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mental-health-dataset

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<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me. }} [/INST] Realize that you are human, not perfect and will make the wrong decisions at times. That is OK, we all have. However, the best way is to say OK, I did it, learned from it, will not do that again. EVER!!! You can get pass it; grow from it. Unfortunately, we forgive others faster than we do ourselves because we hold ourselves to higher standards or expected better behavior from ourselves. It can be embarrassing, hurtful, almost unforgiving at times. But how do you forgive yourself? Take a Deep Breathe..... and then acknowledge that you did something wrong, acknowledge it, and say to self, "I forgive me". Just like you would say to someone else. This starts the process of forgiving. Also ask yourself these questions: What lesson did I learn? What would I have done differently? What will be a trigger that will make me do that again, if I happened to be weak or tempted? Avoid or prepare for those triggers.... Forgiving yourself will set you free from the prison you have put yourself in. You would start back living. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I get so much anxiety, and I don’t know why. I feel like I can’t do anything by myself because I’m scared of the outcomes. }} [/INST] This is a very common question in my practice. Panic attacks typically emerge from an underlying issue (ex. Depression, low self-esteem, fears). To decrease your anxiety symptoms it’s recommended to seek treatment with a therapist who specializes in working with anxiety disorders and most importantly one with whom you feel comfortable with.In my practice I educate clients about their anxiety and discuss building a framework with helpful tools for decreasing anxiety:1. Starting a daily mindfulness practice. For example: listening to guided meditation; engaging in deep breathing exercises; yoga practice; or other positive calming activities.2. Understand your negative and positive thoughts. Many times we tend to focus on the potential for bad things to happen. Increase positive self-talk when feeling down or when anxious. For example: "I don't need to worry, I am calm and relaxed". 3. Exposure to fearful or anxious situations. This can be accomplished under the care of a mental health professional. Many times we shy away from things that make us feel uncomfortable or insecure. This may led to an increase in isolating behaviors resulting in difficulty in performing things we were once able to do. For example: leaving the house; presenting in front of others; going to social events; and having conversations with people. However, the more we expose ourselves and practice the use of our positive coping skills (ex. deep breathing) the chances of anxiety will decrease. I hope this was helpful. Keep in mind, a therapist can help with guiding you through self relaxation and improvement. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I found out my boyfriend takes anti-depression medicine. Lately he's been saying he has a lot on his mind, and he needs time to think about us. We've only been dating 3 weeks but I like him a lot. }} [/INST] Give him the time and space he needs. Obviously something is going on with him that he needs time to process, think about, and work through. Respect that most men are not talkers but more thinkers. If and when he is ready to talk, he will. When and if he does talk, be a comforting listener and put yourself in his shoes the best you can to be the support he needs. Don't take it personal because you just been dating 3 weeks and his depression maybe something that been going on for a while. If you do like him...showing him by being patient and supportive at this time. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Whenever I have to speak in public or be in big crowds, I freak out. I get light-headed, sweaty, and I have trouble breathing. }} [/INST] As you do it more, it should get better or at less with less anxiety. Anxiety is normal for most when speaking in public. I hear this from even the best of facilitators who have been doing it for years. I even experienced that when I first became a counselor and had to lead classes. I asked myself why were I so anxious? I admit at that time I didn't have confidence in myself. The more I prepared and practiced, the more my confidence level increased. Yours will too... </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ My coworkers are making false statements about me to the boss, saying I have mood swings. They have no proof to back it up. Can my employer make me see a therapist of their choice? }} [/INST] If this is a concern of a few coworkers, make sure it is not something they see but you don't admit to. Employers can "suggest" or something "stipulate" in continued employment with them for you to go to their Employment Assistance Provider (EAP) if they have noticed the same behavior and concerned of how it is effecting productivity or employee relationships. No one wants to work in a environment which they consider hostile. Employers can be held responsible if they do not take action.Couple of things you can do...Ask a coworker in which you trust and respect if what others are saying is true?Seek professional help from your primary care provider or counselor if mood swings do exist. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am a teenage girl. I've been seeing the same dream once in a while since I was very young. The problem is that I don't remember anything about this dream. I still know that it's the same one, and then I wake up in a panic, and I cry really loud without knowing the reason. Why do I see the same dream, why can I not remember it, and what should I do to remember it? }} [/INST] There is no scientifically established formula for understanding dreams, that I know about, however, many people get a great deal of value from exploring what their dreams mean. It is believed by many that our dreams contain metaphors that represent meaningful patterns in our lives and relationships and if we pay attention to them we can learn important things about ourselves. One thing you might try, to see if you can get more insight into the dream and possibly begin remembering things, is to take note of whatever you do remember, any details about your experience, such as when do you wake up from the dream, how do you feel, both emotionally and physically, what are you thinking about when you wake up, is there any pattern in terms of what happens to you in your waking life around the time you have this dream... If you can keep a journal or a recording device to speak into by your bed, you can try to record whatever you do remember and notice as soon as you wake up. People seem to have more difficulty remembering dreams, the more time they let go by before attempting to record the dream, or if you go back to sleep before recording what you remember. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ My mom is always bossy and treats me like a child even though I'm in my 20s. She argues with me over stupid stuff. }} [/INST] This is a common issue. You grow up gradually, and parents often forget to shift their habitual responses according to your newfound level of maturity and growing need for freedom and independance. I'm all for helping you find new ways to cope and interact with your mom. Ultimately, you only have control over yourself, so that's the place to start. You can remind yourself that Mom's behaviours don't mean that she doesn't trust you or love you; it's just that she has habitual ways of talking to you that seem stuck in the fourteen year old range. If you can see her responses as habits, rather than a reflection of how she feels about you, then you can keep yourself calm. The more calm you are, the more she will buy into it when you invite her into a different sort of relationship. Take a look at the picture from her perspective. She may feel overwhelmed with finances (are you in college?), and feel burdened by the mundane tasks in life that she doesn't know how to recruit help for. I bet your mom spends a lot of time picking up after you, cleaning, cooking, doing laundry...all those thankless mom tasks. Take a look at how she talks to you... is she nagging about chores? Can you see that underneath the nagging there's a pretty overwhelmed and powerless person who needs assistance? Okay, so my guess is that you both have a legitimate beef. She wants help. You want respect. Let's talk about how you get both.I propose that you sit down with mom and negotiate out a different sort of dynamic. "Mom...I see us as stuck in how we interacted when I was fourteen. Can we do this differently in a way that we both get what we want?" Sell it as "win-win". Then you write down some things that end up forming a contract. The first part is stuff that's your business and your business alone: things you want your mom to respect, like your room, your school, your job, your personal relationships and hygiene.... Mom's voice has no place in these arenas, unless you are storing food in your room and it's a health hazard. This is a "Mom says nothing about" list. The second part is about what Mom needs from you. What are her expectations about your role in the home as an adult. Does she want you to contribute to rent? Buy your own food? Do your own laundry? What items can we put in your control that would take some burden off of Mom? How will these things be enforced? What will happen if you don't follow through? Write it all down so it's really clear. It has to all be mutually agreed upon.The third part of the conversation is about how she talks to you, and how you talk to her. You can let her know that you don't want to be told what to do or when to do it; that doesn't work when you're 20 years old. Listen to what she wants too. Beyond the contract you've just written up, anything else you want from each other is a request, it's optional, and whether and when you do it is at your discretion. My guess is that if she spoke to you with more respect, you'd be more willing to help out. AND, I think if you participated a bit more she would nag at you less. Go for the win-win. I wish you well as you negotiate a new relationship with Mom. :) </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Whenever I have to speak in public or be in big crowds, I freak out. I get light-headed, sweaty, and I have trouble breathing. }} [/INST] Basically, your response is the fight, flight or freeze reaction which is hard wired into the human nervous system, specifically, the autonomic nervous system (called the autonomic response). This system is responsible for regulating the heart, digestion, respiratory rate as well as other aspects which match the symptoms you describe. It is largely an unconscious function, but with training it can be managed such as a public speaking course in which you prepare and even have some exposure to smaller experiences to help you prepare and cope for larger presentations. One of the greatest applications of addressing this response is the NASA program which exposes the astronauts to situations they will encounter while in space which will trigger the response so that when it does happen (not if but when) that they are able to move through the challenge with success. You can learn more about his by going to TED Talks “What I learned about going blind in space” It is a truly inspiring look at what you are experiencing as well as how to deal with it. With that being said, finding a program like a Dale Carnegie Public Speaking program can help. Working with a counselor who can help you utilize visualization of an upcoming speech has been shown to help and you can always talk to your doctor to see what options might be available there as well. Good luck! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ We’ve been together almost three years. We argue and he ends it by telling me he doesn’t love me. It's hurtful because I am all about resolving the problem, and he dwells on the issue even if I drop what he's done and just swallow my pride and say I am sorry. How can this be resolved? We have kids, and I don't want a broken family because we can't communicate. }} [/INST] You can't fix this by yourself, but I applaud you for trying. One person working hard in a relationship can make things better for a while., but in the long haul you need two people giving some effort. I'm reading between your lines here and I wonder if your need to keep the family together is getting you to apologize when you've done nothing wrong and ignore things you've felt hurt by. I sense that you're doing all the work...that it's not balanced. I have worked with many couples and I've learned never to underestimate what kind of change is possible; anything is possible. But in order for change in a couple to occur, you need two people who are both willing to own their choices and behaviours, and who have empathy. Your boyfriend doesn't appear to have these components; he pushes you away and blames you when he's done something hurtful.Can you be honest with yourself about what's happening? I encourage you to sit down with a trusted friend or therapist and look at what you have here and what your options are. I wish you well. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I started dating my fiancé two years ago. My first cousin is married to my fiancé’s sister. There has always been a communication issue between my uncle and aunt and my cousin and his wife. My uncle goes to my mom instead of talking to my cousin, and it upsets my mom. }} [/INST] When you're upset about something, the first question you can ask yourself is "Whose problem is this?" It is amazing how many problems will disappear right at that point, because you realize the problem isn't even yours. You can't fix everything in your family. You are starting a new family of your own, and it's time to create a protective bubble around your family unit that keeps other people's issues away. I tell myself "Not my pig, not my farm, not my problem." When you stop trying to take care of other people's problems, they are more likely to step up and deal with it themselves. :) </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ 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. }} [/INST] It sounds like you are wanting to protect your child from degrading images and that is one of the important parts of the job of a parent. Although it is challenging to supply an answer without knowing the full situation, it might be helpful to have a more broad discussion about what you both think about the influences and images that your child is exposed to and what you think your role is in protecting your child. This situation is one about beliefs and values and could well be an example you can use for exploring your parenting roles in protecting your child. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am married, but I had sex with my friend. I feel guilty, but I feel not guilty too. Do I need to feel guilty? It's my body, and I have full rights to do what I like. }} [/INST] Yes, of course, it's your body and you can do what you feel like doing.Do you feel a commitment to your partner?Your guilt probably is pointing out the feeling of having done with your body what your spirit tells you is a violation of the commitment you feel toward your partner.The good news is that this is a moment for you to examine how strong your commitment is to your partner.Find balance between satisfying your freedom to do as you please, with your sense of being a partner, which means prioritizing the partner once in a while. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I saw my mother cheating on my dad before. I said something to her, and she said it was in the past. Yesterday, I saw her texting dirty things to the same guy. Should I talk to her again? I don't want my parents to go their separate ways, I just want her to stop. it's not fair. }} [/INST] You as the child in the middle of your parents' problems is the worse position to be in. I can only imagine your hurt, pain and confusion on what to do. Honestly, this is a hard question to answer without knowing your age, your parents' ability to handle hearing information from you and your maturity to handle what may happen in the end. One thing I would like to note....your parents may be in the same house but if your mother is cheating, they have already gone their separate ways. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I get angry and act out. It scares my wife and child. }} [/INST] Yes you can.. If you cannot control your temper, who can? You have more power of your emotions, thoughts and feeling than you are giving yourself credit for. If this is scaring your wife and child, you need to get control of it immediately. Try going to an anger management class. It will help to discover what is the root cause of your anger, what triggers it and how you can control/manage it. If you can't go to a class, try self help books or even better yet counseling and support of a professional counselor. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ We're not together, but I’m still doing things for him and we are intimate. He’s not there for his son. }} [/INST] You didn't ask a direct question because I feel from what you wrote you already know the answer. I hate to sound harsh but I am a therapist that call it how I see it so brace yourself...You will always continue to have problems with letting your child's father go as long as you:Don't love or respect yourself first...Don't love and respect your son...Don't demand respect as a woman and mother...Give up the goods regardless of what he does for you or your son...Don't hold your son as a priority in your life....Have self worth of a $1, etc.I have a feeling you are saying...I do love my son and hold him as a priority even if you don't do it for yourself...I would ask...Are your actions of allowing such disrespect from his father proof of that?I know what I have said may have gotten under your skin...I want it to.... because I feel that you have a conscience, want to do better, know you and your son deserve better and you can do better. Believe in yourself and that you and your son DO desire better and it starts with you setting boundaries with his father. You can do it!!! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ When I'm around people, I sometimes think someone has made a comment to me or asked me to do something. I will be focusing on something else and then randomly think I hear something about me. I never know if it was actually said. }} [/INST] It sounds like you are having difficulty knowing if people are saying things to you, or if you only thought someone was talking to you, and this is anxiety producing. It's understandable that it could be confusing and/or a bit scary to be unsure if people are speaking to you or not. It's hard to say exactly what is going on from just this description, but if you can work with a competent therapist, you may be able to get more insight into what is happening, get clarity about your social interactions, and develop some ways to deal with the anxiety. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I work two jobs and go to school for criminal justice. Over the summer, my father had a stroke. It was very devastating. My father isn't the same, and my family fights every day. I have been kicked out the house many times. I break down a lot. }} [/INST] You undoubtedly are carrying a huge weight on your shoulders. Stressors come in many forms and you are engulfed in a few of the major ones as it relates to dealing with the declining health of your father, family conflict, as well as trying to balance a work and school schedule. Stress, if left unchecked has many negative health related implications. First and foremost I would recommend going to see a counselor at your college/university. Most colleges have counseling centers for students that usually allow for 5-6 free counseling sessions (your tuition actually pay for these sessions so take advantage of them). Secondly I would advise you to take a minute and breathe. When confronted with overwhelming life issues it is common to busy ourselves in an attempt to distract ourselves from the drama, but sometimes that can compound our stress. When dealing with stress it is important that you engage in self care. In other words find time to engage in activities that bring you a sense of peace, enjoyment, and fulfillment in order that you may get a momentary release from your daily hectic life. Even with a normal life there is no way to escape stress, it is inevitable and a part of life, but how you deal with stress, as well as how you take care of yourself in the midst of these whirlwind events will determine your quality of life. I hope this helps... </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am a female, and I am afraid of having sex. I am afraid of disappointing my partner by being inexperienced. I think he thinks I'm not a virgin. I am also scared that he will be disappointed with my naked body. I don't want my partner to think differently of me because I am afraid of having sex. }} [/INST] As hard as it may be to do this, since all the media and marketing of how an ideal person looks and performs sexually, surrounds us, keep in mind that the images presented in order to sell movies and almost any product, is meant to trigger fantasies.No one is a fantasy, we are all real and unique. We can be influenced to believe that being a fantasy is better than being who each of us is, genuinely.Your partner may be much more accepting of your body and your level of sexual experience, than you are of yourself!Sex within a relationship means the two people want to have with the other one, not because they have ideal bodies and expertise, but because the person wants to make love to the one whom they love.When you are in a loving relationship, part of this includes talking about sensitivities and insecurities. Having a conversation gives the chance to know that you are accepted for who you are, not how closely you resemble a made up idea meant to persuade people to buy items. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I get so much anxiety, and I don’t know why. I feel like I can’t do anything by myself because I’m scared of the outcomes. }} [/INST] Anxiety is simply your system communicating to you that you are in danger. The issue that I see in most of my clients is that they try to reason with this anxiety. You do not reason with sensory states in the body. If your system tells your in danger (your stomache feels like it is knots, your heart is beating out of your chest,) validate by just being present with it. Take your breath to it. Breath in and out of that space. Say ok, I am in danger. I always tell my clients, "a crying baby wants to be held, not told to shut up." Listen to your system, validate it like you do a child and see what happens. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I don't know what to say. I have never really known who I am. }} [/INST] Three years ago I attended a week long meditation retreat. By the fifth day I noticed I was light headed and felt very strange. I began to realize within my own being an experience of no separation. I would see others at the retreat and smile. I loved them all. I could feel the connection with this awareness I had read about but never truly understood until that moment. I remember understanding all the teachings I had learned throughout my life about a god who existed outside of me. I realized I had all these answeres within my own being and so did everyone else. I began to see everyone as not just capable but powerful loving beings. Since this experience it has been my desire for everyone to become conscious within whatever experience they wish. I do this in many ways. At our studio we combine Mental Health with yoga and meditation as well as nutrition counseling to help people come to their optimal selves. To truly come into a state of "finding yourself," is to start to know and own who you are from a state of solid being. In this there is nothing new under the sun, and it is very simple. I would love to teach you and anyone interested in coming into a state of awake conciousness. The more awake we are the more joyful we are. I live in this state of being and demonstrate it in my daily life. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am married, but I had sex with my friend. I feel guilty, but I feel not guilty too. Do I need to feel guilty? It's my body, and I have full rights to do what I like. }} [/INST] I don't think there's anything that you're supposed to feel. Some people feel tremendously guilty when they cheat, and others not at all. It could be that your partner doesn't know about the cheating and you haven't had to face his/her emotions and reactions. When something we do is hidden...a secret...it's easier to avoid feeling guilty. I wonder if you're avoiding your own emotions. But let's put that question aside for now. There are better questions.What do you want? Do you want your marriage? If not, this may be why you don't feel guilty. Do you want to be able to sleep with your friend? It's unlikely that both are possible (keeping the marriage and the affair). Yes, you get to do whatever you want with your body...and...there may be consequences. Affairs almost always get discovered. Who do you want to be? What kind of partner do you want to be? What might your partner feel if they knew? How might you feel then? Would you care? Has something happened that's affected how much you care about your partner?I suggest that these other questions might be a place to start. Exploring it with a therapist is something to consider maybe. I wish you the best as you sort it out. :) </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I've been with him for a couple months. We will talk everyday and he will get mad over something I will say and not talk to me. We have our great moments, but I just need to focus on my personal situations, and I feel he is slowing me down with that. I still wanna be with him, but not now. }} [/INST] It sounds like you're pulling away instead of being honest. If you really want to be with him, why not now? If you don't have time for a relationship, why are you dating at all?I don't understand the whole "phasing out" thing that people do these days (or "ghosting", where you just stop talking and disappear!). I get the sense that this relationship isn't working for you, but for some reason you're stopping yourself from being honest with yourself and him and just ending it. In the early stage of a relationship (the first year), if it doesn't feel fabulous, it's a good idea to move on. It's not personal. You don't owe this person anything. They deserve someone who's totally into them (and so do you) and you're doing him no favors by hanging on to something that's not amazing or giving him hope that it might work better in the future sometime. You don't have to slowly bow out. It actually creates more hurt than gentle honesty. Maybe people don't know how to say it?"I've decided not to continue with this. I wish you the best." Life is too short! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am a female, and I am afraid of having sex. I am afraid of disappointing my partner by being inexperienced. I think he thinks I'm not a virgin. I am also scared that he will be disappointed with my naked body. I don't want my partner to think differently of me because I am afraid of having sex. }} [/INST] These fears are completely normal. Almost everyone has the same fears you do, to some degree, especially if they lack experience. Men also feel far more of these fears than you realize. That can help...to remember that we're all a little scared and looking for safety and approval.You mention a partner, but I'm not sure if you currently have one. Having a partner you can trust with your fears and who you feel safe with is so important. When you're really confident someone cares deeply for you, this can help the fears to go away or diminish. How well do you know your own body? Getting to know how you like to be touched and how different touches feel...getting acquainted with your body yourself first...this can help build sexual confidence. In general, our partners care less about our fat and wrinkles than they care about how we make them feel in bed. Being a generous lover who is confident enough to put fear aside...ironically this is what makes you "good in bed". But be patient with yourself. Your confidence will grow with experience, and that doesn't have to happen until you are ready. There's not rush. :) </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I get angry and act out. It scares my wife and child. }} [/INST] Anger is a normal emotion, no different than joy, elation, or sadness. It's not anger that gets us in trouble it's the overtness of the emotion or how we allow it to manifest that gets us in trouble. Being able to control your temper depends on several variables: how you saw anger acted out as a child in terms of your primary caregivers and what you internalized as being normal in terms of managing conflict, and your communication style regarding how you confront problematic situations. There are some whose anger takes on a volcano effect whereby they don't readily address problematic situations but rather they continue to stuff their emotion until the right trigger causes them them to explode, and then there are those who are very impulsive in terms of how they react to stressful situations, they don't take time to think out situations or to make sense of them, they just impulsively respond. I would encourage you to seek anger management from a therapist who utilizes a Cognitive Behavioral approach in order that you may explore how your irrational thinking related to certain situations may be influencing your problematic behavior. In addition, I would encourage you to engage in activities that promote stress reduction if your blowups are indeed related to being overly stressed. The first step is recognizing that you have a problem that you need help in understanding and addressing, which you have, now take the next step in finding a therapist in order that you may learn to control your temper and undo some faulty wiring that may be related to how you process emotion, and communicate that you're angry. Remember, anger is the overt expression of some other emotion (i.e., disappointment, hurt, frustration, etc..) Hope this helps... </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining. }} [/INST] Hello and thank you for your question. I worked for a number of years with people who have been both abused in their relationships and those who have been abusive. Being involved in a relationship with a partner who does the behaviors you describe can be incredibly difficult, and many would argue is even harder than overcoming actual physical violence. I was a little confused about whether you're are still broken up with this person or if you are still thinking about it. I am going to assume you are still undecided. Some of the things you are describing sound like emotional abuse. Even without physical abuse, being emotionally abused can still be traumatizing. When partners question and accuse, they are often trying to exercise power and control over their partners by hurting them with unfounded accusations. The accusations serve to make someone feel guilty and to manipulate them. For example, if your partner accuses you of cheating when you go out bowling with friends, you may elect not to go bowling just to satisfy your partner and prevent a fight from occurring. The person being accused or questioned often tries to prove over and over again that they have done nothing wrong, but it doesn't matter. And that brings me to the point of what some people who experience these behaviors do in order to start feeling like they have some power again. Here are just a few things:1. They realize there is no right answer. Trying to be logical with someone who doesn't want to be logical doesn't work. Many people simply stop trying to defend themselves against false accusations because there was no answer that would satisfy their partner anyway. In addition, the rules of the relationship seem to change on a daily basis, and what may be okay with your partner one day may make them angry the next. And this can leave people constantly feeling like they are on eggshells. 2. The find support. Finding a support group or a group of people who remind you on a daily basis that you are a decent person is always a good idea. One of the things that can happen when we are with someone who does emotionally abusive things is begin to have a negative concept of ourselves. Surrounding yourself with people who remind you that you are a good person is a great idea. 3. They reinvest in themselves. Try to find some time for yourself. This couldn't possibly sound more cliché, but it is actually true. Whether that is taking up a new hobby or doing an old one. One thing that can happen when emotional abuse takes place in a relationship is the person being abused can begin to isolate and not do the things that make them enjoy life. Taking some time for the self can sometimes bring things into perspective.I don't know if you are still in counseling, but if you are and you are getting what you need then that is great. If not, there are others you can try. It's important to find the right fit. As for the question of whether or not you should leave your partner, that is a question that can only be answered by you. But you could ask yourself some questions like these to help you decide:1. What are some of my values about relationships? Do I want Trust? Honesty? Ask yourself if you have these things in your relationship.2. Do I feel like this relationship brings out the best in me, or does it seem to bring me down?3. If I want to stay in this relationship, what are some specific things that need to change? Hope some of these suggestions help. Good luck to you. Be well.Robin Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I think I have depression, anxiety, bipolar disorder, and I have anger issues. I told my mom over and over again. She told me she would get me a therapist, but she never did. I just found out that my mom can't afford a therapist for me. }} [/INST] It can be difficult to get counseling if you don't feel supported by family members. There might be a few options. If you are in school, I'd recommend talking to a school counselor or school nurse. They often will be able to help you access free or affordable counseling resources in your community. In addition, depending on where you live, it's also often possible to call 211 for referrals to free or low cost counseling services in your area.I'd encourage you not to give up. You are on the right track. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have a relative who is in his twenties. He was in a drug rehabilitation program and got kicked out for using drugs again. No one informed family that he was using drugs again. He subsequently overdosed and was found dead. Is their accountability of counselors, therapists or the halfway house for not reporting that he had relapsed? Is there a legal case for failing to report? }} [/INST] I'm so sorry to hear of your loss. This sounds like a really difficult situation for the whole family. Since the answer to this question will depend a lot on the applicable state laws, I would suggest talking with a local attorney. That being said, I see two competing issues here. On the one side is the duty of confidentiality the counselors owed to your relative. On the other side is the duty the counselors had to act reasonably to protect your relative from harm. Generally there is not a requiremt for substance abuse treatment centers to notify family members if an adult client relapses.A local attorney will be able to provide more specific guidance on the legal obligtions and liabilities in this situation. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ My friend is abusing her prescription medicine. Even though she told me she didn't have any more pills, I found she has prescriptions for anxiety medications. }} [/INST] Hello! Thank you for your question. I have a worked with many people who have become addicted to benzodiazepines, like Clonazepam. It is a difficult road for people who are trying to become clean. It is also a very difficult road for those who love the person and are trying to be supportive. During those times, it is important to remember to take care of yourself, too. As for taking your friend's pills, my concern would be the legal ramifications that you could face should you ever be caught with someone else's prescription medication, and especially these types of medications. Our laws have become much more strict surrounding prescription drug sales and possession due to the increase in prescription drug abuse. In addition, people who are in active addiction are likely to find some other means to get their drug, so it would do little to help the overall problem. I don't know about your friend's family situation, but they may be a better route to take if you are concerned about your friend. They may already be involved, but with your help you may be able to convince your friend to go to treatment willingly. That is usually better. In many states, there are also involuntary committal processes where a person's family may be able to convince a court to force the person into treatment. This varies from state to state. If your friend's family is not aware of this option, it may be something to look into. It usually does take a relative, or a medical provider, to begin this process if it is available. I hope this was helpful, and I wish you and your friend well. Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I'm concerned about my boyfriend. I suffer from anxiety, but I always have this feeling he wants to hurt me because he told me he was interested in BDSM intercourse. We haven't tried it, but I've had this feeling he always wants to. }} [/INST] Hello! Thank you for your question. There are few things that people find more personal than their sexual relationships. When we feel connected to our partner, sex can be best thing since sliced bread. However, if we feel disconnected in some way, sex can feel degrading and even painful. I don’t know the specifics about your relationship or how comfortable you are in talking to your boyfriend, but this is one of those situations where communicating your fears is a good idea. The only exception to that would be if you believe he is actually a threat to you in some way. If you believe that, then you should do whatever you think is safe. It sounds like there is a part of you that is already afraid of him, and if that is the case then remaining safe is your top priority. Assuming you are able to share with him your feelings, telling him what you are and are not interested in sexually is very appropriate and sexually healthy. Sex is something that is supposed to be enjoyable for all parties. All parties should feel respected and able to say “no” to absolutely anything they are not comfortable with. I call the respectful agreement between sexual partners, “sex trust.” Sex Trust means your partner respects your boundaries. It means they won’t degrade you sexually with hurtful words, forced sex, or forcing or coercing sex in ways someone is not interested in having. Your personal safety and mental well-being is what is most important. Now, if there is a part of you that is curious about BDSM and may be interested in participating in it, there are many websites that you can explore to learn information. I will warn you, some websites and articles are better or worse than others, but you may at least feel more informed. Many people engage in BDSM and have happy relationships, but again, it completely depends on what each person in the relationship wants. It is also important to know that BDSM is not just one thing and people practice it differently based on comfort. If it is something you are uncomfortable with, then you shouldn’t feel obligated to do it. I hope this was helpful. Be well. Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ He isn't violent, but he has anger issues and deep insecurities. He's working on them and has improved. We started counseling, and he participated in one or two individual sessions, but we broke up again shortly thereafter. Now his constant questions and accusations are getting really draining. }} [/INST] Sometimes relationships just do not work. Don't feel that the first, second, or even third relationship is the relationship you are suppose to be in for life. The one that is meant for you will require work but should be be draining and a constant roller coaster of breaking up. It is good you all went to counseling, but one or two sessions may not be enough to make and see a change in behavior. It takes times and it takes both working toward the same goal. I would suggest doing you...meaning focusing on your own growth at the time. If he wants to grow with you, he will make the necessary steps. If he doesn't...wish him well. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have had a crush on this guy for years. I last talked to him a few years ago when we graduated from high school. We left off on a good note. Should I message him and see how he is doing, or is it too late? }} [/INST] It's never to late to let a person know how you feel. You never know where it will take you. You don't want to hold this regret of not letting your feelings known and wondering "what if" for the rest of your life. That can be torturous. Now prepare for whatever..if his feelings are the same or if they are not. If they are the same...great. If they are not, feel good that at least you let a person know they hold a special place in your life and wish him love, peace and happiness in his life. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I would like to be able to have more positive relationships in the present. }} [/INST] Take one day at a time!!! Each day do things that make you happy, moves to a positive place, focusing on the future, give you a sense of fulfillment and accomplishment. Journal at the end of the day of how well you did that day in focusing on these things. Each day should be a step better than the previous day. You will have days that you didn't do as well....that is human and OK. Just get back on track the next day....At the end of the week, review how well you did and give your self a grade. If did well, you deserve ice cream, etc. If not so good, OK....tell yourself next week "got to focus one day at a time". You can do it....it takes practice but will get better each day, I wish you happy days and happy future... </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I love him, but he doesn’t show me love. He talks badly about me to his friends. }} [/INST] 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. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ We don't have sex a lot. I cheat when we argue. I don't kiss or have unprotected sex with them. It's a one time thing, and I never see them twice. }} [/INST] Hello, and thank you for your question. The question about whether or not to cheat is based on personal values that can only be answered by you. However, here are a few things to consider and questions to ask yourself to help you find your answer: 1. Do you feel like you are violating your own values or morals? This is important, because we all have different values and morals surrounding sex, love, and monogamy. If you value monogamous relationships and find yourself cheating on your partner, then you may feel like you are living in contradiction to your values, and most people are not happy when they do that. However, if monogamy is not something you value, then perhaps it is time to re-evaluate the relationship and determine if it is still right for you. Not all people want monogamous relationships, and that is alright. Finally, if you value your husband’s feelings and know that the affairs would hurt him, then your behaviors may again be in contrast to your own values. That can only be determined by you. 2. Based on how you describe your relationship, it sounds like you are not very satisfied with the way it is. From the outside, it looks like the affairs are a way to “get even” with your husband or to feel better after an argument. This is something that can happen when mutual respect starts to fade in a relationship and gets replaced with contempt. We can simply stop caring about how our actions hurt each other, or potentially hurt each other. Perhaps the question to ask here is, when you look out toward the future with your husband, is this the pattern that you want to keep? The pattern of very little sex, argument, and then satisfying the pain or dissatisfaction with affairs. 3. What are your goals for this relationship? If we start to become disconnected in a relationship, we can begin to do things on autopilot. Get up, get the kids up, go to work, come home, and go to bed. None of which requires any intimacy at all. Are you still able to see the hopes and dreams you once had for this relationship? 4. Have you considered seeking marital counseling? Not having affairs won’t actually fix the part of the relationship that is leading you to have them. If there is something broken, it sometimes requires some help to get it fixed. Hopefully these questions and thoughts will help you come to some kind of conclusion about what is right for you and your relationship. I certainly wish you well. Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I love him, but he doesn’t show me love. He talks badly about me to his friends. }} [/INST] Hello, and thank you for your question. Loving someone who doesn’t respect or treat you well can be enormously difficult and painful. Many people who find themselves in an emotionally hurtful relationship say that it was wonderful when it first started, but that over time their partner’s behaviors changed and they became emotionally or physically abusive. I want to say right away that it is not your fault in any way if someone is abusive to you. It does not mean that you are broken or that there is something wrong with your character if you have not left the situation. People stay for many reasons, such as fear, finances, children, pressure from others, and love. Many people have had to leave their abusive partners who they still love to preserve their own safety and regain the sense of self they may have lost. It is a very difficult thing to do, even if you know it is the right thing. The person who really needs to take a hard look at themselves is the person doing the abusing. It is very common for mental and emotional abuse to wear away at someone’s self-esteem. This can lead to other problems, like depression and anxiety. These issues sometimes require professional support to manage, such as a counselor or perhaps a doctor who may prescribe medication. A counselor may be able to help you sort through your fears and concerns about staying or leaving. To look at things from different angles, and to help you decide what is best for you. You have not said that your husband has been physically abusive to you, but if that has been the case, then you must consider your physical safety first. Leaving an abusive relationship is the most dangerous time. Getting help from professionals would be critical, and I would recommend your local domestic violence program. Whatever you decide to do is the right thing for you. I would encourage you to ask yourself honestly about your reasons for staying and the barriers that may keep you from going. You do deserve to be happy and emotionally safe. If you do not feel like you have that safety, then seeking someone to help you sort through these things is a good plan. I wish you well. Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ My friend is abusing her prescription medicine. Even though she told me she didn't have any more pills, I found she has prescriptions for anxiety medications. }} [/INST] Your good intentions to help your friend stay clean, are very caring about her.Unless your friend feels like stopping pills, taking them away will mean she finds them some place else.The problem that anyone who is addicted to pills has, is that the person is psychologically and at least with xanax, physically addicted.Taking pills has basically become a standard part of your friend's life.Her problem is bigger than your ability to care.If you haven't already done so, tell your friend directly about your opinion on the way she is using pills.This is not a guarantee that she'll stop.It isa way of you showing that you care about her.Offering love and advice are the only things you can do for her.Meanwhile, knowing she is hurting herself is probably hurting you.Be sure to keep a sense of balance within yourself. Offer your concern and know she is the one who must decide to stop using. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I constantly feel like everyone is up against me and trying their best to shut me down. It's ruining my mood and even my whole self. I have trouble sleeping, and I keep having sleep paralysis while dreaming of others mocking and judging me. }} [/INST] The problem you describe sounds very wearing on your spirit.Are there particular reasons for why you feel everyone hates you?Have you been in a clash of ideas or opinions and feel yourself in the minority viewpoint?Or does your sense of being shut out start within your own mind, as though you anticipate that others will not like what you say?If actual conversations are leading you to feel left out, then evaluate whether to bring up certain points to the other person.Or, you may also decide that the relationships in which you feel shut out, are no longer worthwhile ones for you.If the problem is hesitating to interact because you imagine others will reject you, then maybe you can coach yourself into trying a small step toward introducing yourself and your thoughts to others. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ My parents seem okay with other sexualities, but normally they only talk about being gay. When they do talk about bisexuality, they say things like “they'll do anything” or things that make me very uncomfortable because I am bisexual. I don't know if I am ready to come out to them. }} [/INST] Hello, and thank you for your question. Being bisexual can be particularly difficult because it is often misunderstood, even by people who are “supposed” to be part of your own community, such as lesbians and gays. It happens so often that there is actually a term for it – bi-erasure. This is simply something that happens when people deny that bisexuality is a real thing, or discriminate against bisexuals due to beliefs like your parents seem to have. The unfortunate truth is that you can never be sure of how you parents may take this kind of information. It sounds promising that they are accepting of other sexual orientations, and it may simply be that your parents lack education about bisexuality. With accurate information, they may come around, but there is no way to be sure. Some of my colleagues have already given you good information. Here are some more things that you can consider and questions you can ask yourself before making the decision to tell them: 1. If they don’t respond the way you want them to, have you developed a support system to support you through it? This is very important. The truth is that all the friends in the world won’t prevent pain or sadness if your parents don’t respond as you hope, but they will at least be there to remind you that you ARE okay as you are. And that is critical for you to remember. 2. There is great information on the internet about bisexuality that you can offer your parents if you think it would be helpful. It may be important for them to know the kind of damage that is being done to bisexual adults and young people because of the myths surrounding bisexuality. Here is an article from GLAAD about bi-erasure: http://www.glaad.org/bisexual/bierasure 3. Coming out to people is obviously deeply personal and should only take place when you are ready. Sometimes people get pressured from friends, media, and even people they are romantically involved with to come out before they are ready. It really is up to you. If you are feeling pressure from others, don’t feel bad about setting your boundaries and telling them that you will come out on your own time. Intimate partners should respect you enough to understand this. 4. Something else to think about is your own comfort in being bisexual. Just because someone is LGBTQ doesn’t mean that they necessarily want to be. Many people struggle with this. Having your own doubts or insecurities may also play a part in how comfortable you are in telling your parents. So, perhaps do some self-exploration about your feelings toward yourself. Sometimes people take friends with them when they decide to come out to their parents. This is something you may want to consider. The important thing to remember is that you are okay. Really. If your parents don’t respond well, that doesn’t mean that they never will. Some start off upset, but then work their way through it. Best of luck to you. Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I feel like every time I do something someone asks me to, I never fully meet what they want. I feel that when I finish it, they always think that they should have picked someone else to do it. I feel like they just want nothing to do with me. }} [/INST] It sounds like you have the perception that people are frequently disappointed in you, wish you were different or someone else, and ultimately reject you. One question I would have for you is what is your evidence that people feel this way? Is there anything in people's words or behaviors that gives you this impression? If your not sure, it may be useful for you to try to notice what people say and do in response to you, even though you perceive these attitudes within them. Additionally, working with a competent therapist may be a great way to get an answer to your question as well as developing ways to move forward with that answer and gain a sense of self-esteem and security in your relationships.One possibility that comes to mind, of which there may be more, is that as we grow up, we often develop relational templates, or sets of expectations about how people are and will relate to us, which influence our experiences and behavior in relationships. Sometimes the templates that we develop to stay connected growing up are not particularly adaptive for adult life and can hamper our self-esteem and capacity for comfortable intimacy as an adult. You ask a great question here, and one that can be very hard to see through, given the difficulty of feeling that people think of you in this way, and I hope that you will stay curious about this and consider working with a therapist who is trained to help you discover the answer. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ 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. }} [/INST] 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 </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me. }} [/INST] Hello, and thank you for your question. Guilt is one of those things that nearly everyone has experienced at one time or another, and it can feel like a huge weight around your neck. Unfortunately, it is unlikely that we can give you some words of wisdom that will make it all go away. However, I will give you some ideas and hopefully this will help.One of the things that we know about guilt is that it doesn't usually do much to help us in the long-run. People may make changes for a short-term period of time because they feel guilty about something they did, but usually they will go back to their old behaviors if they don't have something else to help them change permanently, such as a new skill. So, guilt doesn't necessarily help us. In fact, as I write this someone out there is eating an entire key lime pie because they feel guilty about falling off their diet. Someone may be drinking alcohol because they feel guilty about drinking alcohol. For whatever reason, this is just a common thing that we do. Now accountability is different than guilt. Accountability can actually be constructive. When you hold yourself accountable you can admit that you have done something wrong. That it hurt others and you deeply regret it. That you are prepared to take steps to make sure it doesn't happen again. That you have done what you can to make amends, if necessary. That you are sorry. And then you move on. Why is moving on necessary? Well, for one thing, it doesn't usually help the people who you hurt. In fact, someone's guilty behavior may serve to remind the people who were hurt, over and over again, about what happened. Guilt is usually 100% about us, and not about those we hurt. Also, guilt can lead us to behave in ways that may even hurt people more. Having said all of that, guilt is a normal human emotion. Sometimes we experience it for a while and it goes away. Sometimes we need help to work through it. There are many self-help books about forgiving yourself. You can try Amazon to find some, or consider getting help from a counselor. Be well,Robin Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I'm in love with my own gender, and my parents are against that. I don't know how to tell them because I'm afraid they'll not want me anymore. }} [/INST] Hello, and thank you for your question. This is one of those times when you wish you could assure someone that everything will go perfectly, but unfortunately I can't do that. There is no way of knowing how parents might respond until you tell them. The truth is that people have come out to their parents in many different ways. Some have told their parents directly, some drop hints, some have had others tell their parents, etc. The only "right" way to come out is the one that you choose. The one that feels right to you. That is the best way. Some people decide not to come out, and some wait for a very long time. Both of these things are okay. Coming out is deeply personal, and there can be real consequences to someone's emotional health and safety if they tell the wrong person. That is why it should only be done when you are ready. When you feel that you have the emotional and personal support that you need to take the risk. Sometimes people can feel pressured to come out, but I encourage you to do it in your own time. The truth is, there is a spectrum of how people's parents react to this kind of news. On one end, you may have the parents who shut a person out and are abusive, and on the opposite side you may have parents that are totally okay with it and throw you a "Coming Out" party. Most parents are going to fall somewhere in the middle. It is important to remember that their feelings may change over time. Many parents struggle at first, but they love their kids and get better with it over time. If you decide to tell them, consider taking someone along to support you. Plan ahead on what you want to say. It can be an emotional time, so do what you need to do to take care of yourself. If you need to, leave. You don't have to stay anywhere where someone is being cruel to you. I wish you well, and good luck.Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age. }} [/INST] I understand that at times it’s difficult to share with our parents what we have been trough, due to fear of judgment or punishment; but I have noticed that keeping our experiences secret, intensifies them. And Post Traumatic Stress Disorder can haunt us for a long time if we do not learn to process the memories that cause those symptoms. If you have been victim of a traumatic event that you are not prepared to share with your parents, it’s important that you seek help with a counselor, therapist or psychologist. Trauma Focused Cognitive Behavioral Therapy is a great technique to cope with physical symptoms, you could also use Narrative therapy, Creative Therapy or Journaling as a way to express memories and process them with your therapist. A psychiatrist can also prescribe medication to manage the symptoms, but is very important that you address the trauma so you can heal and go back to live your life. Many organizations like the United Way (2-1-1 in many states) offer resources and referrals to put you in touch with mental health providers, you could also talk to your school counselor, doctor or church to find referral that could help. Tip: You don’t have to tell you story to each person you ask for help, you can just start by asking for a counselor referral. ¿Cómo puedo superar el Desorden de Estrés Post Traumático sin que mis padres se enteren?Comprendo que muchas veces puede ser difícil compartir nuestras experiencias con nuestros padres, muchas veces por miedo a que nos juzguen o castiguen; pero he observado cómo mantener un secreto, lo vuelve más fuerte y difícil de manejar. El Desorden de Estrés Post Traumático puede ser una condición que nos persigue por mucho tiempo si no aprendemos a procesar las memorias que causan esos síntomas. Si has sido víctima de un trauma que tal vez no estás listo(a) para compartir con tus padres, es importante que busques la ayuda de algún consejero profesional, terapista o sicólogo. La Terapia Cognitiva Conductual enfocada en el Trauma, es una técnica que te ayudara a manejar muchos de los síntomas, también puedes utilizar diarios o Terapia Narrativa o creativa, para expresar memorias y procesarlas luego en terapia. Un Psiquiatra también te puede proveer medicamentos que ayudan a manejar los síntomas del Estrés Post Traumático, pero es importante que atiendas el problema inicial para poder sanar por completo y volver a tomar las riendas de tu vida. Muchas organizaciones como los Fondos Unidos (2-1-1 en muchos estados) tiene recursos que proveen referidos a consejeros o profesionales de la salud mental. También puedes preguntarle a tu consejero escolar, doctor o en la iglesia. Sugerencia: No tienes que contarle a todos tu problema, solo pide que te recomienden a un consejero o terapista. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I'm having a quinceañera, and the girls don't like their dresses. They never told me, and now it's a week away. I don't know what to do. }} [/INST] How did you find out that the girls aren't happy with their dresses?Did you hear this directly from one of them or is this third hand information that someone else told you about one of the girls in your party?The answer matters because gossiping instead of directly telling you about a problem, is a problem in itself.I suggest a conversation with the entire group of girls in which you tell them how you actually are feeling about their opinions about the dresses.One topic you may consider bringing up is what everyone expects to get out of the party. Are they coming because they like one another and wearing a dress in which the girl is happy, is only one way of having fun together?You may learn a great deal as to the difference in values about a quinceaña among you and your friends.I hope you'll have a fun party! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are attractive, but not like before. I can also find men attractive now. I'm too ashamed to tell anyone. }} [/INST] Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these feelings and desires it could certainty shake everything you thought you knew about yourself. My guess is that you becoming sick around the time that this started is likely a coincidence, but I understand how you would make the connection. I have a feeling that a few things may be going on here. It is really hard to say since I don’t know you, how old you are, etc. But, I will share you with you some thoughts. Some people, when they have undesirable thoughts that really surprise them, have a really tough time getting rid of them. Our reaction to the thought can be very strong and our tendency to try to block it out, stuff it, avoid it, etc. is not always successful. In fact, it’s usually not. It’s like telling you not to think of pink elephants. I would be willing to bet that you thought of a pink elephant just now. So, rather than fighting thoughts that you find confusing, sometimes it is helpful to allow yourself to explore the thought with curiosity and without judgement. Where is this thought coming from? What are my feelings about it? Asking yourself these questions may help you come to a resolution about what is going on. One possibility is that you have developed an anxiety about your thoughts and now you are in the process of obsessing about them, but another possibility is that you are legitimately exploring your sexuality and gender. I get the feeling from your question that you do not want to believe that it is second possibility. And that is okay. You can try some of my suggestions, but you can also see a counselor who may be able to help you work through your confusion. I would suggest someone who has experience working with sexuality issues. You can usually find out what a counselor works with on their website. What is important is that you find someone who is non-judgmental about what you are experiencing. I wish you well. Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Last year, I just always felt hopeless. I don't have a great relationship with my sister. I lost my mother recently, and that really added to my sadness. My sister always brings up how I was never close to my mother. }} [/INST] Wow what a painful journey you have been in for a long time. Death and grief bring up so many painful reminders of relationships--what they could have been, never were, and what was lost. With death of a family member the family often falls apart for a while... or longer. I hope you can find some support for you and your pain that was occurring before your mom's passing. I also hope you can find someone to help you set boundaries with your sister so you can have your time (as long as you need) to heal from losing your mom and then later figure out how to interact with your sister. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ It happens especially at me and my sister, and then she gets emotional and brings up the past. How should I deal with it? She is always stressed about her work and doesn't put her family first. }} [/INST] Anger is a normal emotion, and yet it is a really hard one... how much is too much? and how do you express it without damaging those around you? yes mom's get angry, sometimes too easy... but its their responsibility to manage their anger-- get their own support and put themselves in time outs when they cannot handle it well. Since you are the kids, you shouldn't have to fix or calm down mom's anger. Maybe in a calmer time when you guys are being silly talk with her one on one? Tell her you are feeling sad and hurt that she gets upset at you girls. Ask her if there is 1 thing you can work on this next month to help her. Ask her if she would work on 1 thing for you this month-- not yelling? taking a time out? telling you before she blows her top so you can exit the room? Also for you, check out a library book on anger so you know how to handle yours, and one on parents and anger. Number one to remember, if you don't feel safe, if she is calling you names, or hurting you, breaking things etc. make sure you go to a trusted adult--school counselor, neighbor, aunt, church friend as soon as possible. You are much too important to be hurt and if mom is out of control, someone else needs to be --caring for you. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am in my mid 30s. I feel I have used only 5% of my potential. I am in film making, but everything is stuck. I've never had a serious relationship. I had worthless jobs. I do a lot of meditation to try to fix it. }} [/INST] Being stuck in life is difficult, especially when you are feeling it in many different areas of your life. So you if you are ready for a change... time to make one! Make a list of the resources in your area--community colleges, friends, free classes, volunteer opportunities etc. Make a list of your passions and absolute "no way" things in life. Make a 5 year plan... where do you want to be in 5 years... then start breaking it down ... what do I need to do this year to make it to next year. Break that down into months... check in with friends/families/co workers etc to see what they see in you both good and bad. Take a deep breath and choose 1 thing to work on to get better in life according to them. Seek out any free training/counseling on career changes and life changes. You already began this by asking this forum for help Awesome! Use the peace and calm you find in meditation to spring board you to make some changes in your behavior--try new things, change poor choices etc. Use the meditation to give you peace while you make the changes. Good Luck! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ It happens especially at me and my sister, and then she gets emotional and brings up the past. How should I deal with it? She is always stressed about her work and doesn't put her family first. }} [/INST] You are very wise for a young person. You have already figured out that other people's behaviours...how they treat you...it's not about you...it's about them. I love that you don't blame yourself for your mom's behaviours. It's not your fault. She's getting upset because she doesn't know how to manage her emotions, and these emotions have to do with her past and her present stress. You're just the trigger. Yes, this is normal, but it's not necessary. She can find another way to manage her "stuff".Unfortunately, you can't help your mom a whole lot or even help her recognize this. But for yourself... remembering that her behaviours are her issue is the biggest piece of "dealing with it". You can always try some new strategies when you talk to mom...you can say "I'll listen you better if you don't bring up past stuff", or "I'm worried about you mom. You seem stressed", or even "I don't like the way you talk to me". Good luck! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am currently suffering from erectile dysfunction and have tried Viagra, Cialis, etc. Nothing seemed to work. My girlfriend of 3 years is very sexually frustrated. I told her that it is okay for her to have sex with other men. Is that really okay? }} [/INST] Hello, and thank you for your question. I completely agree with Dr. Zehner. Many couples are in open-type or polyamorous relationships where one or both partners engage in sexual relationships with others. The key thing about this is that it really does have to be something that both people are okay with. Now, as Dr. Zehner indicated, what may be okay today may not feel okay tomorrow, so good communication is essential. The truth is, even in polyamorous relationships where partners are in agreement, jealousy does sometimes happen. Here is a good article about polyamorous relationships and the issue of jealousy: http://everydayfeminism.com/2016/02/polyamorous-dealing-jealousy/This site has many other articles about polyamory. If you type in "polyamory" in their search box, you will find some good information. I wish you well,Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ My grandma had a stroke and passed away recently. I lost my home and job. I'm looking but haven't found a job. I've been binge watching television and binge eating. }} [/INST] Hello!I write to respond to your recent inquiry for possible increase in self-esteem and positive behavioral change regarding motivation for a new job. First of all, please try to allow yourself some time for grief of the loss of your dear grandmother. It appears you were close to her in many ways and she had a great influence in your life. The grief process of anger, denial, despair and acceptance may be a part of what is keeping you feeling "stuck" in a cycle of not feeling motivated to find work at this time. Perhaps your mind is constantly fighting this grief? Death can be a "traumatic" experience for some people and is considered a great loss, thus the grief process may continue to be a part of your world for a time but hopefully not keep you "stuck" on a long-term basis. I would try to reach out to a counselor to discuss this grief process at a deeper level to discern whether her death is part of why you feel this way. Grief and loss can also have an effect on your self-esteem. Can you begin to see how this cycle is what you may be experiencing? One positive I see is that you are continuing to look for a new job! Take time to give yourself some credit for the time you are spending looking for work. Also, I would recommend you set some short-term goals first for example, make a list of 5-10 potential new employers and send them each your resume. Then followup the next week with an email or phone call to make sure the hiring manager or human resources received your resume and have any questions. It is also a good idea to ask for "informational interviews" in order to get your foot in the door, so to speak.I hope that this information is helpful to you! Please let me know if you have any questions or concerns.Warmly,Denise </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ My mother and I have an okay relationship. I know she loves me unconditionally, and I love her the same. However, more times than not, I'm afraid to tell her anything personal because she either doesn't listen, she turns it around and makes everything about her, or she ignores things - even when they are about my mental health. }} [/INST] How can I get my mother to listen to me without her freaking out?Communication with our loved ones can be tricky, but it is the key to maintaining a healthy and functional relationship with them. At times, it seems difficult to communicate with our family because many feelings and “undercover” messages are attached. Especially with our mothers, who often provide advice and feel responsible for us, it may feel like they are making everything about themselves as they express their worries and concerns.So what to do? First will be important to practice active listening skills, to ensure that you are receiving and understanding the message, without filtering it trough your own emotions or preconceptions of the person who speaks. Second, learn and practice assertive communication skills. Those will help you to communicate a message clearly and in pieces. It also emphasizes using I-statements to express how you feel at times when emotions become affected by the interaction. Third, you should practice, by writing your I-statement or role playing with your counselor. The trick with communication skills is that we need to practice them as often as possible until you to master them. You can also contact a family therapist to improve those skills if it becomes challenging, or contact a mediator if more issues arise.¿Cómo puedo lograr que mi mamá me escuche sin alarmarse tanto?La comunicación con nuestros seres queridos puede ser dificultosa, pero es la clave para mantener relaciones saludables y funcionales con ellos. A veces, nos parece aun más difícil comunicarnos con nuestra familia, porque hay muchos sentimientos y mensajes envueltos en la comunicación. Especialmente nuestras madres, pueden hacer parecer que están convirtiendo el asunto en algo personal, cuando se sienten preocupadas y responsables por nosotros y nuestras acciones.¿Y qué hacemos? Primero debemos aprender a escuchar activamente, para asegurarnos de que comprendemos el mensaje, y que no lo estemos filtrando a través de nuestras emociones e ideas de la otra persona. Segundo, aprende y practica comunicación asertiva. Esto te ayudara a comunicar un mensaje claramente y en pedazos. También te ayudar a aprender expresiones del Yo, para identificar sentimientos afectados durante la interacción. Tercero, es importante que practiques estas destrezas, ya sea escribiendo o con tu consejero. El secreto está en practicar las técnicas de comunicación cuantas veces sea posible, hasta que las uses espontáneamente. Si tienes dificultad aprendiendo estas técnicas, o el conflicto con tu mama es uno muy difícil de resolver, puedes contactar un consejero o mediador familiar para que te asista. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Me and my adult daughter just do not get along. She's very belittling to me when I don't agree with her. It's almost like she scolds me. We get into all out war. She's said I don't support her in what she does and that I've never loved her. She calls me horrible names, and she pushes my buttons to the point I call her names. }} [/INST] As frustrating and probably hurtful as your daughter's comments sound, there's also a message in them about how she genuinely feels.To some degree, your daughter and you may both feel similarly misunderstood by the other.Developing ways of listening and talking to one another to better understand how you each feel, would probably help a lot.One major point to be aware, is that the mother/daughter relationship dynamic, because it is strong, may slow the new dynamic of relating as two adults.Watch for your own tendency to expect your daughter to consider you as a parenting authority, instead of considering her as a grown person.The same is true of your daughter. She may need to remind herself to talk to you as the adult she is.Her needs from you are real, they just need to be spoken to you in an adult way. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help? }} [/INST] From whom do you get anti-depressants?This person should be talking with you to know whether the pills are helping or not.Trust your own instinct that the pills aren't helping you.Pills work differently for everyone and not all people feel better from them.It is also possible the particular pills have lost their effectiveness because after around six to eight months, this usually happens.Try to understand what is depressing you. This is slow work since you may have many theories.Just by addressing your own emotional needs and life structure in a caring and respectful way, may improve your mood so that you'll feel less depressed. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ My long-term girlfriend broke up with me recently. She says it's because of my anger. }} [/INST] I need help controlling my anger.Anger is like a blanket that contains other emotion from bursting out and serves as a shield to protect us when we are not able to manage external issues. Anger also helps us understand that there’s something wrong that needs to change. Once we understand that something else caused us to feel angry, then we can explore the source of anger. Ask yourself: Why am angry, Am I hurt, disappointed, confused, embarrassed etc.? Once you find the answer, explore how often that happens and what’s your reaction. Then explore how else you could respond or react. You could use I-statements as a way to communicate your true feelings to your girlfriend or whoever is involved in the scenario. This is a good exercise to practice with your Counselor or mental health provider because many unresolved issues may arise during this exploration, especially if you have been angry for a long timeAlso, it is important to understand the difference between anger and aggression and learn to manage our anger before we act on it. Anger is a feeling; aggression is when you act out your anger physically, verbally and psychologically. Find ways to vent: crying or sweating will help to release your anger, and balance the chemical response that our body creates when you become angry. Physical activity and meditation exercises can also provide a break when you manage strong emotions.Necesito ayuda para controlar mi coraje.El coraje es como una manta que cubre otras emociones evitando que se desborden y sirve como un escudo que nos protege cuando no podemos manejar problemas externos. El coraje también nos ayudo a entender que hay algo mal que debemos cambiar. Cuando entendemos que algo mas causo el coraje entonces podemos explorar la fuente.Pregúntate a ti mismo: ¿Por qué tengo coraje, estoy herido, decepcionado, confundido, avergonzado, etc.? Ya que encuentres la respuesta, explora cuan frecuente tienes esa reacción. Luego explora como puedes reaccionar en otra ocasión. Puedes usar expresiones del Yo para comunicar tus verdaderos sentimientos a la persona envuelta en la situación. Esto es un buen ejercicio para practicar con tu Consejero o profesional de la salud mental ya que otros conflictos sin resolver pueden surgir durante este proceso de exploración.También es importante entender la diferencia entre el coraje y la agresión, y aprender a manejar el coraje antes que actuemos. El coraje es un sentimiento y la agresión es cuando expresas tu coraje agrediendo a alguien, física, emocional o sicológicamente. Encuentra maneras de desagotare, llorar o sudar te pueden ayudar en este proceso al balancear la respuesta química que crea el cuerpo cuando estamos molestos. El la actividad física y la meditación también pueden ayudarte a relajarte y tomar un descanso cuando manejas emociones fuertes. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me. Why do I feel this way? }} [/INST] It is normal to seek other’s attention and noticing that some people would not be interested. After all, we belong to a social environment where we constantly receive other’s feedback, which at times validates us, makes feel important and useful, like we belong; but also at times makes us feel isolated, different and neglected, which we could interpret as hate.The key is to be aware of what you think about what people think of you. Got it? This part can be tricky at times, because, what others think about us does not really affect us, what really affects us is what we decide to believe, internalize, and make our reality. For example, I could choose to ignore a person’s comment about me, or I could decide to focus on it all day, analyze why they said that and what have I done to them to get to that conclusion. Eventually, since we became so focused on that thought, we may end up believing that what the other person said about us was true, even if we did not agree to begin with.So how can we fix this? Awareness is the key! It is important that you understand the way you internalize external inputs, like comments, and to go through a process of discarding negative ones. It is also helpful to talk to your counselor about how you process feedback and validation so you learn to balance your positive traits from negatives and how that affects your relationships and self-esteem.¿Cómo me puede importar menos lo que la gente piensa?Siempre siento la necesidad de impresionar a otros, ya sea mi familia, la gente de la escuela o extraños. Y sé que no importa lo que haga o cuanto haga, siempre habrá personas que me odian. ¿Por qué me siento así?Es común que busquemos la atención de otros y notemos que algunas personas no están interesadas. Después de todo pertenecemos a un ambiente social donde constantemente recibimos comentarios, que a veces nos validan, alagan y nos hacen sentir como parte importante y funcional de la sociedad; pero en otros momentos nos hacen sentir aislados, ignorados y diferentes, lo cual lo pudiéramos interpretar como odio.La clave es estar conscientes de lo que pensamos que los otros piensan de nosotros. ¿Me sigues? Esta parte puede ser algo confusa, porque lo que piensan otras personas de nosotros, no nos afecta directamente, lo que si nos afecta es lo que decidimos creer que otras personas piensan de nosotros; y luego lo internalizamos y hacemos parte de nuestra vida. Por ejemplo, podemos decidir ignorar lo que una persona dice de nosotros, o podemos decidir enfocarnos en ello todo el día, analizando en detalle porque lo dijeron y que hemos hecho para hacer que ellos piensen así. Eventualmente nos enfocamos tanto en ese pensamiento, que terminamos creyendo que es verdad, aun cuando originalmente no lo creíamos así.¿Entonces como lo arreglamos? La clave es concientización. Es importante entender la manera en que internalizamos las opiniones de otros, y que pasemos por un proceso de discriminación, donde descartemos los comentarios negativos, hasta que aprendamos a ignorarlos. También ayudaría hablar con un Consejero sobre como internamente validas y descartas los comentarios y opiniones externas, y como eso puede estar afectando tus relaciones y tu autoestima. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I blame my past relationship for it. I know it is bad to be this way. I want to get past it. }} [/INST] We humans are social beings. We learn how to BE in relationship as children. The caregiving you received (or didn't receive) set the stage for how you show up in all your adult relationships. Insecurity in relationships often has much to do with feeling unheard or unseen, perhaps feeling like you don't matter. There are many ways to rewire these relational patterns, the first step of which is taking pause and noticing that you are feeling insecure - so congrats on that because clearly you are already there! Next I'd suggest finding a relationship therapist to help you sort through your insecurities, either as a couple or individually. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship. }} [/INST] From what you describe about yourself, I agree with you that ending your former relationship was a very wise decision.The nightmares and flashbacks show that you were deeply affected emotionally and on the foundations of your basic nature.The way for these to stop is by the slow process of realizing how badly injured and frightened you were of your former partner.Once you've stabilized yourself by accepting the tremendous harshness that was part of the former relationship, then the nightmares and flashbacks will disappear gradually usually, maybe all at once.There is a possibility too that your former relationship connected with being emotionally ignored, abandoned, treated harshly during your time of growing up years.Since generally people choose partners who relate similarly to the ways in which they felt treated by parents, it is possible that you had been badly treated while growing up and weren't aware of this until going through this terrible relationship.Congratulations on ending your relationship! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I blame my past relationship for it. I know it is bad to be this way. I want to get past it. }} [/INST] How did you come to the conclusion that you are acting needy?Is this what your partner told you or are you feeling this way about yourself?The difference is that what you'd like from a relationship may be very reasonable, only that your partner is not someone who wants to meet your needs.One way of evaluating whether you're actually needy is whether you feel that you give yourself love, take good care of yourself when you're in situations that are not connected to being part of a couple.If being by yourself feels uneasy most of the time, then probably practicing self-love, consciously treating yourself with consideration and thoughtfulness, may help you feel less needy of others.This way, when you're with a partner, the time together will be in enjoying the partner, not getting love because of not figuring out a way of giving love to yourself. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help? }} [/INST] Certainly counselling can help. however, there is a caveat, namely, you will need the right counsellor with the right approach. This leads to two questions: 1) What are the identifiers for the right counsellor, and 2) What is the right approach?1) What are the identifiers for the right counsellor? The right counsellor will almost certainly have a lot of experience. He or she will have done a lot personal work and have an ongoing practice of inner work both on their own and with the support of an experienced therapist. This person will be viewing you as a human being with challenges, not as a diagnostic category. He or she will be willing to work with you over an extended period of time and have experience doing such work. Further they will be well versed in approaches that are responsive to you in the moment and overall. The in-depth work will be collaborativel designed in an ongoing way that is responsive to you, the moment, your overall life experience, and their in-the-moment experience. It goes without saying that you will subjectively evaluate the felt sense of connection with this person and the feeling that they are invested in their work with you, value you as a human being, and value the connection. As well, it is crucial that you feel this connection and that your therapist 'gets you.' 2) What is the right approach? As Carl Jung stated, "When the doctor sits down with the patient he (or she) must drop all theories and learn the theory of this person." The approach must include a bond between you and your therapist that is in a continuous process of development, attention to pre-verbal imprinting, development of awareness ability, ongoing development of the ability to attend to and stay with inner experience, development of a process orientation, attention to egoic structures that were seeded from the earliest days in the service of perceptions of threats to needs being met, identification of current egoic states and work with these inner selves and their relationship with each other to facilitate movement from developmental points of arrest, increased ability to access and contain non-ordinary states of consciousness, attending to what is, and working with this in the service of moving towards optimal human development.depression is generally experienced as the system shutting down. anxiety is a signal that something is wrong. anxiety is not the problem. it is a sign that there is a problem. the core of these issues is a lack of inner security that is the outcome of insufficient bonding. the work of psychotherapy is to establish an environment and relationship that will facilitate work with the bonding ruptures and re-initiation of the developmental process that stopped at an early stage. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have PTSD from childhood events and other traumas as an adult. I have panic attacks, nightmares, anger, and at times depression. I feel like I'm always on the edge or just apathetic. Can I fix this by myself? }} [/INST] When it comes to trauma, especially in the event that it has caused you to develop PTSD, there can be a lot of difficulty in attempting to resolve these issues on your own simply because of how strong your urge to avoid it whenever thoughts of the traumatic experience come up. PTSD is best treated with the help of a mental health professional and if using the Cognitive Processing Approach can be treated in as few as 17 weeks. As for your other concerns, many of these can be treated independently if you have the motivation to manage your way through. Panic attacks and depression, specifically, often respond well to self-help treatment manuals. The Centre for Clinical Interventions is a great online resource for workbooks to help you learn to manage the depression and panic attacks. Whether you decide to work through these concerns on your own or in professional therapy, just know that your panic attacks must be managed prior to addressing your trauma. Hope this is helpful and if you have any other questions don't hesitate to ask. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship. }} [/INST] A lot of times when you're experiencing nightmares and flashbacks, it can be a sign that you haven't fully processed what happened. Our brains tend to replay scenes in our life that we wish had turned out differently or in an effort to desensitize us to it. If you are comfortable with it, you may want to consider sharing what you're experiencing with your current partner so that he is able to understand what's going on. Also, you may want to consider what parts of your past relationship you blame yourself for. This can be a difficult task to undertake on your own, and the help of the therapist may be necessary to sort through the memories in a safe way. Typically however, flashbacks and nightmares are a sign that the trauma of what you went through needs to be addressed. it's a great thing that you were able to have the courage to get out of that relationship and you should be proud of yourself for that. You may want to begin therapy to address these traumatic memories and help you to sort through any conflicting emotions you have about it (i.e. Feeling like it's your fault for not recognizing the abuse or getting out of the relationship sooner, blaming yourself for being " The kind of person who gets into an abusive relationship ", or believing that you somehow caused your ex to abuse you in some way.) These types of beliefs and feelings can prevent us from moving past traumatic experiences and a trained therapist can certainly help you sort through them. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ When my boyfriend gets in a snit, he gives me the silent treatment for days. When I ask what is wrong, I get nothing: no reply, no phone call. If he does reply, it is something very sarcastic and hurtful. He never admits he is wrong and never apologizes. }} [/INST] This sounds very hurtful for you to be on the receiving end of this. You can ask yourself " what am I learning from the way I am being treated? " and consider whether or not this is in fact either (1) A message or value that you agree with and believe will strengthen your relationship and help you to grow as a person or (2) A message or value that is damaging to the relationship or to your view of your self and others. Once you've considered that and come to your own conclusion, you will likely know what you need to do. If you're still stuck, you may want to consider seeing an individual therapist for yourself to process your feelings about the relationship or a couples therapist with your partner to work on improving your communication with each other. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I'm fine when we start becoming intimate, but out of nowhere, I will get a flashback of what happened to me in the past. I start hysterically crying and freaking out when my boyfriend obviously has done nothing to hurt me. }} [/INST] Sexual intimacy can be very triggering for survivors even when it is both wanted and consensual. You may want to consider seeing a therapist who specializes in trauma to work through the abuse if you have not already done so. Often times triggers still hold such a powerful effect when the emotions related to the abuse have not been fully processed. In the meantime, you may want to consider coming up with a Safe Word to let your partner know that you are being triggered or to communicate your physical boundaries to him. Often times, the experience of communicating your physical boundaries to your partner, having those boundaries respected and validated, and having a partner who is understanding and willing to engage in intimacy in such a way that does not violate your physical boundaries can reinforce a sense of safety with him. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship. }} [/INST] Ending an abusive relationship is often very difficult, especially if you were very close initially without the presence of abuse. If the abuse included verbal or psychological condemnation, you will often have a negative self-image that you may "know" is not true but often feels very true. This negative self-image and fear of being abused again can activate protections in you that were needed at the time you were abused but now create a "wall" in your current relationship. The fact that you were able to end the relationship and know that you made the right decision is a great acknowledgement that you have solid internal resources to draw upon in healing from the abuse. Good for you!Nightmares and flashbacks are a strong sign of memories, including associated beliefs, emotions, and physical sensations, that have remained unprocessed and therefore unhealed. There are likely reminders (called triggers) of the past abuse that are being activated in your current relationship that are allowing these unhealed memories to come to the surface and affect both your sleep and your waking experiences. This is certainly not something you are purposefully doing but is the result of what happened to you. However, you likely feel as if you are not in control. The goal is protect your current relationship, evaluate your self-image for flaws in beliefs and feelings, and begin working on healing your memories of abuse. In many cases, my use of EMDR (Eye Movement Desensitization and Reprocessing) would be helpful in reducing the emotional strength of your abuse memories, reduce or eliminate triggers, bring healing, and allow you to enjoy being in the present with your current relationship. I would recommend discussing with your current partner your harmful past experiences, your decision to pursue counseling, and your strong desire to be healthy for your current relationship. With a good support network in place, healing is very possible. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have been having a lot of nightmares where I am being killed in different ways. I either wake up in a panic or just crying and sweating. It has made me terrified of falling asleep and is now affecting my daily life too. Can I make the nightmares stop? }} [/INST] Hello, and thank you for your question. Sleep problems, including insomnia and even the nightmares that you are writing about, are really common for people and so many people suffer from them. Here are a few things to consider or to try: 1. Have you changed or started taking any new medication lately? Medications can certainly affect your sleep and some can even cause vivid or frightening dreams. If you are taking a new medication, talk to your provider about the nightmares, this may be the cause. 2. Stress can certainly increase our difficulty with sleep and can also begin to affect our dream states. The dreams may not make much sense, but then again even good dreams don't always make much sense. Ask yourself, do I have any new or renewed stressors in my life? Work, school, relationships, health.... all of these areas and many more are places where stress can hide out. If this is the case, talk with your provider or consider seeing a counselor who may be able to help. 3. Something to consider is that once we start to have anxiety or stress about something, we can begin to obsess about it. My guess is that going to bed for sleep is no longer a pleasant thing for you. Your stress and fear of what may happen when you sleep could start way before you actually go to bed. This could increase your chances of having another bad dream. Try relaxation techniques before going to bed. If you have YouTube, you can pull up "Guided Meditation for Sleep" exercises to help you relax. There are many different ones to choose from. You may also want to try deep breathing.4. There are self-help ideas for managing bad nightmares. If you Google search "Nightmare Rescripting" or "Nightmare Exposure" you may find some ideas and instructions on how to manage dreams. I hope these ideas help. Be well... Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am a survivor of domestic violence from a past relationship. Even after seven years, I still have horrible nightmares. I wake up in sweat, and the dreams feel so real. }} [/INST] Hello, and thank you for your question. First things first, I am so glad that you are alive and very sorry that you had to endure such a terrible experience. Now, let's talk about these nightmares. The first thing I want to tell you is that you are NOT losing your mind. Many people start to think that may be the case if they are still suffering from the affects of something that happened a long time ago. That's not the case. There is no time set time for which we should be "over" something like this. I am not sure if you received counseling after what happened to you, but that may be something to consider. Bad nightmares could be the sign of something like Post Traumatic Stress Disorder (PTSD), which would include other symptoms like being startled easily, re-experiencing the event, or avoiding places that remind you of it. There are other symptoms, as well, so if you believe this may be something you have you may want to seek counseling. There are good treatments for PTSD. If you cannot seek counseling at this time, there are some things you can do to try to manage the dreams on your own. I would encourage you to look up "sleepy hygiene" and try to make your bedtime rituals as relaxing as possible. You can also Google search "Nightmare re-scripting" or "Nightmare Exposure" and get some ideas on how you may be able to change your dreams. It may be a good idea to attend a domestic violence support group and get ideas from other survivors who no doubt have had sleep problems related to their experiences, too. Hope this was helpful. Be well. Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I am a survivor of domestic violence from a past relationship. Even after seven years, I still have horrible nightmares. I wake up in sweat, and the dreams feel so real. }} [/INST] Nightmare are actually very common for survivors of domestic violence. If they are affecting you the the point where you feel like you need to do something, you may want to consider processing your memories of the events with a trained trauma therapist. Another good option, may be to attend a support group for survivors where you could process your memories in a safe space where others will be able to provide support and understanding for what you went through as well as encouragement for the strength it took you to get out of that relationship. You may also want to consider completing a screening or assessment to rule out post-traumatic stress disorder as well. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Is this something I should be worried about? Should I do something about it? }} [/INST] It can be tricky to figure out if a child is truly satisfied with his lack of friendships. Parents can usually tell when their child is happy. But kids who are unhappy may be masking disappointment, perhaps acting out their feelings in an aggressive manner. Others may internalize symptoms, appearing sad or withdrawn. A parent may learn a great deal by asking the teachers questions such as whether the child works with others on group projects or if he eats lunch alone. A parent can also talk with the recess supervisor about what happens on the playground, and whether your child stays on the sidelines of play, unsure of how to join the group. Therespectfully is a difference between kids who are shy but happy and kids who feel isolated because they do not know how to make friends. Itis not necessarily that there is something wrong with that child, but they will in fact need help and suggestions for breaking into a peer group Ask a child if there is someone he would like to have over to play. If a mom or dad can make the play dates happen, or if they hit on an activity the child truly enjoys, the young person may begin to forge friendships on their own. I encourage well-meaning parents to choose words carefully. Use phrases like, "Hey, I noticed something," or "Let me help you be successful." By showing respect, parents should feel more comfortable nudging their children beyond their comfort zone.When to seek professional help. When does isolation raise a red flag for long-term issues? True personality disorders are not typically diagnosed until adulthood. Still, professional counseling should be considered if the anti-social behavior is causing the child significant distress, perhaps keeping him from functioning in everyday activities. Also, parents should pay attention to how the child's social behavior changes over time such as social anxiety. The vast majority of children who define "quality time" as time alone are perfectly happy, healthy and normal. If the child is able to nurture at least one friendship, exhibiting what experts call "social reciprocity," then parents can relax, and can cherish that child who enjoys the pleasure of his or her own company. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? }} [/INST] First of all, I am very sorry for your loss, and I can understand the urge to drink and smoke to try and cope. As I'm sure you understand, alcohol and marijuana may take the edge off of the pain in the short run, but in the long run they may prevent you from being able to work through the thoughts and feelings that you have about the loss of your friend. Grieving is a process that is unique to each individual and each relationship that may involve difficult, confusing, and even contradictory seeming thoughts and feelings and a competent therapist can help you work through this process. It also may be useful for you to add other ways of coping, such as taking care of yourself through exercise, doing healthy activities that you love, and spending time with people that you love. Self care is often most difficult when we need it the most. Thank you for reaching out. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from. Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas? }} [/INST] It sounds like you are aware of your positive traits but you are struggling with someone who does not acknowledge nor celebrate your efforts or achievements. It seems like that is affecting your inner voice, which allows you to accept yourself for who you are.My suggestion is to explore that relationship and decide if that person’s opinion should determine how you feel about yourself. If this is an important relationship, you could communicate to this person how the lack of positive feedback is affecting you. Then, work on spending more time with those who value you, and can give you praise, encouragement, and constructive criticism. Also, explore your religious beliefs, and what is they say about who you are as a person. Finally, explore with a Counselor your inner voice and try to figure out if the negative message is settling in and harming your self-esteem. Through therapy, you could learn to self-compassion and acceptance wich will help your self esteem.¿Cómo manejo el sentirme que “no soy suficiente bueno”?Siempre me dicen que no soy suficientemente bueno o no trato lo suficiente. Yo pongo el 100% en todo. Estoy agotado, he trabajado en todas mis relaciones, estoy muy bien en la escuela, trato bien a las personas que lo necesitan. Me aferro a mis creencias religiosas y dejo espacio para los errores, y aprendo de otros para no tener que cometer los mismos. Aun así no soy suficiente y nada de lo que hago funciona, me siento desesperanzado. ¿Alguna idea o sugerencia?Al parecer estas consiente de tus características positivas, pero estás teniendo dificultad con alguien que no reconoce tus esfuerzos, ni logros, y eso está afectando esa voz interior que te permite aceptar quien eres.Mi sugerencia es que explores esa relación y analices si la opinión de esta persona va a determinar cómo te valoras a ti mismo. Si es una relación valiosa, puedes comunicarle a la persona en cuestión como te afecta la falta de comentarios y opiniones positivas. Luego enfócate en pasar más tiempo con personas que te valoran, te dan halagos, te motivan y te aconsejan. También explora que dice tu religión sobre quién eres como persona y cuál es tu valor. Y por último, explora con tu Consejero si ese mensaje negativo esta afectando tu autoestima. A través de la terapia puedes aprender tecnicas auto compasión y aceptación que ayudaran a fortalecerte. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? }} [/INST] I'm so sorry to hear about your recent loss. There is such a large feeling of uncertainty that befalls those of us left to sort through these emotions of such a loss, and it's never easy. I think it's important to remember that there is no "right" or "wrong" way to deal with loss and the "best way" for you may not be the best way for someone else. The fact that you are aware that you are smoking more marijuana and drinking more, and the fact that you can recognize that these may not be the best coping techniques, is a very good step towards giving yourself some better support at this time. Marijuana and drinking are type of coping techniques that can numb us to our emotions, but they do not really help us to work through those emotions. When it comes to grief, often one of the most helpful ways to move through the phases of grief is to use your social supports; talk to your friends and family, see your mutual friends and commiserate with each other on the loss and the uncertainty. The more we talk about our feelings, the more we are okay with them being ours. The more we express our loss, the better we become at accepting such a loss. In talking with your supports, you may also decide ways in which you may want to remember your friend; ways you can do so on a personal level (writing a poem, planting a tree, etc.) or ways you as a group can remember and memorialize them (a special day where you get together to share your memories, starting a charity, etc.) We never truly "get over" our losses, but we can learnt o accept the losses and what it means to us now...but that also takes time. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? }} [/INST] Let me begin by offering my condolences for your loss. I can understand how difficult this time maybe for you especially if you have several unanswered the questions due to the circumstances surrounding the death of your friend. It's during this time, that you may experience the various stages of grief. This includes denial, anger, bargaining, depression and finally acceptance. In the bereavement process, there is so specific time frame or lengths of time for someone to work through each step. Its imperative to note that one may express each stage with different levels of intensity. Also, the five stages do not necessarily occur in any specific order. We often move between stages before achieving a more peaceful acceptance of death. Just note that everyone greives differently, some internalize their feelings and emotions, others express it externally, while other avoid it all together.Coping with loss is ultimately a deeply personal and singular experience. Sometimes we feel that no one understands what we are feeling or going through, much less comprehend our emotional state of mind . What's important, is that you allow others to comfort you through the various stages. My recommendation is to allow yourself to go through the emotions and feel the grief. Avoiding or resisting may only delay the healing process. Reaching the acceptance stage of mourning is a gift not not everyone is awarded, but seeking the help of a Grief counselor may assist in deciphering your emotions and set you on a more positive path to achieve closer. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ It's been like a couple of years that I've been feeling like this. I don't want to self-diagnose, but I get so sad and cry and then I feel better. But then I get upset with people so quickly, and I hurt their feelings. It's this constant rollercoaster, and it's hard. }} [/INST] Hello, and thank you for your question. Bipolar disorder is generally characterized by extreme changes in mood, ranging from mania (highs) to depression (lows). There are different types; however, so here is a website that gives you a list of symptoms for mania and depression in bipolar disorder: http://www.webmd.com/depression/guide/bipolar-disorder-manic-depression?page=2After reviewing these symptoms, if you believe you may have bipolar disorder, then you may want to see your primary care provider or a counselor. Bipolar disorder is treatable, but for many people it requires the right medication and sometimes counseling to help people make behavior changes that are important for bipolar management. For example, some people may not get regular sleep, but proper rest is important for bipolar management. A counselor may talk to you about this and other lifestyle changes that you may need to make. The good news is that many people live happy, healthy, and productive lives with bipolar disorder. So, if it turns out that you do have bipolar disorder, it doesn't mean that things can't get better. There is currently no "cure" for bipolar disorder, but with proper medication and lifestyle management, people can do quite well.Hope this was helpful. Be well.Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? }} [/INST] Suicide is a very traumatic loss and affects survivors significantly. Everyone deals with their grief in different ways. One way I recommend to deal with the loss of a loved one is to write letters to them. Some people like to keep the letters in a jar, maybe fill the jar with sand so the letters are buried. I recommend writing the letters as often as you need to. You will notice over time the need to write the letters will decrease and the intense feelings of loss will decrease. I also recommend finding a survivors support group in your area. You can find more information on www.afsp.org. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I'm transgender, I know I am, but I've only told a few friends. I know I can't tell my family because of previous conversations we've had. They just wouldn't accept it. My gender dysphoria is getting really difficult to deal with on my own. I need some strategies for dealing with it. What should I do? }} [/INST] Hello, and thank you for your question. I am so glad that you reached out for help. I know that the dysphoria can feel nearly impossible to handle, especially since you have limited support from people who accept who you are. You may already know some of these resources, but I am going to share a few. 1. The website www.letsqueerthingsup.com is a blog from a very good writer that I know. His name is Sam Dylan Finch, and he is transgender. He writes about mental health, transgender issues, and many other topics. I know he has frequently written about gender dysphoria and ways to manage it. You may want to check out his site and do a search on there. 2. The website www.everydayfeminism.com employs many transgender writers and several have written about gender dysphoria and have given ideas for managing it. If you search for gender dysphoria on their site, many articles pop up. It may be a good resource for you, especially if you ever feel lonely and start to forget that there are others out there who are like you and have your back. 3. I am not sure where you live, but there are counselors who specialize in affirmative therapy, which is what is recommended for folks who are part of the LGBTQ community. So, if you decide to see a counselor about the dysphoria, try to find one that specifically says they have been trained in the affirmative approach. In addition, feel free to ask questions of the counselor before agreeing to see them for counseling. An ethical counselor would have no problem answering them before having you come in. 4. If there are some LGBTQ resource centers in your area, try to reach out to them and see if there are support groups. Gaining more support from others would be helpful. Sometimes LGBTQ-friendly counselors leave their contact information for people in resource centers. 5. Finally, I know you have not mentioned being depressed or suicidal, but I also know that it is very common for people to consider suicide when they are struggling with dysphoria, dealing with transphobia, etc. If this ever happens to you, please call 911 or the Trans Lifeline. It's free at 877-565-8860. Visit their site at www.translifeline.org. I hope some of these ideas help. Feel free to send another message if you have a follow-up question.Be well....be YOU.Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I feel really uncomfortable when I have people's attention. It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety? }} [/INST] you can learn lots of skills/techniques to feel more confident in what you need to do that will decrease your anxious response for sure! :) And you can also learn how to work with your personality that may not like the attention. You may find that "talking" to others through the internet is more comfortable and you are great at it, or that you love one on one talking but aren't really made for group talking. There is a place in this world for you either way! Public speaking skills can be practiced in speech class, or toastmaster group, they will give you practice in a safe environment where the cool kids or cutest boy aren't ready to laugh at you. What topics are you interested in and what groups can you do a little speaking up? Maybe in your small group at church try and raise you hand to share your opinion, or maybe your Girl Scout troop? Look around for a peer and one adult who you like to hear speak out, ask them to share with you 2 things that help them feel comfortable speaking in public. Check out some Ted Talks and see how they share in groups. Social anxiety is a difficult concern and picking apart what is your awesome personality and what needs skill building and mindfulness/anxiety help are important steps. Good luck! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person. }} [/INST] My wife won't do things she used to doThere are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.Like we often hear, communication is the key to a good relationship. Intimacy in the marriage is something we take for granted, and we rarely communicate about it. I noticed how you mentioned that she had “once agreed to try” things; did you ever asked if she enjoyed those things or would want to repeat them. Have you asked if she would like to try new things as well?What if, you work on improving your communication with your wife? One thing to consider is the status of your relationship. Are you in good terms with each other? Are you or your wife going under a stressful situation? Many times when we have problems we reflect it in multiple areas, including our intimacy or lack of it. Listen to her; ask how you can support her. Find ways to reconnect as a couple, relax, have fun, and do things that you used to enjoy, or discover new interests together.Then you can focus on having conversations about your intimacy. You could star by letting her know that you are concerned about your romantic life, and ask if you do anything that she likes or dislikes. Remember this is a two-way street, you should be ready to listen and ready to share. Take in consideration what she mentions, and work on resolving those issues. It is important that you praise each other as you progress and do this in a loving and supportive way, avoiding hurtful comments. If you continue to struggle, or seems difficult to engage in communicating with your wife, consider couples therapy or individual therapy to work on communication skills.Mi esposa no hace las cosas que solía hacerHay cosas intimas que ella hacia al principio de nuestra relación, y cosas que alguna vez ella estuvo de acuerdo en probar y que ahora no hace. Yo me paso pensando en eso todo el día. Me siento rechazado y pienso que me case con la persona equivocada.Como tanto escuchamos, comunicación es la clave para una buena relación. La intimidad en el matrimonio es algo de damos por hecho y rara vez nos comunicamos al respecto. Noté como mencionas que alguna vez tu esposa “estuvo de acuerdo en probar” algo. ¿Alguna vez le preguntaste si le gusto lo que probo, o si quería repetirlo? ¿Le has preguntado si ella quisiera intentar algo nuevo o diferente?¿Y qué tal si trabajas en mejorar la comunicación con tu esposa?Un aspecto a considerar es si hay alguna tención en el matrimonio. Si están pasando por una situación tensa en su matrimonio o algún otro aspecto de su vida, lo pueden estar reflejando en su intimidad, o la falta de la misma. Escúchala, pregunta cómo puedes darle apoyo. Encuentra maneras de reconectar en pareja, relajarse, divertirse, y hacer cosas que antes disfrutaban, o descubrir nuevos intereses juntos. Si demuestran que son importantes uno para el otro y apoyan sus necesidades, se unirán más y disfrutaran de su tiempo intimo.Luego trabaja en tener conversaciones sobre la intimidad. Puedes empezar por dejarle saber que te preocupa la vida romántica preguntarle si hay algo que a ella le agrada o desagrada al respecto. Recuerda que esto será beneficioso para los dos, tú debes estar preparado para escucharla, y compartir tus preocupaciones. Toma en consideración lo que ella mencione, y trabaja en resolver o eliminar esas conductas. Es importante que se alaguen y animen en el proceso, que este sea un proceso de apoyo y crecimiento y que continúen teniendo esta conversación frecuentemente.Si continuas teniendo dificultad o no sabes cómo comunicarte con tu pareja, considera terapia de pareja como una alternativa, o incluso consejería individual para trabajar en tus destrezas de comunicación. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? }} [/INST] Suicide is not a natural way to pass from this Earth, so many times it can be EXTREMELY tough to deal with because of the "unnatural-ness" of the event. We may find ourselves feeling guilty that we did not see it or that we could've have done more or something to stop it, but often the fish in the fishbowl cannot see that which is closest to him. You are currently trying to numb your feelings, those feelings as nasty as they are, are meant to be felt, those feelings help us to process the event and also help us to pass through the situation. Your friend has a legacy, remember it, and honor that legacy everyday in some small or even grand way, perhaps committing or volunteering your time to help others in honor of your friend.Hope this helps, C </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed. }} [/INST] As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person. }} [/INST] I'd say you're letting fear get a hold on you! You would really enjoy some sexual activities that your wife hasn't initiated in a long while, but it's a big leap to go from that to "I married the wrong person". Fear is telling you that she doesn't respect or like or want you? Look at the bigger picture. What is the evidence that your wife wants to please you?...that she is the "right" woman for you?...that she loves you?...that she cares about what's important to you? If there is evidence there, then you owe it to the marriage to rein in your fearful thoughts.Talking to your wife is so important right now. We all have moments when we really just want to sit and stew in our self pity over our partner not vacuuming or cooking or saying loving things often enough...but they can't read our minds! Can you lovingly let her know what you miss? ...what you hope for?...what you need? This is the meat of a loving relationship. Sharing who we are, so that we can love each other better. Your wife deserves the benefit of the doubt that she'll listen to what you long for. Can you risk feeling vulnerable? You can't control her answer, but can you trust her to care? </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face. It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do. }} [/INST] This is so very common in this crazy looks-obsessed world! I meet so many beautiful people who can't see their beauty. Is there something getting in the way for you? Was there a time in your life when people teased you or told you something hurtful, or did something to you that made you feel ugly? If so, this can be addressed first. Sometimes stories are told about us when we're young and the best thing we can do is see the author's evil or careless intent and not take that on. A therapist can help you with this part.Once you've addressed any past barriers to feeling confident, you can focus on a few simple things. First, your thoughts. If you keep telling yourself that you don't like what you see, then you will never feel okay about your looks. Experiment with telling yourself something different. Look in the mirror and I dare you to find something that's lovely about your face. Focus on that. Describe what you see? If you were your own best friend, what would you say about your face? Eliminating those negative scripts and building new positive ones will help you feel more accepting of how you look. You can't change your face, but you can change your attitude towards your face. Confidence is the things that will make you beautiful!Accepting how you look is important. Without going to plastic surgery (the popularity of which is a testimony to how nuts this whole thing has become), you were born with that nose, those eyes, those lips. Accepting yourself and knowing it won't change is a good idea, because wishing it were different won't make it so!Looking good is also about minimizing flaws and building on your assets. Are you in a rut about hairstyle or makeup? Ask a good friend to give you a make-over. Play with your features and wardrobe. There are plenty of average looking people who know how to make themselves shine because they are creative! </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I spent my whole life taking care of my dad, but left because of his verbally abusive behavior. I was the only one that helped with his health issues. I feel if I hadn't left he might still be alive. I need help dealing with my grief and guilty conscience. }} [/INST] I see such a sharp contrast between your question and your first sentence. Do you see it? "I feel guilty about my father's death", and "I spent my WHOLE LIFE taking care of my dad." Wow. After everyone else had left him to his misery, you hung in there. He is so lucky to have had you there. You didn't have to do that. I have a hunch that your dad blamed you for a lot of things. Abusive people do that a lot; they make you believe things are your fault when they're not. You did the opposite of what you fear you did. You didn't contribute to your dad's death; your selfless care gave him a longer life...better health. In the end, no one's love and care could save him. No one could fault you for deciding you had had enough at some point. I would never expect anyone to keep putting themselves in a hurting place over and over again. But this is what you did. You did it for him, and you did it so you wouldn't feel guilty. But you feel guilty anyway, right?...so putting yourself in that position was only worth it if you allow your loving acts to melt away the guilt. Can you tell yourself "It's okay that I had to take care of myself too."... "I gave up a lot for my dad; I have nothing to feel guilty about".Putting yourself last for your dad was a loving thing to do. And... my hope is that you can also find different ways to help yourself feel "good enough" in this world, and a balance between caring for others and caring for yourself. :) </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? }} [/INST] I urge you to seek some therapeutic help for this, and also to connect with others who knew your friend, because they're likely feeling the same way. Suicide is difficult to understand, and those left behind have many mixed emotions that make their grief complicated and anguished. Your friend either had an impulse that no one could stop, or they made a big decision that impacted everyone around them. There are other things you can do to cope with this, and it has to do with accepting your powerlessness to stop it, not blaming yourself, forgiving your friend, and finding meaning in their life and yours. You won't find that meaning in a bottle or a joint. I hope you reach out soon. :) </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Is this something I should be worried about? Should I do something about it? }} [/INST] My son plays alone at recess.Is this something I should be worried about? Should I do something about it?Every mom is the expert on their children’s behavior. First of all, I suggest checking with your son, asking him if he is happy while playing alone, or does he complain that no one wants to play with him? Does he plays alone in school, but is social in other environments, with family or neighbors?Playing alone is healthy for children, it helps them to be independent and confident, it allows them to explore their environment and use their imagination, among other benefits. On the other hand, it is also important to develop social skills early on and become confident in our skills as we grow. Children go through stages of exploration until they develop a sense of “social confidence”. Depending on your son’s age, he might need some input or advice. Provide the opportunity to interact with other children, without pushing it. Take him to the park to play with a friend or to children’s activities in your neighborhood. Later ask him, what did he thought of the activity, and if he enjoyed playing there. Children also follow their parent’s model, so you can encourage social interaction by greeting other and asking your son to do the same, ask him to receive the guests who come to the house with you and sit to enjoy the conversation. If you notice any shakiness, becoming tearful, anxious or aggressive when approaching social encounters, you may want to talk to the school counselor or children’s therapist to evaluate those symptoms and rule out any behavioral problems or social anxiety.Mi hijo juega solo en el receso.¿Debería preocuparme al respecto? ¿Debería hacer algo al respecto?Cada mama es experta en la conducta de sus hijos. Primero que nada te sugiero que revises con tu hijo y le preguntes si él se siente contento jugando solo, o si se queja porque nadie quiere jugar con él. Observa si él juega solo en la escuela, pero es sociable en otros ambientes como con la familia o los vecinos. Jugar solo puede ser saludable para los niños, les ayudo a ser independientes, desarrollan sentido de seguridad, y les permite explorar su ambiente y utilizar su imaginación, entre otros beneficios.Por otro lado, también es importante desarrollar destrezas sociales y perfeccionarlas con la práctica. Los niños van por etapas de exploración y prueba hasta que desarrollan un nivel de confianza en sus destrezas sociales. Dependiendo de la edad de tu hijo, puede que el necesite algunos consejos. Provéele la oportunidad de interactuar con otros niños, sin obligarlo. Ya sea yendo al parque a jugar con vecinos, o a actividades comunitarias infantiles con algún amigo. Luego pregúntale como le pareció la actividad y si le gusto compartir allí. También recuerda que los niños siguen el modelo de sus padres, así que puedes motivarlo invitándolo a que salude a otros después de ti, o invitándolo a recibir a la visita que llega a la casa y que los acompañe durante la conversación.Si observas que tu hijo está nervioso, lloroso, o agresivo cuando se acerca alguna actividad social, consulta con el consejero escolar o un consejero infantil para evaluar sus síntomas y descarta cualquier problema de conducta o ansiedad. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed. }} [/INST] I agree with Cory. Acceptance and Commitment Therapy (ACT) does seem to help a lot of people who struggle with anxiety. It's not the only type of therapy that can help, but it seems to help people in a way that is more natural and realistic. As Cory mentioned, anxiety is something that is part of life, so therapies that indicate we can get rid of it are questionable. Our natural inclination when we have anxiety is to STOP any and all things that may cause it or provoke it. We do this because we think it will help, but it actually doesn't. Anxiety usually has us rehashing the past or rehearsing the future while ignoring the present. ACT helps folks who have those kinds of tendencies. Be well..Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Is this something I should be worried about? Should I do something about it? }} [/INST] The answer depends on how the other areas of your son's life are doing.Is he happy or does he seem happy, playing alone during recess?Does he have friends in other social circles besides the students whom he's with at recess?How is his academic progress?How is his social integration among his classmates?Are there any special or unusual circumstances in the home and family environment?Go through this list to form a fuller idea of whether your son simply likes alone time and takes this option during recess, or if any if the above areas show stress or difficulty for him and which need to be further understood and handled. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Is this something I should be worried about? Should I do something about it? }} [/INST] Humans are social creatures so this can be an alarming thing for a parent to deal with, just like adults children are not the same and some children are more social than others, if he plays alone at recess (all the time) it would worry myself as well, however recess is only one domain of life, does he have friends outside of school or daycare? Does he socialize in other situations or is it just at recess where this occurs? If this is a global problem occurring at other social times it may be indicative of something deeper going on, if perhaps it is occurring "just during recess" it could be something else altogether. I would request reports from all teachers and caregivers concerning socialization and make a choice on whether or not to evaluate further.Hope this helps,C </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I feel really uncomfortable when I have people's attention. It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety? }} [/INST] Since anxiety usually about anticipating a bad result, or fear of being judged negatively, as though having failed some sort of test, consider what would give you the feeling of anticipating a good result from talking to an audience?Maybe, for example, if you prepared and rehearsed your talk more than what you typically would, you'd feel more secure in speaking in front of an audience.Once you sort through your particular reason as to the source of your discomfort, it may feel more manageable.Yes, social anxiety can change. You may naturally prefer smaller groups than an audience.And, it is possible to decrease anxiety in what may always be somewhat uncomfortable for you. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone? }} [/INST] There is a difference in someone agreeing to try something and agreeing to continue to do it. Have you ever been willing to try something and then decided you did not like it? A type of food? A sport? A new restaurant? A type of dance? So this does not mean that things have changed between you. It does mean that the two of you may need to spend some time to find out what you both like. Instead of looking at it as a rejection, look at it as a challenge, an adventure that the two of you can go on as explorers together. Some couples have even found it helpful to each write down ten things they would like the other person to try and then each person can pick three things from the other person's list to add into their life together when they chose to over the next few weeks. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone? }} [/INST] There are many possible issues to consider as depression social anxieties, even medical illness. For some, even grief creates a sense of isolation, pains from relationship break up. Also, obsessive thinking can be debilitating. Seeking at least one trusted friend or family member can be a start towards increased personal support. Some persons may simply feel connected by spending time with someone as this, even if not talking directly on issues, just being around another is positive. Obviously there is more to explore on this question, given minimal information from two sentences. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ 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. }} [/INST] 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 </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone? }} [/INST] It has been said that depression is often the result of a blocked goal. Often people struggle with both anxiety and depression but have difficulty determining which is the most important issue. For some, depression is the result of frequently blocked goals and when their predominant issues are evaluated, they discover that they are anxious (worried) about a lot of areas in their life but seem to find no relief. When there is no relief and there have been numerous attempts (either in their mind or in practical application) to resolve the anxiety, depression is often the result. In this type of case, depression is not the main or underlying issue. The anxiety is the underlying issue. Having "a lot on my mind" sounds like anxiety. Unresolved anxiety can lead to feelings of depression which are often associated with "emptiness." In the question above, I would want to evaluate all of the issues surrounding having "a lot on my mind" and determine where these might be coming from. Has there been ongoing rejection from peers? From family? If so, why does this seem to be happening? Isolation is often a protective measure that one implements to avoid further pain. Where does that need to protect originate? Are there unmet needs from childhood? Are there traumatic life events that have created a need to self-protect as a defense mechanism? We can feel "alone" even when in a crow of people or at a party. This has nothing, in this case, to do with being around people. It has more to do with how we view ourselves. If there is a prevailing message or script that has been internalized that says, "You are worth nothing" or "You don't deserve the company of others" then being around people will not alleviate the problem but only exacerbate it. I would want to evaluate how one feels about themselves and what negative messages one has received and has repeated to oneself over time. The Developmental Needs Meeting Strategy is a therapy aimed at addressing unmet childhood needs. If there is specific trauma that is associated with socializing with people, then EMDR can be very helpful in desensitizing and reprocessing the trauma. Looking at whether this individual's issue with emptiness is straight depression or whether it is depression as a result of unresolved anxiety is key to determining a treatment strategy. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I have no friends, no hobbies, and no interest in anything. I get annoyed with everything and everyone. I am always tired, i can sleep 8 hrs or 12 hrs and im still tired. I don't know what to do. Is this normal? }} [/INST] Hello, and thank you for your question. It certainly sounds like you don't like how things are going. Here are a few thoughts and ideas:1. If you haven't seen a primary care provider in a while, you may want to. There are health conditions that can affect your mood and energy levels, even at your age. It doesn't hurt to get checked out. If they find the cause, they may be able to treat it and improve the symptoms. In addition, most primary care providers are trained to be able to manage medication for patients who have mild, moderate, and sometimes severe depression. So, don't be surprised if your primary care doctor offers to put you on an anti-depressant if they diagnose you with depression. Medication is not the only way to treat depression, but sometimes it is necessary depending on different factors.2. You may want to consider counseling, since it is another effective way to treat depression. A counselor will help you explore the factors that may be leading to depressive symptoms in the first place. This could include thoughts, behaviors, beliefs, life experiences, and other things. 3. Finally, to answer your question about whether these feelings are "normal." These symptoms could be the sign of an underlying general health or mental health condition. It is important to remember that even if these symptoms are "abnormal" it doesn't mean that YOU are. Millions of people struggle with depression. So remember, the symptoms are the problem, not YOU. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I'm a guy. If I don't like girls, nor do I like guys, does that mean I'm gay? }} [/INST] Hi, and thanks for your question. I agree with my colleagues about researching asexuality, but I want too add a couple of things about that:Here is a website that you can start with to get some information about asexuality - http://www.asexuality.org/home/There are a whole lot of myths surrounding asexuality. One is that people who are asexual have absolutely no interest in sex, and that is not always the case. There are variations of asexuality. Some people who are asexual have an interest in sex and others don't. Also, once you read more on this topic, you may find that you don't connect with asexuality either, and that is okay. Our society usually thinks of sexual orientations as only being straight, gay, lesbian, or bisexual, but the truth is there are many variations of sexual orientations. Keep exploring. There is a good chance that there is a community of people who feel like you do. Finally, labels are important for a lot of things, but labeling ourselves can sometimes lead to some painful feelings. Try not to feel pressured to label yourself too quickly. This is your journey. Your experience. Take all the time you need. You may never feel the need to label how you feel, and that is okay, too. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ It's really hard to not have negative feelings about friends who don't put any effort into nourishing our relationship. }} [/INST] One thing I would ask is "why are you still hanging with those {friends}?" A relationship needs to be nurtured by both parties, it is a dynamic fluctuation between two people. I would ask you to question why you continue to remain together as friends, I always believed that a relationship should emit positivity towards all parties involved, if your in a relationship that is one-sided, it is inevitable that it will start to de-compensate. Never travel with the circus, never travel with fools, everything in life should have some positive payout, will things at times be negative, of course they will, but in order to keep something or someone in your life there should be more positivity than negativity.Hope this helps, C </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ I was in a relationship for almost five years. We were friends for a few years before we got into a relationship. He was a caring, friendly, and charming guy up until three and a half years in. He started controlling me: who I hung out with, where I was at all times, and he had a huge hissy fit if I tried to ask him the same questions. All that time, he just liked me as a friend and was cheating on me with my so-called friends. At the end, he was a nasty and narcissistic person. Now it’s hard to be social. }} [/INST] It sounds like you had a very confusing and painful experience in this relationship, and now you feel hesitant to let yourself get close to people. It is understandable that when we are hurt in relationships, we may have trouble trusting and allowing ourselves to be vulnerable with others.Therapy is a great place to explore the roots of present difficulties in relationships, to unpack what happened in prior relationships, and to find new ways to show up in relationships so that we can have the relaxed intimacy that we want. Often, relationship difficulties represent patterns of relating that we learn early in life which we may feel compelled to act on outside of our awareness and therapy provides an opportunity to become more aware of these patterns so that we can change them, enabling us to feel secure and to seek out satisfying companionship. </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me. He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard. I want to end this relationship, but I don't feel like I can. How can I let go? }} [/INST] Hello, and thank you for your question. Boy, ending relationships is tough, isn't it? Sometimes it's tough even when we are 100% sure that it is the right thing to do!I am going to give you some of my thoughts, and hopefully some colleagues will add some others. One of the things that I want to point out is that "letting go" is not really a thing. In other words, it's not really something you can reach out and grab. It's more of a process. This is good news, because you don't necessarily have to be at the end of the process to end an unhealthy relationship. We just have to accept that there will be feelings that come up even after the relationship is over. For example, someone can end an unhealthy relationship today, but then be reminded of the good times on what would have been their "anniversary." This could make the person very sad. They may even regret ending the relationship for a little while. It would important, then, for the person to remind themselves why the relationship needed to end, and that they are healthier because of it. This is relevant for you. It's hard to walk away from a relationship. We fear all kinds of things, including being single! Sometimes it's helpful to compare what you are getting out of the relationship to what you want from a relationship. It's helpful to be honest about what we have given up for an unhealthy relationship. It's fine to admit uncertainly about ending things. It's okay to be afraid. It's okay to have moments of doubt and sadness along with a dash of guilt. And even with all of that, someone can still leave if it is the healthiest thing for them. They can have sadness later on, and still not go back.It sounds like you are feeling responsible for making sure he is okay because of this divorce. The truth is that there is not necessarily a "perfect" time to end any relationship. There would be no guarantee that he would be doing any better after the divorce. Sometimes NOT making decisions stresses us out A LOT more than making a decision and living with the consequences, both good and bad. You may be at that crossroads. Be well..Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ After I told them, they yelled at me. }} [/INST] Hello, and thank you for your question. I am very sorry that this was your experience with your family. I truly wish I could give you some things to say to them that would change their reaction, but unfortunately I can't do that. Their acceptance of you is a journey, just like coming out is a journey for you. Sometimes families initially respond this way, but after time they become more accepting and even supportive. Unfortunately, there is no way to know for sure if that will happen. So, here are a few things I would suggest:Surround yourself with people and things that remind you that you really are okay as you are. That won't take the place of your family's acceptance, and I won't even pretend that it would, but it may help during those days when it hurts the most. And that is really important. Patience is not something that many of us are really good at, but this type of situation sometimes forces you to have some. When families first learn something like this, they may go through a period of shock. And then sometimes even grieving. They may even be worried if they are of a particular religion where being bisexual is forbidden. These things can take time for them to reconcile, so it may just take some patience. If it is safe for you, try to talk to them, but if it becomes painful or hurtful then you have the right to walk away. I do recommend setting up some personal boundaries for yourself, and perhaps learn some assertiveness skills if you feel you struggle with them. The reason I feel that this is important is that people sometimes take a lot of abuse from family members and friends in times like you're describing. They may want to be accepted so much that they put themselves in hurtful positions over and over again hoping that their families will come around. They may, or they may not. And if they don't, you deserve to live a life free of abuse and to feel confident and assured of who you are. To be surrounded by folks who remind you of that. If you start seeing this pattern and you are struggling, chatting with counselor may be a great idea. I am bias probably, but I think chatting with a counselor is ALWAYS a good idea. :) Hope this helps. Be well. Be you. Robin J. Landwehr, DBH, LPC, NCC </s>
<s>[INST] <<SYS>> {{ give the helpful answer what user asked}} <</SYS>> {{ Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me. He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard. I want to end this relationship, but I don't feel like I can. How can I let go? }} [/INST] First decide what you truly would like in the current relationship. Understand your reasons for staying in the relationship.Three years is a substantial amount of time to be involved with someone. Whatever attachment you feel toward this man is deep and complex.Instead of deciding to leave or not leave, change your question to figuring out your satisfactions and dissatisfaction with the man. Also important is to tell the man your feelings.Whatever problem you are feeling may become clarified by discussing what bothers you.At the very least, you will give the guy a chance to show how interested he actually is in the tension you currently feel and have felt for a while. </s>

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