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Masterclass 39

[ "I hear that you are concerned about your daughter's reaction and her emotional well being. Her behaviors are worry some as you feel she seems to be approaching her breaking point. I would suggest speaking to your daughter about the situation at school and her feelings. Listening and acknowledging your daughter's feelings without judgement or giving solutions is a very effective communication skill. Ask your daughter how she feels about speaking to a therapist or her doctor. Someone that she knows and feels comfortable talking to about her feelings and learning healthy coping skills to address stressful situations.", "This is a very personal decision that you make when you have evaluated the issues in your couple that you feel are affecting your happiness and well being in your couple. I recommend completing a compatability checklist to evaluate which areas are making you unhappy. It is important to discuss these feelings with your partner and determine if together you want to work on these differences. If there is no agreement to working together to resolve the issues  and you cannot accept the issues as they are then a break up may be best.", "You will know you have the right therapist when you feel at ease and comfortable to share deep feelings.You do not hold back and feel total acceptance and validation by your therapist. Listen to your feelings and letthem guide your decision.Your therapist and you will work together to decide what is best for you with regards to the type of treatment, frequency andduration. It is about collaborating and deciding together on the treatment plan that will help you to achieve your counseling goals.", "Yes, it is very normal to cry in therapy. Expressing your feelings is very cathartic and allows you togain a deeper understanding into yourself and how the issue is affecting you." ]

[ "Not at all my dear. Human beings are complex creatures, and in my opinion, our issues interconnect in a very nuanced web between our levels of being (for example, mind, body, and spirit). Everything you bring up affects all three. The truly beautiful thing about the human body is that when you begin to work on one, the others improve as well!I would encourage you to seek out a counselor who's style and approach speaks to you and start with whichever issue feels most pressing to you. A skilled therapist will flow with you at your own pace and make recommendations to other professionals (e.g., physicians, holistic practitioners, EMDR specialists for trauma etc) as needed to complement the psychotherapy work you're doing with him or her to help you find the total healing you seek. I wish you well on your journey!", "Oh my goodness, my heart goes out to you!!  I pray you have other strong and supportive loved ones or friends surrounding you. If you are in school, please consider speaking with a counselor on site who can help give you some good coping mechanisms as well as other resources.I believe most therapists would agree that this type of behavior is indicative of emotional AND verbal abuse. And quite often the two overlap because someone who is being yelled at and demeaned is also frequently having his/her emotions preyed upon as well. Healthy Place offers us some great examples of emotional abuse which certainly fit the criteria of what you describe:Yelling or swearing Name calling or insults; mocking.Threats and intimidation.Ignoring or excluding.Isolating.Humiliating.Denial of the abuse and blaming of the victim.And abuse survivor and author, Kellie Jo Holly, offers some other great examples of verbal abuse:Emotionally Abusive StatementsYou’re so cute when you try to concentrate! Look at you trying to think.I can’t believe I love a stupid jerk.Aw, come on, can’t you take a joke?Sexually Abusive StatementsYou should know how to please me by now.I hoped you were less experienced.Stop acting like a whore.Financially Abusive StatementsYou are going to nickel and dime me to death!In what world does buying that make sense?Fine. You handle your finances. Let me know when things go to hell.Societally Abusive StatementsHow dare you spread around our private business!Let me do the talking; people listen to men.You took a vow in front of God and everybody and I expect you to honor it!Threatening and Intimidating StatementsIf you don’t train that dog I’m going to rub your nose in its mess.I will take our kids if you leave me.You’re scared?! This isn’t angry! You will KNOW when I’m ANGRY!Spiritually Abusive StatementKeep your stupid beliefs to yourself.God will find a way to get you back, and it ain’t gonna be pretty.I can feel myself being pulled into hell just listening to your nonsense!It's been my personal clinical experience that children who are experiencing the types of things you describe often say they feel misunderstood, lonely, or scared and don't want to make things worse by standing up for themselves. Even if you feel you can't defend yourself outwardly, that doesn't mean your father's awful and toxic behavior is something you should ever internalize (i.e., believe to be true) which is why I hope you are surrounding yourself with people who will speak life and positivity back over you.  We are ALL worthy of respect, love, and kindness. Don't ever forget that!My love and light to you hon.Tamara Powell, LMHC", "As someone who specializes in sexuality and polyamory, I can tell you that your experience is incredibly common. It can be helpful to keep in mind that alcohol lowers our inhibitions, and for first time threesomes or any new sexual behavior really, we humans tend to enjoy a little extra oomph to our courage levels. That being said, it also lowers our ability to make well thought-out decisions. This combined with the brain rewarding novelty (new lover, new experience with our partner etc.) and maybe even some over-zealousness and performance anxiety could likely explain why your husband was on her more than you. My encouragement to you is to try not to overthink it at this stage. Now, IF you two choose to bring her or someone else into the bedroom again and a similar thing keeps happening, I would definitely push the issue and see what's up from his perspective.The empty feeling could be any number of things including:Fear that \"you're not enough for him\"Fear that \"she's better than you\" in some wayFear that \"if we keep doing this thing, he will need it and what happens if I no longer want it?\"Opposite fear of \"what if I now want her more than him\" or \"if I want the threesomes and he doesn't?\"Fear of \"does this mean our sex life isn't good enough as it is?\"....\"do we have to always add a little spice to keep it hot?\"Or like Robin alluded to, preconceived notions about what culture, religion, family and friends etc. say about what marriage and sex \"should\" look like.  I also agree with her encouragement to explore the empty feeling further and see what nuances of other feelings are in there...jealousy? insecurity? shame? regret? longing?  When you can identify and name them, they are easier handled. Some of the resources I recommend poly/ sexually open couples are:“Love in Abundance: a Counselor’s Advice on Open Relationships” by Kathy Labriola“The Jealousy Workbook: Exercises and Insights for Managing Open Relationships” by Kathy Labriola“Rewriting the Rules: an Integrative Guide to Love, Sex, and Relationships” by Meg Barker“More Than Two: a Practical Guide to Ethical Polyamory” by Franklin Veaux & Eve Rickert“The Game Changer: a Memoir of Disruptive Love” by Franklin Veaux“The Ethical Slut: a Practical Guide to Polyamory, Open Relationships, and Other Adventures” by Dossie Easton & Janet Hardy“Opening Up: a Guide to Creating and Sustaining Open Relationships” by Tristan Taormino“Open All the Way: Confessions From my Open Marriage” by Sadie Smythe“Henry and June: From ‘A Journal of Love’ – The Unexpurgated Diary of Anais Nin (1931-1932)“Personally, I find your cravings to be healthy and quite normal. The key is to make them work well for you and your partner(s). Robin's also right about communication being key. Some of the suggested resources above can help get those conversations started. And if you need further assistance, absolutely I would find a sex-positive, poly-positive counselor to chat with.Best of luck to you!Tamara Powell, LMHC", "Piggybacking on the other respondent's suggestions, I also agree that most couples could use more frequent and more bonding communication in their relationships, and this is a GREAT place to get the ball rolling towards reconnecting.Surveying the demographical data on long-term relationships, it's pretty common for couples to start to struggle around the 7-10 year mark and in fact, that's often when first time divorces happen. And for lots of reasons...most of them having something to do with beginning to take one another for granted and no longer doing the little things that nourish the relationship and light our partners up.  Seems like you've encountered this in your own relationship...where he appears to be neglecting your need for emotional connection with him.Doesn't have to be this way though. And from my own personal clinical experience, I can tell you that when even ONE partner is willing to make some small but powerful changes, they can often ripple outward to the other partner and bring about miraculous outcomes! So my encouragement to you is this - if you're still in love with him...even a little bit...and you're down to try something new, there's hope!  As hard as it may be, I would ask you to try and focus on YOUR own side of the street when approaching him. Use an open and curious approach with him. Ask him what he thinks he needs in a marriage. What is it about you he fell in love with? What helps him feel more fulfilled as a man and as a husband? What little things that you have done over the years does he appreciate? Like Sherry said, if you can get him talking, there'll be plenty to work with. We only need a spark to kindle a fire. If he can give you a list, you'll have a blueprint for getting him to reconnect with you and it opens the door for you to offer him little suggestions as well.By the time a couple reaches the point where you're at, there's usually very little fun going on. We've stopped enjoying one another's company. Try and think creatively about some shared experiences he might be willing to do. A picnic? Happy hour? Concerts, museums, cooking class, new sexual behaviors...the list is as infinite as you want it to be! Some of my favorite suggestions for couples looking to understand how they got here and how to build their way out are:\"The Secret to Desire in a Long-Term Relationship\" (Ted Talk) by Esther Perel\"Getting Together & Staying Together: Solving the Mystery of Marriage\" by William & Carleen Glasser\"Divorce Busting - A Step By Step Approach to Making Your Marriage Loving Again\" by Michelle Weiner-Davis\"The Relationship Cure: a 5 step Guide to Strengthening your Marriage, Family, and Friendships\" by John Gottman & Joan DeClaire\"The Seven Principles for Making Marriage Work\" by John Gottman & Nan Silver\"The Five Love Languages\" by Gary ChapmanAnd of course, I'd be remiss if I didn't suggest that if you're open to the idea, maybe some individual and/ or couples counseling could be helpful too.My very warmest regards to you,Tamara Powell, LMHC", "First off, don't blame yourself or be too quick to jump to any scary conclusions.  Human sexuality can be incredibly complex at times (e.g., what turns us on at one time may not be what turns us on the next time). There could actually be a number of things going on including him having performance anxiety...maybe he had a bad experience with a previous partner that's left him scared to try again (we call this operant conditioning).  It could also be that he puts you in a different category than previous lovers.  Sometimes I refer to this as the \"hooker-housewife mentality\" where a partner somehow gets the idea that when we truly fall in love, we treat that one differently; almost up on a pedestal.  Drives many partners crazy until they're aware that this is going on and give their boyfriend/ girlfriend permission to enjoy both the naughty and the nice with them. It could also be that he's not even aware that he's not doing these things. If you haven't asked him yet, you might try gently approaching the subject when you're not already in the bedroom or trying to get in on and inquire what he most enjoys about sex with you (or has enjoyed in the past, or thinks he might enjoy).  You can also share your favorite highlights of sex with him.  Give him an ego boost and tell him what he does well while then asking him if he'd be down to go downtown.  \"Baby, it REALLY turns me on when you kiss me during sex.\"If you continue to get the impression that it's somehow only about YOU or that he's just really hesitant to talk about sex in general, you might see if he'd be cool to chat with a counselor who specializes in sexual intimacy.", "ABSOLUTELY.  Having someone who's outside the situation and, even more so, with knowledge and experience in human behavior and relationship dynamics such as a counselor can do wonders in helping us feel less alone in frustrating situations like the one you're currently stuck in with your mother.  A professional can also assist you in finding some assertiveness techniques, communication strategies, and coping skills to help you find your voice and stand your ground in a way that feels most authentic to you.In a healthy parent-child dynamic, there comes a normal developmental shift when, as the child reaches each new stage of maturity and responsibility, the parent backs off to provide a more supportive role instead of directive role.  We call this \"redefining relationships.\" (We also do it with our friendships and colleagues here and there over time as needed). It's absolutely vital. Sounds like your mom may have missed that memo. Like many parents, she may feel your behavior and choices is a direct reflection of her. Or that her role as your mother allows her greater latitude than it should.  Or like many other people in general, that her way is the ONLY way. Regardless, this is YOUR life.  And as far as we know, it's not a dress rehearsal. You certainly don't want to wake up some 50 years from now regretful or resentful. That being said, there are certainly ways to show her love and respect while doing what makes you happy. I would encourage you to Google therapists near you whose bios resonate with you and what you're looking for and start on a the journey towards a new chapter of freedom and hopefully a deeper, more satisfying mother-daughter relationship for both of you.Warmest regards,Tamara Powell, LMHC", "Depending on your own sexual history and what you grew up expecting to be \"normal\" in the bedroom, I can easily imagine that this came as quite a shock to you!  It DOESN'T necessarily mean, however that your husband is: gay, bisexual transgender, or even necessarily a cross-dresser etc. unless he has already told you so. I agree with the other poster who recommended you try and ask him more questions with an open and curious attitude and see if he might be open to explaining more with you. That being said, what we also know from research is that frequently what turns us on isn't always what we identify as.  Lots of people have fantasies or even sexual behaviors they may enjoy from time to time without considering themselves to be a part of any label or subculture. For example, many women are okay with having their hair pulled or bottom spanked during a particular rowdy sexual encounter but certainly don't consider themselves kinky, submissive, or anything else.  It could be that your husband enjoys pretending/ fantasizing that he is something completely different in the bedroom from time to time from what most other see him as outside in the corporate world or in other roles he plays as husband, father, son, friend etc.  Many of my kink clients are drawn to their particular fetish simply because it's the opposite of what their life typically entails (e.g., a high profile CEO who is always responsible for making the decisions enjoys being at \"the mercy\" of someone else once a week). Each of us has a sexual script - a blueprint if you will of what we like and don't like in the bedroom and also what we have each come to see as being \"normal.\"  It's also an internal guideline for how we each define our role in sexual expression, sexual orientation, sexual behaviors, sexual desires, and how big a part our sexual identity plays in our everyday lives (Gagnon & Simon, 1973).You've been clued into the fact that your husbands greatly differs from yours on the surface level at the moment. ALL of us are sexual beings yet none of us is exactly identical to one another in our sexual definitions and script expectations. It's like our own sex fingerprint. In my role as a couples counselor, I often help partners become aware of their own sexual script and explore where it overlaps their partners and where it may always differ.  If a couple is able to successfully navigate formulating a plan for both to feel validated and sexually satisfied, the relationship thrives. Most counselors would agree that a healthy script includes:Both partners taking ownership for the couple's sexual experiences.Both partners learning to communicate openly and honestly about their feelings.Both partners learning to meet one another's - needs, desires, and wishes while making sure his/her own needs are being met.If \"pegging\" your husband as it's called is a hard and fast no for you, that will likely need to be respected as it may be too far off your own sexual script.  However, if your husband is for sure absolutely adamant about \"needing\" to dress in a female fashion and/or be anally penetrated, you may seek professional counseling to help navigate how both of you will come to an agreement about fulfilling these desires in a way that doesn't hurt either one of you or the marriage.My warmest wishes to you both!", "I can only imagine how hard that must have been to hear. On one hand, most of us would say we want our partners to always be honest with us, but on the other disclosures like this can lead to feelings of worry and inadequacy if we're not careful. So let me first of all say that it is very normal for human beings, even very committed and happy partners to have moments where they notice an attraction for someone else. Quite honestly, the brain can't help it. It sees something good looking and it pays attention. And when we pay attention to something good, our brains send out neurochemicals associated with that happy thought...and we get a rush of what your girlfriend is labeling \"a crush.\" The difficulty here is deciphering whether she was just attempting to honor her commitment to you by sharing this feeling OR if she is continuing to feed those feelings. I would encourage you to thank her for being honest if you haven't already, and ask her to further describe the nature of these feelings and what she'd like to do from here. As weird as it is to say, at the end of the day, what helps the most is typically reassuring yourself that you WILL be okay not matter what! That it is worth it to invest in your relationship and give it your all and if someday, god forbid, this woman chooses to walk away, then she is not the one. Will it hurt? Of course. But is it the end? Hell no! There are 7.5 billion people on the planet and I firmly believe statistically speaking alone, there are at least several hundred thousand that could be AMAZING partners for you. Cheering you on,Tamara Powell, LMHCP.S. You might enjoy this excellent book by Esther Perel for further inquiry into the fascinating world of love and mating behaviors: \"Mating in Captivity”", "We women really do tend to struggle with the comparison game. And Hollywood culture hasn't helped with romantic comedies and song lyrics telling us that when a man appears evasive, there's something to worry about. It's been my clinical experience though that most women value transparency and security in their relationships. So you might try sharing a little bit more about your history with this woman. For example:Where did you meet her?How long were you friends before you decided to call it quits? Why don't you want to be friends with her (i.e., what do you mean by \"kind of crazy\")? I promise this tends to matter to women.Were you ever intimately involved with or even attracted to her?If your girlfriend can truly see that you view her as the filet mignon to the other woman's hamburger, and that she is your favorite person on the planet and has NOTHING to worry about, she may start to come around.Now, IF she's more concerned that you might be taking this woman's calls behind your back, while I'm not typically a huge fan of sharing passwords or phone records, you might print them off and highlight this female's number and show your girlfriend that you absolutely are telling the truth.And if you really want to step it up, I would be intentional about doing all the little things that you know your girlfriend loves that helped make her fall in love with you in the first place (e.g., little love notes for her to find or sweet text messages, buy a rose or her favorite flower, have her car detailed, do the laundry...date nights...you get the idea).  Bottom line - show your girlfriend why out of all the women on the planet that you could be with, you CHOSE HER.  And would continue to do so all over again.  AND why you love HER as a person.  This will help her trust what you're saying. Best of luck to you!  Tamara Powell, LMHC", "I love that you are so thoughtful and proactive about this!  If only every client came in as solution focused as you, my job would be so much easier. I would second Robin's suggestion of reading ANYTHING by Gottmann. He's fantastic. Other favorites of mine are:“Getting Together and Staying Together: Solving the Mystery of Marriage” by Dr. William & Carleen Glasser“Eight Lessons for a Happier Marriage” by Dr. William & Carleen Glasser“Hold Me Tight” by Dr. Sue Johnson“Divorce Busting: A Step-By-Step Approach to Making Your Marriage Loving Again” by Michele Weiner-Davis, M.S.W.“The Five Love Languages” by Gary Chapman“The Flight from Intimacy: Healing Your Relationship of Counter-Dependency – the Other Side of Co-Dependency” by Drs. Janae & Barry WeinholdI'll also add to Miriam's assertion that your partner is the expert on her. You can help things along by becoming a better expert on you as well. What is it that you are craving and likely trying to get your need met in potentially unhelpful ways from your girlfriend or in ways she doesn't understand or vibe with?  If you can better explain your own needs while trying to understand hers, you all have a recipe for great success! When both partners seek to serve one another and stay curious about each other in the process, intimacy abounds!Best of luck my friend! And if you get stuck, of course seeking help from a professional is always a great idea too. ;)" ]

[ "Thank you for asking this important question. I find that there are three steps to getting ready for treatment. Step one is expressing interest in wanting to receiving treatment for the outcome of positive behavioral change. Congratulations you did the first step! You are showing your readiness to start counseling by asking this question. Now the second step is to find a counselor who specializes in treating clients with Anxiety and Depression. The therapeutic orientations I have found to be helpful in treating clients with  Anxiety and Depression are a combination of Cognitive Behavioral Therapy with Mindfulness, and Solution Focused Brief Therapy. Receiving meditation for your symptoms if part of the treatment, and the other part is receiving counseling to increase your resilience for future events. Research has found that medication and psychotherapy treatments together shows the most effective outcome for Depression.  The third step is to increase your positive self-talk to motivate yourself to attend treatment. As counselors, we are aware of the anxieties and fears that are associated with talking to a new professional for the first time. However, remind yourself that you are doing this to improve your well being. I hope this was helpful, and good luck with your treatment journey.", "You are not alone, many people fear opening up to family members about the topic of depression or mental illness. There are many different reason why some may fear telling their parents. The most common thoughts I hear in my office are: \" My parents won't understand me\", I may cause more problems to the family\", \"I am worried that something bad may happen if I tell them\". If possible express your current concerns and worries to your parents. You can start the conversation with your parents by saying \"I have not been feeling like myself lately, and I may want to see a counselor\". I think you are doing the right thing by going on this website and asking for help. Just a helpful tip: positive self-talk can be beneficial before having difficult conversations with others. For example, tell yourself something positive before talking to your parents such as \"I feel confident in myself, and I am doing this to overcome my fear of talking to my parents\" can help to decrease the anxiety you are feeling leading up to the conversation. I would recommend if you are feeling depressed or down it would be beneficial to seek counseling to understand your current thoughts and behaviors. Best of luck and hope you decide to start counseling.", "This is a very common question in my practice. Panic attacks typically emerge from an underlying issue (ex. Depression, low self-esteem, fears). To decrease your anxiety symptoms it’s recommended to seek treatment with a therapist who specializes in working with anxiety disorders and most importantly one with whom you feel comfortable with.In my practice I educate clients about their anxiety and discuss building a framework with helpful tools for decreasing anxiety:1. Starting a daily mindfulness practice. For example: listening to guided meditation; engaging in deep breathing exercises; yoga practice; or other positive calming activities.2. Understand your negative and positive thoughts. Many times we tend to focus on the potential for bad things to happen. Increase positive self-talk when feeling down or when anxious. For example: \"I don't need to worry, I am calm and relaxed\". 3. Exposure to fearful or anxious situations. This can be accomplished under the care of a mental health professional. Many times we shy away from things that make us feel uncomfortable or insecure. This may led to an increase in isolating behaviors resulting in difficulty in performing things we were once able to do. For example: leaving the house; presenting in front of others; going to social events; and having conversations with people. However, the more we expose ourselves and practice the use of our positive coping skills (ex. deep breathing) the chances of anxiety will decrease. I hope this was helpful. Keep in mind, a therapist can help with guiding you through self relaxation and improvement." ]

[ "Absolutely not! It is never too much. The most important thing is that you are reaching out to get help.  Therapy helps you to develop healthier coping strategies and that can help reduce the anxiety and depression as well as improve your sleep. This can all be done at a pace that is best for you. Your therapist can help you process all of this in a safe and supportive space." ]

[ "Hello. I'm sorry that this happened to you, and that you are struggling with making a decision about this. In my experience, a couple can absolutely overcome cheating and get back to the relationship they once had. Hopefully, the other relationship is over, and you can work on rebuilding the trust that has been broken. It will be difficult for the both of you to move past this, and getting professional help as you navigate rebuilding your relationship is a good idea. Just know that you can get past this, many couples do.Good luck!" ]

[ "Getting a new job is both exciting and scary. The bottom line is that you were hired because you CAN do this job. Take a moment to reflect on all of the hard work it took to get here. Next, identify habits that are proven to reduce the chance of anxiety attacks and plan how you can incorporate these into your routine. Habits may include getting a healthy amount of sleep, eating a balanced breakfast, avoiding social media, or meditating on the way to work. When or if feelings of anxiety do start to creep in, reassure yourself that this feeling is temporary and will pass. When you can, be mindful of your breathing and take some deep breaths in slower moments. Most importantly, have confidence in your ability to do well. After all, you were hired for a reason!", "There are lots of very good therapists out there–doing all types of therapy. However, studies show that more important than the type of therapy, the biggest indicator of client success is the therapeutic relationship that develops between the therapist and client. In other words…there needs to be a ‘good fit’." ]

[ "It can feel overwhelming sometimes when we reach a point in our lives when we say to ourselves; I think I want and/or need counseling.  This is especially true if we feel we have so many \"issues\" to work through and cover with a therapist that we may feel like we would not know where to even begin. We may feel that way because of our trauma in the past and our current problems, however, this should not stop you. When you work with a trained therapist, especially one who has experience working with your particular  issues that are impacting you the most you will find that little by little over time they can be worked through in counseling sessions with a therapist. Therapy is often not a linear process but more cyclical in nature and sometimes working on the most pressing things that are impacting your life helps to put others things into perspective. So to answer your question, no you do not have too many issues to address in counseling, despite feeling overwhelmed by this. Just unpack one thing at a time! Good luck!", "Its understandable that you would feel this way considering what you have been and are going through with your son and the past abusive relationship. It sounds like you got into a pattern of being home with your son and not around others for a while so understandably  you have gotten used to this lifestyle. That makes it harder but not impossible to get back out there and be around other people and begin to feel more comfortable around others again. You can do this by taking baby steps. Take it slow, try reaching out to one person who you know and like and maybe meet them for coffee. Try putting yourself in a setting that feels non threatening to outside your home  and is something you can also enjoy even with your son, depending on his needs. It will take time as you probably want to process your feelings about what you went through but you can get there. Good luck!", "It sounds like you may be suffering from social anxiety. People who are socially anxious often feel nervous and scared when they are surrounded by people especially in a social setting. Some people find that although they want to be social and have people to talk to they are scared of being judged, feeling awkward, feeling like they don't fit in etc. If you want to try and get in touch with others start small. Some of examples can be- volunteering at at an animal shelter since you prefer animals, making a phone call to someone you know and feel comfortable with to reach out to,  talk to people via text and/or face-time. Take the time to talk to a therapist about your feelings this can help you sort out your anxiety and be able to overcome it!", "It sounds like your daughter is under a lot of pressure! Sometimes the students who are the highest achievers tend to put a lot of pressure on themselves to stay at a 4.0 and to maintain an image they have of themselves or think they should have of themselves! This part is not abnormal as many children this age find themselves in this situation! School has become very competitive and it is impacting our youth! You are right to be concerned that all  the stress is not healthy for her and you don't want her to burn out.  Try to get her to talk to you or another trusted adult about her feelings so she can work through some of the stressors she is feeling in her life and learn appropriate coping skills to help manage her feelings.", "Your boyfriend is probably feeling jealous and maybe threatened by your friend. Does he know you had a relationship with your friend in the past? It is not uncommon for him to feel this way as he was not included in your weekend with both of you. Is it possible for the three of you to spend some time together? If you want to continue your friendship with this friend without it impacting your current relationship with your boyfriend, maybe you can start there and see if everyone can be comfortable with this arrangement.", "Some great stress busters are: any type of physical exercise that you enjoy, journaling, reading, doing things you enjoy by yourself or with others, listening to good music, having a great laugh and good conversation, relaxing and mediating like deep breathing, and trying your best to be in the moment!" ]

[ "Hi, people who have only a few issues and people who have several issues are perfect for therapy. There is no such thing as having too many problems for therapy. Therapy is great because it will help you process all that you are going through, heal from past and present pain, and gain clarity." ]

[ "Sounds like you need closure. I'm sure your doing your best to overcome this feeling but seem to be struggling with your own happiness. Trust God no one else. Give this some time and don't close yourself off to the world or the people who love you. Be open hearted and minded. And know that no matter what reason your ex walked out of your life, she missed out on how great of a person you truly are and may have had personal issues of her own.", "Hello, I know this is a tough situation your going through and it has you questioning everything but one thing is certain, and that is that you still love her, dealing with the hurt can be very challenging but after learning from your mistake you changed and became more faithful and loving and the comfort knowing she forgave you, is what made you love her more and less likely to hurt her once again. You live and you learn, she will soon realize her mistake and her outtake may be the same yours was. But marriage is a special bond in front of God, which means once you are officially married, cheating and lieing to eachother will only lead to an early divorce. Practice in your pre-marriage state with speaking to her and opening up to eachother about what you feel and what you look forward to in this marriage. It's possible she's seeking something from someone else because she is not receiving it in her own relationship, improve, grow and be strong. Learn from your mistakes", "Your partners obviously very confused when it comes to love. Sometimes people shy away from good and positive relationships and companionship because their afraid. They know that it's something worth holding on to but most feel they can't handle it and can't meet up to their partners expectations. Your partner loves you but must have fear that keeps standing in his way. It could also mean their afraid of getting hurt or disapointed in the long run.  Give your partner comfort and reassurance that they can come to you to confide in you about anything that may be bothering them." ]

[ "If the daughters are old & mature enough to understand substance abuse.  They should be told for their own empowerment. KNOWLEDGE is their power of safety and protection.", "Have you guys ruled out medical disorders. There is new data that post part depression starts in the pregnancy before baby is delivered. There maybe those factors .Please check out those arenas, firstly. Then consider marital therapy services. Relationship changes with the time passing and with the time and care deposits of investment onto the relationship bank account.  Thanks for this opportunity to answer some of ya.alls. relationship intimacy concerns.", "A mediated safe talk session between. You and your sister.Then, you and your husband have a mediated safe talk.  So both hear what you feel in the respective relationships. Possibly the last step is a mediated  safe talk with sister, husband and youcoversation, in the future." ]

[ "Absolutely not! When we have the courage to accept the challenge to address whatever is causing us pain, the solutions often generalize to many, if not all of our symptoms. I would suggest that unresolved trauma from sexual abuse is likely a primary contributing factor. However, it is important that you first build a trusting relationship with a therapist experienced in trauma treatment as this is an area of specialty that not all therapists are skilled in treating. Choosing one issue to work on, such as anxiety or depressive symptoms, and starting there will allow you the opportunity to get to know your therapist, learn coping skills for managing distressing symptoms, and establish emotional safety before jumping into trauma work.", "The decision to end a relationship is often very difficult. It is important that you are aware of your personal \"deal breakers\". Some common deal breakers are abuse of any kind (physical, verbal, sexual, or emotional) or substance abuse; however, anything that is detrimental to your well being can be considered a deal breaker. I know of a young woman who broke up with her boyfriend because he decided to adopt a pet cat and she is highly allergic. For her, having a cat was a deal breaker !Healthy relationships enhance personal growth, and  we enhance our spiritual and emotional wellbeing by collaborating with our partner to work through problems and overcome challenges. My guess is that you would not be questioning whether or not to end your relationship if things were going smoothly. Are you both equally invested in finding a resolution to whatever is troubling you?An excellent book on relationship ambivalence is \"Too Good to Leave; Too Bad to Stay\" by Mira Kirshenbaum. By the last chapter you will have the answers that you seek." ]

[ "In a way, self-harm can present somewhat like an addiction.  According to new research within the field of neuroscience there is a valid explanation for this.  When a person cuts or uses other forms of self harm, the body produces endorphins to help make a person feel better.  If a person was dealing with depression or high anxiety, that might be misinterpreted by the brain as a way to help oneself feel better and a new neural network or map might form (addiction) that would utilize this new behavior.  Another way to look at it would be thru a behavioral lens, a positive reward for a behavior, even though the behavior has other long term negative consequences.  Consider working with someone who can both have you work on and address those items that trigger your behavior and the root causes, in this case sadness or depression, and second find someone who can help give you alternatives that take into account the neurological requirement by replacing the behavior with another behavior (such as snapping a rubber band on the wrist) and working to extinguish the unwanted behavior.   Someone who is trained in Dialectic Behavior Therapy and/or Interpersonal Neurobiology would most likely have the skills and means available to address this with you.", "Given the description you have posted here, it may be time to find someone to work with.  First and foremost, look into working with someone who specializes in working with individuals with challenges surrounding drinking. This would need to be assessed first since if it has been ongoing, it may be making the situation worse and given the time it has been utilized as a coping mechanism, there is reason to believe that the structure of your brain may have been effected as has been demonstrated by current neurological research.  There are however, ways to address this.  As for coping mechanisms, the person you work with should also look at offering you alternatives such as the skills found within the Dialectic Behavior Therapy model (DBT) which has several useful tools to help address the underlying anxiety and difficulty managing emotional regulation.  Mindfulness, another component of DBT should also prove to be useful in both becoming aware of your state of mind and emotional state to allow you to make different choices which has been supported by a growing body of evidence.  There are also other tools designed to help repair damaged relationships.  Well worth looking into.Seeking help is never easy and it is only human to be hesitant given some of the cultural views of working with therapist.  This is a difficult place to be in and one that is not easy to move out of, but sitting on it is not going to help it go away.  Think of it this way, if you broke your arm, would you just wrap it up and hope for the best? or seek out a professional to help you set the break and teach you how to mend the wound.  The same applies here.  Think of it as first aid for the mind.", "The other two post answers to your question are very good and I don't feel the need to repeat what has already been said quite well, but I will offer one other option I have been able to utilize quite successfully with those dealing with panic attacks.  Chain analysis is a fantastic way for your to map out the situation starting with the prompting event, the chain of events ((links) that lead up to the behavior - in this case a panic attack, and then what the consequences were.  See the illustration below:This is very useful in that it lays everything out for you to see so that it becomes possible to alter one of the links leading up to the unwanted behavior (panic attack), allows you to come up with strategies for similar situations (prompting events) and allows you to understand how you are reinforcing the behavior when it does occur (consequences).  Finally - it would also allow you to identify any particular vulnerabilities, such as not enough sleep, poor nutrition, trauma history or having a cold the time it occurred.  Working with someone who utilizes a behavioral approach, such as DBT or behavioral analysis, you can find solutions that replace one of the links and therefore breaks the chain of events.", "Basically, your response is the fight, flight or freeze reaction\nwhich is hard wired into the human nervous system, specifically, the autonomic nervous system (called the autonomic response).  This system\nis responsible for regulating the heart, digestion, respiratory rate\nas well as other aspects which match the symptoms you describe.  It is largely an unconscious function, but\nwith training it can be managed such as a public speaking course in which you\nprepare and even have some exposure to smaller experiences to help you prepare\nand cope for larger presentations.  One of the greatest applications of\naddressing this response is the NASA program which exposes the astronauts to situations\nthey will encounter while in space which will trigger the response so that when\nit does happen (not if but when) that they are able to move through the\nchallenge with success.  You can learn\nmore about his by going to TED Talks “What I learned about going blind in space” It is\na truly inspiring look at what you are experiencing as well as how to deal with\nit. \nWith that being said, finding a program\nlike a Dale Carnegie Public Speaking program can help.  Working with a counselor who can help you\nutilize visualization of an upcoming speech has been shown to help and you can\nalways talk to your doctor to see what options might be available there as\nwell. Good luck!", "This is something I have\nhad to address with individuals often since working with couples is one of my\npractice's focuses.  The answer can depend upon several reasons all which\ntend to be explored while in session.  If you or your counselor utilizes\nan integral approach, in which one of the main premises makes sure to check the\nfour irreducible perspectives (subjective, intersubjective, objective and\ninterobjective – also known as the four quadrants) in determining where the\nchallenges are, it then becomes possible to identify what might be contributing\nto or causing the challenge as well as offering up ways to address the\nsituation.In this case, from the upper-right\nor behavioral and physical perspective, we would want to make sure there is no\nphysical limitation or ailment meaning that you would need to visit your doctor\nand have the basics checked (such as blood pressure.  We would also look at particular behaviors to\nsee if you are doing something with is effecting performance (such as\nmasturbating often or being influenced by pornography). Next we would look at the\nupper left quadrant (thoughts, cognitions, identity, feelings) to look at what\nis going on here both during sexual activities and at other times.  If you are worried about your job, your\nfamily or under immense pressure to perform at work or while intimate, this can\ncontribute to your situation.  From there\nwe would turn to the lower left quadrant (cultural rules and tools) to see who\nyou have learned to interpret challenges that come up during sex and look for\nways to shift, update and/or reshape the way you view sex and its\nchallenges.  It would be here that we\nwould see whether one is even comfortable using a service like counseling based\nupon how your family/culture of origin views the profession. Finally, we would need to\naccount for challenges that show up in the lower right quadrant (systems, laws,\nrules of society) such as your economic ability to try services and products as\nwell as whether such services and products were even available.  Once we have rolled through these areas it\nthen becomes possible to look at which aspects might need to be looked at\nfurther in a more meaningful way to help you change a perspective or if just\ngetting a blood pressure medication is all you need.To sum your question then\nof why you can’t keep an erection we would need to look at your thoughts (look\nat your actual thoughts during the act as well as before and after), look at\nyour behaviors, look at your physical body for issues, look at where you picked\nup your rules and tools (culture) and look at your ability to access goods and\nservices.  They all contribute equally\nand need to be taken into account.  So - as you can see, there is no one possible answer to this, but several.  I hope this helps.", "In dealing with an eating disorder you are far from alone.  It is more common than you might think and tied to so many variables that it is easy for an individual to become overwhelmed in trying to navigate the influences of such variables.  I have been working with individuals dealing with such challenges since 1998 and have found over the years that behavioral analysis is highly effective in helping you begin to isolate, understand and then be able to address many of these variable impacting your behavioral and cognitive choices.  Consider finding someone trained in Dialectic Behavior Therapy (DBT).  There is a large body of evidence supporting the use of this approach to alleviating many of the aspects you identified in your post as well of a wide variety of tools that you can choose from and utilize that are able to practiced and assimilated into your daily tool box of coping mechanisms that end up becoming new behaviors and ways of thinking about issues that become automatic, the best possible outcome you can hope for if you want the solution to be sustainable." ]

[ "I just want to acknowledge you for the courage to take the step to get support. It can be overwhelming to have so many things going on, and it might be hard to figure out where to start. I truly believe that one of the biggest advantages to working with a therapist is that a therapist can help you prioritize and work with those issues that need to be addressed first and foremost. A therapist will help you with the flow of dealing with different aspects that come up. Some issues may even be related to one another. For examples, some clients with depression may also feel anxiety about their depression. Also, rest assured, many clients go to therapy for multiple issues. We are complex beings. I encourage you to reach out to a therapist and talk about this concern. You may find out that even upon the first meeting you will feel hopeful that you will be able to create a plan with a therapist to address your issues. I don't believe you have too many issues, I think starting sooner rather than later will put you on the path to healing. Good luck. I am rooting for you!", "It is not easy being a wife and mother. You have shifted roles in your life. You went from having a career to focusing on your family. Transitioning can be hard, especially when we feel we gave something up that we really wanted. I want to acknowledge you for wanting to be the best wife and mother you can. I think it is great that you are self-aware and want to work on this.Feeling \"unhappy and trapped\" may also mean that you are  believing these negative thoughts are absolutely true. We have lots and lots of thoughts throughout the day. Sometimes we pay a lot of attention to some and some we ignore. Right now these thoughts are getting a lot of your attention and perhaps you are thinking because you are thinking them they are true.  Is it really true that you trapped? You also said that you have an amazing life. It doesn't sound like you are only having negative thoughts. You have some positive ones, too. However, you are giving a lot of weight to the negative thoughts, more weight than the positive ones.I also wonder if you are struggling with the fact that you are even having this thought. One thing that can be helpful is to recognize that you are having a thought, that it is a negative thought, that thinking it does not make it true, and to let it go. This is the basis for mindfulness work that can be really helpful. It is a great place for you to start so you can balance out your thoughts and emotions.Best of luck to you!", "If you have only been to a couple of sessions, it makes sense that you might still feel apprehensive at first. Therapy is hard work! You may be talking about some things that you never talked to anyone about before. Opening up to stranger can be scary. After you feel comfortable with your counselor, and trust has built up and you feel understood in session, you should feel more relaxed. I would encourage you to talk to your counselor about feeling a little shaky. Sharing what the process is like for you is important in your work. If you still feel unsure about sharing after several sessions, it is important to take a look at that and try to understand where that may be coming from. For example, are you and the therapist not a good fit? But, again if you are just starting out in working together, feeling a little bit nervous makes perfect sense, and I encourage you to give it a bit more time and to talk to your therapist about how you are feeling.", "Worrying about our children seems to be part of the job of parenting. I think you are wise to consider helping your daughter around this particular issue. I think encouraging her to talk to a therapist is a really good idea. It is great that she is a high achiever, however, the down side could be high levels of stress that she may find difficulty managing in the future. A therapist can help her with skills to manage her stress levels.", "I am really glad you reached out. When parents get divorced, they still need to figure out how to have relationship so that they can parent their child. We might divorce our partners, however, we don't divorce our children. If anything our children need to know that we are still a stable force in their lives. Unfortunately, in some relationships children get used as a bargaining piece and I am hearing that may be happening in your relationship. You can move on from the relationship with your ex while still maintaining a relationship with your child. It is possible and it takes both parents to agree to do the right thing by their child. It is important for your children to have some consistency in his or her time with you. For example, if you and your ex don't have a parenting schedule it is something that you want to create so that you can not only decide for you when you will see your child, but your child can know when you will be available just for her. This will lay the foundation for consistency and allow your child to have some security in troubled times.I would highly recommend you sit down with your ex and discuss how you can both be a positive source in your child's life. How you can both be there to help raise her. If this is not a conversation that you can have on your own you might seek out help from the court. There are parenting experts and mediators who might be able to assist you.Remember, in any discussion keep the focus on what is best for your child and you will be moving in the right direction.Best of luck to you!", "Dealing with a breakup is difficult. We have high hopes and then those hopes and dreams are dashed and we feel at a loss for how to deal with this sudden change in our lives. First, it is important to acknowledge that losing a relationship is a loss and we need to grieve that loss. If we don't allow ourselves time to process and move through the grieving process, we may remain stuck and it may make it hard to move on. So in some ways, you don't want to move on too soon by just trying to ignore your feelings. Instead, take good care of yourself, talk to friends and give your self time to heal. The second most important thing is to forgive yourself; this is also an important part of taking care of yourself. You might be blaming yourself and re-living moments when you wish you would have done things differently. By replaying those thoughts you remain stuck. When we begin to forgive ourselves, we truly begin to heal. Lastly, in my experience the people who have the most difficulty moving on have not really severed all ties with their ex. They are still following them on social media or even checking in with texts. This is probably the hardest part for some people, but to move forward there needs to be a clear boundary and a clear ending. If you have a clear ending, you can have a new beginning. I hope this helps. Take good care of yourself!", "Sometimes we have difficulty keeping the past in the past. The best way to build a great relationship and have a great future, believe it or not, is to be firmly placed in the present. That means that when we stay in the moment with our partner and can notice what we are experiencing in the here and now we reap the best benefits of that relationship. We notice the good things that are happening in the moment. We are reacting to what we are experiencing in the moment, not reacting to a worry about the past. We notice, especially, who the person is right now and not who they were in the past.  We can connect with the things we love about them, too.I think it is great that you want to help him and the choice to stay in the present and move forward in the relationship will mostly be up to him. We cannot change another person. It sounds like couples counseling might be a great step for you because you can both learn the skills you need to stay in the present and also learn some helpful \"active listening\" skills so that you can really listen to one another and understand each other. Communication skills can really be helpful. You can both have the opportunity to hear each other and support each other. We cannot change the past, but we can create the future we want.Best of luck to you both!", "I encourage you to reach out to a counselor and get support. They can help you navigate your own feelings, and talk to you about how you can talk to your family. There are resources for you and for them and I see that some of the other counselors here have shared those resources with you. We don't know for sure how your family will react if and when you talk to them. However, it is important to consider how not telling them is limiting your life and the expression of your preferred gender. My concern is for you and how this might be having an impact on you. Working with a therapist might give you some insights into how you might tell your family. It might create an opportunity for you to also tell them with the assistance of a professional. Ultimately, you know what is best for you and telling them is your decision, and I encourage you to weigh out all the options with a therapist. I wish you the best of luck.", "Betrayal in a relationship can be one of the most difficult things a relationship can sustain. Sometimes feelings about the betrayal may also trigger past wounds. The fact that \"it only happened once\" may not make it any easier to move forward. I highly recommend working with a mental health professional who has experience working around the issue of infidelity. Together, you can work on healing the wounds and moving forward. I do believe it is possible to move forward, if both partners are ready and willing to do the work to move forward together and create a new vision for their relationship.", "If you enjoy crossdressing and it is an integral part of who you are, giving it up for anyone else or to get into a relationship will only lead to resentment and resentment in a relationship usually leads to it's demise. So I would caution you against giving it up for someone else, as you won't be happy and neither will your partner because they will be losing out on getting to know your authentic self. Stay true to your authentic self and balance that out with dating people who do the same and are open to exploring thoughts and feelings in a relationship. You definitely get to choose the right time to share this with a partner and I encourage you, if it feels safe, to talk about it as soon as you can. Sometimes just keeping something a secret for a long time in a relationship can also lead to other issues, too. Also, if you know the other person doesn't respect this part of you if you find out early you won't waste your time and can move onto a relationship that feels more supportive.I hope this makes sense and I wish you the best of luck!", "Thanks for reaching out. This is a great question. Communication is definitely a 2-way street. One person cannot participate in a discussion. It takes a talker and a listener. Furthermore, communication will breakdown if each party is only focusing on his or her agenda and is not open to what the other person is saying.  since I can't ask you questions about what is going on, I am going to make a guess at one situation that comes up a lot when I work with couples. One person focuses more on solving the issue, than listening to their partner.  This can be frustrating for the partner who wants to just be \"heard.\"I understand that you are working really hard to listen to him and he might not be putting as much effort into listening to you. That can be really frustrating and difficult and I want to acknowledge you for wanting to improve your relationship.One of the best strategies to gettting heard, is actually to BE A GOOD LISTENER to someone else. I know you are probably already a good listener and for you to work on listening skills may seem counterintuitive, right? You want to get heard and now you are the one doing the listening. But this can really create more effective communication if you invest time working on doing some active listening in your relationship because then you get to model those skills for your husband and allow him to see what it feels like to be listened to and then you can even teach him some of those skills. In other words, you practice specific techniques that you can use and then teach later on. Here are some skills for you to use consciously and then you can teach:Pay attention and use your body language to convey that you are in the conversation. No texting or distractions. Lean in. Focus.Listen for content and for emotion. Clarify what you don't understand. Try to understand the person's underlying emotions. Don't rush to judgement or to changing what is going on with the person. Sit in a place where you are really curious and want to understand what is going on. Encourage the other person to continue speaking, Nod and vocalize that you hear what they are saying.Ask questions to get to understand the other person's point of view.I believe when we can model these kinds of listening skills, and the other person feels heard, they will be more likely to listen to us. If you don't find that this doesn't spill over in that way, then have a discussion about what you are practicing and that you are learning these skills to be a better listener so you can understand him better. Then explain how it might be helpful if you both tried it. If there is push back from him, set up a trial period to just try the skill, perhaps for 2 weeks and see if it helps. If communication is really breaking down, then it might be time to work with a counselor who can help with these skills.Best of luck to you!", "Goodbyes can be hard.\nChances are most of the goodbyes you have experienced in your life have been\ndifficult. Saying goodbye to a therapist can be different. It can be an\nopportunity to create a healthy ending in a positive relationship in your life.\nIf you work with a therapist who is skilled, then saying goodbye can be just as\ntransformative as the therapy itself. Ending therapy is also known\nas “termination.” I know, “termination” doesn’t have a great ring to it!\nHowever, it is what it is. It is an ending of the relationship as it existed.\nIt is reality cold and stark. Of course, when I talk to clients I don’t use the\nword “termination,” I usually say “our goodbye.”  Under what circumstances does therapy usually\nend? Therapy should end when a client does not need further assistance, is not\nreceiving any benefit from therapy, or might be harmed by continuing to work\nwith a particular therapist.In the best case scenario\nthe decision to move on from therapy and “say our goodbyes” happens when both\nthe therapist and the client feel like the client is ready to move on and move\nup!  Ending the therapeutic relationship\nshould actually be worked on from the very first session. What I mean by that\nis, there should be an understanding that the work we do together will have an\nending and that is a good thing because it means the client has gained the\nskills to continue working on themselves independently. So the first session I\nhave with clients usually outlines a plan where the end goal is discussed and\nwe both have an understanding of the skills the client wants to learn or what\nthey hope to achieve. Now sometimes there are\nsituations where the therapist ends the relationship and the client may take\nthat personally, it is hard when any relationship ends and it might bring up\nfeelings of sadness, and fear or abandonment. Any good therapist will end the\nrelationship based on what is right for the client. What are some situations\nwhere a therapist might end the relationship?If the situation the client\nis dealing with is out of the therapist's scope of practice, the therapist may\nend the relationship and refer the client to someone else. This is in the\nclient’s best interest. Another reason a therapist might end the relationship\nis that the therapist is in a place in her life which prevents her from being\nobjective and helpful.  A therapist who\nis going through a painful divorce may have difficulty working with a couple\nthat considering divorce. A good therapist may see that their judgement may be\nclouded and want to refer the client to see someone else. This is good practice\nand helps the client.If a client is actively\nsuicidal or actively using substances then the therapist may end the\nrelationship and refer out for a higher level of care. The client may need to\nbe hospitalized or may need an inpatient substance abuse treatment program.\nTherapy may be terminated while they are being treated and may continue after\nthe intensive program is completed. \nEnding therapy should be a\ntime for connection and bringing together accomplishments, or reviewing the\nnext important step the client needs to take. It should not be an experience of\nabandonment. A skilled therapist will help a client gain a new perspective on\nclosure. For some clients, it may be the one time in their lives when they get\na clean ending in a healthy relationship and they get to feel a sense of\ncontrol on creating that ending. Good luck to you!", "This is a great question. I think that as a client it is important to educate yourself on how to look for a therapist. I think the process of looking for a therapist can be intimidating for some people and they may just pick the first therapist they find who takes their insurance. I think if you take a little more time, you will be able to find the best therapist for you.The most important thing is probably to create a list of therapists you are interested in working with. You might get referrals from friends, or check out some websites. You want to see that the person you are working with mentions working with people with the issues you want to address. You also want to see what they say about how they work with their clients. If they only do Cognitive Behavioral Therapy and you don't feel comfortable with only that modality, then keep checking out other therapists. You want to definitely call a few therapists to talk. Don't just make an appointment with the first one who answers their phone! See what each therapist feels like to talk to over the phone. Do you feel comfortable? Do they make you feel at ease? Do they use a lot of jargon? Not every therapist may be the right match for you. Ask questions. If they say they use a certain modality and you have never heard of it, have them explain it to you. Do they explain it in a way that makes sense to you? Keep listening to make sure you feel comfortable and feel like they \"get you.\"The best way to \"train\" your therapist is to be upfront about what it is you need. Let them know what is working and what isn't working. Learning how to communicate with your therapist will not only make your therapy more productive, but it is usually a good way to practice the new skills you will be developing.Best of luck on your journey!", "Absolutely! It is very normal to cry during a therapy session. During a session lots of different feelings will come up. When sadness and grief show up you are going to feel them in your body and crying is our way of expressing them. Sometimes we even cry when we feel anger or joy.  Your therapist should provide a safe place for you to express all your feelings and help you process them. It is part of the work of therapy and it sounds like you are doing the work. Good luck to you!", "I love this question! Some people shy away from counseling because they think since they already talk about how they feel to their relatives or friends they shouldn't need a counselor. However, if you are having a difficult time, counseling can be beneficial in helping you move forward and get your life back on track. Counseling is not like the kind of talking we do to people we know. For one, your counselor does not have a history with you and has no expectations of how you will act and what you will do. In that way, counselors come to a session without judgement and expectation. This gives you the platform to truly explore your thoughts and feelings. A counselor can also help you understand your motivation and help you integrate your past experiences and recommend coping skills that can help you if you are feeling overwhelmed by your emotions. Over time, as you work with a counselor you will get feedback and also be able to share new insights. The work you do is based on you and where you are at. Oftentimes, when we talk to friends they bring their own agenda to a conversation, and while they mean well they may offer solutions that work for them and not you. A counselor will help you uncover the solutions that work best for you and help you find the motivation to follow through with your plan.Best of luck to you!" ]

[ "The most direct answer is no. I would venture to guess that several of the things you are feeling (symptoms) are connected. I would recommend a trauma counselor. You have several strengths (resources) that you are able to pull from and I would encourage you to focus on them as you deal with the issues you have placed on the back burner for so long. Sometimes people are afraid to address things because they feel or believe that they won’t be able to handle it. Compare it to a tornado. The storm has passed, but you are still in hiding for fear of the aftermath (the mess left behind). A good therapist is like a personal organizer to help you.", "The therapeutic relationship should be collaborative.  The client is the expert on their life, and the therapist is the expert on helping the client to develop their sense of being. Growth occurs as a result of challenges. Therefore, I would suggest not looking to train the therapist, but rather to find one that will help you develop into the you that you desire to be. Finding the right therapist is like finding a pair of black heels. Not just any black heels will do. But when you find them, you just know that your search is over. It is also wise to expect that they won’t always feel comfortable." ]

[ "I am so sorry you are struggling!  I do think it's a good idea to share your feelings with your parents and perhaps get some help connecting with a counselor or therapist if you feel that might help.  There are lots of ways to tell them, depending on your relationship.  Maybe saying \"I wanted to tell you guys something.. sometimes I worry that I might be depressed.\" Or, some folks will write a letter, or even send a text.  The most important thing is that you tell someone you trust so you don't feel so miserable. I hope this helps.  Best of luck.", "Have you spoken to him about your fears? Perhaps you can explain this feeling to him and let him know what might lead to feeling more secure.  Also, it is important to trust your intuition!  Perhaps there are good reasons to feel concerned. It may not be paranoia - it may be based in reality!", "Hi. Do you have any opportunity to work with a therapist?  It sounds like it might be really great to explore these feelings. If you aren't able to, there are many awesome gender work books available that you could use to explore your thoughts and feelings. Also - google \"ask a gender therapist\" - so many amazing video blogs to answer many questions!  Good luck!", "Could you tell her ?  What would happen if you said \"Mom, I love you and I really want to share myself with you, but often I you get upset and I don't want that to happen. I really want to be able to talk to you.\"", "It can absolutely be normal for men to fantasize about sexual activities with other men! Fantasy can be an incredibly fulfilling experience for you and your partner! This could be a aspect of your sexuality that you would benefit from exploring thorough conversation with trusted someone, like your spouse or close friend (or therapist). Depending on your current relationship, would you be comfortable discussing this with your spouse? Also, please understand that this likely has nothing to do with your gender identity as one therapist posted here.  A fantasy related to sex may have to do with your sexual orientation but NOT gender identity.", "Hello! You've gotten some great answers here!  I would like to add that transition looks different for everyone. For some folks, transition means hormones, surgery, voice work, electrolysis, and other medical interventions. For other individuals, it means some or none of that.  It's an incredibly personal journey and only you (with the help of supportive individuals) can make those choices for yourself! Hope this helps!  So glad you're reaching out for support! I would also add that you DO NOT need to enter therapy to receive hormones, if you have access to what is called an informed consent clinic.  Informed consent clinics (at least in California) do not require letters or therapy as part of the process.", "I am so sorry this happened.  Sharing a part of your private life without your permission can be so painful.  I might suggest (depending on your relationship) reaching out to your sister and discussing this (or setting boundary that you don't want to discuss your private life).  I might also speak with your wife and share how hurt you are and what you need to happen moving forward to begin to heal.", "Where do you live? Can you see a therapist?  This would be my recommendation.  Exploring these feelings would likely help you feel more comfort and have a safe place to talk.", "It doesn't sound like you are finding yourself attracted to anyone.  It could mean that you just haven't connected with anyone you find attractive, or that you are asexual - essentially not oriented toward anyone.  I would suggest doing some reading on asexuality and see if it connects to how you feel!", "Hi! I am so glad you're reaching out!  Sounds like you have some solid support in some areas of your life but are still dealing with some difficult dysphoria.  I think it can depend on what kind of dysphoria you have - sometimes it's physical, social or mental.  Sometimes physical dysphoria means less time around mirrors or plans to make showering less stressful (music, audio books, distraction).  Sometimes online support networks can be a great source of ideas in this way (for social and mental dysphoria as well).  Some of my clients do things that help them feel better in their bodies that don't require anyone to know (hair removal, binders, packing, hormones,) and other things.  I recommend stopping by a website called Conversations with a Gender Therapist. There are some awesome videos there that might help you!  I hope this helps some!  Don't forget to try to connect with other trans folks (even online) - it can be a great relief to know you're not alone in how you're feeling! Best of luck!!", "Hello!  Thank you for your question.  Exploring your sexual orientation and attraction is a wonderful opportunity to get to know yourself!  I would be curious to know what feelings you might have related to the possibility of being bi; What messages you may have received related to this orientation and any concerns you have about possible sexual orientations.", "Such a great question! I'm so sorry you are struggling! You may be experiencing Intrusive thoughts.  These are thoughts that seem to come from no where and victimize us.  I can strongly recommend a book called \"When Panic Attacks\" by Dr. David Burns.  It helps you to identify the thoughts, and the help you create ways to counteract them!  There is another technique, called Thought Stopping. Thought Stopping can be as simple as saying \"Stop!\" loudly (if you are alone) or in your head, if you are in public.  It's a quick way to distract you from the distressing thought, and allow you to refocus.  I recommend using this technique, followed by some deep breathing, while visualizing something that helps you feel relaxed (a favorite place, a pet, etc.).  These three things in conjunction can be of great assistance. One key component in addressing anxious thinking is building the skill of relaxation.  I recommend an App called Headspace which teaches relaxation through some simple guided mediation. Super easy to do, and a great way to begin to build relaxation skills.  Plenty of sleep and reducing caffeine intake can also be things to explore. Hope this helps!", "Hi!  Great question.  I believe counseling does help people! Of course, I am a therapist, so I would think that! :)  Seriously - I think therapy and counseling allow us to understand ourselves, our motivations and the things that bring us happiness and discontent.  Therapy can create opportunities to try new skills and enhance positive attributes that are already present in someone.  I like to think of therapy as an unbiased \"aerial view\" of our lives. Someone outside can often help us notice things we might otherwise miss. Hope this helps!", "Hi! Great question! My suggestion would be to google therapists in your area.  One great website is called Psychology Today, which is a National site.  You can search for therapists in your zip code and search more specifically for the issue you are seeking support about.  It's a great way to find out if they therapist has a speciality, accepts insurance and whether they offer a free phone consultation. I would then make a list of the ones that may be a good fit and then give them a call!  :)  Hope this helps. Remember you get to ask anything you need to, to determine if someone is a good fit.  Don't be afraid to ask anything!  :)  Best of luck!" ]

[ "It is absolutely a typical response.  Many of my clients are nervous the first couple of times we meet.  This is essentially a stranger with whom you are sharing your feelings." ]

[ "I'd recommend looking on psychologtoday.com, reading the bio's of potential therapists who you think you would relate best with, then contact them through e-mail or on the phone." ]

[ "Hello and thank you for your question. In my work with clients who are experiencing depression due to low self-esteem, it is not uncommon to experience the myriad of symptoms that you are having. You have already taken the first step toward change by acknowledging that it needs to occur so congratulate yourself. One way to begin to change your feeling of being worthless to everyone is to change your \"self-talk\". You may have learned this negative language (ex. use of absolutes like always, never, all the time, everyone, and no one) throughout your life and being mindful of this language and being specific (ex. at times, some times, etc.), can help lessen the feeling of being \"worthless.\" Another step to remedy this is to learn ways to become more compassionate with yourself. Attending a support group could help with learning self=compassion. Joining a support group could also help you see that you are not alone in how you feel, thus helping you to feel less isolated and less uncommon. Lastly, seek out professional assistance from a therapist, counselor, psychologist, psychiatrist, etc. Some insurances are waiving co-pays (depending on your plan eligibility and benefits) during the COVID-19 epidemic and if you do not have insurance, try out OpenPath.org. They offer low cost online (telehealth) counseling to those who are in need of it. Remember, you are NOT alone. This feeling is all too common, but with the right help, support, encouragement, and resources, you can turn this feeling of \"worthlessness\" into a feeling of \"worthiness\". Best wishes. Valerie Kuykendall-Rogers, MA, LPC-S", "Hello, This is a really tough question and there are no easy answers to this, however, I can recommend that first of foremost, it is important that you learn to accept yourself. This is easier said than done, and I can acknowledge and validate that sentiment. All to well, I have worked with clients such as yourself who struggle to learn how to accept themselves in the face of what appears to be insurmountable obstacles. Nevertheless, it is POSSIBLE! It begins with finding a good counselor who can walk with you through this journey to self-acceptance. I cannot and neither can anyone guarantee that your family will change and accept you (although I have seen in my work with clients like yourself where the family has moved from intolerance to tolerance with the ultimate goal of acceptance), it does not mean that some change is possible. As stated earlier, I highly recommend that you talk with a counselor, psychologist, psychotherapist, etc. who specializes in this area." ]

[ "I can't imagine what you are feeling but I can tell you that you are right to be concerned about your children baring witness to this abuse.  This is a great teachable moment for your kids.  How you handle yourself will be very important for your children to see.  Your \"REACTION\" is what you should focus on.  Will you react with rage and name calling? Will you listen to your parents with respect and talk to them in private about how they are speaking to you in front of your kids?  Will you talk your kids about what is going? From reading this I am assuming you live with your parents.  If this is the case you have to think about what you can do to change your situation.  Have a plan! Set a goal!  Don't lose hope!", "This is something you will have to discuss with your husband.  It should be a joint decision if you value your marriage.  You can mention your frustration about your stepdaughter not honoring boundaries.  After you talk to your husband you both can have a talk with your stepdaughter about expectations in order to stay living in the house.  When it comes to stepchildren you need to be very careful you do not take the lead on the authority part.  It should be the biological parent.", "It sounds like your family responded out of fear!  They may need some time to digest the information.  This can be hard for a family to hear for several reasons but you should be proud that you had the courage to tell them.  Once they realize how brave you were and how much you need their support they will come around.   Maybe you can write them a letter (for them to read without you present).  In the letter, you can tell them your struggles and maybe why you decided to tell them.  A letter will give them a little more time to digest the information." ]

[ "If we were in my office together, I would offer that most likely you are feeling somewhat depressed. It's most important for me to impress that you \"don't have to live like this...\"  Other helpful information: Have you experienced similar symptoms before?  Anyone in  your family been depressed before?  Based on other physiological signs, like quality of sleep, appetite, energy/motivation, I would present you with some treatment options, one of which would be to consult with a medication management provider to assess your symptoms and provide additional information for you to consider.", "There are probably no two therapists alike because first and foremost we are human beings!And...our personalities may somewhat guide how we go about getting to know you, identifying what you would like to be different in your life and developing a plan to get where you would like to be. The very most important thing that will determine a successful outcome is the healthy therapeutic relationship between you and your therapist.  If you don't feel safe, comfortable and ready to work together, then it is likely not a good fit. And that's OK...speak up and the therapist should assist you in finding someone you can readily work with." ]

[ "I would not focus on what other people say. Do you feel what you have described impacts your day to day functioning? Try to evaluate how is your self esteem, motivation and self confidence. How about negative thoughts or hopelessness? Any concerns about your grades sliding down? If you answered yes to any questions, may be its time to see a counsellor.", "You are right. It is not normal to hear voices that aren't your own but the fact is some people do. In my experience, medication seem to help. It is also important to understand when you hear voices the most - meaning it is important to understand what the triggers are. It is also important to understand when the voices are the least - meaning what helps you deal with the voices better. My clients have reported that their triggers are being in social gathering or around strangers or for some even the TV. Trying to identify your triggers is helpful for some people. Clients have also reported that listening to music, watching TV, being with friend or family helps them deal with their voices. Every individual is different and you need to figure out what works for you and what triggers your voices. My suggestion is to see a therapist / health care provider and then go from there.I hope this helps.", "Life is beautiful without unwanted thoughts and stress. With proper strategies and tools it is possible to regain control over your thoughts. I guess you are just having \"thoughts\" and not actually \"hearing voices\"? My suggestion is to see a therapist and go from there." ]

[ "Thank you for sharing! It can be very disorienting not to know what you want and where you are headed. Sometimes we are so focused on something we haven't achieved yet or on comparing ourselves to others that we lose touch with what we actually want and need. At times like this, it's important to go back to basics. Try out this simple exercise, take a few minutes to write down all your present responsibilities. For example: make meals, complete homework...etc.  Then in the column next to it, write down the things that you do for yourself to recharge yourself and to enjoy your time. Is your list of responsibilities way longer than your list of stuff you do for yourself? It is easy to get lost in the sea of responsibilities and disconnect from what you want and need. To fix that, write another list of things that you enjoyed doing in the past for yourself and start incorporating them into your schedule on a regular basis. This will help you re-connect with yourself, and bring focus and clarity to your life.", "Hi there, Thank you for your question. It's absolutely ok to feel nervous going to therapy. I have experienced anxiety going to see my own therapist. There can be a few reasons why you might feel this way. First, it is always unnerving to see a person who is a stranger and to share intimate things with that stranger. You mentioned it has only been a couple of sessions. Your anxiety might subside as you continue to see your therapist and grow more comfortable with him/her. Another reason why you might feel particularly nervous is perhaps you are not comfortable sharing things. As children, we might have bad experiences opening up to others. Someone might bully or ridicule us, and that experience can stay with us for a long time, making it extra scary to share our intimate feelings and thoughts with others. If this the case, as you continue with your sessions and have positive interactions with your therapists, this anxiety will subside with time and you will re-learn that it is safe to share. And the last thought why you might feel the shakes is perhaps you know that you need to talk about some past experiences or memories that are uncomfortable and difficult. Regardless of the reason, it might help you to bring up your nervousness in your session and share how you feel with your therapist. Having an open dialogue about your anxiety with your therapist can help you resolve some of that anxiety and built greater trust with your therapist.", "Hi! Thank you for your question. It's tough to be in a healthy and loving relationship when we believe we are not worth it. Quite often being in such a relationship is very uncomfortable as it goes against everything we believe about ourselves. First, I want to say you are very brave to open up yourself to the relationship with this wonderful woman you met. Second, I would like to invite you to treat yourself with compassion as you are entering this unknown territory for yourself. Doing something new and totally unfamiliar can be scary, so it's vital that you are kind and gentle with yourself. Acknowledge that what you are doing is scary and uncomfortable and that it will take some time to get used to it. Don't judge yourself and force yourself to feel a certain way. It's important that you are patient with yourself and tolerant of your discomfort. With time, space, kindness, and tolerance your discomfort and fear will start to dissolve. Invite your new partner to also relate to your feelings in the open and compassionate way. The worst thing that you or your partner can do is to rush your feelings, pressure you to feel in a different way or to say that there is something wrong with you cause you feel a certain way. Please be gentle with yourself and celebrate and acknowledge every small victory. Every time you do something little, like holding hands or receive a compliment and it no longer scares you as it did a week ago - celebrate that progress!", "Hi, Break ups can be very devastating and even traumatic. Recovering from one is a process that is unique for everyone person and will take time. It's important that you don't compare yourself to others. Each and every person will experience this grieving process differently. Here are a few tips to help with your recovery: 1. Make sure you surround yourself with people who love you and support you, friends and family. Even though you might feel like being alone, make an effort to be around them. 2. Although you might not feel like it, try to take care of yourself as much as possible: eat healthily, get regular sleep, & vigorous or gentle exercise (depending on your mood). The last thing that we want to do when we are physically sick (e.g. flu) is to take care of ourselves even thought that's what we need the most. But when we do get that chicken broth, sleep and vitamins we recover much faster and with less discomfort. That's exactly the same when it comes to emotional pain. Take care of yourself, keep yourself strong and healthy so you can recover faster. 3. As much as possible, put away reminders of the relationship. You might not be ready to throw things out, but try to put them away in a box in the storage or in a closet. And also block Social Media reminders. There is a lot of wisdom in the saying \"Out of Sight, Out of Mind.\" 4. Once the initial shock and intensity of the break up wear off, try out something new. In a relationship, we often forget and give up on things that we always wanted to do or to try. Now it's time to bring out that dusty bucket list and start trying something new. 5. If possible, change your scenery by going away on vacation with a friend or even by yourself. Changing your surroundings can really help you change your thoughts, mindset and forget your ex even if just for a few hours. Even a weekend getaway with a couple of girlfriends can do wonders. 6. In addition, to help you make sense of your past relationship and what went wrong, I would highly recommend seeing a professional counsellor or therapist.", "Hi there, I hear you, PTSD has a very debilitating effect on your whole life. I know that from personal experience. Recovering from it is possible and doable! First is step is to acknowledge to yourself that your PTSD symptoms are a normal reaction to an abnormal and traumatic event. The nightmares, the anxiety, the heightened startle response - are all typical human responses following exposure to a frightening event. It's important that you don't blame yourself or your body for reacting this way, rather approach yourself with compassion and kindness that you would extend a friend who is hurting. The second step is to start taking steps towards healing. I would really encourage you to see a counselor or therapist specializing in trauma recovery so that you have a guided, step by step support. But if this is not an option, you can begin your healing on your own using a step-by-step approach outlined in the book, Healing Trauma, by Peter Levin. It's a very hands-on book and even comes with a CD audio guide. It has concrete exercises that you can do to help you eliminate dissociation, feel grounded, and decrease your anxiety response. I have used myself and with my clients with great success! You can begin your recovery journey now with this video with Peter Levin's approach to Trauma Recovery: https://www.youtube.com/watch?v=nmJDkzDMllcOne last thing, I suggest consulting with a nutritionist or a doctor to help you boost your healing with supplements, vitamins, and minerals. The stress from PTSD is very draining on the body, and you use up a lot of energy and resources, so at times of trauma supplements are quite necessary for recovery (Magnesium, Omega 3, Zinc, Vitamin C....etc)", "Hi there, Thank you for your openness about the challenge you are experiencing in your relationship. Sexual intimacy is an important part of many people's life, but how much importance is placed on it varies from couple to couple. The first step would be to have an open conversation with your husband. It's important you are both open about what you desire from sexual intimacy and how much intimacy each one of you wants. For example, asking your husband how often does he want to have sex/ week or /month. When having this conversation, it's important that you are both respectful and open with each other. The point of the conversation is to get to know each other and not to solve a problem, yet. There are couples who enjoy fulfilling platonic/friendship relationships with minimal or no sex because both partners are not interested in it. If you are both on the same page - lack of sex might not be a problem. If there is a difference in your sex drive and frequency of desire, I would recommend seeing a professional relationship & sex therapist as a couple to help you explore your current sexual dynamic, what's creating it, what's getting in a way of connecting sexually and to assist you and your husband in finding creative solutions." ]

[ "Hello,While one can be sad from time to time, feeling sad \"all the time\" could be a sign of depression. If you feel sad on most days, it is worthwhile speaking to a psychologist to determine whether you suffer clinical depression. Feeling sadness is a normal response to loss, whether you lose a family, friend, job, or something you deem important in your life. However, feeling sadness all the time is a signal that you are not happy about something in your life. If it is related to your family and often relationship with family members could affect our self-esteem and self-worth, then perhaps it is worthwhile exploring what you find unhappy about your relationship with your family. Is it that you do not feel heard, supported or loved? Is it that you feel disrespected, disregarded or feel unimportant? These are just a few examples of common issues that people report that contribute to their depression. To help you to uncover your reasons for your sadness or depression and to cope with them in a healthier and more constructive way, it may be helpful to contact a therapist who could support you with this process. You do not have to deal with it alone. Dr. Virginia Chow, Montreal Psychologist. For more information about depression, please consult my website at www.PsychologyResource.ca", "Hello. That must be very frustrating for you to feel that you to be reminded of constant wrongdoing in your relationship, especially when you feel that your wife does not admit to any fault. This could lead you to feel inadequate in the relationship that can harm your relationship in the long-term. Based on what you are reporting and without knowing your wife's side of the story, I would say that you are raising 3 different concerns. One is that there seems to be some concern of infidelity from your wife that you feel is not justified. It may bear clarifying how each of you define \"infidelity\". Currently, there is no uniform definition of infidelity because it can emcompass a hook-up, chatroom texting, extensive phone calls to a female friend, viewing pornography, a massage with happy ending, physical intercourse, or intimate emotional sharing. Depending on whether any of these circumstances have occured, you may need to reflect whether there is any truth to what she may be accusing you of and for you to share with her your reasons for engaging in these activities. If there is no truth to it, then my clinical intuition is that she may be accusing you of infidelity as a way of saying, \"I feel you distancing from me.\" In other words, it's not so much about whether you are actually unfaithful but a statement of how she feels as she witnesses your distancing from her. Often times, accusing a partner of cheating is likened to a cry or a yearning for closeness. If so, what you want to do is to reflect to her that perhaps she is saying that you are unfaithful because she senses that you are moving away from her emotionally. If this is true, you may wish to share with her why you are pulling away and then discuss the kind of support you may need to feel closer to her again. Otherwise, if the focus becomes about who is right and who is wrong, the conversation will never touch at both of your core emotional needs. The second issue touches upon how to interpret calling someone a \"sweetheart.\" The term has been loosely used in a variety of contexts to mean \"you're so sweet and kind\", \"my dear\", or in a flirtatious manner to mean \"sweetie.\" The intention behind the use is known only to the speaker. You may want to reflect in what context you meant to use the term and share it with your wife. If your wife overheard the comment not knowing your intentions or context, it is possible that she may have misinterpreted what you have said.  If she finds the term disrespectful, it may be her way of expressing, \"I want to be the important person in your life and if you call someone else a sweetheart it means that I am not valued as much.\" Therefore, arguing about who has the right or wrong interpretation may be missing the mark. Rather, the issue is about how do you wish to treat or show consideration of each others feelings? You may wish to explore how do you show her that you value her and that she is important to you? Is saying \"sweetheart\" to another woman conducive to that or is it sending mixed messages to your wife? That said, if you have expressed and shown her that she is important to you on many occasions with open discussions and by understanding, accomodating and prioritizing her needs, then her actions may be a reflection of her personal insecurities. She may need to speak to a therapist about her feelings and her fears.The last issue you raised concerns your wife never admitting she's wrong. Indeed that must be frustrating for you to hear often that you are doing something wrong. In the absence of her admitting to any faults, it could seem like you are the one with the problem. Unfortunately, blaming invites defensiveness and a withdrawn behavior because most people who feel blamed do not feel good about themselves and wishes to distance themselves from the person who is making them feel unhappy. This pattern can also trigger the partners' insecurity as they witnesses the distancing, which could make them angrier and more accusatory - creating a vicious cycle. Finding a healthy way of reaching out when your partner is in turmoil to help calm her emotions and being able to speak about your own feelings and needs is at the heart of a very secure attachment. This kind of conversation can be guided by an experienced professional to help both of you to express your feelings and needs in a safe and secure way to foster a secure bonding. We sometimes take for granted the simple expression of, \"I'm sorry.\" However, it requires a certain comfort with being vulnerable to express that. In my practice, when a client tells me that his or her partner never says \"I'm sorry\", I am often observing the first partner to see if they are able to express vulnerability. If neither of them express it, then it makes sense to me because why would one risk being vulnerable and then getting hurt if they open up if the other partner doesn't do it.? These insights in therapy can sometimes lead to a different relationship building conversation, which can help couples to to feel safer with each other rather than blaming and alientating. For more information about these services, you are welcome to read my materials on my website at www.PsychologyResource.ca or to contact me at (514) 690-2469.", "It is understandable that it's very hard for you to hear daily complaints from your mother regarding the caregiving of your niece. You cannot change your mother's feelings and responsibilities, which could create feelings of frustration and helplessness. It must be equally hard for your mother to assume full responsibility for your niece at a time where your sister cannot take care of her. This type of responsibility usually produces an enormous amount of stress and pressure because your mother and niece would both need to adapt to this new relationship, living situation, and the feeling of being \"abandoned.\" Not knowing the history of your relationship with your mother and how you respond to each other in times of need, it may be difficult to fight the right recommendation on how to deal with this situation. Nonetheless, it is not easy to have to face daily complaints and you may have to set a healthy balance between empathy and boundary setting with your mother and some personal boundaries for yourself. It is likely that your mother's \"complaints\" may be her desperate cry for help because she does not know how to cope with stress or how to ask for the right kind of support. In this case, you could calmly and respectfully tell her the next time you hear her complain, \"This must be very difficult for you because I hear the stress in your voice almost everyday. It's very hard for me to hear you feeling so overwhelmed. I feel helpless in this situation and would like to suggest that it might be helpful for you to seek some professional help and support to deal with such a big matter of importance.\" When empathy and understanding is communicated, recipients are usually more open because they hear and feel the caring behind it and are more likely to seek additional help.After sharing this message of empathy and encouragement to seek help, the next step is to protect yourself by explaining to your mother where your limits are so that she understands what she can expect from you. This means that you can decide the kind of support or help you are willing to give your mother and/or niece that is within your ability to provide without feeling overwhelmed. This could involve inviting them to dinner occasionally, taking them out to see a movie or inviting your niece over to give your mother respite. You could then say to her if she complains again, \"I cannot change the way you feel in this situation and I encourage you to seek professional advice about that but what I could do is .........(explain what you could do to help).\"www.PsychologyResource.ca", "I agree with Sherry that in a close intimate relationship, you are entitled to ask questions about his relationship with significant others. These questions help couples to build connection and trust. It's based on the idea that if you reach out to him for whatever reason (support, openess, understanding, empathy), you can count on him and can expect him to be responsive. How he responds to your question will give you an idea whether he helps you to feel more emotionally secure and builds trust or if you feel that you cannot be open with him. If your partner responds in an open and understanding manner, it usually indicates that he cares about your feelings and values your importance. If he responds in a defensive manner, it could mean that he does not like that you are questioning your trust in him or that he has something to hide. Either way, you may wish to explain that building trust is something that is very important to you in a relationship and that talking to him openly helps to foster that. If he continues to be defensive or evasive, then there might be some bigger issues at stake and the two of you may benefit from couples counselling or having a discussion about the values that are important to you in the relationship and how the two of you will go about supporting those values with actions.Dr. Virginia Chowwww.PsychologyResource.ca", "Although we can have moments when we feel alone, even with the presence of family and friends, feeling alone most of the time could be a sign that there is a lack of connection between you and your loved ones. Generally, the lack of connection can occur when you don't feel heard, understood or valued. These are common emotional needs that result in a good and secure emotional connection that reduces feelings of loneliness. You mentioned that \"they listen but don't understand.\" Do you communication clearly about what you need emotionally (understood, accepted, valued, heard, empathized)? To help you ask for the right type of support, you can ask yourself what it is about the situation that is bothering you and how you would wish for your friends and family to respond to you. The result may be an answer that is more informative to your loved ones. For example, you might say, \"Thank you for listening to me. When I feel alone, I feel like nobody cares about me because everybody seems busy with their lives. I just wanted to hear and feel that I'm valued by receiving caring messages and phone calls.\" Dr. Virginia Chowwww.psychologyresource.ca", "Hello. You are asking a very good question about how to sustain a long-distance relationship. Although maintaining a long-distance relationship has its challenges, with the proper communication, commitment, and understanding, many long-distance couples are able to thrive and maintain a close connection. Without knowing more about the \"complicated\" nature of your relationship, I wonder whether your boyfriend has given you reason not to trust him that makes afraid that he will find someone else. Has he cheated on you in the past and has shown romantic interest to another person that made you fear losing him?  Or, is your thought just a fear but not based on evidence? Knowing that distinction is important because if it is the latter, you may benefit from refocusing on the wonderful qualities about your partner that makes you feel good about him and the relationship rather than focusing on the unknown or uncertainty of the future. The more you focus on \"what if\" situations, the more you may feel anxious about a reality that is not accurate and make you act in ways that are insecure. However, if there is reason for you to question his fidelity, you may have to speak to your boyfriend about how to build trust in the context of a long-distance relationship. To help the conversation, you may need to consider what you may need to experience or receive as support to feel safe in the relationship to build trust. Is that you wish him to contact you regularly, or to include you more in his life, or to make a clear commitment? For many of my clients in my private practice, that may include talking to their partner often and using a variety of modalities including text, phone, and Skype. It's hard to believe in a relationship when you never talk to your partner, and it's hard to build a relationship when you don't know what's going on in your partner's life. Other times, it is Making sure they talk often to their long-distance partner so that they can participate in each others lives and to feel their presence.. Regular communication, understanding and caring is the key to sustaining any relationship, but this is especially true for long-distance ones. Dr. Virginia Chowwww.PsychologyResource.ca" ]

[ "I understand that at times it’s difficult to share with our parents what we have been trough, due to fear of judgment or punishment; but I have noticed that keeping our experiences secret, intensifies them.  And Post Traumatic Stress Disorder can haunt us for a long time if we do not learn to process the memories that cause those symptoms.  If you have been victim of a traumatic event that you are not prepared to share with your parents, it’s important that you seek help with a counselor, therapist or psychologist.  Trauma Focused Cognitive Behavioral Therapy is a great technique to cope with physical symptoms, you could also use Narrative therapy, Creative Therapy or Journaling as a way to express memories and process them with your therapist.  A psychiatrist can also prescribe medication to manage the symptoms, but is very important that you address the trauma so you can heal and go back to live your life.   Many organizations like the United Way (2-1-1 in many states) offer resources and referrals to put you in touch with mental health providers, you could also talk to your school counselor, doctor or church to find referral that could help. Tip: You don’t have to tell you story to each person you ask for help, you can just start by asking for a counselor referral. ¿Cómo puedo superar el Desorden de Estrés Post Traumático sin que mis padres se enteren?Comprendo que muchas veces puede ser difícil compartir nuestras experiencias con nuestros padres, muchas veces por miedo a que nos juzguen o castiguen; pero he observado cómo mantener un secreto, lo vuelve más fuerte y difícil de manejar.   El Desorden de Estrés Post Traumático puede ser una condición que nos persigue por mucho tiempo si no aprendemos a procesar las memorias que causan esos síntomas.  Si has sido víctima de un trauma que tal vez no estás listo(a) para compartir con tus padres, es importante que busques la ayuda de algún consejero profesional, terapista o sicólogo.  La Terapia Cognitiva Conductual enfocada en el Trauma, es una técnica que te ayudara a manejar muchos de los síntomas, también puedes utilizar diarios o Terapia Narrativa o creativa, para expresar memorias y procesarlas luego en terapia.  Un Psiquiatra también te puede proveer medicamentos que ayudan a manejar los síntomas del Estrés Post Traumático, pero es importante que atiendas el problema inicial para poder sanar por completo y volver a tomar las riendas de tu vida.   Muchas organizaciones como los Fondos Unidos (2-1-1 en muchos estados) tiene recursos que proveen referidos a consejeros o profesionales de la salud mental.  También puedes preguntarle a tu consejero escolar, doctor o en la iglesia.  \nSugerencia: No tienes que contarle a todos tu problema, solo pide que te recomienden a un consejero o terapista.", "One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo manejar mi ansiedad y depresión para sentirme normal otra vez?Mi motivación se ha ido. Es difícil salir de la cama.  No sé qué hacer.  Soy Miserable.  Mi ansiedad y depresión han tomado el control de mi vida.Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico.", "Family support is very helpful when having these symptoms.  I suggest looking for therapist within reach (school, through your insurance or the community, calling 2-1-1).  Once you schedule a session, you can inform them and invite them to come in.   I have found trough sceptic parents, that once they give it a chance they open up to the process of learning and healing.  I also understand that parents may become overly concerned and overprotective when hearing about your symptoms, and that’s why is important to discuss them with a therapist, normalize them, understand why you experience them, and learn how they could help you. ¿Cómo les digo a mis padres que yo pienso que tengo problemas mentales?Estoy seguro que tengo depresión  ansiedad.  También escucho voces en mi cabeza.  Tengo problemas para dormir también.  Y he sido diagnosticado con déficit de atención y desorden obsesivo compulsivo.  Me he auto flagelado y solía tener ideas suicidas.  Como les dejo saber y les pido ayuda.El apoyo de la familia es muy útil cuando se experimentan los síntomas que mencionas.  Te sugiero que busques un consejero (en la escuela, a través de tu plan médico, o en la comunidad, llamando al 2-1-1).  Ya que tengas tu cita, invita a tus padres.  He observado que aunque algunos padres son escépticos al principio, pero una vez le dan una oportunidad se abren al proceso de terapia y sus beneficios. También he observado que algunos padres se vuelven sobreprotectores cuando aprenden de los síntomas que sufren sus hijos, así que sería otro beneficio que aprendieran que pueden hacer para ayudarte y apoyarte.", "Empathy is the ability\nto tap into our own experience to help us connect with others in order to be\naware of how they are experiencing life. \nIt is a skill that we learn with practice and refine as we become mature.\nIf you are feeling anxious, maybe you are able to understand better others who\nare going trough anxiety.  But I wonder\nif instead of feeling empathy, you may just want to find ways to reduce your\nanxiety.  A good idea is to be very aware\nof your anxiety triggers, and once you identify them explore other ways you\ncould react. ¿Sera normal que no sienta empatía?Parece que no puedo experimentar ninguna otra emoción que\nno sea ansiedad, ni si quiera por mí misma. Empatía es la habilidad de usar tus propias\nexperiencias para conectarte con otros y estar consciente de la manera que\nellos experimentan la vida.  Es una\ndestreza interpersonal que aprendemos y refinamos con la práctica y según maduramos\ncomo personas.  Si te estás sintiendo\nansioso, tal vez puedas comprender mejor como otra persona experimenta momentos\nde ansiedad.  Pero me pregunto si en\nlugar de estar buscando sentir empatía, realmente quisieras reducir tus niveles\nde ansiedad.  Una buena manera es estar consciente\nque activa la ansiedad, y ya que lo identifiques, explora que otras reacciones\npudieras tener.", "It is common to go through a stage of adjustment after a breakup, which may include depression symptoms. I recommend practicing self-care:  stressing on balancing your life with healthy eating, exercise, resting and looking at your spiritual life.  These steps should assist you in giving your body and mind some balance.  Practice cognitive reframing, this is training your brain to refocus, and stay on task.  Meditation is a great tool to clear your mind during the day as well; there are multiple apps that help. If the problem persists a therapist could assist you in learning to focus and process those thoughts and feelings that cloud you mind.¿Cómo puedo manejar la depresión después de una separación?He estado cayendo en una depresión profunda que no me permite funcionar durante el día. El único memento en el que estoy en calma es cuando duermo.  Si estoy con mis amigos, familia, en el trabajo o a solas, no puedo pensar claramente. Ya no me siento como yo.Es común pasar por un estado de ajuste después de una separación, y este ajuste puede incluir síntomas de depresión.  Recomiendo que practiques auto compasión: esforzarte en balancear tu vida comiendo saludable, ejercitándote, descansando y analizando tu vida espiritual.  Estos pasos te ayudarán a balancear tu mente y cuerpo.  También puedes practicar reenfocar tus pensamientos para mantener tu mente clara. La meditación es una buena manera de practicar el enfoque mental, y existen muchas aplicaciones que te pueden ayudar.  Si el problema persiste tu consejero te puede ayudar a aprender técnicas de enfoque a procesar pensamientos  o sentimientos que te estén afectando.", "It seems like you are very receptive of your husband’s emotions and want to support him trough this time.  But it is also important of being aware of your emotions.  How are you feeling after the suicide attempt?  It is common to experience negative feelings while you try to make sense of the incident.  Feelings like anger, shame, guilt and fear are frequent; while, wanting to avoid, minimize and become distant from the person are parts of the defense mechanism to attempt a quick resolution.  Once you understand and overcome those feelings you may be in a better position to help your husband; who may be experiencing some negative feelings as well.First, it is important to have a safety plan in place, which includes removing harming objects from the home, knowing who to call if there’s a new attempt (either 9-1-1, or nearby treatment center), have a professional expert who monitors you and your husband’s progress, either a Counselor or mental health provider could help you manage negative feelings and identify ways to handle triggering situations.Once the safety plan is in place,  make him feel supported and not judged, saying open ended statements, like: “I am glad that you are here, please let me know what I can do to help you through this process”.  Making small changes toward a healthier living may help as well.  Exercising, eating healthier and practicing new leisure activities may be good ways to start.  Also, explore your spirituality and your husbands, looking for ways to encourage each other by joining a support group or finding people who share your spiritual beliefs.If you have more questions or concerns I offer teletherapy in the State of Texas, and traditional Counseling in Puerto Rico, call 787-466-5478. ¿Cómo puedo ayudar a mi esposo después de un intento de suicidio?Después de que el llego a casa del hospital estaba enojado, luego por un tiempo maravilloso.  Ahora está deprimido y sin ánimos.Parece que estas muy atenta a los sentimientos de tu esposo, y que lo deseas ayudar durante este momento de su vida.  Pero también es importante estar consciente de tus propias emociones.  ¿Cómo te has sentido luego de este intento de suicidio?   Es común que experimentes emociones negativas mientras los recientes sucesos hacen sentido.   Sentimientos como coraje, vergüenza, culpa y miedo son comunes, y el querer evitar, minimizar o distanciarte son mecanismos de defensa igualmente comunes.  Ya que comprendas y superes estos sentimientos,  estarás en una mejor posición para ofrecerle ayuda, recuerda que tu esposo también debe de estar experimentando sentimientos negativos. Es muy importante tener un plan de seguridad, esto incluye remover todos los objetos que pueden ser dañinos o facilitar un futuro atentado, saber a quién llamar en caso de una emergencia (9-1-1 o una clínica de emergencias cercana),  tener un experto que monitoree tu progreso y el de tu esposo, puede ser un Consejero u otro experto de salud mental que te ayude a manejar los sentimientos negativos y situaciones retantes.Ya que el plan de seguridad sea activado, crea un ambiente donde tu esposo se sienta apoyado y no juzgado.  Utiliza frases abiertas para comunicarte, dile que estas feliz de que este contigo, y quieres saber cómo puedes ayudarlo durante esta etapa.   También haz cambios pequeños para mejorar su calidad de vida como pareja.  Hacer ejercicios, comer más saludable y compartir actividades puede ser un buen comienzo. Explorar tu espiritualidad y la de tu esposo también puede ser de ayuda, y encontrar personas o grupos que compartan esos mismos intereses puede ser una manera de mantenerse motivados.Si tienes más preguntas o preocupaciones sobre el tema, ofrezco teleterapia en Texas y Consejería Tradicional en Puerto Rico, llama al 787-466-5478 para más información.", "Feelings are real, is very unlikely that you are making them up since they are a response to the thoughts in your mind and your daily experiences and interactions. Often we assume that feeling sadness is bad and that we should only feel happiness and joy; but all feelings have a purpose: joy, sadness, anger, frustration, excitement, anxiety, among others.   Is not healthy to experience the same feeling for a long time, so we should learn to identify what causes them and how to process them so you can navigate through life experiences with more ease. I am a Licensed Professional Counselor in Texas, currently providing services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.   ------------------------------------------------------------------------------------------------------------------------------------------Me he estado sintiendo tristeCuando salgo con una persona en particular o cuando llego a casa, estoy triste o irritado.  El sentimiento viene y va todo el día. No sé qué está mal.  No estoy seguro si estoy inventando los síntomas y problemas en mi cabeza o si algo realmente está mal. Los sentimientos son muy reales, y es muy poco probable que los estés inventando, por que los sentimientos son una respuesta tanto a los pensamientos que hay en nuestra cabeza, y, a las situaciones que nos ocurren día a día.  Muchas veces pensamos que sentirnos triste está mal, y que solo debemos sentirnos alegres, pero todas las emociones tienen un propósito y razón de ser, tanto la alegría, como la tristeza, el coraje, la frustración, la excitación o el desespero, entre otros.  No es bueno quedarnos estancados una emoción.  Así que es importante aprender a identificar que causa nuestros sentimientos, como procesarlos para poder superar nuestras emociones y movernos de una experiencia a otra con más tranquilidad. \nSoy Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478.", "I understand that talking about our feelings can be awkward and using jokes is a way to relieve that awkwardness, but there is a right or wrong way to talk about your feelings. The important part is to recognize that you need help addressing those feelings and reaching out, which you are doing already.  Having small conversations with your family is helpful, you can explain to them that you have been experiencing emotional discomfort and would like to talk to them about it.   Since you been experiencing anxiety, panic attacks, and have thought about dying,  It is VERY important that you ask them to help you make an appointment with a mental health professional.  Those symptoms indicate that your body is having a hard time managing intense feelings and it will be helpful if you understand why they occur and how to cope with them. You may contact your school counselor or you may schedule an appointment with a local therapist.  You may contact the Texas Crisis Hotline 800-989-6884 where you can talk or chat with mental health professionals or schedule a teletherapy session.   The National Crisis Hotline is also available for calling and texting 1-800-273-8255.I am a Licensed Professional Counselor in Texas, currently providing services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.   ------------------------------------------------------------------------------------------------------------------------------------------¿Cómo hablo de mis sentimientos de depresión y con quién hablo?Soy un adolecente.  He estado experimentando episodios de depresión severa (si es lo que creo) por muchos años.  Siempre se pone peor.  He estado teniendo ataques de pánico, sintiendo que no puedo controlar mis miedos y sintiendo que ya no importa si quiero vivir o morir.  El problema es que ya no sé a quién pedirle ayuda.  Cuando intento hablar con mis padres, Me congelo y solo puedo hacer bromas porque nunca en mi vida hemos hablado de nuestros sentimientos. Entiendo que hablar de tus emociones puede hacernos sentir inadecuados, y bromear es una manera de manejar ese sentimiento incómodo, pero no hay forma correcta o incorrecta de hablar sobre tus sentimientos.  Lo importante es reconocer que necesitas ayuda para manejarlos, y ya tu estas en ese proceso.  Tener pequeñas conversaciones con tu familia te ayudara a explicarles los sentimientos que estas experimentando.  Es importante que les pidas hacer una cita con un profesional de la salud mental, ya que has estado experimentando síntomas que indican que tu cuerpo ya no puede manejar tus sentimientos y necesita nuevas herramientas.  Puedes contactar a tu consejero escolar, o a un proveedor de salud mental cerca de ti o por teléfono.  Mientras tanto, puedes llamar a la línea de crisis de Texas 800-989-6884 para hablar con un profesional de salud mental.  La línea nacional de crisis también esta disponible en todos los Estados Unidos y proveen servicios en español 1-800-273-8255\nYo soy una Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478.", "Although the marriage vows say in sickness and health, each person has the right to choose to stay or to leave, depending on their ability to cope and handle marriage challenges.  I know is hard not to focus on him and his choice, but the more you put the focus of attention on him the least support you will receive. Focus on increasing self-care activities and building a support system around you.  A therapist can help you to work with depression symptoms, build up your self-esteem, and developing coping skills.  Also, invite him to a therapy session so he can clarify any questions and concerns regarding your diagnosis.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.Mi esposo quiere divorciarse después que fui diagnosticada con depresión severa.El dijo que intentaría y nunca lo hizo.  Has pasado nueve meses, y esto me está haciendo sentir peor.   Hoy, el dijo que yo debo respetar la decisión que el tome.   ¿Es eso cierto? ¿SE supone que respete la decisión de irse porque él no puede manejar lo que yo estoy pasando y me deja llorando y preocupada cada noche?  El cambia de opinión todo el tiempo.A pesar de que los votos matrimoniales dicen en la salud y la enfermedad, cada persona tiene el derecho de decidir si se queda o se va, dependiendo en su habilidad de lidiar los retos del matrimonio.  Entiendo que es difícil evitar enfocarte en él y sus decisiones, pero mientras más enfocas tu atención en el, más vas a resentir la falta de apoyo.  Enfócate en aumentar el cuidado personal y en desarrollar tu sistema de apoyo.  Un terapista te puede ayudar a trabajar con los síntomas de depresión, mejorar tu autoestima y desarrollar mecanismos de defensa.  También puedes invitar a tu esposo a terapia para hablar sobre tu diagnosis y que aclare dudas sobre los síntomas y expectativas.Si te gustaría recibir terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478.", "It seems like you may be experiencing depression symptoms, they could be the triggered by unexpected life changes, or building up throughout time.The important part is that you have identified them and wanting to change them.  The first step is to establish a self-care routine that will help you to feel centered and motivated: go for walks, or make any physical activity that you enjoy ( be kind to yourself, anything helps at this point), eat balanced, add whole grains and fibers to your diet, make a point to rest at night and avoid naps, practice a hobby that you love, or look for a new one that you are curious about. You mentioned that you feel unsettled in your soul: explore your spirituality, meditate about what makes your soul at peace, and find ways to practice that or surround yourself by those activities.If you find it difficult to begin, talk to your therapist to identify roadblocks and ways to find motivation. Suicidal and homicidal thoughts are common but serious depression symptoms, discuss them with your therapist, contact your doctor or psychiatrist, and call 9-1-1 if its and emergency.Once you feel stable, you can focus on exploring the source of the problem and see if you need to make changes or learn coping skills that will help you manage it.  It will also be a good time to explore your spirituality and your purpose in life, that may help you to feel better with yourself and then happier around others.¿Cómo puedo volver a ser la persona que realmente soy?Siento que mi mente no está bien.  My espíritu está intranquilo.  No me siento feliz con las decisiones que tomo, lo cual me hace infeliz con los demás. Me siento como un fracaso la mayoría del tiempo.  Siento que ya no soy bueno para nada. Siento que soy menos que los demás.Al parecer estas experimentando síntomas de depresión, la cual puede ser causada por cambios recientes en tu vida o estarse acumulando a través del tiempo.Lo importante en este momento es que tú reconoces los síntomas y estas buscando cambiar la situación.  El primer paso sería trabajar en restablecer una rutina de cuidado personal que te ayude a sentirte emocionalmente estable y motivado: Sal a caminar o hacer alguna actividad física(ten compasión contigo mismo, cualquier cosa funciona para comenzar), comienza a comer balanceado, especialmente granos y fibras integrales, , procura descansar en las noches y evita las siestas, y practica algún tipo de actividad que hayas disfrutado en el pasado o que te de curiosidad.  Mencionaste que tu espíritu esta intranquilo, explora tu espiritualidad, y que te ayudaría a encontrar la paz, busca la manera de hacer esa práctica una rutina.Si te cuesta mucho trabajo iniciar estas actividades, será bueno buscar a un consejero para que te ayude a identificar formas de estar motivado o obstáculos que te estén deteniendo.  Es común tener pensamientos que atentan en contra de tu vida o la de otros, discútelos con tu terapeuta, con tu medico primario o psiquiatra, y llama al 9-1-1 si es una emergencia.  Ya que consigas estabilidad, puedes comenzar a trabajar o explorar la causa del problema y ver si hay cambios mayores que debes hacer o destrezas que debes aprender para manejar el mismo. También es un buen momento para explorar tu espiritualidad mas profundamente y tu propósito en la vida, cuando encontramos un propósito y como ejercerlo, tendemos a ser más felices con nosotros mismos y con los demás.", "One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo controlar mi ansiedad?Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico.", "What are the best ways to reduce anxiety?I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.Our everyday life is filled with pressures and deadlines that are common to cause anxiety.   Here are some basic tips to handle those stressors.·         Learn thought stopping techniques: There are multiple ways to teach your brain to refocus.  If you allow your brain to focus on the source of anxiety, the anxiety will be in charge.  But you can learn to put those anxiety-provoking thoughts on a parking lot, and focus on pleasurable thoughts, or the activity that you need to complete on the time being.·         Plan, organize, delegate:  Create a schedule to manage demands, organize priorities, and delegate or share responsibilities.   Work as a team with your family, so you can share the load.   Prioritize actives, shores, and expenses. Focus on the urgent, necessary, and spread apart the not so urgent.·         Identify triggers:  Once you understand what causes your anxiety, you can learn to channel process and refocus your thoughts.  You can also learn coping strategies to manage the problem or give up the desire to control it if needed.·         Learn coping skills:  Having a balanced lifestyle helps tremendously to reduce and manage anxiety symptoms.  Looking at your eating, sleeping, physical activities, spirituality and leisure time is key to find that balance.If you find yourself struggling with anxiety, you can contact a Counselor or mental health provider.  I provide teletherapy for Texas residents and psychotherapy in Puerto Rico, you can reach me at 787-466-5478 for appointments.¿Cuáles son las mejores maneras de reducir la ansiedad?Tengo ansiedad por preocupaciones diarias, como las finanzas, relaciones, niños y mantener mi casa.Nuestra vida está llena de retos y presiones que comúnmente nos causan ansiedad.  Aquí unos consejos básicos para manejar esas preocupaciones.·         Aprende como detener tus pensamientos: Hay múltiples maneras de enseñarle a tu cerebro a reenfocarse.  Si permites que tu cerebro se enfoque en la fuente de ansiedad, entonces la ansiedad se apoderará de ti.  Pero puedes aprender a poner a un lado esos pensamientos que causan ansiedad, y enfocarte en pensamientos positivos, placenteros o simplemente enfocarte en la actividad que estás haciendo. ·         Planifica, organiza, delega: Crea una agenda para manejar las demandas diarias, organizar prioridades y delegar o compartir responsabilidades.   Trabaja en equipo con tu familia, de manera que puedas compartir la carga.  Organiza las actividades, gastos y tareas por prioridad.  Enfócate en lo urgente y necesario y distribuye lo que no es tan vital. ·         Identifica la fuente:  Ya que comprendes donde o qué inicia la ansiedad, puedes aprender a canalizarla, procesarla o reenfocar tus pensamientos. También puedes aprender a manejar la fuente de ansiedad, resolver el problema, o aceptar que no lo puedes controlar, si ese fuera el caso. ·         Aprende mecanismos de defensa: Tener un estilo de vida balanceado ayuda tremendamente a manejar síntomas de ansiedad.  Observar tus patrones de alimentación, descanso, ejercicio, espiritualidad y tiempo de ocio es clave para encontrar el balance. Si notas que continuas batallando con la ansiedad puedes contactar a un consejero profesional de salud mental.   Proveo teleterapia a residentes de Texas y Consejería en Puerto Rico, me puedes contactar al 787-466-5478 para hacer una cita.", "Anxiety often occurs when big or unexpected changes come to our lives, like having new jobs, relocating, or assuming new roles. Notice if your anxiety feels like excitement, concerns, or fear.It seems like you are excited about your new job, but worried because OTHERS are telling you that you have anxiety.   Let's notice how other‘s input is affecting your thoughts and maybe causing more anxiety that you may really have.   If you are indeed experiencing anxiety, that does not mean that you will have panic attacks.   But if you are experiencing panic attacks, or suffer them at some point, you could learn how to reduce them either with therapy or medication.You can learn how to process it depending what triggers it and channel it, in a useful way.  For example, you could plan a schedule around your new job and be meticulous about it because you are worried about how your new job may affect your routine, or, you could feel overwhelmed with your schedule, focus on the feeling, but not do anything about it.  Notice the difference?  The key is in recognizing if you are anxious about something that you can change or have control over it, and take action if you do, and recognizing when you cannot control things and be OK with not being in control.I teach clients how to use meditation and cognitive reframing techniques to help calm anxiety symptoms.  If you are interested in engaging in counseling or teletherapy you may contact me at 787-466-5478.I wish you success on your new journey!Estoy preocupada por mi nuevo trabajoLa gente me dice que tengo ansiedad y estoy aterrorizada de tener un ataque de pánico en la carretera.  Esto es nuevo par a mí. ¿Que puedo hacer?La ansiedad ocurre comúnmente cuando llegan cambios grandes o inesperados en nuestras vidas, como tener un nuevo empleo, mudarse o asumir nuevos roles.Al parecer estás emocionada por tu nuevo trabajo, pero preocupada por que OTROS te dicen que tienes ansiedad.  Notemos como la opinión de otros esta influenciando tus pensamientos y tal vez te puede estar causando más ansiedad de lo que realmente tienes.  Si realmente estas pasando por un periodo de ansiedad, no es necesario que vayas a experimentar ataques de pánico.  Pero si ya los haz experimentado puedes utilizar terapia o medicamentos para controlarlos.Nota si tu ansiedad se siente emocionante, preocupada o temerosa.  Puedes aprender a procesar estos sentimientos dependiendo que pensamiento los causen y canalizar la ansiedad de manera productiva.  Por ejemplo: te puedes enfocar en organizar una agenda porque te preocupa como tu nuevo empleo afectara tu rutina diaria.  O te puedes sentir agobio respecto a cómo tu trabajo afecta tu rutina, y no hace nada más que preocuparte constantemente.  ¿Notas la diferencia?  La clave está en saber cuándo te preocupas  por algo que puedes cambiar, y tomar acción; vs. cuando te preocupas  por algo que no puedes cambiar y aceptar que no lo puedes cambiar.Le enseño a mis pacientes a  usar técnicas de meditación y re enfoque cognitivo para manejar síntomas de ansiedad  y desorden de pánico.  Si te interesa una cita de consejería o tele-terapia me puedes contactar al 787-466-5478. ¡Mucho éxito en tu nueva jornada!", "When we feel overwhelmed by life situations, it is important to understand where the feeling is coming from.  Once we understand the source, it is important to normalize the situations that got us there and find balance in our lives.First, car accidents are common, and since they are accidents they are not a reflection of us.   When we have an accident we feel anxious, worried, and may have some trauma after the accidents.  If you have been experiencing anxiety since the car accident, talk to your doctor or therapist about it.  Second, a lot of people fail classes, tasks, deadlines, etc. but they don’t give up on their goal.  We have to remember that failing is part of the learning process, and having the courage to try again is what gives us determination and character.  Remind yourself what motivated you to leave your job, and the courage and determination that took to do so, then channel that energy back into school.  Third, when we have problems in our relationships, is helpful to look for ways to improve communication, discuss our concerns and how we want to resolve them, but it may be that the relationship needs to end if there isn’t enough interest in one of the parts or if there’s verbal or emotional abuse.  Consider talking to your boyfriend and set some boundaries regarding appropriate communication.At all times:  focus on being kind to yourself and improving your self-esteem: increase self-care activities, do more things that you enjoy, meditate in what gives you peace and make an effort to have more of that in your life.   At the end, you are the one in control of your life, and you determine who you become.¿Qué puedo hacer cuando siento que mi vida está fuera de control?Estuve en un accidente de auto, y fue pérdida total.  Deje mi trabajo de 9 años para completar un grado a tiempo completo.  Falle una clase, y mi novio piensa que soy estúpida, el quiere dejarme.  No tengo a donde ir y siento que lo estoy perdiendo todo.Cuando nos sentimos agobiados es importante reconocer donde estamos parados y entender de donde vienen esas emociones.  Ya que entendemos la fuente de agobio, es importante normalizar las situaciones que lo causaron, y volver a encontrar el balance en nuestra vida.Primero, los accidentes de auto son comunes, y por ser accidentes no son un reflejo de nosotros o nuestras destrezas.  Cuando experimentamos accidentes no s sentimos ansiosos, preocupados, y puede que experimentemos algún trauma.  Si sientes ansiedad, extrema preocupación habla con tu doctor o terapista al respecto.  Segundo, muchas personas fallan clases, tareas, fechas de entrega, pero no se rinden.  Tenemos que recordar que fallar es parte del proceso de aprendizaje, y tener el valor de intentarlo de nuevo, es lo que nos da determinación y carácter.   Recuerda que te impulsó a dejar tu trabajo y canaliza esa energía en la escuela.  Tercero,  cuando tenemos problemas en las relaciones, es importante comunicar nuestras preocupaciones y diferencias, pero puede ser que la relación termine si no hay interés mutuo o si hay algún tipo de abuso.   Considera hablar con tu novio y establecer límites respecto a la comunicación apropiada.En todo momento: enfócate en cuidarte a ti misma y mejorar tu autoestima, aumenta las actividades que te ayudan a sentirte bien, medita sobre lo que te paz y pasa más tiempo practicando esas actividades.", "Many times when things become difficult to manage, is because we are getting out of our comfort zone, so we seek growth and change.  Coping with the difficulties does make you more resilient and helps you to build the confidence you need to solve problems in the future. Now I wonder:  are things getting tough in a way that you are not able to resolve them?  Do you need to move or change to save yourself or prevent any harm? If so, it is OK to know when to remove ourselves form situations that harm us more than helping us.   On the other hand, are the things getting tough because you need to learn a new skill?  If so, how can you learn them and is there someone who can help you overcome this challenge?  I help my clients to identify their strengths and areas where they can achieve growth, things like polishing up your resume and evaluate new job opportunities could help you discover a new you.If you would like to engage in counseling, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478. Cada vez que las cosas se ponen difíciles, hago cambios en mi vida.He sido así desde que estaba en la escuela; antes me transfería de escuela.  Ahora pienso cambiar de trabajo.Muchas veces cuando las situaciones se tornan en difíciles de manejar, es porque nos sacan de nuestra zona de comodidad, con el propósito de buscar el cambio y el crecimiento.  Manejar las dificultades si te vuelve más resistente, y desarrolla tu autoestima para que puedas resolver problemas en el futuro.    Ahora, te pregunto: ¿se están poniendo las cosas difíciles al punto que no puedes manejarlas?  ¿Necesitas removerte de la situación para evitar que te hagan daño? Si es así, entonces está bien reconocer cuando nos debemos remover de una situación dañina que nos daña más de lo que nos permite crecer. O por el otro lado, ¿Se están poniendo las cosas difíciles porque necesitas a prender una nueva destreza?   Si es así, ¿cómo puedes aprender esa destreza y quien te puede ayudar?Ayudo a mis clientes a identificar sus fortalezas y áreas de crecimiento, el actualizar y pulir tu resume junto con explorar opciones de empleo, te puede llevar a descubrir nuevos talentos en ti.Si te gustaría hacer una cita, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478.", "Yes, it seems like you may have a type of anxiety: but considering that it is intermittent, it may be a good idea to talk to a therapist and explore what triggers the anxiety.  Different types of anxiety are caused by different scenarios, memories, or stressors.   Once you identify what triggers the anxiety, you may be able to identify the coping mechanism that will help you handle your symptoms.¿Tengo algún tipo de ansiedad?A veces estoy bien, puedo salir a reunirme con personas, pero otros días, mi corazón se acelera y las palabras no salen de mi boca.   Siempre pensé que era normal y que solo estaba nervioso, pero el otro día, me tomo casi 30 minutos encontrar el valor para salir del carro y entrar a Target.Si parece que tienes un tipo de ansiedad, y considerando que es intermitente, puede ser útil hablar con un consejero para explorar su causa.   Hay diferentes tupos de ansiedad que son causados por diferentes estímulos, memorias y escenarios. Ya que logres identificar que causa tu ansiedad, entonces podrás aprender mecanismos de defensa que te ayuden a controlar la ansiedad.", "I am wondering who is telling you that sex is dangerous.  Is this medical advice, or is this someone’s\nopinion trying to scare you from having sex? \nAnd if so, how old are you? Is it ok to have sex, do you want to have\nsex?  It sounds like you want to make\nyour partner happy, and that you are taking care of protecting yourself and\nyour partner, but maybe you are forgetting to consider what do you really want.  Having sexual relations is a very personal decision;\nyou and your partner have to consent.  It\nis also important to talk about the possible consequences and being responsible\nfor them as well.  But sex should be something\nthat you enjoy, not that you should be fearful of.  A therapist can help you to process those\nnegative thoughts and feelings that may impair you from enjoying your sexual\nlife. ¿Cómo puedo superar mi miedo de un\nembarazo no deseado y poder tener sexo otra vez?Estoy\naterrorizado de tener sexo porque me han dicho una y otra vez que el sexo es\npeligroso, inclusive cuando yo y mi pareja usamos dos métodos de protección.  Mi pareja no está contenta y simplemente\nquiere más sexo, y honestamente, yo quiero darle lo que ella quiere.Me pregunto quién\nte está diciendo que el sexo es peligroso. \n¿Esto es aviso medico, o es alguien intentando asustarte para que no\ntengas relaciones?  ¿Y si es así, que\nedad tienes?  ¿Es apropiado que tengas\nsexo a tu edad?  ¿Quieres tener sexo? Me\nparece que estas enfocado en hacer feliz a tu pareja, y te estás protegiendo y protegiéndola,\npero tal vez están olvidando analizar que tu quieres realmente.  Recuerda que tener una relación sexual es una\ndecisión personal, en la que tú y tu pareja deben de estar de acuerdo.   También es importante hablar de las posibles\nconsecuencias de tener relaciones, como un embarazo, y discutir sus opciones e\nintenciones, si eso ocurriera.  Ya que\nhan tenido comunicación al respecto, el sexo debe ser algo que disfruten,  no que temen. \nUn terapista te puede ayudar a procesar esos pensamientos negativos y\nlos sentimientos que te pudieran impedir disfrutar de tu vida sexual.", "My son plays alone at recess.Is this something I should be worried about? Should I do something about it?Every mom is the expert on their children’s behavior.  First of all, I suggest checking with your son, asking him if he is happy while playing alone, or does he complain that no one wants to play with him?  Does he plays alone in school, but is social in other environments, with family or neighbors?Playing alone is healthy for children, it helps them to be independent and confident, it allows them to explore their environment and use their imagination, among other benefits.  On the other hand, it is also important to develop social skills early on and become confident in our skills as we grow.  Children go through stages of exploration until they develop a sense of “social confidence”. Depending on your son’s age, he might need some input or advice.  Provide the opportunity to interact with other children, without pushing it.  Take him to the park to play with a friend or to children’s activities in your neighborhood.  Later ask him, what did he thought of the activity, and if he enjoyed playing there.  Children also follow their parent’s model, so you can encourage social interaction by greeting other and asking your son to do the same, ask him to receive the guests who come to the house with you and sit to enjoy the conversation. If you notice any shakiness, becoming tearful, anxious or aggressive when approaching social encounters, you may want to talk to the school counselor or children’s therapist to evaluate those symptoms and rule out any behavioral problems or social anxiety.Mi hijo juega solo en el receso.¿Debería preocuparme al respecto?  ¿Debería hacer algo al respecto?Cada mama es experta en la conducta de sus hijos.  Primero que nada te sugiero que revises con tu hijo y le preguntes si él se siente contento jugando solo, o si se queja porque nadie quiere jugar con él.   Observa si él juega solo en la escuela, pero es sociable en otros ambientes como con la familia  o los vecinos. Jugar solo puede ser saludable para los niños, les ayudo a ser independientes, desarrollan sentido de seguridad, y les permite explorar su ambiente y utilizar su imaginación, entre otros beneficios.Por otro lado, también es importante desarrollar destrezas sociales y perfeccionarlas con la práctica.   Los niños van por etapas de exploración y prueba hasta que desarrollan un nivel de confianza en sus destrezas sociales.  Dependiendo de la edad de tu hijo, puede que el necesite algunos consejos.  Provéele la oportunidad de interactuar con otros niños, sin obligarlo. Ya sea yendo al parque a jugar con vecinos, o a actividades comunitarias infantiles con algún amigo.  Luego pregúntale como le pareció la actividad y si le gusto compartir allí.  También recuerda que los niños siguen el modelo de sus padres, así que puedes motivarlo invitándolo a que salude a otros después de ti, o invitándolo a recibir a la visita que llega a la casa y que los acompañe durante la conversación.Si observas que tu hijo está nervioso, lloroso, o agresivo cuando se acerca alguna actividad social, consulta con el consejero escolar o un consejero infantil para evaluar sus síntomas y descarta cualquier problema de conducta o ansiedad.", "Depending on your daughter’s age, this could be a learning disability.  I suggest contacting the school counselor and asking for an evaluation, once she is evaluated and depending on the diagnosis, she could be provided with treatment recommendations like occupational therapy, reading glasses, or assistance in class. These and more accommodations are enforced under the 504 act. Consider if the observations that you have done are affecting her performance in school only, or also in other settings.  Observe her behavior and or her emotions and see if they change as well.  Discuss these with your daughter’s counselor as well.¿Tiene mi hija un desorden mental?Mi hija está en la escuela elemental.  Ella no puede colorear dentro de la línea.  Mezcla las palabras cuando escribe, a menos que tenga grandes espacios, o brinca las líneas.Dependiendo de la edad de tu hija esto puede ser un problema de aprendizaje.  Te sugiero que contactes al consejero escolar y solicites una evaluación, dependiendo de la diagnosis, ellos pueden recomendar tratamientos como: terapia ocupacional, lentes para leer o asistencia en clase.   Estos acomodos son provistos bajo la acta 504.  Considera si las observaciones que has hecho afectan el desempeño de tu hija en la escuela, o en otras áreas, también observa su conducta y emociones y repórtaselo al consejero escolar.", "It sounds like you are aware of your positive traits but you are struggling with someone who does not acknowledge nor celebrate your efforts or achievements.   It seems like that is affecting your inner voice, which allows you to accept yourself for who you are.My suggestion is to explore that relationship and decide if that person’s opinion should determine how you feel about yourself.   If this is an important relationship, you could communicate to this person how the lack of positive feedback is affecting you.  Then, work on spending more time with those who value you, and can give you praise, encouragement, and constructive criticism.  Also, explore your religious beliefs, and what is they say about who you are as a person.  Finally, explore with a Counselor your inner voice and try to figure out if the negative message is settling in and harming your self-esteem.   Through therapy, you could learn to self-compassion and acceptance wich will help your self esteem.¿Cómo manejo el sentirme que “no soy suficiente bueno”?Siempre me dicen que no soy suficientemente bueno o no trato lo suficiente.  Yo pongo el 100% en todo.  Estoy agotado, he trabajado en todas mis relaciones, estoy muy bien en la escuela, trato bien a las personas que lo necesitan.  Me aferro a mis creencias religiosas y dejo espacio para los errores, y aprendo de otros para no tener que cometer los mismos.  Aun así no soy suficiente y nada de lo que hago funciona, me siento desesperanzado.  ¿Alguna idea o sugerencia?Al parecer estas consiente de tus características positivas, pero estás teniendo  dificultad con alguien que no reconoce tus esfuerzos, ni logros, y eso está afectando esa voz interior que te permite aceptar quien eres.Mi sugerencia es que explores esa relación y analices si la opinión de esta persona va a determinar cómo te valoras a ti mismo.  Si es una relación valiosa, puedes comunicarle a la persona en cuestión como te afecta la falta de comentarios y opiniones positivas.   Luego enfócate en pasar más tiempo con personas que te valoran, te dan halagos, te motivan y te aconsejan.  También explora que dice tu religión sobre quién eres como persona y cuál es tu valor.  Y por último, explora con tu Consejero si ese mensaje negativo esta afectando tu autoestima.  A través de la terapia puedes aprender tecnicas auto compasión y aceptación que ayudaran a fortalecerte.", "Amy is right, you do not need to ask for permission to seek for support.  Finding that help at school or through your pediatrician could be the first step towards getting the tools to reach physical and emotional health.  Remember that the weight is only a number on the scale, but your health is determined by multiple factors.  It sounds like no matter how much you weight, there are some self-esteem issues that need to be addressed.  When we are constantly told negative messages, we end up believing them ourselves and is important to learn to recognize those negative thoughts, get them out and put positive ones in.In regards to your parents, t may be that your parents are in denial because they want to provide unconditional love, but do not have the tools to address your concerns.  At some point remind them that you would like to talk to someone about your feelings, and maybe give the opportunity to be part of that conversation.  Having a healthy support system is important, and being able to learn to communicate with them will allow you to have a healthy relationship with them as you grow into adulthood.Trough individual therapy you can work on your self-esteem and establish specific goals for self-care.  Through family therapy, you could address family dynamics, negotiate solutions to current family or individual challenges and identify ways to support each other.I am a Licensed Professional Counselor in Texas, currently providing services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.    Tengo 16 años y peso sobre 220 libras. Hace como 3 años era más delgada, pero era muy fea.  Quisiera cambiar eso, pero he intentado 3 veces.  Ahora intento pero no puedo.  En la escuela me hacen bullying por mi peso y mi fealdad, tanto que me le he creído.  Como puedo dejar de pensar e ellos y no dejar que se me metan sus ideas en la cabeza?  Mis padres me dicen que no peso tanto y que no creen que estoy [email protected]  Le dije a mis padres que necesito hablar con un terapista, pero ellos me dicen que estoy bien, yo creo que ellos no quieren lidiar con el problema.La terapista Amy tiene razón, no es necesario pedir permiso para buscar ayuda.  Encontrar un consejero escolar o hablar con tu pediatra puede ser el primer paso para obtener las herramientas que te ayudarán a alcanzar tus metas de salud física y emocional.  Recuerda que tu peso es solo un número en balanza, pero tu salud está determinada por muchos factores.   También me parece que sin importar cuanto peses, hay un problema con tu autoestima que debe ser atendido. Cuando hemos sido expuestos frecuentemente a mensajes negativos, esos mensajes se vuelven parte de nuestra mentalidad y debemos aprender a reemplazarlos por mensajes positivo. Respecto a tus padres, puede ser que ellos estén en negación porque ellos desean proveerte amor incondicional, pero no tienen las herramientas necesarias para atender tus preocupaciones. En algún momento, recuérdales lo importante que es para ti hablar con alguien sobre cómo te sientes, e invitarlos a que sean parte de esa conversación.  Es clave tener un sistema de apoyo saludable y aprender a comunicarse efectivamente con tu familia, te ayudara a tener una relación de comprensión y apoyo mutuo. \nA través de la consejería individual, puedes trabajar en mejorar tu autoestima, y establecer metas específicas para tu cuidado personal.  A través de sesiones familiares, puedes atender dinámicas familiares, negociar soluciones e identificar maneras de proveerse apoyo.Soy Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478.", "It is normal to seek other’s attention and noticing that some people would not be interested.  After all, we belong to a social environment where we constantly receive other’s feedback, which at times validates us, makes feel important and useful, like we belong; but also at times makes us feel isolated, different and neglected, which we could interpret as hate.The key is to be aware of what you think about what people think of you.   Got it?  This part can be tricky at times, because, what others think about us does not really affect us, what really affects us is what we decide to believe, internalize, and make our reality.  For example, I could choose to ignore a person’s comment about me, or I could decide to focus on it all day, analyze why they said that and what have I done to them to get to that conclusion.  Eventually, since we became so focused on that thought, we may end up believing that what the other person said about us was true, even if we did not agree to begin with.So how can we fix this?  Awareness is the key!  It is important that you understand the way you internalize external inputs, like comments, and to go through a process of discarding negative ones.  It is also helpful to talk to your counselor about how you process feedback and validation so you learn to balance your positive traits from negatives and how that affects your relationships and self-esteem.¿Cómo me puede importar menos lo que la gente piensa?Siempre siento la necesidad de impresionar a otros, ya sea mi familia, la gente de la escuela o extraños.  Y sé que no importa lo que haga o cuanto haga, siempre habrá personas que me odian.  ¿Por qué me siento así?Es común que busquemos la atención de otros y notemos que algunas personas no están interesadas.  Después de todo pertenecemos a un ambiente social donde constantemente recibimos comentarios, que a veces nos validan, alagan y nos hacen sentir como parte importante y funcional de la sociedad; pero en otros momentos nos hacen sentir aislados, ignorados y diferentes, lo cual lo pudiéramos interpretar como odio.La clave es estar conscientes de lo que pensamos que los otros piensan de nosotros. ¿Me sigues?  Esta parte puede ser algo confusa, porque lo que piensan otras personas de nosotros, no nos afecta directamente, lo que si nos afecta es lo que decidimos creer que otras personas piensan de nosotros; y luego lo internalizamos y hacemos parte de nuestra vida.  Por ejemplo,  podemos decidir ignorar lo que una persona dice de nosotros, o podemos decidir enfocarnos en ello todo el día, analizando en detalle porque lo dijeron y que hemos hecho para hacer que ellos piensen así. Eventualmente nos enfocamos tanto en ese pensamiento, que terminamos creyendo que es verdad, aun cuando originalmente no lo creíamos así.¿Entonces como lo arreglamos? La clave es concientización.  Es importante entender la manera en que internalizamos las opiniones de otros, y que pasemos por un proceso de discriminación, donde descartemos los comentarios negativos, hasta que aprendamos a ignorarlos. También ayudaría hablar con un Consejero sobre como internamente validas y descartas los comentarios y opiniones externas, y como eso puede estar afectando tus relaciones y tu autoestima.", "Believing in God is a matter of faith.  There are many opinions out there for and against God’s existence.  But the real question is not if God is real or not, but, do you want to have faith and decide that he exists?  This is a personal choice.  Reading scripture may help to learn more about those who struggle with believing, but again, you decide if you believe that scripture is true or not.   Praying and asking for a revelation or a confirmation may help as well, but again it is another act of faith. Estoy teniendo dificultad con la idea de: ¿Dios es real o no?Tal vez es una pregunta estúpida, pero algunas veces no sé que es real o no.  Siento que todo el mundo miente. ¿Cómo se si Dios es una de esas mentiras?Creer en Dios es una cuestión de fe.  Hay muchas opiniones en favor y en contra de la existencia de Dios.  Pero la verdadera pregunta no es si Dios existe, pero si tu quieres creer que existe.  Esto es una decisión muy individual.  Leer la Biblia te puede ayudar a conocer sobre algunas personas que han dudado, pero de nuevo, tu decides si las escrituras son reales para ti. Orar y pedir una revelación o confirmación es otro acto de fe, que te puede ayudar.", "Yes you can help!  Emotional and verbal abuse can cause a negative impact in your family.  It is important that you encourage your siblings to seek assistance with a therapist, and maybe help them find one, they should have school counselors available and if not our college counselor may help you to get referrals.  It’s also a good idea to talk to your mom about the issue and ask her if she would like help as well.  If you are concerned about your siblings' safety, contact Family Protective Services in your state, they will investigate and refer your father to classes or therapy as needed. It takes courage to do the right thing, you can do this!¿Hay algo que pueda hacer para ayudar a mis hermanos a escapar de nuestro emocionalmente abusivo padre?Actualmente estoy en la universidad, así que no soy victima directamente.  Mi padre es muy abusivo con sus palabras y acciones, y trata a mis hermanos horriblemente.¡Tu si puedes ayudar!  El abuso emocional y verbal puede causar daños graves en la familia.  Es importante que motives a tus hermanos a visitar e incluso encontrar a un terapista, la escuela debe tener uno disponible, y también puedes pedirle referidos a tu Consejero universitario.  También es buena idea que hables con tu mama al respecto y le preguntes si a ella le gustaría buscar ayuda.  Si te preocupa la seguridad de tus hermanos, contacta a el Departamento de Protección a la Familia en tu estado para reportar el abuso.  Ellos investigaran y determinaran si el hogar es un ambiente seguro par tus hermanos y recomendaran terapia o clases para tu papa.  Hay que ser valiente para hacer lo correcto, ¡tú puedes hacerlo!", "Awareness is the first step.  Now that you know that you snap and push people away, you can look into ways to control your anger.  If you give yourself the time to analyze why you experience anger, you will discover that there are other feelings underneath;  shame, frustration, disappointment, and fear are some of the feelings that we cover with anger when we are not ready to deal with them or don’t know how to express them.  So next time you feel angry, even if you snap (with practice you will be able to identify them ahead of time), identify why you are angry, and try to express it out loud.  A therapist can help you to learn assertive communication skill using examples drawn from your daily experiences.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.¿Cómo puedo controlarme y a mi coraje?Exploto fácilmente y alejo a las personas.  Necesito ayudo antes de hacer que mi novio se aleje.Tener conciencia de la situación es el primer paso.  Ahora que sabes que explotas y alejas a las personas, puedes buscar maneras de controlar tu enojo.  Si te das tiempo para analizar porque te da coraje, descubrirás que hay otras emociones escondidas, la vergüenza, la frustración, la decepción y el miedo son algunas de las emociones que cubrimos con coraje cuando no estamos listos para revelarlas, procesarlas o expresarlas.  Así que la próxima vez que estés a punto de explotar, o cuando ya hayas explotado (con la practica uno aprende a identificarlas de antemano), identifica por que estas enojada e intenta expresarlo en voz alta. Un consejero te puede ayudar aprender técnicas de comunicación asertiva usando ejemplos de tu vida cotidiana.Si te gustaría hacer terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478.", "I need help controlling my anger.Anger is like a blanket that contains other emotion from bursting out and serves as a shield to protect us when we are not able to manage external issues.   Anger also helps us understand that there’s something wrong that needs to change.  Once we understand that something else caused us to feel angry, then we can explore the source of anger. Ask yourself: Why am angry, Am I hurt, disappointed, confused, embarrassed etc.?  Once you find the answer, explore how often that happens and what’s your reaction.  Then explore how else you could respond or react.  You could use I-statements as a way to communicate your true feelings to your girlfriend or whoever is involved in the scenario.  This is a good exercise to practice with your Counselor or mental health provider because many unresolved issues may arise during this exploration, especially if you have been angry for a long timeAlso, it is important to understand the difference between anger and aggression and learn to manage our anger before we act on it.  Anger is a feeling; aggression is when you act out your anger physically, verbally and psychologically.  Find ways to vent: crying or sweating will help to release your anger, and balance the chemical response that our body creates when you become angry.  Physical activity and meditation exercises can also provide a break when you manage strong emotions.Necesito ayuda para controlar mi coraje.El coraje es como una manta que cubre otras emociones evitando que se desborden y sirve como un escudo que nos protege cuando no podemos manejar problemas externos.  El coraje también nos ayudo a entender que hay algo mal que debemos cambiar.  Cuando entendemos que algo mas causo el coraje entonces podemos explorar la fuente.Pregúntate a ti mismo: ¿Por qué tengo coraje, estoy herido, decepcionado, confundido, avergonzado, etc.?  Ya que encuentres la respuesta, explora cuan frecuente tienes esa reacción.  Luego explora como puedes reaccionar en otra ocasión.  Puedes usar expresiones del Yo para comunicar tus verdaderos sentimientos a la persona envuelta en la situación.  Esto es un buen ejercicio para practicar con tu Consejero o profesional de la salud mental ya que otros conflictos sin resolver pueden surgir durante este proceso de exploración.También es importante entender la diferencia entre el coraje y la agresión, y aprender a manejar el coraje antes que actuemos.  El coraje es un sentimiento y la agresión es cuando expresas tu coraje agrediendo a alguien, física, emocional o sicológicamente.  Encuentra maneras de desagotare, llorar o sudar te pueden ayudar en este proceso al balancear la respuesta química que crea el cuerpo cuando estamos molestos.  El la actividad física y la meditación también pueden ayudarte a relajarte y tomar un descanso cuando manejas emociones fuertes.", "Every area in a relationship, including intimacy,\nexperiences a decline after the initial honeymoon period.  Couples have to work to maintain the spark.  Find a moment to talk to your husband about\nyour concerns, and suggest ways to rekindle your sexual life, be open to listen\nto his concerns and demands as well.  But\ndon’t forget that sex the fun part of being with someone, play, flirt, joke and\nkeep looking for ways to continue falling for each other.  Mi esposo solo tiene relaciones\nconmigo una vez al mes o menos.  Me\nsiento rechazada y frustrada.  Esto no es\nnuevo.  El primer mes que estuvimos\njuntos, teníamos sexo casi todos los días. \nLuego se redujo a una vez por semana. \nAmo a mi esposo, pero esto me causa dificultad.Todas las áreas\nde una relación, incluyendo la intimidad, sufren altas y bajas luego del\nperiodo de la luna de miel.  Las parejas tienen\nque trabajar para mantener la chispa.  Encuentra\nun momento para hablar con tu esposo sobre tu preocupación, y sugiere maneras\nde reencender su vida sexual, está atenta a escuchar sus preocupaciones y\nsugerencias al igual.  No olvides que el\nsexo es una de las partes más divertidas de una relación, jueguen, coqueteen,\nbromeen y continúen buscando maneras de enamorarse otra vez.", "Clearly you seem interested in being other people, and you are also concerned about your husband being unfaithful online.  But it seems like there is something that keeps you with your husband.   And I have so many questions for you: What are you looking for outside of your marriage?  Are you willing to give that up if your husband is not able to provide it?  Do you want to stay together and make it work? Do you want to open the lines of communication with your husband, so you could analyze the situation together?I suggest attending couple’s therapy or even couple’s mediation to assess and discuss where you want to go whit your relationship.  It will also help to establish healthy lines of communication, where you could express the pros and cons of the relationship, analyze if you are willing to work to stay together, or have some closure and process a separation. I provide a combination of counseling and mediation in couple's therapy, you can call 787466-5478 to make an appointment.¿Deberé divorciarme?Le he sido infiel a mi esposo al menos diez veces en los últimos cinco años.   En el trabajo pretendo que no soy casada.  Recientemente se fijo, pero mentí para cubrirlo. El hablaba con mujeres por el internet, pero yo he tenido varias aventuras.Claramente tu estas interesada en ver a otras personas, y estas preocupada de que tu esposo haya sido infiel.  Pero al parecer hay algo que aun sostiene la relación.  Tengo varias preguntas para ti: ¿Que estas buscando fuera de tu matrimonio?  ¿Estás dispuesta a dejar lo que encuentras fuera del matrimonio, si tu esposo no puede dártelo?  ¿Quieres quedarte con él y hacerlo funcionar? ¿Te gustaría abrir las líneas de comunicación con tu esposo, para que puedan analizar su relación?Les sugiero hacer terapia de pareja o inclusive mediación, para asesar y discutir a donde quieres llegar con tu relación.  También les ayudaría a re-establecer líneas  de comunicación de manera que puedan expresar los pros y contras de estar juntos, ver si pueden trabajar para mejorar su matrimonio o partir amigablemente.  En mi consultorio proveo una combinación de consejería de pareja y mediación, puede llamar al 787-466-5478 para una cita.", "There’s a difference between what you want, what you need and what you have. Being able to assertively identify express your wants and needs to your boyfriend may be helpful in times of negotiation. Often couples focus on recounting all the negative traits and issues when is time to negotiate and that impairs the ability to explore and find solutions objectively.You could use couples mediation to learn assertive communication skills and filter the information needed to resolve or negotiate a solution. Mi novio no transa conmigoÚltimamente, mi novio y yo hemos tenido muchos desacuerdos. Todo se debe al hecho de que queremos cosas diferentes.  Yo hago mucho por él, lo cuido y protejo, y al final, el no confía en mí.  Ambos hemos llegado a la conclusión que cuando yo quiero algo que él no quiere, él no está dispuesto a encontrar el punto medio.  No es negociable.  No estoy segura de que hacer. El no confía en mi tanto como quisiera que lo hiciera, a veces siento su enemiga y eso me mata. Hay una gran diferencia entre lo que quieres, lo que necesitas y lo que tienes.  Poder identificar y expresar asertivamente lo que quieres y necesitas en tu relación te ayudara en los momentos de negociación.   Muchas veces las parejas se enfocan en recontar todos los problemas y características negativas a la hora de negociar, y eso les impide hablar claramente del problema presente e identificar soluciones específicas.Pueden usar la mediación de parejas para aprender técnicas de comunicación asertiva y tener asistencia filtrando e identificando la información que les ayudara a resolved o negociar una solución al problema.", "Do you want to be upset about a girl that he forgot about?  Think about it for a minute.  Do you want to measure your trust based on knowing how many female co-workers your husband has?  And if so, what does that say about your marriage?  Trust is something that we earn based on our actions and the actions of people we interact with; it’s also based on our ability to communicate and understand what we value and have in common.  If you are focused on every little detail around your relationship, it may turn into an unhealthy obsession and it may harm your relationship more.   If instead you focus on opening the lines of communication, let him know what you expect from him, and discuss how you could both build trust again, you may become closer and give your relationship the opportunity to grow.  ¿Debería este molesta porque mi esposo me mintió de nuevo?Estoy tratando de hacer que mi matrimonio funcione después de una separación.  Antes de separarnos el mentía mucho y rompía todas sus promesas.  No creo que me haya sido infiel.  El mes pasado, le pregunté cuantas mujeres trabajan con él, y él me dijo.  Ayer, me enteré que se olvido de una muchacha.  ¿Debería estar enojada?¿Quieres estar molesta porque se le olvido con cuantas mujeres trabaja?  Piénsalo por un momento.  ¿Quieres determinar la confianza que le tienes en tu esposo basándote en su capacidad de reportar la cantidad de mujeres que trabajan con él?  Si tu respuesta es sí, ¿qué refleja eso sobre tu matrimonio?  La confianza es algo que se gana basado en nuestras acciones y las de aquellos con quienes interactuamos; también en nuestra habilidad de comunicar y entender los valores que tenemos en común. Si practicas estar preocupada por cada pequeño detalle en tu relación, esto se puede convertir en una obsesión que potencialmente dañara tu relación.  Si en cambio te enfocas en abrir las líneas de comunicación, le dejas saber lo que esperas de él y discuten cómo pueden trabajar juntos para recuperar la confianza, pueden volverse más cercanos y darse la oportunidad de que la relación crezca.", "First things first!  Friendships that develop in times of struggle may be a great emotional support, but also become confusing there's sexual attraction. And entertaining a tough is only going to make it a stronger target.  Careful with that friendship! You do not want to fill your marriage's void with another person.  Even when you are in a friend zone and not having intimacy with this person, you may be developing a special bond, sharing interest and activities that may lead to a deeper connection.  Ask yourself how you would feel if your spouse was having a friendship like that.Then try to refocus on your marriage. I suggest being transparent and talking to your wife about your feelings and concerns.  Ask her what you could do to reconnect, make some suggestions and dedicate time to practice them.  Make time in both of your schedules, make an effort to have lunch together, or to text during the day.  Remember that a marriage is like a very good friendship with benefits, but sometimes the responsibility kills the fun.¿Cómo puedo volver a enamorarme de mi esposa?Mi esposa trabaja tarde casi todos los días, la amo con todo mi corazón, pero no siento la intimidad como antes.  Ya no tenemos sexo, lo cual me molesta tremendamente.  Me he acercado a una amistad del trabajo, lo cual no ayuda.  Nada pasara, pero hay pensamientos al respecto.Primero lo primero! Las amistades que se desarrollan en momentos de crisis pueden ser un gran apoyo emocional, pero también pueden convertirse en algo nebuloso cuando hay atracción sexual. Entretener pensamientos al respecto solo lo va a hacer un reto más grande.  ¡Ten cuidado con esa amistad! No quieres llenar el vacío que deja tu matrimonio con esta nueva persona.  Aunque no estés teniendo intimidad con esa persona, puedes estar creando una conexión especial, compartiendo intereses en común y actividades que los unen más aun. Pregúntate como te sentirías si tu esposa tuviera una amistad así.Intenta reenfocarte en tu matrimonio.  Sugiero que seas transparente con tu esposa y le dejes saber tu preocupación y como te sientes con el distanciamiento.  Pregúntale que le gustaría hacer para reconectarse, sugiérele algunas ideas y dediquen tiempo a las mismas.  Hagan tiempo en sus agendas para ustedes, hagan un esfuerzo para almorzar juntos, y comunicarse durante el día, aunque sea con textos.  Recuerda que el matrimonio es como una muy buena amistad con beneficios y muchas veces las responsabilidades matan la diversión.", "After eight years and two children’s, people change.  I suggest to talk to him about how you feel, let him know that although he is gone for a long time, his presence as a husband and father are required and important.  Ask him if he will be willing to engage again and how he would like to do so.  Many times when the dads are away, moms design a perfect routine and they feel like they will disturb it.  Make alone time and family time for him, so you can reconnect as a couple and then as a family.¿Cómo trabajo con un esposo que solo contribuye económicamente?Mi novio de ocho amos y padre de mis dos hijos es camionero. El nunca está en casa y solo contribuye financieramente. No provee apoyo en ninguna otra forma. El viene a casa cuando puede, duerme, provee dinero y se va otra vez. No puedo lograr que haga nada conmigo y los niños. Solo duerme y trabaja.Después de ocho años y dos hijos las  personas cambian.  Te sugiero que hables con tu pareja sobre cómo te dientes, déjale saber que aunque el esta fuera la mayoría del tiempo, su presencia como pareja y padre es requerida e importante. Pregúntale si el está dispuesto a comprometerse  ser parte activa de la familia y como lo haría.  Muchas veces cuando los papás están afuera las mamás desarrollan rutinas que luego ellos no quieren interrumpir.  Crea tiempo a solas para dedicarle a el para que puedan reconectar como pareja y luego como familia.", "My wife won't do things she used to doThere are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.Like we often hear, communication is the key to a good relationship.  Intimacy in the marriage is something we take for granted, and we rarely communicate about it. I noticed how you mentioned that she had “once agreed to try” things; did you ever asked if she enjoyed those things or would want to repeat them.  Have you asked if she would like to try new things as well?What if, you work on improving your communication with your wife? One thing to consider is the status of your relationship.  Are you in good terms with each other? Are you or your wife going under a stressful situation?   Many times when we have problems we reflect it in multiple areas, including our intimacy or lack of it.  Listen to her; ask how you can support her.  Find ways to reconnect as a couple, relax, have fun, and do things that you used to enjoy, or discover new interests together.Then you can focus on having conversations about your intimacy.  You could star by letting her know that you are concerned about your romantic life, and ask if you do anything that she likes or dislikes.  Remember this is a two-way street, you should be ready to listen and ready to share.  Take in consideration what she mentions, and work on resolving those issues.  It is important that you praise each other as you progress and do this in a loving and supportive way, avoiding hurtful comments. If you continue to struggle, or seems difficult to engage in communicating with your wife, consider couples therapy or individual therapy to work on communication skills.Mi esposa no hace las cosas que solía hacerHay cosas intimas que ella hacia al principio de nuestra relación, y cosas que alguna vez ella estuvo de acuerdo en probar y que ahora no hace.  Yo  me paso pensando en eso todo el día.  Me siento rechazado y pienso que me case con la persona equivocada.Como tanto escuchamos, comunicación es la clave para una buena relación.   La intimidad en el matrimonio es algo de damos por hecho y rara vez nos comunicamos al respecto.  Noté como mencionas que alguna vez tu esposa “estuvo de acuerdo en probar” algo.  ¿Alguna vez le preguntaste si le gusto lo que probo, o si quería repetirlo?  ¿Le has preguntado si ella quisiera intentar algo nuevo o diferente?¿Y qué tal si trabajas en mejorar la comunicación con tu esposa?Un aspecto a considerar es si hay alguna tención en el matrimonio.  Si están pasando por una situación tensa en su matrimonio o algún otro aspecto de su vida, lo pueden estar reflejando en su intimidad, o la falta de la misma.  Escúchala, pregunta cómo puedes darle apoyo.  Encuentra maneras de reconectar en pareja, relajarse, divertirse, y hacer cosas que antes disfrutaban, o descubrir nuevos intereses juntos. Si demuestran que son importantes uno para el otro y apoyan sus necesidades, se unirán más y disfrutaran de su tiempo intimo.Luego trabaja en tener conversaciones sobre la intimidad.  Puedes empezar por dejarle saber que te preocupa la vida romántica preguntarle si hay algo que a ella le agrada o desagrada al respecto. Recuerda que esto será beneficioso para los dos, tú debes estar preparado para escucharla, y compartir tus preocupaciones.  Toma en consideración lo que ella mencione, y trabaja en resolver o eliminar esas conductas.  Es importante que se alaguen y animen en el proceso, que este sea un proceso de apoyo y crecimiento y que continúen teniendo esta conversación frecuentemente.Si continuas teniendo dificultad o no sabes cómo comunicarte con tu pareja, considera terapia de pareja como una alternativa, o incluso consejería individual para trabajar en tus destrezas de comunicación.", "This is a question that I often get from patients.  Can I get my family into therapy? How can I get someone else to do something that I think is best for them?  The answer is you can suggest, but you can’t force them.  I spend a lot of time teaching my patients the importance of recognizing the difference between the things that we can change and the things or people that we cannot.   Understanding that we do not have control over other’s outcome, gives a break to breathe and reduce our anxiety.   It also helps up to recognize that we CAN create change by changing ourselves.  “BE  THE CHANGE YOU WANT IN YOUR LIFE”. Have you heard that quote?  It means that by changing your thinking, what you say and your actions, you can impact your surroundings.  Talking to your parents about how you feel regarding your family dynamics and suggesting in a sensitive and loving manner that therapy may be helpful for all of you, is a good way to approach the subject.  Whether or not they receive the suggestion seek your own therapy, talk to them about your experience and show them with your actions how your life is moving beyond family issues. I am a Licensed Professional Counselor in Texas, currently providing services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.    ¿Cómo encuentro un terapista para mi familia siendo yo un menor?Soy adolecente.  Toda mi familia necesita terapia familiar y probablemente terapia individual.   Mis padres se reúsan a tomar acción,  estoy cansado de esto.  ¿Hay alguna manera en que me pueda salir de esta situación?Esto es una pregunta que comúnmente recibo de mis pacientes.  ¿Puedo hacer que mi familia venga a terapia?  ¿Cómo puedo lograr que otras personas hagan lo que yo creo que es mojos para ellos?  Puedes sugerir, pero no puedes obligarlos.  Dedico mucho tiempo en enseñarles a mis pacientes la importancia de reconocer la diferencia entre las cosas que podemos controlar y las cosas o personas que no podemos controlar.  Al entender que no tenemos control sobre otros, nos permite relajarnos y reducir la ansiedad.   También nos ayuda a reconocer que podemos crear cambios cuando decidimos cambiar nosotros.   “SE EL CAMBIO QUE QUIRES EN TU VUDA” ¿Has escuchado esa frase?  Significa que cambiando lo que piensas, dices y tus acciones, puedes cambiar tus circunstancias.  Hablar con tu padres sobre cómo te sientes en respecto a la dinámica familiar, y sugerirles de manera sensible que pueden recibir ayuda terapéutica, puede ser la mejor manera de iniciar la conversación. Pero si reciben o no tu sugerencia, es importante que busques iniciar tu proceso de terapia, háblales de tu experiencia y demuéstrales con tus acciones como superas los obstáculos más allá del drama familiar.\nSoy Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478.", "It seems like you are going trough stages of grief, since the inability to see your father causes you similar feelings as if you had lost him.  Perhaps you could send him letters expressing your feelings and hopes.  But do understand that if he is under the influence of drugs he might not be able to empathize with your feelings or react in the way that he would have done so in the past.  As the issue evolves find a therapist or counselor to help you work on letting go of that anger and stress, which may affect you negatively.  Find forgiveness so you can have a relationship with him in the future.  ¿Qué puedo hacer con mi padre usuario de drogas?Mi papa está usando drogas muy malas, y no estoy autorizada a verlo por lo que me puede hacer a mí y a mis hermanos.  Esto afecta mi vida tremendamente.  Me causa coraje  estrés.Parece que estas pasando por estados de luto, ya que el no poder ver a tu padre causa sentimientos similares a cuando hay una perdida.  Tal vez puedes escribirle cartas expresando tus sentimientos y esperanzas.  Pero comprende que si el está bajo la influencia de drogas puede que no sienta empatía o te responda como lo solía hacer.  Mientras el problema se resuelve busca un consejero o terapeuta que te ayude a trabajar en resolver los sentimientos de coraje y estrés, trabaja también en perdonarlo para que puedas tener una relación con él en el futuro.", "How can I get my mother to listen to me without her freaking out?Communication with our loved ones can be tricky, but it is the key to maintaining a healthy and functional relationship with them. At times, it seems difficult to communicate with our family because many feelings and “undercover” messages are attached. Especially with our mothers, who often provide advice and feel responsible for us, it may feel like they are making everything about themselves as they express their worries and concerns.So what to do? First will be important to practice active listening skills, to ensure that you are receiving and understanding the message, without filtering it trough your own emotions or preconceptions of the person who speaks.  Second, learn and practice assertive communication skills.  Those will help you to communicate a message clearly and in pieces.  It also emphasizes using I-statements to express how you feel at times when emotions become affected by the interaction.  Third, you should practice, by writing your I-statement or role playing with your counselor.   The trick with communication skills is that we need to practice them as often as possible until you to master them.  You can also contact a family therapist to improve those skills if it becomes challenging, or contact a mediator if more issues arise.¿Cómo puedo lograr que mi mamá me escuche sin alarmarse tanto?La comunicación con nuestros seres queridos puede ser dificultosa, pero es la clave para mantener relaciones saludables y funcionales con ellos.  A veces, nos parece aun más difícil comunicarnos con nuestra familia, porque hay muchos sentimientos y mensajes envueltos en la comunicación.  Especialmente nuestras  madres,  pueden hacer parecer que están convirtiendo el asunto en algo personal, cuando se sienten preocupadas y responsables por nosotros y nuestras acciones.¿Y qué hacemos?  Primero debemos aprender a escuchar activamente, para asegurarnos de que comprendemos el mensaje, y que no lo estemos filtrando a través de nuestras emociones e ideas de la otra persona. Segundo, aprende y practica comunicación asertiva.  Esto te ayudara a comunicar un mensaje claramente y en pedazos.  También te ayudar a aprender expresiones del Yo, para identificar sentimientos afectados durante la interacción.  Tercero, es importante que practiques estas destrezas, ya sea escribiendo o con tu consejero.  El secreto está en practicar las técnicas de comunicación cuantas veces sea posible, hasta que las uses espontáneamente.  Si tienes dificultad aprendiendo estas técnicas, o el conflicto con tu mama es uno muy difícil de resolver, puedes contactar un consejero o mediador familiar para que te asista.", "At the begin g of marriages, we expect to be living on an eternal honeymoon, but the reality can be different.  This is a process of adaptation, even if you had known your better half for a long time, during the first months and years of marriage you go through a process of settling in your new roles and confront new challenges together that as you resolve become new rules and agreements.Yes, you can work this issues by practicing assertive communication, being clear with each other about what is the problem, how you feel about it and how would you like to resolve it.  Learn to close arguments with resolutions, and reminding that you care about each other, that’s why you choose to be together.  Discuss your roles and expectations, this is normally done over a marriage preparation class, is never too late to sit down a talk about what you want and look for in a husband/wife and clarify your roles and rules. Find couples therapist who mediates communication and helps both of to you learn assertive communication skills and conflict resolution. ¿Cómo puedo arreglar mi matrimonio?He estado casado por tan solo tres meses.  Cada semana discutimos sobre algo y parece ponerse cada vez peor.Al inicio del matrimonio, esperamos vivir una eterna luna de miel, pero la realidad es diferente.  Es un proceso de adaptación, sin importar por cuánto tiempo hayas conocido a tu pareja.   Durante estos primeros meses se definen los roles en el matrimonio, también enfrentan nuevos retos juntos que según resuelven se convierten en reglas y acuerdos.Sí, puedes resolver estos problemas practicando comunicación asertiva. Deben aclarar sobre cuál es el problema, como se sienten al respecto y como lo quieren resolver.  Aprendan a resolver las discusiones con decisiones claras y recordando que si les importan uno al otro, y por eso decidieron estar juntos en primer lugar.  Discutan sus roles y expectativas, regularmente esto se hace durante clases de preparación matrimonial, pero nunca es tarde para hablar sobre lo que les gustaría que fuera su matrimonio y lo que esperan de su pareja, así clarifican los roles y reglas que aplicaran a su unión.Encuentren un consejero matrimonial que les ayude a mediar los problemas de comunicación y les ayude a aprender destrezas de comunicación asertiva y resolución de conflictos.", "Both options seem reasonable.  Seeking individual therapy will help you to cope with the mood changes that come with bipolar disorder, will give you a space to vent your negative thoughts, and will allow you to find the coping mechanism to address life and relational challenges.  IF your boyfriend is interested in attending couples therapy with you, it will assist in identifying the problems in the relationship that pushed him to the breakup and will give both of you the tools to communicate and resolve conflicts.I am a Licensed Professional Counselor in Texas, currently providing individual, couples, and family therapy services in West Houston.  You may reach me at 787-466-5478 to schedule an appointment.    ¿Debería buscar ayuda yo sola o junto con mi novio?Mi novio me dejo recientemente por ser mal hablada.  El piensa que soy una p***a.  Yo sé que soy bipolar y que puedo ser egoísta.  El me llamo hoy para decirme que no puede continuar separado.  Yo estaba destruida y no quería que nos dejáramos desde el inicio, pero se lo horrible que puedo ser a veces y que no lo puedo evitar.  Es como si estuviera en guerra conmigo misma.  ¿Qué piensas?Ambas opciones son razonables.   Buscar terapia individual te ayudara a manejar los cambios de estado de ánimo que son partes del desorden bipolar, también te dará espacio para ventilar los pensamientos negativos y encontrar herramientas para enfrentar problemas relacionales y de la vida diaria.   SI tu novio está interesado, también pueden asistir a terapia de pareja para poder identificar las razones de la separación, y obtener las herramientas apropiadas para  comunicarse apropiadamente y resolver conflictos. \nSoy Consejera Profesional Licenciada en Texas y Puerto Rico, veo clientes en el este de Houston y proveo servicios de tele terapia.  Para una cita puedes llamar al 787-466-5478.", "I agree with Sherry, it is OK to give the answer that you feel most familiar with.  The most important part is not who people think you are, but that you know who you are.  Read about gender identity and fluidity.  Discovering the answer is a process, don't rush it to comply with others either way.  If you feel that this is a constant issue that keeps you awake and keeps you from enjoying your life, consider going to a therapist to discuss your feelings and concerns. ¿Qué significa que yo me sienta como diferentes géneros?Nací como niña. Me veo como niño.  A veces siento como una variación diferente de género.  No sé qué decirle a otros cuando pregunta que soy.  Me siento confuso y solo digo mi genero de nacimiento. Estoy de acuerdo con Sherry, está bien dar la respuesta que se sienta más cómoda.  La parte más importante no es quien las otras personas piensen que eres, sino quien tú piensas que eres.  Lee sobre el tema de identidad de género y fluidez de género.  Descubrir tu género puede ser un proceso, no lo apresures para complacer a otras personas.  Si sientes que este tema te esta quitando el sueno y te impide disfrutar tu vida, habla con tu consejero sobre tus sentimientos y preocupaciones.", "Voices and dreams could be suppressed feelings or thoughts that result from negative experiences.  Many times when people go to trough traumatic incidents or changes in their lives without being equipped to manage them and as a result they start having similar symptoms. It is helpful to find a therapist to talk to about those dreams and voices, once you get them out, you could analyze the concerns and fears that they reflect and normalize them, which will also be a good time to discuss their source, if any traumatic event has occurred in your life.  Also, I recommend to journal your dreams, especially if they keep you awake at night, and meditate after, so you could go back to sleep.   ¿Cómo puedo hacer que los sueños y las voces desaparezcan?Durante las últimas cuatro semanas he estado teniendo pesadillas y escuchando voces que me dicen cosas horribles.  No son voces que hablan al azar, pero voces de las personas que me importan.Las voces y los sueños pueden ser sentimientos supresos o pensamientos que resultan de experiencias negativas.  Muchas veces estos síntomas surgen cuando las personas pasan por situaciones traumáticas o cambios que no estaban preparados para enfrentar.  Es útil encontrar a un terapeuta con quien puedas hablar de esos sueños y voces, y aprender a normalizar el contenido de los mismos.  También sería un buen momento para discutir cualquier situación traumática que te haya ocurrido. Además te sugiero que escribas tus sueños, especialmente si te mantienen despierto  en la noche, y que medites luego de escribirlos para que puedas volver a dormir.", "Obsessive Compulsive Disorder can be similar to anxiety disorders, assuming that you have already been diagnosed with OCD, it is important that you learn to identify the symptoms, the triggers and how to manage them. Different types of treatment have proven successful, among them Cognitive Behavioral therapy can help you to understand the source and thought patterns that cause the behavior,  Exposure therapy could help you to manage the obsession by interacting with the objects that are the source of obsession. Other creative therapy techniques may help you to manage symptoms and help you to relax when triggered. ¿Cómo manejo el OCD (Desorden Obsesivo Compulsivo)?El Desorden Obsesivo Compulsivo puede ser similar a otros desordenes de ansiedad.  Asumiendo que ya has sido diagnosticado por un profesional de la salud mental, el próximo paso es aprender sobre el desorden.  Es importante comprender los  síntomas relacionados con el desorden, y que en particular los causa, ya que identificamos los causantes de los síntomas podemos aprender a manejar o reducirlos.Se recomiendan diferentes tratamientos, entre ellos: Terapia Cognitiva Conductual te puede ayudar a comprender la causa que activa los patrones obsesivos y ayuda a corregir los patrones mentales y errores de pensamiento.  La terapia de Exposición te ayuda a procesar pensamientos y emociones según interactúas con los objetos o actividades de obsesión.  Otras técnicas de Terapia Creativa te pueden ayudar a reducir síntomas, y relajarte cuando estas expuesto a los mismos.", "To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basis, depending on the frequency of the appointments.  Once the therapy goals have been met, there is a closing session, the counseling relationship is ended, and the client can stop attending sessions.  In some cases, the client can also establish new goals and determine if I am a good fit for their therapy needs or if they need a new provider, in which case I provide multiple referrals.The counseling relationship could also end due to other factors like noncompliance= when a client is not committed to the agreed treatment process, or when the client’s or a counselor violates the counseling relationship.  Either the counselor or the client is able to end counseling.  Although, as mental health providers we need to provide a reason for terminating our therapeutic relationship and referral options, as a client no explanation is needed, a closing session is highly recommended.  ¿Cómo termina la terapia?¿Cómo un consejero decide cuando terminar las sesiones de consejería o terminar de trabajar con un paciente?Para poder determinar el final de la relación del consejero, debemos comprender las metas y parámetros de la terapia.  Usualmente durante la evaluación inicial se identifican metas a corto y largo plazo con el cliente, y se discute con el cliente como esas metas serán alcanzadas.  Durante el proceso de terapia el consejero revisa las metas mensual o trimestralmente dependiendo de la frecuencia de las citas.  Ya que las metas de terapia son alcanzadas, hay una sesión de cierre y el cliente puede terminar la terapia.   En algunos casos el cliente puede identificar nuevas metas para la terapia y determinar si el mismo consejero u otro consejero le pueden asistir. \nLa relación de consejería también puede terminar por no conformar o violentar los parámetros  establecidos para la terapia.   Tanto el consejero como el cliente pueden terminar la relación de terapia.  Como proveedores de salud mental los consejeros estamos obligados a proveer un razón para la conclusión del tratamiento y proveer referidos según aplique, los clientes no necesitan proveer una explicación, aunque es recomendable discutirlo en una sesión de cierre.", "Interpersonal relationship (either positive or negatives) need to or more persons who give and receive: attention, dedication, time and communication. But what makes friendships special is that they last trough time, at least with those who we call our true friends, those who know us well and whom we have a special connection and those from whom we disconnect at times, without fear of losing them.Consider what is that you are going trough yourself and with your relationship, talk to your friend about your concern; let him (her) know that you would like to spend more time together.  Plan an activity that you both enjoy or try to discover a new hobby. If your friend is not enthusiastic or engaged, give him (her) some time and focus your energy spending time with other friends or enjoying activities in solitude. After a waiting period, call again to let your friend know how you are and that you are still a friend.   If you continue feeling rejected, analyze why you value this relationship so much and consider if it’s worth to maintain it.Mis amigos no ponen esfuerzo en nuestra relación.Es muy difícil no tenerles sentimientos negativos a amigos que no se esfuerzan en cuidar nuestra relación.Las relaciones interpersonales (negativas positivas) necesitan dos o más personas que den y reciban: atención, dedicación, tiempo y comunicación.  Pero lo que tienen de especial las relaciones de amistad es que perduran a través del tiempo, al menos con los que llamamos nuestros verdaderos amigos, los que nos conocen bien y con quien tenemos una conexión especial, y de quienes nos desconectamos en ocasiones, sin miedo a perderlos. Considera que está sucediendo contigo y en tu amistad, conversa con tu amigo(a) sobre tu preocupación, déjale saber que te gustaría pasar más tiempo juntos.  Planifica alguna actividad que les interese a ambos o descubran algún nuevo interés.  Si la respuesta de tu amigo(a) no es positiva o entusiasta, dale tiempo y acércate a otras personas que compartan intereses en común, o dedícate a hacer cosas que disfrutas en solitud.  Después de un plazo,  vuelve a comunicarte para saber como esta, y dejarle su amigo(a) de siempre está ahí. Si sientes que tu amigo(a) no tiene ningún interés, buscar hacer nuevas conexiones, y enfócate más en ti y en otras actividades.  Si tu amigo(a) no responde, analiza porque valoras esta relación, y si conviene mantenerla, aun cuando tu amigo(a) no responde a tus esfuerzos.", "Different Licensed Professionals are trained to use different types of tests and interviews to identify symptoms and draw a diagnosis.  In Counseling we use an interview evaluation that considers person's physical and mental health, plus their social and economical environment in combination with Psychological testing.  The evaluation process usually takes the first two sessions, depending on how many persons are interviewed and what type of assessments are provided. ¿Cómo se diagnostica a una persona?Diferentes Profesionales Licenciados están entrenados para usar diferentes tipos de exámenes y entrevistas para identificar síntomas y diagnosis.   En el área de consejería utilizamos un proceso de entrevista que considera la salud física y mental de una persona,  su ambiente socio económico, en combinación con exámenes psicológicos.  El proceso de evaluación normalmente toma las primeras dos sesiones, dependiendo de cuantas personas sean entrevistadas y de qué tipo de evaluación se utilice.", "Experts have defined counseling as a healing relationship that helps patients by providing a space to vent, process and receive unconditional support.  Many of my clients have expressed that they are able to find their own answers during the session, because they have the right person listening to them.  Some thought they were safe sharing their concerns with friends or relatives who are good listeners, but later they felt ashamed or guilty about what they shared.  So why people should share private issues with a Counselor (a stranger)?  Confidentiality is the key word.  A good counseling relationship should provide a space where people are able to share their deepest thoughts and feelings, allowing themselves to be vulnerable and explore those emotions that are difficult to share without implications.  Beyond the ability to provide a safe place, counselors are trained to identify symptoms and behavioral patterns, and can provide insight on how develop coping mechanisms to improve their life.I am a License Professional Counselor working on a private practice in Puerto Rico: Latitude Counseling, and also I’m licensed in Texas, where I provide theletherapy services.  If you would like to learn more about the services available, you may call 787-466-5478 or visit www.latitudecounseling.com¿Cómo la consejería ayuda a las personas?¿Realmente la consejería hace algo para ayudar a otros?Expertos definen la consejería como una relación sanadora que ayuda a los pacientes proveyéndoles un espacio para ventilar, procesar y recibir apoyo incondicional.  Algunos de mis clientes han expresado que son capaces de encontrar las respuestas a sus problemas durante la sesión de consejería, porque tiene a la persona indicada escuchándolos.   Otros cuentan que se sentian seguros compartiendo sus preocupaciones con su familia o amigos, pero esas preocupaciones afectaron sus relaciones negativamente, o los dejaron con sentimientos de culpa. Así que, ¿Por qué deben las personas compartir asuntos privados con consejero, (un extraño)?  Confidencialidad es la clave.  Una buena relación de consejería debe proveer un espacio donde las personas puedan compartir sus más íntimos pensamientos y sentimientos, permitiéndoles ser vulnerables y explorar esas emociones que son difíciles de compartir sin consecuencias. Mas allá de proveer un espacio seguro, lo consejeros profesionales estamos entrenados para identificar síntomas, patrones de conducta, y proveer perspectiva en cómo desarrollar los mecanismos de defensa necesarios para mejorar la calidad de vida.Soy Consejera Profesional Licenciada en Puerto Rico, donde practico a través de Latitdue Counseling, también estoy licenciada en Texas, donde proveo servicios de teleterapia.  Para más información llame al 787-466-5478 o visite www.latitudecounseling.com" ]

[ "Endings in relationship are difficult, and my heart goes out to you. It is difficult to start again, but not impossible. After a break up we may loss our identify and grieve what could have been, and some other aspects that are brought up to the surface. You recognize that you have become needy and unsure. I wonder, if you have grieved properly. The end of a relationship can trigger our inner insecurities, and I think it would benefit you to go within yourself and explore where are these feelings coming from.  Your anxiety may be trying to tell you something that you needs your attention. This is work that you need to take time with, and I am not sure other entanglements helps you to heal or distract you from going deeper into healing regardless of your status, career. Being content means a state of openness and peace, and acceptance. Wish you healing and hope!", "My love lots of empathy for you and your mother. I am not sure if you are taking care of her or not, but it is difficult to see people we love change. I think that your anger speaks about you may be frustrated with the mother you cannot have right now. This is also a loss as well. Your mother and her condition may impact her more with time. I think it is important for you to seek support with medical providers for guidance. They may be able to offer you connection to support groups for family members. Your mother is experiencing an illness that is also changing your life. If you are unable to be connected, find a therapist on your own to support you through your own feelings. Wish you the best for you and your mother.", "When looking for a therapist, ask some questions about their background and modalities of treatment. Before meeting a therapist, have an idea of specifics about your therapist preference (Male, Female, Language Preference, of issue specific, (Religion, gender supportive, LGBTQ issues, Trauma, Grief/Loss, Divorce, Coparenting ) Also, it will benefit you to know your goals for therapy, and the difficulties that you are facing. Ask questions about his/her rates, if he/she are currently accepting insurance, and if offering currently tele therapy. Take advantage of free consultations and get a sense if you feel comfortable with therapist, and do check therapist profiles (Psychology Today, Latinx Therapy among others). Different therapists have different niches and specialties feel free to explore the person who matches more with what you want to accomplish." ]

[ "To follow please find some tips on getting your message across to each other, which will help you both stay emotionally connected in a healthy respectful way!Step 1: Start with I...+ feeling (For example, I feel angry because...)Step 2: About what... (Not describing your partner but the situation.) Step 3: What needed...(How partner make it better) We want to be soft on the person but hard on the issue. Directing the complaint towards the situation rather than your partner always works. It is important for us to be soft on the person, but tough on the issue.  And at the end, say what can be done to make things right.I am wishing you and your boyfriend the very best." ]

[ "Depression is when you know what you need to do but are not doing it. The depression is telling you that are ready to accept who you are. Weight is traditionally an issue of protection and not feeling safe which in and of itself can add to the depression. This process is simple but is challenging to explain or walk someone through on social media. If there is one suggestion I would make it is to start living now, go do what you would do if you had lost the weight. Don't hold yourself back. Little shifts can help you start to make different choices.  When you do these little shifts they create big shifts. Of course adding Yoga, and Meditation is very helpful in weight loss. At our facility we have both of these as well as nutrition counseling using a wholistic approach.", "Anxiety is simply your system communicating to you that you are in danger. The issue that I see in most of my clients is that they try to reason with this anxiety. You do not reason with sensory states in the body. If your system tells your in danger (your stomache feels like it is knots, your heart is beating out of your chest,) validate by just being present with it. Take your breath to it. Breath in and out of that space. Say ok, I am in danger. I always tell my clients, \"a crying baby wants to be held, not told to shut up.\" Listen to your system, validate it like you do a child and see what happens.", "Three years ago I attended a week long meditation retreat. By the fifth day I noticed I was light headed and felt very strange. I began to realize within my own being an experience of no separation. I would see others at the retreat and smile. I loved them all. I could feel the connection with this awareness I had read about but never truly understood until that moment. I remember understanding all the teachings I had learned throughout my life about a god who existed outside of me. I realized I had all these answeres within my own being and so did everyone else. I began to see everyone as not just capable but powerful loving beings. Since this experience it has been my desire for everyone to become conscious within whatever experience they wish. I do this in many ways. At our studio we combine Mental Health with yoga and meditation as well as nutrition counseling to help people come to their optimal selves. To truly come into a state of \"finding yourself,\" is to start to know and own who you are from a state of solid being. In this there is nothing new under the sun, and it is very simple. I would love to teach you and anyone interested in coming into a state of awake conciousness.  The more awake we are the more joyful we are. I live in this state of being and demonstrate it in my daily life." ]

[ "Most clients have many issues that need working out. It is normal to have many events in our lives that trouble us and remain with us without counseling help. The right type of counsellor will help you focus on the main and most troubling issue you have first and work your way through all that you are managing step by step, goal by goal. Sometimes, working on  one issue helps to bring other issues to light in the context of your main problem. This can help you resolve some other issues that are connected. Look for someone with experience and specialty in your most pressing issue...even though you have had breast cancer, you may find that grief from your past is more troubling. Then you would look for a bereavement or grief specialist.", "You must be feeling frustrated about how to resolve this. Some people seem to really provoke emotional responses in us. One thing to learn for a quick review of yourself when you are provoked is to pay attention to your body. Notice your heart rate, fists clenched, some warmth going through your body and these are signs that the interaction is toxic for you. Move out of the room, say something calling to both of you and let things simmer down before responding. When you are able to calm your body, think of ways to bring the issue to her attention using positive words but holding your ground. If she doesn't listen ask someone to come with you to talk to her about it, If she still won't listen, reassess your expectations of her.Finally if you need to , you may have to consider changing the status of your rooming together." ]

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

[ "Absolutely not!  In fact, most people have many issues,  A lot lot of the issues you are describing commonly go hand in hand ( in \"therapy speak\" we call it co-morbid conditions)I would venture that most of the feelings you are struggling with stem from your early trauma.  You would benifit tremendously from counseling!  A good therapist will develope a treatment plan that addresses all of your needs. With help you could definitely live a happy life without all of your anxiety and depression getting in the way!" ]

[ "I believe you can never have too many issues for counseling.  If such is the case, what would be the alternative?  Not seek help at all?  It is important to understand that counseling is a journey.  Counseling is not about getting \"fixed,\" but instead about self-exploration, self-discovery, and empowerment.  I seek to support my clients in all of those areas by helping them see their problems from a different perspective and gently challenging them for better.", "How we feel is often connected to what we are thinking.  If you pay attention to your patterns of thinking (self-defeating thoughts, negative self-talk, etc.) and reframe or replace unhealthy thoughts, you most likely will be able to change how you're feeling, which will also lead to changes in behavior.  I support clients in going through this recognize/replace process.", "It is absolutely normal to cry at therapy!  It is common for a client to cry during a session.  Crying can be therapeutic, especially for someone who is used to not allowing him/herself to feel his/her feelings.  I create a safe space in order for you to be able to share your tears, as well as support you in understanding what your tears mean." ]

[ "Studies show that the most important determinant of success in therapy is the quality of the relationship between therapist and client. It is very important that you find the right therapist for you. If you feel that your therapist understands you, doesn't judge you, or is someone you can trust, these are all good signs that you have found the right therapist for you. It may take a few sessions for you to know whether you're in the right place or not, but if you decide it isn't working for you, there is no shame in telling your therapist. We want you to get the care you need, and we know we can't be the right fit for everyone." ]

[ "Infidelity is common. In a largest study conducted to date about 10-15% of women and 20-25% of men admitted to being unfaithful while in a monogamous relationship. You are not alone and you can get through this just like countless couples have done before you. First of all, you need to know that although there may be reasons for his behaviour (e.g., not feeling sexually satisfied) those are not excuses. He could have chosen to masturbate instead of cheating on you, right? Your partner needs to own his choices and if he is capable of doing it and is truly willing to work on the relationship with you to make it stronger, more transparent and more fulfilling for both of you, then there is hope. The question is : are you willing to put in all this extra work? Forgiveness is not easy and it may take a lot of time and effort for you to consciously choose to trust again. It won't just happen if you don't work on it. And yes, it's unfair that you are being asked to work on this, when he is the one who had been unfaithful. Even though it is hard, you need to be able to let go at some point of having all the power in the relationship, because right now you have it as the one who had been cheated on. You cannot hold on to being the victim forever because it will create an imbalance in your relationship making it less healthy in the long-run. All of this is hard work. Is he and this relationship worth it? Are you equally committed to making it work? If so, don't abandon this relationship just yet. Work on it together (ideally get a few sessions with an experienced couple counsellor) and see where that gets you. For additional specific ideas check out my tips for how to deal with infidelity in a relationship. Good luck!", "What a great question! Marriage (or any long-term committed romantic relationship) is never easy. Ups & downs, doubts and fights are a part of it just the same as the wonderful, tender, blissful moments of connection. Recognizing that hardships are normal and something to work through is a big part of the healthy attitude partners in lasting relationships share. Some degree of conflict is not something to be scared of or a sign it's time to break up as long as all parties involved feel respected. Expressing your needs and wants in a respectful, not accusing manner will increase the chances that your loved one will actually listen, empathize with your perspective and will be more open to finding solutions to your problems together. Working as a team to find solutions to problems you encounter is a much better approach than trying to persuade your partner that you are right, while they are most certainly wrong. Shutting your partner out or allowing resentment and contempt to creep into your relationships is definitely a warning sign that things may not be going the way you want anymore. As long as you both agree that you want to be in that relationship (i.e., are committed to it) and you have a growth mindset (\"we will learn from this and grow together to be a better couple in the end\"), the foundation of your partnership is strong. What else? Making time for each other, whether it's being playful, having fun or enjoying intimate moments together is also an important part of ensuring a good balance of positive to negative experiences, that will only strenghten your bond. Good luck!", "Hi! It sounds like you are stuck in a difficult place. You do not want to appear to jealous and yet, it's hard not to be, when you hear about \"the crush\". It's only natural to feel a little insecure and you're doing a great job by asking how to cope better. First of all, long-distance relationships are very hard. Is this situation likely to continue for a long period of time? The old adage that \"absence makes the heart grow fonder\" simply isn't true. It requires a lot of work to keep the fire burning. Are you, guys, talking to each other a lot? Visiting each other relatively often? Making common plans for those visits or your future together? Do you manage to have fun together, despite the distance (e.g., laugh on the phone, have \"shared\" experiences such as watching a movie simultaneously at your different locations, perhaps having phone sex)? All of the above are good ways to ensure that your bond stays strong and there will be less space left for interest in other people. Based on the fact that  your girlfriend told you about the crush t I would guess that she thinks it's innocent enough - nothing too threatening. Try to talk to her about your feelings and brainstorm together ways you can increase your intimacy, which will likely improve your sense of security in the relationship but also help her get over the crush. Good luck! Zofia", "Crying in\ntherapy is definitely normal. A lot of people, if not most, cry in therapy. Why\ndoes it happen? During therapy you'll explore your thoughts and emotions. Some\nof them will be pleasant: joy, hope, excitement, etc., so you will smile and\nlaugh. Others may be more unpleasant, such as grief, sadness or anger, so you\nmay feel like shouting or crying. It's healthy to accept and feel all your\nemotions and to express them in appropriate ways. Crying is a good way of\nexpressing sadness, disappointment and helplessness. If you try to cut off some\nof the \"negative\" feelings, you are likely to also cut off your\npositive ones and feel numb as a result. Crying in therapy speaks to your\nability to relax and let go in the presence of another human being (essential\nfor healthy relationships!) and it also speaks to your therapist's skills at\nmaking you feel safe and comfortable. Good for you! It's your therapy and you\ncan cry if you want to!" ]