Datasets:

---

mc-ai

/

counsel-chat-assistant-personas

like 0

Follow

Masterclass 39

[ "The short answer is: absolutely not! The longer answer is that it might take some time to process all of the issues, and it may feel quite \"muddy\" in the issues for a lot longer than is tolerable (which is why counseling may have been postponed to begin with for you.) It's important to be realistic when entering counseling of any sort, and that the therapist be realistic with you about what you might be able to expect working with that person (I use the words \"might be able to expect\" because therapy experiences can vary.) But that not having counseling about trauma that you have experienced much earlier in your life can play a significant role in the process and how long that process could take to unpack all that may have been buried over time.It might also be helpful in counseling to work with the therapist on figuring out where to begin, but to also manage the feelings of being overwhelmed that may make it hard to continue to show up and do the work required, week in and week out. It isn't easy work trying to process past pain that you experienced, and so consistent practice of self-care, including leaning on support systems outside of therapy, is key.", "I wouldn't necessarily say you are clinically depressed based on\nthat first paragraph in your question. Because that could describe more\nintroverted behavior (people who feel more energy from a more internal approach\nas opposed to those who feel more energy from being among others.) It is more\nin the second paragraph that I would be inclined to say that further\nexploration is definitely needed. The diagnosis of Major Depressive Disorder is\nmore than just those two symptoms, but there are more mild forms of depression\nthat can be equally damaging to someone if left untreated.However, one of the trickiest parts of this is that someone who\nfeels they are not worth knowing may also believe they are not worth having a\ntherapist know them, and even less worthy of being helped. Do you feel that\nmight be you? If so, could we acknowledge that as a part of the big picture,\nand all wrapped up in these feelings about yourself, and realizing that\nthoughts and feelings aren't always rational (in that you are worth getting the\nhelp)?My recommendation just from the information would be that you seek\nout a supportive, listening ear in the form of a therapist, who can allow you\nthe space to express some of these difficult experiences, and help you name FOR\nYOURSELF, what your struggle is. To empower you to name it for yourself, as\nopposed to everyone labeling and/or judging you for it, might be an extremely\nworthwhile start for you.", "The first step, which you've taken, is actually wanting to talk to someone. It's a great sign that you are seeking to reach out for help. And there are therapists everywhere (there are even therapists online, so you don't have to be that close to them or their office.)There are several sites that I refer people to to begin the process of looking for a therapist. I usually have them start with psychologytoday.com. Once there (there is a therapist directory), you can narrow choices down by ages that they work with, insurance they accept, depression as an issue they focus in, etc. You can also narrow down by therapist's modality, but that can get complicated if you aren't too familiar with the various theoretical approaches. It's important that you find someone that you feel understands your situation. That might mean that they identify an issue you are having in their profile, or on their professional website. But, you should try to meet a couple of different therapists if you aren't quite sure. It can be challenging that first session, but your best (note, not \"THE best\") therapist will help you feel comfortable (or as comfortable as possible, given therapy can be uncomfortable especially at first) and understood from the get-go.I have found that asking friends or family for names and recommendations Is also a common way to find a therapist, because it can come from a trusted referral source. But remember that we are all different, so what works for one might not always be a good fit. And again, it could take a couple of first sessions with different therapists to know if someone is a good fit (sometimes, it can take a few sessions.) And if there is no one around that can give a name or two, then searching online is quite common and can yield positive results.And try not to give up! Finding a therapist is not easy, but finding a good one for you is extremely rewarding.", "Yes, if crying is how you are expressing an emotion, then not only would it be normal, but hopefully encouraged, because it's an important part of therapy to have a safe space to express your emotions. We might encourage you to put words to the tears as well, to help you expand on your experience and begin to make more sense of it.As a therapist, our job is help you open up and feel comfortable enough doing so. I sincerely hope no therapist would ever shame you for whatever experience you are having in the room.", "It depends on your definition of \"normal\"!:) I would say that the average client I see feels some level of nervous energy when they come into their sessions, and especially at the beginning. I think that with clients who I work with that have difficult times in relationships, maybe being able to trust people is tougher for them given their life experiences, the expectation would be that they have a harder time moving through those nerves and feeling more at peace in sessions.In my opinion, a competent therapist could help you explore where these nerves are actually coming from (talking about yourself, relating to another, something else?) I encourage all of my clients to bring up whatever emotions are coming up for them in the moment, as it's helpful to the client to recognize the \"present moment\" emotion and then being able to process, learn from, and move through to a more peaceful place, if that is what is being sought.", "It might be helpful to have a good understanding of the \"why\" in terms of feeling nervous around people, or the difficulty in developing more comfort. If your discomfort is somehow related to your son's diagnosis or your lack of employment, or an abusive relationship you were in and maybe embarrassed about, that is important to understand, and get clarity around. When we can understand on a deep level what is happening for us (i.e., where does fear come into this, and what's it about) we can give ourselves empathy. Everyone struggles in some aspect, so to not necessarily think of yourself as pathological is a first step. Sometimes being around people can trigger an anxiety related to being \"good enough\" that goes back a ways in our history. If any of the above is true, it would need acknowledgement and care from you, as opposed to shaming that experience (in the hopes it would just go away), because this experience is very real for you.", "The thing I picked up immediately in what you're asking is how you don't like other people because \"they make me nervous and scared.\" If someone said that to me in a therapy session, I'd want to understand this much more with them, and what this \"nervous and scared\" experience is all about: perhaps starting with the question, \"what's the earliest memory you have of feeling uncomfortable around people.\" The idea would be to try to understand all of what it means for you to be around people, and the history of the experience, without labeling it wrong or passing judgment on it.From there what might come is that certain people, and their character traits, might be harder to be around for you because of experiences that you've had with similar situations in your life. Or, it could certainly be something completely different. It would be most important to understand it much more deeply considering the amount of distress it causes you, and in doing so we could begin to see it as \"normal for me.\"", "The short answer I could give is that we don't know why it's happening. The longer answer could come from deeper exploration as to your fears, or anxieties, that you experience maybe just thinking of going outside. But any sort of exploration about this almost HAS to begin with an agreement within you (and all of your feelings), that's it's not something to be ashamed of. If we are ashamed of any of our behaviors, then we lose the ability to sit with them and see where they are coming from. This could be something that can be worked through in therapy, and specifically with a therapist who specializes in anxiety and more specifically, agoraphobia.", "Does it help to put a name to the experience you are having? Where you first said, \"I've been upset for no reason and feeling anxious,\" you then say that you are \"feeling burnt out,\" which gives a little more context to what may have once felt like \"no reason.\" Perhaps you are feeling burnt out! That is a big deal, and please try not to take it lightly! When we get burnt out, I have found that it's from one of two things: either we are not doing what we want, or we are doing too much (either of something we want or something we don't, doesn't really matter once we get into doing too much.)If either of those rings true for your experience, try as much as possible to sit with the experience and get a better sense of where the burn out is coming from. I wrote about burnout for a newsletter and it is on my website. I don't want to do shameless promotion, but I thought it could also add to helping you: https://davidkleintherapy.com/my-experiences-with-burnout/I hope that you can also see that it's not an abnormal experience.", "I think one of the best things to pass on to our children, or simply one of the best lessons in life, is to learn when to internalize (it's an issue in me) and when to externalize (it's an issue in them), as well as always finding the balance of the two.In this case, you don't seem to be the issue. Sure, living with your parents with your child probably is not your dream scenario, nor your parents'. But, there are ways to process that without someone feeling abused, and your parents clearly have zero ability or boundaries if they are willing to verbally abuse you in front of your child, and their grandchild. If there is a reason they are doing so, I'm sure they think they have a good one. However, the dynamic that they are willingly setting up is problematic. And it is THEIR problem. However, by being strong and not taking in someone's verbal abuse, you are going to role model for your child how it's about what is inside of you, your own drive, that will be what is important, NOT what others say about you. It's important to always come back to yourself inside, and seeing the good that is in you (or even just noticing that it's there, if you can't quite see it in its entirety.)I would also advise your parents to think about their own role modeling.", "The most important word here is \"sometimes.\" I know it is quite painful, and I can imagine that at times this pain doesn't feel like it will subside. But it sounds like it is not all the time, which means we can easily say that this \"hate myself\" experience is one part of you. There are many other parts, if you give them some space to also \"speak up,\" that will offer you more positive regard, trust me on that. Generally speaking, we just don't know how to listen to those parts, because......it is the \"I hate myself\" part that is our inner critic. And often, our inner critic has developed a lot of strength throughout our life because of how we've depended on it for certain things. Sounds crazy, but in actuality, some of the most \"successful\" people, in work mainly, are those that have strong inner critics. They use these critics to motivate themselves, but with people, and in relationships, and in our relationship with ourselves, it completely backfires, because relationships are far more dynamic processes than \"doing well at work.\"So, try to acknowledge that the inner critic is one part of you, that you've learned to give a lot of space to. But, if you sit with even a remotely positive feeling you have, it can also be given the space to speak up and grow, just like the critic has over time.", "Without knowing the details, it would be very difficult to say! But, that's also the point of my response. Because even with the details, it's very hard to say, as no one is experiencing the relationship in your shoes, except for you. It might be helpful to process this in therapy, or with your boyfriend directly and voice your concerns about the relationship. In any successful relationship, the research has shown that openness in communication is vital.That all being said, I would also add, with a lot of curiosity...if you have to ask the question, does that say something about what you feel is the quality of the relationship?", "Well, there is some good news and not-so-good news. The good news is that people are capable of moving on from relationships, even if the person showed them a sort of love that they've never felt they've had, or deserved, before. Sometimes, even just the fact that this has happened for them can, eventually (see below) lead them to seek out love again, because they now believe they will be able to have that again.So, the not-so-good news though is that one can not \"just move on.\" I'd even venture to say that the pressure you may be putting on yourself to just move on and out of this yucky hole of feelings that you are in is actually too much pressure and adding to the yucky feelings as they are. Instead, try thinking of getting past these feelings as grieving over the loss of someone (even though someone didn't die, there is still a significant loss you are experiencing) and therefore how essential it is to allow yourself to grieve, to feel whatever feelings (of anger, or sadness, or something else) that you are feeling. Often, it is really helpful to speak those feelings (I recommend professionals in this case) who can help you feel like you are not pathological for this struggle, and instead that it is completely normal. Love is a crazy thing, and the feelings can get very confusing. But, the last stage of grieving is \"acceptance,\" and it is very challenging to get there if you skip over denial, anger, bargaining, and depression.", "I think it's important to tease more of this situation out to figure out what is at the root of the stress. It is emotionally dangerous to be at a job for a lengthy duration in which you feel overworked and underpaid. You will not perform well as you mention, and thus your self-esteem will continually take a hit without really any effort. So, I don't know that simply coping with your stress would be advisable as a first step.You don't speak about a lot of what the office dynamics are like, which can be a big indicator for me of what can be done to help you feel better (because we exist as a part of a relationship with everything, including people at our job.) I would encourage you to speak up about your contributions to your boss. Often, \"overworked and underpaid\" also includes the \"my boss never notices me,\" and that can demoralizing. If we feel appreciated, that can go a long way. I've found that it is quite common for bosses to require some instruction for how to show each of their employees \"appreciation\" (and it goes deeper than \"thank you\" or taking you out to lunch - it's almost something felt as opposed to made explicit.)But sometimes appreciation isn't going to do the trick either. Because that overworked and underpaid actually has led you to feel \"burnout.\" You have zero interest in doing the job in the way it is designed, so some real changes need to be implemented. The bottom line? Try not to just \"suck it up\" and do all of the \"self care\" work on your own. If your company isn't helping you to take care of yourself (I'm talking to you, boss that handles employee pay and/or work conditions!) then you also have to question if this is a company worth working for. While I don't know exactly what you do, it sounds like you have confidence in your contributions! So take that confidence to a tech company that will support you (and there are tech companies out there!)", "Nope! In fact you are NOT a pedophile. That term is reserved for older adolescents attracted to children, or adults who are attracted to children. I see an age difference as being one key factor in determining pedophilia if the older person is still in adolescence. You being only a year older than your girlfriend doesn't qualify, so go right ahead and be attracted to your girlfriend without shame!", "It would be my professional opinion that the desire for you to keep it a secret at all, while yes I could see it as \"giving you a chance with a girl,\" is something that might be more about a discomfort for you. If you are comfortable with your kinks and fetishes (if I may call it such, not my intention to pathologize in any way though), then be as open as you want to be. But I also don't know that you need to be announcing it as part of your online dating profile (because you do say it \"bothers girls I ask out\" which to me implies that that is what you're leading with.) My hope is that people don't make dating decisions based on your kinky behaviors, but more likely that they would make decisions based on your own comfort and security with said kinky behaviors.", "As you say, if he does reply it is hurtful. But, if he doesn't reply, it sounds like it's just as hurtful (though more in my opinion in terms of the longer-range effects on the relationship). The behavior he is exhibiting would easily pass for \"passive-aggression,\" as it is manipulative and controlling through passive withdrawal behaviors. And I can assure you that you are not alone in struggling with how to deal with it. So many do, and that's why it gets done so often, because it can. For example, if you push for connection, he stonewalls even more. You probably become more distressed.Frankly, if you and your boyfriend were sitting on my couch in therapy, I'd likely say that the behavior needs to stop in order for the relationship to continue, because of how severe it sounds (an hour of withdrawal because someone can't deal is reasonable, as everyone can shut down from time to time, but this feels extreme and is extremely hurtful to you.) I might even say to him that the behavior needs to stop if he ever wants to be in a healthy, loving, connected relationship. Because the amount that you describe him disconnecting severely hurts trust and security. One of the first \"change events\" in Emotionally-Focused Couples Therapy is for the person doing the withdrawing to be able to use words and communication to help the partner understand what they are experiencing, so the burden does fall more on him at the beginning. It becomes the partner's job to tolerate though whatever his experience is.There is no one \"tried and true\" solution to working with passive-aggression, but I would most advise limit-setting (like I would do in our session). In one way, shape, or form, in order for the behavior to stop, there has to be consequences to it. The more you tolerate it and allow him to come back to you when he's done with his silent tantrum, the more you encourage the behavior because he is getting what he wants.", "While smoking can be incredibly difficult to quit doing, it's not impossible, so the first thing to NOT lose is hope. And certainly planning to have a baby can be exactly the catalyst that one needs to motivate to complete this sort of task. But, as I said, it still won't be easy, even with the motivation there.There is a definite physical component, but it's great that you can acknowledge the psychological addiction that exists. It would be helpful to dive into what that psychological need actually is, as it can vary from person to person (whereas the physical addiction doesn't as much, and therefor can be helped through gums and patches and inhalers, etc.) Exploring and getting to the root of the psychological need can help you to determine what is going on for you psychologically, and how else you can meet those needs of yours, perhaps in much healthier and more adaptive ways, that also help you to feel really good about yourself. While replacement is not always advocated, having psychological needs is not something to be ashamed of, but rather nurtured.", "There are a lot of ways one could go about handling this kind of conflict. It is hard to know which way might be advisable if we don't know quite why they would yell (or, why would they care who you choose to sleep and/or partner with to begin with?)However, it is of utmost important that you accept yourself as bisexual, and sometimes that is easier said than done. But, when you are able to get to that acceptance that you are not in the majority in society as far as sexual orientation goes, and all that comes with that, and perhaps other issues you might have with it, it will be significantly easier for you to tolerate your family's lack of acceptance, and perhaps chalk it up to a severe lack of open-mindedness.But because it is family, and we don't choose our families but are forced to deal with them for the most part for better or worse (admittedly I'm not the biggest fan of outright estrangement), processing the loss of \"the family that I hoped I had\" will also be important for you moving forward in your life. You likely will be able to realize you don't need them to accept your sexual orientation for you to live a healthy and happy life. Perhaps when they see that they can't change you, they will actually just learn to accept it.", "In addition to suggesting this great read from 2016 (but feels timeless):https://www.nytimes.com/2016/05/29/opinion/sunday/why-you-will-marry-the-wrong-person.html?_r=0I will give my summary on what the author of the article is speaking to: don't get too comfortable. But, in truth, no one really has the answer to your question, otherwise wouldn't we all have a \"good\" marriage? Also, what even is a \"good marriage?\" What is it that YOU want from a marriage, a relationship, a partner, and what your other-half also wants for themselves, is going to be what defines all of this, because every relationship is different.And in answering that \"what YOU want\" question, you might actually stumble upon what would make for a healthy relationship: vulnerability. You will have to be vulnerable to be able to explore what you really want, and listen to what your partner really wants, as that kind of processing can be uncomfortable. But, with vulnerability comes intimacy, and in most opinions, there is much of a relationship if there isn't much intimacy.", "No one can tell you how to deal with your own relationship, even a therapist. But, you should absolutely give your girlfriend the respect of believing both of those statements she gives you: development of feelings and it being a \"crush.\" If that makes you feel a certain way (mistrustful? no difference in feelings) then that is what is most important to understand. When you understand exactly how YOU feel about hearing this news, then we can know how you should deal with this.You have every right to be in the relationship or to leave the relationship. But if trust is broken, first and foremost it needs repairing. What that repair looks like varies (but can often involve couples therapy, which may be complicated because of the long-distance nature of the relationship.) Otherwise, staying in a relationship that has become mistrustful for you, and not prioritizing the repair, is a recipe for disaster.", "Depends on your definition of \"wrong\" on this one. Was it objectively wrong to spend the weekend with a good friend, who also happens to be an ex? Probably not. But, it upset your current boyfriend, and he is entitled to his feelings if you are in a relationship with him. He may be out of line if he assumes that anything happened between you and your ex that would compromise the relationship, however your boyfriend being upset might also mean that he wanted to spend that kind of weekend with you and did not get to do that.Long story short, it might help your relationship to understand more, and be curious, not judge-y, around what is upsetting for him. Perhaps having empathy for his experience of the behavior could help him to feel more secure with you having relationships with your ex(es).", "I would ask you, \"do you feel like you need to come up with a label?\" Is there something about identifying as one or the other that would be helpful for you? From what current science has told us about sexual orientation, it's a spectrum. There are people on the spectrum who are clearly gay, or clearly heterosexual, and then there is everyone in between, which includes being \"bisexual\" (which I guess in the spectrum would be smack in the middle?)It may be too early for you to identify as any one thing on that spectrum (as you say, \"but I don't really know\"), or maybe as you move through life you just won't identify as any one thing, and that's totally okay. The most important thing, in my professional opinion, is to accept yourself, fully, for whatever it is that you are. The second most important thing, in my professional opinion too, is to be honest with yourself and your partners about however you do identify your sexual orientation.", "As a therapist who believes in client self-determination above most other elements of the process, I want to as much as possible leave it up to the client to determine when they are finished. In the case of a termination because a client's distress has resolved, I might periodically check in with the client about how therapy has been going, and if we want to re-evaluate where we are.The more unfortunate situation would come about if I felt that I wasn't the best fit for the client. I would offer that in words, and ideas of therapists (with names) of who I thought might be a better fit and why. It still is up to the client whether to continue, however should they want to keep seeing me, a part of the work would be about that want (to see someone who professionally doesn't believe they can help as much as someone else.)I also find it perplexing when I hear a client (or on a personal level) tell me that their therapist said they \"didn't need therapy.\" I don't know that I buy into that scenario all that much, because I do believe that yes, not everyone NEEDS therapy, but that everyone CAN benefit from therapy and I don't believe it is the therapist's job to deter someone from ever seeking out help of any kind.", "Those kinds of thoughts can be quite difficult to handle, but if they are your own thoughts (and not voices you are hearing, which can be very different), they likely are not new to you. From what I've learned from clients I work with, often these thoughts have been quite useful for them over the course of their lives, that through criticizing oneself, it is a way of motivating oneself. However, in your case and in most of those clients, it has caught up to them and it's almost like they no longer need the motivation (that they can do just fine motivating themselves by themselves!)I think it's important to see these thoughts as the voice of the \"inner critic.\" That inner critic was there for a long time, again, because \"it\" (I like to identify it as a thing inside of you) thought that you needed motivation in the form of criticism to stay on task with your life. But now that that kind of sentiment is no longer needed by you, it might be time to have a different kind of relationship with it. But it wants to be heard. It doesn't want to silenced (Or \"stopped\" in your words.) So instead of trying to ignore it, perhaps we can see all the ways you are worth something and internalize (take in, let those ways resonate with you, sit with them, think about them) so that the inner critic can see that it isn't quite correct in what it is saying. In essence, you are instead sitting with the thoughts or worthiness instead of worthlessness.If that is challenging, sometimes seeing someone who is objective, such as a therapist, can be helpful. They can help you see the ways in which you are strong, have resilience, as well as any positive attributes that might be hard to see in the face of this loud inner critic. And, above all, if you feel like this doesn't resonate for you, and that the voices might actually be voices, an evaluation should be sought to further tease out what sorts of symptoms you are experiencing.", "How do you know anything is \"right\" for you? I think it's an intuitive process, and not always based on the objective expertise of the therapist, either (most psychotherapy research has concluded that the client-therapist relationship is the strongest factor in success in therapy.) But, in my view what is important to check-in with yourself around whether or not the therapist can hold space for all that you come in with (for example, not expressing discomfort with things you might talk about is a big \"run away\"), challenge you enough where you feel like it is challenging you to grow, but also where there is some part of you that does look forward to the sessions.How to \"train\" your therapist? This could be a session in and of itself I must say:) The therapist-client relationship can resemble many of the relationships in your life, or those that you seek out. A therapist, like anyone else in your life, won't be able to give you what you need 100% of the time and then expect that you will be able to function outside of the space. That can turn into a highly enabling process that won't help your other relationships. However, what the therapist can do, and help you deal with, is to tell you what they can and can't give you, and then process the disappointment that you feel when they can't be everything you might feel you need.", "I have found that if you go to my website and fill out the form, I can usually get back to you within 24 hours. In my most efficient instances, I've been able to set-up a consultation within a couple of days, which is just 15 minutes by phone, to chat a little about what you might want to work on, how I may or may not be a good fit, etc. Then from there, if you want to meet in person we can set up an initial session. I will usually be able to let you know what kinds of ongoing times for counseling that I have available over the phone. Scheduling is a big barrier to finding a therapist, especially in New York, when schedules seem pretty busy all around.I've heard a lot of statistics about how prospective clients in therapy will often wait for months before reaching out, which is why I think that email is great. Cold-calling can cause an unnecessary amount of anxiety (also, who will hear me on the phone?) whereas email is relatively easy to begin a conversation, from what I've found.I tend to recommend clients give a new therapist a couple of sessions to get a feel for fit. But, if it's horrible after one session, and you feel awful when you leave, that's another story. I might want to explore with you what felt so awful, but if you don't want to come back, that is well within your right.Also, keep in mind that we want to help. So, please don't feel like we are judging you for seeking out help! You are strong for doing so. Far too often I hear about it as a weakness, and that's just BS:)", "For me, I want a client to feel like I understand what brings them to seek help from me. So I might explore both their present circumstances, as well as their history, and try to start making some connections between the two, but so that the both of us can understand what is taking place. Not every therapist goes into history in the same way, either. The way the therapist practices will often inform the ways in which they collect and look at data.However, above all, my goal, especially in the beginning of therapy, is to work on developing a working rapport with any client. Most research states that the quality of the relationship, rather than modality of therapy, indicates success rates. One of the most essential components of rapport is that someone feels heard, attuned to, and understood.", "I think that the most important skill a good counselor has is the ability to empathize (whether that be natural empathy, or trained, empathy is essential.) A good counselor also knows the difference between identifying with their client, and empathizing with their client. An ability to not bring in our own baggage (we all have baggage and most are \"wounded healers\") into our work, as it's not about us. If it is brought in, it should be in only a way that can help a client.And to listen...specifically to what the client is needing.", "Yes, just like some relationships outside of our work are more difficult than others. But, I would not say that the \"client is more difficult,\" rather the dynamic between myself and the client, which constitutes a relationship, might feel more difficult. And that's okay (sometimes things that feel like the most challenging end up with profound shifts and outcomes.) It is often helpful to understand difficulties that exist, because they can illuminate for a therapist something with which a client might be struggling, and when it takes place in the therapy space, it can be experienced and then worked through.It's hard to necessarily say what some difficulties are that a counselor might encounter, but I would say that not showing up, like in any relationship, is one of the hardest things for me. And not just physically not showing up (though that is certainly frustrating), but not being open to the work is a form of not showing up. While not every client is as \"motivated to change,\" it's helpful to my therapist-client relationships that the client try. It might be hard for them, but the effort even to say \"this is tough for me\" can go a long way in these kinds of relationships." ]

[ "Depression and anxiety can be disconcerting and disruptive to our lives in many ways. I am sorry that you are suffering so much. Depression and anxiety can arise due to experiences, genetics or a combination of both. I like for my clients look at their issues as whole persons so I would also recommend these tips:Physical: regular exercise, healthy balanced diet, rest and sleepMental: how we think is how we feel. How are you interpreting the events that are happening to you? Try to interpret them in a less negative way. Unfortunately we cannot stop our thoughts as our brain is always working. If you can't see your issues in a different way then stop struggling and allow and accept whatever the unhelpful thoughts are. Choose to take actions based on your values and what will give you a fulfilling life no matter what your thoughts are. Remember, your thoughts have no power unless you act upon them. Emotional: do not let feelings dictate your actions, even if something feels anxious take action again based on your values and how you want to live.   Social: connect with healthy friends and family that will be a positive support. Take up some hobbies and recreation activities as well. If things do not improve I would encourage you to make an appointment with a talk therapist and discuss these issues. I would encourage you to also be open to consider an evaluation for anti-depressants with these issues as well. If you ever feel like you might hurt yourself please call 911 or go to your nearest ER.", "You might ask your fiance about people who have let him down in the past; past hurts from parents, friends, people he has dated. If you are speaking about jealousy he may come from a divorced parent upbringing, may have seen parents cheat on one or the other, may have had partners cheat on him in the past.  He may have fears that you may go off the \"straight and narrow\" once you get married. Listen to any concerns with patience and understanding, avoid being defensive. I would highly encourage pre-marital counseling to explore these things and individual counseling for himself to work on fears and anxieties. If he refuses and things do not improve I would consider postponing the wedding, things will not get better once you get married, only magnified.  Finally show him Bible passages about forgiveness and worry and leaning on God with faith and hope for the future.    God bless." ]

[ "When talking about difficult issues, it is very normal to cry. Crying is a natural way for us to cope with the sadness that we experience in life. When confronting some of these things in a counseling session, tears just seem to come naturally. Every Counselor should be well equipped to handle that level of emotion, and you would be far from the first to cry when talking with a Counselor.", "It can be uncomfortable talking to someone about your life in the great detail that is normally necessary for counseling to be beneficial. Since you're already going to counseling, congratulations on taking that big, first, stress-inducing step. Hopefully by now you are starting to feel a little more comfortable with your therapist. It can be helpful to address this big \"elephant in the room\" and talk to your therapist about this. I do my best to help people feel comfortable when they come to counseling, but regardless of how hard we try, sometimes it is just a little hard to get accustomed to. The good news is, the more you keep at it, the more \"normal\" it will become.", "There are many types of traumas, and they certainly can compound on one another as you experience them. Without treating the traumas, or incidents where you felt there was a significant risk to your safety or that of others, there can be a cumulative effect. What we have learned in the mental health field from studying traumas, is that the body as a whole responds to these stressors in order to keep you safe during the events. If the body does not realize that it no longer needs to respond in this way because the event is now over, and then receives a trigger from a new event, it makes sense that the new event could cause additional issues. Both of these events can be addressed with the help of a Counselor. There are many Counselors that specialize in trauma inside and outside of the VA, so shop around if you are able and find someone that you connect with.", "Communication opens up what is called \"cognitive space\" for your partner, and allows them to do the same for you. The more you know about each other, especially your everyday lives, creates a bond between the two of you. Much like the saying goes in the military, the same is true for a couple; \"Complacency Kills\". It is important for both of you to invest in each other on a regular basis. I regularly recommend that both of you take the 5 Love Languages Assessment and start using each other's top love languages to help show each other the positive affection that you feel (or at least want to feel) for one another. Start asking about your husband's day, trying to learn about all the interactions that he has at work, and feel free to ask questions so that he knows you really want to know about him, and know him intimately again.", "Long distance relationships are very difficult to maintain, not just for the lack of communication, but also because of the lack of intimacy that comes along with it. Even if you have spectacular communication while in a long-distance relationship, it is difficult to maintain intimacy because you are lacking in the physical contact aspect of intimacy. Here, we are not talking about sex, but about the emotional connection that happens along with physical contact. It is also hard to have shared experiences when the two of you are in separate places. These are the challenges that you face, but there are some ways to improve your odds. The first thing to remember here is that dating is all about finding a person that you want to eventually dedicate your time, resources, and self to. If either of you finds that the relationship is one that you are not necessarily committed to, it is better to find out and have the opportunity to date others before a commitment is made. The second thing to remember is that open communication is a good sign in a relationship. That being said, I do not believe that sharing details about your \"crushes\" is the best thing for a relationship. Instead, I would recommend working on improving the relationship as best you can. It is a wonderful thing when we can feel that we have given our best efforts on something, especially something as important as the act of loving. Here are a couple things that you can do to improve even a long-distance relationship. Start by downloading the Gottman Card Decks App here https://www.gottman.com/couples/apps/. While on the phone or video chat, try asking each other some of these questions so that you can build a deeper knowledge of one another. Some may seem silly, but they help you know the other person more intimately. It is also helpful to make sure that you are having regular communication with each other. Some situations make it very difficult to communicate, but if at all possible, daily communication via phone or video chat would be best. Even if it is just for 30 minutes a day, really dedicate your time and attention to each other during those calls. Next, it can be helpful to know each other's love languages so you can show each other how much you really care. Take the assessment for the 5 Love Languages and talk about the results together. You can find the assessment here: http://www.5lovelanguages.com/profile/Attraction to other people is completely normal and involves biological processes. Intimacy, on the other hand, creates real connection and dedication to each other. Learn about each other, spend time together, and you will create intimacy.", "The most important thing to ask yourself here is, \"how did this action affect my relationship, and is it worth the consequences?\" Regardless of your intentions in this action, your boyfriend is uncomfortable with this type of behavior. From here, we can objectively decide if spending time with your previous partner (because that is likely what your boyfriend sees them as) is worth harming the relationship you currently have. It is very rare that a person would be comfortable with their partner spending more than a very little amount of time with their exes. Many times, it just gives the wrong impressions. It is very possible that your partner may believe that since you spend so much time with them, that they are still a contender for the most intimate relationship you have to offer, and truth be told, they kind of are. The best intimate relationships, are friendships first and foremost. It is also a good thing to consider what you are getting out of the relationship with your ex that you are not getting out of the relationship with your current boyfriend. If you go to this person for emotional support before your boyfriend, then it is very likely you're involved in some \"emotional infidelity\". When we turn to others instead of our partner, it is as if we \"ran into another person's arms\" instead of theirs. No matter who you are, that hurts.", "The easiest way to start the counseling process is to do a little research online. A quick search for the type of counseling you are looking for can be helpful. There are lots of Counselors out there to choose from, so many times you will have to take it a few steps further than that. Check out their website, social media, and any reviews (but remember, people are not always very nice). If you plan on using insurance to pay for at least part of the services, look for one that is in your network. You can find out if someone is in your network by looking for providers on your insurance's website. If your coverage isn't that great and you know you're going to be paying for it all anyway (because you're an all-star and verified your coverage already with the insurance company), then you can really pick any Counselor you want, but working with one that is at least out of network will give you the benefit of having it applied to your deductible. If you have any questions about that process or just want some help in getting your benefits from the insurance company once you've started counseling, Better is a good option. Once you've found a Counselor you think is a good fit for you, normally the best step to take here is to call and schedule your very first appointment. With many Counselors you can now send an email, but a phone call can normally tell you quite a bit about someone and their clinic. Once you're all scheduled, they will either get you to do some paperwork before you come in, or many times they just let you fill it out once you get there. From there, all you have to do is show up!", "After meeting a client, many Counselors will ask you lots of questions in order to complete a thorough assessment of what you came to counseling for. This assessment is required by most insurances and allows the Counselor to give a diagnosis, which is also required by most insurances in order for them to pay the Counselor. If you are paying out of pocket, this diagnosis is not really required for payment, but many Counselors will still perform a comprehensive assessment because we really want to know what the issues are that brought you to us. The better we understand what it is that bothers you, what you would like to get out of the counseling, and all the various things that tend to affect people such as family upbringing and medical issues, the easier it is for us to help you reach those goals. How the counseling actually plays out from there depends a lot on the theory that the Counselor uses to direct their approach to counseling, and that information is too much for this little post." ]

[ "There are never \"too many issues\" to be addressed in therapy.  Most people come in with multiple issues they want to address.  The wonderful thing about therapy, is that often, as one or more significant issues begin to change and improve-   the lead naturally without much effort to improvements in the other areas.  (For example, as you begin to address trauma and betrayal from you past, you may find that the insomnia improves). Your therapist, with you input and direction, can help you to prioritize which problem areas to target first.", "First of all, it is excellent that you are self aware and able to identify the pattern to your moods. Many people suffer from the winter blues, which is called Seasonal Affective Disorder.  Some people notice that during the Fall and Winter months, they tend to struggle with signs and symptoms of depression such as sadness or hopelessness, lethargy, sleeping to much or too little, changes in appetite, loss of interest in usual interests, and possibly suicidal thoughts.  It would be best to consult with a therapist experienced in this disorder, as they will be able to guide you towards possible solutions such as changing negative thought patterns, light therapy, exercise, nutritional support, and possibly medication.", "These are common challenges that involve setting healthy boundaries with family, as well as friends and co-workers.  Therapy can help you to define, establish and enforce boundaries between self and others by being assertive.  This involves determining what things make you uncomfortable and how to communicate that with assertive, not passive, not aggressive, actions and language.", "The \"right\" therapist is a combination of expertise in the areas where you require, and fit as far as how comfortable you feel in speaking and sharing with that person.  People generally are quite good at determining whether or not someone fits well with their personality and style; and another key to know whether therapy is working is to ask yourself:  \"Do I see that changes have come about since working with this therapist?\"  Do I feel better? Am I reaching goals that I set at the onset of therapy?  Are difficult situations becoming easier by how I handle them? Training a therapist really isn't necessary, as all it requires is open and honest communication in order to give effective feedback that will in turn be helpful to you and your goals.", "Therapy is by nature a safe place to discuss difficult, or painful memories or experiences and thereby it is normal that feelings of all kinds, including sadness, loss, frustration, disappointment, etc may arise.  This is part of processing and bringing closure to things that may have been pushed aside for a lifetime and can now be faced and dealt with.  Change too is often not easy, and can lead to crying, whether from frustration and set back...or also from joy and accomplishment!" ]

[ "First I think we have to acknowledge that you are doing something amazing.  You are putting yourself out there and becoming a Water Safety Instructor.   We often times will focus on the negative and forget about the positive.  Next, you had an incident where someone pointed something out which may have caused embarrassment.  Whether or not it was malicious on his part I think the important thing to focus on is what is called \"Common Humanity\".  Common Humanity is one of the three elements of self-compassion.  Common humanity essentially recognizes that suffering and personal inadequacy is part of the shared human experience.  While you may have had this embarrassing moment at this time, that boy may have had an embarrassing moment another day.  We all have embarrassing moments.  When we recognize that we do not suffer in isolation then we are able to move past that suffering.  Additionally another element to self-compassion is self-kindness.  My question is why must you forgive yourself?  Rather, be kind to yourself for learning an amazing new talent." ]

[ "The way it goes is that all your issues are connected. Once you work on one issue it will have a positive effect on all areas. Slowly each issue is addressed and actually less issues will need to be addressed directly since resolving one helps your overall wellness. So no, you do not have too many issues. Don’t give up. Get help now and see how your life can change for the better.", "The feeling of being worthless is caused by your inside being not matching your outside result. Your comparison to others and you thinking you need to be someone other than who you are. You are not worthless. No one is worthless. You need to find your worth and not let yourself talk yourself out of the good you find in yourself. I hope these words resonate with you and that you start looking for your worth even if it’s as simple as I am able to get out of bed and call someone and make a joke." ]

[ "It's not just you... crying is one way our bodies attempt to heal. There could be many reasons why the tears come but there is nothing wrong or abnormal about crying in therapy. Just the opposite as many times there is a deep need to mourn or simply let the pain out, but not everyone has a good support system in place. Hopefully, therapy would give you a place to allow those feelings to finally surface and then start to feel relief from not having to hold it all inside anymore. Regardless of if it is a physical injury or emotional pain, crying is a normal response to your body wanting to heal. Be gentle with yourself, you deserve care and nurturing. Allow the tears as much as you need." ]

[ "Though this varies from person to person, I think finding the right therapist involves finding someone who you're comfortable opening up to and speaking your mind, including your preferred areas of focus for treatment. It's important to be aligned with your therapist's general approach and, to find someone who you feel genuinely attuned to, both in practice and also, with who they are as a person. Bringing up your needs for treatment is key and finding someone who validates your needs, listens and welcomes feedback are all important building blocks for creating space for a great working relationship that promotes personal growth, openness and invites adaptable approaches in session, based on your individual needs.", "Yes, it's totally normal! Crying is a part of processing the tough stuff, no matter your age, gender or background and the therapeutic session is a safe space to do this. Sometimes crying can offer relief or provide room for deeper authenticity in session as you let both your strength and vulnerability shine in alignment." ]

[ "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" ]

[ "I would say talk to her about her depression. The best thing you can do is let her know that you are there for her as a support system. I would encourage her to talk more if it helps and encourage her to get move involved in doing activities she likes to do. Also, getting connected in a community of people is important to help with feeling depressed. Encourage her to speak with a therapist or counselor to address her depression as she has made a major change in her life by deciding to stop drinking. She may believe moving is the best to help with this. You can share with her that you want her to stay and express to her how you feel. Ultimately, you will have to respect her boundaries and the decision she chooses to make. She may want to move and this may be what she feels is best for her life. If she does choose to move that will be her decision. It sounds like she is trying to do what is going to make her happy. Maybe staying in the city she is currently in is causing her more feelings of sadness.", "The most important part of therapy is finding a therapist who is the right fit and you feel you can connect to. Feeling comfortable with your therapist and feeling that you can be vulnerable is what will assist in helping you find what you want out of therapy. It also sounds like discussing with a potential therapist your expectations for therapy. Also, I would read up on what the therapy process is like so that you are aware of the role the therapist is supposed to play in your life. As long as a therapist is ethical and not breaking any ethical practices, find someone you connect with and can share with.", "Yes, it is normal to experience many different emotions in therapy because you are dealing with issues and situations that matter to you. Sometimes you may cry, sometimes you may feel joy, and sometimes you may feel relief. Sometimes you might even feel anger. Everything you feel in therapy can be used to help you learn more about yourself and help you grow." ]

[ "A good first step would be to make an appointment with your primary care provider & discuss your concerns.  They would have resources available to help in your particular situation.", "A rare topic & likely extremely troublesome for you... I would need to have more background information on the two of you before beginning to offer any insight. Feel free to email me.I would also like to add that aside from the reality of whether or not these conversations are actually occurring, as your partner, he should be just as concerned about something that is disturbing you to this level.  Partners need each others' trust and support, no matter who is right or wrong.", "With any type of criticism, it is usually best to introduce the topic at a neutral time, ie: when both of you are relaxed, with no current stressors involved, having fun, etc.  Begin with a non-judgmental reflective comment about a recent bothersome event, as if it were just then crossing your mind (therefore not something you've been consumed with ruminating over - eases the impulse for him to dive straight into defense mode).Then share how you felt at the time of the event.  Just say when.... I felt kind of hurt / shocked (or whatever the feeling was).  PERIOD.  THATS ALL YOU SHOULD SAY.  Wait for him to respond to your matter-of-fact statement.No matter what his response is, stick to your same message - don't get overwhelmed by trying to rephrase or explain your view as that will likely set you up for continued arguing.  You can even add, \"I agree I could have misunderstood  it (event).... I just know it made me feel uneasy.\"Here you give him little wiggle room for a debate.Good luck & I'd love to hear how it goes!" ]

[ "I would recommend removing yourself from the environment you are in after you have finished eating. A simple walk around the block, calling up a friend and going to visit, or even going to another room in the house can help. If you find that you truly have no self control over food, I recommend attending Overeaters Anonymous; a 12 step group for those with compulsive issues related to food. I hope this helps." ]

[ "There are never too many issues in living. In a way we take on too many issues at one time. Then we become over whelmed with \"anxiety and depression.\"  A skillful, caring therapist will help you find a place to start and deal with one issue at a time. when this helps the other issues. Then the other issues become more manageable. I gain. confidence I can take on life better and, importantly , enjoy living life more. My best to you. Dr. Spencer", "Moving on is the right question. Everyone's different in moving on. First, what can I learn about myself because of this painful time? Caring non-judgmental family and friends who listen with the head and heart help a iot. Other times I need a skillful, caring professional to help me move on. You will find a way because you've asked the right question. Dr. Spencer" ]

[ "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\nshe) 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.", "Under duress the very youngest parts of you and your boyfriend emerge. So, while you still look like grown ups, your actions and words are motivated by very early preverbal parts of both of you. In simple terms it is as if two infants somehow acquire the ability to say words but they are motivated by very basic early wounds that were created due to deficits in what was able to be done for each of you, and likely understandable in terms of caregiver's life experience, and that still fell short of what you needed. You are both still trying to get very early needs met. The best advice I can offer is to try and remember this as early as possible when things start to heat up, and then restrain expression that you already know leads nowhere helpful. And seek out a therapist who can help you to work with these early issues and can support you to grow and develop from this stuck point.Avraham Cohen, Ph.D, R.C.C., C.C.C." ]

[ "I'm sorry you feel so alone and isolated, those feelings in and of themselves can lead to depression, stress and anxiety.  So job one is finding someone you can talk to.  A good friend or an open parent can be as helpful as a professional counselor, but if you don't have those, then by all means call your local Mental Health Association, suicide prevention, or go see your school counseling department. There are many of us now who do on-line, FaceTime, phone counseling so that is an option to consider in your situation.  On the other hand,  If you want to script a conversation with your parents (I'm a great believer in scripting) not that you're going to read it to them, but if you write down exactly what you want to say, read it over a few times before you're ready to have the conversation.  Why?  You'll be much more likely to do it if you're prepared, and you'll  have a better chance of saying everything you want to say in a calm but forceful way.  The same with your friends--you are probably a great listener and therefore attract people who want to talk--so you need to let these friends know you need something in return.  If you practice asking for equal talk time, then perhaps these friends will respond and surprise you, or if you make those demands you'll start attracting people who are looking for equality in friendships.  Now back to that script--first decide do you want to talk to both parents at once, or one at a time.  Then begin to write down the points you want to make such as:   I love you, and I know you love me but I don't feel as though I can trust your love to be unconditional enough to tell you who I really am, and how I really feel.  Find your own words to describe your own feelings.  If I can help, get in touch. You are right to reach out starting here, there are no prizes for suffering in silence and, as you already know, little joy in going it alone.", "It's normal to feel a little anxiety--after all it's an important encounter for you.  My suggestion is to discuss this with your therapist, let him/her know how you're feeling, especially if you feel as though your level of anxiety is impacting the quality and benefit of your sessions.  You might try some relaxation techniques prior to starting the session, deep breathing, progressive relaxation, core muscle dis-engagement--If you're not familiar with these techniques ask your therapist or write back.", "If you have a good relationship with your child then you have already accepted and been accepted as this child's parent and you have a commitment and an obligation to play that role.  If you suddenly absent yourself from this child's life then you may be doing real damage. Working out an arrangement with the child's mother for regular visits the child can count on and committed to by both parents will serve the best interest of the child, which I assume is what both parents are truly concerned with.  The visits don't have to be every day, once a week, even once a month, is better than hit and miss with long absences in between.  Best of luck to you, and the fact that you asked the question says volumes about your parenting potential.  Feel free to follow up with me, on line or in person.", "As far as I can tell, you received unwanted attention, but you didn't do anything wrong.  What did your instructor say? Anything? If the outfit was not appropriate then the instructor should tell you--If he/she didn't then assume the swimsuit was okay, but the gentleman in the class wanted your attention and took it upon himself to comment, in order to get that attention.  If you don't want his attention then you have a couple of choices--wear a shirt  over the swim top, find an inexpensive swim top to replace the one you have, or wear what you have as long as the instructor doesn't say anything, and if you get unwanted attention say in as confident, slightly loud, voice as you can muster.  \"I don't appreciate your critique of what I'm wearing, we're here to take a class, let's just focus on that. Then,  Turn on your heel and walk away.", "Have the two of you ever discussed how you feel?  I know given the nature of your question that's probably not likely, but I'm going to suggest it any way.  He needs to understand that how you feel about this issue equates to not being as happy in the relationship as you could be or he thinks you are.  So start there, that may be more of an attention getter than \"you never listen to me\" yes I do etc.  Direct opener:  I'm not as happy in this relationship as I think we both deserve.  Pause, and if you won't let me talk about it then it's only going to get worse.  Then explain you don't feel listened to, you try to be a good listener but you don't feel you are getting the same in return.  If he interrupts put your hand up in the sign of a stop, then say please just let me finish.  You are right to raise this subject with him because a good marriage can't exist in a communication vacuum. In fairness to him, he needs to understand the seriousness of your concern and have a chance to do better.  If he refuses,  tell him you want to seek couples counseling then do it, with him or without him.", "You didn't define \"long distance\" or the specific circumstances leading up to it.  That having been said, if there is any way you could precipitate a Face to Face, even if it's by Zoom, FaceTime, Skype or the like.  You two need to have an honest discussion about how long distance is working out for both of you, and she would do well to define \"feelings\" and I'd want to know more about \"just a crush.\"  Sure we sometimes have passing fantasies about someone, probably human nature, long distance relationships may be more prone to letting those fantasies cross over into reality.  Without being confrontational (and I do know what I'm asking), suggest that you get together to talk about what she's going through, why she thinks this crush came up, and whether it might impact on the relationship between the two of you.  So you have an agenda.  Before that conversation, listen to your own head and heart, do you trust her implicitly, do you love her unconditionally, and does she feel the same about you.  You get to both ask and answer this question \"How would you feel if I said that same thing to you\" and you're going to tell her how you do feel.  Best of luck to you, not an easy one.", "In the best case scenario, it's a mutual discussion and decision. If not,  I've had the discussion initiated both ways, by me, when I sense the client has gone has far as they want, by lack of interest in accepting or completing homework assignments, missing or cancelling appointments, usually at the last minute, lack of participation during sessions.  Client initiates by asking me pointed questions about why the need for homework assignments,, by forgetting their calendar, or their checkbook :) , by suggesting that we make appointments over longer intervals (once a week to once a month, for example).  I rarely have had to terminate a working relationship--that's why I don't charge for the first visit, so we know if we are a good fit before we start working together.  Then I periodically ask whether the client feels we are making progress, moving in the right direction, talking about the most relevant issues etc." ]

[ "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." ]

[ "Which one gives you the most anxiety? List from top to bottom which one gives you the greatest anxiety and ask the question how come? From there, we can figure out the underlying factors of your anxiety.", "In response to your answer. Yes because he broke a boundary of yours that he knew was important to you. The question that should be asked is are you able to go forward with your husband with his behaviors not changing for the better in regards to your feelings and emotions?" ]

[ "You do not have too many issues to address in counseling.  And your perseverance will serve you well if you choose to engage in therapy.  The trauma and medical event you experienced topped off with chronic sleepless nights would lead to feelings of depression for many.  The emotional reaction you've had to these experiences sounds normal albeit troublesome and I would imagine intensely painful at times as well.  Therapy can help prioritize what is the most impactful issue you are grappling with.  I find in therapy that when the central issue is revealed, understood, processed, and understood again in its current context, many other areas of the person's internal experience improve.  It sounds as though something has prevented you from seeking help from a counselor in the past, and it sounds as though you are more seriously considering it now.  Therapy helps and it can help you when you're ready.", "Being a parent can be all-consuming.  And there are more societal pressures on mothers to be everything to their children and families.  In that effort to be everything (cook, housekeeper, planner, social organizer, teacher, etc) it can be easy to forget about being you.  We can certainly acknowledge that becoming a mother likely means giving up or sacrificing parts of yourself for motherhood.  There are parts of becoming a mother that can be wonderful and magical, and parts of it that can be just flat out hard.  I think it is very important however, for all parents to ask for what they need and to carve out the time to nurture their individuality.  This may not only be supportive to you, but it sets a great example for your kids about how to advocate for their needs, and teach them about the depth and interests of their mother.", "There's a lot of layers there to your situation, and I'm focusing on two layers that may be contributing to your feelings of discomfort around others.  One layer is the daunting news that your son has autism.  Many parents can feel overwhelmed and distraught with this diagnosis.  The vast array of treatments available is daunting in and of itself at times to wrap one's head around.  Taking time to reflect or seek out therapy regarding how this diagnosis has impacted you may be helpful.  Some parents feel their individual identity gets lost in the diagnosis because they have dropped everything to help their child, and others may experience guilt.  If either of these or other feelings come to the forefront for you, it may be worth working through them with a therapist.  A support group list is available through www.autismspeaks.org and may help connect you with others raising children with autism.A second layer is the abusive relationship you were involved in.  The trauma you experienced in this relationship may have a very meaningful impact on your ability to trust and to be intimate with others.  Engaging with a therapist can help facilitate the healing process, as well as paving the way for more comfortable and trusting relationships.", "A break up, even one that you initiated, may deserve some time and space to allow it to be complete.There's a few ideas I'll throw out there and you can choose if they stick.  One is to re-invest in the friendships you have by setting up regular coffee get-togethers for example.  Two, get out in nature.  It's hard to ignore how grand and patient nature is, and it sometimes takes the pressure off what we should be and instead allows us to be.  And the last one I'll throw out there is to invest your time and energy in a project or achievement you've wanted to do for a while, but that perhaps you didn't have the time to.  Something related to a hobby such as sports or music, or related to your career.  Something that is 'for' you.  Life knocks us off balance at times, and that's ok.  Self-questioning during these times can be a healthy endeavor.  Should you follow any of the advice on this website, continue to be kind to yourself about what you're feeling, and curious about why you're feeling that way.", "Figuring out the space we need between ourselves and others is an ongoing and unsolvable task.  But it sounds like you may be feeling stuck in a pattern of pushing people away and are wanting to change that.  Pushing others away may be your way of surviving relationships and may have proven to be very helpful at one point in your life.  Or it may be serving some other purpose.  One helpful way to consider changing that is to seek out a therapist.  Psychotherapy can provide you with a relationship that is in tune to you and that can provide the reflection and supportive challenges to help determine the function the 'pushing away' is serving.  It also may be helpful for you to take time to reflect on the moments when interpersonal guardedness snuck its way into the interaction.  What were you feeling right before this?  Did it provide relief?  Reflecting on what was happening just before and right after can provide some clues as to what purpose the 'pushing away' serves.It may be helpful to communicate to the boyfriend how you experience intimacy and the discomfort it can bring you at times.  This may help him be as sensitive as you need him to be about the pace of the relationship, and to understand what may be happening when you push him away." ]

[ "Hi! There are support groups to join! I facilitate grief groups at trauma resolution center. Individuals are free to join if you live in Fl. Feel free to call 305-374-9990 to ask when the next grief group will begin. They are virtual", "You would feel safe in the space they hold for you. You would not have to focus on “training” them to be what/who you need, instead you will be able to focus on your healing. You will naturally click, and see progress. Always trust your intuition. It is your right to find a therapist you feel comfortable with. Ask them questions, and explore their specialities to ensure that they are equipped to guide you.", "Crying is a natural emotional. You are not alone. Crying can help you to feel relieved. Therapy is your journey, and there is no right or wrong emotion to feel while you are healing. Therapy is a place where you do not have to feel alone. It is also a place where you address things that you have never faces or suppressed for years. If you shed tears while doing that, I applaud you for having the courage to be on your therapeutic journey." ]

[ "What is the importance of counseling to believers today? With faith-based counseling, you can receive the appropriate guidance and help in line with the words of the most wonderful counselor of all—God. With Covington-McGee Christian Counseling, you can receive holistic healing for your mind, body, spirit, and emotions in your quest for optimal health, wellness, and happiness in life." ]

[ "Just go! You start with the most prevalent issue by talking with your therapist. Healing one issue can have a ripple effect and heal other issues as well.", "Have you used meditation or hypnosis? Relaxing the mind and connecting with your true self is a great way to calm your thoughts and get to peace and calm. Hypnosis and meditation have helped a lot of people with anxiety and depression. Google hypnotherapists near me or write for a while about what is going on.", "Good questions! The paradox of thinking about forever is that you can become more motivated to live only in the present. Thinking about forever can certainly be overwhelming, it's a lot to think about, What can you do about your future? Be present - learn and relax, knowing that you are doing everything you can right here, right now. There is a book by Eckhart Tolle - The Power of Now - that you might be interested in. Enjoy your journey!", "All you can do/control is work on yourself. When you have enough sense of self, you will know how to deal with your family. Therapy is an investment in yourself, which affects your family.", "This quiet wonder that you have is something you can easily explore. There is a part of you that you can access anytime, anywhere. It is the part that has always been with you. Find a quiet place where you can be alone for a while and get comfortable. Settle in. Let your thoughts go by like a river. Stay with that connection for a while. What you find in the silence is yours alone, your \"you\".", "If you connect with your therapist and can say whatever you want to say and not be judged. If you feel like things, situations, your outlook are shifting for you.", "If you connect with your therapist and can say whatever you want to say and not be judged.", "Crying is clearing. It is a release of energy and toxins. Crying is a good thing and a great way to let go and move forward!" ]

[ "You do not have too many issues to address in\ncounseling. Each concern can be worked thru at a pace that is comfortable for\nyou with a patient counselor, therapist.  You are valid, and your concerns are valid. You\nare worthy and deserve to get the support you desire.", "Do you live with your mom and have constant interaction with her?  It is your choice who you share things with.  You can set some clear boundaries.  She can either talk about the interest you feel comfortable or you can reduce, eliminate conversations with her.  These arguments are most likely not good for your depression.  Here is a video regarding boundaries.  Boundaries", "I truly understand what you are saying. I wanted to share this blog post about this very concern! ⛓🔗Are you finally ready to be free 🕊🦅", "Changing scenery often\nhelps in recovery. Could you move with her? \nMoving could help her depression\nalso. Is she also open to therapy?  \nBeing supportive is one way to help her, and allowing her the space and\nways to heal that suits her best.", "The power of acceptance is key!  Changing your attitude to one of more a positive\noutlook as we as finding things,\nactivities, places you enjoy and that uplift your spirit. Doing what feels good\nand finding joy in all things. You may enjoy this very short video  Break To Rebuild", "I am sending your loving vibes as you weather this time when you are trying to find new friends.  I want to share a video about this very concern. How To Make Friends As An Adult", "The feeling empty could stem from various factors. Perhaps asking yourself what would help you feel full, what fills your cup, what does that mean to you for you? When were you last feeling fulfilled?   What brings or has brought you joy? Have you read about, or researched what is called Dysphoria.", "The feeling empty could stem from various factors. Perhaps asking yourself what would helps you feel full, what fills your cup, what does that mean to you for you? When were you last feeling fulfilled?   What brings or has brought you joy? Have you read about, or researched what is called Dysphoria.", "This issue could come from\nany variables. The pressure of being satisfying, or if you have experienced any\ntension. Do you have any uncomfortable thoughts or is anything from your past\ncoming up?  Had you been socialized to believe\ncertain things or did new beliefs come up? \nWhat were your models of healthy relationships?  Was anything of substance coming up around the\ntime this began? Some have found acupuncture to be helpful or even the Emotional Freedom\nTechnique (EFT).", "Are you seeing a therapist?  Do you take your depression seriously?  The seriousness of this is gauged by how he feels about it.   People typically feed off our energy.  You feel you are depressed and if you want to take massive action towards your healing, doing what is best for you regardless of others’ reactions to it will be key! He may not have any first-hand experience with depression or how to handle it. He could not know how he can help.  Regardless your mental health is key and seeking the support you need to move forward in a progressive way is essential.  Get the support you need and embrace he may or may not come around as you seek the support you need and deserve.", "I can understand the winter blues can truly be a hurdle in your life.  I wanted to share these two videos that could be beneficial in your search to combat your winter sadness.  The REAL irritation behind Winter IllnessHow to feel held, holiday warm, at home, nurtured, in a winter wonderland!", "I know feeling worthless is very hard to handle.  You are valid!  Has anyone who you value and respect, said you are worthless? Working thru how you can begin to feel worthy within yourself. To self-generate within yourself how valuable you are, and invest less time in what others think of you. No one gets to decide the sum total of your worth other than you.  Practicing self-love and compassion, grace towards yourself, and feeling confident within yourself could be a crucial step towards feeling more worthwhile. List something you are good at and have been complimented on. Also this video  Self-Esteem & Worthiness Affirmations - Remember Your Worth and Value could be beneficial.    Perhaps engaging in some thought/pattern interruption, where you Interrupt the thought, focus, redirect elsewhere, somewhere more positive, thinking on times, events, activities where you felt worthy and capable.", "Did\nthis begin around the time you suffered the loss of your loved one? You have my\ndeepest condolences.  Perhaps the grief\naround that is what is the root of your being unhappy.", "One step towards change would be to decide why you are hitting your head. Is it a sensory sensation, you like the way it feels, are you trying to “hammer out”  thoughts and feelings you do not want to think or feel? Also consider other ways to alleviate that desire, the feeling, the result you get from banging your head.  Perhaps every time, you do not hit your head you give yourself some micro reward. Also when you do hit your head, you could find an activity that would deter you.   Working with a therapist or counselor who has knowledge of behavior modifications.  When I am helping clients work in this area there are many helpful steps toward extinguishing a behavior.", "Take small steps each day. Go around a few people,  take a walk, and smile or wave at others.  Strike up a conversation in the grocery aisle.  Think of topics you enjoy and would like to share, could talk about, to break the ice. Maybe call some friends you once had and reconnect. Go at a pace that feels comfortable and in time you could release the reclusive energy to embrace a more social you.      I also wanted to share this short digital book with you. The Anxiety Antidote", "It is commendable that you have acknowledged the fact that you have this fear and that you want to overcome it! 👏🏽👏🏽  Micro steps, doing a little bit each day to get closer to your goal of overcoming it.  Working thru a list of mini-steps that you can accomplish until you are fully immersed in your fear and overcoming it.  As you accomplish each step along the way implementing micro rewards so you can feel a sense of accomplishment and reward at each interval, helps to want to keep going forward.  Immersive therapy could help in this area.", "You are valid.   It is very unnerving when thoughts control your life.  One way to combat them is to figure out whose voice the words are said in. Oftentimes people say things to us and it stays with us, and it is not often true.  We let others’ opinions penetrate our brains and live rent-free in our heads.  You could try to rewrite the thoughts, the negative thoughts, rewrite them in a positive way.   For example “you are not worth anything” you could rewrite that in a way that shows all the ways you are worthy.  Write all your accomplishments, and things you have overcome and proof that you are in fact worthy because you are!  You can  Interrupt the thought, focus, redirect elsewhere. If you are replaying a specific moment you could go back into that moment and retell the moment, rewrite the moment so that it is what you would rather it have been. Your mind does not know anything other than what we feed it. Feed and integrate more positive thoughts and actions into your routine to possibly see a positive change, a change for the better! This video could be beneficial for you ▶ Negotiating With Inner Critic", "Sending you positive vibes as you contend with loving someone who bullies you.  Have you discussed how this leads you to feel and if they can stop? Open honest communication is a key cornerstone in relationships.  Take away the bullying and list the other qualities about them you love. Also, write down the pros and cons of staying versus leaving. If possible dig into what leads you to love someone who bullies you?  Were you bullied by someone you love in the past and this resonates because it is familiar? Also please journal if you wish around the graphic enclosed.", "I wanted to share these two short books (see below). You could also look into working on your throat chakra which deals with speaking your truth, self-expression,  being heard.  Communication Crunch High Impact Communication", "Much of feeling like an imposter is about our comparing ourselves to others and carrying what others think.   Make a note of what all leads you to feel as if you are an imposter and then as with a science experiment write down all the ways that hypothesis is incorrect, write down all the ways you are not a fraud.  You are valid.  View this video at your leisure. Negotiating With Inner Critic", "Take small steps each day. Go around a few people,  take a walk, and smile or wave at others.  Strike up a conversation in the grocery aisle.  Think of topics you enjoy and would like to share, could talk about, to break the ice. Maybe call some friends you once had and reconnect. Go at a pace that feels comfortable and in time you could release the reclusive energy to embrace a more social you.  This video could be beneficial also.   How To Make Friends As An Adult", "One way to find peace and contentment is to self-generate the love, acceptance, validation, and belonging you crave from others, inside yourself.   Working thru how you came to a point where the sum total of your worth is based on others’ opinions of you and how your career, relationship status, etc., became a determining factor in how you value your worth.  Society often uses these variables and tools to measure someone’s worth and our worth is not wrapped in those things, especially not those things alone! I would like to share these two videos. Never Leave Yourself5 Signs", "We often feel people are judging us, because we are judging ourselves.  Investigating how you feel about yourself, your own self confidence can be a Segway into why you feel others are judging you and also why others opinions matter and if you are using that as the scale by which you estimate the total sum of your worth.", "What about large crowds leads you to feel angry? I can\nunderstand your not liking or enjoying being around other people.  Animals are often more compassionate.  It sounds like you experience a lot of social\nanxiety?  Would you feel comfortable\nstarting out with smaller groups of people, maybe people who share your\ninterest, especially around animals? \nMaybe practice topics of conversation you feel confident to discuss\nwhich could take the pressure off being in a social setting.", "You are valid.  Your idea about “I want to move out” may be the key to putting some distance between you two and giving you the space you deserve. Also taking the power away from him and giving it back to yourself.  Do not base your worth on others’ opinions. Often how other people act towards us is more about them than us.  Other people’s opinion of you does not decide the sum total of your worth, you alone do that.This meditation could prove helpful   I am ENOUGH - Guided Meditation", "You are valid and you are enough, starting to actually believe that within yourself will be key!  Releasing the thought that you are unworthy will be crucial also!  What are some activities, hobbies, crafts, talents you have?  Remind yourself that you have great qualities.   Do not allow others' opinions of you to penetrate your psyche.  Often what others say is about them more so than about us.  What lights you up, excites you?  What brings you joy? Do more of those things.  Where did the thought or the feeling of hating yourself physically and emotionally begin? Here is a helpful video  Where Does Self-Esteem Come From", "That you are thinking of ending it is a partial clue as to how you feel. Another suggestion is to weigh the pros and cons of staying vs leaving the relationship. You can also make a list of your ideal partner and see how much of that he matches.   This video could also be of great help ▶ Why You Can't Leave The Relationship", "A large part of moving on is taking time to grieve the loss of the relationship, practicing self-love, and learning to self-generate the love, acceptance, and validation you were receiving from the relationship. Work on any feelings of abandonment and codependency, or regret, not feeling enough,   guilt, shame fears. If you are open you could write a letter of what you would say then release it. You could even go as far as to a write letter of what you wish would occur or what you need to hear to move on then release. Acceptance of what is would be crucial, giving yourself the closure you deserve.   I wanted to share this video in an effort to help. Evicting someone living in your head rent free", "What about him do you miss most?  What part of those things can you self-generate, give those things to yourself.  Working thru the grief of losing this relationship.   Perhaps review this video and see what comes up.  Also, reviewing your feelings around scarcity- is he the only person who can be a healthy partner to you? When thoughts of him come up, redirect your thoughts versus letting thoughts of him consume your life.  Some have found support in engaging in acupuncture and emotional freedom technique (EFT) also building up your feelings of self-worth, and self-love outside of him and your former relationship. Evicting someone living in your head rent free", "What about this person do you miss most?  What part of those things can you self-generate, give those things to yourself.  Work thru the grief of losing this relationship.   Perhaps review this video and see what comes up.  Also, reviewing your feelings around scarcity- are they the only person who can be a healthy partner to you? When thoughts of them come up, redirect your thoughts versus letting thoughts of them consume your life.  Some have found support in engaging in acupuncture and emotional freedom technique (EFT) also building up your feelings of self-worth, and self-love outside of them and your former relationship. Evicting someone living in your head rent-free", "People often project their insecurities onto others.  Has she been cheated on prior to your\nmarriage, or has there been infidelity in the marriage? Would she seek therapy for her insecurities, and/or couple’s\ntherapy?\nAlso, something to consider is not to allow someone else’s\ninsecurities to become your insecurities. Do not allow their words to penetrate your psyche.  Your worth is not based on others’ estimations\nof you. You may enjoy this video Self-Esteem & Worthiness Affirmations - Remember Your Worth and value", "Investigating how holding on to the past serves him and working to forgive the past, even grieve what could have been, while embracing the future. He could if he is open to it see a therapist.  Perhaps he can rewrite (symbolically) the past and project a more positive stance or feeling towards it.", "How does holding on to this serve you? Not becoming married to the trauma will be key.  Recreating your life and what that means, what you want it to be. Considering who you would be, what would life be like had this not occurred, not letting it usurp your life. Take your power back.  Releasing any feelings of resentment,   shame, regret. Going as far as to grieve and forgive what could have been and this part of your life history, life story.  If you are open you can write a letter saying what you are still feeling and you can choose even to write the response you would love to receive, and then release it by burning it (safely) or throwing it away! It’s a daily practice, to find peace around this. Have you ever considered the Emotional Freedom Technique (EFT) or Hot yoga?", "Anger is a  secondary\nemotion, figuring out what you felt before the anger, hurt, embarrassment, disrespect.\nOnce you identify the underlying feeling you can address the anger.", "This issue could come from any variables. The pressure of being satisfying, or if you have experienced anytension. Do you have any uncomfortable thoughts or is anything from your past coming up?  Had you been socialized to believe certain things or did new beliefs come up?  What were your models of healthy relationships?  Was anything of substance coming up around the time this began? Some have found acupuncture to be helpful or even the Emotional Freedom Technique (EFT).", "Do you feel he will do this again, and do you trust him, can\nyou trust him again?.   Would you and he\nbe open to couples’ therapy? There are many variables to consider but asking yourself these questions could\ngive you some clarity.", "There seems to be two issues at play; your sex drive and the resulting pushing your boyfriend away.  Research mirror work, sometimes this technique allows us to get to the root of our issues. You can also practice this in a therapeutic setting if that feels like your next right step. Having control, you get to be in control and decide what happens next, which could be at play on a subconscious level. Also, investigate your feelings around intimacy, and what does that truly means for you and this relationship overall.", "Normalizing cross-dressing and being open about who you are.  Consider if this could be a deal-breaker , which would encompass considering if you want to be with someone who does not accept you for all you are? Also explain your personal reasons and the possible reasons many others crossdress, how it is not always for sexual stimulation.", "You have my deepest condolences!  It is hard to lose someone you love, was close!  Remembering the good times and wrapping yourself in those warm memories.  Think of your grandpa in his totality, all the things about him, so you remember the entire essence of him. Perhaps you could write to him, saying what you would want to say and maybe even going so far as to think and respond in a way that he would.  Feeling your feelings, do not stuff them down, your feelings are valid. Grief is handled differently, experienced uniquely for each person.  This thought also helps, see the graphic I am adding, please.  Take him with you in your heart as you move forward in your life. Also, there are places to receive grief counseling at low and/or reduced even for free rates.  You may consider doing things in his honor, being kind, paying it forward, starting a tree-planting drive, or another event to honor him his legacy.", "When trying to quit an addiction it is imperative to decide what purpose the addiction serves. You said it is not a physical need but rather a mental need. What other ways could this need be alleviated?  A video I  often recommend to those who want to quit a habit is  🍰🍟🍔🍗🍩🚬ADDICTION🍻🍸📺🍆🛏️ 💊🛏️", "That is great that you recognize you over indulge. Also considering  what is the deeper reason of your drinking and over drinking, to escape, to feel you belong in a group, there are so many possible variables.  The guilt is your body/brains way of knowing this behavior does not resonate with your core being.", "Getting to the root of what about her request upsets and frustrates you the most.  Does her asking ignite the realization of how much this condition has taken from her and subsequently you? When she asks for items, does it remind you of what this condition has truly done to her?  Anger is a secondary emotion, once we address what the true emotion is we can work thru anger and frustration. Self-Forgiveness is also important, her condition impacts you, and your feelings are valid.", "“He has NO boundaries.” That says it all! Enforce strict boundaries, set them, and abide by them.  Do not bend. What does your boyfriend say about his father’s intrusiveness? This video on Boundaries Could be helpful.  Also is there a chance you can move to have more privacy and peace?  Boundaries", "Sending you healing vibes as you endure their being unaccepting. I wanted to share this video about coming out Coming OutI know it is hard when those we love do not accept us as we are.  One thing to ask, is this something that you need their approval around?  Owning who you are regardless of what others say sometimes helps.  This may not be a part of your life you can share with them.  We all have areas we have strong beliefs. Ideally, they would accept you no matter what but that does not seem to be the case.  Deciding if this is a deal-breaker, or can you work around it, not sharing this part of your life, and understanding we cannot force people to embrace what they do not want to embrace.  You get to live your life as you see fit and be happy. You deserve joy and to live authentically!   If you are confident in your choice, choose your choice, own that, and set boundaries around it.  You do not have to live your life for others.  Loving yourself and being convicted in your choice regardless of others will be beneficial. Many in your situation have created a soul family of people who accept and love them or who they are, and you deserve that community.  Stay Safe,  and always do what would keep you safe, and with the necessities you need.", "The sum total of your value and worth does not get to be decided or measured by how your mother feels about you. Ideally, she would be supportive but that does not seem to be the case.  Providing yourself with love, acceptance, validation, and knowing your worth and that you are valid despite her. She could have her own demons she is fighting and projecting (taking them out on) you. Typically whatever people throw at us is more of a reflection of them verses about us.  When she says something that hurts you, rewrite it in your mind, and for your own sake mentally proves her wrong.  I hope you can detach from the negative words she projects to you and see the great person you are at your very core, by your very existence.  These two videos could be of great support. Help! My Parents are my BIGGEST TRIGGER!Self-Esteem & Worthiness Affirmations - Remember Your Worth and Value", "Set firm boundaries. Either you can say she can complain for X number of minutes and no more, you change the subject or let her go to voicemail, she can leave as many as she wants and you don’t have to listen, you can delete them.  The boundary could be that you do not hear her complaining at all. Boundaries are hard to set harder to enforce but worth the effort of setting them and sticking by them!  This video on Boundaries could be beneficial.", "Sending you healing vibes as you endure their being unaccepting. I wanted to share this video about coming out Coming OutI know it is hard when those we love do not accept us as we are.  One thing to ask, is this something that you need their approval around?  Owning who you are regardless of what others say sometimes helps.  This may not be a part of your life you can share with them.  We all have areas we have strong beliefs. Ideally, they would accept you no matter what but that does not seem to be the case.  Deciding if this is a deal-breaker, or can you work around it, not sharing this part of your life, and understanding we cannot force people to embrace what they do not want to embrace.  You get to live your life as you see fit and be happy. You deserve joy and to live authentically!   If you are confident in your choice, choose your choice, own that, and set boundaries around it.  You do not have to live your life for others.  Loving yourself and being convicted in your choice regardless of others will be beneficial. Many in your situation have created a soul family of people who accept and love them or who they are, and you deserve that community.  Stay Safe,  and always do what would keep you safe, and with the necessities you need.", "Does he know you do not feel heard?      People typically feed off our energy.  You feel you are not being heard and do all the listening and if you want to take massive action towards your being heard,  communicate your needs. He may not know how you feel and regardless your needs are key and seeking the support you need to move forward in a progressive way is essential.  Get the support you need and deserve.Are there others in your life that allow you to feel heard?", "Would you be open to bringing it up in a matter-of-fact manner? Like who is she, what do they have in common, what do they talk about,\nbut ask in a non-accusatory way, more like if he was talking to a guy. Ask in a\ngeneral way. Be ready for however he responds and have an idea of how you will\nhandle his response.", "Discuss with her boundaries and discuss what would occur if this “crush” becomes more than originally anticipated.  Decide what you would do individually if any of this occurs.   Ask yourself, if you trust her especially given the long distance.  Open, candid conversations would be crucial as you go thru this process.", "Create what I call the Intimacy Incubator™ where you begin to self-generate the love acceptance validation sense of belonging you feel you get from him.  Start to lessen the dependency more and more over time until you feel you are not as dependent upon him.What exactly does he do for you that helps your sadness? Find ways to give that to yourself, or find other activities that lift your spirit that do not include your being so dependent on him.  Also consider if you were in his shoes and you had been bestowed the responsibilities of being someone’s soul key to joy, and how consuming that could be. If someone you knew were in your shoes what would you advise?This video could be of benefit   3 STEPS to HEAL", "You are valid! Do you have anyone in your life you feel you can trust and feel uplifted when you are around them?  Sometimes e have to create our own tribe, soul family, of people who fill our cup, leading us to feel good about life and ourselves. Also filling our own cup with knowing we are valid, worthy, enough.  The people in your life now may not be the ones who can do that for you, but there are people who can, it is a matter of seeking them out and finding them. Also in the meantime, fill your own cup, with the love, acceptance, belonging, and validation you seek.  I wanted to share this videoI am ENOUGH - Guided Meditation", "I wanted to share these two short books (see below). You could also look into working on your throat chakra which deals with speaking your truth, self-expression,  being heard.  Communication Crunch High Impact Communication", "Communication is key! Find ways to communicate as often as possible. Also,  evaluate if you trust him, that goes a long way to know how to keep the relationship going.  This Article Could Be of assistance.  Long Distance Relationships: A Survival Guide", "Hiki is a friendship and dating app for the Autistic community. It is a place to feel safe, find friendship or love, and most importantly, to be yourself.  Also try disabledmate.comOr goggle dating sites for the autistic. This will allow you to date someone who understands and allows you to start out with someone who is compassionate and sensitive to your unique needs, desires, preferences.", "One area to view is trust.  If she does not trust you then that is an area to delve deeper. Sometimes people project onto others what they are dealing with themselves.", "Normalizing cross-dressing and being open and accepting about who you are.   Consider your personal reasons for crossdressing, perhaps to release stress, embrace your feminine side (we all have feminine and masculine energy), and decide for yourself if it is or it is not for sexual stimulation.", "Sexuality, sexual orientation is not permanently fixed. What worked or described you at one point could change. As we grow and evolve some things about us that were once true sometimes becomes no longer true.  Change and evolution are natural. Self-acceptance is integral, loving yourself and embracing yourself as you grow, change evolve is paramount.", "You are\nvalid.   It is very unnerving when thoughts control your life. \nOne way to combat them is to figure out whose voice the words are said in.\nOftentimes people say things to us and it stays with us, and it is not often\ntrue.  We let others’ opinions penetrate our brains and live rent-free in\nour heads.  You could try to rewrite the thoughts, the negative thoughts,\nrewrite them in a positive way.   For example “you are not worth\nanything” you could rewrite that in a way that shows all the ways you are\nworthy.  Write all your accomplishments, and things you have overcome and\nproof that you are in fact worthy because you are!  You can \nInterrupt the thought, focus, redirect elsewhere. If you are replaying a\nspecific moment you could go back into that moment and retell the moment,\nrewrite the moment so that it is what you would rather it have been. Your mind\ndoes not know anything other than what we feed it. Feed and integrate more\npositive thoughts and actions into your routine to possibly see a positive\nchange, a change for the better! This video could be beneficial for you ▶ Negotiating With Inner Critic", "Finding the root of your stress, what stresses you most? Finding techniques to combat that, and many have found release, relief in acupuncture, and emotional freedom techniques.", "Stand in your power and ask\nfor your needs -in this case, an answer-, \nto be met. You are valid. People often feed off our energy,  so exude the energy of standing in\nyour power and making your voice heard. Knowing what you say is worthy of being\nheard and receiving a response. You could also look into working on your throat\nchakra which deals with speaking your truth, self-expression,  being heard.", "You are valid.   It is very unnerving when thoughts control your life.  One way to combat them is to figure out whose voice the words are said in. Oftentimes people say things to us and it stays with us, and it is not often true.  We let others’ opinions penetrate our brains and live rent-free in our heads.  You could try to rewrite the thoughts, the negative thoughts, rewrite them in a positive way.   For example “you are not worth anything” you could rewrite that in a way that shows all the ways you are worthy.  Write all your accomplishments, and things you have overcome and proof that you are in fact worthy because you are!  You can  Interrupt the thought, focus, redirect elsewhere. If you are replaying a specific moment you could go back into that moment and retell the moment, rewrite the moment so that it is what you would rather it have been. Your mind does not know anything other than what we feed it. Feed and integrate more positive thoughts and actions into your routine to possibly see a positive change, a change for the better! This video could be beneficial for you ▶ Negotiating With Inner Critic", "Yes, it is very normal to cry in therapy. Often times this is\na time when you can let your guard down, you can feel safe in this environment\nand allow yourself to feel all your feelings. Feelings are valid.  We often hold our feelings, tears inside, and\nonce we feel safe, our bodies feel safe to release them.", "You can interview counselors you may be interested in working with and gauge how experienced they are in possibly supporting your needs.  Ask questions (you can google questions to ask a new therapist),  and have an idea of what would lead you to feel safe working with this person." ]

[ "The feeling of never feeling good enough usually stems from our early relationship with our parents or significant role models who made us to feel we were never good enough to meet their standards. In the healing process, you'll need to work on discovering the root source of where these thoughts and feelings come from and then learn to accept yourself just as you are unconditionally. I'd be pleased to help you in this process. I provide online private counseling through proventherapy.com. Dr. Rachelle Vaughan" ]

[]

[ "Hello. It sounds like you and your parents are not balanced in your communication and awareness of expectations. Your growth is not only reflected in your ability to understand and apply new knowledge and skills, it is also reflective of your parents acceptance of your understanding and application. Have you tried talking with your parents to let them know your concerns?This talking is best when face to face and during non active conflict ( can't begin stating rules during an argument, etc). Sometimes it is even helpful to write down ways you feel you can be supported by them and supportive to them. Maybe share this list or reflective piece with them to review, or use when communicating the expectations. Unfortunately, until there are clear expectations stated and expressed, the scale will be uneven and frustrations will increase. Dr. T" ]

[ "Yeah, you might :)At least, it certainly feels like that, I bet...Not to mention that most counselors out there might generally feel overwhelmed with a \"case\" with so many problems.  And, so, you will slog along week-to-week with gradual improvements occurring as she slowly does her best to chip away...The real issue is that these folks don't yet comprehend the integrative nature of each of these subjects and how generally simple it is to understand them, and then eradicate them.", "Erection maintenance is caused by connective tissue weakness as well as lymphatic stagnation of the area and accompanying channels.  A proper detoxification is necessary to reverse the stagnation and get things flowing again.Lower circulation and pituitary might also be indicated.Medical will likely not recommend anything useful in the long term (pharmaceuticals do not solve a problem, only suppress it; and, it will return again later and worse than before);Certain herbal protocols and natural protocols would be very warranted in getting things going again :)", "Heck, sure thing, hun!Feelings of 'depression' have a deeply-rooted base in physical structures that may not be functioning very well at present; and, we can certainly turn them on again using means that you are able to find around the house and with relative ease :)After that, emotional and spiritual support will be liberally applied.", "It's fun to ride the roller coaster from time to time, isn't it? :)But, it's also weary-making, and leads to drainage that no man or woman can hardly anticipate!Balance comes with proper understanding of the different bodies you possess and how they function.And, to begin, we focus upon your physical, and move right up the latter to the spiritual, and begin cleaning you out.Unbalance is an experience of blocked energies that should be naturally flowing (call them what thou mayest); when blockages are removed, what is naturally there flows, and flows beautifully...", "Anxiety and depression is caused by ineffective functioning of the adrenals, kidneys, and the other systems that affects.A basic protocol of natural health makes quick work of it (about 2-3 months-ish; maybe shorter with a good constitution, in your body) :)", "If it is simply counseling that you seek, any number of faith-based outfits are very willing to listen and help out with these sorts of matters, free of charge :)Online messaging and social media is a secondary option, however this one may come with privacy concerns and consequences;If it were I, I would attempt to sweet-talk one or two counselors I come across to do a bit of work for folks who can't afford it :)", "Chronic pain at the back likely results from a few areas:L4-L5 kidney zone, most likely (lower back);Bone spurs, fused discs, and slipped discs, caused by connective tissue weakness, and calcium deposits used to neutralize highly acidic areas...The 'depression' will evaporate when the chronic pain is drained out, through natural means;Pharmaceutical means will simply extend the pain and cause it to deepen over time, not solving the problem;Remember, medical doctors suppress, natural doctors cure...", "Sure, why not!It's nerve-wracking to go to a man or woman you've never met before and who is a total stranger, that you are paying to take an interest in your life.  You're likely feeling an internal truth about the sessions, the man or woman with you, and the man or woman sitting across from you.  I'd listen to those feelings.Wouldn't it not be best to go to those around you that do provide comfort and aid, first?  Wouldn't it be better to attend to those of faith around you who have love to offer, first?  Wouldn't it be better to go to your family and loved ones, first? :)Might try that; see if your nervousness evaporates...", "\"Imposter Syndrome\" is a basic effect is a dishonest cause.Basically, there is a fundamental lack of honesty in some important parts of your life (my guess would be relationships) that has led to this sense of dread and guilt.I wonder where the dishonesty be...", "No, it makes sense :)Consider today how social media has impacted the mind and heart of man;Is it not so extraordinarily easy to make one appear stellar on social media today?  Heh heh, I've long since joked that the definition of a party is:  \"A series of photos to lie with.\"When I peel back the awareness of others' \"judgment\", what I find is excitement of wanting to express themselves too...It's funny how America is one of the few lands on the planet where folks are able to mess up and try it again; on most other places, if you mess up, there is such deep shame in it, that it may lead to one taking one's life;", "Anxieties are an adrenal problem;Clean them out with a proper detox, using the food built for mankind, and a herbal protocol;Maybe throw in some fasting here and there to kick the kidneys into high gear and get the adrenals pumping...Every loss is a gain, so losing a car means you no longer hold responsibility to keep and maintain it...If you're really up for it, some contemplation (that is keep one thought *lightly* on your mind allllllll day; that is just focus upon it from time to time, \"Man, I notice that the sky is really blue today... and the air is really crisp today...\"); after 3-5 days of contemplation, see what you notice...", "Aye, you're correct, that isn't normal, and maybe you should get her to a doctor!Before you do that, and if she were my daughter, I would provide her the necessary physical support that can be given readily at home; that is:  proper natural diet, rest, and a good sense of detoxification before she readies herself to approach it.Basic listening is warranted here and would be of great use.", "The kids are actually her Property, and he does have a claim to them as he wishes;The house is yours, I presume;So require that if he wishes to see his Property, it be done off of your Property;And, that as long as it remains your Property, you have jurisdiction over all those, therein;Require compensation for visits, and send him a bill;When he doesn't pay, send to the local sheriff, go to small claims court, and win a judgment against him for non-payment;I wonder how that might work out... act as man :)", "The offspring are your Property;If you require that no other man show inappropriate content to them, then require compensation for use and enjoyment of your Property, without your consent;Send them a bill;When they do not pay it, activate the local Sheriff, take them to small claims court, and win a judgment against them for failure to compensate for the use and enjoyment of your Property;I wonder what might happen after that... learn to act as man :)... and watch the magic happen...", "Desire to inhabit the opposite sex's body derives from too fast of a re-entry into a new (feminine) body, after being released in a previous life, from an old (masculine) body.You remember the previous life's connection with the masculine experience and body, and wish to find a way to be more comfortable.We will approach this matter, spiritually, and I reckon you'll feel a great deal better :)", "When it comes to sex drive, we are talking adrenal function, and a little bit of kidney;The endocrine glands require a bit of pumping up to improve one's sense of desire, motivation, and joy;Consider herbal formulas centering around woman's reproductive function to improve desire;To improve his, there are herbs for the man's side as well :)", "Y'know, to see a man you've loved and care for pass on must make ya' want to cry and weep a bunch, don't it?And, may I say to you that... (as I've long since said)... if you need to mourn, take about a week or so and mourn like your life depended on it.  I mean, get to weeping, gnashing, moaning, crying, solemnness, and reflection.And then, after about a week or so, reflect on the man as if he were a well-beloved traveler... sent off on a wondrous journey that will consume and encapsulate his entire awareness... and...Rather than expression vibrations of fatigue, sadness, and anger, send him the finest recollections and images you have of him, and regard him fondly...For, I think you will realize that the dead are not gone forever, but are actually extraordinarily active... and when he sees what you express out from within yourself, he experiences it himself (probably more than you know); so, why not send the very best you have out to him :)", "Guilt is a narcissistic, self-indulgent focus on me, me, me; it's best not to keep it in negative light;What does that mean?  Well, it stems from mankind having an animal nature, and a spiritual nature;In most societies today, the animal nature is looked down upon, seen as egregious and something to be put away;If I may say to you, it is necessary and important (if you wish to end an experience called \"guilt\") to NOT regard your animal nature as negative, but to accept that you have it, and acknowledge it;The more openly a man or woman acknowledges they're animal-side, the quicker one may subdue it;Try giving your animal nature a name, and talk to it like a cute pet... \"Oh, hey, there, Snorky!  Oh, what's that?  You want to be a wealthy, famous Hollywood idol?  Oh, really!  Agaiiiiiiin, Snorky!  Geez, you're impossible!  Ain't you just the cutest thing!\"", "It's a good question man, and it must be terrible to see your mother in the state she's in.Understand that Alzheimer's is due to under-performing function of kidneys, adrenals, and connective tissue strengtheners; all of which may be corrected with appropriate protocols that are inexpensive and generally simple to follow.Imagine it like a flower that is not fed properly:  A once, beautifully blossom flower APPEARS to be wilting, but it's life-force, spirit, and essence remain fully there and present.  And your mom hears you.Let's clean her out, and see her smile return.", "It's surprising how many folks talk too much on the subject;It's the same three things that make all relationships work:HonestyTrustRespect(in that order)Most folks fall down on the first :) (*coughcough* THERAPISTS!  Heh heh heh...)", "Remember that all relationships center around 3 simple values: HonestyTrustand Respect......in that order, too...If you are unable to trust, then you are fundamentally dishonest about something in yourself;Moreover, whatever you do not honestly experience, you do not honestly express out to another;To be honest with oneself is where most people fall down... and, when you do fall down, pick yourself up... and get back on the horse :)", "For most:  When the money/insurance runs out.When best:  When the job is done... and you're feeling much better.", "Teachers don't do anything about it due to liability of the school (school and faculty would get sued and have claims made against them); wouldn't expect much out of them;Couple things:1) Realize that bullies accuse others of the very crimes they are doing themselves;2) Bullies aren't actually all that weak as others have said, but do not stand up against constant pressure of truth-telling;3) Research yourself, or pay someone, to locate the bully's mother and father, and let them know what you have experienced (by way of text, phone, letter, etc.);4) Access your own mother and father and tell them what you have experienced, and see if they will help;Long term, society must return to a more masculine way of being such that these sorts of troubles are dealt with at the home :)Learn to be man/woman, and watch the magic happen.", "Not very well :)So, you got the Jungians, and you got the Big Fiver's, and you got every manner of Ivory-Tower Orc in between, loosening the chains on their drooling, snarling Pet Theories...The real truth is, does it matter?  If it does, what does it matter?If it's still of keen interest to you, I would presume that God designed most of his creatures with a \"simpler set\" of personality blueprints; not a complex set as theorized by man;Also realize that this level of reality is dualistic in nature; that means there is two of everything;So, imagine that whatever personalities you observe, and whatever words come to mind, also think of the opposite word, and you'll have a good sense of what actual personalities look like :)Then, share your findings; it'll be pretty neat to see what you come up with.", "The right therapist is [a] man or woman with whom you see an immediate and continual improvement in your issue, up until the point when you no longer need them anymore.Think of them as a mechanic who should be able to fix your car relatively quickly; and, if he doesn't fix it, you fire him :)", "Dang right it's normal, and even necessary at times.Weeping provides chemical shifts which also shift the experience you're having.  Not only are their physical detoxification benefits to crying, but there are also emotional releases that come with it.Weeping can be the first step to an unclogging of a blockage, so that your energy can flow more smoothly.", "No, not really;And it's impossible for it to, anyway;And, this is isn't some sort of \"you did it all yourself\" kind of blather;Because:1) In most outcomes, if a man or woman simply does nothing and waits, most of the time, they get better... (there are reasons to that);2) In most therapy sessions, approximately 92% (give or take, per study) of all outcomes--be they positive or negative--occur due to factors SOLELY WITHIN the man or woman seeking therapy to begin with;3) The word \"THERAPY\" does not imply cure, but implies treatment (suppression);4) Truly, a proper \"therapist\" will be able to spot the problem quickly, recommended proper protocols quickly, and coach to completion.5) Even if we PRESUME generosity, the \"therapist\" really doesn't matter much (maybe 8%); it really all is in you...Be well, man...", "Honestly, don't :(Talk with your close friends, first (y'know, the ones you actually can tell sh*t to, not the more surface level ones, god-bless-their-souls...Be with your family; should you have a fine relationship with them, tell them and utilize them; they gave you life and that bond (especially between a mother and son) is unbreakable.Go with your faith; as often as various faiths have been blasted and lambasted around the world, understand that they're ultimately trying to get you closer to God :) And, ain't that a big thing.Go with those around you FIRST that actually MIGHT GIVE A CR*P about you, FIRST, before going to a total stranger you've never met before, that is just as damaged, stupid, and imperfect as we all are.", "1) An awareness of their own incompetence and inexperience with events in your life;2) An awareness of how the body, mind, emotions, spirit, and others all intertwine and activate one another;3) How to work to use these connections to have you improve your experience...Oh yeah, and there's some listening in there, as well :)", "Dang right!  :)Heh heh, and correct me if I'm wrong... and, if we are truly professionals, we should be able to handle even the most bumptious of folks, now shouldn't we? ;)It's like a mechanic who knows his way around every inch of an engine... he'll know what to do... heh heh heh..." ]

[ "First you say I have so many issues then you say I've been happily married for almost 35 years ( as it is past tense).   Most counselors/therapists have multiple education or experience in areas.  It is about YOU.  Finding more about yourself.  You would enjoy it cause it allows finally an investment for yourself and a guide.   Don't you sometimes look at your nails or hair its been a long time since you got them professional care.  You been happily together with them for 35 years right.  But how does it feel when you have someone else guide and bring new energy to your hair and nails and you feel like a million bucks and amazing when you walk out.  Right?  Something to think about.  ✨🙏", "Why do I feel empty?Feelings of emptiness—a lack of meaning or purpose—are experienced by most people at some point in life. However, chronic feelings of emptiness, feelings of emotional numbness or despair, and similar experiences may be symptomatic of other mental health concerns, such as depression, anhedonia, or schizophreniaLIke I say seek to get a check up physically and mentally to see if there are any medical under lining issues.", "What he hears and what you say or think he hears maybe the issue.  You could be on different wave lengths.  He might see how you act when not understanding emotional support.  There are ways to communicate differently to get a different reaction.   How is it worded.  There are energy medicine techniques to test what type you are and what he is.  How to connect through energy work.  💕💕", "Dear there could be under lining issues maybe even medical.  Energy Work and a good check up could help.  Maybe even try Reiki ...professional like myself offer services distance that can help with this.  But first go get a good check up.  family doctor, blood tests, CAT scan, hormones, women.......  always consult your doctor first or if you need immediate help contact a crisis hotline   I also would suggest this BOOK to read.  If you want something to listen to or practice try this Program.", "Sending your some positive calming vibes ✨🙌 first get  a check up with your provider to see if there are any under lining medical issues ....hormone tests, blood tests, cat scans etc....  then when you are ready and referred start talk therapy. If you want to bypass that then do talk therapy or chat.    I have services online that you can signup and it is private but it does cost to do so.", "Characterized by persistent sadness and a lack of interest or pleasure in previously rewarding or enjoyable activitiesYou're not alone. Globally, more than 264 million people of all ages suffer from depression - WHOFollowing could be potential causes of depression1. Family history. You’re at a higher risk for developing depression if you have a family history of depression.2. Early childhood trauma.3. Some events affect the way your body reacts to fear and stressful situations.4. Brain structure.5. Medical conditions.6. Drug use.Like I always state seeking to get physical and mental tests done then start a path in talk therapy", "Silly you took the first step to \"claim it\"  you are by posting on here.  All of us are here to help.", "Trust this... You are not alone.  We are here to help.  There are passed life experience and maybe they see through what you haven t been given site to yet.  They are in a time in their lives where hormones and aging is bringing them to a place they rather focus more on their feelings.  Although it should be a time to embrace your new beginnings to help you with more patience.  Sometimes learning energy practices and communication skills may improve your connection.  You are also at a place of transition.  It may seem out of wack right now but it will balance once you passed into adulthood.  Then you will notice a friendship developing with them maybe.  Hold On", "9 Ways Crying May Benefit Your HealthDetoxifies the body. Reflex tears clear debris, like smoke and dust, from your eyes. ...Helps self-soothe. Crying may be one of your best mechanisms to self-soothe. ...Dulls pain. ...Improves mood. ...Rallies support. ...Helps you recover from grief. ...Restores emotional balance. ...Helps baby breathe. ...Helps baby sleep. ...", "Oh that is too bad not sure is it because of the one you are in therapy with or the counselor ?  What feelings are coming up and thoughts in your mind first to start.  Try and put them down and look at what is on paper.  If you need to maybe do a group first then individual then couple.", "It takes time and must be on YOUR TIME.  I have some free meditations on my site you can check out and other tools.  Breathwork is a big one.  There are meditations you can join as a group or individual online anywhere anytime. When you become a client of mine I offer this and it is wonderful plus other fun stuff🙏✨", "First I am sending you some healing vibes 🙌.  IT might be time to talk with your main medical provider about a checkup to see if this is relating to signs of PTSD. Or something else.   Studies have shown especially with those who have sensitive energies might feel things in an empathic way.  Or experiencing triggers relating to an underlining issue.  You used the word insecure. on edge.  You know you.  You also used stress, emotional, jumpy at slightest noises.  That is why journaling and wonderful sites like this help you release these feelings.  You also mention your wife surrounding your heart.💕   Studies suggest that people with low self-esteem also tend to be insecure in their relationships Your faith in yourself is more powerful than your fear. “Peace I leave with you; my peace I give you. I do not give to you as the world gives. Do not let your hearts be troubled and do not be afraid.” work on improving your self esteem seek spiritual support. Feeling good about yourself can boost your confidence and strengthen your relationship. You’ll not only reap the benefits of having a high self-esteem, but you’ll also appear more attractive to your partner. He or she will want to be as close to you as possible, hopefully alleviating your insecurity.", "Social anxiety has skyrocketed since COVID.  Plus could be trauma or PTSD.  Maybe you are a known person and feel safer not going so much out in public.  I understand as a known person in my field depending on where I am it can be a bit much.  Or maybe the things you found Joy in before are not as much of an interest.  It could be your age or menapause (hormones) and injury.  SO many things could be in play depending on the client and their lifestyle.  Always best to get a check up.  See if there is under lining medical issues and then go from there.", "ask them what they mean by that?  You're not alone. 1 in 13 globally suffers from anxiety. The WHO reports that anxiety disorders are the most common mental disorders worldwide. - Anxiety and Depression Association of America Immediate relief1. Get a hug from a loved one2. Enjoy aromatherapy3. Create artworkI am sending you one NOW 🤗", "She could be an empath or dealing with imbalances in her energy field from all the pressure.Very little info on her date of birth.  Outside evaluation to help her see or direct her on Who you can become is a great start .  you can check out my services and test you can order for her.", "As you will see in the two verses I will list below, Jesus and the apostle Paul are telling us that we have to learn how to let go of our past. Jesus says that anyone who is trying to move forward in his walk and call for God – but keeps looking back – is not fit for the kingdom of God.  Seek deliverance from parts of your past you’re struggling to let go. Ask the Holy Spirit or your higher power to help.  Find how to incorporate visitation so this child see you and also maybe seek some legal advice on this matter.", "Not much to go on.  Her age medical etc.  This can be frustrating seeing a loved one sick.  Find what interests her or has an influence over her.  If you know why...maybe try and allow her to heal.  Presents things in front of her that give her no choice but to focus on instead of what has put her in this state.  What brings her joy? Good luck", "These things happen and it is her roof... If you can try and stay busy avoid situations that make you feel like this.  Be Kind and Courteous as if you were living with a room mate.  You can also pay some kind of rent.   Don't feel bad even adults face this with their parents even when their 80 and you are 50.   Some children take care of their older parents or deal with family responsibilities.  Try and do what you can to move forward in your life or ask her to help so that you can live on your own and maybe she just needs to feel needed.", "I understand and sending you some protection and positive vibes to you ✨🙌  Sometimes manifestations can or maybe  a past life regression or even your blueprint could be causing this in this life time.  Just so you understand it is not your fault.  This is something they are dealing with and projecting.  If you do not live with them it is time to do some energy work for protection and distant yourself.  Your child does not need this kind of programming.  When it starts place your hand on your heart chakra 💕 visualize a mirror stay calm do not get angry so they don't steal your energy.  Silence is golden.  Have the child away from them.  If it gets dangerous ask them kindly to leave.  Tell them that you would appreciate that they do not speak to you or your child and if it continues you will seek protection.", "Sending you positive vibes ✨ Self Esteem is your new goal. I have a program that is amazing tool to start. And with talk therapy you could move forward to get to the \"Claim It\" moment also.  Getting to know You! Til then.  Here is a tip.  Coloring.  Adult coloring books.  I have a popular one if you are an upcoming Goddess. Or any outlet like a Gratitude Journal.  If you are interested in some worksheets to get you started contact me. And if you want more self help for Self Esteem please check out this BOOK", "Some good talk therapy can help.  Also consult a spiritual advisor like myself who can give you some incite on what is going on around and spirit guides ...then decide on your own.", "You can’t drive life’s road without sometimes hitting bumps like regrets, disappointments, and tragedies. When you do, it’s easy to get stuck there, gazing back into your rearview mirror at the past. But God and Your Higher Power wants you to move on toward the future He has planned for you. It’s a future filled with hope – but to get there, you’ve got to turn your focus forward and look through the windshield at the road ahead. Here’s how you can let go of the past to move into the future: * Realize that you have a choice. Understand that you’re not a victim of your circumstances and that no one but yourself can tie you to the past; you can decide whether or not to move on. Ask God for the courage to choose to break free of whatever is chaining you to the past.🙏✨🙌", "First sending your 💕.  You need to forgive yourself and try to start by working on self care and self love.  I highly recommend speaking to me to see what is surrounding you at this time.  There are many tools that can self help you to start the process to moving forward and break the \" Hold ON's\".  But understanding first about how and why this happened.  Maybe there is some soul connection or a pattern in your energetic system that needs to be worked on.  Be Grateful that you are okay and recognizing that you have learned a little bit more of YOU.  Also if you want you can check out this BOOK to see if there is anything in there that may help.", "Is this what you have always seen yourself as?  I understand.  Do you have a cushion to fall back on? Your health is not worth this if it is making your life a complete mess.   Not sure of your situation and responsibilities but you might consider a different path if you can.  You might want to talk to a counselor or try some energy work to help with this.", "As in Matthew 7:7   Ask and it will be given to you; seek and you will find; knock and the door will be opened to you.” although I minister in interfaith  Jesus also mentions about how he lives within all of us.  As in the beginning when the solar system was created in dark matter.   We are created in the image of to better understand ourselves.  Your soul journey the date and time life  breathed into your physical part while understand that we animate the physical.  Faith and belief is a choice.  Suggestion : Order a life path report.  It helps you learn more about You. Educate and seek spiritual advisors to help you connect to the spirit.   Talking about it helps.", "Seek deliverance from parts of your past you’re struggling to let go. Ask the Holy Spirit or Higher Power to help you mentally take those past experiences and lay them in trust at the foot of the cross for Jesus to handle. Acknowledge that holding onto the past is sin because it keeps you from obeying God’s call to move on. As you will see in the two verses I will list below, Jesus and the apostle Paul are telling us that we have to learn how to let go of our past. Jesus says that anyone who is trying to move forward in his walk and call for God – but keeps looking back – is not fit for the kingdom of God.  But loves you and you are a child of the most high and it is time to cleanse and strip away this resentment.  There are energy medicine and EFT exercises that I could show you.  I will send him some positive vibes 🙌✨", "I understand and just so you know you can move forward ,  Break the glass.  In your own time.  If this new person is right for you they will stay around .  You want someone that can walk the path forward with you in relationships if seeking commitment.  If not maybe this person is here to help or if it is reminding you then you need seek answers.  Get a tarot reading or a crystal reading find out what is around to help guide you.  Talk to a spiritual advisor.  ✨🙏", "Wait what?  Normal teenage experiences.   A pedophile is someone that is attracted to children meaning under your age category.   This is regarding mostly adults that are over age of 18.   You are only one year apart.  Try and focus on friendship and work on keeping yourself busy in activities so that you are not having these type of thoughts.  Direct this energy into a more productive activity like sports, reading, biking, exercising or something other than negative thought patterns.  Don't attract what isn't supposed to be part of your life.  good luck.", "Prayer online requests.  Search for free spiritual support for grief.", "Maybe this will help you understand.  First it depends on many chemical factors.  When you drink alcohol overindulge so to speak.  You are flooding the pre frontal cortex of your brain.  This controls communication and cognitive behavior.  There were studies on this and many times if you notice those intoxicated get loud respond to loudness.  Also certain types of alcohol can have sides effects.  Instead of brown liquor try white liquor.  Experiment safely to find if you maybe having side effects causing overindulgence which we don't want to lead to alcoholism.   Set an intention before experimenting that you will not feel angry or guilty... Seek talk therapy which will help decrease the cravings or desire to.", "Heard of Voice Mail?  Or Blocking a Number.  Email.  Stay busy ...  be kind but text instead,,,", "This brings back when I was doing internship with Dr. Gray as a online coach.  Although I may not agree with a lot of the things he did he has updated his techniques a lot these days.  FYI I kind of one of those interns back then who suggested because I know what I was dealing with during war time with military and my own marriage it wasn't his experience.  Cause it is the energy pattern the way your environment   IT is 101 basic communications and you will still maybe have those men who love to hear themselves talk and if you even try to talk they tell you to \" shut up\" which is abusive and that is another issue.  But like being hearing impaired or speaking german.  You need a translator or a tool to help or you need to try and learn sign language or speak german Right.  LOL.  Its frustrating.   Men only listen with one side of the brain ( work on that fellas ) women both sides.   You might think \" is there something wrong with me\" It is not You its the delivery.   I was around a lot of men with military.  Many of their things about their pet peeve in a trusting intimate type relationship like marriage. Is \" women complain and nagg to much\"  and women say.... \" but he doesn't do things\"  Right?  LOL.  \" I am right and I am better\"  But if you complain and nagg at a man too much he isn't going to listen.   Trust me  my cats are the same way.  Like calling them and they ignore me LOL.  ITs conditioning probaly he picked it up from his parents and so on....  What he is doing is detaching that is how he deals with it.  \" so you think he isn't listening to you\"  Roles today are different men and women are conscious relationships not like the old days we are dealing with both male and female sides.  Empowered.  You need to suppress your male side come back to your feminine not to go into him but him go into you.  I have a book \" get your love life running\"  coming back to your feminine side.", "AWW at least she is honest and a \" crush\" is that.  Stay true to who you are and she maybe testing the relationship and feel strained from the distance.  There are ways to communicate to a woman to bring her closer.  💕", "First sending you 💕  This would be the clingy or needy action yes.  I would suggest talk therapy finding someone to share these feeling with a professional.  One that has spiritual counseling background like myself so we can work on self care and self love.  Til then here are some tips:  !- Breathe-  You may find yourself not allowing yourself this.2- Take a break- It is healthy to pursue other things so that you are not so needy3- Connect- Practice Mindfulness not Mind Full.  5- Beauty Journaling-  I have this awesome beauty self care journal you can get on amazon.  It will help you to start.", "💕 They say three can be a crowd.  First ask yourself how you felt when you were with this friend that weekend?  Did I feel uncomfortable and was I thinking of my boyfriend the whole time?  Did I communicate with my boyfriend that weekend while with my friend?  Think about why he maybe reacted to you in this matter and it was a good start on his part to be authentic about his feelings.  So what are yours ?", "There can be many reasons why?Client has reached their goals they hired the coach/ counselor forClient is not progressing or taking a path forward.Client is not a good fit", "How can we handle stress in healthy ways?\nEat and drink to optimize your health. Some people try to reduce stress by drinking alcohol or eating too much. Try and find if you do certain things or are there triggers when you do.\nExercise regularly. In addition to having physical health benefits, exercise has been shown to be a powerful stress reliever. ...\nStop using tobacco and nicotine products. People who use nicotine often refer to it as a stress reliever. ...\nStudy and practice relaxation techniques. Taking the time to relax every day helps to manage stress and to protect the body from the effects of stress. Lastly channel your creative energy try my adult coloring book it might help", "What are five ways to reduce stress?Here Are 5 Important And Effective Ways To Reduce Stress And Anxiety 1. Practice deep breathing exercises 2. Just lie down on the floor 3. Focus on an object to help calm your breathing 4. Take a break and listen to some music 5. Smile even when you don’t feel like smiling 😃", "You are not alone.  SocIal media marketing is and can be tricky.  Today to feel validated it is to receive a like , comment or follow.  When friends or family members are interacting on their pages but not yours it can be frustrating.  Law of Attraction might help.  Contact me or visit my profile to learn more.", "Sending your some positive vibes ✨🙌 it seems that REBT could be helpful or cognitive therapy.  First get a check up to see if there is any under lining medical issues.  Medical Intuitive scan or CAT scan. blood tests etc...  then go from there.  You may need some help chemically then start talk therapy.", "As we all need coaches and everyone including all of us on here had one or still does cause it is about your desire to be the best you can in your life goals.  People you connect with come into your life based on desire or a manifestation.  You will know once you have a few sessions with them and once you achieve you might move on to another expert.", "Crying - Shedding of Tears...9 Ways Crying May Benefit Your HealthDetoxifies the body. Reflex tears clear debris, like smoke and dust, from your eyes. ...Helps self-soothe. Crying may be one of your best mechanisms to self-soothe. ...Dulls pain. ...Improves mood. ...Rallies support. ...Helps you recover from grief. ...Restores emotional balance. ...Helps baby breathe. ...Helps baby sleep. ...", "Helps to define the problem and gain a clearer understanding of where it originates. Many people seek counseling because of symptoms they are experiencing. ...Allows for a safe outlet to vent. Not everyone likes to share their problems with close friends or family members. ...Counselors can offer various problem solving solutions. A good therapist usually will not directly point their client in the direction they need to go. ...Gives one the tools needed to cope with current and future problems.", "BRAVO you just did my good fello or fella", "Weeks 1-2: Intros and NormsYour facilitator  or counselor will establish rapport norms and guide you in building a sense of connection through getting to know each other exercises (not boring ice breakers, these are actually fun). You should of probably filled out intake forms and what you are asking of the counselor. We may ask you to share:A personal strength and weakness.Highs and lows of your week.A misconception people have about you.", "Many skills and education and years of it plus experience.  And many have done or went through their own and can relate.  A lot of times many are just not happy with counselors with just the traditional type of education and want someone who can relate or even inspire to self grow.    They need to be creative and very authentic.  TO understand that it is not about the client thinking the counselor is going to solve their problems it is about separating and helping guide them to their goals as a result in what makes them a full filled individual.  Plus as a counselor we continue to expand our skills and we also have our own masters so that we can be better for our practice.", "Each client brings their own style they like to a coaching or counseling relationship.  When I counseled and coached military I learned to relate to what style of coaching they seek.  Some were better at the Drill Sergeant style of coaching,  or a liberal style, integrative, humanistic, progressive, or conservative.  Some can be obsessed and try and cross the line.  When you are in the public eye it can be a bit much and you have to know what client is a good fit for your practice.  Some don't see you as human but we are.  We seek to do the best we can with our knowledge cause it is a calling and I am sure others will say on here that we have to have our go to place of healing also so we can be good for our clients." ]

[ "The most important thing when looking for a therapist is the comfortability you have with that person. If you do not feel comfortable when your in session then it is more likely you have the wrong therapist for you." ]

[ "You should start by speaking with her about what has her so down. Have their been some significant events in her life that have affected her? Have their been significant events in your relationship that can be affecting  you both? If she just stopped drinking, she may be struggling to finding an alternative and healthier behavior. This is something the two of you can explore together. Also, if need be perhaps she can speak to a therapist to discuss her feelings about quitting alcohol. It sounds like you really care and right now she could use all the support she can get despite her pushing you away.", "First, thank you for sharing such deep personal information. It can be difficult to share such intimate information. To begin, it sounds likes your primary concern your desire to speak to someone who takes your mental health seriously. You've tried talking to your parents and your friends and neither have made that connection in the area you need. I'm sorry to hear that. it's unfortunate. However, I think a couple things can be done to try to address this. If you want support1) Parents- Sit down with one of them and tell them with all seriousness that you need to talk about something that is affecting you deeply. Perhaps speaking to both can be too much for one room. If you try to speak to mom or dad by themselves, it may create that intimate atmosphere needed to understand where you are coming from. 2) Friends: Like parents it can be difficult to speak to your friends about challenges with your mental health. When you're feeling down and anxious, friends can be great help or not their at all. With friends, it may be one of those things where you also need to create an intimate environment with one friend to speak to about your sadness and anxiety. If anything, speak to the fact you're hurt and help them understand that if they can't understand the depressionIf you don't want support Coping Strategies: Identify coping skills and strategy that help you when you're feeling down. Ideas:A.) JournalingB) PaintingC) ExerciseD) MusicE) Reading AffirmationF) Listening To Motivation Videos", "Sounds like a lot is going on right now at such a young age. I'd start with discussing with mom your concerns and ideal situation. I'm unsure what prevents you from staying there, but whoever you are staying with, it should be brought to their attention. In regards to your anxiety attacks, deep breathing is always a benefits. I have a link you can use to help to do this online if you are interested. In addition, finding ways you usually cope with anxiety and what's worked before can help and if it isn't, exploring new way to calm you down can be beneficial. This is something you can speak with your therapist about going forward when they are available.In regards to feeling suicidal: I would call suicide prevention hotline (You can google them) if you truly feel the ideation is getting worse. They are professional agents who can speak with you about your ideation and help you through the process. Hope this helps.", "One of the most challenging areas for people to deal with is getting over the the person you have loved so much. It's a catch 22. You know mentally that it's not healthy to think about them. However, your feelings are still there. Moving on is tough. It takes time for feeling to go away. That's the thing, it's not the person you're trying to get over, it's the feeling and the idea of them that is that makes it difficult. You've learned a lot from the relationship and time will help. Activity will also help. Are you actively living your life? If not, go out and maybe it's time to date and find new love. Grow with new relationships and it will help create focus on someone who may even be better than the love you previously experienced. You can do it!Earl Lewiswww.RelationshipsGoneRight.Com", "No. You are not a pedophile. You are both under the appropriate age where it would be seen so. Your both only a year a part so this shouldn't a worry to you. Like Frank said below, Pedophelia is a problem that won't apply to this situation.", "Absolutely. Your question shows that you are going through a lot of pain and I'm sorry for that. Many couples go through this disconnect and hope to come to reconnect before things get to a breaking point. What I think can help is the following: 1.) Understand what his primary concern is2.) Understand what your primary concern is3.) What would you like to see different?4.) What would he like to see different? 5.) Be honest about your concern with him having friends (Be ready for honesty)6.) Help him understand you feel alone without him feeling guilty.7.) Let him know how committed you are to making this relationship despite the two of you drifting apart.8.) Sometimes if you just acknowledge the elephant in the room.9.) Couples/Marriage Therapy", "Depends:  What do would you like to see happen?", "I just want to understand before I answer. Who exactly is complaining?", "Affairs and infidelity are tough areas to address. The power of the affair comes from the feeling of injustice that seems to have happened to you. The struggle I notice people have is with the forgiveness. Forgiveness is something that is asked of you from your partner but also you have the power to give. I assume you want to forgive or have forgiven. However, the forgetting part is difficult. It seems that image of her happiness may have triggered something in you that isn't happy. I'm not sure how often you are triggered by her but it seems there is something there you need to process. The forgetting part sadly is difficult to put past your mind. However, it's being able to see the unfortunate situation they did and be able to walkthrough it even though it's painful. I think maybe speaking with a local therapist about this as it's often difficult to process alone. Also, see how you are feeling as days go on. Do you find yourself obsessed? If so, you may need to seek a professional counselor.", "This answer varies based on you relationship. However, I do believe their are some basic fundamental areas that are beneficial for a healthy marriage:1.) Effective Communication2.) Trust3.) Love/Passion4.) Loyalty. 5.) Unconditional Positive Regard. Everyone has their favorite qualities they feel best fit a marriage. However, these are what I think are great starting points.", "To begin, I'm sorry to hear about your situation. Like many of the professionals have stated, infidelity is a very difficult obstacle to move forward from. It's not impossible. While forgetting is probably the hardest part, forgiveness is something that can and will happen. There are things you can do to help yourself. The first this is identifying what you feel is best for yourself and your children. That means being honest with how you feel being in this relationship on a daily basis and understanding how it's affecting you. Second, how is your relationship affecting the children. Do you feel that by staying in the relationship that it's affecting your daily interaction with them. If so, that' something to keep in mind. Next, Really looking at the pros and cons of staying in the relationship. A specific breakdown of what benefits come with staying and what are the ramifications. Vice-versa for leaving. Include your partner. I think being honest with him and letting him know what you are thinking is could be a great option. At least you aren't keeping something inside yourself to manage. Rather, you are being transparent to them. Sometimes a couple can come to an agreement that it may be time to end things and other times it may be best to keep moving forward with a serious plan to how to move forward. Regardless, if you can't trust him and that feeling will never go away it's time to address it. Couple therapy can be beneficial as well as a therapist can provide professional counseling to you. Earl Lewiswww.RelationshipsGoneRight.com", "The best way to get an answer is to just ask. I would defintely let him know you are asking out of concern and not to judge or criticize. Allow him to explain his answer and see how you feel about it. Try to ask him when you both are already discussing other topics and just say, \"Can I ask you something?\" Earl Lewiswww.RelationshipsGoneRight.com", "What would make you feel no one wants to be with you?", "Sorry to hear your friends aren't responding to you. If these friends are in-person as well as online, perhaps going to them in person and asking talking to them about your concern. Perhaps it's the way you send messages or the way they are receiving them. if they say no, then a simple request to respond to your messages. Measure the result and notice if there are even small differences. Also understand, why this is so important to you. Ask yourself, why it's so important for you to receive these messages from friends. What does it mean when they don't respond.", "Yes, Counseling provides an area for people to speak to an unbiased professional about their concerns to address their unique needs. While length of time varies, counseling is a process and can be done from as little as one session to multiple sessions. Counseling provide a safe, non-judgmental, empathetic atmosphere from a professional helper provide the service" ]

[]

[]

[ "Anxiety or panic attacks can be very frightening.  Here are a few \"tools\" you can use that will help in the short term:  Keeping your mind occupied by listening to books on tape may help;  Counting backwards from 100 in 7's; Naming cities that begin with each letter of the alphabet; Keeping some ice or an ice pack in a cooler beside you, which you may take out and hold in your hand or to your face; Soothing self-talk such as \"This is uncomfortable, but I can handle it\" or \"I've been through this before and can make it through again\".  I recommend that you seek out a Therapist to help you with some long-term solutions to the anxiety.  Additionally, learning to breathe into the abdomen and practicing this daily is another long-term solution.  Yoga and meditation would be great!", "Many people have thoughts like those you describe, and often it feels like someone else is saying it because they are things that may have been said to you when you were very young.  When young children hear negative things about themselves they tend to internalize these negative ideas and to form negative core beliefs.  The good news is we can learn to stop these thoughts and to replace them with healthier thoughts.  The first step is to catch yourself when you are thinking these thoughts, and to stay \"stop!\"; then replace it with another thought.  So for instance, maybe you fail a test or get rejected by a romantic interest.  You catch yourself saying \"you aren't worth anything\". Stop this thought, and replace it with \"You didn't do as well on that test as you would have liked.  Let's figure out how you can do better next time.\"  Or \"she may not want to go out with you, but someone else will\". So the idea is to develop a voice of a \"friend\", who can tell you the kind of things you would say to your own best friend.  You might also pick up the book, Feeling Good, by David Burns. He gives many tips for how to change Negative Self Talk.", "Most counselors are very approachable and many offer a 15 minute chat by phone to allow you to talk about your issue, and to get a feel for the counselor.  If you like what you hear by phone, the next step is to set up a face-to-face meeting. Studies show that the most important element in effective therapy is that you feel a connection with your counselor.  Trust your instincts and if you don't feel comfortable, let him or her know that you don't think it's a good fit.  Many counselors list on websites like Psychology Today and Good Therapy.  Visit these websites to learn more about therapists in your area." ]

[ "Your life here matters and being present in it so you feel joy in yourself and your surroundings is important in creating your sense of ease and balance. No one can predict, for sure, what happens after death because consciousness transcends boundaries and limits we tend to impose on it. That said, if reincarnation exists or if there is a heaven or hell your consciousness of it will most likely be free of discomfort or pain as you experience it now. Meditating or doing self-hypnosis for anxiety can help alleviate your thoughts and sense of fear and living the a life of kindness and balance will assure that your future will be happy for you regardless of the unknown." ]

[ "Often people feel like they are beyond saving, this is often not true. Finding the right therapist to work on these issues with and having them help. You may benefit from seeing a trauma specialist. If you located in Florida we offer EMDR therapy in-person or online.", "Sounds like your daughter is a high achiever and is keenly aware of what is required of her and what other expectations are for her. She may need to speak with someone if this is disturbing her life or causing her undue stress.", "Often people with extensive trauma have difficulty talking about it. This lessens the impact of traditional talk therapy and there benefits. There is a helpful therapy called EMDR that is limited in the amount of talking and also has quick benefits for the reduction of symptoms. For those who are in great distress you can also complete EMDR therapy every day if you would like/have the means. This can quicken the recovery time from these distressing life events.", "Often people with extensive trauma have difficulty talking about it. This lessens the impact of traditional talk therapy and there benefits. There is a helpful therapy called EMDR that is limited in the amount of talking and also has quick benefits for the reduction of symptoms. For those who are in great distress you can also complete EMDR therapy every day if you would like/have the means. This can quicken the recovery time from these distressing life events.", "Often people with extensive trauma have difficulty talking about it. This lessens the impact of traditional talk therapy and there benefits. There is a helpful therapy called EMDR that is limited in the amount of talking and also has quick benefits for the reduction of symptoms. For those who are in great distress you can also complete EMDR therapy every day if you would like/have the means. This can quicken the recovery time from these distressing life events.", "It’s common to feel numb after a distressing event like this, you are not alone. Often people with extensive trauma have difficulty talking about it. This lessens the impact of traditional talk therapy and there benefits. There is a helpful therapy called EMDR that is limited in the amount of talking and also has quick benefits for the reduction of symptoms. For those who are in great distress you can also complete EMDR therapy every day if you would like/have the means. This can quicken the recovery time from these distressing life events.", "Often people with extensive trauma have difficulty talking about it. This lessens the impact of traditional talk therapy and there benefits. There is a helpful therapy called EMDR that is limited in the amount of talking and also has quick benefits for the reduction of symptoms. For those who are in great distress you can also complete EMDR therapy every day if you would like/have the means. This can quicken the recovery time from these distressing life events.", "There tends to be a connection you feel with your therapist. You could also see a benefit from the suggestions/homework they have been recommending. The top thing to look for is competency. If your going for a particular issue they should be an expert in that issue otherwise you may not have the right person.", "Yes, it’s normal to cry. It doesn’t matter if it happens in the therapy office or at home. Some people feel like there exposed or open when they do this or even guilt when in front of a therapist but this isn’t something to be concerned with. They are trained to be understand and empathize with there clients.", "The first thing is to see if they have a consultation. Many therapists offer this to make sure both parties feel like it’s a good fit before they invest time/money. If they have a website look over there blog, and other content on there page. If you are coming to counseling for a particular interest then having some questions prepared about there expertise with (whatever you looking for).", "Some basic skills are empathy, you should feel heard and understood. The therapist should keep the focus on you since counseling is about you and the issues your facing. That being said if you feel like they are sharing too much it’s going okay to say this. They should also be able to identify some coping skills to help you manage the symptoms your experiencing." ]

[ "Hi there !  As someone who has practiced as a clinical psychologist for 25 years , I would say that crying is NOTHING TO WORRY ABOUT AT ALL ! Almost every single person I have worked with has cried at one point or another.  Starting therapy takes a lot of courage; when you work with a therapist ,once you feel safe ,  you talk about a lot of very private and potentially emotional things that you may have never discussed with anyone before.  I have seen  people cry with sadness , cry with relief at releasing painful things they have held onto for a long time, cry because they feel so relieved that they finally feel heard.   I myself have sometimes cried with clients because some things they talk about are so profoundly moving.   I can assure you that most , if not all , therapists expect clients to cry  and there is nothing to be embarrassed about.   Crying can be very cathartic and can allow us to release a lot of painful feelings we have been stuffing down.   Crying is  often a sign that you are really working things through and getting in touch with feelings that you need to get in touch with in order to heal .So , to summarize , don't worry at all about crying! It will probably feel uncomfortable  at first , but I promise you , you will not be judged for crying in therapy.   And it will be less embarrassing once it happens a time or two and you are assured that your therapist will be there for you and won't judge you !Good luck !!", "Hi!   I'm sorry you are having such a tough time with this situation.  I have worked with a number of young adults in their 20's who have had to move back home after college , or even stay at home through the college years.  Bottom line is that either way , it is so difficult when you are trying to discover who you are and what you want your life to be , to have to live at home.   I have even heard much older adults clients  say that when they visit their childhood home , they suddenly feel like a \"kid\" again .  The old dynamics between adults and their parents and siblings can pop right up as if they have gone back in time and are no longer adults !I would suggest that you approach your mom and say something like \"I am hoping we can talk about the best way for us to manage me living here.  I really appreciate that you are giving me a place to live until I get on my feet , and I want to be respectful of you and our home ; at the same time , though, I feel like it's important for me to have more independence than when I was younger because I am growing up and trying to learn more about myself and become more autonomous. Can we talk about what might be fair rules that we can  both live with ?\" If she is receptive , maybe you can each write a separate list of what you think would be fair and reasonable and then compare lists and try to make compromises and come up with a list of \"guidleines\" that feel fair to you both .   If this is too hard to do alone , perhaps you and your mom can meet with a therapist a few times who can help you to come  up with some kind of \"compromise contract.\"   This is not an easy situation , but if you can approach your mom in a calm and \"mature\" way and suggest a planned, structured discussion that doesn't take place in the heat of the moment , your mom may be impressed by your maturity and even more receptive to working out some rules that you can both live with.Good luck !!Elissa Gross", "Hello.It sounds like you are really concerned about your daughter because you have noticed a significant change in her behavior .   It's really a great first step that you are reaching out to get some ideas about what might be going on .  You are clearly an observant and hands on  mom who wants to be sure that her daughter is ok.This is a tough question to answer without more information .  With that said , I have found that \"under stress people regress.\"  In other words , many people , children and adults alike , often regress and behave differently - as if they were younger than their actual age - when under stress .   Therefore , my first question would be : has anything been happening recently that is causing your daughter stress ?  This could be anything from conflict at home , recent changes such as moving , divorce , a loss of some kind , switching schools , or losing a friend or friends .   Additionally , sometimes if children are feeling bullied or left out by same age peers , they may gravitate toward younger playmates as a way to boost their social confidence .    I would suggest that you think about what stressors / changes may have occurred recently.  You may also want to check in with her teacher (s) to see if they have noticed any changes in your daughter's behavior at school .I also think that you can have a conversation with your daughter in order to see if you can get a sense about whether or not something has been bothering her.  Something as simple as \" I have noticed that you aren't spending time with the friends you used to hang out with ; it seems like you have been playing with a lot of younger kids lately .  Am I right about that ? \" and then if she says yes you might ask a few questions such as : \"did something happen with your friends that  is making you not want to be with them?\" \"Has something been bothering you lately ? Are you feeling upset or worried ? \" If she denies that there is anything wrong you might even say \" I know that sometimes when I feel stressed or worried , I tend to act a little differently - sometimes I withdraw from my regular group of friends , or I get cranky and feel less like myself .  I wonder if something like that is happening with you ?\" If you are really concerned and not getting any answers from her and / or her teachers , perhaps you can consult with a therapist to discuss your concerns further and decide if it might  help for your daughter to talk to a therapist a few times , or at the very least you can get more specific tips from a therapist about how to approach this issue with your daughter more effectively . The more detail you can provide about what you have noticed with your daughter , including any changes or new stressors ,  any possible patterns to this behavior , if school has become more difficult socially and or academically , the more a therapist can guide you about how best to handle your concerns and talk with your daughter in a way that is helpful to her. Good luck!   I believe that this may just be a phase and it seems to me to be well within the normal range of children's behavior.  I do, though, think that you will feel more assured about this  if you can get to the bottom of what's going on .", "Hi.  This is an excellent question !   I think that the answer probably varies depending upon the particular therapist .  In my work with people , once we have met and I have gotten an idea of the person'a concerns and the issues they want help with , I spend the next few sessions gathering as much history and as much information about the client's current concerns in order to formulate some ideas about what may be causing distress .  I would then share my thoughts with the client to see if they feel I am understanding them and on the right track.  We would then discuss the best plan to address the client's concerns .  Usually I will suggest strategies that I think may be helpful and ask the client for feedback about whether or not they think my suggestions feel helpful .   I always encourage clients to be really honest with me about this.  I tell them that I would hate for them to agree to try things that they know they won't try just to avoid \"hurting my feelings\" or \"offending me.\"  I want to be helpful and while I have the expertise as far as typically helpful  strategies, I really like to work collaboratively and have clients tell me what they do and don't like / agree with or not agree with when I share my thoughts about a treatment plan .  We the   work together to come up with a plan that will be helpful , but also realistic and then revise it and try new things if necessary as we go along.   If things aren't improving , I am very happy and willing to try something new ! I hope this is helpful for you !" ]

[ "I would check out agencies that offer affordable counseling based on your income or very low cost counseling sessions, i.e., Pacific Clinics, Hathaway Sycamore, Pasadena Mental Health Center, Burbank Family Center. If you google affordable or low cost therapy in your particular area you will find resources to help you.", "Religious questioning is a complex and often philosophical topic, and these types of questions, especially around heaven, hell, and an afterlife can bring up a host of difficult & confusing feelings. What I want to focus on is the fear & anxiety you seem to be feeling that are deeply connected to your questions. Scary thoughts, negative thoughts, obsessive thoughts sometimes feel like they're out of control and there is nothing we can do to stop them, but I want to offer two techniques that might assist with your panic & anxiety. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particular thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain,\" he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories,  this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. I would also suggest when you're having the thoughts about death take a moment to notice how you're breathing. Often when we are feeling anxiety we are doing shallowing chest breathing rather than taking in a full, deep breath or what is called belly breathing. If you take a moment to focus on your breathing and allow a couple of full breaths, bringing in the breath so the belly rises and then the belly natural falls as you exhale, just noticing the breath and practicing breathing can slow down the anxiety cycle as it begins.", "Feelings of anxiety can be scary and sometimes we're not aware of the triggers that lead up to moments of anxiety, i. e., heart racing, sweaty palms, sweating, shortness of breath. It's important to realize that in moments of anxiety our body & mind are experiencing a reaction from our primal or reptilian brain that is signaling the flight or fight response within us, which kicks the hypothalamus into action flooding our body with chemicals, like adrenaline or cortisol.  So, one way to work with anxiety is to find out what the triggers are that lead to anxiety, such as fear, stress. negative thought patterns, not enough food or sleep. Keeping a daily journal can help you track the patterns and triggers and once you identify the triggers you can ameliorate them by learning new skills & techniques and by reducing stress and getting enough sleep. One quick way to reduce anxiety is by taking deeper breathes, sometimes this is called belly breathing. When you breath in make sure your belly rises and expands and as you breath out the belly deflates. Many of us do shallow breathing up in our chest which does not allow for a full breath, and getting a full breath is so important as a tool to help relax us in times of stress & anxiety .", "I think honesty is the right approach in this situation. Share with him that you looked at his phone, as well as sharing with him any fears or concerns that you're having about the long distance relationship. Trust is the foundation of any successful relationship and when doubt & distrust creep into a relationship it can undermine the long term health of the relationship. Hopefully, he will understand your concerns and appreciate your honesty. This also might be a good time to seek couples counseling to work on relationship & communication skills.", "Scary thoughts can feel overwhelming at times as well as feeling quite real. I want to acknowledge how scary they can feel, but there is hope and new skills you can learn to work with these types of thoughts. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particulate thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain,\" he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories,  this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought." ]

[ "First, let me say that I am so sorry for all of the discomfort you have experienced.  It sounds like, although you said you don't like people, I am guessing it starts with not feeling very likable yourself.  The \"conversations\" you describe having are not really conversations at all -- they are more like an audiotape of self-criticism that plays and re-plays in your head.  Then you attribute these criticisms to other people, as if you can read their minds and know that this is automatically what they think of you.  This is exhausting: no wonder you don't want to hang around other people!  It's impossible to know from a quick paragraph why you are experiencing this kind of anxiety and whether the origins are biochemical (genetic), behavioral, due to unresolved trauma, or something else.  But I think it's worth it to explore this with a professional, who -- once they help you identify more specifics -- can suggest a path for significantly improving the quality of your thoughts about yourself, help you develop self-compassion, and work with you on changing these automatic negative thoughts that pop up and get in the way of all of your relationships.  Best of luck to you on the path to healing." ]

[ "It is generally very normal to cry in therapy, and for many reasons. Therapy should be a safe space to explore emotions as they come up and how you cope with these emotions. I would encourage you to talk with your therapist about crying and to explore your experience of emotions/feelings. Sometimes people will apologize for crying. However, emotions and expression of emotions is part of being human. There is no \"right\" or \"wrong\" emotion to have. How we express and cope with emotions is more of something to explore in therapy if it is hindering your life. Either extreme of keeping emotions in and avoiding or feeling like your emotions run your life/struggle to regulate your emotions is something to explore in therapy, as this is often the most distressing and troublesome for people. Hopefully this provides some insight." ]

[ "I'm sorry you're feeling this way. You've probably read articles already about impostor syndrome, but still didn't get the answers you were looking for; you probably know that lots of people feel this way, that it happens to lots of successful people in professional settings. Not helping, right?Think about people who succeed at big tasks: an Olympic athlete has a defined goal that they need to meet: cross the finish line, say, faster than anyone else. That success is remarked upon, and - until someone does the event better than they did - they are 'the best.' Grad school, however, is not so great at discrete goals and celebrations of success. You got a good grade on an assignment, but what about the next one? You and 6 other people in your class probably got the same grade, so does that make you a success or average? It falls to you, then, to identify ways you are sure you've succeeded. If your grades and peer admiration aren't hallmarks of success enough, perhaps pull your measuring tool inward: measure your achievements against your own progress- ie: I got a 93 on my last assignment, I got a 97 this time! You might find those feelings fading soon~", "I'd wonder first if you were still in the same home and neighborhood where you raised your son and experienced the abuse? In many ways, we react to our environments - and if you're still surrounded by neighbors who didn't reach out when they heard your ex yelling or offer assistance and resources when your son acted differently than his peers, it might make sense that you're more timid around folks. It might also be worth thinking about where your bar is set: do you want to be as comfortable around people as you were before your recent circumstances? Or find your new normal, and connect only with people who raise you up and bolster your self-esteem? You have the right to be both cautious (if you're still surrounded by the same folks and environment) and discerning - only connecting with people who will be supportive. All the best~", "Congratulations on your new job. Chances are, you accepted this opportunity knowing that sometimes, you feel heightened levels of anxiety while traveling (or at least, people are telling you this is true) Rather than working towards how to stop it from happening, it might make more sense to prepare for if it does: often, when we know how we might deal with a situation, the situation doesn't manifest. On a more broad scope, though, tools to minimize anxious feelings abound: there are apps (headspace or happify for example) therapy helps, and tools like yoga and meditation can help reduce anxious feelings too. Safe travels~", "There's two things this post relays - one, which I'm sure you've already looked into - is working with the school to address this problem. Sure, sometimes kids don't get along, but most schools look at bullying seriously, and this sounds serious. The other, though, is additional tools to consider to help your daughter. If you haven't already read Greene's Explosive Child, you might give it a shot. While it's a little preachy, many of the tools are wonderful and can help parents navigate tantrums. https://www.amazon.com/Explosive-Child-Understanding-Frustrated-Chronically/dp/0062270451 Another tool that can redirect a child that's losing it is a task. If her tantrums, say, involve throwing things, maybe she's in charge of throwing all the sticks and acorns off the driveway into the garbage bin. Ie: 'Hey Jenny, you seem really angry right now, let's use all that energy and get some work done!' Go with her, throw with her, even - if possible - making a game out of getting the acorns into the bin from a distance. I wish you all the best~", "I'll offer two tools to consider: a bar and a puzzle piece. (What?!) Most people compare themselves to others - ie: I'm not as good looking as Jaime, I'm not as cool as Corey~ the person you might do better to look at is you. What cool thing did I do today that I didn't do yesterday? how did I do my hair in that picture that made me feel a little bit better looking? Moving the bar away from others and towards yourself can be helpful in building self-esteem. Another tool that can be helpful is that puzzle piece: I can't think of anyone who loves everything about themselves: starting from the smallest part of yourself, what is one attribute you DO like about you? (Psychology has long recognized that it's far easier to come up with a list of dislikes than likes, especially when it comes to ourselves or our circumstances) Maybe you have really great toes. Maybe you have an infectious grin. Maybe you're really fantastic at 80's trivia. Build a list of those small things, those puzzle pieces of great things about you, and in time, you might find you like all of you. Best of luck!", "What if we think about this in metaphor: imagine a dirt road suddenly paved over - where before it was small, once paved, it was faster, smoother and suddenly you, the driver, knew what real driving could feel like. Then your road got a pothole: now, every time you drive, you hit that hole, and it only seems to get worse, the more you drive over it.  Until that hole is patched - until you choose to fill your heart with either love for another or love for yourself - you might find it challenging to 'keep driving on your road'. Instead of letting go of how you felt, try to hang on to that feeling, just direct it inwards: you've shared you're capable of feeling strongly for another, surely, you're worthy of that same regard? All the best~", "Echoing others here, I'm sorry, she shouldn't have. Hopefully, you will have a conversation (or, in reality, several conversations) about relationship expectations of privacy~ Are there things your wife would prefer you not share with her family? Without exploring what is or isn't okay through healthy dialog, it's entirely possible she felt her sister was 'in the circle' of people she could share this with. All that said, though ... now that you've been outed, you have an opportunity to be more authentically you: what will you do with it?" ]

[ "I think this is a very common question that people who have never been to counseling before have.  There is a lot of anxiety in going to counseling for the first time.  This is normal.  In answer to your  question, the answer is an absolute NO!  An important thing to remember about getting counseling is that it is a courageous first step towards hope and healing.  Getting help is like training to run a marathon, it is not a sprint.  You have shared a lot of issues that you are dealing with from your past, that are now negatively impacting your present, but I believe that in getting the right kind of help and support, none of them are impossible to overcome.  Part of the therapeutic process is defining and prioritizing therapy goals.  In collaboration with you, as a client, a therapist is there to help you with this process in determining what you would like to work on first.  Not getting counseling, based on the history you have shared, has the potential to put you more at risk for mental and physical health issues.  You are already seeing this happen as you begin to experience new symptoms, namely your anxiety.  In therapy, you will gain understanding and insight, as well as learn skills and strategies to manage the symptoms you are experiencing.In conclusion, I would encourage you to reach out to a licensed counselor who has experience in treating trauma, grief/loss and will address shame.  These are three areas that I have found that gets to  the core issues that are contributing to your depression and anxiety.   I believe you can get the help you need to find hope and healing.  Best of luck to you!", "I am so sorry about your loss.  Losing someone you love is always difficult, however, losing a mother is a significant loss in a daughters life.  What makes this loss complicated is that it appears you have also had a loss in your relationship with your sister.  It is difficult to know what happened with your sister with the limited information you have provided, but what I suspect is that there are some unresolved issues between the two of you and that she may be projecting her pain on to you.  It is important to remember that your sister is also grieving the loss of your mother and may not be dealing with it in a very healthy way.  By her bringing up your relationship with your mother and suggesting that you were \"never close\" to her is her opinion.  Only you can define and determine what your relationship was like with your mother.  If there is truth to this, then it may be something you may need to talk about with a counselor.   There could be an added layer of ambiguous loss in that you are not only grieving her physical absence, but could be grieving the loss of a relationship you wish you could have had with her and the realization that you never will.  You and your sister are both in the heart of the grieving cycle.  When two people are grieving the same loss at the same time, it is difficult to provide support to each other because of their own struggle, even if they both were on good terms with each other.  Depression is part of the cycle of grief.  It is absolutely normal to feel sad, as well as experiencing other depressive symptoms (i.e., feelings of isolation, lack of motivation, low energy, sleep or appetite changes, etc.).  Anger is another phase of the grief cycle.  Your sister may be stuck in the anger phase, not wanting to connect with her own feelings of sadness, so this may be why she is being hurtful towards you, in projecting her anger onto you in order to avoid the vulnerability of experiencing her own grief.Finally, it appears that your depression proceeded the loss of your mother and is making your experience with grief more complicated.  Were you officially diagnosed and treated for depression prior to your loss?  Depression in grief is different than a depressive mood disorder.  Depression can be situational (i.e., triggered by an event) or related to genetics, undiagnosed health issues, stress, trauma or other potential risk factors.  If you have a family history of depression, you are more susceptible to have depression.  It would be wise for you to discuss this with a mental health provider, and if necessary, get treatment through counseling and medical interventions." ]

[ "Wow, that sounds really overwhelming. No, there are never too many or too little problems for therapy. I am a big advocate for picking the most pressing issue and putting our energy towards that to cope and then when feeling better, we can move on to the next thing. We can't be solve all issues at one time. We can take baby steps, but we will get there.", "We cannot control how our partners will react when we ask for support. It is important to focus on what you can control, which is you. It is important to know what kind of support you need and lead with that. For example, \"I don't need you to try and fix this, but I need you to listen while I tell you what I have been feeling. When I am done, a hug would be nice.\" or \"I am feeling stuck and whenever I think about this issue I just get so sad, can you help find a solution.\" If we can tell our partner what we expect upfront, then it is more likely that you will feel supported. It is very empowering to know what we want and to ask for it! It may be hard to be direct because we want our partner just to know what we need, but that is not realistic. There are a few thinking errors in this conversation. Working with me you will learn all about thinking errors and how to replace them.", "Consistent, quality, and effective mental health treatment can help you manage anxiety and depression. Anxiety and Depression are the two biggest reasons people enter therapy, so you are not alone. The goal of therapy is to give you the tools to be able to manage anxiety and depression better so that it does not impact your daily functioning. Sometimes we work really hard to avoid our anxiety and depression that it makes it worse. Therapy helps us confront the negative thoughts and replace them with something more realistic.", "Even if the triggers are having a negative impact on your life, it is really insightful of you to be able to identify your triggers. The effects of trauma often impact us, our functioning, and our relationships with other people. It is possible to learn ways to cope with your trauma. Coping skills are not a one size fits all, it is important to find what skill works for what trigger. Therapy will help you process your trauma, identify your thoughts and feelings, teach you coping skills, and help you enhance your personal safety." ]

[ "This is a great question, and I am happy to have the opportunity to explain my approach. When I am determining what type of personality a client has, I take my time and really absorb their lens/ point of view to themselves and others. Determining a personality type takes some time getting to know the person, and building rapport. After taking time to get to know them, and learning about their view they have of themselves and others, it is important to pick-up on more specific personality traits, which comprehensively contribute to a personality type. Clinicians, including myself, often witness certain traits that are enduring and consistent, which indicate a type of personality. For example, if a therapist is noticing that a client is exhibiting traits of organization, needing to be on time, planning, and perfectionism, these traits contribute to the \"type A personality\". In addition to utilizing clinical judgment, clinicians often use personality assessments and follow the guidelines of the DSM-5/ ICD-10." ]

[ "You absolutely do not have \"too many issues\" for counseling. Your reaching out to ask this question shows you have a resilient spirit. Also, your happy marriage can be a support and strength to you as you embark on a counseling journey. I would recommend that you find a counselor who specializes in trauma, sexual trauma and/or EMDR (a type of therapy that is proven to have a strong impact on healing from trauma). Good luck!" ]

[ "So believe it or not, this is actually very common.  First off, take a deep breath. It does NOT mean that you're a sociopath. All it means is that your brain has shifted into \"survival mode\" for a time and might need a little support to get back to normal. Our brain can play tricks on us after a trauma. One thing that most people experience is the desire to \"push away\" or to avoid reminders of the trauma which include feelings of anxiety, guilt, anger, fear, and sometimes shame. And, if you think about it, that's entirely understandable. Who would want to feel those yucky feelings or to be reminded of the trauma? But here is the catch... the more we try to push those unpleasant emotions away, the more we are actually pushing away our ability to experience positive feelings. Emotions such as happiness, excitement, or closeness with loved ones become increasingly difficult to access. MOST trauma survivors will experience this \"emotional blunting\" and is actually one of the things we look for when giving a diagnosis of Posttraumatic Stress Disorder.But there is good news! Specialized trauma therapy using evidence-backed approaches can help us to experience the emotions we're trying to push away in a safe environment. It's like our brain needs to fully \"digest\" what happened in order to return to emotional balance. There are several approaches that can help you recover after a rape (or other traumas).  These might include: Cognitive Processing Therapy Prolonged Exposure TherapyWritten Exposure TherapyEye Movement Desensitization ReprocessingWhen you're considering looking for a therapist, I'd strong encourage you to look for someone trained specifically in one of these approaches. There are mountains of research studies showing that these therapies have the best success rate when recovering from things like rape, a life threatening experience, a natural disaster, or other traumatic experiences. Breathe in, breathe out. You survived and life CAN get better. Trauma therapy is usually time limited (3-4 months) and can help you take your life back. You can do this!", "The short answer is yes ,with a \"maybe\" tagged on the end. Let me explain.  First off, thank you for serving our country. The vast majority of the population will never understand the sorts of experiences that military members have encountered. And we know that veterans suffer from PTSD at higher percentages than civilians. We also know that motor vehicle accidents are the most common cause of PTSD. My friend, you've been struggling, it seems. So it can be helpful to think of PTSD symptoms like a wave, or a series of waves. Sometimes the waves are larger and last for longer, and sometimes they're easier to manage. One of the most common ways for PTSD waves to be more challenging is due to something we call \"avoidance.\" We avoid both internal things (thinking about the trauma, avoiding unpleasant emotions, etc...) but also external reminders (perhaps driving in a car, being in crowds, being around loud noises, people standing behind you, etc...). And the more we push that stuff away, the longer those waves stick around. Therefore trauma therapy usually involves confronting that avoidance in safe and protected ways to try to reteach your brain that even through something might feel upsetting, it doesn't mean that you're actually in danger. Let me give you an example. Lets say you avoid being in a crowd. Your PTSD wants to convince you that ALL crowds are dangerous. And, between you and me, we both know that there are some crowds that are ABSOLUTELY dangerous. If you're in a biker bar where people are smoking meth and throwing knives at dartboards...that's probably a pretty dangerous place to be. But maybe you don't hang out in biker bars. Maybe you're just trying to pick up your milk and eggs at the grocery store when your crowd-avoidance kicks in. Well those two environments are very different. COULD something dangerous happen in the grocery store? Yes. Is it LIKELY that you're in danger? Probably not. And so if you've worked through the PTSD from the military but then go through a car accident, it might be that some of those old avoidant patterns are popping back up. The good news, however, is that there are several different options (through the VA, Vet Center, or private counseling) that can help. Look for what's called an Evidence-Based Approach. These are things like Cognitive Processing Therapy, Prolonged Exposure Therapy, Written Exposure Therapy, or Eye Movement Desensitization Reprocessing. Your counselor can help you decide which might be the best approach for you. PTSD is very treatable. You don't have to suffer. Reach out to a qualified therapist." ]

[ "That must be really hard for you to talk about and I'm sorry they're treating you this way. Sounds like there are some issues in regards to boundaries between you and your parents. It must be hard feeling like you have nowhere to go and feel the need to take it. Also sounds like there may be some other layers to your struggle like all living together and differing in parenting possibly from one generation to the next? One thing that could really benefit you is to learn how to establish more clear boundaries with them. This is much easier said than done and requires much efforts on your part. One technique that will help is learning how to use a communication technique called appropriate assertiveness. It's basically learning how to voice your concerns in a clear, concise way without being aggressive. It's a technique that can take some time to learn how to use effectively and appropriately. There are many different books and research out there about establishing boundaries that will be of benefit to you. Moreover, it's important to keep in mind that things might get worse before they get better, as with most changes in family systems.", "Choosing the right therapist and finding the right fit is difficult.  There are many therapists from all walks of life that use different styles and modalities. I think the connection established between therapist and client is key to the entire therapeutic process and may require more than one session to truly feel out if one therapist is the right fit. It's important to feel comfortable around your therapist.  Try asking the therapist questions about their background history, credentials, experience in the field, etc., to truly get a gauge on what you think about starting this journey with this therapist.  You can view this as almost like you interviewing someone for a specific job and trying to find the best person and most qualified to address your needs. I find this has been helpful for my clients who choose to see me.  As we all know, therapists are ordinary people too with differing personalities. Taking the first step to participate in therapy takes courage, so go into it with an open mind and see if the connection happens organically and if it doesn't after a few sessions than it's ok to seek out another therapist. Feeling connected and safe is important in our work together as therapist and client. Remember it's not a sprint it's a marathon.", "Absolutely! In fact it is encouraged to let it out and embrace the hurt.  Trust me when I say this, \"you're not alone.\" Many of my patients cry, especially the men after seeing that there is no shame in crying in session. It is almost as if they're seeking permission to be able to let go.  My thoughts on crying is that in order for someone to appropriately process the pain, hurt and suffering one might be experiencing you have to work through it and let it all out. Crying is cathartic and healing.  Therapy is one of the safest places to be vulnerable and peel back the layers of the onion, so you can get to the roots of the issues that have been weighing on you. Let it out and let go so you can move forward and feel the weight lifted off your shoulders," ]

[ "This can be a difficult situation.  Typically, only animals that are specifically trains to accomplish a specific task are legally protected as Service Animsls. Even though that can be very helpful, emotional support animals are not generally protected in the same way.You might not be able to make your landlord accommodate you. If possible, you may want to consider a different apparent that is more animal friendly.", "In general, the answer is no. Depression can not not generally cause PTSD. Your question does make a lot of sense, though. Depression is a common symptom of PTSD. A counselor in your area should be able to help you what's going on - either feelings of depression, PTSD, or both.", "I think you have identified something important here. It's not unusual to experience feelings that don't seem to match up with what your rational mind recognizes. In this case, it sounds like a part of you recognizes that the people around you do not find you \"annoying and bothersome.\" Despite knowing that people like you, it seems that there's still a part of you that feels like you're a bother.Finding a local counselor who can work with you to process those feelings might be just the help you need.", "I'm really sorry to hear that you are going through this.It's a little difficult to answer your question because the laws that define child abuse are different from state to state. But usually, things like what you describe your dad is doing are not considered to be child abuse.The more important thing is how you feel about what is going on. It sounds like this is really bothering you.If you don't think you can talk to your dad about how you feel, you might want to try talking to another adult you trust (like a family member or teacher). They may be able to help you figure out some ways to communicate with your dad.I think you might feel better if you can talk to someone about how your are feeling.", "I see a few issues here:First, the age of the child is important.  If the child is considered an\n\"adult\" by state law with regard to counseling (states differ on this\n- the range is typically between age 13 and age 18), no one is allowed to\nbe in the session without the child's consent.Second, ethical and legal standards generally require that a\ncounselor be in the role of a therapist, or in the role of an evaluator, but\nnot both.  This means that a counselor\nshould not generally provide both counseling and offer an opinion regarding who should\nhave custody of a child.Third, knowing the details of any parenting plan or\nseparation agreement is important. \nGenerally, either parent can consent to counseling for a minor child and\ncan be present during the child’s sessions. \nIf a court order, parenting plan, or separation agreement specifies that\none of the parents has sole decision making authority, then only that parent can\nconsent to counseling for the minor child and only that parent can be present during the child’s\nsessions.In a situation like this I would strongly recommend seeking\nout legal advice specific to your state law.", "It sounds like you've already learned that just being honest is often the best approach. What do you think about telling your mom how you're feeling?  She might really appreciate it if you also let her know that regaining her trust is really important to you.", "It absolutely is a real thing.  Work can take a significant toll on a person in many ways. There are several things you can do to manage burnout at work. Depending on your specific work environment, some of these might be more realistic than others. It may help to set firm boundaries between your work life and your personal life. Also, it often help s to create some variation in your work schedule or work tasks. At times, burnout can also stem from a lack of challenge at work. Feelings of being burned out by work might be a sign that it's time for a change.", "Generally, the ethical codes only prohibit relationships with clients. There are however a few types of counselor-to-counselor relationships that are prohibited by the ethics codes. Such prohibited relationships include those between supervisors and supervisees; between professors and students; or any time the relationship might negatively impact your (or their) clients. Lastly, some workplaces have rules against dating coworkers. It would be a good idea to check if there is such a rule that applies to you.", "You are right on to recognize that the effects of trauma can be cumulative.  It is very possible that a car accident could lead to an increase in PTSD symptoms that were related to other traumatic experiences.If you have been deployed to a combat area, you are most likely eligible for free counseling services through the VA Vet Centers.  The Vet Center clinicians typically have a lot of experience working with military trauma. Here's a link to a directory of Vet Centers:http://www.va.gov/directory/guide/vetcenter.aspYour service and sacrifice is greatly appreciated.", "You may have some options for low-cost or free counseling.1) There may be free counseling services available in you area. You could try an Internet search for \"free counseling\" + the name of your community. In addition, in many communities your can dial 211 for access to information about many free services.2) if you are a military veteran you maybe eligible for free counseling through the VA, the Vet Center, or the Soldiers Project.  You can get more information here:http://www.mentalhealth.va.gov/vamentalhealthgroup.asphttp://www.vetcenter.va.gov/https://www.thesoldiersproject.org", "It sounds like it may have been a violation of confidentiality for your therapist to disclose information about you without your permission.  There are some exceptions to the general rule of confidentiality however.  For example, when a therapist has a reasonable concern that a client (or someone else) is in imminent danger, he or she is generally allowed to disclose confidential information to protect that person.If you believe your counselor has violated your confidentiality, you can always contact your states' counseling regulatiory board.  The board will then investigate the allegations and can take appropriate action.", "That's a difficult question to answer. Dreaming is a normal (and healthy) part of the sleep cycle. The current thought is that we all generally\nexperience roughly the same number of dreams - the difference often is just\nwhether we remember the dreams or not.An increase in the number or frequency of distressing dreams\n(or nightmares) can be a symptom of stress, anxiety, or PTSD.  If the dreams are disturbing to you, talking to a local\ncounselor could help. If the dreams themselves\nare not troubling, you may just be remembering them more than most people do.", "Thanks for asking this question. I know it can be really difficult to deal with issues like this.To answer your question, you might be able to get you brother some mental health help, even if he doesn't recognize that he needs it. In most states, an individual can request a mental health evaluation of a family member if that family member poses a danger to themselves or someone else, or if they are unable to take care of their own basic needs.You can always call 911 if you are concerned about his immediate safety (for example if you find him sleeping outside in below freezing weather.  As an alternative to calling 911, you might also be able to request an evaluation from an authorized mental health provider.  The deatsils of who you would contact vary from state to state. Here's a link with some additional resources:http://www.treatmentadvocacycenter.org/someone-i-know-is-in-crisisHe's lucky to have a brother who cares for his wellbeing as much as you do.", "This sounds like a really tough situation.  As a teenager, you may be able to get counseling on your own (without needing your parents' consent) under some circumstances.  If your parents are refusing to consider counseling, you might want to try talking to your doctor or another trusted adult about finding some counseling resources - even without your parents' help.", "I'm sorry to hear about that situation. If the woman was your therapist (or had been at one time), this could represent a significant ethical violation when she created a dual relationship with you.Even if you were not her client, this might still be an ethical violation. Counselors are held to a high standard of conduct and honesty at all times.In a situation like this you might consider filing a complaint with the state regulatory board.", "Typically, a therapist cannot force a client to receive any treatment they do not want.  In the end, it is the clients who get to decide what type of treatment they want.If a therapist believes that their client is in imminent danger of harm however, the therapist might have an obligation to take actions to protect their client.  In such a case, the therapist would need to discuss the options with the client, and come up with a plan to best protect the client.In a situiaon like this, it would probably be a good idea to talk to the therapist about the possilbe positvies and negatives of the treatmetn center.  A good therpist will be happy to have that conversation with you and allow you to make the final decisions about your own treatment.", "The specific laws about this will vary from state to state.  Generally, the only way to \"force\" someone to get mental health care is if they pose an imminent theft of harm to themself or someone else, or if they are unable to care for themself.  More importantly, is dealing with your safety.  Most states have laws that make stalking a crime. You might want to think about filing a police report and obtaining a restraining order against him.  You could also think about contacting a local counselor. While you can't force him to get help with moving on from the relationship, counseling could help you to deal with what is going on.", "It can be really difficult when someone you care about doesn't feel the same about you. The most important thing to remember is that you can not make her feel a certain way.  There is nothing you can do to force her to want to be in a relationship with you.In the end, if she \"just wants to be friends\" then she's probably not the right match for you.Remember, every relationship ends - until that last one that doesn't.  And that is how it's supposed to be", "You definitely want to make sure not to inadvertently create an inappropriate dual relationship with a client. In fact, it is not uncommon for state regulatory boards to determine that a clinician and client being in the same 12 step group is professional misconduct. You might want to consider attending a 12 step meeting that is located in a different community than the one you work in.  Another option would be to look for one-on-one or small group recovery support.", "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.", "Generally, the laws regarding confidentiality would require a past therapist to obtain your permission before disclosing any information about you to your current therapist.Depending on state law, there could be some exceptions to this general rule. For example, most states would allow your former therapist to provide information about you to your current therapist if he/she reasonably believed it would protect you or someone else from an imminent harm.", "Mental health providers should promptly return calls from current clients as well as from potential clients.  This is even true if the social worker (or counselor) is unable to make an appointment with the caller.  In that case the social worker should call you back to let you know that he is unable to schedule an appointment with you.In addition, mental health providers have an obligation to follow through with their own communication standards.  For example, if the social worker in this case has an outgoing voicemail message that promises returned calls within 24 hours, he has an obligation to follow through on that promise.All that being said, it is also worth remembering that mental health professionals are just people too. It is possible that he had an unforeseen emergency that kept him from from returning your call promptly.In the end, I agree with Sherry's advice. If you feel this social worker is not a good fit for you, you probably should trust your gut and find someone else who is a better fit.", "I know it can be really tough when a loved one is in the hospital and you aren't being told what is going on.In general, both Federal and State confidentiality laws prohibit health care providers from giving out private information about patients to non-family members.Unfortunately, you will probably just have to wait until he is released (or until you can visit him) to find out from him what is going on.", "This sounds like a potentially serious situation. The most important thing is to make sure the child is safe.  If you suspect that a child is (or has been) harmed, I would strongly recommend that you report your concerns to your local law enforcement or to Child Protective Services. If you don't think that a child is in danger, you can still report your suspicion of counselor misconduct to the state regulatory board.", "The general rule against medical abandonment says thst whenever healthcare providers discontinue treatment with you when you still need it, they are legally required to make sure that you have access to another provider of equal or higher ability.In this case, if your treatment team decided to discontinue your treatment based on a diagnosis of schizophrenia, they still will likely be required to provide you with a referral to someone who can provide you with treatment. If you haven't already done so, I'd recommend that you explicitly ask for a referral.", "My recommendation would be to try to talk to your therapist about this  from your description, it sounds like you have a legitimate explanation for missing your scheduled session. Maybe if you could explain that to her she would be willing to work with you. If she is not willing to consider your explanation and if she is not willing to continue working with you, she still has an ethical obligation to provide you with referral resources to another therapist.", "It might be possible, but it's difficult. First,  depending on how old you are, you might be able to restrict  a  mentalhealth  provider from disclosing your confidential information to your parents. The age at which you can do this is different from state to state (the range is generally anything from age 13 to age 18)  Second, even if you are old enough to to be able to tell your provider not to give any information to your parents, they will probably find out if you use their insurance. It seems like you might have a few options. You might want to try talking to your dad about seeing a psychiatrist. He might be supportive. You could also try talking to a counselor or nurse at your school. They could also help you find some confidential options. I hope this helps.", "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.", "Your doctor might be required to tell your psychiatrist - especially if your doctor is concerned about your safety.It was definitely a good thing that you told your primary care physician about what is going on.  I know that must have been difficult to talk about with him.  By having that conversation, you are helping your primary care physician and your psychiatrist work together to best support your health.", "In New York (like most states), the law generally is what's called a \"one-party consent\" rule. This means that in most cases it is legal to record a conversation as long as consent has been granted by at least one person involved in the conversation.It probably would not be illegal for a client to secretly record a counseling session without the consent of the counselor. Since only one person's consent is required, it would be sufficient that the client consented.On the other hand, it would probably be illegal for a third party to record a counseling session without the consent of the counselor or the client.Similarly, it would be a violation of ethical standards (and maybe a violation of law) for a counselor to secretly record a session without the client's consent.", "This is a great question - especially since technology assisted counseling is definitely the current growing edge of the field.There are a few things you'll want to look into before starting an online practice:1) Check out your state laws regarding online counseling - keep in mind there are different terms used in different states Including \"technology assisted\" or \"distance\" counseling. So it might take a little searching to find your state's rules.  Some states have extensive regulations regarding the scope of practice, informed consent, documentation, etc.  Other states do not have any specific laws or policies regarding online counseling at all.2) Next, it's a good idea to review the 2014 ACA code of ethics and the 2015 AMHCA code of ethics. Both have extensive new sections addressing the ethics of online counseling.3) Lastly, you'll need to look into the law in the state(s) where your potential clients are located.  This is really important since nearly every state considers counseling to occur in both the location of the client and the location of the counselor.  For example, New York has a law that specifically requires any counselor who is providing online counseling services to a client in the state to be licensed by New York.", "I'm sorry to hear that this has happened. Counselors are legally and ethically required to make sure that they always put the wellbeing of their clients above their own interests. In addition, counselor ethical rules, and the laws in just about every state, make it illegal for counselors to take advantage of a client financially. A counselor borrowing money from a client (even if the counselor pays it back) would usually be considered to be taking advantage of the client.There are a few options you have at this point if you can't (or don't want) to continue to try to contact him directly. You can file a complaint with your states' regulatory board and let them know what has happened.  An investigator will then look into the situation for you.  Another option would be for you to find a different counsleor who can provide you with an independent and netural point of view to help you figure out how you want to handle this situation.", "It's a great idea for you to reach out to find a psychologist to talk to if this is a field you might be interested in pursuing. Regarding the length of schooling, it generally takes 4 years of college and an additional 4 to 7 years of graduate school to earn a doctorate degree to become a psychologist. There are also other similar professions, including counseling that don't require a doctorate degree. Licensed counselors generally completed 4 years of college and an additional 2 years of graduate school. If you are thinking about a career in psychology, the local APA chapter would be a good place to start to find a local psychologist to talk to. Here's a link to the NJ APA chapter:https://www.psychologynj.org/", "This is a great question. In general it is not appropriate for counselors to accept gifts from their clients. There are some exceptions to this general rule - including a recognition that there may be a valid cultural aspect to this type of gift giving.It might be best to simply offer your counselor a holiday card as an expression of your feelings. You could also talk to your counselor about the gift and ask if him it if would be appropriate.In the end, I know he would most appreciate just knowing how much the counseling meant to you.", "When terminating employment, counselors need to make sure they don't abandon their clients. There are several ways a counselor can avoid abandoning a client. First, the counselor can refer the client to another clinician at the place of employment. Second, the counselor could refer the client to another clinician outside of the place of employment. Third, the counselor could continue to work with the client in the new place of employment.In the end, the best interest of the client should be the the basis for which option is selected.", "It can be really frustrating to feel like your counselor is not providing you with the help you need.My recommendation in a situation like this would be to let your counselor know how you feel. Specifically tell Your counselor that you don't seem to be getting the amount of feedback you would like.If this doesn't help, then you might want to look for another counselor who will be a better fit for you.", "Having this kind of conversation with a doctor can feel difficult. But remember, you are the expert on you. Any good medical professional will recognize that.You are absolutely right to think about the importance of being your own health care advocate. Generally, the best approach is simply to be honest. Let your doctor know what you are concerned about and tell your doctor what you think might help. If there is a specific issue that you’d like to address in counseling, let you doctor know about it. And don’t hesitate to directly ask for a referral.I know this may all feel a little overwhelming. It might help to bring a family member or significant-other with you to provide support when you talk to your doctor. It’s great that you’ve already taken this first step to reach out. You’re on the right track.", "You should be able to get a replacement ID card either from the Personnel Office on your local base (the actual name of this office will vary depending on which branch of the military it is). You may also be required to go to the Military Police or Security office on base to report the loss of your old ID card.", "That's a great question. There is such a wide range of ways to define \"personality\" that it is difficult to identify specific characteristics that are used to identify personality types.That being said, some clinicians will use standardized tests (or assessments) to assess a client's type of personality. While these tests can't tell us everything about a person, they can help us understand where we are within larger groups of different personality styles.Some counselors will also use a diagnostic tool (like the DSM or ICD) to help a client understand a diagnosis that is related to a personality disorder." ]

[ "Check this blog out:  Four-ways-add-self-esteem-friends-listHope you find a few nuggets of helpfulness in this.", "Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this provides a few nuggets of helpfulness to you!", "Check out my latest blog:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!", "Check out my latest blog on:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!", "Check out my blog post on:  Four-ways-add-self-esteem-friends-list/I hope this offers you some nuggets of helpfulness!", "Check out my latest blog:  Four-ways-add-self-esteem-friends-listI hope this offers you some nuggets of helpfulness!" ]

[ "Here is the truth: You will never get her to understand! because that would mean changing her and we can't change other people we can only change ourselves. I would recommend to take the time to self reflect on what exactly it is that you are doing that is contributing to the mixup. You both have very valid feelings and those won't magically go away until you address the root problem (which could be many factors). I am curious to know more about past relationships the both of you have had and how that plays a role in your current relationship. Many times we don't realize how past relationships truly impact our current behaviors.", "There could be many reasons that you push your boyfriend away. It could be part of how you were raised, it could be because of culture, it could even be your own insecurities about yourself that are then outwardly manifested in you \"pushing\" him away. What is important in all this is that you both find a way to connect. So what if you aren't a hugger, a kisser, or a toucher you have to find what works for the both of you and your relationship. There are many ways to show affection that aren't physical (words of affirmation, giving of time and/or gifts, etc). If your boyfriend wants the physical attention then work on ways that are comfortable for the both of you making sure to start out slow and to work your way up to more physical touching." ]

[ "I applaud your courage in asking this question to gain some deeper insight into what is happening in your life. This is one of the most common things that I personally have seen in the population of individuals who suffer from depression. It is often that I notice clients focusing on the negative to the complete dismissal of the positive when they are dealing with depression. It is inspiring that you have noticed this in yourself because many clients are not aware that this is a pattern for them, or are not yet willing to face that depression has become a pattern they cling to. Depression, if dealt with for extended periods of time, can become a way of life, an identity of sorts, that is very difficult to part from. While you desperately desire happiness, who would you be without the depression? Sometimes it is scarier to journey into the unknown (in this case, happiness), than it is to stay in the known, and the often times comfortable space of your depression. Human beings, for the most part, fear and stray away from change in general, especially a change that is so impactful. Allowing yourself to confront the possibility of change as positive with the support of a professional counselor is often extremely helpful." ]

[ "You have been through so much - sounds like you are very resilient! And how brave of you to consider exploring counseling for the first time. Based on what you shared, I would encourage you to seek out a therapist who specializes in trauma, which can often show up as depressive and anxiety symptoms, and sleep disturbance later on in life. You do not have too many issues to explore. Often times people come to counseling with multiple things they want to focus on. A good therapist will take the time to help you sift through the topics you'd like to address, see how they might be connected, and help you work through them. Best of luck in your journey to greater mental wellness!", "I'm sorry to hear that's how he's responding, that doesn't sound very helpful or validating of your emotions or respectful of your boundary to to communicate differently with you about your feelings and mental health.  Ask if he's willing to read a book on communication with you (Gottman's \"7 Principles for Making Marriage Work\" is excellent!), or attend couples' therapy together so that you can work on building your emotional connection and have healthier communication. It's also possible that he's not willing to change his mind. Regardless of where he stands, you can always take steps yourself towards bettering your mental health and wellbeing - going to therapy, discussing medication with your doctor or psychiatrist (also have them do bloodwork to check your thyroid functioning, hormone levels, and complete metabolic panel to check for any vitamin deficiencies), moving your body in ways that feel good, spend time with friends doing something enjoyable or meaningful.", "This is something that would be really awesome to get your healthcare team to collaborate with you on.  Discuss medications and any lifestyle adjustments with your primary care provider (PCP); have your PCP do a full bloodwork up to check vitamin levels and thyroid functioning; have your OBGYN or PCP check your hormone levels and make any necessary adjustments or referrals to other providers to help support correcting any hormonal imbalances (possibly an endocrinologist); consult with a registered dietician to see if there's any dietary adjustments you can make to better regulate your hormones and mood. Listen to what your body needs as your cycle changes throughout the month!", "It's hard to answer this without knowing more specifically the anxiety and depression symptoms you are experiencing - but typically treatment for anxiety and depression is multi-faceted. Going to therapy, working with your primary care doctor to check for (and treat) any physical factors, learning healthy coping strategies for your anxiety and depression, increasing your social support, moving your body in ways that feel good, spending time doing something that's meaningful to you - all of these can be helpful for treating anxiety and depression!", "Ugh, overworked and underpaid is such a terrible combination. I applaud you for recognizing your value, both monetarily and otherwise. To manage your anxiety at work, consider putting together a small grounding box for yourself to have at work - fill it with fidgets, hard candy or gum, something that smells nice, kind words and reminders to yourself. Remind yourself that you are not stuck - you have lots of options for how to move forward and the freedom to decide what to do. A few options might be: look for another role in the same company, look for another job at another company, use some of your PTO time to give yourself a restful break, ask for a meeting with your supervisor or HR to discuss your concerns or advocate for yourself to get a pay increase. You are valuable, both inside and outside of the workplace! And it's okay to ask to be fairly compensated for the work you are doing, and set boundaries for yourself if that request is not accepted.", "Sounds like you are really experiencing a rough time. I applaud you for recognizing the need for change. Healing is possible! Find a good therapist you feel safe with who specializes in trauma and PTSD. They will work with you to help you learn healthy coping skills, feel safe in your body again, manage emotions, and improve your relationships.", "Sounds like she might be triggered and having a trauma response. This is normal for folks who've experienced trauma. The part of our brains that detects \"danger\" acts like a smoke alarm in our house: it's constantly scanning for threats and makes a bunch of noise if it detects one. Smoke alarms can't distinguish between smokey bacon cooking or an actual house fire - they just detect a threat and alert everyone of it. Our brain is similar. Her brain has probably learned that physical touch is dangerous for her, so whatever response she has next is her brain's way of trying to protect her. Particularly with sexual trauma, this can be a really frustrating experience for romantic partners trying to connect physically or sexually.", "No, not without a signed release of information (ROI) from you (the client).", "Yes! Definitely common for people to cry during a therapy session. For some folks, therapy is the safest place for them to truly allow themselves to have, or express, their emotions." ]

[ "It is not unusual to believe that we know what other people are thinking about and feeling towards us.  These beliefs, which can sometimes be quite upsetting, are based on our own life experiences, including previous interactions with family, friends and strangers.  No matter how good we think we are at \"reading\" others, we don't usually know what someone else is thinking.  Additionally, low self-esteem may lead us to assume that we could never meet others' expectations or that other people couldn't possibly have positive thoughts about or feelings towards us.  Assumptions like these may unnecessarily lead to negative emotional states.  One method of coping with these thoughts is cultivating a sense of curiosity.  For example, asking for direct feedback may point out the overly critical nature of our own thoughts.  Another technique is to use a balanced self-appraisal.  For example, you could ask yourself, \"What did I do well here and what would I do differently in the future?\"  This approach has the benefit of recognizing our own strengths while also employing a growth mindset.  Additionally, by using a present-focused appraisal, we avoid engaging in the belief that we should have done better in the past.  Rather, we have the opportunity to improve with the information we learn in the present.  A therapist may also be helpful in exploring and coping with these thoughts." ]

[ "You absolutely do not have too many issues for counselling. The fact that you are wanting to seek help is commendable and you should feel proud of yourself for reaching out for support. I know from my experience working with clients that some may say they have only one issue but when we explore it turns out they have many things that they want to discuss that are of equal importance. I believe that you deserve to feel happy, at ease and also get restful sleep amongst other things. Please do not feel hesitant because the fact that you know what you want to discuss and work on is amazing. You know the directions you want to go and the therapist just needs to help you get there. I suggest sitting down and making a list of what you want to discuss as well as what you feel is more important to address first. Perhaps the therapist can help you with that as well.", "Crying is a natural process when you talk about upsetting things especially in therapy when you are opening up and being so vulnerable. I suggest that you consider how you would feel/respond to someone that was confiding to you and they began to cry. If you felt concerned, supportive and empathetic then you know exactly how us therapists feel when our clients are emotional in sessions. I suggest that you think of times where you have cried and how you felt at that time in public and what would have helped to make you feel less uncomfortable during your tears. I think of crying like any other natural reaction of our body such as sneezing, laughing, coughing. You can't help but do those things and most people won't really judge negatively if you do it in public. Similarly, crying is our body's reaction when we are emotional whether it is tears of joy, from a hilarious joke or from being upset. If you are very uncomfortable about crying but willing to start therapy perhaps you can ask the therapist if you can turn your chair around if you begin crying. This way you are not facing them and can self soothe without worrying about how you physically look at that time.I wish you luck and you should be proud of yourself for starting therapy and I wish you a wonderful journey on this important path that you are embarking on.", "I believe that the right counsellor will help you feel empowered, supported and understood. You should feel comfortable opening up and not be concerned that they will judge you for what you say or decide to do. I find this important to let my clients know during intake that they will never be judged for the decisions they decide to take while going over options in sessions together with me. In terms of what you need from treatment, please feel comfortable to open up to your therapist and tell them what you need from them. For example, do you prefer them to challenge you with questions, listen to your story and ask questions throughout or near the end, give you work to do outside of sessions? The therapy sessions will work best for you if you can help them support you in what will work for you.It can sometimes take a few trials of different therapists to find the right one so please do not give up if you feel disheartened! You should feel proud of yourself for taking the first big step in asking for help, that is not easy to do and you are on the right track already!" ]

[ "I understand that as a mom it must be really hard to see your daughter stressing about things at school. Based on your description it sounds as though she has very high expectations of herself and is pushing herself to keep up. I hear your concern and recommend that to start, you provide her a space where she can express herself openly to you without judgement. Although it may seem as though this is \"not normal\", unfortunately it is. From standardized testing, to awards, to scholarships, the pressure is on to perform at high levels for kids today. Secondly, I would recommend that you connect her with therapist that can teach her coping and stress management skills that can help alleviate some of her anxiety. A therapist can also help her identify any faulty beliefs she may have in regards to perfectionism or fear of failure. You're doing a great job keeping an eye out for your daughter and being in tune with her emotional wellness!", "Choosing the right therapist can sometimes feel a bit overwhelming. I know many people come to therapy with hesitations and potential fears but a therapist should be there to help you along the way and support you as you build a trusting and collaborative relationship. You won't have to \"train\" your therapist to give you what you need. Through open dialogue and feedback you and your therapist, together, can determine what works best for you. But do remember that being able to trust your therapist to guide and support you is key. So if you're having a hard time connecting with your therapist after 3-4 sessions, you will want to bring it up to them so you can discuss any barriers and if needed, request a referral for another therapist.", "Yes, absolutely. In therapy you will be delving into topics and feelings that are often suppressed throughout daily life. As you explore many emotions may come up, anger, disappointment, grief, frustration, sadness, to name a few. These and many other emotions often lead to crying and your therapist will be there to hold space and support you through it. Crying is a very healthy release of energy so feeling comfortable enough with your therapist that it happens during session is a great thing!" ]

[ "Thank you for sharing. It seems like since the \"winter blues\" happens to you every year it may also be impacting your quality of life and possibly relationships. What you report sounds like you may be experiencing Seasonal Affective Disorder (SAD) and is quite common to many from about fall thru winter seasons; but, also can impact folks during the Spring and summer months.The best care and treatment for SAD includes discussing it with your PCP (primary care physician), integrating light therapy (full-spectrum lighting) throughout home and workplace (where possible), psychotherapy, and possibly medications (e.g. Wellbutrin XL, Aplenzin).Be sure to exercise good self-care and checkout the Mayo Clinic's website for SAD here: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047.", "I'm thankful to read your husband found care and that his suicide attempt wasn't successful.   While he was hospitalized, and prior to his release, your husband would've been provided in writing a self-care action plan. This typically includes things like committing to a contract 'not to harm' and what to do if he felt overwhelmed by his anger, depression, and hopelessness (e.g. call 911, call therapist, go to nearest hospital emergency department). Additionally, his protocol would've provided instructions for his taking medication(s) as directed, having a follow-up appointment(s) with his psychiatrist/psychologist/clinical social worker, and participating in some form of small group support.  If your husband's struggling as you describe, and you are feeling overwhelmed or frightened for his (your) safety, I'd encourage you to seek immediate assistance.", "Thanks for sharing as it shows your humanity and that you have a sensitive conscience. In your example here I'd encourage you to always think, \"safety first\"; and never offer a stranger at the accident scene \"...several hundred dollars\". Why? Because it could go badly against you (i.e. extortion, robbed, or would this be considered a bribe).   To the point, I'm reminded of Steps Eight and Nine in many 12-step programs regarding making amends. In your specific example since the injured unidentified party departed, and by your own admission you've been doing random acts of kindness, it seems to me you've acted in reasonable good faith fashion to make amends. Well done.   I'm not a karma expert but as a therapist I would invite you to explore the deeper story behind your use of the words \"cowardly\", \"guilty\", and what it does for you to engage in \"random acts of kindness\". What a fascinating journey this could be for you. Best wishes.", "The short answer to your question is \"No\" it's not okay for anyone to ever be doing this. There's a lot of unanswered questions and other factors going on here that need attention. Nevertheless, don't hesitate to seek out legal counsel and/or call 911.    Ideally, your fiancé would be able to speak directly to her ex-husband and set reasonable boundaries that honor whatever legal agreements are in force resultant from the divorce and custody agreements. The fact that she's afraid to say anything to him about his inappropriate behavior, and that she hasn't been able to give you any reason for her fear, suggests possible factors of past abusive behaviors, entitlement, and/or co-dependence.   I hope things work out well for all and I'm confident a skilled therapist could help all navigate how best to set boundaries and experience greater healing.", "The information from the other therapists here is sound and prudent. There are what sounds to be real legal (is this man a RSO [registered sex offender]; is he prohibited from being in proximity to minors? use/possession of child porn violates any # of state and federal statues...) and safety issues at play here. Your husband's daughters have an immediate \"need to know\" and this can be done developmentally-contextual, factually and in a non-shaming fashion. I would further counsel that you and your husband (his daughters welfare is at stake) seek immediate legal counsel. The ex-wife here seems to be between a \"rock and a hard place\" of her own creation -- she desperately needs care, treatment for herself. Resources for Your Consideration: 1) http://www.missingkids.com/home; 2) https://www.justice.gov/criminal-ceos/citizens-guide-us-federal-law-child-pornography", "Thanks for sharing and asking for help.  You mention that you're the one who ended the relationship in the past, yet are haunted by nightmares and flashbacks. Your comments here lead me to wonder that you may have experienced some form of trauma in this past relationship; and, if so, I would encourage you to additionally consider the whole of your story-line as it relates to trauma. Doing so will serve you well for your own peace-of-mind especially so in your current relationship.  The best way to do all of this in a supportive fashion is to work with an experienced therapist who specializes in trauma-focused care. The therapist may, if indicated, wish to to incorporate EMDR (Eye Movement Desensitization and Reprocessing) which \"...is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.  Best wishes.Resource for Your Consideration: http://www.emdr.com/", "First off, I want to acknowledge the emotional pain you must be experiencing about not being able to experience an erection -- you're not alone. And, it took a lot of courage for you to post your query here. Below you will find excellent advice from skilled clinicians regarding your question and concern. If you haven't done so already I'd encourage you to checkout the Mayo Clinic's website on this very topic (http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047).Once you've ruled out any medical-organic issues with either your PCP or Urologist I recommend you work with a Certified Sex Addiction Therapist (CSAT) and/or Certified Sex Therapist (CST) and do some psychotherapy around attachment/family-of-origin, intimacy, self-image, trauma history, sex history, pornography, etc. ). There is hope.", "Feeling rejected and frustrated is a reasonable reaction to your experience with your husband. I want to encourage you that his actions may have little to do with you, and regardless of outcomes, I hope you find the help you need to process through your pain and still have hope for your marriage.   If your husband was to work with me I'd explore with him his understanding of, and experience with, intimacy in relationship with others. Furthermore, like other male clients of mine, I'd challenge your husband to secure an updated full medical exam from his PCP (primary care physician) and/or urologist in order to identify or rule out any organic issues which may be causing his apparent lack of desire for sexual intimacy. If there are no physical issues, per se, I would encourage your husband to process further his family of origin story-line regarding rules, roles, sex, and sexuality along with working through his sexual and trauma histories.", "Thank you for asking your question. When I read terms like \"fetishes\" and that your wife is \"sexually passive and insecure\" I can't help but wonder that there may be more going on within the coupleship and with yourself than what has been asked about in your particular question.    I invite you to enter into an exploratory journey with an experienced therapist to identify your fetishes and the deeper story behind the \"who\", \"what\", \"when\" \"where\", \"how\" and \"why\" they are important to you. Additionally, consider whether or not you need these fetishes as a requirement or strongly preferred for sexual excitement; and in its absence do you find yourself being sexually avoidant with your spouse or suffering from some form of erectile dysfunction.    While the fetishes may not be causing you clinically significant distress or impairment in functioning it seems from your question that they might (or would) cause distress to your wife. An experienced clinician could help you and your wife to navigate through this relational terrain ensuring all are heard and that the coupleship is honored. Best wishes.", "It took a lot of courage to share what must be so shameful to you and to ask for help. Regardless of your sexual attraction/orientation, I'd encourage you to get honest with yourself and your partner/fiancee and put a temporary hold on your wedding plans -- getting married will NOT resolve your acting out. It seems to me you need more space, time to sort through with an experienced therapist more of your sex/sexuality story-line and apparent anxiety surrounding the upcoming nuptials. In the immediate I encourage you to also take the initiative to have yourself tested for STDs, etc. and if you've been sexually intimate with your partner/fiancee s/he needs to be similarly tested. Best wishes.Resources for Your Consideration: 1) The book \"Not Gay: Sex between Straight White Men\" by Jane Ward, 2) http://www.sca-recovery.org/, 3) https://slaafws.org/", "The comments here from the other therapists are \"spot on\". As a Certified Sex Addiction Therapist-Candidate I'm convinced your partner's acting out creates trauma for you. Your partner's addiction is NOT your fault and his recovery IS his responsibility. What's paramount is for you to get immediate help from an experienced therapist who understands trauma as result of the partner's/spouse's problematic sexual behaviors. Your needs, safety, and the establishment of reasonable boundaries is vital to your well-being. I wish you the very best.Resources for Your Consideration: 1) https://www.iitap.com/, 2) https://www.sanon.org/, 3) http://www.cosa-recovery.org/" ]

[ "of  I would love to know a little bit more about what's going on in your life but I will attempt an answer.Yes, you could still be shaky and nervous going to therapy. This therapy thing your doing is sometimes scary. First, because your opening up things that you might have never wanted to. Second, your still building a relationship with this therapist person. You may never get over that. The therapist really can't be your \"friend\". They are there to push the buttons that you might not want pushed and help you heal.  That in itself is scary and can make you anxious. Third, you really never know where this therapy thing will go. Yes, there are goals. But sometimes side roads need to be taken and sometimes that is scary.Know this you are in the right place. You are taking steps to change.", "Wow, congratulations on being in a masters program. You are in a unique place. So few have reached that level. You should give yourself a pat on the back.Confidence is not something that comes naturally. But can and does come with practice.Having gone through two masters programs I can sympathize with your your dilemma. So how is the stress affecting you?Is it serious enough to stop you from presenting or is it just \"butterflies\"?There are many ways of dealing with the anxiety and stress. Much depends on how serious the stress is.So here are a few ideas:1. Practice in front of a mirror.Sounds strange but the practice helps.2. Ask some friends to listen to your presentations. Not so much for their input as to just get used to presenting.3. Focus on the material you are presenting. The subject matter is what you want to get across. Step away from your nerves and get into the facts you want to present. Let the material you present be the focus. 4. Remember everyone else is just as nervous as you. Share your fears with some of your classmates and gain support from them. Focus on a friendly face during the presentation. Be a support to them in return.5. \"Fake it, till you make it\". Yes it sounds blunt. But sometimes that's what it takes. Even if you feel like it, you won't die.So much more can be discussed with a competent counselor. Take the time to let a professional help you work through this.Again you have come a long way to be in a graduate program. Congratulations you have done great work so far. It's just one step at a time, take the steps.", "OK first things first. We have to think of your safety and take care of those thoughts of hurting yourself.Yes, this is a major problem for you and can cause anxiety and depression. You have the right to be sick and tired. Kids often are pawns in this marital problems that their parents have. I'm sorry that this is happening to you.I am not sure of your rights in the state you live in but as far as I know you as a 17 year old you have the right to stay where you want. So your'e going through an anxiety episode and your therapist is not available.  If I'm the therapist we would have already set up a plan so that if you are in this situation you would know what to do. In the worst case scenario you would be able to contact me.But I would have given you several exercises to help reduce your anxiety.Staying with your mom should be your choice. I know you probably don't want to hurt anyone's feelings but there are ways to ease the tension. Maybe with your permission and their agreement, we all could meet together for a session or two to ease your tensions and get over and through this hassle.", "There is a lot of information that needs to be filled in first. So what the custody arrangement? Does your dad have full custody? Is the custody shared? What does your mom think about the situation? Is she willing to go to bat for you?What is your age? Usually you have the right to choose based on age requirements set by the state.Legally you can't be kept away from your mom unless there is some legal complications that prevent it.Is your father abusive and should you seek protection?Many details need to be filled in.You can seek counseling without your parents approving or knowing, depending on your age.Find counseling through school or local agencies.You have rights and one of those is the right to choose.", "There is always hope. So don't give up on hope.However, you knew I would say that, there is a lot work ahead of you.You need to see someone to talk things out.Get some space between you and your husband. Don't chase and please don't stalk him.Do some deep searching as to why he left and what part you had to cause the split.You can't change him but you are in control of your own change.With the help of a professional counselor you can get help and direction where you need to change.", "Having sex with your boyfriend is and was a mistake. Mistakes can be forgiven and you can make amends.But it is not the end of your relationship or God's will for you.Have a serious talk with your guy and get back on track with where you want to be. Talk to a counselor or your priest/pastor. Get someone to be your guide and mentor. Check in with them regularly.Getting back to square one could actually strengthen your relationship.Have a plan for the future where you will not be put into a place of temptation. Group dates, public places and no alone time where temptations might arise.Forgive yourself and move on.", "You are not a pedophile. You are both under 18 and your age is appropriate for a relationship. There would be a possible problem if she was 10 or younger. Pedophelia, is a whole other problem that you probably should not be worried about. I would be happy to talk with you in more detail about this.", "There are many different ways that can be approached in your situation.1. I would recommend a complete medical examination including blood test. i would want to know if there are any medical issues in your low sex drive.2. Where is your husband in this situation? Is he resentful, accepting, demanding or neutral?3. What is your past sexual history? has this had an affect on your current issue?4.Has there been problems in your past with abuse of any kind?5. Understand that intimacy is more than sex. What other ways can you be close to your spouse?6. It sounds like there is some confusion about sexual intimacy from both of you.Couples counseling would be a great place to start. All of these areas need to be explored before any treatment goals can be established.You need to talk with a professional counselor to explore how to better connect with your spouse.", "From the very beginning of counseling sessions I emphasize that the work will and must end at some point.In counseling there is an arc to the process. A beginning, middle and end. I am always digging, searching and exploring. There comes a point where things come to there natural ending.I always leave an opening for continuing counseling in the future. At least as a check in.", "Counseling can go a long way in improving your mental health. Counseling helps you to get new perspective on your life and problems.Talking about your problems with a counselor gives them substances and something to get a handle on. Talking about your problems gives you a chance look at your situation from a new angle to help solve your problems.The counselor is a neutral listener that can help give direction and answers to your needs.Counseling can help you solve your problems but also can set up a plan for the future. Counseling can help you to deal with things before they get out of hand.Give counseling a try." ]

[ "You need to seek counseling/psychotherapy !", "Social anxiety is a type of anxiety disorders and you need to consult a mental health professional.", "if there is abuse in any form, one needs to end the relationship !", "No religion stops a person from being themselves. Gender is self-identified and not the one assigned at birth. Few families need sensitiation program for them to understand that their child is perfectly normal and gender dysphoria or gender incongruence is normal.", "Unresolved issues/ Unresolved past - using Gestalt therapy, one does gets a closure to their unresolved emotions. Try talking to a therapist !", "To be able to accept, they need to be sensitized that being bisexual isnt wrong ! After sensitization too, they might not be able to accept but your life should move on. Self-acceptance is the key. Coming out in itself needs so much strength and courage, that which you have !", "Sexuality is fluid. One can be interested in same gender relationship after being straight fr 40years !", "If you are not able to build a rapport even after many sessions, thats when you will know that the therapist is not right for you. Also, you dont have to train the therapist regarding the treatment plan. The therapist alone cannot decide what's needed for the client without client taking the driver seat !", "Absolutely Normal to cry during therapy !", "Counseling is voluntary. If one feels there is a need to talk, its at that time, they approach counselor.", "Counselor tries to build rapport and gets the client talking. When the client talks, shares whatever they feel, counselor merely listens. A counselor's job is to bring out coping mechanism from the clients only and emphasise on the coping mechanisms," ]

[ "There is no such things as \"too  many issues\". Many of the issues cited here are connected. For example, in this case working on the sexual abuse will possibly address the depression, the anxiety, the self esteem. There may be some grief to process around the impact of the cancer. Our body, mind and spirit are parts of one system. They are interconnected.Addressing these issue are important so you can be relieved of the burden and feel more spontaneous and enjoy life even more.", "Change is about giving a new meaning to past experience, to allow for the emotions we stored in our body to be freed. Crying is normal and one way to process emotions to help let go and integrate our experiences." ]

[ "It is very routine to feel all of the different emotions in therapy.   I have had clients cry in therapy out of happiness, sadness, love, joy, and from laughing so hard!  Yes, crying is a normal part of therapy for many people." ]

[ "First, look at your own history.  At times, past trauma can make the current situation worse.  If you have ever experienced trauma, you may want to try addressing the traumatic experience directly so that you can see clearly to deal with the current situation.In addition, consider how your current boss, co-workers and/or company may be similar to your home life as a child.  Is your boss or the company like one or both of your parents?  Is a co-worker similar to a family member?  Could you be perceiving a work-related situation or a person at work the same as a family member because their words, actions or looks remind you of that person?  Ultimately, after asking yourself these questions and providing honest answers, it will help you to determine whether you are dealing with issues of the past or whether you are in a current toxic work enviornment.  From there, you can decide what you want for your future.", "When anyone has experienced a traumatic event, triggers can be a normal result.  Your brain is wired for survival.  When a traumatic event takes place, it can cause your brain to go into a hypervigilant state, thinking that it needs to constantly protect itself.  This is not an indication that something is wrong with you.  It just means that your brain is doing a really great job of protecting you!  Therapy can help you find your \"off\" switch.", "You will know when you have the right therapist if you feel like it is a \"fit\" for you.  Trust your intuition!  It is often accurate.  However, if you are used to unhealthy relationships, the therapeutic relationship may feel uncomfortable at times.  One of the best ways to \"train\" your therapist is to educate him/her about you.  If something is important to you, tell him/her." ]

[ "I’m wondering if you are thinking that you’d be inconveniencing the therapist by bringing too many issues to the sessions? The reality is that it’s actually very common for a person to come to therapy with a whole host of issues. In fact, it’s encouraged to go to therapy if there is a lot of stuff to work through. You would not be inconveniencing the therapist at all and I would really like you to consider beginning therapy with a clinician that you feel comfortable with. Best of luck to you!", "I have to start off by saying that I admire you so much for your devotion to your son and the fact that you stopped working to focus on and care for him. That cannot have been easy! Not to mention being in an abusive relationship where you are made to fear for your physical but also your emotional safety. You may or may not believe this- but it sounds like you’re a really strong person. And it also sounds like you want to feel better about yourself and be social with others, however you don’t know how to do that right now because like any normal person who has been harmed by someone and who has felt unsafe by someone you may not trust so easily, you are out of practice with being around others and having healthy relationships, and because of what you have been through you get anxiety from being social. The fact that you want to change that though is a huge positive. Was there ever a time when you didn’t feel nervous around others? Was there ever a time when you did feel comfortable around people? What goes through your mind when the idea of socializing comes up? These are some questions to explore in order to determine how you could feel more comfortable around people. In order to really answer your question I feel I need more information from you. In the meantime though, the first step is to recognize that you are not abnormal in your feelings, QUITE the opposite, and to not put pressure on yourself when you feel nervous around others. My suggestion is to seek therapy so that someone can make more specific recommendations by asking you some more questions, as more information is needed to really assist. Best of luck!", "It sounds like you are a very caring parent who is worrying about an intelligent, high-achieving daughter. It is hard to see our children struggle! What makes you think this is going to break her and that the stressing isn’t normal? Have you talked to her about your worries? How does she feel about seeing a doctor? I would first have a conversation with your daughter about your worries. Make sure to speak with her calmly and have an open discussion with her about what you are noticing and ask her how she is feeling and if she feels stressed to the point of visiting with a doctor. Maybe she needs an outlet to talk about her feelings and therapy could be helpful, or maybe she really values doing well in school and feels she can manage the stress without speaking to someone. Either way, she needs a parent she can feel comfortable venting to, who will let her talk without interruption or judgement. It sounds like you love your daughter so much and you want her to be okay. Tell her that and get her feedback. But ensure you don’t make a conversation with her about you and your anxieties. The conversation needs to be about her and how she is feeling. All my best to you both!", "It sounds like your dad makes you feel badly about yourself when he screams, cusses at you, and compares you to your siblings. I am so, so sorry you are going through that. That would be considered emotional abuse because it sounds like he is greatly hurting your feelings when he is behaving in that way. My heart goes out to you. No one deserves to be treated like that and you do not have to allow yourself to be treated like that. Please try to find a therapist who could give you tips for creating healthy boundaries with your dad regarding how he treats you.", "It sounds like you feel your wife doesn’t trust you and it’s frustrating for you because you aren’t cheating on her and you aren’t trying to be disrespectful towards her. It must be really difficult to constantly be faced with accusations and misunderstandings from your wife. I am so sorry you are going through this but I’m really glad you are trying to seek assistance with this.I don’t know your wife, in fact I don’t know you either for that matter, but from what little I know from what you wrote it sounds like your wife has some insecurity and maybe even self-esteem issues. People that present as very sensitive and accusatory like your wife are often not acting that way to purposely frustrate their loved ones- they act that way because they are feeling unloved and hurting. Having that perspective in mind about your wife- that she is hurting when she makes those accusations- I am wondering if that changes your perspective about this? Your wife needs your sensitivity towards her feelings, your  love and your reassurance of your commitment to her. Be very loving in your actions and words towards her. Don’t call other women sweetheart. It sounds like your wife is a sensitive person which means she needs her husband to be sensitive to her feelings. These are just some things to think about.", "It is so hard to feel undervalued on the job! To be given so much work and not to get paid for it is unfortunately a headache many experience. Make sure that you are surrounding yourself with loved ones and ways of relaxing when you are not on the job, and taking care of yourself (aka eating well, getting enough sleep, etc). When one ensures that their physical needs are met, they give themselves the best chance for also functioning best mentally and emotionally. Think to yourself how you best take care of yourself and make sure when you are off from work you do those things. For example, do you enjoy reading, exercising, or maybe having a milkshake? If you do, make sure you make time to do those things! Whatever it is you enjoy please utilize self-care and do them. As long as it is not an activity that will harm you or anyone else, make time for taking care of yourself when you are not on the job. There are also skills you can learn to manage any symptoms of anxiety, and that a competent therapist can go over with you, should you decide to try counseling. And while you are doing all of that, you could also search for other jobs. Best of luck !", "Seeing your boyfriend hitting his face sounds very scary! Sometimes when people are experiencing strong emotions the emotional pain becomes so overwhelming that they try to relieve the emotional pain by causing themselves physical pain. It is a dysfunctional way of calming themselves down. I don’t know your boyfriend or your boyfriend’s history so I can’t know for sure if that was what was happening, but I am certainly glad that he does not do that on a regular basis. When you are both feeling calm, and if you feel comfortable, talk to him about what happened. It is difficult to be in a relationship when you are scared and don’t understand why the other person engaged in a frightening behavior. If you feel safe enough and do not worry about his reaction, I would talk to him about your feelings regarding what happened. If you don’t feel safe enough and are worried about his reaction or that he might hurt you, talk to someone who knows you or a therapist who you could feel comfortable confiding in so that they could guide you on how to move forward.", "It’s important to think to yourself about what it is about losing the comb that gets you so angry. What are the thoughts that go through your mind when things that are out of your control (like losing the comb) happen? It’s okay to be upset, but some self-awareness about what’s going on to cause those feelings is important, and only you can know what thoughts are going through your mind when you find yourself becoming angry. Is it that you feel badly about yourself when these small things happen? If that’s the case then you need to work on your self-esteem. Is it that you are frightened when you don’t know where something is and that causes the anger? Try to identify the thought behind the feeling. As for the throwing things when you become angry- please know, it’s okay to feel angry. Feeling the emotion of anger isn’t necessarily a problem. Any emotion is okay to have. It’s how we express our emotions that sometimes becomes the problem. Throwing things can be a dysfunctional way of handling anger (like if the things you throw break, or if someone sees you throwing things and becomes scared) and it would be a good idea to work with a therapist or anger management coach to brainstorm some healthier ways to express your feelings.", "It sounds like you have had difficulty in processing what happened to you in the past and because of that difficulty in moving past what happened to you, when you are reminded of what happened you get angry all over again. Please know that it IS possible to remember what happened but to also not have the same emotional response. It is very common to have difficulty processing a traumatic situation that occurred in the past. Many people go through this. A good therapy designed to assist with this type of issue is EMDR. Try to find a therapist who is trained in EMDR to help you with processing these memories so that you don’t have the same emotional response every time you think about what happened. Best of luck to you!", "I am so sorry you are going through this. The harsh reality is that you can’t possibly know. Being in a healthy relationship means that you have to trust that what your spouse tells you is true. If he tells you he was not with a prostitute and you don’t believe him than that means there is lack of trust in your relationship. If you are experiencing mistrust in your relationship and are worried about infidelity or STDs that is very serious and it sounds like you both could benefit from being in marital counseling together. Trust is so important in any relationship and if the trust isn’t there it’s important to build that trust so you can have a happy and healthy home together. If your spouse is unwilling to go for marital counseling with you, then go for individual counseling! There have been plenty of success stories when even just one of the spouses goes for therapy.", "One of the keys to a successful and loving marriage is respectful communication. Have you talked to your husband about this in a calm and respectful way? You would have to bring this to his attention in a way that doesn’t put him on the defensive because it could very well be that he doesn’t realize he is doing this. An idea of how you could bring this up to him is by letting him know that you love him so much and you are sure that he probably doesn’t do this intentionally but you’ve been feeling unheard when you tell him things. See what he says after you let him know this. Couples therapy could also help you both very much with issues like this that come up.", "You know that you have the right therapist for you if you feel comfortable confiding in them, and you feel that they are able to help you feel understood and that you are gaining from their therapeutic services.", "It is not just you! If you are crying during therapy, or if you are crying outside of therapy, that is a good thing! It means that you are allowing yourself to feel your feelings rather than push your feelings to the side and try to “get over them.” When a person allows themselves to cry they are doing important work to work through and get to the route of what they are feeling. Good for you! It is not easy to cry, especially in front of others, and it takes a strong person to try to work through their feelings by going to therapy." ]

[ "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!", "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!", "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.", "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." ]

[ "It's not uncommon for relationships to go cold over time. It is a matter of one or the other becoming complacent. If you and your husband have been together for quite some time it's likely that you are very comfortable and familiar with each other. While this is a good thing in some ways, it can also become boring and you run the risk of losing that \"in love\" feeling he is referring to. Couples simply become ambivalent. For some of the couples I work with in my practice, I find that helping to organize a time apart, which I call a \"Therapeutic Separation\" can do wonders for the relationship. I offer homework to be done during this time. Reading, worksheets and individual counseling helps people learn more about themselves and what they desire out of their relationship. It often times brings more appreciation for their partners. When the pair comes back together, we are able to push the reset button and begin a new chapter that is more fulfilling and exciting than before.", "Yes! You can move on from a relationship that ends abruptly with no explanation. One way you can do this is by creating your own narrative around what happened. Chances are, you were not fully getting what you wanted out of the relationship either. He just happened to be the one that called it quits first. Start by sitting down with a journal and summarizing the time line of the relationship. Include both the good and bad, the ups and downs. When you get to the finale of your  story, you create the ending.  Do not frame yourself as the victim. Think about what was most likely going on in his head. Usually there are clues that we might not see clearly until after the fact. Write about what you learned from the relationship and the positive growth you experienced. Be thankful that you were released from continuing any further with someone who was not meant to be your long-term partner but express gratefulness for the season and all you learned." ]

[ "It's most important that you accept yourself and surround yourself with a group of friends who are kind to you and love you. Family hearing news of any kind for the first time if they are an anxious type of character, will always be tough to digest. Time is important to let it all settle in and also making sure you're taking good care of yourself... I think you're brave and I give you a lot of credit for not denying who you are -- you will inspire so many people to do the same in your life. Wishing you all the best. Gina" ]

[ "My first question for you would be to see if you've talked with her about it yet? You mentioned you found out....and I know this can be so painful. It can also be frightening to bring up the experience when it hurts a lot, when you feel so unsettled as you mention. But you can look at this as a vital and important piece of information about what's happening in your relationship, and an invitation to get really honest and genuine with each other. You have a long history, being together 9 years, and a son, so you are very bonded no matter what changes happen in your relationship. It may be incredibly helpful to find a counselor you can both go talk with. Having a third party who is neutral and cares about your process and hers can be such a relief when you need to discuss things you feel scared about. Even just a few sessions can make a huge difference. If this doesn't feel possible for you right now.....ask your fiancee for time to set aside for a meaningful heart-to-heart talk. Say you'd like to set it up on the calendar, and make sure you have a babysitter for your son. Set aside at least 4 hours. Let her know that you'd like to hear her honest truth about what's going on, and share with her your truth as well. It's not a time for criticizing or condemning, and I don't sense that is your intention at all--you have a great deal of love for her. Speaking honestly and listening openly is an amazing gift, both for yourself and for your partner. You can do it." ]

[ "Feelings of worthlessness often originate  from what you learned about yourself when you were young. Improving your self esteem needs focus on that original message from parents, teachers or siblings that may be suppressed.  Most of us need help to uncover the \"lie\" because you were born valuable!" ]

[ "It is incredibly\nimportant that a person feels that their therapist is right for them! The\nimportance of this is not only because they will be asked to be\nvulnerable and honest during sessions, but also because it can impact treatment\noutcomes. Having confidence in your therapist and the therapeutic relationship can\nhelp foster success in therapy!Generally speaking, it is\na good fit if the therapist has expertise with your particular problem, you connect\nthe \"feel\" or “vibe” of the therapist, and you like their treatment\nphilosophy. In order to find out if it’s a good fit, you may have to directly\nask the therapist about their expertise and treatment philosophy. Many people\nare arbitrarily matched to a therapist or believe that they have to see the\nfirst therapist with an available appointment. It is important to remember that\nyou have a choice in who your provider is!As far as “training” your\ntherapist, there are caveats here. Your therapist is responsible for providing\nethical and competent services without you having to train them (such as maintaining\nappropriate boundaries, maintaining confidentiality, etc.). Assuming they are\nmeeting those minimum requirements, the hope is that they are also\ndemonstrating respect for you (such as starting session on time, providing\nconsistency, and being non-judgmental). If you do not feel respected or you\nhave concerns about their judgements, I recommend you bring this to their\nattention. While the therapeutic relationship is unique and is not like other\nrelationships in our lives, it is still a relationship. It may be uncomfortable to tell them how\nyou feel about their behavior, but there can be immense therapeutic value in these\nconversations. \nIf your therapist is\nproviding ethical services, competent services, and demonstrating respect for\nyou, it’s a good start. If you are not getting the results you hope to get from\ntherapy, it is still not your job to “train” the therapist, but it would be\nbeneficial to bring this to their attention. Ask them about that goals and\nobjectives that you are working on and ask for clarity on the direction of\ntreatment. These conversations can be incredibly beneficial to the therapeutic relationship\nand the trajectory of treatment. Alternatively, if you are not feeling good\nabout the provider, their vibe, the goals, or the direction, it may be time to seek\na consultation with another therapist. “Starting over” in therapy does require\nquite a bit of emotional energy but that doesn’t mean it’s not worth it!" ]

[ "I don't think you have too many issues for counseling.  If a client came to me for help with the same issues that you have listed here I would first want them to meet with their doctor to get a physical to rule out any biological causes to your depression, anxiety, and insomnia.  I would work with you on deciding which of these issues to tackle first.  I usually suggest starting with the issue that is easiest.  Reading through your symptoms I might choose anxiety to start with since you are in the early stages of it.  I like to give my client skills they can use right away, so I would focus on teaching you breathing exercises to manage the anxiety as well as cognitive restructuring so that when an anxious thought pops up you can talk yourself through it.  Once you felt that you had some control over the anxiety I'd start to work on some of your other concerns, but I would seek your input on what you felt like might be good to work on next.  My gut is that some of these issues would be resolved as you worked on others.  For example as you worked on your anxiety and began to process your trauma and as you began to work on self care and getting more sleep - your self esteem would probably improve.  I encourage you to meet with a therapist and ask them how they might be able to help you.  These are just some thoughts that came up for me on how I might help someone with the same or similar symptoms.", "It can be hard for husbands to hear that their wife is unhappy.  By nature men tend to be more of the fix it type.  So if they are sad, they fix it.  If their wife is sad, they fix it.  He may feel helpless to help you and that may be why he is saying those things to you.  It's not that he doesn't care or that he doesn't take them seriously, he might just have no idea how to help.  I would start by making an appointment to talk with a therapist about your sadness.  Meeting with a therapist may help you to learn some tools and strategies that can help you to manage some of the sadness you are feeling.  A therapist can also help you to gain some understanding and insight into why you might be experiencing sadness.  Depression is not something you have to sit with, therapy can help.  Once your husband sees that you are being proactive in addressing your sadness/depression he will probably be more open to listening to you and supporting you.  He might start to have ideas and input on how you two can work together to change some of the situations or things that might be holding you bakc.", "I am so sorry this is happening to you.  One thought I have is for you to create a mantra or a soothing statement to say over and over to yourself as you are being bombarded with this negativity and abuse.  For example you could say \"Living here is temporarily, one day I will have my own place\".  Or you could say something like \"I am a good person, I am a good parent, and I always try to do the best I can\".  Saying this over and over to yourself as you are listening to your parents will help you to tune out some of their words but it will also start to build more positive neural connections and start to wire your brain to build and/or strengthen your self esteem.  Focus on the temporary nature of your situation, start making plans for leaving the situation.  If you are under 18 and can't leave because you are in school, now is a good time to start planning for when you can leave.  That when when the opportunity is available you know how you will get a job, how you will find an apartment, who will provide daycare.   This will make the transition out of your parents home much easier and it will give you something to look forward to while you are in their home.  Take care!", "Deciding to end a relationship is never easy, especially if there is not any strong reason or incident standing out to help define the unhappiness in the relationship, such as infidelity or abuse.  All relationships go through low periods where one or both people may feel unhappy in the relationship, this is normal.  What I tell my clients when they are facing this decision is to spend some time and imagine your life without the person in it.  What do you feel when you imagine your life without your boyfriend?  Do you see yourself as being happier, having more freedom?  When you think of life without him do you feel a weight lift off your shoulders?  Is it easier to breathe?  Don't rush into any decision about leaving the relationship.  Take as much time as you need to fully understand what it is you are feeling right now.  Ask yourself if some of the unhappiness in the relationship can change, if it is likely to change.  Only when you are confident in your decision to leave should you then have the discussion about leaving the relationship.  I hope this answer gives you some ways of thinking through how to make that very tough decision.", "I'm sorry you lost your grandpa.  Some things that may help you through this tough time are to journal or write about special memories you have of your grandpa.  You could also journal about your feelings of loss and how you miss him.  Another thing that might help is to talk with a friend or family member.  Sharing special memories of the person you lost can help you to grieve.If you would like to pursue counseling I would suggest doing an internet search for grief groups in your area.  Sometimes hospitals or hospice centers will offer them for free or low cost.  You can also do an internet search for non-profit counseling clinics in your area.  Many cities and towns will have a non-profit clinic that can provide low cost counseling, it might be worth checking into.", "Sounds like it is time to set some boundaries with your mom.  You can do this by letting her know that you understand how she is feeling and you understand that she is under a tremendous amount of stress.  Validate her feelings and words.  After you do that, tell her how hearing about it daily is affecting you let.  Let her know that it is hard for you to hear how stressed she is, how hard it is you to have these daily calls.  Let her know that you are feeling stressed about her own well being.  You can then suggest that she find a therapist to speak to about how she is feeling and what she is going through.  I suggest writing out what you want to say, before you say it.  Practice saying it a few times so that it flows naturally when you do have the conversation with her.Also, when you start setting boundaries with people they don't usually like it.  They give some sort of push back either by expressing disappointment or anger towards you.  This has nothing to do with you.  This is them having a hard time hearing and accepting the boundary you are setting.  The other thing people tend to do when you set a boundary is to test it.  In this situation it might look like your mom calling you the next day as if the two of you never had the conversation.  In this situation it falls on you to set the boundary again, by having the same conversation again with her.  Over time she will accept the boundary and she will be OK with it.", "Great question!  You can find a counselor by doing an internet search or by asking your doctor for a referral.  Once you have the name and contact information for a therapist you want to meet with, give them a call.  Some therapists will provide a free 15-20 minute phone consultation.  This is a good chance for you to get some questions asked.  Be sure to ask about their fee, if you want to use your insurance ask them if they take your insurance.  Next you will want to ask about availability to make sure they have open times that fit in your schedule.  Once you make the appointment, in the first session you have with the therapist, the therapist will ask a lot of questions about what brought you into therapy and what you hope to accomplish in therapy.  I usually use the last 10 minutes of that first session talking with clients about how I might be able to help them with their concern and I gather feedback from them.  Here is a link to an article about how to speak with your therapist in those first couple of sessions.  http://thriveworks.com/blog/tips-open-honest-counselor/" ]

[ "It is never too late to get help and begin making significant changes and improvements in your life.  The right time is when you feel ready and open to change.  Sometimes when we have a history of trauma, like sexual abuse, the impact of that trauma can affect many areas of our lives as adults.  Working with a therapist who specializes in trauma is a great way to begin developing skills to manage present day life, learn to regulate your emotions and nervous system when you become triggered, and then in a safe environment have the opportunity to process past traumas so you can live your present life with more ease and joy.  People can and do recover from the impacts of trauma at any stage in their life.  It is never too late and you can feel better", "Oftentimes we can change our feelings about ourselves by building a better relationship with ourself.  It sounds like there is a very critical aspect of your self that is alive and taking over.  Sometimes when we are stuck it is because a part of ourselves, a way that perhaps we learned to cope with difficult situations earlier in our lives, has decided to run the show.  Like a highly critical part that may actually be desperately attempting to protect us from a past hurt. Slowing down and even forming a relationship with this critical internal part will help you get some space from it.  When we can begin to observe parts of ourselves, be curious about them, get to know them like a new friend, then we have room for other ways of being.  Beginning therapy could be a great way to change this feeling of worthlessness.  Beginning to build a better relationship and understanding of yourself will deeply influence the relationships around you.  This first step may feel hard, to reach out to someone, and it could be the beginning step to a path of radically shifting your relationship with yourself and others in your life.", "This is an understandable response to early childhood trauma and loss.  Oftentimes when we have overwhelming or difficult experiences as a child including poor caregiving, the ways we managed and the feelings we had then show up in our lives as adults.  Especially when we get close to someone, it mirrors our early experiences with caregivers in early life.  So....our body, nervous system, and emotions respond in the same way.  They feel as if what we experienced when we were little is happening now and they go into full force to manage and protect us.  Sometimes the ways that happens can feel pretty bad and we can stuck in these loops of old beliefs about ourselves.  Therapy is a great way to interrupt these patterns, process the early experiences, and be able to be in the present with your current relationships.  It is very possible to shift this cycle and also have meaningful healing from the experiences that caused so much hurt and distress from childhood.", "Deciding to end a relationship is a big question that deserves your full care and attention.  One of the first questions you may ask of yourself and consider for your boyfriend is whether you are both willing to work on the relationship.  A relationship, no matter how great or hard, can't work unless both people are invested in working on it.  This means that both people are willing to take responsibility and work on their on stuff when things are hard rather than blaming the other.  If one of you is not willing or able to work at this then the relationship can't really grow or get better.  Perhaps spend some time really asking yourself if you this is the person you want to work on things with.  All relationships are hard and require care and attention and also ask us to really take responsibility for what we contribute.  This should be done in a relationship where you want to do this work for yourself and the other.  Also, if you are fully in and ready to do the work but your partner isn't.  If they say things like \"this is just how I am\" or \"we have problems because of your issues\" then you also may want to really slow down and consider if this will be workable.  You and your boyfriend need to be invested and committed to the relationship even when things are hard." ]

[ "Please practice being kind to yourself!! You lost your grandmother, your home and your job!  Huge changes have just taken place and it would be challenging for anyone to be unfazed.  And having said that, you wrote that you have been looking for a job, so that tells me that you have most definitely not failed yourself. Try taking it one day at a time. I encourage you to recognize (and even accept) that you're going through a particularly difficult time and that everything is temporary.  When we are in something, it's difficult sometimes to see the light at the end of the tunnel.  Maybe you could allow yourself the grief that you are feeling, be in the tunnel, and trust that you will come through the tunnel to the other side.  Be gentle and loving to yourself.", "Hi...let's start with what's causing you to sneak out of the house?Understanding the motivation behind your actions (in this case...your sneaking out at night) can often times help you create the change you want.  Are you arguing with your parents? Do you feel misunderstood? Alone? Scared? Stressed out? What are you doing once you leave the house? Where are you going? Are people in your home in conflict? Do you feel safer when you leave? Most importantly, reflect on what may be behind the reason for your wanting to leave the house and feeling not in control of your actions?  Talk to someone about what's going on, because maybe that person could help you create the movement you are seeking.", "Hello. Usually the person interested in therapy reaches out to the therapist, by telephone or email.  I like to respond with appreciation for their making contact and ask if they are available for a phone consultation in order to see how I may be able to help.  Once we are on the phone, I like to get a brief sense of what's happening in their life and the way in which I respond and the way we communicate will give each of us a sense of whether our dynamic is appealing enough to take the next step.  And the next step is making an appointment.  Also in the initial conversation, you can feel free to ask what their therapeutic modality is or give a brief scenario and ask how the therapist might respond to that situation.  I encourage you to be fearless in \"interviewing\" the therapist.  This is one of the most sacred connections of trust you could be about to forge, so if you don't feel comfortable, move on to the next therapist on your list.  If the connection feels good to you, then it's worth it to make the first appointment.  You will immediately know if you don't feel comfortable speaking with this person.  But if you DO feel comfortable, heard, validated even in that short conversation, I encourage you to make the appointment.  Once you're in the first session, you can continue to assess through how your feeling and responding, just how comfortable you are or are not. Just keep listening to yourself every step of the way!" ]

[ "Absolutely not. It sounds like you have significant trauma and it will continue to impact your depression until it is dealt with. Everybody has issues, though some more traumatic than others yet it is best to just start somewhere. I would encourage you to begin counseling and work through some of your history at your own pace in order to begin to impact and reduce your depressive symptoms.", "It is absolutely normal to cry in therapy. Therapy is a place to be honest about and explore your feelings without feeling judged. Honesty is the only way you will benefit from therapy and that means being willing to look at your true emotions rather than avoiding them." ]

[ "When you first fell in love, you could never imagine that someday the sound of your partner chewing could make you want to scream. It’s inevitable that once we are out of our honeymoon phase and reality sets in, we realize that all relationships take work and compromise. But while some relationships may hit bumps in the road every so often, other couples find themselves in bigger trouble, with neither party knowing exactly how to fix things. What are the signs it's time to try relationship counseling?If you are in a relationship that is no longer feeling healthy, here are 5 signs that it may be time to try relationship counseling:1. There is No Longer Healthy CommunicationOnce you have a communication breakdown, you are unable to rationally share thoughts, feelings, and concerns with each other. Beyond this, unhealthy communication tends to leave one or both partners feeling depressed, angry and hopeless.2. Trust Has Been BrokenWhen there has been infidelity, it is very difficult for the couple to rebuild trust and repair the damage. While there is no magic pill to recover from an affair, a therapist can offer tools and strategies to rebuild trust.3. You’re More Like RoommatesIf you and your partner act more like roommates than romantic partners, this indicates a lack of intimacy and a potential need for professional help.4. One or Both of You Has Begun Acting OutYou try to mask your real feelings for as long as possible, but then you start to act out the hurt and resentment you may be feeling. For instance, if your partner has been unfaithful and you have agreed to stay in the relationship and work things out. But over time you find yourself lashing out, acting rude and trying to make them believe you are having an affair so they will feel the same kind of hurt. This acting out is unhealthy for both people and is a BIG indicator you need to seek some help.5. When the Only “Solution” Seems to be Separation/DivorceA break from negative energy can be very helpful to the relationship. But when a temporary break leads to more and more time away from home and someone renting their own apartment, this indicates a need for counseling. Spending time away from home usually doesn’t lead to any real resolution, just more distance.If you and your partner are interested in exploring  options, reach out! Schedule a free consultation with our in-house relationship expert to discuss how they may be able to help.", "Wondering how to talk to a loved one about getting mental health treatment? Just about every family has that loved one who's always causing trouble, or maybe is just more of a free spirit. Sometimes however, that someone has a serious mental health issue. If you have a loved one who you believe may need mental health treatment, there are things you can do to try and convince them to seek help. Learn how to talk to a loved one about getting mental health treatment.Family and Friends are First RespondersYou should see yourself as a type of \"first responder\" for your loved one. Teachers, employers and even medical professionals that interact with your loved one aren't likely to do anything to intervene if it appears they need mental health treatment. As their friend or family member, you are their first line for help.The Importance of Early InterventionEarly intervention is key to improving your loved one's quality of life. The longer a mental illness goes untreated, the shorter the intervals between the troubling episodes and behavior that's drawn your concern. As the intervals shorten, the relapses increase in severity; and as their mental illness becomes more severe, the more resistant it will be to treatment. Intervening as early as possible will change the course of your loved one's life, putting them on a positive trajectory.Talking to Your Loved OnePrepare your loved one for this conversation by letting them know that you want to have a talk. Let them know it's because you love them, and that the topic is very important. Make sure they know it's nothing negative or scary. Set a date and time, and choose a neutral location where they will be most comfortable.Keep the conversation in the context of your relationship with this person. Make sure they know you're not rejecting or judging them, but that you love them and are concerned. Don't attempt a diagnosis, such as \"I think you're bipolar\"; leave diagnoses to the professionals. Talk about your feelings and be specific when you're describing concerning behavior. Instead of vague statements like \"you need help\", or \"you're acting strange\" give specific examples. \"It frightened me when you were yelling the other day,\" or \"You missed work four times in the last two weeks.\"The Goal of the TalkYour goal in talking to your loved one should be for them to get a one-time evaluation. Offer to make the appointment, to pay for it, and/or to drive them.Talking to someone you love about seeking mental health treatment is difficult and awkward, but it is important. Be prepared for them to have an angry response, and if they do, maintain your composure and stick to the theme of your love and concern. It may take multiple attempts to get your loved one to seek help. Don't be nagging or harassing, but do be persistent.If you or a loved one are in need of mental health treatment, a licensed mental health professional can help. Reach out today for a free consultation.", "Do you feel heavy with despair, struggling each day to keep your head just above the darkness and dread? Does it take every ounce of energy to stay afloat? Or are you feeling overwhelmed by feelings of helplessness and hopelessness? If this sounds familiar, we want you to know that you are not alone and therapy for depression could help.While it may seem difficult to find your way back to hope and happiness, therapists have  been helping clients to personally do just that for years. To experience the joy of warm sunshine on their face, to reconnect with estranged loved ones, and to re-engage with a meaningful life.Just like other chronic illnesses, depression is not your fault, it’s nothing you’ve caused. And also like many other illnesses, effective treatments exist to help ease and eliminate the struggles you face.If you’ve said or thought these things a lot recently: “I’m too tired to try.”“I don’t want to leave home.”“I don’t care anymore.”“Why am I always crying?”“I don’t even know who I am any more.” Or even, “I wish I wasn’t here.” Then there are proven steps and therapies that can help you get remarkable relief. Therapy for depression can bring you hope, help and a way forward. Visit denvermhc.com to read more.", "Cognitive Behavioral Therapy has been shown over the years to be effective at helping people recognize and change their behaviors. But, as much potential as therapy has for every individual, some people seem to have the keys to successful therapy while others don’t.Some of this stems from what the individuals’ expectations were going into therapy. Some from how much effort they gave, and others from whether or not there was a good personality fit between patient and therapist.For therapy to be successful, you MUST be realistic about the process. It is not linear, and it is not quick. This is particularly true if you are dealing with complex, long-term problems. This doesn’t mean you can expect to be in therapy for the rest of your life or even many, many years. It simply means you must appreciate the reality of what you can expect and how quickly.If you are interested in exploring treatment options, please get in touch with us. We'd be happy to discuss how we may be able to help during a free phone consultation. Fill out the form below to get started. Not quite ready? Read more about Cognitive Behavioral Therapy here.", "Millions of people deal with anxiety disorders on a daily basis. Whether it’s a result of a specific phobia, a traumatic event, or just generalized worry, anxiety disorders take a toll on our mind and health. There is help for anxiety disorder sufferers, and therapy is the first place to start. If you deal with an anxiety disorder you most likely have looked into ways you can help calm your emotional roller coaster. Perhaps you’ve even tried some self-help techniques in the past. While these methods can provide some relief, it’s often temporary.To rid yourself of overwhelming anxiety once and for all, you’ve got to get to the root cause of it – the underlying factors. A therapist can help you identify and eliminate these underlying factors.If you are suffering from an anxiety disorder, here are 3 ways therapy can help:1. Uncover Root Causes of the Anxiety DisorderLike any other health issue, effective treatment gets to the root cause. For instance, your doctor can either prescribe a medication to try and manage your hypertension symptoms, or she can request you clean up your diet and exercise, addressing the root causes of your high blood pressure.A therapist will assist you in accessing your emotional world so you can study your thoughts and feelings and uncover patterns. Often, unhealthy beliefs and thoughts lie at the root of anxiety. Once you identify what is causing you anxiety, your therapist can begin to create a plan to help you face these underlying issues calmly and confidently.2. Therapy Helps You Change Your BehaviorsWe’ve just talked a little about therapy helping you uncover the thoughts and beliefs that are causing the anxiety. Those thoughts and beliefs are not only making you feel bad, they are causing you to have certain behaviors that may result in negative consequences.For instance, your anxiety leads to insomnia or denial of intimate social connections. Therapy will help you make lifestyle and behavioral changes. You’ll learn how to cope with difficult situations in a more relaxed manner. Therapy will help you to stop avoiding certain people and situations and develop a calmer and more balanced sense of self. 3. Therapy Offers Continued Personalized SupportAll change is hard, even change that’s ultimately good for you. One of the biggest benefits of therapy is that it offers continual personalized support. Your therapist wants to see you succeed and will offer encouragement and advice without judgement.If you’ve been living with anxiety, know that you don’t have to deal with it alone. If you or a loved one is interested in exploring treatment, contact a mental health professional.", "Anxiety is not your fault or caused by anything you have or haven’t done. According to the National Alliance on Mental Illness, 40 million adults, or 18% of Americans, experience an anxiety disorder. If you are suffering from social anxiety you may experience the following:Constant feelings of dread about social situations;A pounding or racing heart when interacting with others; Anticipating the worst about interactions with others, regardless of evidence;Physical symptoms like headaches, sweating, shakes and jumpiness, trouble concentrating, a frequent need to urinate and stomach uneasinessThoughts like, “It’s safer to stay at home...\"Fear of being away from a bathroom or medical servicesI know that anxiety can come with a stigma, and that may have stopped you from seeking the care you need in the past. Reach out to a counselor today.", "It can be difficult to find ways to talk to your children, or to get them to talk to you. Although it's difficult, it's not impossible; read on to find out how to get your adult child to talk to you.Learn to ListenTake the time to listen to them when they want to talk. Instead of saying you'll talk to them later, step away from what you're doing and listen to what they have to say. Don't talk, interrupt or be quick to offer advice; just listen. Put Yourself in Their ShoesAs you listen, your knee jerk response may be to quickly resolve their issue, offer advice or maybe even dismiss their complaints or opinions. Put yourself in your teen's shoes; think about how you would feel if your spouse responded to you the way you respond to them.Watch for SignsEveryone has a desire to be heard and understood. Mirror back to them what you hear them saying. Watch for signs that they're not being heard or understood by you. They might roll their eyes, shake their head, wave their hand at you or interrupt. When they're nodding and/or silent, you'll know you've understood.Ask Specific QuestionsAsk specific questions rather than general \"how was your day?\" questions. Ask questions about a friend you know by name. Ask open ended questions such as, \"What was the best thing that happened today? What was the worst thing?\"Location, Location, LocationWhen and where you try to talk to your kid matters. One of the worst times to talk to kids is after work. Just like you do after work, they need wind-down time. Instead, ask questions around the dinner table. It's casual, and there's no pressure for eye contact. [wpforms id=\"60\"]", "Breakups are hard, there’s no two-ways about it. The emotional toll is enough to send many people into the fetal position with one hand wrapped around a spoon and the other around a pint of ice cream.The problem with reaching for comfort foods in times of crisis is that they set us up to feel even worse. Yes, sugar absolutely gives us an initial rush. We feel energized and happy. Guess what happens when you eat sugar? Your brain produces more dopamine, a feel-good chemical. Before long, you are eating more and more ice cream to keep your dopamine levels up.When you experience a breakup, it’s important to fight your urge to self-medicate the sadness away through unhealthy foods or alcohol. Here are some things you can do instead to feel better:Create a New SpaceIt’s time for a fresh new start, and there’s no better way to do this than by giving your living space a makeover. Move the furniture around, give your living room a new paint color. Get some new sheets and linens. You want to remove obvious memories from your home and create the kind of space that makes you feel excited for your future.Reconnect with Loved OnesOften when we’re in a relationship, all of our time and energy goes to the other person and we see old friends and family less than we’d like. Now is a great time to reconnect with those people who will love and support you through this hard time.Try Mindfulness MeditationAnd speaking of connecting with loved ones, it’s time to connect with yourself. Mindful meditation is a great way to quiet your thoughts and just be with the REAL you. Meditation also helps to alleviate stress. Five to 10 minutes a day is all you need to start feeling calm and balanced, and this is a much better headspace to begin making choices and decisions for your future.Breakups will never be easy, but they are a part of life. Do your best to stay away from binging on junk food and instead focus on self-care and compassion.If you find your feelings of sadness are not going away, it may be helpful to talk to someone. When we don’t know how to navigate our strong emotions, we can become depressed and anxious. Speaking with a therapist can help you work through your pain.", "Anger is a natural and healthy emotion that everyone feels from time to time. But when you find yourself being caught off guard with unexpected anger or feeling anger at a time when you can’t express it, it can be difficult to cope with. So, what can you do when you find yourself feeling anger unexpectedly? Below are some strategies to help you keep your calm and respond appropriately. 1. Acknowledge Your FeelingsWhen you’re caught off guard with anger, you might start to feel defensive or emotional and not immediately know why. Before you do or say anything, assess your feelings and acknowledge that you’re angry, and what is the likely cause of the anger. “Our children got in a fight her child started, and she’s wrongfully blaming my daughter.” 2. Take a BreathAs you acknowledge you’re upset, stop and take a breath. Put physical distance between you and the other person by taking a couple of steps back. 3. Be Curious Instead of FuriousIf you have difficulty controlling your anger, it can be all too easy to jump instantly into furious mode and unleash your anger. Instead of being angry, be curious. Consider why this person is behaving this way, or saying these things. Maybe they had a bad morning or heard some upsetting news. 4. It’s Not PersonalRemind yourself that this isn’t personal to you. Oftentimes when people are behaving inappropriately or saying hurtful things, it’s because of things going on with them in their own lives. Practice reminding yourself that it’s not personal to you. 5. Use “I” StatementsWhen you’re upset, it might not always be appropriate to respond. Sometimes it’s best to just walk away. But if you do need to say something, focus on the behavior you find unacceptable without placing blame. Talk specifically about your feelings and the effect of the behavior on you. By communicating without placing blame, you are more likely to be understood and work toward a resolution, rather than putting the other person on defense and starting a conflict. If you’re still feeling upset after a difficult exchange, try calling a friend to vent, write your feelings down in a letter you’ll never send, or do some exercise. Go for a walk, or join a friend for spin class. Do something nice for yourself later, like cooking a special dinner or taking a hot bath. When it comes to anger, remember that in the long run it’s best for you to control it, rather than allow it to control you. Are you having difficulty managing your emotions? Is anger beginning to have a significant negative impact on your life and relationships? A licensed mental health professional specializing in anger management can help. Visit denvermhc.com today and we can schedule an appointment to talk.", "Feeling profound sadness after the death of a loved one? Experiencing excessive guilt about something left unsaid or undone? Are you gripped with fear? Caught in a cycle of anxiety, helplessness, or panic? Having trouble resuming a normal life with grief and pain as your constant companions? Grief counseling could help you understand what's happened and provide professional help and support through it.Learn to cope with their grieving experience.Grief is a natural human response to loss. That doesn’t mean the loss of a loved one isn’t an intense and at times desolate experience. While painful experiences are normal during this time, your emotions may feel trapped on a non-stop roller coaster. You may experience downs and deeper downs interspersed with periods of brief respite.You can learn to express and come to terms with the broad range of emotions involved in the grieving process, from those that you may expect — sadness, loneliness, exhaustion -  to those that come as a surprise, such as relief, anger, and a sense of confusion. We offer a variety of therapeutic approaches to best support you and work with you as an equal collaborator to empower and engage your healing.Loss is a very personal journey, with some finding it more difficult than others. While grieving for the same person can often foster compassion and connection among family and friends, it’s also common for the grieving to struggle with anger, conflict, a lack of understanding, or an inability to fully share your feelings with others. Grief and bereavement counseling can provide you a much-needed safe space to work through your struggles with a caring, nonjudgmental professional.Do any of these describe you? You’re struggling to come to terms with a lossYou feel overwhelmed with grief, fear, despair, or worryYour faith seems shattered and you feel abandoned at your time of greatest needYou feel alone as everyone else seems to have moved on without youYou want to live a happier, more connected lifeYou’d like professional support to better cope through the grieving processA counselor may offer the support, guidance, and expert care you need. In grief and bereavement counseling we work with you toward lessening the pain so you can function well in your post-loss life. We listen with empathy, discuss ways to deal with unhelpful and unhealthy thoughts and behaviors, and teach you techniques to manage distress and enable you to move forward.", "Short answer: No.Long answer: There are few instances where a therapist can break confidentiality and have a client involuntarily admitted to a treatment center. The therapist would have to believe the client is a danger to themselves or others or gravely disabled, at which point they would place a mental health hold. The client would be much more likely to end up at a residential treatment center for suicidal ideation than an eating disorder treatment center. If you or someone you know is struggling with an eating disorder an outpatient therapist can help. If the client is not appropriate for an outpatient level of care the therapist would recommend a more intensive treatment level. Read more at denvermhc.com", "Openpath.com is a great resource for therapists that offer affordable services.", "Anorexia Nervosa involves severe restriction of food intake, which can cause the body to go into survival mode. This process slows down important functions of the body to conserve energy. The consequences are dangerous and can be fatal.Some symptoms of anorexia are: Fatigue and faintingSlow heart rateLow blood pressureHeart failureOsteoporosis (reduction of bone density)Muscle loss and weaknessDehydrationKidney failureLanugo (layer of downy hair all over the body)Amenorrhea (loss of menstruation in women)Pregnancy complicationsThis Questionnaire Could Help:Do you feel guilt and remorse when you eat?Are you terrified of being overweight?Do you isolate so that you can eat?Do you avoid eating when you’re hungry?Do you continue to eat even after you feel full?Do you take medication or exercise instead of eating a meal?Do you weigh yourself at least once a day?Do you evaluate yourself based on your body size and shape?Do you eat large amounts of food in a brief amount of time?Do you feel out of control when you eat?Do you make yourself vomit to avoid gaining weight?Do you regularly take laxatives or diuretics to lose weight?Do you exercise no matter how tired or sick you may feel?Do you skip meals in order to lose weight or to avoid gaining weight?Do you diet often?Do you exercise more than once a day?Do you hide food?Do your emotions affect your eating habits?Are you preoccupied with food or your body size?Do you avoid close relationships or social activities?Do you feel as if food controls your life?If you have answered “Yes” to any of these questions, you should seek professional help. This screening is NOT a diagnostic tool, and does not replace an official assessment. If you need help finding an eating disorder specialist in your area, please contact us at denvermhc.com", "It's more than just normal, it's expected! Quite honestly, there are a very few days where at least one client hasn't cried during therapy throughout the day. -IJP", "Cognitive Behavioral Therapy (CBT) is an effective therapy for everyday struggles, as well as depression, anxiety, substance use, eating disorders, and many others. And all of our expert therapists at Denver Mental Health Collective are trained in CBT. Very simply, CBT is designed around the belief that emotions are hard to change directly. So, we target the emotions by changing thoughts and behaviors that contribute to distressing emotions.Does Cognitive Behavioral Therapy Work?CBT is evidenced-based and its effectiveness is proven. In brief, an article published in the journal Cognitive Therapy and Research says:“The evidence-base of Cognitive Behavioral Therapy is very strong.” (1) “CBT is as effective as, or more effective than, other forms of psychological therapy or psychiatric medications. (2)”What Does Cognitive Behavioral Therapy Involve? Simply, your therapist will encourage you to think about your life in new ways. And CBT will help you recognize ineffective habits and teach you how to change them.And then CBT will help you examine the way your thoughts, feelings, and behaviors all contribute to the problems you experience. Finally, you’ll learn specific skills and techniques for coping with problems more effectively and changing your habits.What Are Cognitive Behavioral Therapy Skills?Packed with exercises and skills, CBT will help you put an end to the negative thoughts. A Denver Mental Health Collective therapist will help you reconnect with life using the following skills:Turn Off Self-Defeating ThoughtsChange Negative Core BeliefsPractice Stress ReductionLearn New Problem Solving SkillsUse Assertive Communication SkillsPractice Coping Imagery and SkillsLearn to Face Fearful SituationsIs CBT Right For You?CBT is an excellent fit if any of these describe you:You struggle with anxiety or depressionIt feels difficult to control your behaviorLow self-esteem is undermining your relationshipsYou’d love a break from destructive thoughtsYou wish to create a more balanced lifeYou feel generally stressed or angryAs difficult as these challenges are, you are not alone.In fact, you are capable of learning new thinking patterns. And reducing daily stress. And and putting a stop to destructive thoughts. As a result, you’ll gain a better understanding of your thoughts, and your behaviors can start to change. In the same way, a better understanding of your thoughts and beliefs will begin to reflect the reality around you. Together, we can help you gain a more positive self-image.Of course, you might not be quite ready to schedule. So, here are some links to some helpful information:https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioralhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584580/http://cogbtherapy.com/how-effective-is-cbt-compared-to-other-treatments", "There are a number of online directories that can help a person get started with counseling. You can use them to search therapists in your area, by areas of specialization, and insurance. Here is a list of some of the most popular ones: www.psychologytoday.comwww.TherapyDen.comwww.onlinecounseling.comYou can also do a google search for \"therapist near me\" or \"counselor near me.\" Lastly, all major insurance companies have directories online of all the therapists they contract with." ]

[ "Counseling provides a safe environment for people to explore the beliefs about the challenges in life. The various types(modalities/techniques) of counseling serve as guides for specific individual's personal journeys." ]

[ "Hello, As a counselee I can tell you that I knew I had the right therapist when I felt challenged. Also, when I did the work they gave me and saw growth from it, I knew I was being understood.As a counselor I can tell you that the best work happens when you are willing to be vulnerable, it feels very risky because this is a person you don't know. The fact that they aren't living day to day life with you is actually a good thing because it helps them see your life in a different light, therefor they can give you perspectives that you may have missed. I hope you find the right fit, I encourage you to keep trying until you do!-Sucely" ]

[ "It sounds to me like your daughter is anxious to be perfect and has a low tolerance for failure.  As her mother one of the most important messages you can share with her is that she need not be perfect, nor is it necessary.  As a matter of fact, failure and making mistakes are only opportunity to learn and grow.  Give her permission and more importantly she needs to give herself permission to be a perfectly flawed human.  It may be a good idea to see a therapist to help her learn how to reframe some of her negative beliefs so she can form healthier thinking habits. Warm wishes.", "What most people don't know is that sexual preferences can be fluid, meaning our sexual orientation is not as fixed as most people believe.  Women in particular tend to be more fluid in their desire to express and experience sex.  It is not uncommon for heterosexual women in their mid-life to explore new sexual appetites.  That said, men tend to be more rigid in their orientations particularly if they are hetero while gay men tend to be more fluid.  So if your distress is over your new interests I would tell you, you are not alone and not abnormal.  Since you have started exploring, enjoy and consider seeing a therapist to help you navigate your feelings around this new sexual life! Warm wishes.", "The most important thing is it has to feel right.  While that sounds vague and not very scientific it is the most important part of therapy.  Us counselors call it therapeutic rapport and without it therapy is not very effective.  You want to know you can trust your therapist, that you are not being judged, that they respect your privacy, that you feel comfortable talking to them about the good and the bad.  You want to feel heard and know you therapist is genuine . Not all therapist are a good fit for everyone.  Go with your gut :) As an added note I recommend going with a therapist who has done their own therapy!", "I would say that's the whole point of therapy!  Cry your heart out.  Therapy should be a place where you feel ok to be vulnerable when you are working through your stuff.  It's when your mind and your heart finally meet and you make the connections you need to make." ]

[ "Firstly, I would like to say how amazing that you have been able to live through breast cancer, sexual abuse as well as your depression and anxiety. You are stronger than you may believe at this moment for being able to continue to grow and live through these experiences. Take a moment to acknowledge your strength and know that this strength will be an asset during the therapeutic process that you will be able to tap into to find increased self esteem and more strength to address the concerns you are having. There are never too many concerns to address in therapy sessions. I hope you can find a great therapist who you can trust to listen and work with you to identify and address\nthe most concerning issues first. Once you begin to do this you may find an alleviation of symptoms and feelings which could allow you to grow your capacity to manage difficult feelings and situations and address additional concerns. Before you even realize it the issues you are having will begin to feel more manageable.", "I am sorry to hear about your daughter. Many of the youth I see in my practice are going through similar behaviors and concerns. If she feels like she can talk to you about this I think that is a great place to begin. There are many life stressors that youth have to manage and seeing others on social media seems to exacerbate these feelings and can feel like even more pressure to strive for perfection. You may be able to offer her support by listening to and validating her concerns, reviewing all that she has accomplished and praising her for doing her best and not push that she needs to be \"the best.\"If she feels she would like to speak to someone it may be good to find a therapist where she can vent her feelings and find a way to increase her coping skills. She may benefit from additional support outside the home where she can cry, learn to manage her worries and gain skills to triage the expectations of each day. She may benefit from skills that would help her to learn that she is enough already!" ]

[ "Your question highlights your pain very clearly.  What you are describing is one of the most common scenarios I see in my practice with couples: One partner feels terribly lonely and unimportant in response to the other partner either turning towards other people and activities or being withdrawn and turning inward. My mind immediately goes to a question for you: What happens when you are feeling alone and uncared for? What do you say to yourself about you, about your spouse, and about your relationship?  What do you do in response to these feelings? Do you ask for what you need?  Does this lead to arguments?  Do you stay silent or withdraw?Very often, couples enter into negative patterns where one partner feels afraid of rejection by the other partner and so withdraws from the relationship (and is often seen as \"cold and aloof\" towards the relationship), and the other partner feels afraid of abandonment by the withdrawing partner and so pursues the other (and is often seen as \"critical and nagging\").  Regardless of \"who started it,\" these patterns can turn into infinity loops that take on a gravity of their own, and ultimately cause both partners to withdraw and dissolve the relationship.  If both partners want to work on saving and improving the relationship, the way out of this is to learn about your emotions and patterns together so that you can slow down the pattern and stay in touch with the emotions that pull people together.  As the patterns slow down, partners are better able to get more deeply in touch with their vulnerabilities, needs and longings, and ask for them to be met in such a way that doesn't leave the other partner feeling criticized, threatened, abandoned, or uncared for.Some couples can do this without the help of a therapist.  The book \"Hold Me Tight: 7 Conversations for a LIfetime of Love\" by Sue Johnson is a self-help book based on Emotionally Focused Therapy (the most scientifically validated couples therapy that currently exists), and has been helpful to many couples that I see.  When a therapist is needed to help partners reconnect or overcome betrayals, I recommend seeking couples therapists who are trained in a scientifically tested model of couples therapy (such as Emotionally Focused Therapy.  You can learn more about EFT or find an EFT therapist here: http://www.iceeft.com).To summarize:Your pain is understandable and valid.  It's telling you what you are missing and what you want.Reconnection comes when we can listen to what our feelings are telling us, express those feelings in a safe way, and assert our wants/needs, while remaining open to the vulnerabilities and needs of our partner.If you can do that on your own, and your relationship is responsive, that's fantastic!  If you encounter challenges in resolving this yourself, consider therapy with a trained couples therapist using a model that is scientifically validated.  Pain means this is important!  You and your marriage are worth the effort!" ]

[ "This is a great question.  A good therapist should first be someone you can trust and second, someone who encourages you to be honest with yourself.  Therapy is a time to learn new coping skills and learn more about yourself.  You have the answers you need within yourself,  but it sometimes takes a keen ear to lead you to those answers.  This can't happen without trust and honesty. You may not always leave therapy feeling energized. Therapy can be hard work. But, you should always feel you have gained something to ponder that will help you better understand yourself." ]

[ "A therapist should be willing to have an initial conversation to determine - both of you - if there is a good fit. Fit will be determined in ways such as do I feel a connection with this therapist, do they have skills in an area that I am struggling with, do I feel heard and listened to when we talk, are you making the progress you are seeking. Each therapist may have a different style but I have found the best way to work together is through collaboration, providing input to your needs and feedback when things are going well or if things need to change identify that as well", "it is quite normal as conversations we have may touch on emotions, thoughts and feelings that have been covered up for a long time. Just as laughter (which may also be present in therapy), joy, sadness, reflections, these are all emotions and insights that can occur. Allowing yourself to feel and express yourself in a space of safety is freeing and enlightening. Not all sessions can have that but those moments are wonderful and continue on ones pattern of growth. Grab a Kleenex and let it out!" ]

[ "It sounds like you have not had the opportunity to process through the trauma you have endured. It would help if you have the opportunity to speak with someone on a regular basis until the symptoms of your trauma have subsided." ]

[ "You’re nervous, perhaps scared.  You have never been to a therapy session\nbefore and have no idea what to expect!  Whenever we do something for the first time,\nit helps reduce anxiety and nervousness if we know what to expect and can\nprepare. Here are some things that\ngenerally take place in a first session and typical questions the therapist\nwill ask. These help your therapist get\nto know you and make an accurate initial assessment of your situation and what\nwould be most helpful to you.\nYou will be asked to complete paperwork.  If you are using insurance be sure to bring that\ninformation with you.  Often, you can\ncomplete paperwork online prior to your session which saves time. (Don’t forget\nto bring it with you to your session!)\n1.  What issue(s) brings\nyou to therapy?2.  Your personal\nbackground history as it relates to current issues.3.  What physical or other symptoms are you\nexperiencing? How is the issue affecting other areas of your life?\nAnd here are a few other tips to help you get the most out\nof your first session.\n1.  Be open and honest about your feelings.\nTherapists are trained to listen and learn from what you share. 2.  Ask questions. There’s no such thing as a dumb\nquestion. Asking questions helps you understand more about the process, reduces\nyour anxiety, and helps you become more comfortable. If you don’t understand\nsomething, please ask!3.  Be prepared. Think about how to describe “what’s\nwrong” or why you are seeking therapy. \nIt can help to make a list of reasons why you are seeking help.  Practice describing how you feel about\nthe issue.Most people feel more at ease after their first session and you will continue to build rapport with your therapist over time.  It is a big step to begin therapy and I wish everyone healing and growth on your journey!" ]

[ "You need to find an outlet. Someone to talk to. Your dad or someone who loves your mother as well is someone ideal. But anyone could help. Just look to someone for help. If you can't find anyone who you think will listen, talk to your mom. It can help greatly just to get the words out. Tell her how you feel about her passing, but then also about everything else. Talk to her about your day. Tell her about happy things. I don't know if you're a religious person, or where you believe she is now, but no matter what you can talk to her.", "Yeah I get the same problem... Look I'm not a professional but I've heard a few things. a powernap can help. just a half hour of sleep can clear your mind and let you refocus. Also, brain activity increases with physical exertion. Just walk around for a minute and get your brain working and that'll help you reach the task at hand. Taking breaks it totally okay. Try to have something to do in between that you enjoy.", "I'm having the same issue... I think you need to consider your morals and what you really want out of life. If there's something you want to achieve, that's who you are. And you need to put yourself into that and immerse yourself in the purpose of whatever you want. It doesn't matter how small it may seem. If there's nothing you want badly then think about other things. What others want or what you need or what others need. Find something that feels important and commit to it.", "I'm not a super religious person... But I can't imagine that if you love him that much and you want him that much, that he wouldn't be the one for you because of something small like that. Sex is an act of love and commitment. If you feel that you want to be with this person for the rest of your life, want to marry them, then why should you have to wait until marriage? If you truly feel that this is the person you want to be with, then why would you need to wait until marriage if you're just showing commitment to each other?" ]

[ "I'm sorry to hear you're feeling this intense emotion of worthlessness.  I'm glad to hear this has not reached the point of suicidal ideation; however, it does sounds like you could use some additional support right now.  I would recommend seeking out counseling to help you challenge the negative beliefs you have about yourself.  Although many types of therapy would be helpful, cognitive-behavioral therapy has been shown to be a good approach for this type of struggle.  A CBT therapist can help you identify your negative thoughts and beliefs, figure out the ways your thoughts are being distorted (for example, all-or-nothing thinking, or discounting the positives about yourself), and reframe your thoughts to be more positive.  You might also consider EMDR therapy, which helps the brain reprocess traumatic or distressing memories and helps you move forward with more positive beliefs about yourself.  Best wishes!", "Thanks for sharing your concern!  I think you'd be surprised if you knew how many people feel the same way.  Being in crowds can provoke anxiety (one of the symptoms of anxiety is irritability or anger, like you described).  For some people, that's just because of their personality (if you tend to be more introverted, being around lot of people is really draining).  For others, it can point to a diagnosis of social anxiety.I'd recommend starting by writing down your self-talk.  It sounds like you are telling yourself a lot of negative messages (as you mentioned, having imaginary conversations and assuming people are judging you).  Write down the thoughts that are leading to you feeling terrible and crying.  Maybe that's:  I'm stupid, Everyone else is having a good time so I should be too, There's something wrong with me.  Just writing these down is an important starting point because it allows you to be objective to your thoughts.  When you see them on paper, you can start to identify the lies and reframe them.  Next to your negative thoughts, write some positives:  I have something to offer, I'm okay the way I am, It's okay to prefer 1:1 relationships, etc.  Hopefully even as you read some of those suggestions, you feel a little lighter and more okay with yourself.  Take care!", "This is a really important question, because you don't want to waste your time and money with a therapist who is not a good fit for you.  I think the most important factor that makes a good therapist match is trust-- do you trust this person to be able to help you meet your therapy goals?  There are few things you can do upfront to test this out, without spending a dime.  First, ask for personal recommendations from friends or others.  If you know someone who had a great experience with a certain therapist, you'll feel more confident in that person right off the bat.  Second, do your online research.  Google the person's name and read everything you can find.  Many therapists are starting to develop more of an online presence because they know that's a way future clients can develop trust without even stepping in their door.  See if they have a blog, social media posts, or even just read the tone of the content on their website.  This might give you a glimpse of their therapy style.  Finally, you can call or email potential therapists and provide a brief overview of your presenting problem and describe what you're looking for in your ideal therapist.  It sounds like you have a specific idea of what you're looking for... most therapists will be honest if they don't feel they're going to meet your expectations.  Some therapists offer free short phone consultations which can help you both decide if you would work well together.  Do your homework upfront, and you'll be well on your way to finding a great therapist for you!" ]

[ "The first thing to do is to reflect on what you want to seek counseling. Search online and then set up a phone consultation. A person can find out a lot about a counselor and the services that they offer over the phone. After a consultation then set up an intake questions. The overall goal is to make sure that you are comfortable with the counselor and the services they can offer." ]

[ "I've never heard of someone having \"too many issues\" for therapy to be effective. A competent therapist will assist you in identifying the root causes of your problems and treat those first. If the underlying issues are addressed, your various symptoms should improve. For example, a history of sexual trauma can cause sleep disturbances, depression, anxiety, and low self-worth. I would start by addressing the underlying trauma using EMDR Therapy. EMDR allows the client to process unresolved trauma and to address negative core beliefs that develop in response to the trauma. By addressing these negative beliefs about ourselves, we can improve our self-esteem and feelings of self-worth.", "Making the decision to end a relationship is never an easy decision. However, here are three signs that it may be time to end an unhealthy relationship.There are More Negative Interactions Than Positive OnesEvery relationship has its good interactions and its not-so-good ones. But there are those relationships that seem like every interaction is tense and filled with negative emotions. When communication becomes difficult or impossible, the relationship is beyond fixing.Vastly Different NeedsIn the beginning of a new friendship or romance, it’s easy to try and compromise with one another, making certain both person’s needs are being met. Over time, some friends or couples realize their needs are too different. For instance, in a romantic couple, someone may need more sex than the other. Someone may need to always be in control or have a need to lie. These kinds of clashing needs are a red flag for any relationship.A Blatant Lack of RespectRespect is essential in relationships. But sometimes there are those individuals that seem incapable of respecting the other person, their needs, their boundaries, their wishes, etc. These people tend to be on the narcissistic spectrum and are incapable of having empathy or respect for others’ needs.", "I'm so sorry to hear that you don't feel as though your family would support you in embracing your true self. Because this is a very complex situation, I would encourage you to reach out to a local therapist who specializes in treating LGBTQ+ clients. An experienced therapist can help you to explore your feelings around your gender identity and assist in facilitating a discussion with your family or help you prepare to have that conversation on your own. I would also encourage you to contact national and local resources that can be tremendous sources of support. These include the following:GLBT National Youth Talkline - 1-800-246-7743Trans Lifeline - 1-877-656-8860Trevor LIfeline, TrevorChat, TrevorText - Text CHAT to 678-678 or call 1-866-488-7386At the end of the day, there is the family we are born with and the family that we choose. Give your family a chance, but if they refuse to accept you, know that there are people in this world who will appreciate you, validate you, and love you for who you are!", "It sounds as though there is a need to establish some healthy boundaries with your mother. Simply put, a boundary is a line or space between you and another person. It is also a way of defining what behavior is acceptable and unacceptable. When working with clients, I teach them that there are 4 Rules to Setting Healthy Boundaries. First, the boundary must be clear and definable. Think of a boundary like lines on a football field. The other person needs to know when they are \"in bounds\" or if they have stepped \"out of bounds.\" Second, the other person must be told about the boundary. It's not fair for me to enforce a consequence if I've never told you about the boundary. Third, there must be a consequence for violating the boundary. This is often the place where people struggle. It's important to identify a consequence that is appropriate and proportionate to the violation. Finally, the fourth (and most important) rule is \"If you are not willing to follow rule #3, don't bother with any of this. The reason the fourth rule is so important is that if someone violates my boundary and I refuse to enforce the consequence, I've basically told them that my boundaries mean nothing. You are well within your rights to establish a boundary with your mother. You are not her therapist. Remember to communicate your boundary to her in a way that is clear and unambiguous. Also, make sure that you enforce the consequence in the event that she doesn't adhere to your boundaries.", "I frequently work with individuals who develop same-sex attraction later in life. Humans have a tendency to think of things in absolutes. Black or white. Good or bad. Gay or straight. In fact, much of life is lived in the \"grey\" that lies in between the extremes. This is especially true of sexual orientation which is fluid and occurs along a spectrum. As someone ages and grows, their sexual interests may change. I would encourage you to speak to a therapist who specializes in working with LGBTQ+ individuals. They will have the experience necessary to help you navigate these issues.", "Ultimately, your family member must make the decision for themselves that they are ready to stop using drugs and alcohol. Family members can offer support by helping to research and schedule treatment or counseling. Do not enable, set firm boundaries, and establish a united front. Take care of yourself. Attend Al-Anon or Nar-Anon meetings. While I hope that every person with a substance use disorder finds recovery, the sad truth is that not all will. However, family members still need to have their own recovery that is independent of their loved one. Family members frequently benefit from individual counseling, too.", "Congratulations on taking the first step on the road towards recovery by acknowledging the problem and asking for help! The American Society of Addiction Medicine defines addiction as \"a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual's life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences.\" Notice that nothing in the definition speaks about willpower or motivation. That's because addiction is a disease - just like diabetes or high blood pressure. Imagine I gave a huge piece of chocolate cake to a diabetic. After he eats the cake, I say to him \"Use your willpower to lower your glucose to 100.\" Do you think he would be successful? All addictions are behaviors. Behavior can be understood in terms of function and reinforcement. All behavior is either an attempt to get something or an attempt to get away from something. If you apply this logic to addictive behaviors, the use of mood-altering substances is an attempt to create a particular feeling or emotion, or an attempt to numb one. When a behavior is reinforced, we are more likely to engage in the same behavior again in the future. Let's assume that I'm feeling very anxious. I drink some alcohol and notice that my anxiety decreases. My brain takes note of this and the next time I'm feeling anxious I am more likely to reach for a bottle. Now, imagine this happening hundreds, if not thousands, of times.  Addiction recovery is about identifying and treating the underlying reasons for the use. A qualified addiction therapist will assist you in developing a relapse prevention plan that addresses these underlying issues and helps you to identify triggers for your use. Additionally, you will learn how to avoid triggers and gain healthy coping skills to use instead of relying on alcohol. I wish you the best of luck in your endeavors. Recovery can be difficult and requires a willingness to change just about everything in your life. But the rewards are tremendous!", "I worked for an organization that had a similar policy, although I'm not aware of it ever being enforced. Most of the employees were in recovery and active in 12-step programs. It has always been my personal practice that if I am present at a meeting and encounter a current client, I will leave. No questions asked. If I encounter a former client, I may decide to stay, depending on how involved I was in the treatment of that client, but I will not share during the meeting to avoid any inappropriate self-disclosure. I live in a relatively large city with a lot of groups, so it's possible to find meetings where I don't run into clients. This can be much more challenging in a smaller city. I understand that you don't work directly with peers in substance abuse treatment, but we know that many of our clients with chronic mental illness also have chemical dependency issues. Therefore, it is possible that you might encounter them at 12-step meetings. Perhaps you could try online meetings or consider driving to an adjacent city or town to attend meetings?", "Unfortunately, finding \"the right\" therapist isn't as easy as picking a name from a list provided by your insurance company or based on Google search results. The process begins with doing some research. Online directories such as Psychology Today and CounselChat are a good jumping-off point. Start by selecting search parameters that are important to you such as the gender of the therapist, issues you want to address in therapy, the therapist's therapeutic orientation (i.e., cognitive-behavioral therapy, EMDR, dialectical behavioral therapy), online versus in-person appointment availability, and the distance you are willing to travel. Once you have the results of your search, take time to read each therapist's profile and visit their websites. When you begin to contact the therapists, ask if they will offer a free telephone or Zoom consultation. This gives you the opportunity to ask specific questions of the therapist, to share details about your reasons for seeking therapy, and clearly express your goals. Spend some time preparing for the call. Because the calls are usually time-limited (mine are 15-minutes in length), it can be helpful to make some brief notes about the issues you wish to discuss and the questions you would like to ask the therapist. Approach your first session with an open mind. Therapy can be uncomfortable, intimidating, and even scary at first. It's not easy to be vulnerable, especially with a stranger. A good therapist will take their cues from you. If a client isn't ready to discuss trauma or a particular subject just yet, that's okay! Therapy is a process and a collaborative one at that. The best way to \"train\" your therapist is to openly communicate your needs with them. If, at any time, you don't feel as though your needs are being met or you are progressing towards your goals, let your therapist know how you are feeling. A competent therapist will appreciate this feedback and work with you to change course.", "The first step in beginning the counseling process is to do some homework. I recommend that clients make some quick notes about what they believe are the core issues negatively impacting their functioning, the qualities they are looking for in a therapist, and what are some goals that you have for therapy. Next, go to one of the many directory sites like CounselChat or PsychologyToday.com. These sites allow you to search for therapists in your area and to select a number of different criteria that can assist in narrowing your search. Once you have a list of therapists, start calling their offices and/or visiting their websites. Many of us offer brief consultation calls at no cost. This is a great way to share the issues you identified with the therapist and to ask them any questions you might have." ]

[ "There is a modality developed by Pia Mellody called \"Post induction therapy\" (PIT). The work has been continued by Jan Bergstrom who wrote the book: \"Gifts From A Challenging Childhood. The premise of the work is that you can \"reparent\" those wounded parts of you. A quote from Jan's book is, \"If it's hysterical, it's historical.\" I've done this sort of work myself and its been hugely beneficial for my relationship. The idea is when \"triggered\" by my partner, I'm going to request space and affirm, validate and even love that younger part of myself that's hurting and remind them that I (as the functional adult I am) can handle my partner.  Basically, I'm practicing getting in a more centered space and thus, I'm able to be more relational. This is a practice, but the idea is to provide some separation from the trigger and an automatic reaction. You can do it, especially if you love him and he's worth it." ]

[ "Hello there,No one has too many issues to address in counseling. Once you start counseling, your therapist will help you identify which issues to start working on first and which are causing you the most distress. Once you and your therapist prioritize your concerns, you can start to address each concern, starting with the one causing the most distress for you.", "I'm glad you are interested in changing your feelings of worthlessness. Visiting your doctor is a great first step to address your lack of sleep. First, you want to make sure that you are physically healthy and that there isn't a physical condition causing your problem with sleep. Changing your feelings is something that is difficult to do, especially on your own. Make sure that you have someone you can trust and you can talk to about how you feel. This can be a friend or a family member. If you find that there isn't anyone you would feel comfortable talking to about this issue, find a therapist close to you who can help. One activity that people have found helpful in feeling better about themselves is keeping a gratitude journal. You can do this by journaling daily about the things that you are grateful for. There is no right or wrong way of doing this, as long as you focus your journal entries on the things you are grateful for in life.", "The decision to end a relationship is difficult. There are a few questions you might want to ask yourself like, \"Why am I asking myself if i should end it?\", \"What else am I looking for in a relationship that this one doesn't give me?\", \"is my boyfriend willing to discuss my doubts and willing to work at making this relationship better?\", \"Is he abusive in any way?\" These are just a few questionsto think through in order to make this decision. Also talk to a trusted friend and see they're point of view of your relationship. Sometimes talking it over can help you think out loud and you're friend can point out details you can't thought about. Talking to a therapist is also a good option as a therapist can hello you figure out what you are looking for and address any issues that need to be addressed." ]

[ "It sounds like keeping the secrets has become a problem for you now. There are several things to consider before you make a decision.- You mentioned that you don't want your wife and mom to know because you don't want to hurt them – why would it hurt them? - Is it necessary for them to know this information?- What are the consequences of either telling them the truth or not telling them? (for you and for your wife and mom).- Once you have considered these, think of what you would tell your friend if they were in your exact situation?- Also, if your wife or mom were in your situation right now, what do you think they would do themselves?- If your wife and mom were in this situation, how would you feel? Would you want to know the secrets?- How has keeping these secrets affected your own mental and physical health?Once you have looked at the problem from all angles, you will be able to better make a decision on whether it is right to tell them or not." ]

[ "It sounds like you are trying to find a label to help you to understand why you are feeling the way you are feeling.  Sometimes there are no labels for how we feel.  Sometimes there is no name for the emotions that we are experiencing. Regardless, you do not have to continue to feel this way, no matter what you call it.  If you are seeking to experience an internal calmness such as your external calmness, you may want to try some mindfulness practices or meditation.  However, being able to get at the root cause of what you are feeling may be what you need to help you release this feeling for the long term.  I recommend seeking support for this to allow this internal screaming to get some air and begin to breathe.", "It sounds like you have taken on a caretaker role for a while as well as experienced some pretty severe interpersonal trauma.  It makes sense that you would feel nervous around people.  Working through the trauma of an abusive relationship in itself can be a difficult process.  And then to add on the caretaker part can make things even more difficult.  First off, you may want to seek support to work through what you have experienced.  Many cities offer support with survivors of domestic violence and there is a hotline to help with this 888-724-7240 as well as online resources.  Processing the isolation of this relationship as well as working with your son can help to overcome the anxiety related to others.  Accessing autism support networks may be of support as well.  Other parents that will understand your experiences are a good and tend to be safer place to start in attempting to connect to others.Very importantly, go slow and be kind to yourself as you begin to adapt to a new life of allowing others to care for you as you so clearly have for others.", "It sounds like you are experiencing burnout and have very little, if no job satisfaction.  There are some aspects of this that are in your control and others that are not.  What type of work do you typically enjoy?  Do you enjoy high stress work? What keeps you in this job? Is there a reason you have stayed?  Is your boss reasonable to have a conversation with?  I recommend a few things.  For one, you may want to have a discussion with your boss about your job duties and see if there is a way to either eliminate some responsibilities or get higher pay.  Another option, if you are unable to have an open conversation, you can start to look at an ideal work situation, what would you like/ be OK with/ absolutely hate about a job. Then possibly try to look for a new job that fits these qualifications. If you are unable to leave your job, you may want to attempt to balance your work life with more activities that create joy outside of work.  Sometimes that balance can help you tolerate work more.  I recommend that you find a supportive person to talk with and process these frustrations as burnout can lead us to do things we may regret.", "First off, there is nothing wrong with you.  In fact, having random thoughts we feel we cannot control is actually quite common and normal.  Sometimes our thoughts think they are protecting us (if we think we aren't worth anything, it won't hurt when we get rejected) but they are actually doing quite the opposite.  They are keeping us \"stuck\" and creating a self-prophization.  (If I think I am not worth anything, I don't have to try, and I will keep proving to myself that I am not worth anything).  There are many techniques to work through and start to change our negative self-talk.  There are actually many self-help workbooks that can help with this as well.  A technique I like to use is meditation or mindfulness.  This can teach us to accept our thoughts (not fight them) and then learn to let them go.  Release the power they have on us.  If we can learn to release these and not ruminate on them, this will give us the space to allow more positive and supportive thoughts to come in.  Mantras can help with this as well (I AM worth a lot, I AM important, I have value).  Saying these to yourself everyday over and over (even if at first you don't believe) can retrain our brains to believe it (and allow us to believe it).  I have even wrote positive mantras to myself in my bathroom mirror so I am forced to look at these throughout the day.Please remember to not be hard on yourself as you begin to attempt to change the automatic thought patterns.  It took a while for you to get where you are and it will take a while for this change to kick in and feel normal.  So allow the process to happen slowly and allow yourself to accept you as the amazing and brave person you are." ]

[ "You know have the right therapist if:Your counselor specializes in what you are seeking help for or they have experience with treating people with similar issues.They are ethical and are able to understand your culture or religious norms.They are licensed in your state.They are able to provide you treatment that is tailored to your needs so that you can meet your goals for therapy.They are non-judgmental and can show empathy to you.They can meet you were you are in your journey of healing and understand you.The location of the office or use of technology to hold sessions is something that you are comfortable with.Recognize that a relationship with a counselor is like a relationship with any other person, sometimes you mesh well and sometimes you do not mesh well. A counselor should never take any offense if you do not feel like a good fit with the counselor, just be honest with your counselor about how you are feeling about the relationship. If you feel the need to change counselors, feel the freedom to change counselors as you will get more from therapy if you feel like you make a good team.To \"train\" your therapist:Be honest about your needs, expectations, barriers and about your situation.Know thyself and share that with your counselor. Create attainable goals for yourself with the help of the counselor.Set the pace that you are comfortable with.Feel comfortable to share an agenda for each session." ]

[ "This is so hard. It is hard for someone to understand what depression is without having experienced it themselves. Unfortunately people without depression sometimes mistake it as feeling sorry for ourselves or just moping around, which is not what depression is at all. Sometimes I think that it is easier for family members to see it as a choice than to admit that someone they love is hurting and they dont know what to do. If  he is willing, I wonder if there may be a depression support group in your area such as NAMI or DBSA where he could hear from from others living with depression and their families. If not, I wonder if you all might watch a documentary together such as No Kidding Me Too or Call me Crazy. If not that, ive sometimes encouraged folk to just leave some information on depression and how family can help like a pamphlet or handout on a table or around the house. We tend to get curious and read things we find on the table. Wishing you the best!", "I am glad that you are getting ahead of this by noticing this seasonal pattern to your depression. Winter depression (seasonal affective) is something that affects a lot of people both people who also deal with other kinds of depression that happens to get worse in the winter as well as people who just deal with depression in the winter. Light affects how our bodies release and absorb neurotransmitters such as serotonin and most believe that a major contributing factor for winter depression is that we get less light when it is colder outside and darker outside. Exposure to light can make a big difference. If you are someone who is awake during the day (not someone who works the night shift :) )---one simple change you can make is keeping your curtains in your bedroom light enough as to let some light in in the morning. This will give you light right off the start of the day and can make it easier to get going in the morning. Beyond this, keeping windows cleared from blinds so that you get that natural light or even taking a short 10 or 15 minute walk each day can get you both light and exercise to help fight off the depression. Outside this, as others have suggested a light box is a popular method of warding off the depression however some of these may expose you to UV light and so this is something to check in with both with the light box manufacturer and with your doctor to make sure you have a good understanding of the risks and benefits for that. Lastly, just making sure you continue to do things that lift your mood, that you have time with other people, and that you reach out if you do find yourself in a space of needing help are all things you can do to ward off the depression. Wishing you well!", "That is intense. Depression is a liar. Sometimes depression places these glasses over our eyes, these dark sunglasses that change how we see things. Depression tells us things like \"you're worthless\" \"no one likes you\" \"don't worry about doing anything.\" And it is so easy for us to listen and to be tricked into thinking that just because we feel something means it is true. Please know that even if you are feeling worthless right now, that doesn't mean you are worthless.The first step to working through this is recognizing what is going on. Recognizing when depression is telling you the same story (ie; being worthless) with different words (ie worthless here, worthless there) and making an effort to talk back. While I can not give you a diagnosis of depression, reading what you are going through, it sounds like you might need help to get back on track. Seeing a counselor can open an entirely new option up wherein someone who is not involved in your life can help you without judgement and with an objective perspective. This can do wonders in unwrapping these kinds of thoughts. Wishing you the absolute best!", "Self-harm has a way of becoming a go-to method of coping. When we get stuck using self-harm as a way to deal and manage emotions, when something serious happens it totally makes sense that that will be one the first things to go through the mind. It is its own kind of addiction. There is a therapy, DBT or, Dialectical Behavior Therapy, which focusing on giving you new tools to get through hard times, understand and manage your emotions, to stay present and to deal with relationships. This one of the most effective interventions there is for self-harm. If you are interested in DBT, reach a local therapist in your area and ask if they do DBT or can recommend you to a DBT program. This can help immensely. Self-harm recovery is totally possible, but it is definitely hard work!", "Anxiety can absolutely make you think you heard something about you. When we are on high alert, we tend to look for threats and often the greatest threats we experience on a daily basis are social in nature.  To some extent this is normal, for example, when people experience late onset deafness, they often will worry people are talking about them (and usually not good things) because our brains tend to jump to that. Of course, I'm not saying you are going deaf or anything, just giving an example. Counseling can help you work through this anxiety. It may also be helpful to reach out to a counselor to rule out if there may be other things going on. Sometimes things like paranoia can blend in with anxiety, which is a very distressing experience. But both are absolutely treatable. Wishing you the best!", "That is awful! I am sure you are ready to start getting some rest. It's normal for us to wake a few times in the night, however, when we are dealing with high anxiety or stress, those times can turn into being up most night. Given that you are having these repeated dreams, I am wondering what might be going on in your life either now  or in the past that could be triggering stress or maybe memories. It can help to draw the dream out in the morning or even to look for metaphor. In the long run, seeking counseling can help you sort all that outIn the meantime, self-soothing strategies may help you in the night when you wake and can't get back to sleep. This can be anything with your senses----getting a snack like tea and focusing on that taste, smelling something pleasant, listening to some relaxing music, looking through a magazine, taking a shower. Anything you can think of that might help you relax. If it involves needing to get up, that's okay! Getting out of bed can actually help you get out of that mind space and helps you associate your bed with relaxation/sleep vs anxiety making it more likely you will fall asleep once  you lay down.", "You've already taken the first step. You want to not hate yourself. Self-acceptance is hard! And it's on a spectrum. On one side we have self-hate, on the other extreme; self-love. And then, there is all this stuff in the middle. It kind of looks like thisAnd working toward self-love often means moving around through all these. Becoming aware of your emotions, exploring the parts of you you that easier and harder to accept, self-kindness, self-forgiveness, self-compassion and ultimately self-love. It is a recovery process and has to be an active thing each day. Meeting with a counselor can give you a partner in that process. Your counselor can also help you to recognize pieces that may be more difficult to see from your eyes as they have an outside view. And with self-acceptance, confidence comes naturally although you may need to practice behaviors that show assertiveness, confidence and boundaries that protect you. Wishing you the absolute best with this!", "Wow, you got hit with some serious stuff all at once. Work, relationships, and housing/security are major needs for us and to lose all that at once has got to affect you. When things go wrong, it is natural for us to look for blame----and the easiest person for us to blame is ourselves. Put that with grief and you've got a recipe for feeling awful. We can start feeling so low as to want to check out with things like food, and TV as you described. It can take time for us to move to self-forgiveness, and self-kindness in order to start moving forward again. I wonder what you can do right now to improve your situation? I also wonder if you may be willing to seek counseling to help you work through some of this, to help with your perspective, and to assist in your grieving process. Just reading these 3 sentences, I get the sense of you being a nice person. I hope you can show that kind of kindness to yourself in your healing.", "I don't need to tell you that this is an incredible amount of serious stuff to happen in a short period. When we go through a trauma, it is natural for us to shut down as a way to protect ourselves. A kind of freeze response. Think of a possum or a gazelle. These animals go so far as to physically freeze in protection. Our emotions do the same thing sometimes. We feel shut down and that can be strange---a kind of disconnection. This does not mean that you are sociopath or that your feelings will never come back.  The amazing thing though is that as time moves forward we naturally heal and emotions come back. If you feel stuck, seeking counseling is a way to help accelerate this healing and help you work through and begin healing. Wishing you the absolute best!", "That's intense. This person moving from a friend of yours to both a friend of yours and, in  a sense, your step mom is a lot. I wonder if you have let your dad know what's going through your mind with this and how it is affecting you. I can imagine that could feel awkward and emotional. Still, getting him to understand might be as simple as letting him know, in your words, how this feels from your view as well as what you wish. It may not change the outcome (he may still marry her), but your thoughts will not go unsaid and opens it up for conversation. Best luck!", "Counseling can be very effective for OCD. In particularly, a kind of therapy called Exposure Response (Ritual) Prevention Therapy is considered the 'gold standard' for the treatment of OCD. What this is, is a specific protocol that helps you build relaxation strategies and to increase the amount of time between your checking/cleaning rituals while also helping you to face any of the fears that OCD given you until those rituals and fears are no longer interfering with your life. Research has shown that this kind of therapy may even be more effective for OCD than medication, https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.162.1.151", "Mood swings and getting frustrated when things don't work out is totally normal. Sometimes, we get tied to one thing we really want to do and it can feel pretty intense when that gets interrupted or doesn't work out. This said, you're coming to CounselChat and so I'm guessing this is something that is pretty intense for you and something that you are concerned about. If this is getting in the way of your life, it may be worthwhile to reach out to a therapist or doctor to get some help with this and see if there might be something more going on. While for most people frustration/mood swings is related to typical life and stress, if very intense it can be a sign of a number of challenges ranging from anxiety to a traumatic experience to something like Bipolar Disorder where a person's mood and energy might fly so high (mania) that one feels like they can do anything but often become frustrated when interrupted (note: there is a lot more to Bipolar Disorder than this and this is certainly not a diagnosis). Wish you well!", "Hearing voices can be a very upsetting experience to have. I want you to know that a lot of people will hear a voice at some point in their lives and that there are many things that cause voices. Oftentimes, significant stress can offset us to have symptoms like this. There also mental and physical health conditions that can do the same. I strongly encourage you to seek out help from both a doctor and a counselor to help you piece together exactly what is causing your voices. I Once you've got that down, you'll know what to work on. In the meantime, here are some strategies to cope with voices1. Lower your stress levels: Oftentimes stress makes voices worse. What can you do to lower your stress?2. Get enough Sleep: Like stress, sleep deprivation is an awful trigger for hearing voices3. Listen to Music; Music can help you focus on another sound4. Wear headphone or Earplugs5. Use Your Own Voice; If the voices are saying harsh things to you, it can be tempting to talk back and that's okay if you do. However, you cn also use your own voice through singing, whistling, or the like, which can help drown out the voices6. Remind Yourself that What the Voices Say is Not True; Sometimes it Helps to Write it Out7. Draw the Voice or Give it a Name; This can make it less scary and help get it outside of you8. Keep Track of When You Hear Voices to Identify Triggers; These are situations you can avoid while these are so distressful for you9. Be Kind to Yourself; When a Voice is Being Cruel to You it is especially important to be kind to yourself10. Remember that while hearing voices can be disturbing that it is a common experience and something that many people recover from.", "I do not think there is such a thing as a psychotic seizure, however, there is something called a pseduoseizure or psychogenic non-epileptic seizure. Basically, this is when a person shows signs of a full-on seizure (such as falling and convulsing) but they are not producing brain waves consistent with a seizure. Psedoseizures tend to be brought on by high stress, emotional challenges, and trauma history. You can learn more here, https://www.ncbi.nlm.nih.gov/books/NBK441871/ Still, the best way to now what your doctor meant would be to ask them! :)", "You are asking a room full of counselors, and so I am going to guess that we may be a bit biased :). My answer is this: sometimes. Many people benefit from counseling and when counseling works those benefits can show up through positive improvements in your moods, making more choices that align with your values, working through stuff, and a general improved sense of self. Sometimes, for a variety of reasons, a counselor, the approach they are using and the person do not match up and when that happens sometimes counseling does not help. It is very important to find the right counselor for you. Ideally this should be someone you feel a level of trust and connection with who is also using a style that you feel confident in. Research has shown that these aspects (what is called the 'therapeutic alliance') along with shared goals between the client and counselor give counseling the best chance at being effective" ]

[ "No, you don't have too many issues to address in counseling. Humans are complex, and just based on the little bit of information you have shared, it sounds like you have likely experienced quite a bit of trauma in your life. When we experience traumatic events (such as sexual abuse, surviving cancer) it has an impact on our mood and thoughts about ourselves. As a trauma specialist & EMDR therapist, I often have clients who have experienced a lot of difficult things in their life and may be entering therapy for the first time. The process of healing and learning more adaptive beliefs and coping strategies takes time, but it is never too late to start!", "I would recommend finding an EMDR therapist. Eye Movement Desensitization and Reprocessing (EMDR) therapy is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. As an EMDR therapist can attest to the massive changes that using EMDR has had for many of the people I have worked with.", "You have experienced trauma. Feeling detached or having difficulty connecting with your emotions is a common response after experiencing a traumatic event. It is the brain's way of trying to protect us from something that is incredibly overwhelming. I recommend finding an EMDR therapist. Eye Movement Desensitization and Reprocessing (EMDR) therapy is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. As an EMDR therapist can attest to the massive changes that using EMDR has had for many of the people I have worked with. When we experience a trauma, the sooner we can address it with EMDR, the quicker you will feel relief and the less likely it is to become \"stuck\" in your long term memory.", "Finding the right therapist means finding one that feels like a good fit for your needs in therapy and your personality style. The therapeutic relationship is the most important factor in therapy being successful or beneficial. When you have found a good fit, that means -  you feel comfortable with the therapist, feel you have a connection with the therapist as a person, think that they will be someone you are able to open up to, feel that they may be someone you can trust to help you through therapy, and that has experience in the clinical areas that you are seeking treatment for." ]

[ "It is very common for people to have multiple issues that they want to (and need to) address in counseling.  I have had clients ask that same question and through more exploration, there is often an underlying fear that they  \"can't be helped\" or that they will \"be too much for their therapist.\" I don't know if any of this rings true for you. But, most people have more than one problem in their lives and more often than not,  people have numerous significant stressors in their lives.  Let's face it, life can be complicated! Therapists are completely ready and equipped to handle all of the issues small or large that a client presents in session. Most therapists over the first couple of sessions will help you prioritize the issues you are facing so that you start addressing the issues that are causing you the most distress.  You can never have too many issues to address in counseling.  All of the issues you mention above can be successfully worked through in counseling.", "Developmentally, there are ages where not coloring in the lines, writing words that are jumbled together, and leaving big spaces or skipping lines are completely normal.  I have seen children in 3rd and in some cases, 4th grade who do not have learning disabilities write in the manner you have described.  There is, however, a type of learning disability called Dysgraphia which can present in the ways you have described. If you suspect that your daughter might have Dysgraphia, then the best thing to do is to have educational testing done.  You can request testing by going through your school system and asking for an IEP (Individualized Educational Plan) meeting.  Your school is required to honor your request for an IEP meeting.  At the meeting, you can ask the school to do educational testing that will be at no cost to you.  I will say that depending on where you live and your school system, it can sometimes be difficult to get the school system to do testing.  If that is the case, you can go to a psychologist or find an agency near you that can also perform this type of testing as well (some will accept insurance and others will not.)  There are also educational advocates that you can hire to help you if you ever have difficulty getting your daughter properly assessed by the school system.  I also highly recommend seeing a developmental ophthalmologist and/or a developmental pediatrician.  They can be great resources in helping you to determine if your daughter does have a learning disability.I always say that a parent should \"trust their gut\" and if you feel that your child is struggling and that there may be a learning disability then there is no harm in getting your child evaluated.  The best case scenario is that your child is completely on track and what you are seeing is developmentally appropriate.  On the other hand, if your child does have a learning disability, then you have caught it early enough where she can receive services that will help her in the long run. Either way, it is a win, win.", "Finding the right therapist for you is very important and can sometimes be tricky. It can sometimes take a number of sessions to get a good sense of whether you and your therapist are the \"right fit.\"  The first couple of sessions are generally spent on gathering information, formulating a plan of treatment, and building the client/therapist relationship. The client/therapist relationship will be very different from other relationships you have experienced.  You will know you have found the right therapist when you notice there is a good rapport between the two of you.  You will get a sense that the therapist \"gets you\" and understands the issues being presented. If you feel that you can trust your therapist and feel comfortable opening up and providing feedback during your sessions then you know it is a good fit. In terms of \"how to train your therapist how to give you what you need from treatment\" the therapeutic relationship is collaborative so the two of you will be working together as a team. During your sessions, the goal is for you to feel comfortable giving feedback about what is working and what is not working in your sessions. When you express your needs to your therapist then the two of you will discuss the best ways to get those needs met in order to maximize the effectiveness of your sessions." ]

[ "Finding the right therapist is a crucial part of the therapy process-- and one that can be intimidating or daunting despite increasing ease of access to individual therapist profile matching services. The right therapist will allow you the space to give them feedback on how you are most comfortable with the counseling process as well as adhere to the right pace of sessions and disclosure that feels most comfortable to you." ]

[ "Thank you for sharing your history. You do not have too many issues to address in counseling. It will help to prioritize what you would like to work on first in therapy. Your therapist will create a treatment plan with you, which can always be changed while working together. Therapy is a process in working towards your best life, and you deserve it.", "The termination of a relationship can be a challenge to heal from. Having obsessions after a breakup are very normal and many of my clients experience them. It can help to create a distraction box and when the obsessions present themselves use your distraction activities. In the beginning try to distract from the obsessions for 5 minutes and work to increase that time over time. Celebrate your successes when you are able to distract yourself." ]

[ "Frequently when working with clients, I utilize the A-B-C model developed by Albert Ellis, the founder of Rational Emotive Behavior Theory. The theory basically states that you can not control an event but you can control your reaction to the emotions associated with said event. For instance here is an example:A (Action or Event): You need to talk to someone and that person is not calling you back.B (Behavior or Response): You begin to tell yourself that this person is too busy for me or I am not important to this person.C (Consequence): You feel depressed.If you look at the model, B has a direct effect on C. The thought is if you change your reaction to A, then C will have a better consequence, such as:A: stays the same.B (this is what you change): This person must be busy, they will call me back when they get a chance or I can call someone else to lean on for support until this person is available.C: Decreased feelings of depression & overall functioning improves.This is just an example but if you actively work to replace the negative thought patterns that effect your behavior, studies show that your overall outlook and mood will improve. If this model resonates with you, I recommend \"Feeling better, getting better, staying better\" by Alber Ellis. In addition, looking for support groups in your area are a great source of support when you are feeling abandoned or alone.", "I recommend that you make a list of all the reasons you should change your life and all of the reasons you shouldn't change your life. Can the problem you are in be fixed? Is there others you can lean on for support? Are there other people you know who have been through a similar experience and are willing to share their story with you? It is important to rely on your support network to help you get multiple points of view. If you believe you need additional help, I suggest seeing a professional.", "I recommend asking your son about the reasons he chooses to play alone at recess. If he is happy on his own and you know he has some friends, I would not be very concerned. However, there may be bullying going on at school. In the case of bullying, it may be a situation where you as his parent will need to step in.", "I recommend that you seek professional services to address the trauma you experienced. EMDR has been proven to be very effective in treating trauma. In addition, a support group might be helpful to find a more stable support network. Either a support group for victims of rape or sex/love addiction www.sa.org sound appropriate. Whichever group resonates the most with you will be the most helpful. If you have any additional questions or concerns, please feel free to ask.", "I recommend that you focus on the negative thoughts or irrational beliefs that are going through your mind at the time in which you are trying to approach a girl. When you are aware of the negative thoughts or irrational beliefs, you can then work on changing them. An easy way to recognize an irrational belief is a thought that contains the words \"must or never.\" Once you recognize the thought or belief, I would like you to picture a big red stop sign. This is called thought stopping. This is a technique to use to stop unwanted or unhealthy thoughts. Then, I would like you to think of a more positive thought to replace it with such as: Negative thought: \"That girl will never go out with me\" STOP Positive thought: \"I won't know if she will go out with me unless I ask\". What this does is increase your self confidence by replacing your negative thoughts with positive ones that will ultimately boost your self esteem.", "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.", "That sounds like a very hurtful situation. Unfortunately, without a batterers intervention course or a desire to change, the abuse cycle is unlikely to stop. I do not recommend that you try to leave on your own due that being the most dangerous time when in an abusive relationship. As an abuser, his goal is to control you whether it's through mental or verbal means. I recommend that you contact a domestic violence shelter in your area. I have worked closely with Harbor House of Central Florida and know they provide housing, transportation, and any other needed resources to women leaving an abusive relationship. There is help out there and you are not alone. If you need any additional resources in your area, please don't hesitate to contact me.", "In any relationship, it is important to be able to say \"I'm sorry\" because it shows vulnerability and openness. I recommend that you sit and have a discussion with him now that you are calm about why you were upset and how you would like to handle such incidents in the future. If you find yourself becoming upset again, I encourage you to take a 20 minute break and then come back to the conversation once you are no longer heated. Studies show that talking or discussing arguments are more effective once you have cooled down and you are more likely to hear/understand what your partner is trying to convey." ]

[ "Starting counseling, and bringing in a lot can feel overwhelming; like you've brought too many full suitcases and it's scary to think about opening them all.  My strategy would be to help you take inventory of all the areas you'd like to eventually work on and then prioritize what you'd like to work on first.  We would just focus on what seems manageable to work on, for now (what suitcase do you want to open, and how much do you want to unpack?)   Often times, symptoms have similar root issues, so once you start to work on one area and it gets better, other symptoms can get better too.  Being a breast cancer survivor you already have a chest of skills and tools that have helped you get through!  It's likely those skills can be applied in other areas for healing.", "Give yourself credit here!  It sounds like you are liked and people want to get to know you!  I would wonder with you, what is the self-talk going on when you get too scared to talk to people?  Those statements are probably connected to some core beliefs (I'm __________, I'll never __________, I'm not __________________, etc.), which probably need to be examined for truth and challenged!  Often times, practice helps!  You could start by having a conversation with someone you already feel comfortable with, but talk about a topic you've never discussed before.  Next, you could strike up conversation with someone who is new to you, but for a brief time, like a cashier or waitress/waiter.   Keep taking steps towards practicing talking to new people, and build your skills and confidence with each conversation.  Sure, you'll probably feel awkward and uncomfortable and say some silly things, but you'll also probably say some brilliant things, and you're doing it!  Eventually, you'll probably feel more comfortable talking to the people who you'd like to talk to, without so much fear. Learning new things are tough!  Once you get some practice and confidence under your belt, you can get more and more comfortable with your abilities to talk to new people.", "It may not feel like it, but you are in a great spot!  You know what is holding you back!  It sounds like you want to deal with your past and find healing, so you can move forward in freedom.  Trauma is life-altering and at any age, especially when we are young.  Meeting with a counselor who works from a trauma-informed perspective would probably be beneficial, as there can be so many layers to the effects of trauma. More good news: you have met a very loving and caring man! Since he is loving and caring, he most likely will want to support you in healing.  Honesty and vulnerability in safe spaces build intimacy; have you considered sharing with him what's behind your distancing behaviors?  You may have an ally in your healing just waiting to be allowed in.     You are headed in the right direction to get your life back considering therapy.", "You will generally feel a 'click,' or 'connection,' with a counselor through their bio, website, and/or on the phone during a consult (if one is provided).  Counseling is about the true you having a safe place to come out.  With the right therapist you will feel safe to be your true self, in all your glory! In order to get what you need from treatment, be clear with what you are looking for.  I believe a great counselor is person-centered and partners with the client, inviting the client to determine the goals, and where they would like to get to.  Then the therapist and client work together to get to the client's desired destinations!" ]

[ "This is a common worry clients have about counseling. Something that can be helpful to remember is that what we're seeing as different issues often have a theme or are connected in some way. For example, the sexual abuse and cancer history you shared have similar traumatic and stressful effects on the mind and body, and insomnia can be exacerbated by the longer-term effects of what you've been through. Similarly, anxiety and depression are different ways our pain and distress presents itself but have underlying connections - sometimes they're even connected to the same trauma response. The hope is that you'll have a counselor who can help you explore these different areas of wellbeing, and facilitate a process of putting the puzzle pieces together while creating space to discover what you need in order to find some liberation and healing from the issues you've named." ]

[ "It is absolutely normal to be nervous about therapy.  Many people take years to make the decision to start counseling and although it is a safe place to explore feelings, it may be the first time you are facing certain issues.  It takes courage to face issues head on.  Being nervous is part of the process.  The fact that you are continuing to go to therapy sessions despite feeling nervous demonstrates your strength.  Keep it up!", "Relationships can be extremely enjoyable and satisfying.  When relationships end, however, it can be devastating.  It is normal to go through a grieving process after a breakup.  Denial, bargaining, sadness, anger and eventually acceptance are all normal stages of grief.  You may experience these feelings all at once or one at a time.  Allow yourself time to grieve by expressing your emotions - talk to a friend or write in a journal.  Take care of yourself during this time by exercising, eating and sleeping well and spending time with friends.  After some time you should start feeling better.  If you feel like you're not feeling better and you don't know what to do, you can see a therapist to help you get through this difficult time.", "It's completely understandable that you would have male friends and that you would want to spend time with them.  When you cross over from friends to a relationship, it does change things.  Some people are very easy going and wouldn't feel threatened by what you did  Others would be upset.  If your boyfriend is upset by you spending time with this male friend, then you need to talk about it.  Each of you needs to express your feelings about the situation and listen to the other with patience and respect.  Then you can make a decision on what is best for you and your relationship.  Maybe he wouldn't be upset if you saw this friend while you were with your boyfriend.  Or maybe your boyfriend would feel better if he got to know this person better and could trust him.  Most likely you can come up with a situation that will make both of you comfortable going forward.  You didn't do anything \"wrong\" because it doesn't sound like you intended to hurt your boyfriend.  But if you really care about your boyfriend, then you probably care about making him upset.  Instead of looking at this issue as a problem, try to look at it as an opportunity to connect.  If you can both listen to each other and understand each other, your relationship can become even closer.", "There are several reasons for a counselor to decide to end counseling.  A major reason to end counseling is if the counselor feels that he or she does not have the skills or experience to work with the client.  This may happen during the intake process or after working with the client for some time.  If the clinician feels that the client is not benefitting from the therapy, it is ethical to suggest that the client terminate the therapy.  The process of termination must not injure the client and, if necessary, the clinician may need to refer the client to other treatment modalities.  Another reason to terminate working with a client is if the client needs a higher level of care.  If the client has a crisis or is at risk of hurting himself or someone else, he or she may need a higher level of care.  In this circumstance, the clinician may need to involve outside services such as a crisis unit.  A third reason to terminate with a client is if the clinician feels that he or she cannot remain professional with the client relationship.  For example, if the issues that the client is working on bring up something significant for the clinician and the clinician feels that he is unable to separate that from the professional relationship.  In this instance, the clinician should refer the client to another therapist.  Finally, if the client has reached her goals for therapy and no longer needs treatment, the clinician and client should terminate treatment." ]

[ "Quick Way to Assess a\nGreat Therapist A colleague and I were discussing the characteristics of\nsuccessful therapists. I gave him some traits, some of which were listed by\nRobinson (2012). The therapist should be able to listen to your story, build\nrapport, establish a relationship, demonstrate empathy, adapt treatments to the\nclient/situation, use effective communication skills, exhibit confidence in use\nof therapeutic techniques, and repeatedly update skills with ongoing education\nand research.  You should talk with the therapist. In addition to asking\nthe therapist about his/her experiences and specialty in treating the issue you\nwant to address; you will gain a sense of the therapist’s ability to connect\nwith you in your first phone call or meeting with him/her. This is why I offer\na free 15-minute phone consultation. You can use the above criteria to gauge\nthe therapist’s ability to do the following: Hear you, join with you in\nunderstanding the issue, and indicate some ways in which the issue may be\ntreated.Regarding training a therapist, just ask the therapist if he or she can comply with what you are looking for, or what has worked with you before if you have had prior counseling. If you just like a therapist to listen, you are looking for a non-directive therapist. If you want one to be more active in guiding you, choose a directive therapist. You can also ask them with which type of client/issue they work best. I specialize treating anxiety and relationships and would\nlike to talk with you if you have questions about how I may be able to help\nyou.  Jim Ciraky PhDLicensed Professional Counselor GA, USAAdventHelp.com404.293.5654" ]

[ "A colleague and I were discussing the characteristics of successful\ntherapists. I gave him some traits, some of which were listed by\nRobinson (2012). The therapist should be able to listen to your story,\nbuild rapport, establish a relationship, demonstrate empathy, adapt\ntreatments to the client/situation, use effective communication skills,\nexhibit confidence in use of therapeutic techniques, and repeatedly\nupdate skills with ongoing education and research.\nYou should talk with the therapist. In addition to asking the\ntherapist about his/her experiences and specialty in treating the issue\nyou want to address; you will gain a sense of the therapist’s ability to\nconnect with you in your first phone call or meeting with him/her. This\nis why I offer a free 15-minute phone consultation. You can use the\nabove criteria to gauge the therapist’s ability to do the following:\nHear you, join with you in understanding the issue, and indicate some\nways in which the issue may be treated.\nI specialize treating anxiety and relationships and would like to\ntalk with you if you have questions about how I may be able to help you.\nJim" ]