shame being an issue for you. Again, a good therapist can help you learn what's behind your shame and self-harm. Your feelings are normal, and you can learn more healthy ways to deal with them with qualified help. 

Instruct: I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on? Output: Relationships can be extremely enjoyable and satisfying.  When relationships end, however, it can be devastating.  It is normal to go through a grieving process after a breakup.  Denial, bargaining, sadness, anger and eventually acceptance are all normal stages of grief.  You may experience these feelings all at once or one at a time.  Allow yourself time to grieve by expressing your emotions - talk to a friend or write in a journal.  Take care of yourself during this time by exercising, eating and sleeping well and spending time with friends.  After some time you should start feeling better.  If you feel like you're not feeling better and you don't know what to do, you can see a therapist to help you get through this difficult time.

Instruct: I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single. Output: Hi there! It sounds like you have already started to answer your own question by stating that you love cross dressing very much, and I am glad you enjoy it! Cross dressing is something many people enjoy, and there is no harm in it whatsoever. My question to you would be: What is making you feel torn about it? There is unfortunately still a lot of negative stigma associated with people who express their gender or sexuality in ways that differ from the majority. (And sometimes certain sexual interests are actually very common or even in the majority, but because people carry shame about being different when it comes to gender and sexuality we assume we are all alone!)Being a sexual or gender minority or someone who participates in kink or expresses their sexuality or gender identity in a unique and personal way often means suffering from something called "internalized oppression". We grow up being exposed to certain assumptions and beliefs about what is "acceptable" behavior and even face consequences sometimes if we don't "fit in" the way others tell us to. Even if those assumptions are harmful and wrong, we still internalize them and feel guilty about who we are. There is nothing wrong with us, but feeling stigmatized and isolated can lead to feelings of shame, embarrassment, or like something is "wrong" with us.But there is absolutely nothing wrong with you, so be proud of who you are and what you enjoy. You can continue to simply enjoy it privately, or maybe you'd eventually like to share it with a partner or maybe even join a community with similar interests. I'll leave you with a quote from comedian Eddie Izzard, who identifies as, in his own words, a "straight transvestite": "They’re not women’s clothes. They’re my clothes. I bought them!" Take care, and thanks for your question!

Instruct: I'm a teenage girl, and my dad is an alcoholic. I hate being at home with him because he just stresses me out. He can be picking me up from basketball practice or piano lessons, and half of the time, I don't even know if he's sober or not. I refuse to get into the vehicle with him and walk home sometimes. I've either been barely sleeping or I over sleep, so I'm always tired. I live in a small town, so there's no one I can really talk to because I'm not really that close with my family. Output: Hello, and thank you for your question. You are clearly a resourceful young person to reach out like this to find help. Good for you. I have a few ideas and perhaps some other counselors will add some thoughts, too. First, good for you for taking care of yourself and making really good decisions – such as not getting into the car with dad when he is intoxicated. It is really important that you consider your safety above all else. To answer your heading question, yes, it is quite common for people to blame themselves for other people’s actions. There are various reasons why we do this. For one thing, someone may tell us that their behaviors are our fault. And depending on things like our relationship to that person, past experiences, and our self-esteem, we may actually start to believe it. What is important to remember is that your parents have the responsibility to be sure that you are safe and cared for, not the other way around. As for the other things you mentioned, I am concerned about both your physical and emotional safety and well-being. It sounds like your father has an alcohol abuse problem, and living with someone who is struggling with addiction can be hard for anyone, let alone a teenager who is also trying to deal with things like school. You may want to see if your school has a counselor or someone you can talk to about what is going on. I will tell you that in some states, what you have told me may be something that a counselor would have to report to child protection services, but not necessarily. If you are concerned about that, ask the counselor what they are obligated to report. If you don’t know a counselor, think about any other adult that you would feel comfortable talking to. They may have some ideas. Sometimes individual states have non-profit chat lines or hotlines for teens to call if they are struggling with things. You may be able to find something like that in your state. I do warn your about doing random searches, not every website is good, so be careful. This is clearly a tough spot for you to be in, so one of the things that I encourage you to do while searching for support is to focus on taking care of yourself. Sometimes things like this can really bring us down and we stop doing the things we enjoy. Try really hard not to let that happen. If you have interests, do them. If you catch yourself thinking too hard about things, try to find something fun to do to distract yourself. Try to take care of yourself in other ways, such as eating well. Exercise can really help when we get stressed. I hope some of this was helpful. Good luck.   Robin J. Landwehr, DBH, LPC, NCC

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: It's hard to tell from the information that you were able to provide here, but talk with her elementary school a guidance counselor. Someone working with the school (usually a school psychologist) should be able to evaluate her to see if she needs extra help and to tell you more clearly what may be happening.

Instruct: I try to do everything right just so we won't argue, and it doesn't help the only time he is calm is when he is drinking alcohol. I get anxiety over having fights with him. Output: Because of the way that you say your boyfriend is only calm when he is drinking and you have concerns about flights, it would probably be most helpful for you to speak with a local therapist so you can have specific conversations about what happens during these fights.When you do "everything right," are you saying that you don't argue? It sounds a bit as though you are trying to read each other's mind without being able to communicate effectively. I recommend working on this with a therapist, though (even if you end up going without your boyfriend to sessions), so that you can talk about specific strategies and what you can do when he is not calm.

Instruct: Ever since my ex-boyfriend and I broke up, I can't seem to get close to anyone else. I know I'm completely over him, but I just can't break down my walls and let someone new into my life. Output: Hi Bend, You're scared, right? That makes sense. Each time we have a break-up we are a bit more in touch with how much is at stake in this whole love and relationship business. We are falling in love and letting someone close to our hearts and there's a vulnerability in that; we can get hurt. Who you partner with long-term is a big decision and it determines 90% of our happiness in life. The good news is that when we're just starting to get to know someone, we can take it slow. I think maybe you are slowing yourself down instinctively here, and that's okay. We are naturally people of attachment and it won't likely last if you are normally an open and accessible person who doesn't put up walls. So part of what I want to say here is don't pressure yourself too much. Take the time to heal naturally and listen to your instinct that is telling you to take things slow. :)As well, there are a few things you can do to make sure that the walls do eventually come down, or will come down for the right person. First, think about the lessons you learned from this past relationship. What do you feel proud of? What do you need in a partner? What mistakes did you make? Use this experience to grow in your awareness of how you work in a relationship and what you need from a partner.Look at your thoughts. Are you having generalized negative thoughts like "No one will ever love me again?", or "I'm going to get hurt again", or "I can't trust myself"? If so, write down what these thoughts are, and then ask yourself what evidence supports these thoughts. Fear tries to convince us that there is either something wrong with us or that something bad will happen, but it does so with little or no evidence of this ever happening!! It sells us a line based on no concrete evidence. Then ask yourself what evidence supports the opposite thought. What is the evidence that I am lovable... that there are safe, good people out there... that I can trust myself? Eliminate the negative thoughts, and add the positive ones. It's simple but very powerful.Lastly, take concrete and careful steps to act as though there are no walls. What is the evidence of the walls? Can you take purposeful baby steps in the direction of lowering those walls? When we act as though something is true, we start to feel it and believe it more.I hope you will find yourself back on track eventually, with time. :)

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: 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 am wondering who is telling you that sex is dangerous.  Is this medical advice, or is this someone’s opinion trying to scare you from having sex?  And if so, how old are you? Is it ok to have sex, do you want to have sex?  It sounds like you want to make your partner happy, and that you are taking care of protecting yourself and your partner, but maybe you are forgetting to consider what do you really want.  Having sexual relations is a very personal decision; you and your partner have to consent.  It is also important to talk about the possible consequences and being responsible for them as well.  But sex should be something that you enjoy, not that you should be fearful of.  A therapist can help you to process those negative thoughts and feelings that may impair you from enjoying your sexual life. ¿Cómo puedo superar mi miedo de un embarazo no deseado y poder tener sexo otra vez?Estoy aterrorizado de tener sexo porque me han dicho una y otra vez que el sexo es peligroso, inclusive cuando yo y mi pareja usamos dos métodos de protección.  Mi pareja no está contenta y simplemente quiere más sexo, y honestamente, yo quiero darle lo que ella quiere.Me pregunto quién te está diciendo que el sexo es peligroso.  ¿Esto es aviso medico, o es alguien intentando asustarte para que no tengas relaciones?  ¿Y si es así, que edad tienes?  ¿Es apropiado que tengas sexo a tu edad?  ¿Quieres tener sexo? Me parece que estas enfocado en hacer feliz a tu pareja, y te estás protegiendo y protegiéndola, pero tal vez están olvidando analizar que tu quieres realmente.  Recuerda que tener una relación sexual es una decisión personal, en la que tú y tu pareja deben de estar de acuerdo.   También es importante hablar de las posibles consecuencias de tener relaciones, como un embarazo, y discutir sus opciones e intenciones, si eso ocurriera.  Ya que han tenido comunicación al respecto, el sexo debe ser algo que disfruten,  no que temen.  Un terapista te puede ayudar a procesar esos pensamientos negativos y los sentimientos que te pudieran impedir disfrutar de tu vida sexual.

Instruct: My boyfriend and I have been going out for about a year. I suddenly find myself jealous when I see him talking to other girls. I have never been this way before. I don't like these feelings. He said that my jealousy would cause our relationship to have problems. I told him I can't help these feelings. I don't know where they are coming from, but this is how I feel, I tried to stop, but I can't. I really like this guy, but I'm afraid that I'm messing up the relationship. It's just stupid. Output: Trust is at the top of what makes a healthy relationship.  It sounds like you may benefit from personal counseling to explore where this jealousy comes from and what keeps you from having complete trust in your boyfriend.  This is not stupid, this is your mind telling you that there is something that needs to be worked through.  Sometimes we need to talk to someone like a counselor who is disconnected from our life to understand our feelings and what they mean in our relationships.

Instruct: How do I ever trust another woman? I have found myself constantly reading between the lines with every other woman that I meet. I am having a difficult time making any sort of connection to anyone because of her deception and willingness to say and do literally anything in order to control my emotions. Once the "relationship" was over, she became extremely abusive and has attempted to intimidate me into silence regarding the many false claims made on her immigration application. Output: I'm sorry to hear about being taken advantage of by your former wife.On the positive side, think of how much you learned by going through this very painful time.Maybe you are naturally very generous and caring, to the point of expecting very little from the other person, for example.Consider yourself in a favorable position to not feel like going out right now and meeting a new person.   Your spirit is guiding you to stay put and recuperate from this ordeal, review for any signs you may have been more trusting than merited by the person's behavior.There's a natural flow to what we're able to handle and when we have renewed capacity for new adventures.There's no reason to assume that you'll never trust another woman again.  The first step is re-building trust in yourself to step into a new relationship.   There is no designated time line.  You'll simply feel more ready than you feel now.Very unlikely that you'd ever place yourself in a similar situation to the one you're currently recovering from.Good luck!

Instruct: How can I get to a place where I can be content from day to day? Output: It's important to take a look inside and see what's going on with you to cause you to have these feelings.  Please contact us in whatever way is most comfortable for you and we can get you set up with someone who will help you figure out this space in your life.

Instruct: I've only been married three months. Every week, we argue about something, and it seems to be getting worse. Output: One key factor to consider is, are you able to repair after your arguments? It seems from your question that repair is lacking after any disagreement or argument. When couples are able to repair after an argument, they have an opportunity to learn more about each other's needs moving forward. I'm also curious if you're having the same type of arguments over and over? If you're stuck in a particular pattern, and can start recognizing what happens between you when this pattern happens, then you can start to name it. Once you name it, then you can take a break to cool off and come back to each after your nervous system has had a chance to calm down (about 30 minutes). The key here though is to make sure you have a plan in place - when things are good between you - an agreement between you that when you both start to get escalated, you'll name it or have an agreed upon code word to signal you don't want to continue this cycle, and then agree to cool off and come back together at a later time. That way, when this is enacted during an argument, nobody feels abandoned during the cool off time. Rather, both partners know they will return at a time when they can truly hear each other and hear their needs.

Instruct: I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone. Output: Thanks for your question. I'm glad you realize that you need extra support and are being proactive. Simply explain to your doctor the feelings you have been experiencing and how you feel that speaking with a mental health therapist would be beneficial. However, keep in mind that you do not have to go into detail about your personal feelings. You can simply state that you are feeling down, overwhelmed, stressed, or whatever it may be. I'm sure your doctor will be glad to direct you from there. Best of luck you you! I hope that you will be feeling better soon! 

Instruct: I believe it is wrong for men to look at inappropriate content. The father of my child has agreed to respect my beliefs. His co-worker sent him an inappropriate video. He got mad because he does not think he should tell his friend to not send him things like that. Output: The offspring are your Property;If you require that no other man show inappropriate content to them, then require compensation for use and enjoyment of your Property, without your consent;Send them a bill;When they do not pay it, activate the local Sheriff, take them to small claims court, and win a judgment against them for failure to compensate for the use and enjoyment of your Property;I wonder what might happen after that... learn to act as man :)... and watch the magic happen...

Instruct: My girlfriend and I have broken up and gotten back together numerous times in the past two years. We recently just broke up again last night on New Year’s Eve. When we break up, the very next day, she calls me and acts as if nothing has happened. She acts like everything is alright. This has been going on for two years. I do love her and care about her and her children a lot, but she seems really demanding as far as what she deserves from a man. She is always telling me that she deserves this and that from a man. It makes me feel like crap because I cannot give her everything that she wants. She told me one time that she wants a man who is going to be afraid to lose her. Is that a normal thing that women want, or should I just move on already? I am in my 30s and she is in her 40s. Output: Love is not enough to keep a relationship together.The people need to get along happily too.Let's start with knowing more about your happiness in being with your partner.The frequent break ups happen for a reason.  Try understanding more of why you go back together again.You state a few very clear reasons to not continue this relationship, such as "feeling like crap" and not liking that your girlfriend hopes her  partner will feel afraid to leave her.Trust your intuition telling you that these feelings matter.Sometimes men aren't sure whether following their instinct is a right action to take.It is.Also, hoping a partner will fear losing them, shows a wish to control a person.Control has nothing to do with love and trust, and these are basics of a relationship.Good luck!

Instruct: I easily recognize this but have no control over it and need suggestions for managing my anger. Output: I suggest that you work on emotional awareness. Emotional awareness basically means knowing what you are feeling and why.Emotional awareness also means that you can identify the link between the way you are feeling and your actions. In other words knowing that your feelings dictate what you do.Often feelings of hurt or insecurity can come out as anger if we cannot properly identify and express the feelings.Being emotionally aware also means that you are able to express your feelings to others. Being unable to do so leads to feelings of frustration and being misunderstood.Many people for many different reasons are not in touch with their emotions. For example, men traditionally have been brought up taught to not express sadness or weakness. Therefore, many men learned to turn feelings of sadness, insecurities, or fears into anger and express these feelings as anger. Being taught not to feel a certain emotion does not make that emotion disappear. Instead it makes us learn how to express it in other, incorrect, ways. If a man never learns to say “I am sad” or “that really hurt my feelings” and instead lashes out in anger, then the response they get from those around them will be to the anger and not a response to the underlying true feeling, which will leave the man feeling alone and misunderstood.You can control yourself and not explode. Walk away, remove yourself from the situation, do whatever you have to do to not lash out. Instead of reacting the way you normally would, go somewhere by yourself and think about what just happened and try to understand why such a “simple” thing upset you. What is the real feeling driving these outbursts? Maybe you can begin to recognize an underlying pattern. It might help to keep an anger journal. Write down everything that gets you upset. That might help you see a pattern and pinpoint what may be setting you off. Talking with a therapist about this would be beneficial in helping pinpoint the underlying cause of the outbursts you are experience. 

Instruct: I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy? Output: If you have already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder, can you go back to the people who diagnosed you with those things?It may be that your parents would be open to you talking with someone because it sounds like you have done this in the past. I don't know whether you have a specific reason that you are thinking they may have some hesitation, but if you are comfortable saying that you would really like to talk to someone because you are feeling sad or anxious (or whichever of your concerns you feel comfortable revealing to them), that may be a way to start the process. As for how you tell them about the fact that you have harmed yourself in the past and used to be suicidal, a therapist may be able to work together with you to discuss the best way to tell them about that.I'm not sure if you have told anyone about what you have been experiencing, but if you have some support there, perhaps they would be able to give you feedback about ways to talk with your parents as well.You mentioned that sometimes you hear voices. This can happen for a variety of reasons, but if the voices that you hear are giving you directions and you feel as though you might follow them, that would be a time to ask for immediate help, before you follow through with what they are telling you, perhaps by calling 800-273-8255. They may be able to connect you with local resources and they can definitely talk with you in the moment that you call.

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: Contact your daughter’s school and ask for an occupational therapy evaluation. An occupational therapist can determine if your daughter struggles with eye-hand coordination, visual processing or sensory motor difficulties. The therapist will develop a plan of care if your daughter demonstrates delays or difficulties in learning. OTontheGo.org mobile therapy that comes to you! Accepting most insurance.

Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client? Output: For a therapist, deciding to end counseling sessions or terminate working with a client is a thoughtful and intentional decision. One that is not entered into lightly. While there are many considerations counselors take into account, to help answer this question, I'll offer an example of two areas that counselor's take into consideration when ending counseling sessions:Does the client need different or more specialized care than the current counselor can provide? This requires the counselor to determine whether referring the client to another therapist or health care provider is needed.And, has the therapeutic relationship reached treatment goal(s)? While this question is specific to the counselor, I'd like to also add that a client, at any time, can end counseling.

Instruct: I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here. I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it. How can I change my feeling of being worthless to everyone? Output: Therapy is essential for those that are feeling depressed and worthless. When I work with those that are experiencing concerns related to feeling of depression and issues with self esteem. I generally work with my client to help build coping skills to reduce level of depression and to assist with strengthening  self esteem, by guiding my client with CBT practices. CBT helps with gaining a better awareness of how your thought process influences your belief system, and how your beliefs impact your actions and the outcome of your behaviors.  This process isn’t easy but it helps teach an individual that we don’t always have control over what happens in our lives but we can control how we interpret, feel, and behave. CBT is good for individuals dealing with depression, anxiety, toxic relationships, stress, self esteem, codependency, etc.

Instruct: I have secrets in my mind, and I don't know what to do with them. I don't want to tell my wife and mom because I don't want to hurt them. But I'm not sure how long that I can keep the secret to myself. What should I do? It's becoming annoying and making me anxious. Help me out Output: It sounds like keeping the secrets has become a problem for you now. There are several things to consider before you make a decision.- You mentioned that you don't want your wife and mom to know because you don't want to hurt them – why would it hurt them? - Is it necessary for them to know this information?- What are the consequences of either telling them the truth or not telling them? (for you and for your wife and mom).- Once you have considered these, think of what you would tell your friend if they were in your exact situation?- Also, if your wife or mom were in your situation right now, what do you think they would do themselves?- If your wife and mom were in this situation, how would you feel? Would you want to know the secrets?- How has keeping these secrets affected your own mental and physical health?Once you have looked at the problem from all angles, you will be able to better make a decision on whether it is right to tell them or not.

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: Thank you for sharing! It can be very disorienting not to know what you want and where you are headed. Sometimes we are so focused on something we haven't achieved yet or on comparing ourselves to others that we lose touch with what we actually want and need. At times like this, it's important to go back to basics. Try out this simple exercise, take a few minutes to write down all your present responsibilities. For example: make meals, complete homework...etc.  Then in the column next to it, write down the things that you do for yourself to recharge yourself and to enjoy your time. Is your list of responsibilities way longer than your list of stuff you do for yourself? It is easy to get lost in the sea of responsibilities and disconnect from what you want and need. To fix that, write another list of things that you enjoyed doing in the past for yourself and start incorporating them into your schedule on a regular basis. This will help you re-connect with yourself, and bring focus and clarity to your life.

Instruct: He's lied about his past/present situations. Since time has passed, he has changed, but I still have my doubts. I have no idea if I should stay or go, but I hate this feeling. I don't trust him all too much, but yet he hasn't done anything for me not to trust him recently. Output: Your doubts about your dating partner need to be addressed and solved so you can fully believe him again.Otherwise how would you actually know whether he's lying to you now or not?Start the conversation with him about wanting to trust him and asking for whatever details you feel will give you confidence he is telling you the truth.If he really wants to clear your doubts then he will be willing to invest in answering your extra questions or wanting to look through his phone or whatever areas you felt were violated by him in the past.

Instruct: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) I lash out not just them but at my boyfriend. I feel like I keep causing drama due to my personality. I want to be a better person and learn to let things not get to me and be happy and graceful. I hurt the ones I love with my words. I want to be better for myself and them. Output: Congratulations on making your way to Step One, self-observation and deciding to change a feature about how you understand and relate to others.There is extraordinary strength in being willing to notice your effect on others and consider what changes are possible.Start on the inside track of your own heart and mind.  Once you're able to understand what is driving your emotions to the point where the only reasonable way of handling them is to curse and offend people, you'd have gotten a long way in knowing your own expectations of others and how far off the mark from this in your mind, they are.For example, if you expect others to always be accepting, tolerant and happy about situations with your boyfriend, and you're hearing otherwise from people, then you can prepare yourself for possible, less than positive comments about your relationship, or you can ask people to not comment to you about your relationship at all.Basically, the more you know about yourself and are willing to accept your right to ask others to respect your views, the easier and calmer time you'll have in handling comments from others that you're not glad hearing.Also, this is a long process because you'd be trying to change long time and deep patterns of interacting.Be patient with your own learning curve and certainly consider therapy for yourself in order to have some outside guidance and support for the process you're placing yourself.

Instruct: My son stole my debit card and lied about it. It's not the first time he has lied. I don't know what to do anymore. I don't know if I should punish him or make him do something. I've tried talking to him and asking if anything was wrong. I have grounded him, but nothing works. What should I do? Output: Hi Enid, You sound like a sensitive parent; I like that you talked to your son to see if anything is wrong. There is some key information here (I don't know your son's age, whether he spent any money, whether he put the card back, or how many times he's stolen), and my answer might be different depending on those details, but I'll give you my thoughts.I see it as every child's job to figure out the rules and find where their power is in the world. In order to accomplish that, many of them test limits. "What can I get away with?" is a question they have to find the answer to. If a child knows the rules, they're much more likely to not test limits (because they already know the limits). So, part of testing limits is experimenting with stealing and lying. Not all kids steal, but I would say pretty much every child lies at some point. It's a normal behaviour, and most of the time it's about small things that don't matter and we don't even find out. Stealing a debit card is a bit more serious, and I'm not surprised he lied about it. If you absolutely know that he took it, it's okay to tell him that you believe he did this thing and also lied about it. It's appropriate to give a consequence for this type of behaviour, so that the child doesn't do it again. The consequence should be as natural and logical as possible. The behaviour (stealing) was harmful to you, so doing you a favour with extra chores might be a good idea. It's funny, because as parents we try to tell our kids that lying is bad, but they know they'll get a consequence if they tell the truth so there are natural deterrents to being honest (we don't want people to know our mistakes). It's a dilemma. If you really want to focus on the lying part, you can tell him that you won't give him a consequence for the lying if he decides to come clean with the truth within one day. That gives him incentive to come to you with truth. It sometimes works with kids to give them a chance to come clean and then reward them for telling the truth. You can set your child up for success and train them to tolerate honesty. Put a cookie on the counter. Tell your child to take the cookie at some point in the day. Then ask them later if they took the cookie. You're making honesty fun. Kids love games. Basically, there's as much power in rewarding the positive behaviour as punishing the negative. If this is the first serious offence for your son, don't make a big deal of it; consequence him and see if he learns. If it's a pattern, that's different and you may want the input of a therapist. 

Instruct: I'm dealing with imposter syndrome in graduate school. I know that by all accounts I am a phenomenal graduate student, and that I am well-published. I am well liked by students and faculty alike. And yet I cannot shake the feeling that I'm going to be found out as a fraud. How can I get over this feeling? Output: First step is to remove the label of your behavior as a syndrome and instead understand the reasons for it."Imposter syndrome" sounds like a name someone made up to write a book and have lots of people buy it bc it gives the feeling they know themselves by calling themselves this name.Instead, consider your own unique qualities including your fears of being recognized as adding value to people's lives.If you were told growing up that you're worthless, or if your chosen career goes against family advice and expectations, or if you simply are a shy person, then these would be the starting points to understand your reluctance to believe in yourself.The more you understand yourself and trust the truths you find as to who you are, the less you will feel fraudulent.Good luck in your career work!

Instruct: I got involved with my best friend who is married but has been very unhappy for the last five years. We both fell in love and have been together for eight months. He left the house and filed for divorce. He decided to tell her about our relationship, and she is willing to forgive and work on things. This shook him. They have two kids together. He decided to put the divorce on hold. He left town for a month to get clarity on the situation and see a therapist. Output: Hi Miami, I feel your sadness; you might have planned a future with your best friend. We live in a world where we are constantly exposed and connected to people who intrigue us and to whom we might feel a connection. I believe that our ability to protect our relationships from the risks involved here has not developed fast enough. Your friend came face to face with what leaving the marriage meant...huge changes and many intense emotions. He is wise to consider his choices carefully; especially if you have children, there is good reason to work at a relationship that is less than fulfilling. Therapy can help.So you fell in love with a man who was in an unstable place. He's taking the steps to create some stability for himself and that leaves you "on hold", not knowing what his decision will be. I love that you seem willing to give him the space he needs to figure it all out. This decision is his. For yourself, you can accept that being "best friends" with a man might not be a wise thing. Many marriages don't fair well when friendships like that exist. You flirted with danger; both of you. You fell in love but he wasn't free, really. I'm sure his love for you is real and powerful, but it's not a competition. It's one man choosing his life path. You can focus on thoughts like this:He has the right to choose his life.We flirted with danger by being best friends.I know he does love me; this is not a reflection on my worth.I can feel really good about giving him patience and the space he needs.I feel proud of his honesty.I feel proud if he's willing to fight for his marriage; lucky her...lucky kids.Acknowledge and allow yourself to feel that sadness, that grief. It's real.If you have told anyone about the affair, seek the support of that trusted person and know you have to grieve this in silence because it was born in silence. I wish you well, and for the record, I'm proud of the maturity you show in this situation. :)

Instruct: My depression has been reoccurring for a long time. It all started when I was being bullied in high school. In ninth grade, my principal told me I needed to stay home for a couple days to protect myself while she spoke to my classmates. I needed professional help for my stress because I was having crying spells from the stress of going to school and confronting my classmates. After that, I was fine for a couple of years. I entered my first year of college in a really tough program with high demands of expected work. I believe my depression re-booted from there with the stress. I began to cut myself because a friend of mine at the time told me how she used to do the same and it used to feel good for her. Obviously, that wasn't the right choice. I regret ever doing that, seeing as even though I'm not self-harming anymore, I always look back at that time whenever I feel very stressed. I have a big problem with handling problems in life. Whenever a problem arises, I get stressed and I feel hopeless, as if it's not going to get better. I get way too stressed from my problems, which leads to overreacting a lot (especially when talking to others), which then leads to depression. I have a hard time coping with stress because I know that if I could handle it easily then I wouldn't be sad all the time, and I would say and do the right thing instead of overreacting to my loved ones. Output: I couldn't help but notice that you did not specify your age, so I am unable to set the total chronological order and length that you have suffered in this way, but I want to start by commending you on seeking out additional coping techniques on your own.  Unfortunately, it sounds like you were offered some that were more dangerous than helpful, but be proud that you were able to curb those before they caused too much harm. From what you have written, stress has always been a difficult thing for you to manage.  Often, when I am working with those who offer the same concern, there is a degree of people pleasing that comes with that stress.  When we are trying to make others happy, especially when we are unable to distinguish the proper "rules for success", it can make even the simplest of tasks overwhelming. Stress management is just that, management; of our own anxieties about the needs of others, about our skills and the ability to complete a task and having multiple requests at any given time. Each of these aspects requires a separate sets of "tools" to manage them accordingly. For example, assertiveness communication training could aid in communicating with your colleagues to manage their expectations of your deadlines and abilities, but it will not assist you with managing your own anxieties. Try to separate the different areas of the problem, in order to help yourself to find a solution and work on them in their own time. Perhaps keeping a journal will help you to better understand why you are so easily overwhelmed by stress and help you track some of your less-helpful responses to stress. For example, does a certain person's style of communication always make you feel undervalued and therefore push you to finish their requests first? Is there a certain time of the day where you start to fall off in productivity?  Is that the time fo the day where you also tend to pile up your requirements?Try to ask yourself some of these harder questions and see where they lead you.

Instruct: Whenever I don't tell my friends or anyone what I did or stuff that's not really important, I feel terrible, like there’s a hole in my stomach. It only goes away when I hurt myself. Output: Sorry to hear of your situation.Possibly you are overlooking that your own Self is someone worth talking to as well.None of us are ever really alone because we are always with ourselves.Self-talk is a major part of what guides our decisions and how we make sense of relationships and situations.    Even after telling people the stories or activities, hearing their comments, it is always within ourselves that we decide if the way we were received by these others, the comments we heard back, feel right and accurate to our lives.I hope the feeling of a hole in your stomach would decrease by enjoying your Self.    I am guessing that hurting yourself makes the stomach hole feel less bad because the physical pain you create in yourself distracts you from feeling it.Enjoying your Self by talking kindly, loving, and having inner dialogue may very well decrease the feeling of a hole, altogether.Sending lots of good luck!

Instruct: My boyfriend and I have been dating for almost a year. We go to different schools, and we don't see each other that often. I just feel very paranoid that there's someone else or that he could be hiding something from me. Output: Have you spoken to him about your fears? Perhaps you can explain this feeling to him and let him know what might lead to feeling more secure.  Also, it is important to trust your intuition!  Perhaps there are good reasons to feel concerned. It may not be paranoia - it may be based in reality!  

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

Instruct: My grandson's step-mother sends him to school with a pink Barbie backpack as a form of punishment. Output: Parents are to teach discipline to children, not punishment.   Punishment is another word for wanting to cause hurt.  There is a different in discipline and punishment.  Punishment could have long term affects on a child's self image and growth.  It can lead to others issues such as bullying from peers as well.  Whatever your grandson has done, there is a much better way of getting him to understand that his actions are not acceptable.  Punishment is not one them.  Encourage the step-mother to build a positive relationship with him, this way he will learn to respect and trust her.  His actions would improve.  She may need to attend a parenting class for blended families. 

Instruct: I was married to a narcissist sociopath for 10 years. During that time I was a general manager. I used to help him financially and in other ways when we were together. But things began to change. He emotionally and sexually drained me. I lost my spirit. I used to be a very happy person but now I am a loner. I left him and moved to another state. Currently, I'm working as a server which makes me believe less in myself. I feel pity for myself a lot but don't know what to do. When I have money problems, he does not help me. He actually enjoys seeing me have a hard time in my life. I need help. Output: Congratulations on leaving your marriage!It is ok and natural to feel sadness, loss, uncertainty in direction, hurt, resulting from ending the marriage.Possibly what you consider "pity" is a combination of these feelings.Be kind and caring toward who you are since you just put yourself through a major separation and need time to clear out the old emotions that connected you to your ex.There is very, very little chance of him helping you since he lacks compassion and empathy.More likely any help he gave would be in order to manipulate you.Maybe for now your server job is ok do you have more time to concentrate on taking care of your emotions.You were a manager once, you can be a manager again when you feel ready for doing so.Good luck!

Instruct: I'm being verbally abused on a daily basis by my parents in front of my child. I feel like I’m trapped and I have no escape. I feel like I have to listen to the horrible things they say and just take all of it. I need some way of learning how to cope with listening to it especially since I have nowhere else to go. I feel very emotionally drained How can I deal with this? Output: Your situation is a difficult one, but I would encourage you to start considering how to set boundaries for yourself and your family members. Often, times we believe we have to allow a certain behavior because a person is family. This is not true. It sounds like you could use some help understanding finding your voice and asserting yourself with your family members.

Instruct: Every winter I find myself getting sad because of the weather. How can I fight this? Output: This is actually pretty common. When winter hits, we tend to find ourselves huddled inside from the cold. Not to mention the sun is out for a much shorter time. It will be helpful to get as much sunlight as possible. Get outside when you can. Open up the blinds and drapes. Use a sunlight if you want to (amazon has some for reasonable prices). Stay connected to friends and family. Try to engage in activities that make you feel positive, productive, and connected.

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: First of all, congratulations on your new role! Transitions can be challenging, and it sounds like you are experiencing a lot of change.  This would be difficult for many people, and it seems that you have an added layer of challenge.  I recommend visiting a therapist to determine the root cause of your anxiety and working to unravel those causes piece by piece. I know seeing a therapist can be challenging when traveling, and online counseling could be a good solution. In the meantime, here are a few of my favorite anxiety stopping strategies.  1. Grounding Exercises: When you feel your anxiety increasing, take a deep breath and begin things in your room (or where ever you are) that have things in common. For example, name all of the blue things that you can see.  You can also do non-visual grounding exercises like naming all of the hte sports teams you can think of or all of the state capitals.  This will get your mind off of your anxiety and connect you to space.  2. The pretzel: This is a seated pose that will stop any anxiety attack in its tracks.  Start in a seated position and cross your dominate leg over your nondominant leg. Then, stretch your arms out in front of you with the back of your hands facing one another.  Cross your arms in front of each other so that your palms are touching.  Flip your arms into your body.  You will end with your elbows by your side and your hands crossed under your chin.  Close your eyes and take long breaths in through your nose and out through your mouth.  This calming pose will help you get through even the toughest of panic episodes. 3. Bilateral stimulation and visualization: Start in a seated position with your hands placed on your knees. Tap each knee in an alternating pattern. Close your eyes and begin visualizing a peaceful setting. The combination of bilateral stimulation and visualization will help calm your body and mind.  I could go on and on, but these techniques should get you started.  These techniques should help you manage anxiety in a pinch.  Best of luck!

Instruct: He is always telling me our fights are only and all my fault, he bashes me to our young child, and he is addicted to a few substances. Output: The behaviors you describe are boundary violations.  You can not change your spouse, but you can respond to his behaviors in ways that protect your boundaries and ensure your safety.  This is very hard to do without support.  Finding a therapist who understands the dynamics of abusive relationships may be helpful.  If you are not ready to do this, I recommend the book "Boundaries" by Dr. Henry Cloud and Dr. John Townsend.  It's a great resource for helping one recognize boundary violations and learning how to respond to them in ways that are constructive!

Instruct: Every winter I find myself getting sad because of the weather. How can I fight this? Output: There can be lots of different factors contributing to this. Here are some possible tips:Consider if you know anything about what specifically is making you feel sad? If you're looking for activities because you cannot participate in what you like to do in the warmer months, consider finding some indoor winter activitiesConnect with others. One idea is to join a group (such as a book club) that meets regularly. This could give you something to look forward to regardless of the colder weather.Enjoy the sunshine from indoors. You may notice that sometimes looks are deceiving women is bright and sunny outside, but is also quite cold when you open the door. If you are staying inside for the day, consider allowing yourself to enjoy the sunlight without specifically considering that it is also cold.Consider using a light box. Certain types of light boxes are designed to help with the "winter blues." You can find more information here: http://www.mayoclinic.org/tests-procedures/light-therapy/home/ovc-20197416Recently, one of the nurse practitioners that I work with has been checking a lot of vitamin D and vitamin B12 levels and she says the lower levels of these vitamins can contribute to feelings of less motivation or energy than is desired.Each of us has days when we are not thrilled about the weather and may be feeling sort of "bummed" or "down." If you find yourself having these days frequently or for several consecutive days in the above strategies are not helping, consider talking with a therapist about more specific strategies that may be of help to you. Also, because  if everything you would see is likely to live in your area, they would be familiar with the weather patterns where you are and may have some tips that they use for themselves or With other clients.

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

Instruct: I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected? Output: Communication opens up what is called "cognitive space" for your partner, and allows them to do the same for you. The more you know about each other, especially your everyday lives, creates a bond between the two of you. Much like the saying goes in the military, the same is true for a couple; "Complacency Kills". It is important for both of you to invest in each other on a regular basis. I regularly recommend that both of you take the 5 Love Languages Assessment and start using each other's top love languages to help show each other the positive affection that you feel (or at least want to feel) for one another. Start asking about your husband's day, trying to learn about all the interactions that he has at work, and feel free to ask questions so that he knows you really want to know about him, and know him intimately again.

Instruct: I have an eating disorder of binging. I've had gastric sleeve surgery. I need help with issues of abuse as a child, addiction, and abusive men. I have been in therapy for five months and get no feedback from my therapist. Output: It can be really frustrating to feel like your counselor is not providing you with the help you need.My recommendation in a situation like this would be to let your counselor know how you feel. Specifically tell Your counselor that you don't seem to be getting the amount of feedback you would like.If this doesn't help, then you might want to look for another counselor who will be a better fit for you.

Instruct: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal. Output: Your daughter is suffering from extremes of perfectionism. She needs to know that God accepts her as she is. I can provide her with a knowledge of her God-given, inborn temperament to help her find her God-esteem.

Instruct: Now that the other girl is out of the picture, our sex life isn't the same. Is it because he is still thinking about the other girl? Output: Or...better yet... Is it you still thinking about the other girl?  I am sure his cheating hurt you emotionally and may have affected your sexual performance as well.  Make sure the other girl is out the picture on your end as well.  Sounds like something the both of you need to have a calm and adult conversation about. 

Instruct: I suffer from adult ADHD, anxiety disorder, and depression. It has been difficult to find a doctor in my area and my primary physician won't help. I am unemployed and overwhelmed. What would you suggest I do? Output: Look up online what the local hospital offers to people.  Also, google some of the key words you just wrote here, like depression and counseling, low-cost counseling.Did your primary physician tell you their reason to not help you?  If not, then ask the person to tell you their reasoning.  Even if the specific doctor won't help you, by understanding their reason, you may be able to work with the answer you hear.

Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not. Output: It is incredibly frustrating to not be trusted when you know you are doing nothing wrong. If the lack of trust on your husband's end has to do with something you did in the past, then be patient and give it time. Once trust is broken it takes time and effort to gain it back. Try seeing the situation from your husband's perspective, as often times looking at situations from different angles, gives us new understanding and insight. Remember that you can't change how he feels, but you can help him to regain the trust by asking him what he needs and responding to his needs as best you can. Seeing a couple's counselor is never a bad idea and it would also be beneficial for you and or/your husband to seek out individual therapy. There may be other unknown factors that you are unaware of that are contributing to the trust issues and inability to resolve them. Hope everything works out for you!

Instruct: How does a person start the counseling process? Output: Hi! Great question! My suggestion would be to google therapists in your area.  One great website is called Psychology Today, which is a National site.  You can search for therapists in your zip code and search more specifically for the issue you are seeking support about.  It's a great way to find out if they therapist has a speciality, accepts insurance and whether they offer a free phone consultation. I would then make a list of the ones that may be a good fit and then give them a call!  :)  Hope this helps. Remember you get to ask anything you need to, to determine if someone is a good fit.  Don't be afraid to ask anything!  :)  Best of luck!

Instruct: I have been with my boyfriend for more than a year. He recently got a new job and travels a lot. I’m not used to him being gone all the time. I feel as though he has forgotten about me because he does not talk with me as much and doesn’t keep me up to date on everything that he does throughout the day, which he used to. I feel lost, sad and unwanted. This is really a tough new challenge. I just want to break up with him, but I love him so much. I don’t know why he is acting this way lately. I believe I have separation anxiety. Is there anything that I can do to help me cope with this while he is out of town? Output: Consider talking with your boyfriend about times that you may be able to talk together while he is away. This way, you have an idea when you'll be able to contact him. Does he recognize the feelings that you have while he is away? How do you feel when you are together with him and he is home?I'm also curious as to how the level of your anxiety (on a scale of 1 to 10, perhaps) changes during the parts of his trips. Maybe there are certain parts that are more or less related to anxiety for you. Perhaps you have less anxiety while working or involved in a specific activity, for example, spending time with friends.When you are both in the same area (when your boyfriend is not traveling), do you do some things independently with friends? Do you know what leads to your anxiety when he is away? I don't know whether it is a general feeling of wanting him to come back or anxiety that something specific will happen to you or him.Do you ever recall feeling this way in your past? If so, what was happening then?What do you have that makes you feel very safe and comfortable?Consider working with a mental health professional in the area. Perhaps it would be helpful for the two of you to meet with a therapist who specializes in couples to see what kind of relationship you want to have and what you can each do to contribute to that relationship. There could be things that you could both start or stop doing to help your relationship move in the direction where you would like it to go. As an example, perhaps you would like a text before your boyfriend goes to bed, no matter what time zone or time of day it is. Perhaps he would prefer a good morning text or call/voicemail from you.

Instruct: After first meeting the client, what is the process that a counselor facilitates? Output: There are probably no two therapists alike because first and foremost we are human beings!And...our personalities may somewhat guide how we go about getting to know you, identifying what you would like to be different in your life and developing a plan to get where you would like to be. The very most important thing that will determine a successful outcome is the healthy therapeutic relationship between you and your therapist.  If you don't feel safe, comfortable and ready to work together, then it is likely not a good fit. And that's OK...speak up and the therapist should assist you in finding someone you can readily work with.

Instruct: My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather. I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility. Do I have the rights to be able to sign my brother into mentalhealth facility? Output: Thanks for asking this question. I know it can be really difficult to deal with issues like this.To answer your question, you might be able to get you brother some mental health help, even if he doesn't recognize that he needs it. In most states, an individual can request a mental health evaluation of a family member if that family member poses a danger to themselves or someone else, or if they are unable to take care of their own basic needs.You can always call 911 if you are concerned about his immediate safety (for example if you find him sleeping outside in below freezing weather.  As an alternative to calling 911, you might also be able to request an evaluation from an authorized mental health provider.  The deatsils of who you would contact vary from state to state. Here's a link with some additional resources:http://www.treatmentadvocacycenter.org/someone-i-know-is-in-crisisHe's lucky to have a brother who cares for his wellbeing as much as you do.

Instruct: I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I’m also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do? Output: It sounds like you are noticing yourself becoming overwhelmed with anxiety, feeling more irritable, and struggling to sleep consistently. There are many possibilities, in regards to what may be contributing to these things you are noticing, and a competent therapist may be able to help. In therapy, you may be able to gain insight into these experiences as well as develop strategies for coping with and eventually alleviating anxiety, irritability, and inconsistent sleep.

Instruct: I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why, I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it. How can I help myself to change my behavior? Output: Give yourself a lot of empathy and care for having had a rough childhood and realizing that life can be better than how you were treated when growing up.Be patient with yourself too bc lasting change takes time. Alternatives to hitting your head require constant gentle reminders to do these new behaviors, or if you've discovered a satisfying alternative in one moment, time is required for you to repeat this alternative until it feels natural.Anxiety usually means someone did not feel well understood growing up and was rushed to comply with the wishes of others who were a regular part of their lives.Anxiety lessens as the person starts to know and accept their wishes and needs as valid.  Allow yourself to learn who you truly are in the spirit of accepting whatever you discover about yourself.The behaviors will naturally change with your new understanding and self acceptance.Good luck and enjoy this self discovery project!

Instruct: My daughter didn't see her biological father for the last three years. She doesn’t want to see him because she remember really bad things from him such as domestic violence and child abuse. The visitation is with supervision, but she refuses to see him. Is it better to take my daughter to the therapist and try to see him after the therapy? Output: Has the father or the visitation supervisor contacted you regarding why your daughter hasn't shown up for the past three years' worth of supervised visitation?Or is the supervised visitation a new development for the bio dad and your daughter?If no one is pressuring or expecting your daughter to show up, no one has even asked where she is, why she isn't present, then I don't see any reason for you to offer more effort by your daughter, than the father is willing to make for seeing her.If your daughter is willing to talk with a therapist, then let her find out first hand if the sessions seem useful or not.The one move I'd avoid is to force your daughter to go to a therapist since growing up in a household in which child abuse took place, being forced may remind her of her own feelings from this past, of feeling no one heard or cared about the way she wanted to be treated.

Instruct: I'm a teenage girl. I don't know if I'm straight, bisexual, or gay. I've been straight all my life, but a sudden rush of questions have come over me, and I don't know anymore. Output: Being open minded about the type of sexual connection which feels true and real, is a solid starting point.Having questions is a very valuable way of more clearly defining your sexuality.Write one or two of your questions if you'd like a more specific focus to your general search about your sexual preference.

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: Hi Los Angeles, I can tell you have a moral backbone because it's hurting you to lie to your mom. I always say that a little bit of guilt is healthy because it teaches us who we want to be. Listen to that voice. You don't have to lie to your mom to get what you want.Now, you don't say how old you are, so part of my answer is going to be a bit vague. There's a big difference between being thirteen and your mom telling you what to do and being nineteen and your mom telling you what to do. The thing is that moms and dads start out making all your decisions for you when you're small, and they're supposed to, very gradually, give that control over to you. Different parents do this at different speeds, but in general you have to earn that freedom and trust...it's not just gonna be handed over to you. You might not like this part...your parent has the right to make the rules. My guess is there's a reason why mom is holding you back. Even if it doesn't make sense to you, breaking her rules isn't going to get you what you want...which is freedom, right? I guarantee you that mom wants you to eventually earn freedom...but she's not supposed to give it to you until you're ready because her first job is to keep you safe. I like that your mom has limits for you. Too many parents are sort of looking the other way, busy with their own thing. Whether you know it or not, you need protection like all kids do (appropriate for your age, of course).It sounds like what you want to say to your mom is "I want to make my own decisions about who I spend time with". That's a normal wish, and I encourage you to say that to her. Depending on your age and whether you've earned it, she might listen. So, you're sending her that message that you want to send, but you're doing it in a sneaky way, and that's not going to go well when she finds out. It's called "passive aggressive" when you say something with a sneaky behaviour rather than with words. It's not a very healthy way of sending a message, because people feel disrespected. My guess is that your best bet is to be honest with mom, stop the sneaking around and come up with a detailed plan of how you're going to earn your freedom...eventually. She might listen to that.

Instruct: My boyfriend of eight years and father of our two children is a truck driver. He is never home and only contributes to our family financially. There is no other support given. He comes home when able, sleeps, gives money, and leaves again. I can't get him to do anything with me or the kids. He just sleeps and works. Output: After eight years and two children’s, people change.  I suggest to talk to him about how you feel, let him know that although he is gone for a long time, his presence as a husband and father are required and important.  Ask him if he will be willing to engage again and how he would like to do so.  Many times when the dads are away, moms design a perfect routine and they feel like they will disturb it.  Make alone time and family time for him, so you can reconnect as a couple and then as a family.¿Cómo trabajo con un esposo que solo contribuye económicamente?Mi novio de ocho amos y padre de mis dos hijos es camionero. El nunca está en casa y solo contribuye financieramente. No provee apoyo en ninguna otra forma. El viene a casa cuando puede, duerme, provee dinero y se va otra vez. No puedo lograr que haga nada conmigo y los niños. Solo duerme y trabaja.Después de ocho años y dos hijos las  personas cambian.  Te sugiero que hables con tu pareja sobre cómo te dientes, déjale saber que aunque el esta fuera la mayoría del tiempo, su presencia como pareja y padre es requerida e importante. Pregúntale si el está dispuesto a comprometerse  ser parte activa de la familia y como lo haría.  Muchas veces cuando los papás están afuera las mamás desarrollan rutinas que luego ellos no quieren interrumpir.  Crea tiempo a solas para dedicarle a el para que puedan reconectar como pareja y luego como familia. 

Instruct: I just got married with my husband. I have four kids of my own, and he accepts me with my kids. I am thankful he loves my kids even though they’re not his. Now we are having problems in our relationship because of my past. I know all marriages have problems, but sometimes I feel it’s not going to work out if there’s no trust. It’s hard for me to let go because I love him, but I am getting tired. Output: Hi Louisiana,You say that the problems are with your "past", but my hunch is the problems are about his insecurity and his personal barriers to trust (unless you've recently revealed details of a sordid past?). You don't mention ever having hurt the trust in the relationship.Trust is the first stage in a relationship. Moving forward before they develop trust is a common mistake couples make, and now you two have involved children in a relationship that's missing a crucial element. But you didn't see this coming, did you? That's because only as we become emotionally intimate do our deeper fears and insecurities come to the surface. I give you credit for wanting it to work, and I believe you would benefit from the support of a therapist in working through the kinks related to trust. Good luck!

Instruct: My boyfriend and I have a terrible sex life after three years of dating, and I don't know what to do. I have this lingering fear of pain during sex after having two partners previously who weren't careful. How can I stop projecting this onto my current boyfriend? Output: Without knowing much about your situation, I would encourage you to seek out either a sex therapist who is trauma-informed or a trauma therapist who has knowledge about sexual concerns.  Even consensual sex can be experienced as an intrusion if a partner was not careful or insensitive to your pain.  It would be normal to have some difficulties with sex after such an incident.

Instruct: I feel lazy and numb. I have no interest in things. Output: Maybe right now it is time for you to rest before the next wave of new activity comes along.To have "no interest" may mean you are already so saturated with recent situations and their meaning that you are naturally withdrawing in order to regain your energy.

Instruct: My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not. Output: It is incredibly frustrating to not be trusted when you know you are doing nothing wrong. If the lack of trust on your husband's end has to do with something you did in the past, then be patient and give it time. Once trust is broken it takes time and effort to gain it back. Try seeing the situation from your husband's perspective, as often times looking at situations from different angles, gives us new understanding and insight. Remember that you can't change how he feels, but you can help him to regain the trust by asking him what he needs and responding to his needs as best you can. Seeing a couple's counselor is never a bad idea and it would also be beneficial for you and or/your husband to seek out individual therapy. There may be other unknown factors that you are unaware of that are contributing to the trust issues and inability to resolve them. Hope everything works out for you!

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

Instruct: How does a counselor decide when to end counseling sessions or to terminate working with a client? Output: From the very beginning of counseling sessions I emphasize that the work will and must end at some point.In counseling there is an arc to the process. A beginning, middle and end. I am always digging, searching and exploring. There comes a point where things come to there natural ending.I always leave an opening for continuing counseling in the future. At least as a check in.

Instruct: My dad doesn't like the fact that I'm a boy. He yells at me daily because of it and he tells me I'm extreme and over dramatic. I get so depressed because of my dad's yelling. He keeps asking me why I can't just be happy the way I am and yells at me on a daily basis. Is this considered emotional abuse? Output: Maybe this is emotional abuse.It certainly is irritating and annoying to be yelled at for being yourself.Maybe at a time when he's not yelling you can bring up the topic of your own willingness, if this is true, to discuss questions he has about your gender.There's no guarantee he won't start yelling midway through a dialogue like this.  Only then you will be on firm ground to excuse yourself from the conversation since you already explained that you're willing to talk with him and not to be yelled at by him.