Questions,Answers
"My wife and mother are having tense disagreements. In the past, they've had minor differences. For example, my wife would complain to me my mother is too overbearing; my mother would complain my wife is lazy.
However, it's intensified lately. I think the cause is my wife talked back to her once. Now, any little disagreement is magnified, leading to major disagreements. What can I do?"," What you are describing is something psychologists have termed "triangulation" which is what happens when one family member will not talk to the one they have a problem with and goes to a third member of the family to complain instead. You have been "triangulated" by your wife and mother. This is often seen in families. It's seen everywhere. How many times have you had a problem with someone but you didn't go to them to tell them, you went to someone else to complain? It is usually difficult for a person to confront another, especially in relationships where there is a power differential. For example, I bet it's easier to complain to a coworker about your boss rather than go to the boss with your complaint. I'm not saying triangulation is always a bad thing. Sometimes a third party mediator is needed to help solve problems between two people who disagree. That's what therapists do every day! Sometimes just getting someone else's perspective can help you see the issue clearer. However, in your situation it sounds like this is becoming a problem. You are stuck in the middle between two people that love you and that you love. If you want to put a stop to this triangulation, you will need to encourage the two of them to talk to each other and work out their differences. Perhaps it was a simple misunderstanding that some open communication can clear up. Even if they really don't like each other and can't get along, your relationship with the both of them is going to continue to deteriorate the longer you are stuck in the middle. Try to understand what might be the feelings behind their behavior. It is possible that they may both feel threatened by the other. These are the two most important women in your life and they both know it. Your mother may be afraid that she will lose you if she confronts your wife. I heard one mother-in-law describe her son's wife as the gateway to her son. The wife has the power to dictate when and how often the mother gets to see her son. The wife also is the gateway to the grandchildren. If your wife doesn't like her mother-in-law she can severely hamper or damage her mother-in-law's relationship with you and any children you two may have. From your wife's viewpoint, this is the woman that she may feel like she can never live up to. If you regularly praise your mom's cooking, her housework, gardening, or anything else your wife may feel that you are putting down her own efforts in these areas and can feel unappreciated. This can be especially difficult if your wife and mother are nothing alike. I am not saying that this is the case with your family's situation. These are just a few examples from other families in a similar situation as yours. Regardless of what the cause is, if this dysfunctional pattern is allowed to continue, your mom and your wife will begin to get upset with you when you don't agree with them. They will get upset if you don't align yourself with them against the other. They will be offended when it seems like you are choosing the other one's side or that you are not standing up for them like they think you should. In worst cases, if it continues to escalate you may even find yourself in the impossible position of having to choose between your wife and your mother which may mean cutting off contact with the other, ending that relationship. Change the dynamics before it spirals even further. "
"I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.
I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?"," Hi. Good for you in planning ahead to do what's healthiest for your baby (and yourself). That's a great first step! It's also good that you are able to identify that it's not always a physical need that's driving the addiction. For the next steps, I would suggest trying to figure out when the psychological cravings for a cigarette occur. The psychological (or mental) cravings are usually based out of habit, such as having a cigarette after a meal. And if you're consciously trying to quit, you'll find the craving starts with simply thinking about having a cigarette, then usually moves on to thinking about how good it made you feel, etc., etc. Well, if I'm on a diet and I continue to let myself think about the ice cream sitting in the freezer, eventually I'll give in and eat it. You're going to have thoughts about smoking a cigarette. That's normal and, for the most part, out of your control. But you choose whether or not to CONTINUE thinking and dwelling about it after that initial thought. That's what you would have to work on changing. When you have that initial thought, acknowledge it ("Ok, I kind of want a cigarette now."), but then change the thoughts that typically follow. Distract yourself, think about something else, do something else, whatever it takes to get your mind off of that cigarette. I've suggested to clients before that they should plan these scenarios out ahead of time so they already know what they're going to do when the time comes. Write down when you usually have the craving for a cigarette and then write down new thoughts or things to do to get your mind off of it. Eventually, it will become easier and easier to brush off that initial thought until you no longer have it. Best of luck, and you have a really great motivator to quit - your baby! "
"I have secrets in my mind, and I don't know what to do with them. I don't want to tell my wife and mom because I don't want to hurt them. But I'm not sure how long that I can keep the secret to myself.
What should I do? It's becoming annoying and making me anxious. Help me out"," It sounds like keeping the secrets has become a problem for you now. There are several things to consider before you make a decision. - You mentioned that you don't want your wife and mom to know because you don't want to hurt them – why would it hurt them? - Is it necessary for them to know this information? - What are the consequences of either telling them the truth or not telling them? (for you and for your wife and mom). - Once you have considered these, think of what you would tell your friend if they were in your exact situation? - Also, if your wife or mom were in your situation right now, what do you think they would do themselves? - If your wife and mom were in this situation, how would you feel? Would you want to know the secrets? - How has keeping these secrets affected your own mental and physical health? Once you have looked at the problem from all angles, you will be able to better make a decision on whether it is right to tell them or not. "
I am extremely possessive in my relationships and this is hurting my friendships. How can I fix my underlying issues?," Hi there. It's great you are able to realize there are other issues going on with someone who feels possessive. At the root of it is fear. Fear of losing someone, fear of being alone, fear of not being good enough. All those fears can lead to low self-esteem and feeling like you have to control other people so you don't lose them. The thing is, controlling other people only pushes them away. Vicious circle, right? What I would suggest is some cognitive therapy to change those underlying ways of thinking. You can start with this assignment. Write down all the things you think about yourself, positive and not-so-positive. Then rewrite those not-so-positive things so they are positive. For example, thinking something like, "I'm too pushy", can be rewritten as, "I'm assertive and I go after what I want." It can be hard to do since we tend to get "stuck" in our negative ways of thinking about ourselves. If you have someone you trust, you can ask for their help as well since most likely they see you differently than you see yourself. Finding a good cognitive therapist can help you further, but if that's not an option for you right now, there are lots of self-help books and websites that are out there. You've already taken the first step, so keep moving forward. "
I had a head injury a few years ago and my mind races all the time. I have trouble sleeping and have a lot of anxiety. Every medicine I have been on my body rejects; I get sick to my stomach and get blisters in my mouth. How can I calm my self down? I'm a wreck.," You didn't say what or how many medications you've tried. Certain anxiety medications can make you feel nauseous, but I haven't heard of any that cause mouth blisters, so there may be some other underlying medical issue there. I would definitely talk to your primary care physician and whoever has prescribed the medication as well as a neurologist if you've suffered a severe head injury. There are so many medications available for anxiety or insomnia or even depression that there may be others with lesser side effects. But beyond that, have you tried any other treatments such as deep breathing or meditation? Meditation can be very effective, but it takes practice and you don't have to sit cross-legged for hours chanting "Ohm" to meditate. It's about focusing on your breath, rather than all the thoughts that are racing through your head. And when they do take your mind off your breath, simply refocus (and refocus and refocus). Like I said, it takes practice, so don't give up. You can find many sites offering different ways to meditate, so look around and see what works best for you. Like medication, you just have to find the one that works best and that might take some experimentation. I hope this helps and best of luck to you. "
"I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?"," It is a good thing that you have recognized that you have been in some unhealthy relationships and that you are wanting to break this pattern. You seem to have some good insight into the situation. The type of behavior that you are describing is usually rooted in childhood issues with insecure attachment bonds with your caregivers, childhood trauma and/or abuse or neglect, or dysfunctional family issues that did not allow you to develop healthy boundaries for yourself or a sense of self. This is something that is going to take some time to work through in therapy. I recommend a book titled “Boundaries: Where you end and I begin” by Anne Katherine. Another book that might be helpful is “Codependent No More” by Melody Beattie. In the meantime, until you can work through your personal issues, absolutely do not enter into another relationship. Take however long you need to and work on becoming a whole, happy, emotionally healthy person on your own. Needing another person to define you is problematic. That's too much to expect from any individual. For a relationship to be healthy and happy, both people in the relationship first need to be a whole person on their own. That means having a clear sense of self, knowing who you are and what you want, knowing how to set healthy boundaries, and knowing how to meet your own needs. It is unreasonable to expect your partner to meet all of your needs all of the time. There will be times that they won't be able to meet your needs. You have to know how to meet those yourself. When you are working on becoming the best you that you can be, eventually the right person will come into your life. Then you can CHOOSE to be with someone because you want them in your life instead of feeling like you NEED them to complete you. "
I easily recognize this but have no control over it and need suggestions for managing my anger.," I suggest that you work on emotional awareness. Emotional awareness basically means knowing what you are feeling and why. Emotional awareness also means that you can identify the link between the way you are feeling and your actions. In other words knowing that your feelings dictate what you do. Often feelings of hurt or insecurity can come out as anger if we cannot properly identify and express the feelings. Being emotionally aware also means that you are able to express your feelings to others. Being unable to do so leads to feelings of frustration and being misunderstood. Many people for many different reasons are not in touch with their emotions. For example, men traditionally have been brought up taught to not express sadness or weakness. Therefore, many men learned to turn feelings of sadness, insecurities, or fears into anger and express these feelings as anger. Being taught not to feel a certain emotion does not make that emotion disappear. Instead it makes us learn how to express it in other, incorrect, ways. If a man never learns to say “I am sad” or “that really hurt my feelings” and instead lashes out in anger, then the response they get from those around them will be to the anger and not a response to the underlying true feeling, which will leave the man feeling alone and misunderstood. You can control yourself and not explode. Walk away, remove yourself from the situation, do whatever you have to do to not lash out. Instead of reacting the way you normally would, go somewhere by yourself and think about what just happened and try to understand why such a “simple” thing upset you. What is the real feeling driving these outbursts? Maybe you can begin to recognize an underlying pattern. It might help to keep an anger journal. Write down everything that gets you upset. That might help you see a pattern and pinpoint what may be setting you off. Talking with a therapist about this would be beneficial in helping pinpoint the underlying cause of the outbursts you are experience. "
"It takes me a long time to fall asleep; I'd estimate about two hours. I often have nightmares, starting with being eaten by a monster, and I often wake up frightened and unable to breathe.
I believe I started losing sleep after breaking up with a girlfriend of 8 years. Also, my father's business went bankrupt and my mother has a chronic condition. I was under a lot of stress, and life lost meaning.
After improving my life and developing a habit of running and exercise to release stress, my symptoms improved. However in the past couple months, I started losing sleep again and having nightmares without warning. How can I solve this issue?"," First of all, exercise is always beneficial for your physical and emotional health. That's great that you have added this in your routine. Have you also considered altering your diet? Certain foods are linked with poor sleep. For example, alcohol, caffeine, nicotine and high fat content foods do not bode well with quality sleep, especially right before bed time. On the other hand, warm milk and foods high in carbohydrates have actually shown to positively impact sleep. Additionally, at bed time it's important to keep your room dim, cool and without distractions (i.e. TV, IPad, Phone). Stick to a sleep routine and avoid any activities close to bed time that demand a lot of attention and energy. As far as your nightmares, there could be many causes contributing to them. Certain foods (many of the ones mentioned) or medications could be the culprit. Doing a bit of research into the ones you are consuming may help you eliminate the offender. You may also benefit from talk therapy with a qualified therapist to discuss any underlying issues you are experiencing. Oftentimes, depression and anxiety can manifest themselves during sleep, causing nightmares. Finally, Yoga has shown to be very beneficial for quality sleep. There are many instructional videos available that can introduce you to the practice if you'd rather not join a class right away. Best of luck to you and I sincerely hope you are able to catch up on some well deserved Z's! "
What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation?," I will admit I am confused about this question. Are you the other parent in question or a concerned coworker of this therapist? Therapists do not prescribe or have access to medication. Most therapists won't even get involved in a custody battle. They know there is a good chance of their records ending up in court and that they themselves will have to testify in court. Of course, therapists are human and can make mistakes, but I find it highly unlikely that a therapist would knowingly and willingly do something like this that is such a major ethical violation. Not only are they losing their license to practice by doing this, they are going to face criminal charges and jail time. If their clinical judgment is that the other parent is a danger to the child, they don't have to resort to illegal means to try to prove this. If you have concrete proof that this has happened then there is a process in which you can file a report against the therapist with their licensure board. Every therapist is licensed in their state. There are different types of licensures so you would need to know this therapist's licensure. Most accusations from the other parent are expected in a custody situation because people do tend to get quite ugly. Don't accuse the therapist or the parent of anything just to try to make yourself look better and them look bad. Have evidence of wrongdoing before accusing them of this. If this has really happened then of course it needs to be reported, but don't try to ruin someone's career unless you are sure this occurred. "
They're calling me names like hypocrite and a baby even when they act in the same manner as I do. I'm tired of being called names. What should I do?," It sounds like your confused as to why your friends would be calling you a hypocrite when they act in the same manner, correct? Communication is key to any relationship. I would recommend speaking with your friends face-to-face to address why they feel your behavior is concerning. In-person contact is the best method of sorting out differences considering texts, emails or any written response can be misconstrued. Be upfront with them and let them know that being accused of hypocrisy is hurtful and you feel it is unfounded. If after speaking with them you feel that they have valid reasons for the way they are feeling, maybe you can consider modifying your behavior accordingly. Especially if this friendship is valuable to you. However, make sure they are aware that there is a respectful way to address these issues and name calling is not one of them. On the other hand, if you feel that their reasons are indeed unfounded, it may be best to distance yourself from the relationship. Not all friendships are healthy ones. And it is important that you surround yourself with people who are an asset to your self esteem as opposed to those that hinder it. I hope you are able to get this matter sorted. Best of luck! "
"Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?"," First of all, my heart goes out to you. Infidelity is an extremely challenging obstacle to overcome. There are some things that you should consider. First of all, did he seem truly remorseful? If you felt in his heart that he was truly sorry for what he had done, it will give you a piece of mind that it was a mistake. Secondly, was he forthcoming with this information? How about with answering your questions after the truth was uncovered? If you found that he was still lying or not forthcoming, the sting is even more painful. He should be able to answer any question you have honestly and without hesitation. Thirdly, has he shown a positive difference after this experience? At this time, he should still be proving his faithfulness to the marriage, you and the children. Keep in mind that experiencing infidelity is a form of grief. It is not a quick process that can easily be overcome. What you are experiencing is 100% normal. My best suggestion would be to see a marriage therapist. Find out what drove your husband to cheat in the first place and decide if this aspect in his life has been resolved. I know its important for you to keep your family together but children can sense anger and frustration, this is not a healthy environment either. If you decide that you can no longer remain in the relationship, a therapist will also be able to help you cope with the separation along with addressing your children's needs. Please know that you are not alone and that unfortunately, many relationships have endured this very thing. It may also be helpful to reach out to people who have experienced similar obstacles. The web is a great resource to find groups whether online or in person to use as a support or sounding board. Best of luck to you and your family! "
"I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I'm also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?"," It sounds as if you may be experiencing a bout of anxiety and/or depression. Sleeping difficulties, irritability and anxiety attacks all are correlated with these mood disorders. And it's actually quite common for someone to deal encounter this during their lifetime. Also, keep in mind that just because you are experiencing this now does not mean that you will be dealing with it the rest of your life. Many times, it can be a single episode and if treatment is received, you can help prevent any recurrent episodes. However, you may want to first talk with your primary physician to rule out any medical issues that could be causing these problems. There may be a reason for the sudden onset of these symptoms that can be addressed quickly. On the other hand, if it is determined that you are experiencing anxiety and/or depression without a medical reason, there are two methods that are very helpful in your treatment: #1 Talk therapy with a certified therapist He/She will be able to address the concerns you're experiencing and discovering if there is an underlying issue that may be causing it. #2 Medication There are many medications that can assist you with the feelings that you are experiencing. Your doctor will be able to help you find the right one that works for you. If one doesn't work, keep trying. There are many different options to address your specific needs. Also, a combination of these two options is extremely beneficial! Thank you for your question. I sincerely hope that you feel better soon! "
"I have no intercourse drive due to medical issues. I've shut down completely and closed everyone out. I've even told my husband that I wanted a divorce since that's what I thought he wanted to hear. However, it devastated me when I learned he's seeing someone else.
I've since told him that I wanted to work things out but he's not sure I actually mean it. He thinks the only reason I want him back is because I'm jealous. How do I show him I'm serious?"," I'm sorry to hear about your current situation. My heart goes out to you during this time. First of all, it is of vital importance that you discuss your symptoms with your doctor. Regardless of whether you are able to mend your relationship with your husband, you need to address the physical issues you are experiencing. More than likely he/she will be able to help you relieve some of these symptoms. Secondly, you must be upfront and honest with your husband. Intimacy is a large part of a relationship and it is unfair to your husband that you did not disclose how you were feeling. I think he would appreciate knowing that it was your medical problems causing the lack of intercourseual desire as opposed to the reason being him. If you explain to him that you are addressing your intercourseual issues with your doctor in order to enhance your relationship, he may be more willing to see that you are serious in wanting to mend the relationship. The conversation will be hard to explain to your doctor and your husband since it is of such a personal nature but it will be extremely beneficial. And please note that the reason for the feelings you were experiencing (or lack thereof), was not your fault. Best of luck to you and your husband! "
"I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I'm also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?"," Hi there. I have to commend you on reaching out to get some answers on why you are feeling the way that you are feeling. A lot of people secretly go about their lives every day feeling this way because they are too afraid of what the answer might be. First off, what stressors do you have in your life right now? Financial, relationship and unemployment are all common stressors for people. They can often make it difficult for us to sleep at night due to the constant racing thoughts and wonders of how you will deal with it all. Secondly, do you have a history of depression or does depression run in your family? Some of the symptoms listed here in this question (i.e. trouble sleeping, constant fatigue, too much sleep, anger & anxiety) are all common symptoms of depression. Often times, these symptoms can be overlooked and mistaken for "just being tired." Furthermore, it's important to ask yourself, if you are feeling worthless, problems with concentration and recurrent thoughts of death. If you are having these symptoms, please seek help IMMEDIATELY. Lastly, considering your stated symptoms I would recommend reaching out to your Doctor for further consult. It's always better to be safe and the earlier you catch the symptoms the faster you will get to feeling better! do Some helpful tips for the your Doctor would be to monitor your sleep habits (i.e. how much or little are you sleeping), make a list of your triggers for your anger outbursts as well as your triggers for your anxiety attacks. I hope this was helpful and the best of luck to you. "
"The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says ""here lays my emotions. R.I.P."" I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?"," It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets. I do not know what all is going on in your family, and I cannot answer for your dad's actions or his reasoning behind this. I would recommend that you focus on developing healthy coping skills. We cannot change what others do but we can change how what they do affects us. If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress. It is really good to have a wide variety of interests such as friends, hobbies, games, etc. Develop other things that you care about and are passionate about. Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don't have healthy ones, you may develop some very unhealthy ones. You have to cope somehow, right? Developing unhealthy ways of coping with life is only going to make life more difficult for you. I don't know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe. Both of these environments can lead you to develop some unhealthy ways of coping with life. Please talk to a trusted adult about your feelings before it gets any worse. "
"Me and my girlfriend just broke up. She said she loves me but is not in love anymore. This came out of nowhere. We seemed so happy together.
It all started when she went to Missouri to visit her family. The first week she was there she was fine then once she went to this one sister's house everything changed. That's when she told me she loved me but was not in love with me anymore. I thought maybe it was just because she missed her family and she just wanted to be home because she told me that she could not leave them again.
Then she told me to come to her in Missouri. So that's what I did. I quit my job I dropped everything, said goodbye to my family in Florida and drove 15 straight hours to be with her.
Once I got there everything was fine again. She apologized for everything and said she didn't mean any of it then we were good for about a week. Then she went back to saying she didn't love me anymore and had no feelings for me.
The only thing that really gets me and makes me not want to accept this is that now she is pregnant. This wasn't an accident. We were trying to get pregnant, so all this is hard to accept. I love her so much. I have never been bad to her. I've treated her the best I can. I wanted her to be my wife. I was going to propose to her when she got back. Now I'm losing my family and my mind. I don't know what to do."," I am sorry to hear of these troubles. I see a few issues here. I wonder why you were both trying to get pregnant when the relationship seemed troubled? Some people think that they can fix a broken relationship by getting pregnant, and all this does is bring up more problems. You say you never treated her badly, and I believe you. People in a relationship can still be unhappy even when there is no abuse or mistreatment going on. In fact, giving too much of yourself to the relationship and not having a “self” outside of this relationship can be unhealthy. It takes two whole, healthy, happy people who are that way when they are single to come together to make a whole, healthy, happy couple in a relationship. Expecting your partner to meet all your needs or to provide your happiness is not going to work. There are two books that I recommend you buy and read. One is Codependent No More. The other is Can My Relationship Be Saved? Sometimes when you cling and try even harder to hold onto someone, it makes you both miserable. You cannot change her and cannot change her mind. Sometimes the best thing is to let go. If it is meant to be, you will end up back together again. It seems like this is something that she needs to decide since she is the one that keeps doing the leaving. I suggest backing off and letting her go. Maybe she needs time to clear her head and make up her mind. If it is meant to be, she will come back. If not, use this time to work on being a healthy happy you on your own. "
Now I have anger and trust issues. How can I treat this and fix myself?," I will assume that for whatever reason, you either do not want to or are not able to seek counseling for this. However, I highly urge you to do so because long-term childhood abuse does have negative consequences for your life as an adult, as it seems you are already aware. There are confidential and free crisis hotlines that you can call that deal with intercourseual abuse. Some/most also offer free counseling services in local areas. That would be a good place to start looking, especially if cost of counseling is an issue. The important thing to know is that what happened was not your fault and that you deserve to live a happy life free of the past. Having anger and trust issues after something like this is a perfectly normal reaction to what happened to you. Angry? Yes! At your brother for what he did, at your parents for not protecting you. Having trouble trusting? Of course! The very people who were supposed to love and protect you hurt you instead. Two books that might help you are Codependent No More and Boundaries: Where You End and I Begin. "
"I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn't believe me, then my mom goes along with my dad and acts like she doesn't believe me either. I'm a panintercourseual, but I can't trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust."," Hi there. Being 15 years old can be a very difficult time in your teenage life. I remember when I was 15 and how I often felt my parents weren't listening to me. It's even more difficult when you feel that you do not have a friend that you can confide in. Having depression in the past and being able to get through it shows me that you can get through anything! Depression alone is a very difficult problem to work through. In addition to the communication problem with your parents, it appears that you are also struggling with stress and anxiety. We all have stress and anxiety in our lives. If we didn't, none of us would be living. Anxiety & stress keep us on our toes! Often, I have to remind myself of this as well. However, it is how we manage stress and anxiety, so it will not overcome our lives. Are you familiar with relaxation techniques, such as: deep breathing exercises, meditation or yoga? Relaxation Techniques can help you tremendously in reducing your stress and anxiety. Deep breathing exercises are helpful when you are on the go, such as school, shopping, out with friends or whatever extracurricular activities you engage in. Most people do not take full advantage of their lung capacity. I know, that sounds silly. But, it's true. You would be surprised how much air you lungs can hold. Imagine being in the Doctor's office and taking deep breaths. This is what you want to do when you are feeling overwhelmed and/or stressed. Take a moment to take in at least 10 deep breaths and let them out slowly. You will be surprised how well you feel afterwards. Meditation and Yoga are also healthy forms to working through stress and anxiety. You will need a quiet place for your meditation. You want to be “in the moment” and take in the peace and serenity. All it takes is a quiet place, closing your eyes and thinking of your “happy place.” Some people use meditation music as well. If you have access to this type of music and or the internet for more ways to practice meditation, please go for it! Yoga on the other hand will take a little more work and practice. I would not suggest you learning this on your own, if you have never attempted yoga before. Find an experienced Yoga instructor to teach you the ropes and/or ask your school counselor about the possibility of getting someone to come to the school to teach the students. Lastly, in regards to your parents it is very important to be able to have a relationship where you feel comfortable communicating. I would recommend writing a letter to them, if you are unable to express how you feel in person. A letter is more intimate and requires a little more effort on their end. If they are open on working on this relationship, maybe suggest family counseling to fully work on this issue. I hope this was helpful for you and I wish you the best! "
"I have been with this guy on and off for 8 years. At first, we used to do things together and our intercourse life was ok. Then things started to change, we'd break up and reconnect, and he cheated on me numerous times. We've also had two beautiful baby girls during this time. Now we argue and he says I am not affectionate at all or I don't know how to please a man, when I work part-time, take care of a 2 year old and a 5 month old and cook. Sometimes he cooks, but he also spends a lot of time on the internet. In addition, I have 2 boys and he has 1 son. I feel somewhere I have lost something. It's not that I don't care, I truly love this guy, but I'm just tired of being the one who is always being judged. Please, I am in need of a Christian counselor to help us because I really need to speak to someone."," I don't think you've lost something, I think you've found something - your breaking point, and it's about time. Your boyfriend seems to be a very selfish and immature man who reconnects with you when it's convenient for him. Obviously, he has his own issues, but I want to address yours. I agree you need to talk to someone. The fact that you've put up with his repeated cheating and then letting him blame you for it (by saying you're not affectionate enough, etc.), tells me you probably have low self-esteem and have likely told yourself over the years that you don't deserve any better. You do! You may truly love this guy, but based on his behaviors, he does not love you, not in the way you deserve. And although you may want to believe he can change, he has proved over and over again that he's not willing to, so you need to do what is best for you and your children. What would you tell your daughters if someone was treating them this way? Would you want your sons to treat women this way? That's what you're teaching your children when they see this. Like I said, I agree that you should talk to someone. You can ask your boyfriend to go too, but my guess is he won't. Even if he does, you should still see someone individually to work on YOU. I understand it's not easy to just kick him out, especially since you have children together, but a counselor can help you talk through all the details while helping you raise your self-esteem and self-worth. "
"My son claims that hes been having extremely violent thoughts and dreams. Not violent like he's hurting someone, but violent thoughts like horrible things happening to his loved ones. He explained one of his dreams the other day and it was so violent it was sickening. It was far beyond anything in a horror movie, he says he can't help these thoughts they just pop up. Please help!"," Let me start my stating this is important to take seriously - taking to his PCP, getting a referral to a pediatric specialist, and getting him to a relational psychotherapist would be my first tasks. I wont label this occurrences as "normal" yet it is important to note these things do occur. My first observation is to say that it is a tremendous advantage that your son is communicating what he is experiencing. I'd encourage him to continue to do so, no matter the extent of his thoughts - his trust of you being able the handle his experience is of utmost importance. His containment and sense of security is also dependent on your reaction to what he shares. Seek professional help, communicating your support, including a plan of action, and reassuring him you will figure this out together will help you as you begin. "
I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I'm unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do?," Do you have any other form of identification? The first place to stop would be the Visitor's Center or whichever department issues passes. They are located outside of the gate so you do not need a military ID to enter. If you have another form of identification it's possible that they can give you a pass in order to go and obtain a new military ID. If you do not, you could always ask someone else to sponsor you on (a friend, coworker, etc.) that have military access. Depending on the threat level, they may not need your ID as long as you are with someone that has access. Keep in mind that currently (6/11/15) all military bases are on Bravo which unfortunately means you will need your own ID. Finally, if all else fails, call your doctor and explain your situation. I'm sure they would be more than willing to discuss your options. Also, it's important to make sure that you report your wallet being stolen if you haven't already. Security Forces on base can help you with this and to ensure your ID doesn't get into the wrong hands. Good luck! "
"I am going through a divorce from a narcissistic sociopath who left me for another woman after mentally and emotionally abusing me for 11 years. I have moved to a different state and after giving up my successful business am working as a server at a restaurant. I'm coping as best as I can. Is it normal and healthy to not adapt as quickly and be as strong as I think I should be? I am astounded at his cruelty and how much he doesn't care, as well as most other people in my life. I feel like I don't exist to anyone anymore as there is no contact from anyone who I thought cared about me. My brother just said no to lending me a few hundred dollars for me to live on. I am losing faith in humanity itself."," I am very sorry to hear of your struggles. I think that it is normal to struggle to get your feet under you again after a divorce, especially after leaving a relationship that lasted 11 years, so try not to be too hard on yourself. Take it one day at a time and do the best you can. I notice that you said he left you. This tells me that you didn't have the strength to leave him on your own despite the fact that you say he was emotionally and mentally abusive and also cheating on you. Low self-esteem can keep someone in a bad relationship because they think they can't do any better. Also, abusers will make you think that they are the best thing you can get. The way I see it, he did you a favor. You are now free to make your own life whatever you want it to be. Take this time alone to work on you. As hurtful as it may be that other people don't want to help you, this is something that you need to do for yourself without feeling like you need someone in your life to take care of you. Your statement “I don't feel like I exist anymore” tells me that in addition to low self-esteem, you also don't have a clear sense of identify and rely on the people in your life to help define who you are. People can and will let you down. It is important for you to learn to handle disappointment, learn to take care of your own needs, and to gain a stronger sense of self. Do nice things for yourself every day because you deserve it. Even if it is just to soak a little longer in a hot bubble bath, do something that makes you feel good. Find a hobby that you enjoy. Look in the mirror and tell yourself some positive affirmations daily. Google “positive affirmations” to find some that resonate with you. Such statements might be “I am a good person who deserves to be happy” or “I can do this.” Some relaxation and meditation exercises may help you as well. There are some free meditation exercises that you can find online by doing a simple Google search. Take this time to focus on you and try not to worry about what everyone else in your life is doing. When you are a happier, more stable person, the right people will come into your life without you even looking for them. Good luck with rebuilding your life. I know it is hard! Remember to take it one day at a time. "
"I've been married for 3 years and I have two kids. During my 3-years married, my husband cheated on me twice. The second time really got to me and at my lowest I hurt him back. We aren't communicating as well as I would like. What do I do?"," Hi there. Thank you reaching out for help. It takes a lot of courage for someone that is being abused to reach out for help. I want you to know that I am here to help you in any way that I can. First and foremost, you did not mention whether or not you had children yourself by this man. I'm going to assume there are. So, the most important thing right at this moment is asking yourself, if you and your children are safe? Is the boyfriend currently living in the home or is he coming and going? If he is coming and going or currently living in the home, my suggestion for you to is to pack a bag for you and your children and go somewhere safe (i.e. family members home, friend or a shelter temporarily). I cannot stress this enough. Although, some people tend to minimize their abusers behavior (i.e. they only do it when they are drinking, they only do it when they are mad), it's those individuals that find themselves or their children in a serious situation. So, you can never take abuse (physical or mental) lightly because you never know what is going through that persons mind at that particular time. It's always better to be safe than sorry. Secondly, it will not be safe, helpful or productive to attempt to talk to the abuser about your relationship. Abusers often times try and manipulate you into staying by apologizing or attempting to justify their behaviors. This is the time you would want to go see a magistrate in order to get a protective order for you and your children. It's unfortunate that your significant other was involved with another women causing pregnancy; however, that is no longer your concern. Your concern at this point is keeping yourself and your children safe. I would also suggest counseling for you and your children in order to work through these issues. I hope this was helpful and please stay safe and take care of yourself. "
"I have been with my husband for almost 7 years. We got engaged a little after 5 years of being together. I had always been clear that I wanted to get married and I sadly would drop hints about how i wanted him to propose.
When he did propose it was during a random vacation that I had planned. I was happy but I couldn't help feeling disappointed too.
I had told him numerous times before that I wanted him to do it in front of my friends and family. I know it sounds dumb to be upset but I couldn't help how I was feeling.
We are now married but the wedding and ring were also far from what I wanted and it wasn't due to lack of funds. I know this is all material and the marriage is the most important thing but I cant help but get jealous and envious every time I see someone get a proposal or wedding that I had wanted.
I cant help my anger because I know we only get one proposal and one wedding. What I wanted will never happen.
I have been working on my feelings for the past year and half to get over it. I try to focus on our marriage but every time I see someone have the best proposals and weddings I get upset.
I know it is selfish and I know its petty but I just can't control it. It's ruining our relationship because I constantly think about it. Plus, I get mad at him for small things because I am trying to hide the fact that I am so disappointed.
Why can't I move on?"," It's hard to let go of the dreams you had regarding your wedding and engagement. This was something that you and most women think about for years, so it's understandable to be disappointed. But please be aware that it is rare that any wedding is perfect. You may envy your friends' weddings but more than likely they had a few mishaps of their own and/or it wasn't as perfect as they had planned it either. However, like you know, the marriage is the most important thing. How many women are envious that you are in a happy, stable relationship? I assure you that there are plenty. Try to live in the present considering that dwelling on the past can still not change how you were proposed to or how your wedding day transpired. Focus on what you can control NOW. Perhaps, you can plan an extravagant renewal of your vows or change the look of your ring? I would also be upfront with your husband and explain why you've been short lately. But after that, close that chapter and move on. It sounds like you have a wonderful companion and you certainly don't want to lose this due to a situation that is impossible to change. "
What can I do to stop grieving my mother's death? When I am awake I just cry every day. I don't have anyone to talk to. I need help; I am still cry over her. Will I ever stop crying? It's been 3 years.," I am sorry that you lost your mother. That is a really hard thing for someone to go through. There is really no set time for grief to be over, but I agree that if it has been three years and you are still crying every day then this is past the time for normal grief. I do not know how old you are and if you are in school or have a job, but I would imagine that if by now you literally were doing nothing but crying every day all day, someone would have noticed and would have gotten you some help. For one thing, bills have to be paid. There are typically five stages of grief and they can come in any order. You can go back to another stage that you previously experienced. Denial, anger, bargaining, depression, and acceptance are the stages. At first, people are usually in denial over the fact that they lose someone or are losing someone. This may mean that you deny they are ill or deny that they have actually died. Then comes bargaining, in which you may beg God that if you can only have this person back then you will do whatever. Depression is when the reality has settled in and when we cry and really feel the loss. It sounds like you are stuck in this phase. Finally, acceptance is when we accept that it has happened and we pick up the pieces of our life and move on. When we lose someone we never forget them. We may always have certain days that are tough, such as holidays or any special remembrance of your loved one. But we do get to the place where we accept that death is part of life and that it is inevitable, and that life goes on. A therapist can help you explore the reasons for your extended grief and can help you with coping skills to better deal with it. One suggestion I have is not to try to run from the sad feelings, don't try to not feel them. Embrace the feelings. Let the feelings wash over you and accept them. Trying not to feel something is not going to help. Sadness is a part of life and needs to be felt just like happiness does. Unpleasant feelings are not to be avoided. I am sincerely sorry that you lost your mother and that you have had such a hard time of it for three years now. You deserve to be happy and to live a full life. I am sure your mother would not want you being sad for so long. I wish you all the best as you continue to try to heal from this loss and deal with your grief. "
"I'm having issues with my relative. The police never believe the experiences I have been through because I am only a kid.
I've even had trouble trying to reach a therapist because I said I wanted to get an adult to help me. Could you please give me advice?"," I think it would be wise for you to call a hotline especially designed for children. It's called the Childhelp National Child Abuse Hotline. The number is 1-800-4-A-CHILD (1-800-422-4453). It is completely anonymous and a trained therapist will be able to provide you with guidance, confidentiality, and can also help you make a report of you want. The call is completely free and they are open 24 hours a day / 7 days a week. I'm glad that you are taking steps to improve your situation. You are a very brave and an intelligent child. Please remember to call 911 if you are in immediate danger. "
My wife just last week said she wants a divorce and it's all sudden. I understand that marriages have their ups and downs but I don't understand why she can't tell me why she wants a divorce. Should I fight for my family (daughter and wife)?," Chances are, if you really think about it, there were signs that something wasn't quite right in your marriage. You may have passed these things off as being the normal ups and downs of a marriage, but whatever it was (or wasn't), it's obviously bothering your wife. I would say yes, keep trying to fight for your family, at least until you know what the problems are from your wife's perspective and if they're repairable. Ask your wife if she's willing to try to work on the marriage and then see a marriage counselor. Just be sure you're open to hearing what's said and try not to get defensive if she blames you for some things. Even if your wife is adamant about getting a divorce, that doesn't mean you're divorcing your daughter and you should make sure she knows that. Continue to be a part of her life. And although it may be difficult, if a divorce does happen, try to be as amicable as possible with your wife so your daughter isn't further impacted by this new family dynamic. "
I loved him more than anything. He passed away on our anniversary which was also the day I was going to apply for our apartment. I'm not handling it well. I moved to a new town and started a new life but nothing helps.," I am so sorry to hear of your boyfriend's passing. Grief is something that can take a long time to recover from. Have you considered speaking with a grief counselor? Being able to speak with someone that specializes in grief would be very beneficial. Do not get down on yourself for not recovering quickly. This is one of the hardest aspects to deal with in life but eventually you will be able to move forward. In the mean time, immerse yourself with positivity (i.e. Good friends, hobbies, exercise) and try to schedule a time with a counselor. Perhaps there will be a support group you could also join. Oftentimes, it is comforting to meet others who share the same experience as you. Good luck to you. I hope you will find peace and comfort soon. "
I did some horrible intercourseual things as a kid and I regret everything. Can someone help me cope with myself? Can someone help me remember my past?," I'm very sorry to hear this. Hypnosis can be a valuable tool that a trained therapist can use to bring back suppressed memories. However, keep in mind that hypnosis doesn't work for everyone. I think regardless, speaking with a therapist about your intercourseual issues would be beneficial. It seems like you have experienced some painful experiences in the past and may need help dealing with them in order to move forward. In addition, if past memories do resurface a trained therapist will be able to help you cope with them as they arise. I wish you the best of luck and I hope you receive the treatment that you deserve. "
"I have been with a guy for 4 years, he's a great guy and we also have a son together. The problem is that I'm in love with a guy that I've been talking to for about 2 years but I've never met him in person. Honestly I'm bored with the relationship I have with the first guy and he makes want to go after the second guy, I don't know how to tell him that. What should I do?"," Hi there. Wow, this sounds like a sticky situation; however, I'm here to help guide you through this decision. First and foremost, you must ask yourself, if you ever loved your sons' father or was it a situation to where you two got pregnant and stayed together for the child. It's very common to stay with your partner when a child is involved regardless, if love is involved or not because “it's the right thing to do.” Right? Well, not entirely. Although, staying with your partner because you have a child together may seem right, in fact, it hurts the child in the long run. If you are not love with your partner, you will show distance, unhappiness, sadness, possibility of frequent arguments and cheating. When a child grows up in the home and witnesses these types of emotions & behaviors it is unhealthy as he/she will expect their own relationships to be such. As a responsible adult, you are supposed to be there to shape and model the future for your child. Just remember, what you do, your child will model. Secondly, do not sell yourself short from love. Everyone deserves to be happy and to have someone to share their love and intimacy with. However, being in love with someone you have never seen before can be very risky. Honestly, that sounds like lust and the longing of love. Humans have needs and when people are unhappy in their current relationship, they often seek out what they need. If you decide to pursue the second relationship, I would suggest setting up an outing with a friend or two in order to get to know this person as there are a lot of scammers these days. Finally, I am not convinced that this has anything to do with choosing between two guys. This seems as if you are making a decision to end the relationship with your child's father or not. You should ask yourself, if you were in love with your child's father first off. If you were, you would have never sought after love. I hope this was helpful for you and I hope I was able to shed a different light on your situation. Take care of yourself! "
My boyfriend can't get over my promiscuous past. He says he loves me but says the thought of my past is disgusting and a intercourseual distraction. He says he should have had more intercourse with different people. I don't know how to handle this.," I am sorry to hear of your relationship struggles. One thing I wonder is did you volunteer the information about your past or is this something that he asked about? In the future, it is probably best to leave details out of conversations like this. I think it is common and natural for partners to ask about the intercourseual history. For one thing, it is a good idea to be checked for STD's before entering into a intercourseual relationship with someone, and it is fair to share that information with each other. Partners usually want to know how many you have been with and what kind of intercourseual preferences you have or if there is anything you don't like to do. This gets into a gray area for some people. I don't necessarily want to know how many people my partner has been with and I certainly don't want a whole lot of details. Sometimes that is an image I just don't want in my head about my partner. Vague details are usually enough. However, I understand that your partner has the details and is not happy with your past. This is a reflection on him, not you. This shows insecurities on his part. You cannot control how he will react to information that you provide to him and you cannot control how he feels about the information. The past should remain in the past and not be held against you in the present or future. If he cannot handle your past then it is going to cloud your relationship. You can offer couples counseling to him and see if he will go with you. I have seen relationships recover from some very serious problems such as infidelity. It takes two people who both want it to work to make it work though. If your boyfriend cannot get over your past, you may have to let him go. Don't keep yourself tied to someone who is not right for you. Constantly holding your past over your head and holding that against you is only going to bring you down and eventually you may start having insecurities or low self-esteem due to this type of treatment. I don't see that you have done anything wrong. If you aren't cheating on him now and you answered his questions about your past honestly, how he handles that information is on him. Ultimately, relationships have a tendency to come and go. Don't fight to hold onto someone who is not right for you. It is okay to be single and enjoy being the best you that you can be. In time, the right person for you will enter your life. "
What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.," I'm sorry you are feeling uncared for. I'm sure there are plenty of people that care and love for you that you are not taking into consideration. Sometimes when we get upset we may think irrationally and see the world as all or nothing. However, take a deep breath, relax and start focusing on the positive relationships you have with others, regardless of how small or insignificant they may seem. I think you will quickly realize there are people out there that care a great deal about you. I also think it would help for you to surround yourself among people who you can identify with and share common interests with. Maybe you can attend a religious service, join an interest group (i.e. reading club, sports group, etc.) or start a group of your own. Most importantly, you need to tap into your interests and surround yourself with things that are beneficial for your own mental and physical health. From this, relationships will start to immerse. You may also like to talk with a therapist regarding your feelings of being unloved. This is an unhealthy way to think of yourself and I think with a little help, you can see that you are more than deserving of a great relationship. Thanks for reaching out and I wish you the best of luck moving forward. "
"What makes my step child, an 8 year old boy, choke my daughter, a 6 year old girl? This has been going on for 4 years. The boy tells my daughter not to tell on him. He knows it's wrong; we have did time out, spanking, taking away toys, and sitting on the wall. I am afraid for my daughters safety!"," I can see why you are alarmed. That is a scary situation for a parent. Do you know if the child has been evaluated by a mental health professional? Early treatment is often the key. A professional will be able to help the child learn how to control their anger and mend the troublesome actions into more appropriate responses. Have you addressed your concerns with the child's other parent? There could be contributing factors in his life that could be causing these issues (exposure to violence, intercourseual/physical abuse, drug use, stressful events in his life, etc.). It is important that these factors are identified so that they can either be eliminated and/or reduced. I wouldn't hesitate to have him evaluated (if he hasn't been already) and to ensure that he is getting the help that he needs whether it be medication and/or therapy. Until then, I would make sure that he is always supervised under an adult's care. "
I have this weird fetish that I'm afraid to open up about it. What should I do?," This is difficult to answer because you don't tell us what the fetish is. I do understand that this is something that is bothering you though. The first thing to ask yourself is if this is something that is illegal or not. If this is illegal to engage in, then you need to seek counseling help immediately to control the urges. However, if your fetish is not something illegal and you just feel that it is something odd, a therapist could still help you deal with these feelings. You may find that it is something very common and not something to be ashamed of. You may find other people have the same interest as you. Find a therapist that you can trust and tell them. Don't hold back with your therapist. Trust me, they have heard and seen it all by now, and they can help you either stop the behavior that is causing you distress, or help you come to terms with accepting the behavior as part of who you are. There is no need to suffer with this alone. "
"My coworkers are making false statements about me to the boss, saying I have mood swings. They have no proof to back it up. Can my employer make me see a therapist of their choice?"," I can't give you legal advice, but employers can suggest you see someone if your behavior is affecting your job. I believe most government agencies have an Employee Assistance Program (EAP) where employees can talk to a therapist about any issue, not just work-related, for free (up to a certain amount of sessions). I'm wondering, though, why your coworkers would tell your boss this if it's not true. Is it possible that you're not aware of how your interactions are affecting others? Maybe this “forced counseling” can be an opportunity for some introspection on your part. "
I'm in a state of depression right now. Who can I talk to? I've been sick in a lot of pain and crying. Don't know where to turn.," First of all, if you're sick and in pain, have you seen your doctor? If you have a chronic illness and pain, this can often lead to depression and is very common. You've taken the first step to dealing with it. You can talk to your doctor, even if your depression isn't related to your health. He or she can either look at prescribing you an antidepressant or can refer you to a psychologist or psychiatrist. If that's not really an option for you, there are also helplines (local or national) or support groups where people dealing with similar issues can talk to each other. If you can't find any in your area (newspapers usually publish this information), there are online support groups as well. "
"My dad refuses to acknowledge my anxieties about going to parties, dinners, etc. Whenever I have an opinion it gets shut down. My mom and everyone else behaves likewise. For my father who heads a company, this is normal. He has to be right all the time. He blatantly refuses to even try to see it from my angle.
Recently however, it's been getting to the point where I feel pressured and unable to speak my mind. It isn't possible for me to get professional one-on-one help. He tells me to grow a pair and get over it. I recently have been developing more severe body image and self-confidence issues, which I have had all my life. I feel invalidated by my dad. I have been more paranoid lately as well. I can't turn on location services anymore on my phone because of a past incident. He makes me feel guilty about it. I feel rather worthless more often than not, unfortunately. What do I do?", I'm sorry to hear that you are unable to get through to your parents. It sounds like you are experiencing a great deal of anxiety that needs to be addressed by a professional (despite the fact that you are unable to at the moment). I would recommend talking with another adult such as a school counselor that can offer you support in this area. Perhaps they can work with you on your anxiety issues and schedule a meeting with your parents so that he/she may help mediate the conversation with them. If you are unable to reach out to a school counselor maybe you can try a member of the family such as an aunt or an uncle that feels comfortable addressing the issue with your parents. Sometimes it helps hearing it from a third party before the situations is taken seriously enough. Good luck!
I'm a 40 year old male and having erection problems. Still have the desire for a woman. Awfully frustrated. Any suggestions? My Doc doesn't want to discuss it.," Hi there, first off I have to commend you for reaching out. It takes a lot for a man to reach out for help when it comes to erection problems. Believe it or not, this problem is very common for men and women. There are some things that you can try naturally, before resulting in medication, such as your eating habits and exercise. I would suggest taking a look at what you are consuming throughout the day. Do you consume a healthy diet and do you exercise regularly? How much caffeine and sugar do you intake daily? These are just a few common things to look at. You would be surprised of how much pressure what we consume puts on our bodies. Our bodies are like a car. You have to maintenance it, in order for it to continue to run. If you would like to get further natural advice and/or suggestions on eating healthy and exercising, I would recommend you see a nutritionist. A nutritionist specializes in maintaining a healthy diet. As far as your Doctor, I would recommend looking into getting another Doctor. I have never heard of a medical professional not wanting to talk about anything. That appears to be a personal issue on their part. I hope I was helpful and I wish you the best of luck! "
My husband cheated on me and it hurt me very bad. It was a time when my health was poor. I'm have a hard time moving on.," How has your husband acted since then? Was he regretful? How did you find out? Did he confess? These are all things that you want to consider. Betrayal is very hard to get over so if it's taking you awhile to get over, know that this is normal. Hopefully you're husband has been very regretful and upfront and honest with you since this happened. It may take awhile to reestablish your trust with him and he should understand this. It's also very important to discuss WHY he cheated. You want to make sure that the reasoning behind this was not something that could arise again in the future. And if it can, there needs to be an action plan in place (i.e. being honest with how he's feeling) so that you both get a chance to rectify the situation. If the cheating has happened more than once, you may want to reevaluate your reasoning for staying in the marriage. It would be obvious that he did not truly regret what he had done or else he wouldn't repeat the same mistake. However, if it was a single event and he has shown you and continuously shows you that he genuinely loves you and is sorry for his mistake, I would give it a try. People do make mistakes and sometimes it takes an event like this to realize what you have. Know that it takes time and that you have the right to feel what you feel. If the relationship was a good, healthy relationship, it is worth saving. Ease back into it and be upfront with your feelings. In return, your husband should be patient and understanding of this. Also, marriage counselors are often a good go-to as they have a great deal of experience working with marriages in similar situations. Best of luck to you! "
"I've been abused emotionally all of my life and for some reason I keep getting with men that I let emotionally abused me.
How can I stop it? I know the mistakes that I've made in my life. I'm having a really hard time getting back on my feet. Can you help me please?"," I want to applaud you for taking this first step towards realizing that this is an issue and wanting to do something about it. You are already on the road to a happier life with this realization. A lot of women do not recognize that it may be something about them that continues to attract a man like this and will only blame it on the men for treating them that way. Until you realize there is a problem you won't start looking for a solution. Don't misunderstand me! The abuse is not your fault! You are seeing a pattern, though, so this does need to be addressed. First, go and buy the book “Boundaries: Where You End and I Begin” by Anne Katherine. Read it. This book describes many situations that are similar to yours, describes how a person came to be that way, and how to stop it. You will have to learn to set good boundaries in your life and to maintain them. Be single for a while. Stay single until you feel like a whole, healthy, happy person on your own. Often we get in a relationship because of a need. If you feel like you need a person in your life to make you a whole person then you are in a relationship for the wrong reasons. The first step is to work on whatever it is in you that makes you feel like you need another person in your life. Identify those needs and then learn to fulfill them on your own. I was doing a couples therapy session and the husband was being emotionally abusive to the wife. This was a recurrent theme for her, like you are saying it is for you. However, she had been doing a lot of work on her own and in private therapy, and this was a new relationship. Obviously she still had not “gotten it right” because she did once again attract a man with these tendencies. The difference this time was that she had done a lot of work on herself and had become a stronger person. When she looked at him in our session and said to him “I don't need you. I want you. But not if you are going to continue to act like this. So you leave the house and don't come back until you are ready to make some changes.” She stuck to that, too. He didn't leave for two more days because he kept telling her he would do different and begging to be allowed to stay. She had drawn a boundary and stuck to it, and he left. She was fully prepared to be single again. They actually did end up working things out in the end. You can't let someone stay and continue to treat you badly. Sure, a marriage takes work and compromise on both sides. Couples therapy can help you both learn to communicate in a healthier way with each other and can help you realize what areas in the relationship need work. You may not realize how some of the things you say to him comes across, and he may not realize how what he says does to you. A therapist can help you with this so that you both learn how your words can hurt. But you need to know your boundaries and be prepared to stick to them and not compromise your boundaries. That means following through on the threat to leave when he continues to abuse you. Someone can't do that if they are too scared to be alone. If they feel they need the other person in their life. These patterns are developed in early childhood from what we learn from our parents. When someone has grown up in a dysfunctional family, it is all they know. Even when you can say that you realize it is a problem, you still don't know how to stop it because you never learned any other way of interacting with people. Something that took a lifetime to learn will take time and work to overcome. Be patient with yourself and find a good therapist. You can't change your partner. Work on you, and when you begin to heal and feel healthy, the right people will come into your life and stay. The more you focus on trying to change the wrong ones to be what you want the more frustrated you will become. "
I feel like I would be more comfortable as a girl even though I still like girls. I think I'm like a girl stuck in a guy body. I imagine myself as a girl too. I think this more because my friends say that if I was a girl I would be a hot looking one. And I don't care about having boobs or anything. I just feel like the way that I do act will make more sense if I was a girl.," I understand that gender and/or intercourseual identity crises can be very difficult to navigate, although in today's time I think we have made a lot of progress and it is becoming easier for individuals to find themselves and also find acceptance from society. I am unsure how old you are. If you are a child or teenager, this is a normal time to have identity questions and to be in a phase where you are trying to figure out who you are and what you want out of life. I hope that you have understanding and supportive friends and family that you can talk to and who will support you in how you feel and what you may decide to do. A lot of people, unfortunately, do not, and if this is the case then it makes it harder for you. Because then you may not feel safe exploring these feelings and decisions. I urge you not to try to make any permanent changes for quite some time. By this I mean a intercourse change. Anything permanent like surgery or hormone replacement to change your actual gender is something that does not need to be done lightly. Please find a therapist that can help you explore your feelings and your identity crisis. Of course there are things that you can do that are not permanent changes. Many people decide to dress like their gender of choice. Maybe experimenting in this way is something that you could do. See if you have a local chapter of PFLAG in your area. PFLAG stands for Parents, Families and Friends of Lesbians and Gays. They are able to help not only with those who identify as lesbian or gay, but also transgendered and aintercourseual. I wish you all the best in your identity crisis. It would be very easy for you to sink into depression if you do not have good support and understanding from those around you during this time. Find a professional that can help, especially if you experience depression or any thoughts of harming yourself. "
"I've have lived for sometime with depression but things have gotten a lot better, but why is it so hard to get over anxiety and social isolation?"," The best way to handle depression and anxiety is with a combination of appropriate medication given to you by a medical doctor, and therapy to help you understand the thoughts, feelings, and behaviors that are causing the depression and anxiety in the first place and then to replace these with more positive thoughts and behaviors. This is not something that anyone should just “white knuckle” and try to get through on their own with no help. Cognitive Behavioral Therapy is a technique that has been proven helpful for depression and anxiety. This takes a therapist trained in CBT. There are some things in life that you cannot change and must learn to accept. A lot of people spend time trying to change things that they have no control over. This may be the behavior of someone else in your life or it could be a situation that you cannot change, such as the recent death of a loved one, a lost relationship, or an accident or illness which has left you handicapped. In cases like this, what can change is your attitude and thoughts about the situation that you now find yourself in. One thing that is inevitable about life is that stuff happens and it is not always pleasant. Some people take these unpleasant occurrences very hard and it throws them into a deep depression. Other people seem to be able to handle life's ups and downs and bounce back. They do this with having positive coping skills in their life. Learning new coping skills is something your therapist can help you with. A lot of people are so focused on trying to change the things in their life that they cannot change and are ignoring the things that they can change. There are things that you can do. Here is a quote for you to consider. “You are getting almost everything that you are getting based on the choices that you have made. You will continue to get the same thing out of life until you make some changes.” Another quote I like is “You will find a way or you will find an excuse.” Don't ever say that you have no choice. Everyone has a choice. You might not particularly like any of the choices that you are facing, but you do have choices. Not happy in a relationship? You can leave it. Hate your job? Get a new one. If it matters to you, you will find a way. Don't sit there complaining about everything but not doing anything different or better. Take care of yourself. Exercise is very important not only for your physical health, but for your mental health as well. Eating right and exercising will help you feel better about yourself. Also, find a meditation that works for you. There are progressive muscle relaxation exercises, visual and mental meditations, and many many more. Start making some positive changes in your life today! You can do it! "
"Hello, I have a cousin in my family who has been making me feel belittled, insecure, and frustrated during her stay here in the city. I know she comes from a place of love, but she has always been short-fused and highly temperamental if something doesn't work out the way she planned it. I have tried my best to coordinate plans with her, but she always ends up frustrated about the lack of communication I seem to have on my part and then makes condescending comments about my character that include: inconsiderate, negative, oblivious, and self consumed.
I have tried to talk to her openly about this, but it always comes back as an attack on my character and I have never heard these comments from anyone else before. I have been thinking a lot about her comments and whether I truly am an inconsiderate person who is not thoughtful, spatially aware of surroundings/people, or positive, but in the end, I am feeling awfully hurt about how this has affected our relationship.
What can I do?"," Do you have a close friend or relative who's opinion you trust? Ask them for their honest feedback and if they see you like your cousin does. If they don't see these qualities in you, then it may be your cousin's issue and she's taking it out on you. You can always ask her what would be the best way to communicate plans with her so you know, specifically, what she is expecting. Then if you meet these expectations and she still blames you and comments on how inconsiderate you are, it's her issue and she is not coming from a place of love. Even if you do resemble her comments, the way it sounds like she approaches this problem is not out of love. The fact that you're introspective enough to consider your own behavior suggests the problem is not with you. "
"I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time because before our child she said she was raped by a family member but she never went to the hospital or the cops. Now me and my family don't talk. She's always telling me I'm annoying and just belittles me. Nothing I do is right.
She says I work you watch the baby. On her days off she never cooks or cleans. I have no friends or family and a couple months ago she was confiding to some guy, but says he's not any thing to her. What do I do? I don't want to leave."," It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more beneficial for you and your child to move out. On the other hand, if you are just wanting the relationship to work out despite its current state, you need to evaluate whether the relationship is worth salvaging. It seems as though you are very unhappy and undervalued in this relationship. Although your question revealed just a short bit of information, I didn't read about any positives in the relationship. Sometimes it's extremely hard to leave a relationship even though you know that the relationship itself is harmful for you. However, with time and focus you can do it. Each day will get a little easier and you have to trust yourself that you are making the right situation for you and your child. However, if you really feel that you want to stay in the relationship, you have to be upfront with her. You need to tell her exactly how you feel and give her specific examples of how she is hurting you. This gives her a chance to render the situation. If after this there is no improvement, I suggest that you start reconsidering your decision to stay. I also think it would be valuable for you to start engaging in things outside of the home that make you happy. Are there any hobbies you enjoy? Are there any groups in the area that you can join such as playgroups that will allow you to engage with other parents? Start looking into these options and finding an avenue for you to do something for your own benefit. It is certainly not healthy for you to isolate yourself from friends and family. You need to have additional support networks besides the one with your girlfriend, especially since this has not been a healthy environment lately. Thank you for reaching out. I wish you the best of luck with your relationship. "
"Or how to send him somewhere that can help him, something like The Baker Act."," More information would be needed for me to accurately answer this question, such as your age, whether you live with your dad or not, and what other family members live in the household. Something like this, alcoholism, is a whole family disease. In other words, family members often unknowingly contribute to the alcoholism and enable the alcoholic to continue the destructive behavior. First of all, you can't make your dad do anything, and constantly nagging him or begging him to stop is just going to make him defensive and make this worse. Nobody can change another person. What you can do is change how you react to him and the things that you and other family members do for him. Research codependency. There's a great book called Codependent No More. There are a lot of articles on the internet that you can read. In short, you have to stop enabling him. Like I said, you cannot control him, but you can control yourself. This means do not buy his alcohol. Do not make it easy for him to get. Don't loan him the car keys or pay any household bills for him. Don't call in sick to work for him or make excuses for him in any way. Do not bail him out of jail when he gets arrested. He needs to be responsible for himself. This may mean losing his job or losing his driver's license. This may mean that he loses his family if he doesn't stop. What you and your family can do is set boundaries about what you will put up with. It is his choice to drink, but it is your choice to put up with the behaviors of his drinking. A lot of people go into rehab because their spouse said if they don't then they are getting a divorce. If you are an adult and you don't live with your dad, then the best thing you can do for him is STOP doing things for him. If you are a child who lives at home with him, then this could be a case for child protective services. In my state this is called DHS. A report is made to this organization for child abuse or neglect. Substance abuse in the home qualifies. Of course, alcohol is legal and when consumed in moderation, there is no problems. The problem will be the result of his alcohol consumption. Does he drive with children in the car while intoxicated? Is he left to care for minors while in an intoxicated state? Are there any domestic violence issues due to his drinking? This could be a reason for the authorities to step in. You can look for a local meeting for family members of alcoholics. They are similar to the AA meetings that an alcoholic should go to, but are for the family members. They can help you. "
"In particular during family gatherings (such as funerals), where there are different customs."," I think the best thing you can do is be respectful of each family member's wishes. Although everyone may not agree with one another, the most important thing you can do for each other is to respect their faith and beliefs instead of trying to sway them in a certain direction. There are many families that are united despite their differences. For example, a mother may be Catholic and the father Jewish. By introducing the children to each faith until they are ready to decide for themselves can be beneficial. Also, it's not uncommon for views to change as one ages or faces different life experiences. So don't get too discouraged if your child wants to explore different avenues. Creating a loving and accepting environment is most essential. "
"I don't know what's wrong with me. At times I can be really happy, excited, I'll talk fast, and I want to do things. But lately I've been staying up way later and sleeping too much. I don't hang out with friends, I don't really have them. I feel nothing, worthless. I want to do nothing, I have no interest in anything.
All I usually do is stay in my room. I want to be happy, I want to be nice. What's wrong with me?"," I'm sorry to hear that you are feeling as if you're in a slump. First of all, nothing is wrong with you. Many people report similar symptoms. Have you ever talked with a physician regarding your symptoms? Two extreme emotions such as feeling extremely happy and then feeling extremely low for a length of time may indicate a mood disorder. I think it would be best to talk with your doctor or a therapist to help pinpoint the issue causing them. It's possible that it could just be certain stressors in your life that are causing the two extremities but you definitely want to rule out any mental health issues. If it is in fact mental health related there are many medications or therapy choices that can help. Thanks for reaching out! I hope that you will feel back on track soon! "
I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.," Thanks for your question. I'm glad you realize that you need extra support and are being proactive. Simply explain to your doctor the feelings you have been experiencing and how you feel that speaking with a mental health therapist would be beneficial. However, keep in mind that you do not have to go into detail about your personal feelings. You can simply state that you are feeling down, overwhelmed, stressed, or whatever it may be. I'm sure your doctor will be glad to direct you from there. Best of luck you you! I hope that you will be feeling better soon! "
I feel like my time is going too fast," Thank you for reaching out! That is a great question! As an American, I can truly say that I spend way too much time on the go! It is a proven fact that Americans live in a fast paced environment compared to Europe! I often ask myself, what if I only had one day left on this Earth? What would I do? Well, that is an easy question. I would spend it with my family! Easier said than done when we are living in a tomorrow kind of World, right? Its hard to focus on the now when we are so consumed in what tomorrow shall bring. Time management is a very important factor when learning to "live life to the fullest"! In fact, this is a required course in undergraduate college now. Everyone manages their time differently and it is up to you to decide how you would like to do this. Personally, for myself I like to keep a calendar with a to-do list. I always place my most important tasks at the top of the list. That way, if I do not get through the list, I am not stressing over the little things. When planning your day, it is important you schedule work, eat and play. A much as it is hard not to work after getting off work, it must be done. There is discipline involved in this process. If you have trouble with this, then maybe seeking out some accountability such as including a coworker to make sure you do not bring work home once your shift is over or your spouse/partner reminding you that this is a time for play and not work. These are just some ideas that I am throwing out there. Again, everyone has their own style on time management. I hope this was helpful for you. Please don't hesitate to reach out for anything further! "
I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.," Having this kind of conversation with a doctor can feel difficult. But remember, you are the expert on you. Any good medical professional will recognize that. You are absolutely right to think about the importance of being your own health care advocate. Generally, the best approach is simply to be honest. Let your doctor know what you are concerned about and tell your doctor what you think might help. If there is a specific issue that you'd like to address in counseling, let you doctor know about it. And don't hesitate to directly ask for a referral. I know this may all feel a little overwhelming. It might help to bring a family member or significant-other with you to provide support when you talk to your doctor. It's great that you've already taken this first step to reach out. You're on the right track. "
"My last relationships have ended horribly. They just up and abandoned me. One of them I have never gotten closure with over it, leaving me emotionally wrecked. I know something's wrong with me but I don't know how to even start trying to better myself.
I get into these depressed like states whenever anyone I care about is too busy to be with me. I know that I shouldn't act like that because people are genuinely busy, but I feel like they're doing it just because they don't want to be around me."," Frequently when working with clients, I utilize the A-B-C model developed by Albert Ellis, the founder of Rational Emotive Behavior Theory. The theory basically states that you can not control an event but you can control your reaction to the emotions associated with said event. For instance here is an example:
- 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 Statements
- You'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?
intercourseually Abusive Statements
- You should know how to please me by now.
- I hoped you were less experienced.
- Stop acting like a whore.
Financially Abusive Statements
- You 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 Statements
- How 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 Statements
- If 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 Statement
- Keep 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 "
"My roommate has had a drinking problem for a while. She goes out, gets trashed, and then expects everyone to take care of her. The next morning, she apologizes constantly until she feels validated. She also thinks everyone hates her all the time. If I don't seem anything other than happy, she asks me ""Do you hate me? You hate me. Tell me you love me,"" and I feel like I have to pity her because she has also been suicidal before."," It does sound like your roommate may have a drinking problem, and the short answer is that you can't do anything about it, only she can. We can't change what other people say, think, or do. We can only change our reactions. It does sound like your roommate may be having a hard time. You can suggest that she enter counseling or therapy. You can reassure her that you like her (if that's true), but you don't have to pity her. "
"My dad is always, and I mean always, cussing and screaming at me for no reason at all. He makes me feel stupid. He also compares me to my other siblings in a negative way and demeans me. Is this abuse?"," Yes, screaming and cussing at your child is considered abuse. Here are two points I suggest you consider for your situation. If your dad is ever calm when you and him are with one another, ask for some time to talk about your relationship with him. Schedule it for sometime in the near future from your request. This way he has time to consider his points of view on his relationship to you. Even if he does no thinking about your relationship at all, he will not feel pressured by the surprise of suddenly being expected to talk about a topic he may prefer to prepare himself. My second point to you is to keep steady in your own views of who you are. When a parent demeans and mistreats a child, the child is affected in a negative way. Concentrate on loving yourself and keeping people in your friendship circle who care about you. "
"I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?"," I'm sorry for how you're feeling in your marriage lately. Are you and your husband able to talk directly about your feelings? The way two people connect is usually by talking with each other to understand what each one cares about and thinks. Your current emotional suffering is the natural result of being married to someone who shows no interest in doing this. If your husband wants to start talking with you, then there is a chance the two of you can reconnect. If he doesn't want to participate in the relationship with you, then start to think if its possible and for how long, to get emotional support from friends and family who do care for you. Also a question for the future is to understand what the value of your marriage is to you besides having a connection to your husband. "
"Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her. When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand?"," Open and honest communication can go a long way in situations like yours. Your girlfriend may be suspicious if you don't give her enough information. Answer her questions fully. Ask for her suggestions as to how to handle this female friend. Ask for your girlfriend for help in getting the female friend to understand that you are not interested in continuing the friendship. If you are honest with your friend, your girlfriend will probably feel like you are being honest with her. "
"I just took a job that requires me to travel far away from home. My family and I really need this job.
People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?"," There are lots of things you can do, but first: Congratulations on your new job! Commuting long distances can be stressful, but there are some things you can do. First, make sure that your seating arrangement in your car is comfortable. If you are driving long distances on a regular basis, you want to make sure that your body is in a comfortable position. Second, select some music or podcasts that work for you, rather than against you. Soothing music is good, as well as inspirational podcasts. Alternatively, listening to books can be a great way to spend the time, improve your mood, and find inspiration. Third, make sure that you have plenty of time for your commute. If the drive normally takes you 30 minutes, plan on 45 (or if it's 45 minutes, plan on an hour). This way you won't be rushed, can take your time, can focus on your driving, and if traffic is a bit backed up, you've got plenty of time to reach your destination. Finally, if you do find yourself being anxious in a way that impedes your driving, pull over to the side of the road, take some deep breaths, and sit with your feelings. Take a deep drink of water. Consider jotting your feelings down in a journal. If its safe, get out of the car and walk around a bit, stretching you muscles and breathing in the air. But most of all, be kind to yourself. I wish you much success in your new job. "
"I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?"," 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 intercourseual 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:
And 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 "
"I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk.
In the past, I have even cheated on my boyfriend while I was under the influence of alcohol.
But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem?"," Usually when someone asks if they have a problem, they believe they do have a problem! The first step is to understand your own theory and definition as to what problem you feel you have. Some possibilities are feeling unhappy in the relationship to your boyfriend, not having enough discussion between the two of you, not feeling cared about by your boyfriend, not liking your boyfriend. Did you grow up in a family in which the grownups drank to the point of excess at the times they felt stressed? Family modeling of how to handle problems may have left you no knowing how to handle stress except to drink to excess. Ask yourself what it is you feel guilty of doing? The guilt may point you in a good direction if it is your sense of self-esteem telling you to find better ways of managing your life. Do you drink alone or together with friends? Try defining your specific reasons for drinking because this is the first step to know how to handle the situation differently. "
"I've been with my partner for 4 years. She's given me no reason not to trust her. But lately I've been overreacting a lot when she's just doing normal things. I think it's triggering my bad past relationships.
How can I get rid of these insecurities and be more trusting with her?"," Two paths are possible. You're not overreacting and instead are genuinely sensing that something feels unsettled within your girlfriend. You are overreacting because you have difficulty accepting how safe and loving your relationship is with this person. The only way to find out is to start conversations with your girlfriend on how you feel. This will allow new light to open an answer as to the truth. Once you know what truly is going on between the two of you, your self-trust naturally will grow stronger. Self-trust will give you an accurate read of what and whom you are able to safely trust. "
"My husband and I have been married for seven years, and in that time, we have only had intercourse four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low intercourse drive or neither one of us actually knows what we are doing. I want to be better connected with my husband."," There are many different ways that can be approached in your situation. 1. I would recommend a complete medical examination including blood test. i would want to know if there are any medical issues in your low intercourse drive. 2. Where is your husband in this situation? Is he resentful, accepting, demanding or neutral? 3. What is your past intercourseual history? has this had an affect on your current issue? 4.Has there been problems in your past with abuse of any kind? 5. Understand that intimacy is more than intercourse. What other ways can you be close to your spouse? 6. It sounds like there is some confusion about intercourseual intimacy from both of you.Couples counseling would be a great place to start. All of these areas need to be explored before any treatment goals can be established. You need to talk with a professional counselor to explore how to better connect with your spouse. "
"I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?"," I can think of several things that may help you to reconnect. I don't know how much time you actually spend together, but one thing you could try is to spend 15 minutes a week together talking about common interests or other things that make you feel connected. Have you considered a date night or anything (doesn't have to cost a lot of money, but could make each of you feel special)? Something else you could try is to consider talking to each other in a way where you summarize what you are hearing and reflect back to make sure that you got it right rather than just assuming so. Communicating this way can feel awkward at times, but it could reconnect how you are listening and deeply connecting with your partner. Also, you may discover that you are on two different pages about things on which you thought you understood what each other felt, wanted, or desired. Consider what makes your partner feel loved, valued, appreciated, or special. Can you name a few things and get them right according to your partner when you check in? Can he do the same for you? You could also try doing two things every day that would be appreciated by your partner without either of you having to ask for it. There is some more information here, although what you do for one another does not necessarily need to be on this list:
http://www.couplesinstitute.com/tracking-success-by-doing-the-daily-double/ Reconnecting is a bit of a process. Try to praise yourself and your partner for attempts that you make and recognize that you're not going to get it right 100% of the time. You may also find this book to be helpful (or there are other similar ones by the same author):
https://smile.amazon.com/Love-Languages-Secret-that-Lasts/dp/080241270X/ref=sr_1_1?ie=UTF8&qid=1471479801&sr=8-1&keywords=Love+languages If this still seems difficult, consider seeing a local mental health professional. As one more thought, recall that this relationship involves both of you. If you are both committing to change your level of connection, change will likely not be a steady uphill climb (there could be plateaus or even some dips back in a negative direction) and each of you may change at a different rate. Best wishes in your quest for connection! "
"I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least.
I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me?"," It sounds like this would be difficult at times, particularly if you feel misunderstood. You may or may not know that we all have chemicals in our brain. We also have different sections of our brain that become active when different things happen. There is a part of our brain where a lot of our emotions originate that is also designed to protect us when we are going through things that have been physically or emotionally painful in the past, and when that part of the brain is sometimes overactive (perceiving threat when there is no actual threat at the time), sometimes anxiety can develop. This doesn't necessarily mean that everyone has an anxiety disorder, but often if we are afraid of something that is not actually a legitimate concern (for example, most insects are not going to hurt me, but I still do not like them very much), we have anxiety about it. The first thing I thought of when I read your question is that perhaps some part of your brain are overactive. I did find an article that may be helpful to you, but I just want to caution you. Not everything listed here applies to you. Also, the article uses the term ""brain anomalies."" This does not mean that there is something majorly wrong with your brain. While I cannot tell you exactly what is happening, I'm asking you not to panic over the term and to just consider that perhaps some of the chemical reactions in your brain may be a little overactive, which may be able to be corrected with medication or something similar. I can't tell for certain from what you posted whether or not this is what is happening, but I would recommend that you either talk to your primary care physician or a therapist or psychiatrist. Here is the article:
http://blogs.psychcentral.com/addiction-recovery/2012/09/too-much-empathy/ When you meet with your doctor or a therapist, please try to convey how much this is affecting your life. Thank you so much for posting here and I wish you the best. "
I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.," Sometimes we make ourselves feel worse with our own thoughts about things we can't change. We know that it is possible to overcome embarrassment and self-blame, but why does it seem so difficult to overcome it sometimes? If you tune into your own thoughts, or your ""internal dialogue"", you'll notice that your thoughts are connected to your feelings. So people who are holding onto embarrassment and self-blame often have thoughts like, ""How could I do that?"", ""I looked so stupid!"" ""Now people saw things I did not want them to see!"" If we tune in more, we might notice we are thinking that this is terrible, horrible, and that we cannot deal with it. These are self-sabotaging thoughts that lead to shame, self-blame and embarrassment. If you look at the evidence, you can find more rational thoughts such as, "" We all make mistakes"", ""People can look all different ways at different time - this incident does not define me!"" and ""If someone has a bad image or thought about me, it is really OK! People have all kinds of thoughts about other people, and it does not have to be a major problem."" When you practice your rational thoughts often and replace the negative ones, you will start to feel better, more confident and your embarrassment will decrease quickly. "
"I'm a teenager and I get these really intense mood swings.
My mood will be really high and I'll think of something that I want to do. When I start to make it happen I get irritated by other people if they intervene. Then if the thing I wanted to do doesn't work out, I have these tendencies to blame other people for it not working out.
Can you explain what's going on?"," Teenagers are prone to mood swings due to developmental and hormonal changes that are rapidly and intensely occurring in your body and mind - so some of this happens to many people in your stage of development. You are not at all alone. You've taken the first and very important step in regulating your moods by just identifying that you are having these intense changes instead of being completely submerged in them and unaware! The more you are able to be a witness to your emotions and thoughts, the more you can learn to manage them. Your question offers several clues for strategies that you can try - for example, identify the warning signs for becoming irritated and plan a response, such as taking a deep breath, informing the person you are becoming irritated and need some space, or find a distraction temporarily like listening to music or going for a walk. Since you are aware of blaming others for things not working out, you can proactively make a personal commitment to taking ownership or personal responsibility by just thinking about it and practicing thoughts such as ""I am responsible for my efforts"" and ""Blame is not helpful for anyone"" and other thoughts that you believe and can repeat related to this insight. When you practice thinking more rational, healthy thoughts, you are actually rewiring your brain, so practice is key! "
"I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household."," Since it is clear that people react differently to the same stressors, we know that the stressors are not causing the anxiety,
our thoughts about the stressors are. Often, cognitive distortions are the problem. Some common cognitive distortions include catastrophizing (predicting the worst), future telling, black and white thinking (if it's not perfect, it's terrible), mind-reading (I just know he is angry at me) and can't-standitis (I can't stand this situation). There are more, but the list is long, and if some of these are resonating with you, I would advise looking up CBT (cognitive behavioral therapy) tips, worksheets, booklets etc. on line, or contact a local CBT therapist. Another helpful piece of info on anxiety, is that it is prone to something called ""symptom stress"" - being anxious about anxiety. If we could hear this symptom stress it might sound like, ""Oh no I'm getting nervous about this, I'm getting uptight, I look nervous, what if I have a panic attack!"" followed by more cognitive distortions such as ""I can't stand being anxious!"" and ""this is horrible!"" The antidote to this is acceptance. Kind of like not stopping the waves but learning to surf instead (Jon Kabat-Zinn). If you happen to feel anxious, say to yourself - this is just a reaction I'm having that is unpleasant, but not horrible. I can tolerate and survive some anxiety, I can breathe deeply, and I'll be OK because panic attacks never killed anyone. I can stand this and it is temporary. You get the idea. We can increase our awareness of anxiety-provoking self-talk, and counteract it with calming and reassuring self-talk. We have the ability to think about our thinking, decide which thoughts are healthy and which are unhealthy, and choose which to focus on. We brainwash ourselves with our thinking, and according to self-perception theory, "" we learn what we believe when we hear ourselves speak,"" so we may as well be a calming, reassuring presence in our own minds. :) "
"It's the way my mom said I was worth nothing, stupid, no point of being in school. I'm ""lazy little fat.""", There is nothing wrong with going to summer school.
"I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least.
I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me?"," Sometimes it's helps to have a name for a problem - it can make you feel less alone as in, ""oh there's a name for this and other people have this experience too."" On the other hand naming the problem can also make it stick around longer as in ""now I have a special problem that has a special name, and that's an important part of who I am."" Bottom line, whether it's a disorder or not, you would like life to be easier and not have to be pulled so much by other people's energy and feelings. You might want to try imagining that you have a volume dial on your empathy (just like the volume dial or button on the tv) that you can gently turn down to the point where you still feel what's going on but it's not so ""loud"". You can also try imagining pulling your own energy back as if you were drawing your energy back home to the center of your own body and being, letting go of the other people or characters that pulled your energy out so far. This is a way create better boundaries and protect your own vulnerability. Just like on an airplane where they tell you to put on your own oxygen mask first before helping anyone else, your empathy will most likely not really help others if you allow yourself to be depleted. "
"I've been with my partner for 4 years. She's given me no reason not to trust her. But lately I've been overreacting a lot when she's just doing normal things. I think it's triggering my bad past relationships.
How can I get rid of these insecurities and be more trusting with her?"," What's most important is that you recognize that what you've been doing is off base - that what you've been feeling is ""overreacting,"" that you have ""insecurities,"" and you suspect your actions and reactions are connected to your own past and not to the current situation or to your partner. That's an excellent first step because without recognizing these things about yourself, it's unlikely that you would change. That said, you sound as if you are really ready to start some therapy to work on your own personal growth... not because there is something ""wrong"" with you, but because you're ready to learn more about yourself and make some creative changes in your behavior. Yes, there are lots of self-help books and courses, but we humans often make the most progress when we have support in
real-time from another human being who can sit with us, point out our blind spots, and teach us some skills that are hard to learn on our own. "
"I have a mother who is still running my life even though I'm almost 30 years old. I want to move out and live my own life, but it feels like as long as I do what my mom wants our relationship is okay. It's never okay if I don't do what she wants.
I don't know how to start making my own decisions and not worry about whether it's right in her eyes. Would it help for me to talk to someone about this?"," If the only way the relationship you have with your mother feels ""okay"" is when she is the only one who makes decisions concerning your life, then this only seems ok. In fact it is not okay for one person to be the authority for another person unless the one for whom this is being done, does not have their own ability to think for themselves. Separating your own wishes and way of handling life matters, from your mother's point of view, may be difficult. First, realize you need to get familiar with feeling at ease with the idea of deciding matters for yourself. You'll need practice until you feel comfortable. Unless, if you've been thinking through decisions you'd like to make and the idea of your mother's anger is the only point which stopped you, then you may almost instantly start living in a liberated way of running your own life. Basically, it is right and fair for you to have the chance to live your life the way you feel is best. Be prepared that your mother may disagree with you and that her disagreement is not a reason itself to not do what you believe is in your best interest. "
"On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs. I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest.
How do I fix this?"," Wear baggy clothes to disguise the problem and if you do this for a long enough time, then your friends may forget what size boobs you have. Can you tell your parents what you wrote here? If yes, then maybe they will be empathetic and this always helps. They may also agree to not make any comments about your boobs when you wear the bigger bra around your friends when they visit you at home. Also, its possible your friends already have questioned why you wore a bigger bra than your boobs. Maybe they saw what was going on the whole time during the school year and felt too awkward to tell you. "
"I know I'm ruining my life with a lot of the decisions I make. I consistently tell myself I need to make some serious changes in my life, but I just can't seem to even though I really want to. Why can't I force myself to change?"," In general the reason people aren't able to change is because the person feels a sense of fear to change. What the roots are of this fear are usually easiest to identify by talking with someone whom you trust and feel safe to talk about your inner thoughts and emotions. If you haven't got someone like this in your life, which is common, then shop around for a therapist because a therapist is someone who is professionally trained to listen in a way which helps someone know more about who they are. Be patient with yourself too. Change sometimes feels much scarier and is more complex than simple compared with whatever you would like to change. "
"I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household."," Which one gives you the most anxiety? List from top to bottom which one gives you the greatest anxiety and ask the question how come? From there, we can figure out the underlying factors of your anxiety. "
"I'm trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset?", In response to your answer. Yes because he broke a boundary of yours that he knew was important to you. The question that should be asked is are you able to go forward with your husband with his behaviors not changing for the better in regards to your feelings and emotions?
"After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.","This must be so difficult for both of you. Watching someone you love suffer so profoundly can bring up lots of difficult feelings. Without knowing what you are already doing, I have a few thoughts to share with you.
- First and foremost, know that you cannot fix this for him, and get support for yourself.
- As much as you are able, make space in your relationship for him to talk about what he is experiencing. He might not want to talk, and that is ok.
- If he wants to talk, try to listen without judgement and without trying to talk him out of his feelings. Focus on validating his feelings and just sitting with him in his pain.
- Let him know how you feel...that you love him, that you care, that you are concerned, that this is scary for you too, that you are here.
I hope that this is helpful. On my website (www.sarahmcintyrelpc.com), I've written a series of blog posts about coping with distress. The techniques I've written about there may be supportive for you and your husband. Sending warm wishes your way. -Sarah "
"My girlfriend was abused as a child. Now, if I hug or touch her in any kind of way she says she feels as if she is being abused as a child. What might be going on?","Thank you for your question. I think it's wonderful that you are approaching this with openness and curiosity. The reaction you are describing is extremely common in survivors of abuse.
What you said is insightful...when you touch her ""she feels as if she is being abused as a child."" From your description, I would agree that in those moments she is re-experiencing something that happened in the past as if it is happening right now. Re-experiencing or reliving traumatic experiences is a key symptom of PTSD. If you are seeking to better understand what is going on for her, I would highly recommend Bessel van der Kolk's book
the Body Keeps the Score. This book also discusses effective treatments for overcoming trauma. Best of luck to both of you, Sarah "
"I never feel like myself. I can't even think straight anymore. I start stuttering and I can't remember anything. I always get nervous and usually talk myself down but recently end up fighting with, what feels like, someone else. I don't know why I feel this way, but I hate it."," Hello, I am wondering if you might be experiencing some form of dissociation. People who dissociate might feel like the world around them is unreal and unfamiliar, or that they are not really in their bodies and that they are observing themselves from outside of their bodies. Dissociation can also mean that there are parts of you that have ""split off"" and sometimes parts are can feel like they are at odds with each other or are locked in conflict. Sometimes dissociation happens after someone experiences a trauma. Therapy can help you to understand what is going on and help you to integrate your experiences and ultimately heal. I am a therapist in Houston who specializes in dissociation. On my website I have information
specific to dissociation that might be helpful to you.
Sarah "
"I no longer carry expressions on my face, and my emotions are decreasing the more I have fights with my fiancée.",Sometimes repressing anger can lead to depression and block all kinds of other emotions too. I would wonder about your experience with anger and if you've ever been discouraged from expressing anger. I would also wonder if you feel like you have space to express yourself in your relationship or if you feel like you really aren't being heard. It's hard to feel cared for and connected to someone else when you don't feel accepted by them.
"My fiancée is always letting me know how I am a horrible/evil person, or I just don't care enough when it's about her feeling or when she is having an off day."," I don't know much about the dynamics of your relationship, but I want to say that
you cannot possibly be responsible for anyone else's happiness. If you are interested in a good read on this topic, I highly recommend
The Four Agreements by Don Miguel Ruiz. "
What should I do when we see each other?," I am so sorry that this happened. Nobody deserves to be outed without their permission. I would encourage you to get in touch with someone who is supportive and accepting and plan to touch base with them after you see your wife's sister. You can also plan to take some time for self care after you see her. For example, if you enjoy bike rides, plan on taking a bike ride afterward. Plan to do something that feels nurturing and caring. Best of luck! "
"I don't feel like myself anymore. For example, I could walk up an entire flight of stairs before realizing that my legs are moving. I feel like I'm watching my life be lived by someone else.","You may be experiencing a form of dissociation called depersonalization. People with this type of dissociation may feel disconnected from their bodies, feel that they are watching their bodies from a distance, or may not recognize their image in the mirror. Dissociation sometimes occurs after someone experiences something traumatic. I would suggest working with a therapist who specializes in dissociative disorders as dissociation does not typically resolve on its own. On my website, I have some information specific to
dissociation that you may find helpful. Best of luck to you. "
"She's a teenager, and for the last two years, she's lived with her older brother. She's angry because she wants to come live with me, but my current living situation is not the best for her. She refuses to see any reason. She's being disrespectful. Her intercourseual curiosity is waking up."," You're her mom and she needs you. I would suggest focusing on connection. Since you are not currently living together, one way to do this would be to plan a date in which she gets to decide what you do together. Give her time to think about what she wants to do. As long as the activity is safe and affordable, try to do it, even if it's not your thing. While you are with her, turn off the phone and give her your undivided attention. The goal would be just for you to enjoy each other and connect. "
I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.,"I also want to note that we, as a society, are especially judgemental about how women dress and present themselves. I am sorry that this boy said something insensitive. There is nothing shameful about your body and it was not your intention to ""display everything."" It also wasn't his place to judge you. As women we are expected to be intercoursey in some situations and demure in others. Men don't have the same range of societal expectations to navigate. You didn't deserve his rudeness. "
"Whether it's to a guy or girl, I always feel insecure talking, and I am afraid of embarrassing myself and not being good enough. Even when I am walking, I worry about my appearance and facial expression and such.","I want to add that one way therapy can help with social anxiety is to give you a corrective experience. Each week, you sit across from someone who genuinely cares about you, who doesn't judge you, and who you can voice your concerns to. Over time, you show them more and more of yourself, and as they get to know you, they still care about you, they still don't judge you, and they still think you are amazing. Find a therapist you connect with."
"I was kidnapped at fourteen and raped at gunpoint. The guy got six months. When the same thing happened with two ""friends"" at nineteen, I didn't even report it."," Wow, I'm so sorry that this has happened to you. My heart goes out to you. Please find a therapist who specializes in working with PTSD. Brainspotting, Internal Family Systems Therapy, and Somatic Experiencing are all highly effective therapies for complex interpersonal trauma. If you are interested in reading about trauma from a compassionate and scientific perspective I highly recommend Bessel van der Kolk's
The Body Keeps the Score. "
"At a friend's house, we had some drinks and watched some television. He got up and went to bed. I felt sick. He came out to see if I was okay, and I said no. I said I wanted to go home, and he told me to come lay down. As I laid down on the bed, he started touching me. A friend called me, then I able to leave.", I am so sorry that this happened to you and am so glad that you were able to get away. Your body is yours and yours alone. I would highly recommend that you find a therapist who specializes in treating trauma in order to help you to heal from your ordeal.
"My boyfriend and I have a terrible intercourse life after three years of dating, and I don't know what to do. I have this lingering fear of pain during intercourse after having two partners previously who weren't careful. How can I stop projecting this onto my current boyfriend?"," Without knowing much about your situation, I would encourage you to seek out either a intercourse therapist who is trauma-informed or a trauma therapist who has knowledge about intercourseual concerns. Even consensual intercourse can be experienced as an intrusion if a partner was not careful or insensitive to your pain. It would be normal to have some difficulties with intercourse after such an incident. "
"I have attention-deficit/hyperactivity disorder, posttraumatic stress disorder, anxiety, anger, and memory problems. I can't work. I have no income. I'm on medicine, but I feel worthless. I want to be normal.","I am so sorry to hear that you are struggling. It sounds like you've had a traumatic experience that has impacted your life in many ways. Without knowing much about your history, I wonder if the trauma you suffered has lead to the anxiety, anger, and memory problems you are dealing with, in addition to PTSD. I would encourage you to look for a trauma therapist who offers a sliding scale or pro bono services. There may also be community mental health services in your area that offer free therapy if you are eligible for grant."
"My dad beat and mentally abused me so badly that I can't function properly. Letting go of the past is important to moving on and getting better, but I'm terrified to get better because I don't even know who I am without the trauma. I've never gotten to be myself. I don't even know who I am.", I am so sorry to hear that you are struggling. Getting to know yourself after a trauma (especially at the hands of a caregiver) and learning to trust yourself can feel terrifying. I would encourage you to seek out a trauma therapist who can work with you slowly and at your pace. You are not your trauma. You are good and you are whole. Please seek out the support of a therapist who sees that in you.
I am a survivor of multiple intercourseual abuse/rape experiences. Triggers are having an effect on my daily life and my intercourseual relationship with my partner. I'm trying to learn to cope with them.," I encourage you to seek out and work with a therapist who specializes in treating complex trauma. Somatic Experiencing, Brainspotting, and Internal Family Systems Therapy are all highly effective treatments for people dealing with complex trauma. If you are interested in reading a book that is supportive and compassionate, Bessel van der Kolk's
The Body Keeps the Score is a wonderful book that discusses treatment options in depth. "
I always feel like I'm doing something wrong. Everything I do is crappy. I want to cry all the time. I can't eat or sleep.,"You are describing some of the most common symptoms of depression: low self esteem, difficulty sleeping, changes in appetite, sad mood, feelings of hopeless and feelings of worthlessness. A full assessment/evaluation with a mental health professional is warranted to understand if indeed you meet criteria for a Major Depressive Disorder i.e.., are delressed. One thing I often tell patients is that ""Do you think you are depressed?"" People often answer yes or no, but many individuals respond with a question: How would I know? To that I often explain that if I stopped watching movies or better, stopped enjoying watching movies that would be a clear indication for me that I am delressed. It would be a sign that I have lost pleasure or interest in the activity that I typically enjoy most . I'll ask you to think of one activity which you really really enjoy. It could be anything from reading, to being with friends, to skiing to watching tv. I would like to now ask you if you have stopped enjoying that activity or can't find the motivation to engage in it? This is another symptom of depression: loss in pleasurable activities. The good news is that there are many effective, available treatment if you are indeed in a depression or simply, you want to modify/decrease your depressive symptoms i.e., you want to stop feeling so tired and so worthless. Treatment includes one or more of the following: psychotherapy, medication, exercise. Any one or combination of both of these can help to improve your mood. The even better news is that feeling that you are doing something wrong can diminish with appropriate treatment over time. I hope you find this information helpful. The most important next step is to get evaluated by a mental health professional typically a psychologist or psychiatrist, and for both you and the professional to better understand your symptoms and your mood in the context of what is going on in your life."
"I'm trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset?"," Let's look at your question and break it down. It begins with the word
should. As a first reflection, it implies that there is a right and a wrong way to feel, in this case, feel upset. I think I would like to ask you the question in a different way: are you feeling upset? If you are feeling upset or if you are feeling another emotion : insert worried, ambivalent, scared, angry, insecure, confused that is likely reasonable if the relationship has undergone some breaks in trust followed by distance (seperation). The first step is to recognize what you are feeling, and accept it for what it is-- an emotion. A feeling. You are entitled to feel a range of emotions as you are in the process of repairing or rebuilding the marriage. It is what you
do with that feeling that matters-- how you act, how you think, what you say, and the impact the emotion (likely emotion
s) have on your relationship and in turn your quality of life that matters. If you want to discuss the impact of your feelings on you or on your marriage, I suggest you consult with a mental health professional with expertise in couple therapy/ relationship issues. I hope you find this information helpful. "
"I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?"," What you are describing is something I often refer to as ""living with your roommate"" phenomenon. This is the idea that you feel like you are living with a roommate and no your partner or spouse . It is not uncommon for members of a couple to report to feel both physical and/or emotional distance. When we don't feel connected within relationships, this can be isolating and lonely. The emotional distance often makes us wonder: am I important to the other? These types of feelings need to be better understood in the context of your own background and upbringing I.e., who you are and also better understood in the context of your couple. Feeling reconnected can occur-- but there is not a ""one size fits all"" solutoon. As a first step, do you or your partner have any ideas of how to feel reconnected? Have you considering talking to your partner about the emotional void? Or how about discussing solutions , together, that might help-- from individual therapy to couple therapy to a weekly date night to inquiring about one another's personal interest to starting off the conversation of what
both of you want and can do to re-establish feelings of connectiveness. If this is too frightening I.e., to address the lack of connection between you and your spouse. a fist meeting with a couple therapist can likely help unpack what the possible solutions for your couple. "
"I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?"," Your question highlights your pain very clearly. What you are describing is one of the most common scenarios I see in my practice with couples: One partner feels terribly lonely and unimportant in response to the other partner either turning towards other people and activities or being withdrawn and turning inward. My mind immediately goes to a question for you: What happens when you are feeling alone and uncared for? What do you say to yourself about you, about your spouse, and about your relationship? What do you do in response to these feelings? Do you ask for what you need? Does this lead to arguments? Do you stay silent or withdraw? Very often, couples enter into negative patterns where one partner feels afraid of rejection by the other partner and so withdraws from the relationship (and is often seen as ""cold and aloof"" towards the relationship), and the other partner feels afraid of abandonment by the withdrawing partner and so pursues the other (and is often seen as ""critical and nagging""). Regardless of ""who started it,"" these patterns can turn into infinity loops that take on a gravity of their own, and ultimately cause both partners to withdraw and dissolve the relationship. If both partners want to work on saving and improving the relationship, the way out of this is to learn about your emotions and patterns together so that you can slow down the pattern and stay in touch with the emotions that pull people together. As the patterns slow down, partners are better able to get more deeply in touch with their vulnerabilities, needs and longings, and ask for them to be met in such a way that doesn't leave the other partner feeling criticized, threatened, abandoned, or uncared for. Some couples can do this without the help of a therapist. The book ""Hold Me Tight: 7 Conversations for a LIfetime of Love"" by Sue Johnson is a self-help book based on Emotionally Focused Therapy (the most scientifically validated couples therapy that currently exists), and has been helpful to many couples that I see. When a therapist is needed to help partners reconnect or overcome betrayals, I recommend seeking couples therapists who are trained in a scientifically tested model of couples therapy (such as Emotionally Focused Therapy. You can learn more about EFT or find an EFT therapist here:
http://www.iceeft.com). To summarize: Your pain is understandable and valid. It's telling you what you are missing and what you want. Reconnection comes when we can listen to what our feelings are telling us, express those feelings in a safe way, and assert our wants/needs, while remaining open to the vulnerabilities and needs of our partner. If you can do that on your own, and your relationship is responsive, that's fantastic! If you encounter challenges in resolving this yourself, consider therapy with a trained couples therapist using a model that is scientifically validated. Pain means this is important! You and your marriage are worth the effort! "
"I just took a job that requires me to travel far away from home. My family and I really need this job.
People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?"," It is ok to have anxiety. Please don't be anxious about being anxious. If you feel anxiety coming over you, then pull off the road to a safe place. Concentrate on centering yourself and to breath slowly. Take some sips of water. Sit still. The anxiety should pass in about twenty minutes. If it does not pass, then continue calming yourself until you feel safe enough to drive to your hotel. You can always explain to your supervisor that you were taking care of a medical problem, because anxiety is a medical problem. "
I am a survivor of multiple intercourseual abuse/rape experiences. Triggers are having an effect on my daily life and my intercourseual relationship with my partner. I'm trying to learn to cope with them.," I'm glad you're willing to keep optimistic about life improving and offering better relationships than some of the ones in which you greatly suffered. One suggestion is to develop patience with yourself and the process of regaining your willingness to trust other people. intercourseual intimacy engages all of who we truly are. Being cautious as to who and how much you allow someone into your life, is natural for anyone recovering from trauma. Allow yourself to withdraw when situations feel dangerous. Your sense of danger is most likely on higher alert than had you not been victimized. Be attentive and cooperate with your own sense of readiness to engage in conversation, discussions and intercourse with your partner. Explain all this to your partner so the person can develop their own patience with your recuperation process. "
"After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again."," Since as husband and wife your lives are closely joined, how your husband feels greatly influences the way you feel. Give yourself some time to concentrate on how you've been affected by your husband's suicide attempt. Even if you decide against immediately telling him how you're feeling, knowing this about yourself will guide how and the topics you bring up with him. Is your husband talking easily with you? Do you have some ideas as to what is creating his feeling of hopelessness? The ideal approach would be if the two of you are able to discuss what bothers him and what bothers you. Depending on how far away you each are from such a position, you may benefit from speaking with a licensed professional therapist who can guide you and or you and your husband on opening up for discussion what feels stressful enough to merit taking one's own life. "
I have three children. The oldest is nine and not my biological child. The middle child is three and the youngest is one. I have a great relationship with the oldest two children but I haven't developed the same level of attatchment to the youngest child. I rarely want her around and look forward to her nap times. Is this normal?," Congrats on being honest about the way you feel! Many people state having a favorite child so the reverse would also be possible, of having a least favorite child. Try to understand your own reasons for not liking your youngest child as much as the others. One point to consider is whether it is the child' personality or the way they interact with you which gives you the feeling of not liking this child as much as the others, or does the reason have more to do with younger children requiring more care? Also, do you generally prefer older kids to younger ones? It is possible the problem will go away as your youngest grows older. Is there another parent in the household who can make up for what you feel unable to naturally give to your youngest? Is it possible you feel your own need to be involved with activities or to have time on your own? Maybe you simply need a break from constant mothering. Continue to give as much as possible to your youngest child. "
"She refuses to talk to me and told my mom (her grand mother) that she is remembering things from the past. I don't know what to do. My daughter blames me and swears she hates me.
My parents say I should just let my daughter live with her dad, but I don't see how I could fix things if I only see her every other weekend. What should I do?"," Sorry to hear about your high degree of stress. How old is your daughter? Who abused yours daughter? The answers make a difference to your decision. Obviously if the father was the abuser, then unless your ex demonstrates to you and you believe, he will not abuse her, your daughter should stay with you. If someone other than the father was the abuser and the father has a good relationship with your daughter, then it is possible that the time away from your household will give each of you time away from arguing with one another. What does your daughter tell you she wants? Her wishes must be considered too. Relationships can be fixed. Sometimes being apart helps this process because the two people each have time to reflect more deeply on what they value about the other. "
"Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her. When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand?"," Do you know why your girlfriend doesn't believe you? It is strange that your girlfriend prefers you to take the phone call of another woman. Have you blocked the unwelcome phone calls? Has your girlfriend said she doesn't believe you or is this your interpretation? Find out the answer and then ask your girlfriend to tell you her reasons behind her thoughts. It is much easier to help someone understand a situation if the person is engaged in a conversation. Whether or not she understands is up to her. All you can be responsible to do is to offer your explanation, which sounds like you've already substantially offered. Keep or reintroduce the topic for the two of you to talk about again. "
"I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?"," I'm sure you've tried to talk to your husband, but if not, could you? Have a conversation with him about him and his life, his work, etc. See if he relaxes and opens up to you, even a little bit. Don't try to have a heavy conversation or even unburden yourself to him during this first conversation - just try to be light-hearted and focus on hearing him. It's the first step towards getting your needs met too, and ending any emotional standoff that might have come about between you. "
"My husband and I are separated and he doesn't even want to talk to me.
He says he doesn't love me anymore, but I would do anything to get him back. Is there any hope?"," There is always hope. So don't give up on hope. However, you knew I would say that, there is a lot work ahead of you. You need to see someone to talk things out. Get some space between you and your husband. Don't chase and please don't stalk him. Do some deep searching as to why he left and what part you had to cause the split. You can't change him but you are in control of your own change. With the help of a professional counselor you can get help and direction where you need to change. "
"My husband and I have been married for seven years, and in that time, we have only had intercourse four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low intercourse drive or neither one of us actually knows what we are doing. I want to be better connected with my husband."," It's encouraging that you say you want ""to be better connected with [your] husband,"" and since he hasn't left you, he must care about you and the relationship more than he does about just having intercourse. You don't say whether he complains or not, but even if he doesn't it seems there's a sense of something important missing for both of you.
Most likely to connect better with him physically you'll need to become better connected with yourself and your body. Men often feel fulfilled by intercourse simply because it happened - the woman they want received them, allowed them to make love with her. For women that can sometimes be more complicated. A woman who loves intercourse most likely also loves her body, knows what pleasures her, and feels confident asking for what she wants. Self-pleasuring can be a way for you to discover more about your intercourseuality, and a classic resource is Betty Dodson's book
intercourse for One: The Joy of Selfloving. A good counselor or intercourse therapist can be very helpful with your whole relationship as well as the intercourseual part of it, but not all counselors are comfortable working with intercourseual issues. Shop around and be sure you find someone who can help you and your husband get better connected on all levels. "
"I had a dispute with my therapist regarding an appointment cancellation. Now, she is blocking me from seeing other psychologists at the same clinic (which takes my insurance), which is also where I get my psychiatric services. There is a strict 48 hour cancellation policy, and my appointments are at 3:00 on Tuesday. I called to cancel at 4:30 the previous Friday. I was late, so we contacted my doctor to tell her that I would be out of town. She said I could do a phone in session. The thing is we do double sessions."," My recommendation would be to try to talk to your therapist about this from your description, it sounds like you have a legitimate explanation for missing your scheduled session.
Maybe if you could explain that to her she would be willing to work with you. If she is not willing to consider your explanation and if she is not willing to continue working with you, she still has an ethical obligation to provide you with referral resources to another therapist. "
"I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?"," I can offer you hypnosis for confidence in presentations, via Skype, if you're in Cali. "
"I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?"," A good way to start is the language or ""self talk"" that is happening inside your mind. Looking at your question, when it is said that the presentations ""make me feel stress"" you are giving the responsibility of the stress to the presentations and taking that away from your self. The presentations cannot give or take away your stress, that's something only you can do and you can do it! What language can you change in your self talk? For example, are you saying ""I can't speak in front of an audience! I'll fail?"" That sounds a lot different than ""I studied my butt off and if I practice speaking out loud, I can ace this presentation!"" Although this is a short answer, I do believe that counseling will help you overcome these stressful feelings and bring out your inner confidence. "
"I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?"," I am so sorry to hear about what happened to you! What you are describing is being in a state of shock. You haven't suddenly become a sociopath - this is a normal reaction to an event that is completely overwhelming. There are most likely too many feelings to feel right now, so your body in its wisdom is shutting them down. You absolutely can recover, and it would be really important to get some trauma counseling with a counselor who feels safe for you to talk with. This is not the kind of situation to try and handle totally on your own. "
"I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments."," Check this blog out:
Four-ways-add-self-esteem-friends-list Hope you find a few nuggets of helpfulness in this. "
I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face. It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do.," Check out my latest blog:
Four-ways-add-self-esteem-friends-list I hope this offers you some nuggets of helpfulness! "
"For the past year, I have been feeling pressured to do well in school, and it put a ton of stress on me. I have been bullied for five years, and for some reason, it is now sinking in, and I can't stop it. For some other reason, I can't find a hobby I can see myself doing without thinking bad about myself."," Check out my latest blog on:
Four-ways-add-self-esteem-friends-list I hope this provides a few nuggets of helpfulness to you! "
"I feel like I'm ugly, stupid, useless, and that I can't make anyone happy."," Check out my blog post on:
Four-ways-add-self-esteem-friends-list/ I hope this offers you some nuggets of helpfulness! "
I always need alcohol to feel better and use that as a excuse.," Check out my latest blog on:
Four-ways-add-self-esteem-friends-list I hope this offers you some nuggets of helpfulness! "
"I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?"," Terrible things do happen in life, and I am sorry to hear about what happened to you. Please rest assured that you are not a sociopath, and that your reactions are normal responses to traumatic events. I'm guessing you are experiencing a sense of numbness, which is a common response to trauma. The best thing you can do is to get some trauma counseling with a professional counselor. As you process your experience, you will be able to feel emotions again. However, the first feelings to come back may be related to trauma, such as fear, panic, and a sense of hyper vigilance. A professional counselor will be able to help you tolerate these feelings, manage them, and heal from your trauma. "
Why am I so afraid of it? I don't understand.," Why are you afraid of rape? Because it is a problem in the United States! The National intercourseual Violence Resource Center reports that one in five women (0r 20%) will be raped (http://www.nsvrc.org/sites/default/files/publications_nsvrc_factsheet_media-packet_statistics-about-intercourseual-violence_0.pdf) and that 80% of women know their assailant. Given these statistics, it is perfectly logical to be afraid. However, there are things you can do to reduce the risk of rape, such as being aware of your surroundings, and limiting the use of drugs or alcohol. The Enhanced Access, Knowledge, Act program for college-aged women has been shown to reduce the risk of rape by more than 50%. (http://www.blueprintsprograms.com/factsheet/eaaa-enhanced-assess-acknowledge-act-intercourseual-assault-resistance-education) You may want to see if a program like this is available in your area. Another great app for when you need to walk somewhere alone, is the Companion App (http://www.companionapp.io). Friends or family can track your progress from one point to another via the GPS in your phone. In addition, talking with a counselor about your fears would also be a good idea. Sometimes fears are rational and reasonable. Sometimes they are over-reactions and unreasonable. When then are over-reactions and unreasonable, they can have a negative impact on your life. In this case, a counselor could help you understand why your fears are unreasonable, and how you can stop them from negatively impacting your life. "
"I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?"," You're not a sociopath - you're traumatized. Shutting off feelings is our brain's automatic way of protecting us when something bad happens and we just can't deal with any more pain. It's temporary - which is both good and bad news, because after the numb goes away and your brain decides you're ready to handle it, you'll feel the emotional pain. My advice is to get a therapist ASAP so you have a safe place and a safe person when that happens. This is a horrible thing that happened to you, but you are not a horrible person. With good therapy you will learn to assimilate this into the rest of your life. You'll never forget, but you won't have the same pain about it . Good luck! You can do this! "
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?," What an important question, and the fact that you're asking it is a big step in the right direction. To answer in detail would require having quite a bit more information about what ""relationship problems"" have occurred that woke you up to the fact that you're not listening as well as you could and that you're running the risk of losing her. Given that I don't have all that information, I'll offer one simple suggestion. Your girlfriend is the expert on what
she needs and wants in relationship. You could simply say to her that you know you still have a lot to learn about how to have a good relationship and you realize you're not yet understanding what she needs
and you really want to. Then take a deep breath, settle down, and listen. Don't argue, don't interrupt, don't judge... listen. Let her know what you understand and that you're open to hearing more, learning more if you're not quite getting it yet... and then listen some more. Be present and curious about this person you love dearly and don't want to lose. This is the first step toward intimacy. "
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?," Hello, and thank you for your question. First, I want to say that it is great that you are are willing to admit that you share some responsibility in some of the relationship problems you are having. This isn't always easy to do, but it sure is important if you want to see improvement. It does sound cliche, but communication really is the bedrock of relationships. And not just intimate partner relationships, but really any relationship that is significant to us. It sounds like you are saying that you have a difficult time really listening to what your partner is telling you and then responding in a way that is helpful. I want to tell you that you are not alone. Good communication skills are not really something you are born with, we actually have to learn them. The good news is that there is great information available to help you do that. Ultimately, some people must seek professional help through couple's counseling in order to get help with this process. This is because some of the hurt and anger could be at such a level already that you may need help setting boundaries, creating a plan, learning new skills, and staying on track. If that is not something you can afford or can do right now, here are a few suggestions that may help. Personally, I am big fan of Dr. John Gottman. He is an expert in relationships and wrote a really great, easy-to-read book called
The Seven Principles for Making Marriage Work. Dr. Gottman discusses the kind of communication that healthy couples seem to have, which can be helpful and worth trying. You can buy Dr. Gottman's book on Amazon for under $9. It's a good deal. There are a variety of websites that have good information that may help you build your communication. Here is one that I found that has a few good tips. http://www.helpguide.org/articles/relationships/effective-communication.htm You can try them and see if they are helpful. ***It is important to remember that like all new skills, communication requires practice and we surely fail several times before we start getting good at it. If you were ever a pitcher in baseball, then you know you have to throw thousands of pitches before you really start hitting your strike zone consistently. Allow yourself to make mistakes, own them, and start again. I hope these suggestions help, and good luck. Robin Landwehr, DBH, LPCC "
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?," Thanks for your question. Becoming a good listener is an essential piece in being a better communicator. Being an effective communicator will almost always improve the quality of your relationships. What stands in your way of listening to her? Do you find yourself becoming defensive when she brings up issues? Do you often find yourself thinking of what you want to say next? Do you take her words personally, preventing you from having the ability to problem solve? Here are some tips that may help you with being a better listener: 1. Concentrate on what you are hearing, not on what you will say next. 2. Ask questions if you need clarification or don't understand. 3. Summarize what you're hearing after every couple of minutes to make sure that you're not missing anything. 4. Ask your partner what she needs from you. Is she expecting advice or does she simply need to vent? 5. Keep eye contact and avoid using non-verbal cues that demonstrate defensiveness or irritation such as eye rolling or crossing your arms. 6. Remember that it's okay to disagree and, if this is the case, then decide as a team, how you want to move forward. I hope this helps. Good luck to you! "
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?," 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 Weinhold I'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. ;) "
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?," The first step for making this sort of change is being motivated to change and it sounds like you have that, so you are already on the right track. As far as learning how to listen, try some of these steps:
- Ask whether a certain time is a good time for your girlfriend to have an important conversation
- If she has a subject that she would like to discuss, consider listening to her as an investigative reporter and asking questions that help you to gain more understanding of her experience. These questions usually begin with words like who, what, where, when. Questions starting with the word why can sometimes make people very uncomfortable because they may not explicitly know why they are asking for something or feeling a certain way. You can try communicating this way for just five minutes or so on until you feel as though you can restate what your girlfriend is saying and have her agree that you are recapturing the essence of what she is trying to communicate
- Then you can switch so she is listening to you trying to understand your experience. You could also start by talking about something that is important to you.
- Remember that stating that you follow or hear something that she is saying doesn't mean that you agree
- Also, try sticking to one subject at a time. It's difficult to really understand one topic if you are on to the next within just a minute or two
- Try to use the word want or wish instead of need. Saying that you need something (or if your girlfriend would say that) that is not a need for safety or something like that can make whatever you are asking for sound like an obligation. That takes away from that whole motivation to change from inside the partner who is agreeing to change or try to change
Something else to try would be using some sort of timeout. Consider this:
- Discuss the idea of using timeout before you actually need it and before the discussion starts. Timeout is a way to give each of you a way to calm down for five, 10, 15 minutes, or maybe even an hour. When there are a lot of emotions happening, each person gets wrapped up in protecting themselves from the emotions they are feeling and can lose track of what is actually going on in the conversation as compared to what they are perceiving.
- When using timeout, say to your girlfriend (or she can say to you) ""I need an hour before we can go back to this."" Then actually come back to the discussion.
- Some people are very afraid to use this technique because in the past not talking about something right away meant that it never was returned to and was never resolved in any way. This is why the agreement is important before you need it.
While it may be helpful to ask your girlfriend what it is she may want from you, it is you that would be in charge of deciding whether you want to make that change and putting it into practice. Try to remember that part of being in a couple is holding onto your own wants, wishes, and desires while recognizing those of your partner. As one final idea, consider spending about 15 minutes a week together where you are not problem-solving about anything, just connecting with one another. I encourage you to see a therapist who specializes in couples if you would like some more specific ideas for what is happening within each of you and between you. Best wishes! "
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?," The best tool for becoming a better listener that I know of is called Imago Dialogue. It consists of 3 steps: 1. Mirroring what she says (without judging, commenting, refuting, defending, arguing, or scoffing--just listening, no matter the content) and repeating it back, word-for-word. Continue to ask if she has more to add until she doesn't. 2. Validating. You tell her you you understanding why she feels this way. (If you don't understand, then find a way.) You can also say, ""That makes sense"" or ""I hear you"" or ""I get that."" 3. Empathizing. Tell her how you think she must feel about what she's telling you. Your job is to try and feel what it feels like to be her. This is a very different way of communicating than we're used to. My guess is that the arguments, discussions, and debates you've had with her have been counterproductive because you're both trying to win. With Imago Dialogue, you both win. She gets to be heard and you get to hear for a change. At the end of the exercise, switch roles. For more info: http://imagorelationships.org/pub/about-imago-therapy/imago-dialogue-101/ "
"I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?"," Have you tried rehearsing to yourself or a trusted friend what you will present to the class? The more confident you feel in a safe space, the more chance there will be of making the same presentation to a larger group. Giving presentations is not necessarily a difficulty with communication. It has more to do with performance than expressing yourself clearly. Practice, practice, and practice, until you see yourself improve in how you present. Also, keep in mind that whatever anxiety you may feel about making a mistake, the audience is almost alway much more forgiving than the person who feels anxious. Anxiety heightens fear, so whatever concerns you have, check if they are growing from anxiety instead of a realistic assessment of your abilities or audience receptivity. Good luck! "
"I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?"," Sociopaths don't know they are sociopaths. Clearly, you realize you have pretty deep emotions and have lived through several severely distressing situations. Your sense of self may be protecting for a while until you recover the practical aspects of daily life and feel some sense of predictability and stability in your life. Knowing and feeling disturbing emotions which rupture basic trust that other people are safe, is itself a raw process. Yes, it is possible to become numb emotionally. The good purpose is to protect you from additional hurt. When your inner world feels itself ready, more of your emotions from the recent distressing events will be accessible. If many months pass and you see no progress, then definitely consider a few sessions with a therapist who would be able to guide you to become more open to your feelings. "
"My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my intercourse drive.
I love him so much. Why do I do this?"," Are you sure it is only the birth control pills which has changed your intercourse drive? My guess would be that possibly due to the hormonal changes of the pill, your own awareness and understanding of yourself in this relationship, is what is actually changing. Birth control pills control ovulation. They don't directly prevent people from all desire to express affection. Allow yourself some time to reflect on how you feel toward your BF. It is possible the birth control pills triggered a change in your attitude toward him. And, maybe independent of the pill, maybe you just are done with the relationship. "
I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.," 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 "
"I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?"," Wow, congratulations on being in a masters program. You are in a unique place. So few have reached that level. You should give yourself a pat on the back. Confidence is not something that comes naturally. But can and does come with practice. Having gone through two masters programs I can sympathize with your your dilemma. So how is the stress affecting you? Is it serious enough to stop you from presenting or is it just ""butterflies""? There are many ways of dealing with the anxiety and stress. Much depends on how serious the stress is. So here are a few ideas: 1. Practice in front of a mirror. Sounds strange but the practice helps. 2. Ask some friends to listen to your presentations. Not so much for their input as to just get used to presenting. 3. Focus on the material you are presenting. The subject matter is what you want to get across. Step away from your nerves and get into the facts you want to present. Let the material you present be the focus. 4. Remember everyone else is just as nervous as you. Share your fears with some of your classmates and gain support from them. Focus on a friendly face during the presentation. Be a support to them in return. 5. ""Fake it, till you make it"". Yes it sounds blunt. But sometimes that's what it takes. Even if you feel like it, you won't die. So much more can be discussed with a competent counselor. Take the time to let a professional help you work through this. Again you have come a long way to be in a graduate program. Congratulations you have done great work so far. It's just one step at a time, take the steps. "
"My wife is always accusing me of cheating and telling me that I'm doing things she finds disrespectful even when I don't mean it like that. For example, she gets offended when I call someone at work ""sweetheart."" I wish I had a penny for every time she accused me of cheating on her. She doesn't, and never will say she was wrong. How do I get her to understand?","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. "
"My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my intercourse drive.
I love him so much. Why do I do this?"," There could be many reasons that you push your boyfriend away. It could be part of how you were raised, it could be because of culture, it could even be your own insecurities about yourself that are then outwardly manifested in you ""pushing"" him away. What is important in all this is that you both find a way to connect. So what if you aren't a hugger, a kisser, or a toucher you have to find what works for the both of you and your relationship. There are many ways to show affection that aren't physical (words of affirmation, giving of time and/or gifts, etc). If your boyfriend wants the physical attention then work on ways that are comfortable for the both of you making sure to start out slow and to work your way up to more physical touching. "
"My wife is always accusing me of cheating and telling me that I'm doing things she finds disrespectful even when I don't mean it like that. For example, she gets offended when I call someone at work ""sweetheart."" I wish I had a penny for every time she accused me of cheating on her. She doesn't, and never will say she was wrong. How do I get her to understand?", Here is the truth: You will never get her to understand! because that would mean changing her and we can't change other people we can only change ourselves. I would recommend to take the time to self reflect on what exactly it is that you are doing that is contributing to the mixup. You both have very valid feelings and those won't magically go away until you address the root problem (which could be many factors). I am curious to know more about past relationships the both of you have had and how that plays a role in your current relationship. Many times we don't realize how past relationships truly impact our current behaviors.
"My husband and I have been married for seven years, and in that time, we have only had intercourse four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low intercourse drive or neither one of us actually knows what we are doing. I want to be better connected with my husband."," I work with many couples that experience a wide range of intercourseual and relationship challenges. The one aspect I tell many folks that I work with, is this: Every person and relationship is different. There really isn't a ""normal"" amount of intercourse a person should have or want to have. If having intercourse 4 to 5 times in the course of your relationship is satisfying to you and your husband, there is nothing wrong with it. If you or your husband would like to have intercourse more often, I suggest talking with a counselor about this to find ways to engage in a intercourseual life in which you are both satisfied. The aspect of connectedness is an important one. While intercourse can be very connecting for many couples, it isn't the only way to connect. I find that communication about the matter of frequency of intercourse, checking in to see how you and your husband feel, as well as communicant about your needs for connection are an important start to fulfilling this need. "
"My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me.
He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?"," Hello, and thank you for your question. Nervousness, when doing something new, especially something intercourseual that can feel so personal, is very common. Indeed, despite the fact that nervousness can be uncomfortable, it is also part of the excitement of trying something new. Many people who engage in open, polyamorous, and/or other-type relationships, will tell you that difficult feelings, such as jealousy and anger, do show up sometimes. This doesn't prove that there is something wrong with the relationship, it just shows that you retain normal human emotions while in one. And many people who are in polyamorous relationships have written about the work it sometimes takes to make such relationships work. Of course, all relationships take work, so polyamorous and other types of relationships are simply not an exception. There could be several reasons why you are feeling the way you do. One reason could be that you are simply not as comfortable with the idea as you think you are. Some time and good communication with your husband may help you with this. Another reason this may be bothering you is because, on some level, you are aware of the messages society gives us about marriages. They are supposed to be monogamous, heterointercourseual, etc. etc. Just because you may not agree with these beliefs doesn't mean that you haven't been influenced by them. We all have. Another reason this may be upsetting you is because it may feel a little frightening. Perhaps there are a lot of ""What ifs"" going on in your mind. When you get the ""empty"" feeling, it may be helpful to try to really nail down the emotions that are attached to that feeling. One thing that I do think is very important is that you communicate these feelings to your husband. It may even be a good idea to talk about expectations or ""ground rules"", if you will. It is important that you are both on the same page about what this is, and why you are doing it. If you continue to struggle, I suggest finding a counselor who has experience in intercourse and intercourseuality. I wish you well. Robin J. Landwehr, DBH, LPCC, NCC "
"My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me.
He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?"," As someone who specializes in intercourseuality 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 intercourseual 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 way
- Fear 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 intercourse 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 intercourse ""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/ intercourseually open couples are:
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 intercourse-positive, poly-positive counselor to chat with. Best of luck to you! Tamara Powell, LMHC "
"We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?"," 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 Chow www.PsychologyResource.ca "
"We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?"," You're right that long-distance relationships can be complicated. If he loves you and you love him, that's a great start. I wonder if you would be able or willing to have a discussion about what you love about each other and what makes each of you feel loved, valued, special, and appreciated. When having important discussions, consider the following:
- Make sure it is a good time to have a discussion (and if you're doing it in writing because of the distance, you could type something in the top of the message about not reading any further if the person who is reading doesn't have 10 minutes or something like that)
- Try to listen as though you are an investigative reporter trying to find out information about each other. Asking more questions in this manner can be a helpful way to be less defensive during difficult or emotional conversations.
- When having discussions face-to-face, I often recommend using timeout when things become very emotional and saying that you agree to go back to the conversation in 15 minutes or one hour or some short duration of time that allows for some of the immediate emotions to dissipate so it is easier to also talk about them. As for how that translates to distance, maybe each of you would say that you are working on figuring out how best to explain it and will answer the next time you have access to the Internet (or, if possible, use some kind of timeframe).
Consider what questions you would like answers to. For example, are you wondering:
- What should I do if I miss you or want to talk to you more? I don't want to make you feel guilty, but I also don't want to hide my feelings. Can I share them with you?
- If you have days or weeks when we cannot be in contact directly, can I keep sending you messages or is that overwhelming?
- How will you ask for support from me?
- Some couples really want to protect each other. In doing so, instead of hiding our emotions, can we share them and work through them together?
- Whatever else comes to mind.
Gary Chapman is famous for his books about the 5 Love Languages. He has one specifically for military families: The 5 Love Languages Military Edition: The Secret to Love That Lasts. Here's a list of books related to loving from a distance: http://www.longdistancerelationships.net/bookstor.htm I have not read these books myself, but I have read other works by a lot of the authors. One final tip: Consider making a list of times when you work together and both feeling calm, safe, and comfortable. These memories could be helpful to you during difficult moments. Best wishes to you. Remember that you could each see therapists in your respective locations if that would be helpful to you. "
"I want to live with my mom. My dad gets angry and makes me feel like everything is my fault. I still talk to my mom although My dad tells me that I'm no allowed to. I'm scared I will make the wrong decision and that my dad will hate me.
How do I tell him that I want to live with my mom?"," There is a lot of information that needs to be filled in first. So what the custody arrangement? Does your dad have full custody? Is the custody shared? What does your mom think about the situation? Is she willing to go to bat for you? What is your age? Usually you have the right to choose based on age requirements set by the state. Legally you can't be kept away from your mom unless there is some legal complications that prevent it. Is your father abusive and should you seek protection? Many details need to be filled in. You can seek counseling without your parents approving or knowing, depending on your age. Find counseling through school or local agencies. You have rights and one of those is the right to choose. "
"I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?"," You ask a very deep and sensitive question which reflects good self-awareness. It is possible you are a more sensitive and aware person than the people whom you describe as listening and not really hearing you. Not everyone has the same capacity or willingness to pay careful attention to what is going on in life. Maybe for right now, until you are able to find in person friends whom you're able to feel hear you the way you'd like to be heard, find online forums and groups of likeminded people. If you google a topic which you wish your friends would be better at understanding, there will be scores of groups, including google groups, which come up. You're not alone in the sense that there are definitely people on this earth who are sensitive, caring, and willing to talk and understand others. "
We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.," If you'd like to ask a question, then go ahead and ask! Boyfriend/girlfriend is a close relationship and it is usually understood as an exclusive relationship. You're definitely entitled to know if your wishes to not have him texting another woman, are being respected. Often people are afraid to ask because they fear the truth will hurt them. In the short term this is definitely true. In the long term, knowing you are getting what you want and at the very least stating your expectations to your boyfriend, will clarify for him, what is meaningful in your relationship. "
"We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?"," You're wise to be aware of possible changes to your relationship once your bf is away from you for extended time periods. All you both can do is state your intentions and wishes, keep in contact as much as possible, and wait to see how your relationship unfolds. To a large degree, each of you is relying on faith that if the relationship is meant to last for a while, then it will. The military may add stress. This doesn't necessarily mean the stress will dissolve the relationship. Sometimes all anyone is able to do, is try. "
We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.," 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 Chow www.PsychologyResource.ca "
I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?," This happens slowly and can be done. You already are at the first step of realizing that you hate yourself, not that the feelings of self-loathing are the best of what you're able to expect from life. A way to start building confidence is to pay close attention to the way you handle interactions and make decisions. If you start to notice what you'd like from an interaction, and afterwards, reflect on how well you handled yourself, especially with any unexpected circumstances, you'll build confidence in your ability to be good at something. Do you know why you hate yourself? This answer may help you address within yourself , a new type self talk which has more positives in it than what you've been accustomed to telling yourself. "
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?," Let yourself know what you feel. There is no timetable or known length of how much time a particular person requires in order to feel that the dissolved relationship is behind them. Probably the more you allow yourself to acknowledge your sadness from seeing the reminders, the sooner you will feel fresh and new again. "
"My wife is always accusing me of cheating and telling me that I'm doing things she finds disrespectful even when I don't mean it like that. For example, she gets offended when I call someone at work ""sweetheart."" I wish I had a penny for every time she accused me of cheating on her. She doesn't, and never will say she was wrong. How do I get her to understand?"," You may not get her to understand your point of view with any more success than your wife is having with you to do the same. It is possible you are a balanced couple in the sense of neither one of you understanding the other. The deeper question to ponder is whether each of you can accept the other person even though you each have very different terms for defining ""cheating"". You will find either there are enough strong similarities to keep the two of you happy as a couple, or there aren't these similarities. Then, the new question would be whether either of you want to address your findings or not. "
"I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?"," Hello, and thank you for your question. Overcoming fears is something that everyone struggles with at one time or another. Sometimes we come across something that scares us, we push through it and suddenly we aren't afraid anymore. But sometimes it can seem like our fears just take over and we cannot overcome them. There are some options: 1. You can go to a counselor and receive some type of treatment. What kind of treatment would depend on the type of fears you are experiencing. For example, if you have a general phobia about something, they may use various techniques to help you manage it. 2. There are different websites and even some self-help books that you can use to try to overcome your fears. When it comes to overcoming certain fears or phobias, exposure therapy well-studied and proven to work. A therapist would help you with this, but some websites give instructions for how to do it yourself. I am not sure how well it works when you try it by yourself, but here is a link to a website that does offer some tools. http://psychology.tools/anxiety.html Some colleagues may offer you some other types of advice. Be well. Robin J. Landwehr, DBH, LPCC, NCC "
"I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?"," 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 Chow www.psychologyresource.ca "
"I know I'm ruining my life with a lot of the decisions I make. I consistently tell myself I need to make some serious changes in my life, but I just can't seem to even though I really want to. Why can't I force myself to change?","Hello, and thank you for your question. Changing unwanted behavior is one of the hardest things a person can do. I agree with Sherry that being patient with yourself is important. Here are a few things I would suggest: 1. Get clear on the behaviors you really want to change, and make sure they are behaviors that CAN be changed. Sometimes we will set a goal like, ""I want to be more confident"" but that is hard to measure and prove to yourself that you accomplished it. Saying you are going to accept a date or go on a job interview is something you can actually do, and something that you may consider to be demonstrating confidence. Whatever your change of behavior is, make sure it is something you can actually change. 2. If you are going to give up a behavior, decide what you are going to do in place of it. So, if you are going to stop showing up late for work, then you are deciding to be on time for work and demonstrating your value of being punctual. 3. If you are going to make changes, really nail down WHY you want to make them. What is it about making these changes that is important to you as a person? For example, if you have the goal of weight loss, the reason this is important to you as a person may be because you value self-care. Knowing WHY you want to make changes is both your motivation and your compass for getting there. 4. Once you know WHY you want to make these changes, I strongly suggest setting small goals. If you set too high of goals you may not accomplish them and just feel worse. So, make the goal small, realistic, and guided by the the things you want to be as a person. 5. As Sherry mentioned, finding a counselor is sometimes a good idea if you really feel stuck. Any counselor who does work with goal-setting and motivation can probably help. Be well, Robin Landwehr, DBH, LPCC "
"My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me.
He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?"," Hello there. As you have courageously explained your soulful dilemma. I can appreciate the complexity of this situation. You have identified some key factors that may be contributing to your sense of feeling ""empty"". One, is the ultimate goal here able to be acquired from this arrangement? Are you trying to have your fulfillment with another woman while in the presence of your husband but not with him 'on her' as much or at all? Are you trying to ask him to be more passive participant? Perhaps be careful of not drinking too heavily... In the whole event, how do you want to feel intimate or connected ? Were you craving all along, him to really be all over you along with her? These are questions that arise; maybe not solutions. Its always good to be very clear with oneself of what is the ultimate target here... And always measure the potential danger.. Peace - keith "
"I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?"," Hello there. Thank you for sharing your heart here. I want to start off by saying, in kind of an ironic way, your struggle is something many people go through, I might say quite often. Many feel alone with one another quite frequently. THe reasons for feeling alone vary much between person to person. In reading how you presented things, I will just respond from how this strikes me. Sometimes feeling alone might be the result of not completing the second half of the equation; meaning that although people ""listen"" it wont necessarily equate the elimination of being alone. Instead, its when you follow up by inquiring and listening to others that you may discover they feel and think and struggle just like you do. And as a result, you discover you really were never alone; when people discover common struggle and feelings, we are connected. Second, we as humans are sometimes feeling alone because we may be lacking some self-acceptance. Not fully accepting myself or situation , can be in the way of feeling the presence of others or the hearing the voice of others too. Or in other words, not bein 'ok' with myself makes it difficult being with others. Third; feeling alone may be us not clear on what we are really needing from another person? These are just some thoughts to consider. Aloneness feels so real; and yet it has much to do with our perspective and view of things... we are all alone in a crowded world until we speak and listen more closely. Kindly -keith hughes M.A. keithcounseling.com "
"Sometimes, I'm fine and can go out or meet people, but other days, my heart races and words physically cannot come out of my mouth. I've always thought it was normal and I was just nervous, but the other day, it took me almost 30 minutes of sitting in my car to find the courage to enter Target by myself."," Feelings of anxiety can be scary and sometimes we're not aware of the triggers that lead up to moments of anxiety, i. e., heart racing, sweaty palms, sweating, shortness of breath. It's important to realize that in moments of anxiety our body & mind are experiencing a reaction from our primal or reptilian brain that is signaling the flight or fight response within us, which kicks the hypothalamus into action flooding our body with chemicals, like adrenaline or cortisol. So, one way to work with anxiety is to find out what the triggers are that lead to anxiety, such as fear, stress. negative thought patterns, not enough food or sleep. Keeping a daily journal can help you track the patterns and triggers and once you identify the triggers you can ameliorate them by learning new skills & techniques and by reducing stress and getting enough sleep. One quick way to reduce anxiety is by taking deeper breathes, sometimes this is called belly breathing. When you breath in make sure your belly rises and expands and as you breath out the belly deflates. Many of us do shallow breathing up in our chest which does not allow for a full breath, and getting a full breath is so important as a tool to help relax us in times of stress & anxiety . "
"Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?"," Scary thoughts can feel overwhelming at times as well as feeling quite real. I want to acknowledge how scary they can feel, but there is hope and new skills you can learn to work with these types of thoughts. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particulate thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain,"" he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories, this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. "
We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.," I think honesty is the right approach in this situation. Share with him that you looked at his phone, as well as sharing with him any fears or concerns that you're having about the long distance relationship. Trust is the foundation of any successful relationship and when doubt & distrust creep into a relationship it can undermine the long term health of the relationship. Hopefully, he will understand your concerns and appreciate your honesty. This also might be a good time to seek couples counseling to work on relationship & communication skills. "
"I suffer from adult ADHD, anxiety disorder, and depression. It has been difficult to find a doctor in my area and my primary physician won't help. I am unemployed and overwhelmed. What would you suggest I do?"," I would check out agencies that offer affordable counseling based on your income or very low cost counseling sessions, i.e., Pacific Clinics, Hathaway Sycamore, Pasadena Mental Health Center, Burbank Family Center. If you google affordable or low cost therapy in your particular area you will find resources to help you. "
"Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven.
When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety.
Am I crazy? I don't think these thoughts are normal."," Religious questioning is a complex and often philosophical topic, and these types of questions, especially around heaven, hell, and an afterlife can bring up a host of difficult & confusing feelings. What I want to focus on is the fear & anxiety you seem to be feeling that are deeply connected to your questions. Scary thoughts, negative thoughts, obsessive thoughts sometimes feel like they're out of control and there is nothing we can do to stop them, but I want to offer two techniques that might assist with your panic & anxiety.
The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particular thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain,"" he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories, this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. I would also suggest when you're having the thoughts about death take a moment to notice how you're breathing. Often when we are feeling anxiety we are doing shallowing chest breathing rather than taking in a full, deep breath or what is called belly breathing. If you take a moment to focus on your breathing and allow a couple of full breaths, bringing in the breath so the belly rises and then the belly natural falls as you exhale, just noticing the breath and practicing breathing can slow down the anxiety cycle as it begins. "
"My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me.
He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?"," You need to have an honest conversation with each other about WHY you both want a threesome. Evaluate the status of your relationship with each other. Are you having issues? Fighting? Not feeling satisfied with each other? How has your intercourse life been with each other? If there are any problems, insecurities, issues, introducing something like this may only make your relationship worse. Open relationships and threesomes rarely work out well. Sure, there are some who successfully live this lifestyle, but it only works when both people are completely secure in their relationship with each other, harbor no jealousies or insecurities, and aren't looking to someone else to satisfy needs that aren't getting met by their spouse. Let me say that again: This is not likely to work out well for you if either of you are insecure, jealous, or looking to have needs met by this other person that you aren't getting from your spouse. That empty feeling you're having - listen to it. Dig deep to find out where it is coming from. What thoughts are going through your head when you feel that way? You'll get the answer. The other thing that helps make something like this work is for both of you to listen and respect each other. If you don't like it that he paid more attention to the other girl, he needs to know that, and he needs to respect that. If you're going to do it again, he needs to know what you're comfortable with and what you want. Set the limits before you're in the moment, before it's too late to take an action back. Turn it around and ask him what he would be comfortable with if it were a man instead of a woman. It is perfectly natural to be curious and want to experiment. A lot of people get that out of the way before settling down in a monogamous relationship. People who marry young and/or inexperienced may still feel that curiosity about things like that and want to experience them, but don't want to hurt their spouse. The REASON you are both doing this matters a lot. If there are problems in your relationship, this is likely to only make things worse. "
"I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.
Currently I'm going through anxiety and my thearapist is not available. How do I handle this?"," I am so sorry to hear you are going through this. Divorce can be so disruptive in a child's life. I'd really need a lot more information about your situation before I'd feel comfortable offering any advice or suggestions. There are so many variables, and not knowing the whole story, any advice could possibly make your situation worse. I do see some positives, though. One, you say you have a therapist. That's great! I hope you're able to talk to them about this soon. Still, they can't give you legal advice, and a lot of this situation may be dictated by the law. What your therapist can help with, though, is dealing with whatever situation you have to follow by law. If you can't change the situation, you at least need to learn how to cope with it better. Two, you're 17. When you're 18, you're legally an adult and will not be bound by any custody rules or visitation plans in place. Honestly, teenagers usually have a lot of say with the courts in custody arrangements. Since you didn't specify more on the situation, I have no idea what your specific situation is. Were your parents ever married? Are they separated or divorced? Was there ever a court hearing for custody? Not all couples have an official court order arrangement. All families are different, too. Was there abuse between your parents? Towards you by one of them? Does either of them have addiction issues, major health or mental health issues, or anything like that? You mentioned that you want to live with your mom, but didn't say why. Are you afraid to tell your dad you want to stay with your mom? Is mom the lenient and fun parent while dad is the more strict one, or is there something else going on? This isn't a decision that should be placed entirely on you, and it also isn't a decision that anyone else needs to make on your behalf without your input. But advice on what to do needs to come from the people who know more about your situation so they can help recommend the best thing for you. Whatever you do, hang in there! 18 will be here before you know it. Focus on that. Freedom. College. Plan for your future that YOU control, and focus on making it the best it can be. Do not let the anxiety and depression cloud your thoughts and make you do something irreversible. "
"Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?","It is completely understandable that you are struggling to forgive and forget this betrayal, and I'd like to echo the sentiment of Danielle Alvarez: infidelity takes time to heal from, so allow yourself to grieve and find the support you need. I'd highly suggest going to couples therapy and addressing all the issues that Danielle raised, especially whether he has expressed genuine remorse and is being completely transparent with you and is taking responsibility for the choice he made, including acknowledging the immense impact it had on you, your relationship, and your ability to trust him. If you have doubts about being able to trust him, he needs to be willing to earn back your trust and do whatever it takes to do so. If he accepts this challenge, then that is a good sign you are on the path toward healing your relationship. Also, please don't
ever forget that regardless of what led him to cheat, it was his decision to take that action rather than addressing whatever issues he was having in your relationship. Couples affected by betrayal typically have some underlying issue(s), whether it is a lack of connection or intimacy or another factor, and it
is possible to heal and grow even stronger as a couple after betrayal. Because you are grieving, though, allow yourself to acknowledge and accept your feelings of hurt and pain, as they will likely come in waves, but the pain will lessen over time and with supportive therapy, along with the commitment to repair your relationship-from both you and your husband. Also, in regards to your concern about hurting your children, keep in mind that parents model healthy relationship behavior for their children. If your relationship with your husband remains disconnected, untrusting, or bitter, your children will see that and not only feel sad that their parents are both suffering, but also grow up feeling that experiencing such ongoing pain is tolerable or even normal in a relationship. Having parents who learn to handle conflict or heal deep wounds in healthy ways is crucial for children's emotional and psychological development. Whether they see you heal together as a married couple or heal separately as loving but divorced co-parents, they will learn what it is like to expect healthy communication and boundaries in relationships, which I'm sure you want for your children! Take care of yourself, and I wish you much peace and healing. Also, here is a good book I would recommend, along with books by Gottman, as Rebecca Wong suggested:
Private Lies: Infidelity and the Betrayal of Intimacy "
We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.," Just ask him. I'm not sure how you saw his phone if you're in a long distance relationship, because long distance means you live far apart from each other and don't get to see each other in person. Therefore, I think we may have a different understanding of the definition of ""long distance relationship"" which makes it hard for me to adequately answer this question for you. I don't know how old you are, but if you're an adult, after two and a half years, I don't think it's unreasonable to have an open and honest talk with each other about where the relationship is going and what you both want and expect. Long distance relationships are difficult to keep alive because you don't ever see each other in person. Talking, texting, and video chatting isn't enough, and the longer the physical distance remains, the more difficult it becomes to keep an emotional closeness. It may be time to evaluate the situation, figure out when (if ever) the two of you will be able to be together in person, and if you can and want to wait that long. Do you both want the same things out of life? If one of you wants to take the relationship to the next level but the other doesn't, then it doesn't matter if it's long distance or not - if you aren't on the same page with the relationship, it is going to be difficult to make it work. Trust is important. Issues with trust, insecurity, jealousy, lying and/or hiding things from each other, being afraid to speak up and have an honest conversation - these things can ruin relationships if not addressed. I know confrontation of any sort can be hard for some people, but it is necessary at times. Evaluate your true feelings for him. Are you with him for reasons other than love, such as being afraid to be alone or thinking you wouldn't be able to find someone else? Has he ever given you reason to be suspicious of his female coworkers or friends before? Some people, unfortunately, develop a track record of indiscretions and give their significant others ample reason for distrusting them. However, if this is not the case, you may be unfairly judging his texting through the eyes of your own insecurities. It may be time for you both to take an honest assessment of your own reasons for being in the relationship, figure out what you want, and make a decision. This may result in bringing the two of you closer and taking the relationship to the next level. Or, it could lead to a decision to end things. I know that can be difficult, but you both deserve to be happy and to be allowed to make the decisions that will lead to your personal happiness. "
My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.," You're probably not going to like my answer. Your question says a lot about what YOU want rather than what she wants or what may be best for her. Sometimes, what's best for a person is the hardest thing to do, and may be completely opposite of what YOU want. Addictions don't happen in a vacuum. If you've had any experience with addicts at all, then I'm sure you've heard the term ""enabler"". A lot of the times, when people think they're ""helping"", they're actually enabling the addict to continue their self-destructive behavior. Tough love and clear boundaries are needed in a lot of situations, but especially with addictions. Family and friends are often the biggest contributing factor to someone choosing to use/drink, continuing to do so, or relapsing back into it. You said she recently quit. You said she is depressed. She wants to move. When a person receives counseling for addictions, they are encouraged to make changes like this. They need to break the habit, and this means removing people from their lives at times. It means moving to new locations. Anything that may trigger a relapse needs to be identified and removed. Not only that, but the addict needs to do a lot of personal reflection to figure out WHY they use/drink in the first place, and not only break the physical addiction to it, but deal with whatever is the root cause that led them to use in the first place. She may need some time alone to figure out who she is as a person, time to make some decisions for herself and do what she needs to do to be healthy. Don't pressure her to stay. Let her have the freedom to do what she needs to do. If she stays, the decision needs to be hers and hers alone. It doesn't need to be made under pressure. That will only lead to resentment. Support her, but don't try to change her or make her do anything, especially for selfish reasons. Let her go. It sounds like she needs some time to focus on herself right now. It wouldn't be a bad idea for you to do the same. "
"I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?"," Biologically, fear is designed to protect us from harm. Fear is not always a bad thing, and in fact can be quite healthy and appropriate depending on the situation. A phobia, however, is different. You used the term ""fear"" rather than ""phobia"". A phobia is an irrational fear - meaning it is not rational for you to fear that thing. If your situation is a phobia, exposure therapy can help. This consists of gradually exposing yourself a little at a time to the thing you are afraid of. Some people with phobias find that the irrational fear interferes with their life and they do need to overcome it. Someone who is afraid to drive over bridges may go to great lengths to avoid routes that have bridges. People who are afraid of elevators may always use the stairs instead, which may not always be feasible. If overcoming a phobia will improve the quality of your life, then by all means, seek professional help to overcome it. Everyone has fears, or things that make them nervous. Public speaking, asking a person out, fear of failure. Examine what your fear is and try to determine the reason for the fear. When you can get to the root cause of the fear, you can deal with that issue. A lot of times, it is a self-esteem issue. You may be able to peel back the layers of the fear and find out what's causing it and deal with the real issue. Some fears are caused by trauma. Someone with PTSD is going to have an exaggerated fear response and will find themselves being kicked into ""fight or flight"" mode over things that someone without the trauma experience wouldn't notice or react to. In cases like this, exposure therapy would be the wrong approach and could actually make things worse. If there is a possibility that a past trauma is the cause of your fear, I strongly urge you to seek a therapist - not just any therapist, but one who is trained to work with trauma and abuse victims. "
I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?," The answer would require a more in-depth knowledge of you and your situation. A lot of times, these feelings are the result of the people in your life treating you a certain way. You internalize it and accept it as your reality. The first step is to evaluate the people close to you, especially your parents. Even if you are an adult, think back to your childhood. Children who grow up in an unstable home often grow up to be adults with insecurities and emotional problems. The obvious, such as being abused, can certainly lead to a person having little to no confidence and self esteem, but there are other situations that might surprise you to hear they can be damaging to a person. You may have never been physically or intercourseually abused, but what about emotionally? Were you yelled at, berated, put down? Were you told you'd never amount to anything? Were you compared to siblings and felt like you always fell short, couldn't live up to expectations? When you hear something over and over again, you start to believe it. Maybe you weren't yelled at. Maybe it was the opposite. Studies show that children who grow up with a parent who is depressed show signs of emotional neglect. A chronically depressed mother, for example, may have seemed cold, detached, emotionless. She may have been less likely to show interest in a child's life, not give praise for accomplishments or show support by going to ballgames or performances. If one of your family members were chronically ill while you were growing up, chances are, a lot of the attention went to them, which could have led to your needs not being met. Any of these situations could cause a person to grow up feeling unimportant, unheard, unloved, or like they don't matter. Maybe nothing I've described here fits your situation. If you can't pinpoint what has caused you to feel this way on your own, a counselor can help. I am not saying ""blame it on your parents"" or telling you there's nothing you can do to change it! Quite the opposite! Understanding WHY you feel that way is a first step towards making the changes needed to feel better. Cognitive behavior therapy focuses on cognition - figure out the WHY. Then behavior - the HOW. "
"My dad makes me feel like shit and like I'm worthless. He calls me names and makes me feel depressed. I want to move out because I swear if I stay here, I'm going to lose it. What can I do?"," Are you old enough to move out? Then by all means, what's stopping you? If not, is it possible for you to move in with another family member? If you're a minor, CPS may need to step in. They often do in cases of abuse. Your safety is the number one priority. It's difficult to offer advice without knowing more about your situation. But I can say this: Don't let other people define your self worth. You can choose NOT to allow him to make you feel anything. It really is that simple. By looking at it as a choice you make, you will be empowered to take control over your emotions and learn to feel better about yourself because your self-worth will no longer be defined by what someone else says about you or how they treat you. Let me say that again in a different way: Your self-worth is NOT defined by someone else. The way he treats you is a reflection of who he is as a person - not you. Don't take ownership of that! I understand that if you are a minor, setting healthy boundaries and refusing to accept this kind of treatment can be difficult. Reach out to others for help. But if you are 18 and over, there is absolutely no excuse for you to be there having to put up with maltreatment. Put up some boundaries and create the distance needed to protect yourself emotionally. You owe it to yourself, and deserve to live a healthy, happy life. Anyone who tells you otherwise is wrong. "
"My boyfriend shows affection, but I just push him away. Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my intercourse drive.
I love him so much. Why do I do this?"," I sympathize with you! It is actually quite common for one partner to have a higher intercourse drive than the other, and can lead to discord in the relationship. The good news is, there are ways to deal with this. You may have already answered your question. There are many medications that can alter one's intercourse drive. If your birth control pills are the cause of this, talk to your doctor about switching to a different brand. You may even consider alternate methods for birth control, such as condoms. However, there are some other things to ask yourself. First, you used the term ""affection"" but then talked about intercourse. They're not the same thing. There are different kinds of intimacy, and many different ways to show love for someone. A book you might find useful is ""The Five Love Languages"". Defining what ""affection"" means to you, and to him, and discovering all the ways you both can show this towards each other, may help lessen some of your anxiety over this. Humans are hard-wired to need appropriate physical touch. In fact, studies have shown that newborns/premies who can receive skin-on-skin contact with their parent can recover faster than babies who don't receive this touch. It's called Kangaroo Care. Children who have grown up in neglectful environments where they're not hugged and kissed and shown appropriate physical contact can often be unable to show this to their partners and children when they're adults. One question to ask yourself is, were you having intimacy issues before starting the medication? If so, there may be other, deeper issues at play here. For someone who has received the wrong kind of intercourseual/physical touch (intercourseual abuse, physical beatings) it can be difficult to allow someone to be physically close to you. A therapist could help you work through this. Sometimes, a person may lose their intercourseual feelings for their partner due to issues in the relationship. Once those issues are resolved, the intercourse drive comes back. Examine your relationship and see if either of you are unhappy, if you've been arguing a lot, or if there are any problems in your relationship that need to be addressed. Finally, look for the other ways that the two of you may be intimate in a non-intercourseual way. You may be doing things for each other that you don't even realize, and noticing these will help you appreciate it more. Take the stress off of the intercourseual gratification and focus on showing your love in other ways. Some people like to give gifts, do the other person's chores, or do other things they think the person will appreciate. If, after all of this, you still have a discrepancy with one of you having a higher intercourse drive, there are many articles online that offer advice for couples dealing with this situation that you may find useful. It is a very common issue for a lot of couples. "
"I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?"," Fears are not that difficult to deal with, first you need to train yourself to relax using some relaxation strategy, once you are able to employ that in your daily life, you then need to start facing your fear, for instance I'll use an example of a man who has a fear of driving over a bridge. We would build a hierarchy of fears, that is a list of fears ranging from least to most, for example the man may want to start by looking at a picture of a bridge while employing his relation technique, then he may want to see a real bridge from a distance while employing that same relaxation technique, then moving closer to the bridge, then maybe standing on a bridge, all the while moving closer to his fear while relaxing, until you come to most fearful proposition which is crossing that bridge, or you can also engage in flooding which is for example, if you were scared of an elevator, go into an elevator until you are not panicking anymore, in the movie Batman Begins, Bruce Wayne who has a great fear of bats, goes into this cave and allows himself to be surrounded by bats until he is no longer fearful of them. Secondly, look at your fears, do they even need to be worked on, some fears are healthy, for example if i was a therapist in New York City and someone came to me and said ""I'm scared of snakes"", I would probably say that is OK because there are very little snakes left in Manhattan Hope that helps C "
"We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?"," Loving someone in the military is hard. My husband and I joined the USAF two months after we got married! How long do you expect to be apart? Do you have access to Skype or something similar? How far away from each other are you? Can you meet half way periodically? I have a number of military friends who have dates over the miles with facebook live. They pick a restaurant, order, and talk about their day. It's super cute and sweet. What are some things that you have tried? "
My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.," There could be a number of things going on here. For instance, have her eyes been checked by an optometrist? She might just not like writing or coloring. She could be rushing through assignments so that she can spend time with friends, play games, or do something else. She might need some extra help with fine motor skills. What are her grades like? Does she rush through other things like cleaning her room or getting ready for bed? "
"I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?","Post Traumatic Stress Disorder can occur after any traumatic event where a real and present threat of harm or loss of life to yourself or others is present. Yes, a car accident could increase PTSD symptoms such as hyper-vigilance, anxiety, nightmares, re-playing the event, etc. Depending on the severity of the accident new triggers might exist. This is not to say that you cannot recover. Are you currently experiencing additional trauma symptoms? "
I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I'm unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do?," As a prior military spouse myself I can happily report that you have several options in this case. First, you can go to the visitors center and let them know what has happened to get a temporary pass for a new id. Also, you can call the squadron commander or other official from your husband's unit to get them to tell you how to proceed. You can also contact the military personnel flight for more information The best thing is to get a new id as soon as you can. There should be no problems because it was stolen and yu might need to report it to the military police or security forces on base. "
"My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough intercourseual attention from me.
I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?"," I think there are many different directions we could go as far as answering your question. I think the first and most important question you need to ask yourself is do you truly believe in your heart that you can forgive him and trust him again? Once you answer that question honestly then you can move in one of two directions. First, if you truly love this guy and see yourself being with him long term and for the ""long haul"", so to speak...and you genuinely want to forgive him and trust him again, that is completely do-able and possible if you both put in the work. But, there's a greater issue here that needs to be addressed. You say your relationship is ""good"", but there's been a intercourseual disconnect between the two of you and that usually indicates some type of emotional disconnect is at the core. Would you agree with that, or what are your thoughts? Were you giving him less intercourseual attention than you normally do or were you guys never on the same page about intercourseual needs and having compatible intercourse drives? If you are more of an emotional person than he is, you may have been less interested intercourseually because he hasn't been meeting your emotional needs. For instance, if you hadn't been feeling loved, cared about, validated, appreciated, cherished, and special to him than you may have felt less connected physically and been less interested. This is a common issue with couples, and can easily be addressed if the communication in your relationship is strong and you can find a way to express to him your frustrations. In essence, many women tend to have more emotional needs than men, this is the way we are hard-wired, and there are exceptions to this of course, but if you have been feeling neglected emotionally than your lack of interest in intercourse is actually completely understandable and NORMAL! Until he understands this, and can learn to tune into your needs emotionally, you may struggle with feeling you are out of sync emotionally (and intercourseually). This leads to you both being frustrated, but if all this is ringing true to you, he seriously probably has no clue what's going on and may not know how you're feeling. You need to communicate your needs to him; if you are super lost with how to do that, there's an awesome book called The Five Love Languages. It's not that long, and it's very approachable and easy to apply the concepts to your relationships. Invaluable resource for relationships and truly eye opening; really!! This is a long post, I'm sorry! But this is such an important issue that is very common and many people feel lost about how to handle it. So back to the second direction you can go....you feel very betrayed, you aren't sure if you can ever trust him again and you see yourself perhaps being paranoid forever and never being able to completely get over this. For instance, if he says he is working late, or if he doesn't call or text right away when he usually does, you may immediately jump to the worst case scenario that he is cheating again. Of course, it may not be true, he may have legit reasons for his behaviors, but the point is if you are going to be in paranoia-mode OR you just will always be unsure whether he loves you and is committed to you and only you, then the trust may not be able to be re-built. You need to think long and hard about this, and if you decide you have the capacity to forgive him and rebuild your foundation of trust and honesty, then you need to let him know very explicitly what you need him to do to earn that trust back. You can't just tell him vaguely ""I need to trust you again""; if he wants his family back and he's willing to do the work, you need to line out exactly what he needs to do and he needs to do it. But, be prepared that he might throw out there that he cheated because he felt you weren't attracted to him anymore (or he tries to put the blame on you somehow because he says you weren't meeting his physical needs)...if he throws that out there, but you weren't showing him the affection because you were frustrated emotionally, then it all starts with you communicating that to him. Get that book! In conclusion, if you feel in your heart there is no way you will be able to trust him again and you will always wonder if he's cheating when his behavior isn't spot on, you will be a nervous wreck and perhaps cutting your losses now would spare you the continued heartache. There is certainly a way to work through this, but you both have to be motivated and you have to get to the source of why the cheating happened in the first place. Rebuilding trust can be a long process, maybe even years, and for some people, they may never be able to fully trust and let go of the past. I truly recommend starting with the book, and then going from there. If you decide you want to stay with him, you would really benefit from couples counseling, as it sounds like a professional could help you strengthen your communication and ability to trust again. "
"Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?"," I'm sorry you're going through this problem of scary thoughts in your mind. None of us are able to directly stop thoughts from coming. What is possible is to question their value, accuracy, and believability. Maybe if you examine the thoughts which upset you, you'll be able to feel better by understanding that the thoughts are not very relevant to your actual life. Also, another choice of what to do with the upsetting thoughts, is to redirect them. When a stressful or frightening thought shows up in your mind, give it a happy resolution. Basically, turn the fright into something pleasant or at least bearable. I hope this helps you at least a little bit! "
"I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.
Currently I'm going through anxiety and my thearapist is not available. How do I handle this?"," Have you told either of your parents that the current house rotation of where you stay, bothers you? Since each parent has an interest to be together with you, I imagine that to some degree, each cares how you feel. If these conversations are not getting your problem solved, then maybe your therapist can have a family session with your parents together and depending on the outcome, with you and each parent. "
"I have high functioning autism and I have been on a lot of dating sites like meet me, match, and zoosk. I haven't had any luck on any of the dating sites I have been on.
I really want a boyfriend but I don't know what I should do. I just want to be in a relationship. How can I meet someone?"," Are there dating sites for people who have autism on the high functioning end? If not, then find out the names of different organizations which support people who have autism. At least one of these groups will have some guidance as to social activities for dating or even specific sites for dating when autism is a criteria. All the rejection on dating sites is rough for anyone to handle. How do you know that you're being passed over by guys who are on dating sites because you have autism? Any reason is possible. Unless you've heard from a few particular guys that their reason for looking beyond you is because of your autism, it is possible you're in the same boat as everyone else who feels similarly frustrated by dating site rejection! "
"My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough intercourseual attention from me.
I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?"," It's possible but challenging. Both partners need to be feel motivated enough to repair the relationship and dedicated to the work needed to address whatever underlying issues led to the serious breach of trust. For some people, cheating is an absolute deal breaker—for others, the context of the cheating allows them to see it as a mistake that they can forgive their partner for. So it depends on how you feel about the relationship and whether you want to put in the work to repair it. If you're not sure how you feel, counseling can help you resolve the ambiguity, either individually or with your partner. Then, depending on what you decide, a counselor can help you either repair the relationship or decouple from your former partner. "
"I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments."," If you are a people-pleaser type or a natural caretaker, you can slowly ""lose yourself"" over time if you are always tending to the needs of others and neglecting yourself. If this sounds like a familiar pattern for you, this may have happened without you even realizing it if you were raised in a family where you had to pick up the slack alot. Maybe your parents were addicts or they might have even just worked all the time and you learned to ""take care of everything"" because that is what you had to do to help the family run smoothly. Over time, a person who grows up in this type of environment learns that you put the needs of others before your own. You might also be stuck in these types of patterns in intimate relationships as well; if you completely give yourself over to your significant other and you don't create a life for yourself with your own interests and supportive friends, you are at risk of losing what is unique and amazing about you. If you grew up in a family where you learned this role out of survival or because it was needed to take care of your family, it's easy to re-create this in adult relationships. In both scenarios, if there is no awareness that this ""self sacrifice at the expense of others"" is going on, your identity is shaped around being a caretaker/enabler/people-pleaser and down the road it can lead to depression, low self esteem, and a confused sense of self. Basically, you spend so much time helping other people that you don't make time for yourself or create a life of fulfillment. Before you realize it, you have been living a life for others instead of yourself and you have no idea who YOU are. Supporting loved ones and friends is important and certainly admirable, but if you are always that person that rescues, those that rely on you begin to take advantage of you and they will suck you dry if you let them. In conclusion, learning to set boundaries with those in your life that are too needy becomes a really important part of the process when you begin to recognize that you are unhappy and unfulfilled in life. It sounds like you may be at that crossroads right now. Take one small step at at a time. Identify the worst offenders in your life that suck time and energy, and limit your contact and/or set some strong boundaries with those people so you can refocus and do some soul-searching. Meanwhile, engage in pleasurable activities with people you enjoy being with, get yourself outside in the fresh air, get some good sleep, and eat some nourishing food! "
"My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?"," You can ""move on and not live in the past"" in the context of your ex-relationship, but that does not mean moving on from your child. ""Moving on"" then would involve accepting the end of the relationship and developing a civil relationship with your ex-partner as far as is possible for the sake of your child's development. Generally, it's good for a functional (non-abusive) parent to spend time with his/her child, but only insofar as that doesn't cause your child unnecessary stress. That requires the two adults to
act like adults with each other for the sake of their child. What's confusing for children is seeing their parents act uncivilly or manipulatively. Children also do well with routines so regular dependable visitation is preferable to random visitation or, worse, not following through on commitments. But if one person is exploiting their child to harm their ex-partner, then visiting your child in that context may be stressful to him/her (depending on what you mean by using your child as a pawn). When dealing with a hostile ex-partner, your first challenge is to negotiate rules and boundaries with your ex-partner about appropriate behavior for the good of your child. If you cannot come to an agreement, a counselor can help mediate a conversation. If that's not an option, then it may be possible to turn to family court to stipulate visitation rules (for which you'd have to consult with an attorney). "
"I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?"," This answer could be very different depending on the fear, the degree of it, and what it connects to. I wonder the following:
- On a scale of 1 to 10, how upset, anxious, or scared to you get when you think about overcoming this? If it's more than a 5/10, I would definitely recommend talking with a therapist in your area.
- A lot of fears that we have come from something that at one time was self-protective and important. Do you know where your fear started? If you think it is still protecting you or helping you in some way, talk with someone (like a therapist) about it.
- If it is something that you know is irrational (for example, fear of being hurt by static cling from winter clothing), is there some part of that that you are not afraid of?
- I really encourage you to consider whether your fear has a lot of emotions connected to it or if it ties from something in your past that was very emotional for you at the time. If it does, consider working with a therapist to establish emotional safety before taking away the fear or anxiety that may actually be helpful to you.
- Also, the fact that you notice that you are afraid of something and you don't want to be afraid of it anymore is a big step in the forward direction.
"
"I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.
Currently I'm going through anxiety and my thearapist is not available. How do I handle this?"," OK first things first. We have to think of your safety and take care of those thoughts of hurting yourself. Yes, this is a major problem for you and can cause anxiety and depression. You have the right to be sick and tired. Kids often are pawns in this marital problems that their parents have. I'm sorry that this is happening to you. I am not sure of your rights in the state you live in but as far as I know you as a 17 year old you have the right to stay where you want. So your'e going through an anxiety episode and your therapist is not available. If I'm the therapist we would have already set up a plan so that if you are in this situation you would know what to do. In the worst case scenario you would be able to contact me. But I would have given you several exercises to help reduce your anxiety. Staying with your mom should be your choice. I know you probably don't want to hurt anyone's feelings but there are ways to ease the tension. Maybe with your permission and their agreement, we all could meet together for a session or two to ease your tensions and get over and through this hassle. "
"Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?"," Hi there, I first want to let you know that having these thoughts is completely normal. Studies have been done that show that 80% of human thoughts are ""negative"" so you are not alone. I like to think of thoughts as a tornado... if you are in a tornado, you are completely consumed by it and it is nearly impossible to do anything beneficial. However, when you are, let's say, a mile away from a tornado, it is still scary but you have the option to do something that is important to you such as get shelter or make sure your family and friends are safe. When unhelpful or scary thoughts arise, we tend to start a ""war"" with them, which is the equivalent of jumping into the tornado. This makes the thoughts and emotions bigger and intensifies the feelings that go with them. So the question I imagine you have is ""how do I get out of the tornado?"" There are 3 steps to doing this:
- Get distance from your thoughts by adding ""I am noticing I'm having the thought that...."" to the front of them. For example, ""I am noticing I am having the thought that something bad is going to happen to me."" The purpose of this is not to decrease your fear or get rid of the thought. These thoughts might always be there and that is okay because that is how the mind naturally works so struggling with that is a waste of time and energy. The purpose is to gain some distance from the thoughts so you don't get swept away by them. You can imagine them floating along like leaves in a stream or clouds in the sky (and often the same thought will come back again and again but that's okay... just continue to notice it with curiosity). I imagine the thoughts get in your way of doing what really matters to you so if you can get a little bit of distance, you can do things that are fulfilling and meaningful to you.
- Tune into your body and notice what sensations come up and where you feel them most intensely. Then breathe into them and make room for them. Our 5 main emotions are: joy, sadness, fear/anxiety, shame, and anger. ALL of these emotions are part of being human and there is no escaping them. So again, struggling with them ends up intensifying them. Instead, let them be and make a little bit of room for them. Often a side effect of this is the intensity will decrease but it might not. The purpose is to keep them from becoming more intense.
- Contact the present moment. Notice what is happening here and now. One way of doing this is tuning into the five senses. What are some things you hear, see, taste, smell, and feel? Another way is to notice what is happening in your body (without trying to change it). How deep are your breaths, what is happening with your heart rate, are you cold/warm, etc?
Implementing these three steps can help you to refrain from getting caught up in your unhelpful thoughts. Unfortunately there is no way to get rid of thoughts or feelings completely. So the only option that works in the
long run is to accept them while continuing to do what matters to you and what is fulfilling to you. I hope this helps! "
"I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?"," Fear is a part of life. In fact, our five main emotions are joy, fear, sadness, shame, and anger. We tend to spend a lot of time and energy running away from or trying to get rid of most of those emotions and the more we do that, the more we set ourselves up for failure and disappointment. As a result of viewing our human emotions as ""bad"" or ""wrong,"" we often get caught up in a trap of thinking we have to overcome them or get rid of them before we can do what matters to us. In reality, you can do what is important to you
while having your fears! My question for you is, what would you
do if this fear was completely gone? What behaviors would you have if you were the ideal you? What skills, knowledge, or personal qualities would you develop? What kind of relationships would you have? I imagine your fear has kept you from achieving those goals because your mind tells you you can't do it until the fear is gone. I challenge you to do the following exercise:
- What is a goal you would like to achieve? Example: I would like to change careers
- What actions are necessary to complete this goal? Example: see a career counselor to determine my ideal career, go back to school/get a certification, network with others in my desired industry
- What thoughts, feelings, or urges might get in my way? Example: thoughts of ""What if I fail? I'm not smart enough. I can't do it. I'm too busy to put energy into this."" Feelings of fear, shame, excitement. Urges to distract myself through drinking or watch tv instead of taking action.
- It would be helpful to remind myself that: example: It is natural to have these thoughts, feelings, and urges but I can take action anyway. I deserve to have a fulfilling life.
- The smallest and easiest step I can take now: example: research career counselors in my area and write down their phone numbers
- The time, day and date that I will take that first step, is: example: Tonight at 7pm
At least think through these answers but it is most beneficial to write them down. I hope this helps! "
Does counseling really do anything that can help people?," Yes, Counseling provides an area for people to speak to an unbiased professional about their concerns to address their unique needs. While length of time varies, counseling is a process and can be done from as little as one session to multiple sessions. Counseling provide a safe, non-judgmental, empathetic atmosphere from a professional helper provide the service "
My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.,"You should start by speaking with her about what has her so down. Have their been some significant events in her life that have affected her? Have their been significant events in your relationship that can be affecting you both? If she just stopped drinking, she may be struggling to finding an alternative and healthier behavior. This is something the two of you can explore together. Also, if need be perhaps she can speak to a therapist to discuss her feelings about quitting alcohol. It sounds like you really care and right now she could use all the support she can get despite her pushing you away. "
"It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?","Affairs and infidelity are tough areas to address. The power of the affair comes from the feeling of injustice that seems to have happened to you. The struggle I notice people have is with the forgiveness. Forgiveness is something that is asked of you from your partner but also you have the power to give. I assume you want to forgive or have forgiven. However, the forgetting part is difficult. It seems that image of her happiness may have triggered something in you that isn't happy. I'm not sure how often you are triggered by her but it seems there is something there you need to process. The forgetting part sadly is difficult to put past your mind. However, it's being able to see the unfortunate situation they did and be able to walkthrough it even though it's painful. I think maybe speaking with a local therapist about this as it's often difficult to process alone. Also, see how you are feeling as days go on. Do you find yourself obsessed? If so, you may need to seek a professional counselor. "
What makes a healthy marriage last?," This answer varies based on you relationship. However, I do believe their are some basic fundamental areas that are beneficial for a healthy marriage: 1.) Effective Communication 2.) Trust 3.) Love/Passion 4.) Loyalty. 5.) Unconditional Positive Regard. Everyone has their favorite qualities they feel best fit a marriage. However, these are what I think are great starting points. "
We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?.," The best way to get an answer is to just ask. I would defintely let him know you are asking out of concern and not to judge or criticize. Allow him to explain his answer and see how you feel about it. Try to ask him when you both are already discussing other topics and just say, ""Can I ask you something?"" Earl Lewis www.RelationshipsGoneRight.com "
Does counseling really do anything that can help people?," Hi there! Thank you for your question. It's a great question and one that many people want to know the answer to. The short answer is, YES! Counseling can be very helpful to people struggling with many different things. There has been a lot of research conducted to prove that counseling is an effective way to help people with mental health concerns, life stressors, and many other issues. In addition, there are many people who would tell you that counseling made a positive, profound impact on their lives. Indeed, some would tell you that counseling saved their lives. Now, not everyone would tell you that counseling helped. But when you think about it, there are many medical treatments for a variety of healthcare issues that also do not help everyone. So, is counseling guaranteed? No. But, it is something that is worth trying if someone is suffering or is just wanting some perspective or support. Also, there is many different types of counseling. Different counselors have different styles and have different training for various issues. This means that you are likely to find someone who has a good style and expertise in an area that you want to work on. If you don't know where to go, I suggest contacting your state's counseling association. They can help. I think the real question that most people have is,
how? How does it help? That question is a bit more complicated, because there are many different models of counseling/therapy that work in different ways. What I can tell you is that, regardless of the model of counseling, the relationship between counselor and client is the most important factor. I don't mean that the relationship has to be ooowy goowy... but it does have to be one where there is trust and openness. A counselor will spend time to make sure that you are working together as a team toward a common goal. If you go to counseling and you don't feel this is the case, tell your counselor. An ethical counselor will welcome your feedback. I hope this is helpful, please ask more questions! I hope some colleagues add some other thoughts, too. Be well, Robin J. Landwehr, DBH, LPCC, NCC "
Does counseling really do anything that can help people?," Counselling offers a number of ways to help one to improve their situation. For some, this process can take a very long, winding path of self-discovery, while, for others, they are seeking a purposeful, solution-based way to approach and manage a specific problem. It's important to remember that there are different styles of therapy, some of which will work great with some, but poorly with others, specifically to help those to decide how they wish to move forward. I often recommend speaking with a number of therapists before beginning treatment to find out more about how they practice, in order to make sure their style aligns with your goals. On a more specific note, there is myriad research out in the world that indicates both counselling and medication can have an affect on changing our moods and behaviours. However, medication is not an effective way of treating the problem, as it treats the symptoms of that problem (increased anxiety, lowered mood, etc.) and research has shown that the most effective route for better mental health care comes from a combination of counselling and medication. "
Does counseling really do anything that can help people?," There are multiple ways that counseling helps people. The most basic is that it gives you someone to talk to about and through what you are facing. It is better than a friend because this is a space for your stuff and you get to focus on what you need and don't have to worry about the other side. This is also a place where you do not have to worry about how else the other person is involved in the situation. Beyond this basic level, a counselor will have expertise they can bring in terms of how people, including you, can effectively deal with this kind of situation. The counselor may also be aware of connections that you would not otherwise see. A good counselor will also recognize if and when you need other help or support in the situation. Why wouldn't you benefit from having someone walk with you in your journey to peace and wholeness. "
"On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs. I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest.
How do I fix this?"," Sometimes we let our insecurities get the best of us, causing us to make some interesting choices. Honesty is always the best policy, but honesty comes with risk. Perhaps you may want to start with your family first, explaining to them what you have done and why. Perhaps they can help you to practice talking about your insecurities with your friends. Another way is to start, slowly, to dress more and more like yourself and your true body shape. Some of your ""friends"" may make fun of you, true, but then you must ask yourself...why do you want to be friends with people like that? "
"I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?"," A car accident can be a traumatic event. Especially, if it was serious, you could have feared for your life, felt everythingvwas out of control and had normal reactions to an abnormal situation afterwards. This may or may not be related to the traumas that you experienced in the military. If it is then it is possible that you will see a direct effect in triggering off PTSD symptoms. Even if it didn't, it is possible that the complexity of the two situations will interact inside you to be a combined response. Having already been diagnosed with PTSD, this might be a good time to reconnect with the help system you had around military experiences and explore it a little bit about the new experience. The right exploration does not have to make things worse and can be a good source of prevention. "
"I've been depressed for quite a while. I've been trying to work through it, and my boyfriend has been my rock. He is honestly the only person I trust enough to talk to about anything, but he decided to break up with me because of my depression. I cannot afford to see a therapist or anything, so he saw no hope in staying with me. My insurance has a $5000 deductible, so I'm screwed. I've had everything from suicidal thoughts to trying to quit my job. I have no one. My family doesn't care about me; they kicked me out when I turned 18 a few years ago. I had friends, but they have all moved on with their lives and have no time for me. My ex-boyfriend is trying to help but is making things worse because every time I see or hear him, I break down into tears. I found out that I will never be promoted now because of my depression."," It sounds like you have been struggling with this for quite some time, using many of the same coping techniques that feel tried and true to no avail. Often, we fall back on coping techniques that would be helpful in other problems (stress, social anxieties, etc.) for our depression, but the truth is that depression requires it's own little tool kit. Depression is all-encompassing, and, based on what you've written, the symptoms are already affecting work and your personal life in myriad ways. The best route forward would be to seek out counselling, admittedly, but if your insurance deductible is too high, that can be very expensive. I would recommend contacting your Employee Assistance Program (EAP) if offered by your employer. If not, you can look into community centres for counselling options, check if your doctor will give you a referral or your local religious organization. If, however, you are motivated to get your depression under control, there are some great workbooks out there that you can use on your own or with your therapist (as long as your therapist is trained in Cognitive Behavioural Therapy, or CBT), such as ""Mind Over Mood"". "
Does counseling really do anything that can help people?," A counselor can do a few things that can be helpful: 1) Give you a space where you can explore what's in your head without worrying about being judged or punished. 2) Help you better understand yourself, your choices, your motivations. 3) Give you tools and information you can use to help create change in your life. Ultimately, though, it's up to the client to take action, because action is what creates change. So, a counselor can't create change ... but they can facilitate and support it. "
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?," Hard to say a whole lot without knowing more. However, if you focus your attention on her, what she's saying, what she's feeling instead of trying to make yourself heard and understood first, that's often a good step. Also, work on building win-win agreements with her, and follow through on them. Those are the areas I see men fall short on most often. Hope that helps! "
"I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.
Currently I'm going through anxiety and my thearapist is not available. How do I handle this?"," Sounds like a lot is going on right now at such a young age. I'd start with discussing with mom your concerns and ideal situation. I'm unsure what prevents you from staying there, but whoever you are staying with, it should be brought to their attention. In regards to your anxiety attacks, deep breathing is always a benefits. I have a link you can use to help to do this online if you are interested. In addition, finding ways you usually cope with anxiety and what's worked before can help and if it isn't, exploring new way to calm you down can be beneficial. This is something you can speak with your therapist about going forward when they are available. In regards to feeling suicidal: I would call suicide prevention hotline (You can google them) if you truly feel the ideation is getting worse. They are professional agents who can speak with you about your ideation and help you through the process. Hope this helps. "
What makes a healthy marriage last?," This is a fantastic question. In one sentence, I would say the following:
- Recognize that while you and your partner probably have common interests and areas of commonality, you are separate people, each with different wants, wishes, and desires – if you consider a diagram of two overlapping circles, they may share perhaps a third of the circle with overlap to indicate commonality (could be more or less) and then there are parts of the circles that are not overlapping, indicating separate interests
As for ways that may strengthen any relationship, even the great ones, this is what came to mind. There are certainly more specific unique answers or elements for different people as far as the details, but here are some general ideas:
- Try to have at least 15 minutes a week where you are spending time together and not problem-solving
- Realize that listening to your partner does not mean that you are agreeing with them, it just means that you are saying that you hear where they are coming from
- Learn to hold on to your own wants, wishes, and desires while also recognizing those of your partner
- Set boundaries for what is and isn't acceptable behavior during an argument or difficult discussion
- Discuss how having important discussions can be anxiety-producing and consider having an understanding that if one of you (or both of you) feels overwhelmed, you can take a timeout for a certain amount of time. For example, you may say ""okay, I'm feeling really stressed about this right now. Let's discuss it in an hour."" And at that time, go back to the discussion
- Consider what your partner's top three or four complaints about you may be. Check in with them and see how accurate you are. If you see validity in their responses, consider whether or not you may want to make changes
- Discover what makes your partner feel loved, valued, appreciated, or special
Relationships are always in progress and constantly changing. Some anxiety around change is typical. Being able to effectively discuss the anxiety and
actually listen to one another without being defensive, name calling, finger-pointing, or asking each other to change is a true gift. You may enjoy this quote: ""Connection is the energy that is created between people when they feel seen, heard, and valued; when they can give and receive without judgment."" ~Brene Brown "
Does counseling really do anything that can help people?, Counseling provides a safe environment for people to explore the beliefs about the challenges in life. The various types(modalities/techniques) of counseling serve as guides for specific individual's personal journeys.
Does counseling really do anything that can help people?," 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! "
"Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?"," 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! "
Does counseling really do anything that can help people?," Counseling definitely helps people! I have seen so many positive changes from those willing to engage in the counseling process. Having a safe place to openly share concerns with an objective listener really is therapeutic and can make a huge difference in your life. Many times people don't feel heard or validated by people in their lives, counseling call help validate your feelings and help you become more self-aware. You can learn new skills to better manage your life as well. I find the people who get the most out of it are the ones most willing to make changes. "
"I love my girlfriend so much. I get an erection even just thinking about her or seeing her. But the two times we tried to have intercourse I couldn't get an erection. We've only had intercourse once and it was a long time ago.
Why this is happening and what can I do about it?"," intercourseual desire seems to be straightforward - I like someone and I become aroused at the thoughts of being intimate with them - but that idea does not always take into account other factors. Stress can have a huge effect on our body and how it performs. When we are overstressed, for example, we often find ourselves ill at the same time. Can you think of any part of your world that may be causing you some additional stress? Additionally, focusing on your erection may also be increasing the level of stress you feel about being intimate, which could also effect your ability to get and maintain an erection. While this may seem counter intuitive, it makes sense in the word of stress! Finally, it's never a bad idea to follow up with your doctor, as well. You did not mention your age or intercourseual history outside of this relationship, but it is always a good idea to check in with medical staff to make sure there is nothing physically responsible for changes in our body, as well. "
Every winter I find myself getting sad because of the weather. How can I fight this?," Seasonal Affective Disorder (S.A.D.) is a term that reflects how many people are affected by the changing seasons, especially fall to winter. Everyone suffers with some form of this (lessened activity levels, increased isolation, etc.) while some find that this time of year can put them into a deeper depression. If you have noticed that this happens frequently, there are some ways you can definitely help yourself going forward: 1. Attend therapy to learn strategies and tools to help you to manage your mood. It's important to stay within the therapy until you feel you have mastered these tools. 2. Push yourself to interact more with your social groups and other positive activities. It's easy to go out and spend the day outside in the summer months, when the temperature is warm and the sun shines for long periods of the day, but it seems harder to find fun ways to spend your time when the temperature drops and darkness comes on so quickly. Perhaps winter time could become the time of year where you and your friends have weekly board game nights, complete with hot chocolate and a fire? 3. You may want to consider the purchase of a S.A.D. Light. These are lights that expose you to additional ultra violet light to increase the vitamin D in our bodies, as well as the release of growth hormone (which releases when we wake up). There are mixed reviews of these products, however, and they can be expensive. "
"My depression has been reoccurring for a long time. It all started when I was being bullied in high school. In ninth grade, my principal told me I needed to stay home for a couple days to protect myself while she spoke to my classmates. I needed professional help for my stress because I was having crying spells from the stress of going to school and confronting my classmates. After that, I was fine for a couple of years. I entered my first year of college in a really tough program with high demands of expected work. I believe my depression re-booted from there with the stress. I began to cut myself because a friend of mine at the time told me how she used to do the same and it used to feel good for her. Obviously, that wasn't the right choice. I regret ever doing that, seeing as even though I'm not self-harming anymore, I always look back at that time whenever I feel very stressed. I have a big problem with handling problems in life. Whenever a problem arises, I get stressed and I feel hopeless, as if it's not going to get better. I get way too stressed from my problems, which leads to overreacting a lot (especially when talking to others), which then leads to depression. I have a hard time coping with stress because I know that if I could handle it easily then I wouldn't be sad all the time, and I would say and do the right thing instead of overreacting to my loved ones."," I couldn't help but notice that you did not specify your age, so I am unable to set the total chronological order and length that you have suffered in this way, but I want to start by commending you on seeking out additional coping techniques on your own. Unfortunately, it sounds like you were offered some that were more dangerous than helpful, but be proud that you were able to curb those before they caused too much harm. From what you have written, stress has always been a difficult thing for you to manage. Often, when I am working with those who offer the same concern, there is a degree of people pleasing that comes with that stress. When we are trying to make others happy, especially when we are unable to distinguish the proper ""rules for success"", it can make even the simplest of tasks overwhelming. Stress management is just that, management; of our own anxieties about the needs of others, about our skills and the ability to complete a task and having multiple requests at any given time. Each of these aspects requires a separate sets of ""tools"" to manage them accordingly. For example, assertiveness communication training could aid in communicating with your colleagues to manage their expectations of your deadlines and abilities, but it will not assist you with managing your own anxieties. Try to separate the different areas of the problem, in order to help yourself to find a solution and work on them in their own time. Perhaps keeping a journal will help you to better understand why you are so easily overwhelmed by stress and help you track some of your less-helpful responses to stress. For example, does a certain person's style of communication always make you feel undervalued and therefore push you to finish their requests first? Is there a certain time of the day where you start to fall off in productivity? Is that the time fo the day where you also tend to pile up your requirements? Try to ask yourself some of these harder questions and see where they lead you. "
Every winter I find myself getting sad because of the weather. How can I fight this?, Light therapy is very helpful. You are not alone. The name for the condition is Seasonal Affective Disorder (SAD). You might want to see a therapist to assist you putting in place a behavioral program to help change the way you feel.
Does counseling really do anything that can help people?," Yes, counseling helps a lot of people, especially when there is a good rapport between the counselor and their client. Knowing your counselor is someone who is really on your side and wants to see you grow past your difficulties into a healthy, happy, successful life is more important than what kind of counseling method they use. If you are looking for a counselor, take your time and be sure you feel heard and respected as well as challenged to grow. "
Every winter I find myself getting sad because of the weather. How can I fight this?,
Does counseling really do anything that can help people?,
Every winter I find myself getting sad because of the weather. How can I fight this?," Thank you for sharing. It seems like since the ""winter blues"" happens to you every year it may also be impacting your quality of life and possibly relationships. What you report sounds like you may be experiencing Seasonal Affective Disorder (SAD) and is quite common to many from about fall thru winter seasons; but, also can impact folks during the Spring and summer months. The best care and treatment for SAD includes discussing it with your PCP (primary care physician), integrating light therapy (full-spectrum lighting) throughout home and workplace (where possible), psychotherapy, and possibly medications (e.g.
Wellbutrin XL, Aplenzin). Be sure to exercise good self-care and checkout the Mayo Clinic's website for SAD here: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047. "
"I love my girlfriend so much. I get an erection even just thinking about her or seeing her. But the two times we tried to have intercourse I couldn't get an erection. We've only had intercourse once and it was a long time ago.
Why this is happening and what can I do about it?"," First off, I want to acknowledge the emotional pain you must be experiencing about not being able to experience an erection -- you're not alone. And, it took a lot of courage for you to post your query here. Below you will find excellent advice from skilled clinicians regarding your question and concern. If you haven't done so already I'd encourage you to checkout the Mayo Clinic's website on this very topic (http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047). Once you've ruled out any medical-organic issues with either your PCP or Urologist I recommend you work with a Certified intercourse Addiction Therapist (CSAT) and/or Certified intercourse Therapist (CST) and do some psychotherapy around attachment/family-of-origin, intimacy, self-image, trauma history, intercourse history, pornography, etc. ). There is hope. "
Every winter I find myself getting sad because of the weather. How can I fight this?," There can be lots of different factors contributing to this. Here are some possible tips:
- Consider if you know anything about what specifically is making you feel sad? If you're looking for activities because you cannot participate in what you like to do in the warmer months, consider finding some indoor winter activities
- Connect with others. One idea is to join a group (such as a book club) that meets regularly. This could give you something to look forward to regardless of the colder weather.
- Enjoy the sunshine from indoors. You may notice that sometimes looks are deceiving women is bright and sunny outside, but is also quite cold when you open the door. If you are staying inside for the day, consider allowing yourself to enjoy the sunlight without specifically considering that it is also cold.
- Consider using a light box. Certain types of light boxes are designed to help with the ""winter blues."" You can find more information here: http://www.mayoclinic.org/tests-procedures/light-therapy/home/ovc-20197416
- Recently, one of the nurse practitioners that I work with has been checking a lot of vitamin D and vitamin B12 levels and she says the lower levels of these vitamins can contribute to feelings of less motivation or energy than is desired.
- Each of us has days when we are not thrilled about the weather and may be feeling sort of ""bummed"" or ""down."" If you find yourself having these days frequently or for several consecutive days in the above strategies are not helping, consider talking with a therapist about more specific strategies that may be of help to you. Also, because if everything you would see is likely to live in your area, they would be familiar with the weather patterns where you are and may have some tips that they use for themselves or With other clients.
"
Does counseling really do anything that can help people?," A lot of things affect how helpful counseling is for each person, including at least these things, but often many others:
- The therapeutic alliance (this refers to the bond, connection, or trust between the client and the counselor)
- What the person is coming in to work on
- How motivated the person is to work on what it is they would like to change
Some people also ask how counseling is different from friendship. There is a similarity in the sense that hopefully both counselors and friends will listen to what you are experiencing, but that is really the end of the similarities. Some differences are:
- Counselors are specifically trained to phrase questions or statements in ways that help you to gain more awareness of one could be contributing to what it is that you are trying to change, both within yourself, and possibly with people around you
- Counselors have experience in using lots of different types of techniques (for example, focusing on finding solutions, looking at how the present situation could relate to your past, using role-plays or examples in session to help you learn new skills or ways of looking at situations, and probably hundreds of other things)
- Counselors are taught to look at what you are experiencing and ask questions about other related ideas that you may not have connected to what you are experiencing
- There is a treatment plan in place (usually after the first, second, or third session) so both you and the counselor have an idea of where you would like to go with counseling (what you are hoping to change or learn) and a general idea of a plan for getting to your goals
In general, I would say the following:
- Yes, counseling can help people who want something to be different in their lives
- Counseling is most helpful when the connection between the counselor and the client is strong enough that some trust forms (in other words, not every counselor or technique is helpful for every person)
- A lot of counselors will talk to you on the phone for a few minutes prior to you coming in for your first appointment to answer any general questions that you may have
- If you are working with a counselor and you feel as though you are not ""clicking"" or connecting with one another, give it three or four sessions before you change. Trust is not happening in one hour for most of people
- If you are working with a counselor and you would like to be getting more or something different out of it, tell the counselor about that because typically modalities can be changed
- If you are asking this question because you would like help with a specific issue, call a local counselor and discuss it so that you could have a more specific answer about possible options for counseling
"
"My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.
Do I have the rights to be able to sign my brother into mentalhealth facility?"," Thanks for asking this question. I know it can be really difficult to deal with issues like this. To answer your question, you might be able to get you brother some mental health help, even if he doesn't recognize that he needs it. In most states, an individual can request a mental health evaluation of a family member if that family member poses a danger to themselves or someone else, or if they are unable to take care of their own basic needs. You can always call 911 if you are concerned about his immediate safety (for example if you find him sleeping outside in below freezing weather. As an alternative to calling 911, you might also be able to request an evaluation from an authorized mental health provider. The deatsils of who you would contact vary from state to state. Here's a link with some additional resources:
http://www.treatmentadvocacycenter.org/someone-i-know-is-in-crisis He's lucky to have a brother who cares for his wellbeing as much as you do. "
"My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.
Do I have the rights to be able to sign my brother into mentalhealth facility?"," I'm sorry to hear that your brother has been having such a rough time. He's lucky to have you on his side (although he may not always see it that way). As far as whether you can sign him in, that depends on a lot of different things. I would suggest that you Google the state and county that you live in as well as some phrase similar to ""crisis hotline."" They can tell you how it works in that county. My guess is that you could sign him in as long as he met the criteria for admission at that moment, but I can't be entirely sure. You could also ask the person on the phone about financial responsibility. I have not heard of that being a problem, but I guess it would depend on insurance. If you have trouble finding a local hotline, consider calling the national crisis number (800-273-8255) and ask them to help you find someone local. "
I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?," You are not a pedophile. You are both under 18 and your age is appropriate for a relationship. There would be a possible problem if she was 10 or younger. Pedophelia, is a whole other problem that you probably should not be worried about. I would be happy to talk with you in more detail about this. "
"I'm a Christian teenage girl, and I have lost my virginity. My boyfriend is a Christian teenager too, but things just got out of hand between us in a intercourseual manner. I planned to abstain from intercourse but I guess I wasn't clear about this because I was also tempted and led him on. We continued to have intercourse. Does it mean that he isn't the one God planned for me? We're so young, but that doesn't stop me from dreaming of a potential future together. I really do feel like he is in my life for an important reason. I'm incredibly happy for I was able to escape from several abusive relationships because of him. I love him very much."," Having intercourse with your boyfriend is and was a mistake. Mistakes can be forgiven and you can make amends. But it is not the end of your relationship or God's will for you. Have a serious talk with your guy and get back on track with where you want to be. Talk to a counselor or your priest/pastor. Get someone to be your guide and mentor. Check in with them regularly. Getting back to square one could actually strengthen your relationship. Have a plan for the future where you will not be put into a place of temptation. Group dates, public places and no alone time where temptations might arise. Forgive yourself and move on. "
Does counseling really do anything that can help people?, Counseling can go a long way in improving your mental health. Counseling helps you to get new perspective on your life and problems. Talking about your problems with a counselor gives them substances and something to get a handle on. Talking about your problems gives you a chance look at your situation from a new angle to help solve your problems. The counselor is a neutral listener that can help give direction and answers to your needs. Counseling can help you solve your problems but also can set up a plan for the future. Counseling can help you to deal with things before they get out of hand. Give counseling a try.
Does counseling really do anything that can help people?," Counseling allows us to have a sacred space, a space that is set apart from the outside world, it is a space of non-judgement and exploration. Being that the universe is not made for us and that the the world tends to be a fairly untamed place at times, this sacred space allows us to explore ourselves. It allows for greater reflection upon our attitudes, our behaviors and our feelings. Imagine if you will a small goldfish swimming around the usual fish tank, although I dont attest to know what a goldfish thinks, I would imagine he does not see the world outside of him, he only sees the small fishbowl, oblivious to the outside world, when one comes into the counseling room, one is trying to gain insight that was not previously there. Remember the observer affect, one cannot truly act objectively with the world, we are in a dynamic relationship with life, it reacts to us and we to it, the time in the counseling room allows us to gain an understanding that is beyond the normal limits, allowing us to see what was before hidden, often times in plain sight. "
"Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me.
Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me?"," I'm sorry that you are having a difficult time. I wonder about how your friendships are in person. If you get along well with people and have effective conversations with them face-to-face, there could be some kind of technology-related problem. Have you tried gently talking to people about how you send a message and they didn't answer? If you can phrase it in such a way that they recognize that you are asking for information and not blaming them for not answering you, that could be effective. I'd also encourage you to consider how much this is bothering you. If it is causing a significant amount of anxiety (say, more than 5/10 if 10 is really anxious), I would suggest talking with a local therapist. In the meantime, consider talking about this with someone you trust to whom you can get more details to get a more specific answer. "
"My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore."," 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've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn't believe me, then my mom goes along with my dad and acts like she doesn't believe me either. I'm a panintercourseual, but I can't trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust."," Teenage years are rough for anyone, and this is a time for self-discovery and experimentation. Having older parents can certainly pose challenges. Most kids feel like their parents don't understand them, but yours are older than the average parents of teenagers. They're from a completely different generation than you are. It sounds like they love you, but may not understand you. The problem here is the generation/age gap, and there's not a whole lot you can do about that. What you can do is accept the situation and perhaps look at it a little differently. It seems like you're looking for affirmation from them, looking for their approval and understanding. It's never a good idea to look to others to define who you are or to get a self-esteem boost. Who you are and how you feel about yourself needs to come from inside, not from outside. One way you can have a better relationship with your parents is to stop looking at all the things you aren't getting from them that you want, and rather look at all the things you are getting from them. Yes, this is a glass half full or half empty point of view, but it works. The negative will overshadow the positive if you let it. Start looking for the good things in your relationship with your parents and your feelings towards them will become more positive. I'm not sure how your friends/peers made you feel like your childhood has been taken from you. That's a curious statement, and requires a deeper conversation to understand where that came from. However, I do understand feeling different and out of place, especially in high school. Find the strength within yourself rather than looking to others in your life to make you feel better or feel like a complete person. It helps to have friends and loved ones, but you can never rely on them to fulfill all of your needs. Set some goals for your future, work towards them. Focus on being the best YOU that you can be, and the right people will enter your life at the right time. "
"I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before.
I feel like I don't want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered ""wrong"" by a lot of people.
How can I get myself to just move on?"," It's difficult to move on and let go, especially when you've experienced things for the first time with someone, or feelings you've never felt before, as you said. I like the fact that you are looking at your situation ""logically"". Feelings can take time to fade, but you seem to understand, even if it is subconsciously, that it's the feelings he stirred up in you that are keeping you tied to him, not necessarily the person himself. Realize that you can and will experience those feelings again with another person - the RIGHT person. Don't hold onto someone who is wrong for you just because of something like this. You're wanting those feelings and wanting a relationship - but with him necessarily? Or with anybody? You said you don't want to be without your love for him - not you don't want to be without him. In fact, you said you know you need to be without him. It seems like it's the LOVE that you can't let go of, and the feelings. Not the person. Trust me, you will find that again. Take some time to let this fade. Don't try to force him or anyone else into a role that is meant for someone else. Cherish the memories and the experiences you had. Sounds like it's been a valuable learning and growth experience for you, but you have your own reasons, and I don't know what they are, for thinking this person isn't good for you. Trust your gut instinct and be glad you've had this relationship. Not all are meant to last. But all shape you into the person you are and will become, and all teach us important lessons. "
"My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore."," Buy the book ""Boundaries: Where You End and I Begin."" Read it. Apply it. Seriously, I'm not joking. You're not wrong to ""not want to hear it anymore"" but if you don't maintain healthy boundaries, you will allow your family to make you feel guilty for ""not wanting to hear it anymore"". That's not fair to you. Give a copy to your mom, too. No, I didn't write the book nor do I have any affiliation with it - I simply recommend it because it's a wonderful book and it helped me out a lot. I recommend it to a lot of people. It should be required reading! "
"I don't remember when the voices in my head started, but I remember Hearing them when I was little.
I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?"," This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well. However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you). If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help. "
"There is just no communication at all between us. She sleeps constantly all day (not at night). She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat.
She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health.
I don't know how to communicate with her. She is not open to any suggestions. How do I get through to her?"," 1. She's an adult. 2. She lives in your house? She follows your rules. 3. What you're describing could be any number of things, but could potentially be a medical issue that needs attention. Thyroid issues, autoimmune diseases - there's a ton of medical possibilities for her symptoms. I'm not a doctor; this is a forum of therapists. 4. I recommend the book ""Codependent No More"" which may help you navigate your rocky relationship with your adult daughter. You may be inadvertently making things worse by ""helping"" her which can instead enable her to continue her behaviors. Another book you may find helpful is ""Boundaries: Where you end and I begin"". You cannot control another person, especially an adult. The only person you can control is yourself. Tough love is sometimes needed, and she is an adult - treat her like one. Maybe then she'll act like one. If we were having this conversation in person, you would interrupt me at this point with a ""but..."" and then explain all the reasons why you can't tell her to move out, get a job, get up and cook or clean the house, etc. I already know that you have a myriad of excuses for things being the way they are. Yes, I said excuses instead of reasons, because that's what they are. You may feel stuck and like you have to take care of her, but you have choices - you just may not like them. I know that when children are small, parents' lives are focused around them (some more than others) and decisions are made around what is best for your child. But you said your daughter is an adult. The relationship dynamics must change if the relationship is to be a healthy one. I know how difficult it is to watch your child make life choices that you wouldn't want for them, no matter what that choice may be. As a parent, we want to force them to do what we think is ""the right thing"" but trying to do that only results in frustrations for everyone involved. Whether the issue is a hair color, a tattoo, a lifestyle choice, a job, or choosing not to work or take care of their health, or doing drugs, or drinking - the choice is theirs and theirs alone and so are the consequences of those choices. "
"My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.
Do I have the rights to be able to sign my brother into mentalhealth facility?"," Family members sometimes get Power of Attorney over vulnerable adults. If you had this, you could do something like that. I'm assuming that you don't, though. There are steps family members can take through the court system to get someone involuntarily committed, but it is a long process. I deal with situations like this everyday on the job. The only time an adult can be committed against their will is if they are deemed by the doctor (such as at an emergency room) to be a threat to self or others. For instance, if he had suicidal thoughts and a plan to carry out the action, or if he had homicidal thoughts against someone else and a plan to carry it out, he could be placed on a short hold, but these holds only last for a few days. This still isn't a long-term solution. An adult has the right to refuse treatment and the right to make their own choices, no matter how bad those choices are. If you have a way to get him to an ER whenever things like that happen, such as being found sleeping outside in 12 degree weather, it will help a lot. They may or may not do a short term commitment for treatment based on the situation that brings him to the ER, but it's a start. They can help set him up with appointments for psych and he can get on medications. You can help by taking him to appointments and making sure his medications get filled. However, you can't force him to take the meds, so this may be something that happens a lot. With enough of a paper trail of many ER visits and that sort of thing, you'll stand a better chance of getting a court appointed psych ward stay. Some tips about ER visits: Don't send him alone. Always go with him or have someone go with him, because you will be able to give the treatment team better insight into what's going on than he will. He may say everything's fine and he wants to leave, so they won't have any reason to keep him if that is the case. Go with him. If you do get Power of Attorney, take the paperwork with you when you go to the ER and to doctor's appointments because they aren't just going to take your word. They need to see the actual paperwork. Having it on file in their system isn't good enough because paperwork expires, etc. Take it with you at all times. You can also compile his medical records and that sort of thing to take with you so they can see a full history of what's going on. Keep in mind that if you do get Power of Attorney, this makes you his guardian and you have to take care of him. Otherwise, you can get reported for vulnerable adult abuse and neglect. In fact, your mom ignoring and not helping may already put her at risk of that because she is willingly doing nothing to help someone who clearly needs the help. She won't be financially responsible for the hospital or doctor bills, but should be held responsible for his safety. Someone should. There are group homes for people with schizophrenia. "" Being responsible"" for someone doesn't mean you have to pay their bills, it just means you are going to make sure they get the care they need. That care may be placement in a long-term care facility like a group home or a nursing home. Psych inpatient hospitals aren't long-term, so you do need to look into other long-term options. Psych inpatient stays are temporary and are to stabilize him, they're not where someone stays forever. Good luck, and keep up the good attitude! Work with his treatment team. Ask for a social worker. If they see family that is wanting to do the right thing and wanting to help, they'll help you even if it does take a while to get things sorted out. The worst thing any of you can do is NOT go to appointments and that sort of thing. "
I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?," No, that's perfectly normal. You're under 18, too. You're only a year older than she is. This is absolutely normal. What would be wrong is if you did anything to her against her will. Always remember that NO means NO, respect her, respect yourself, and be a normal teenager! Have a healthy relationship. Holding hands, kissing, and more should only be done when both are comfortable with it and agree to it. Although it is frowned upon by a lot of people, it's no secret that teenagers do have intercourse (even if their parents and perhaps religion would definitely not want them to do it). Only you can make the choice that is right for you. Just be responsible in the choices you make. Some states have laws on what age is old enough for consensual intercourse. You'd be surprised how young those ages are. A 14 year old having intercourse with a 20 year old would be against the law, but someone the same age as her, or just one year older is not. ""Wrong"" can be defined in a lot of different ways, though. Is it against the law? No. Is it against your religion? I can't answer that for you. You can, however, have a relationship that is not physical in any way. It's okay to just be with her and enjoy her company. You can hang out, watch movies together, go on dates, do whatever it is that both of you enjoy doing. Your relationship can be anything you want it to be. "
"I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn't believe me, then my mom goes along with my dad and acts like she doesn't believe me either. I'm a panintercourseual, but I can't trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust."," First, thank you for sharing such deep personal information. It can be difficult to share such intimate information. To begin, it sounds likes your primary concern your desire to speak to someone who takes your mental health seriously. You've tried talking to your parents and your friends and neither have made that connection in the area you need. I'm sorry to hear that. it's unfortunate. However, I think a couple things can be done to try to address this.
If you want support 1) Parents- Sit down with one of them and tell them with all seriousness that you need to talk about something that is affecting you deeply. Perhaps speaking to both can be too much for one room. If you try to speak to mom or dad by themselves, it may create that intimate atmosphere needed to understand where you are coming from. 2) Friends: Like parents it can be difficult to speak to your friends about challenges with your mental health. When you're feeling down and anxious, friends can be great help or not their at all. With friends, it may be one of those things where you also need to create an intimate environment with one friend to speak to about your sadness and anxiety. If anything, speak to the fact you're hurt and help them understand that if they can't understand the depression
If you don't want support Coping Strategies: Identify coping skills and strategy that help you when you're feeling down. Ideas: A.) Journaling B) Painting C) Exercise D) Music E) Reading Affirmation F) Listening To Motivation Videos "
"My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.", I just want to understand before I answer. Who exactly is complaining?
"I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?", Absolutely. Your question shows that you are going through a lot of pain and I'm sorry for that. Many couples go through this disconnect and hope to come to reconnect before things get to a breaking point. What I think can help is the following: 1.) Understand what his primary concern is 2.) Understand what your primary concern is 3.) What would you like to see different? 4.) What would he like to see different? 5.) Be honest about your concern with him having friends (Be ready for honesty) 6.) Help him understand you feel alone without him feeling guilty. 7.) Let him know how committed you are to making this relationship despite the two of you drifting apart. 8.) Sometimes if you just acknowledge the elephant in the room. 9.) Couples/Marriage Therapy
"Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me.
Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me?"," Sorry to hear your friends aren't responding to you. If these friends are in-person as well as online, perhaps going to them in person and asking talking to them about your concern. Perhaps it's the way you send messages or the way they are receiving them. if they say no, then a simple request to respond to your messages. Measure the result and notice if there are even small differences. Also understand, why this is so important to you. Ask yourself, why it's so important for you to receive these messages from friends. What does it mean when they don't respond. "
I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?," No. You are not a pedophile. You are both under the appropriate age where it would be seen so. Your both only a year a part so this shouldn't a worry to you. Like Frank said below, Pedophelia is a problem that won't apply to this situation. "
"I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before.
I feel like I don't want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered ""wrong"" by a lot of people.
How can I get myself to just move on?"," One of the most challenging areas for people to deal with is getting over the the person you have loved so much. It's a catch 22. You know mentally that it's not healthy to think about them. However, your feelings are still there. Moving on is tough. It takes time for feeling to go away. That's the thing, it's not the person you're trying to get over, it's the feeling and the idea of them that is that makes it difficult. You've learned a lot from the relationship and time will help. Activity will also help. Are you actively living your life? If not, go out and maybe it's time to date and find new love. Grow with new relationships and it will help create focus on someone who may even be better than the love you previously experienced. You can do it! Earl Lewis www.RelationshipsGoneRight.Com "
"Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?"," To begin, I'm sorry to hear about your situation. Like many of the professionals have stated, infidelity is a very difficult obstacle to move forward from. It's not impossible. While forgetting is probably the hardest part, forgiveness is something that can and will happen. There are things you can do to help yourself. The first this is identifying what you feel is best for yourself and your children. That means being honest with how you feel being in this relationship on a daily basis and understanding how it's affecting you. Second, how is your relationship affecting the children. Do you feel that by staying in the relationship that it's affecting your daily interaction with them. If so, that' something to keep in mind. Next, Really looking at the pros and cons of staying in the relationship. A specific breakdown of what benefits come with staying and what are the ramifications. Vice-versa for leaving. Include your partner. I think being honest with him and letting him know what you are thinking is could be a great option. At least you aren't keeping something inside yourself to manage. Rather, you are being transparent to them. Sometimes a couple can come to an agreement that it may be time to end things and other times it may be best to keep moving forward with a serious plan to how to move forward. Regardless, if you can't trust him and that feeling will never go away it's time to address it. Couple therapy can be beneficial as well as a therapist can provide professional counseling to you. Earl Lewis www.RelationshipsGoneRight.com "
"My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough intercourseual attention from me.
I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?"," Hello. Thank you for your question. Many couples that experience infidelity in their relationship face this important question -
""is it possible for us to get past the cheating, or should I just move on?"" Deciding to stay or leave is such a personal decision, one that only you can make. When an affair is disclosed or found out, it can have a traumatic impact on the betrayed partner. The betrayed partner might be overwhelmed by intrusive thoughts - Wanting answers to specific questions - Wanting details. And the partner that had the affair might be feeling overwhelm around ""Will their partner ever forgive them?"" ""Will they trust them again?"" ""How long will it take to regain their trust again?"" While it is possible for couples to get past the cheating, it does take a commitment from each partner to do the work needed. Because of the complexities cheating has on the bond couples have with each other, I would recommend seeing a couple therapist that specializes in working with the issue of infidelity. When infidelity happens, there are usually a number of secrets that accompany it, and this can be incredibly difficult for couples to work through on their own. "
"My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough intercourseual attention from me.
I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?"," Finding out about an affair is quite an emotional experience. It's usually jarring. I encourage you to give yourself some compassion about emotions that you have. You asked whether it is possible to get past the cheating and the answer is that it can be. It depends on many factors. I would recommend that you see a therapist who specializes in working with couples. There are certain ways that both of you could learn more about yourselves and each other that may actually serve to make your relationship stronger. Sometimes there are motivations for having an affair that can be discussed in therapy in a way that you become more aware of what each other is experiencing and where you want to go from here. It could be that learning to communicate differently would be helpful. Regarding whether you should ""just move on,"" I recommend talking about with a therapist as well. At the very least, you can discuss more about what you are thinking and feeling and what your choices are as far as where you want to go from here. "
What makes a healthy marriage last?,"A resource I think is helpful to learn more about ""what makes a good marriage"" and steps toward doing so is Dr. John Gottman's book: ""Seven Principles for Making Marriage Work."" Dr. Gottman is a leader in this field and has done extensive studies with couples to determine what behaviors are key in making a marriage work and what behaviors could predict divorce. I think this book might be a good start if you're wanting to learn more about how to have a long lasting relationship. "
"I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn't believe me, then my mom goes along with my dad and acts like she doesn't believe me either. I'm a panintercourseual, but I can't trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust."," One of the most difficult challenges we face is not being heard! It is incredibly frustrating and hurtful when others, especially parents, do not listen. While your parents surely love you and want to understand you, it may be difficult for them to fully understand your feelings and experiences. They are quite a bit older and have likely not dealt with some of the struggles that you face. I would suggest communicating your feelings to them about not being heard. Talk to them during a non-emotional moment when the discussion is not already heated. In other words, do not wait until an argument ensues to have an open discussion with them about how you are feeling. Prepare them by asking them what time is good for them to talk. Let them know you have something important to get off your chest. Try and avoid using exaggerated or extreme language such as ""you NEVER listen,"" ""you ALWAYS say..."" and stray away from placing blame. Instead of beginning your statements with ""you"" try using ""I"" by letting them know how their behavior effects you. Finally, let them know that they are important to you and that having their trust and support would mean a lot to you. Perhaps giving them suggestions as to what you wish for and would like to see change would help them to better understand. I would also suggest that you seek guidance from a therapist, teacher, or school counselor if possible. Most schools have counseling resources on sight in which a trained professional is available to talk with students looking for help. Best of luck to you. "
"I know I need to deal with my depression. But I don't know how and I don't want to tell anyone.
How can I deal with depression without telling anyone?"," Hello, It is completely understandable that you would not want people to know about your depression. I would first like commend you for realizing that you need to help with your depression by reaching out here. That is a great start, and you've taken the very first courageous step. Depression can feel debilitating and overwhelming. Depression is also a very personal thing and no one has know but you and the therapist. The best way to begin learningand dealing is to pick up the phone and call a therapist or email a therapist and schedule a session. The great news is that with professional help you can feel better and you will learn how deal with and manage the depression. There are many ways to help with depression that a therapist can teach you and help guide. You do not have do this alone. Asking for help and going to therapy is a strength! This can be done in a private and confidential setting. Depression should be treated by a therapist, in a safe, confidential office setting. The therapist can then discuss your depression with you in more detail to figure out the underlying cause, how long you've been feeling this way and identify what brings on these feelings. There is hope and depression can be treated with great success, you CAN feel good again. Depression can be managed appropriately by seeing a licensed therapist. Often times therapy will offer relief because you would have someone there simply to listen to you, validate your feelings and listen to your story. The therapist will be able to offer professional insight and perspective on the situation and help you think outside the box. The therapist can do many things with you, provide insight and offer many ideas to help you learn new coping skills and ideas of things you enjoy, encouraging you to re engage in hobbies you once enjoyed or even discover new things you may enjoy. There are creative ways to learn to cope too! Your therapist will also be there to support you, without judgement, at your pace, through the entire process. But the first step is finding a therapist and beginning to identify the cause your depression. Healing is possible and getting your happiness back is also possible.Feel free contact me for additional help or information Laura Cassity, LMSW, LMAC "
"I have several issues that I need to work through. However, I am afraid of and do not trust therapists after a horrible experience. I'm dealing with grief and guilt over losing my sons due to drug use. I have a very complicated traumatic relationship issue that is causing me severe anxiety and fear."," I am sorry that you had this experience. Therapy should be a healthy positive experience off g growth. You have the right to look for certain high qualities in a therapist and finding the right one. Each therapist is bound by a code of ethics and clients should have high expectations. You are trusting them to guide, support and help you achieve the absolute best outcome and success. You should never be or feel judged, and you should feel comfortable and feel as though your therapy process is moving along with YOUR GOALS IN MIND. Speaking as a therapist, I encourage my clients to always let me know how they feel, even if they disagree with me, they also have the right to inform me if something I'm doing simply is not working for them, communication is critical in maintaining a healthy therapeutic alliance/ therapeutic relationship. I'm able to offer ways of thinking and strategies to my clients they may not have thought of. Its important to listen to my clients. It's also critical for clients to feel they can share in a environment that feels safe, non judgmental and confidential. Remember, you are the driver in your healing process, you should be the one in control because you know what your life struggles are. Speaking as a therapist, I'm here to guide my clients toward achieving their goals, encouraging and empowering my clients in what is meaningful to them to achieve. You should feel comfortable speaking your thoughts, my advice would look one who open hearing toy feel, even it's regarding them a therapist. That they are open to feedback. With all of that being said, it will take time to trust again but remember, ask questions and communicate with the next therapist share your experience and how it made you feel and that trust and being spoken in a respectful , non judgemental and non condnscending way is critical for you. Be honest clearly state your expectations from start. I offer free 50 minute first sessions for clients. The reason. I do this is because I feel that clients deserve opportunity observe the environment, ask me questions and have the opportunity to determine their level of comfort and decide if it's a good fit. Other therapists sometimes offer the similar, try finding one willing to offer a consultation as that could give you the opportunity to feel things out and set forth expectations. The article below is an excellent article about what to look for in a therapist. It is worth your time reading because you are WORTH FINDING THE BEST HELP AVAILABLE! This article was written based on both evidence from research and clinical experience. I would strongly encourage anyone searching for help to read this and even use it as your guide. I hope this was helpful. https://www.psychologytoday.com/blog/insight-therapy/201603/10-ways-spot-good-therapist Laura Cassity, LMSW, LMAC "
"I don't remember when the voices in my head started, but I remember Hearing them when I was little.
I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?"," First, let me express my support and compassion for what you're going through. Hearing voices can be incredibly difficult and can feel like you can't get a moment's peace, even in the privacy of your own mind. And not everyone will necessarily understand what you're dealing with, so I imagine you may also be feeling isolated or somehow different. Atta girl/boy on reaching out for help! Many people find benefit to taking medications, such as risperdal, seroquel, and so on. These should be prescribed by a nurse practitioner or psychiatrist -- I do not recommend a primary care doctor venture into this area, as a general rule. Discuss the options thoroughly and insist on a good rapport with your prescriber, if you decide to go this route. Some people are having results with a talk-therapist to develop coping strategies. There is a new and somewhat less conventional approach to challenging voices with a professional to assist you, rather than to suppress the voices, which medication will do. There is peer-run organization and a general approach that attempts to live with voices in a different way. You can read about it in Living With Voices by Marius Romme. I have heard interviews but have not read the book(s) and can't speak to its efficacy. No matter what steps you decide to try, managing your stress, sleep, exercise, healthy food is
essential -- in other words, just the daily care and feeding of yourself should be included in all of your efforts and bears surprising benefits to your brain and emotional health. Best wishes to you, Karen Keys, LMHC, CASAC "
We're in an eight year relationship. My boyfriend drinks a lot. He experienced childhood trauma. I don't know how to deal with violent outbursts.," First, let me extend my compassion to both of you -- it sounds like you have a lot on your plates. Childhood trauma carries its negative effects into our adulthood and affects everyone who loves us. Your question is brief, so I'll just try to give general answers as best I can. From my experiences treating many people with your boyfriend's experiences, the short, healthy answer is that you can't fix the situation and maybe not even be able to help. He needs a professional. Period. What you
can do, is take care of yourself. With his background, it is not likely that he will be able to help you or take care of you in a healthy way. Your task needs to prioritize your own safety and well-being. Trauma and substance abuse are the definition of being out of control, unable to set and manage appropriate boundaries, manage his own emotions and behaviors. So your boyfriend is unlikely to be able to change in the near-term, certainly not without professional help. You might also benefit from help and support, to understand your own role in your relationship and how you can make changes in your life. I am NOT blaming you for any aspect of your boyfriend's behavior, only acknowledging that there are two people in every relationship. If you have accepted your boyfriend's drinking and violent outbursts in the past (by staying in the relationship), that is likely to perpetuate his behavior. And there isn't any way to ""handle violent outbursts."" They shouldn't be handled at all, and if you have to be away from your boyfriend during his outbursts in order to be emotionally and physically safe, then that may be what you will have to do. We can never really change anyone else. The only person we can change is ourselves. Sometimes our behavior changes the
odds of another person's behaviors, but it doesn't control it. I would recommend that you work with a professional to first,
ensure your own safety above all. Then make decisions about what behavior you are willing to accept or be connected to, and which you want to separate from. Whatever your boyfriend does in his life, you will be happier if you manage your own feelings, set boundaries, etc. Let me say again that you also would benefit from some good insight and support as you continue your journey. Wishing you and your boyfriend healing and recovery. "
"My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.
Do I have the rights to be able to sign my brother into mentalhealth facility?"," Hello, My heart goes out to you, your brother, and your family, dealing with a very painful and difficult situation. In New York, you can't institutionalize someone else directly. You can, however, call the police or EMS. If they agree that he would benefit from hospitalization (and it sounds like they would), he can be held in the hospital for up to 72 hours, whether he agrees or not. Some hospitals will not hold a person that long, in spite of what we might want. I have seen many patients in and out of hospitals countless times, and it has been my experience that it can be extremely difficult to hold a person long enough to achieve good stability and an appropriate after-care plan. Hospitals in NYC tend to take a ""patch and release"" approach more often than I would like. It's been my experience that family makes a difference. Assertive, knowledgeable, persistent family can improve the quality of your loved one's care. Hospitals are highly pressured to discharge people quickly but they can not discharge a homeless person without someplace to go. If your family is willing to accept your brother, that will be the path of least resistance for the hospital. If the family refuses, they will be forced to find another path for him. You can also pressure the hospital to refer to rehab after psychiatrically stablized (which may only take a few days) and that may give your brother more time to begin making clear-headed decisions. If your brother has a psychiatrist, that person should be actively involved. I had a patient patched-and-released three times, in spite of my advocacy and him literally
begging to remain and stop his voices. We finally got a 90 day hospitalization because I strong-armed his psychiatrist into demanding that the hospital stabilize his patient. If your brother has a history of non--compliance with oral medications, you can push the hospital for injection, which again will help your brother stay stable for longer. Best wishes to you and your family. "
"I am in my 30s with 2 kids and no job and I'm behind on the bills. I've been trying everything with no results. I feel like everyone else puts their needs in front on mine. I give intil it hurts and I'm afraid that I'm going to fail my babies
I've been struggling for 5 yrs in a relationship with no communication and no alone time. How can I get some support?", I would want to know where do you put your needs? Often times we show people how to treat us based on how we treat ourselves. First identify how to practice good self care which can only happen when you are authentic and real about your needs and desires. You cannot pour from an empty cup and must take find the time to explore your purpose in life. It may be helpful to seek out additional support to work on your intrapersonal relationship.
"My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore."," It is difficult to implement healthy boundaries when the person is a parent or family member. I would encourage you to identify how it makes you feel after talking with your mother. Work on establishing healthy boundaries where you do not feel obligated to engage the complaining daily. Maybe setting a time limit to talk with your
mother and practicing how to be assertive and not disrespect or aggressive. Helping your mother understand how you feel using ""I"" statements i.e ( I feel _____ when you call to talk about my sister). Maybe asking your mom how can you be supportive of her during this time other than listening to her vent. It may also be helpful for your mother to get connected with support groups to help her cope with this life change. "
Every winter I find myself getting sad because of the weather. How can I fight this?," Seasonal depression can be difficult due to the weather being a primary trigger. Understanding that we have very little control over the weather, therefore we can focus on the things we can change. Exercising, meditation, guided imagery, and deep breathing can be beneficial to combat seasonal depression. It may help to join a support group and seek out therapy to assist you on this healing journey. "
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?," The best way to move on is to give yourself sufficient time and space away from your ex so you can heal. That means no checking out your ex on social media platforms and no contact. In order to move on and diminish the obsessions, help yourself recognize and accept that the relationship is over, and make sure to get sufficient support in processing all your feelings. Once that takes place, it can be useful to explore and process with a professional the meaning of the relationship and to understand your part in what transpired. Sometimes people obsess because they have difficulties accepting what's already taken place and want things to be different. The key to moving forward is to be loving toward yourself, to give yourself permission to grieve the loss, and to start cultivating new and healthy habits/patterns. Reengage in your present life, ask yourself what you want your life to look like, and start creating goals and taking small steps to create the amazing life you want for yourself. "
"I've always thought that there wasn't much good out there for me. Now that things are actually going well, it kind of scares me. I spent most of my life feeling unwanted and figured I would be alone. I recently met a great woman who seems to really like me, and I don't know how to process this. It's bothering both of us."," 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! "
"I have PTSD. The side effects are really bad and have impacts on intercourse, anger and my relationships. I even lost my job month ago.
How can I get my life back?"," 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=nmJDkzDMllc One 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) "
"My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore."," This sounds like a possible boundary issue. Boundaries are important in relationships. They are invisible lines that we will or will not cross. It is up to us to create and hold them. We have the ability to rethink them and change them as needed. It sounds like you have thought it through and would like to makes changes in the relationship between your mother and you. In the main question, you want to avoid the family member, however in the following comment, it sounds like you may just want the avoid that conversation, not so much your mother. Once we review the issue and decide what we need (create the boundary), I suggest opening talking with the person when everyone is calm (not in the middle of a stressful moment when we often are unable to focus and hear the other person). Always understanding that we had time to think about this issue and the other person has not (catching them off guard). State clearly your need. Such as ""I am not comfortable with hearing about my sister. It stresses me out. I would appreciate it if you would not bring it up anymore. If you do, I will not respond and I will change the subject "" It is important to use ""I"" statements. I feel"" this way"". I will ""do this"". We only have power over our actions. Also when we use ""you "" comments, the other person can become defensive and unable to hear what we are saying. Once we let ourselves know what we need, then let the other people know our new boundary, then it is up to us to follow through. We will make mistakes. Not follow through every time with our boundary. That is okay. Start again. It gets easier with practice. It is also appropriate to reconsider and change your boundary as needed. Just let the others know when you need to change it. Remember, they can not read our minds. I wish you much strength and hope the best for you and your family. www.parishhealthandwellness.com "
"I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk.
In the past, I have even cheated on my boyfriend while I was under the influence of alcohol.
But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem?"," Hello, I commend you for your courage in taking a look at the role alcohol has in your life. It sounds like you're concerned about what happens when you drink too much and I suspect you already know the answer to your question about whether you have a problem or not. I imagine you would like to stop feeling guilty and would like to avoid cheating on your boyfriend or other negative consequences and maybe have a fear of being or becoming an ""addict"" or ""alcoholic."" You might have a ""problem"" but that does not necessarily mean that you are an addict. I don't have information to know if ""addiction"" or ""dependence"" or other words would best describe where you are with drinking, but it sounds like it's begun to have some negatives, so forgive me using words like addict, dependence and so on. I mean it more as a road map than a diagnosis. The feedback I'm writing here is very general and doesn't address physical dependence and many other factors that might apply to your situation. One of the ways to think about substance (mis)use is to think of addiction as a disease of avoidance. Let me repeat that: it is a
disease of avoidance. Your ultimate task in living a balanced life is to figure out what you're avoiding and develop other ways to manage those feelings, experiences, and so on. And of course, along the way, you may want to look at triggers, situations, biological vulnerability, social pressures, coping skills, relapse prevention planning and so on. Depending on where you are in your drinking, you might very well benefit from expertise and support. Remember also that alcohol depresses our central nervous system and disinhibits us. That means that alcohol is often a substance of choice to relax, destress, calm down, etc. Also, it allows feelings, thoughts, and behaviors that we usually inhibit to be expressed. If you were unfaithful and often angry, that's your first signpost. For angry drinkers, it is often true that you don't drink and then get angry, you drink in order to express anger. I recommend you find someone you can speak frankly with, who is knowledgeable about addiction. Wishing you the best health and wellness. "
"My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?"," You're in a difficult situation and on behalf of you and your child, I commend you for trying to find the right thing to do. Short version: your child needs you as much as possible. period. Always. We used to think that children were almost always harmed by divorce, unless there was extreme conflict or violence. More recent data shows that children are not necessarily harmed by divorce
if they keep both their parents. In other words, the damaging part is losing half of themselves and losing the value of being connected to everyone who loves them, especially the other parent, in addition to the extra benefit there is from the other parent's perspective, strengths and so on. The best thing for your child is for you to be available and loving and doing everything possible to allow the child to be whole - a person who incorporates BOTH parents. It's a tragedy for everyone to use a child to achieve adult aims, like getting back at a former spouse. In such a circumstance, your child needs you more than ever. If you and your wife have different rules and so on, your child will learn to adjust and adapt, just as they would if you remained in the household. A child quickly learns that they talk to mom about x,y,z or get away with whatever, but has different rules with dad. He/she will not be too confused in the long run. Please stay the course in dealing with a difficult ex-wife for you and your child's wellbeing. Best of luck to all. "
I am going through a very hard time and I'm so depressed. My parents are getting a divorce and a lot of bad things are happening. I want to lull myself.," It sounds like a tough time and it's normal to feel down when your family is going through a divorce or other hardship. There's a difference between feelings like sadness, discouragement, grief, loneliness and depression, though. Sadness is sadness and sometimes we have to go through a grieving or other process, that is a normal reaction to events in our lives. Depression, on the other hand, is more about being stuck. Lulling yourself with self-care sounds like a healthy response and a way to give yourself support. So as to the uncomfortable but healthy part of your feelings, do the best you can to put names to it and share with a trusted other person. You will find comfort. The part of your situation that's depression -- feeling stuck, not able to get out of bad, concentrate, changes in sleeping and eating, loss of enjoyment in living, poor hygiene, feelings of hopelessness, that's different. First step, identify your own symptoms of depression. If you have any thoughts of hurting yourself, tell someone. If you're not sure, you can try 800-lifenet or other support line to get feedback. First aid for depression includes: daily care and feeding, good sleeping and eating, lots of exercise--
even when you don't feel like it-- healthy socializing, and focusing on talking to yourself in a positive way. If you aren't able to move yourself out of your depression, work with a professional to make short-term goals and get some support. You may also talk to your doctor or psychiatrist about trying an anti-depressant to give you a little lift while you go through a rough patch. Best wishes, Karen "
"I've always thought that there wasn't much good out there for me. Now that things are actually going well, it kind of scares me. I spent most of my life feeling unwanted and figured I would be alone. I recently met a great woman who seems to really like me, and I don't know how to process this. It's bothering both of us."," You're in a lot of good company and it's great that you're in a positive relationship. Congratulations! I often hear people talk about loving yourself and self esteem. We often seem to blame ourselves for not ""loving ourselves"" enough or put ourselves down for having low self esteem. It seems to me that since we are essentially socially beings and in fact, need each other for our survival, we really know who we are through our many interactions with others and with our environment. In other words, you can't just snap your fingers and voila! now I love myself, where there was an empty space or self-doubt before. We grow that warm coal inside ourselves through the friction of contact with others who value and validate us. Allow yourself to be patient with yourself as you experience this new relationship. You are learning a new model of who you are and how you fit into the world. What a marvelous gift for you! You may also have fears that the current joys may be temporary or unreliable. These fears of loss may get in your way, however understandable. If you are truly close to your companion, you can share with her that you are loving your relationship but sometimes fear it will go away and sometimes have trouble really trusting it. Such a conversation may bring you both closer. Hang in there. You're working on co-creating a new normal with a great woman. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," It is totally normal - you have a lot riding on this and you're invested! Think about why you feel so shaky - is it something about the therapist or their style? If so, it would be a good idea to talk with them about it so you feel more at ease. In any case bringing up your feelings about therapy
in therapy is totally appropriate and even necessary. Good luck! "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," I would be more concerned with how is this being addressed in therapy. Therapy can be a rewarding process, however often times we do not pay much attention to the messages being sent to our bodies. I believe in somatic therapy which deals with our mind & body connection. I would think it may not be a question of normal or abnormal however if it is impacting you then you must pay attention to that. It would be helpful to explore the feelings you're having with your therapist. It may be something that needs addressing to help alleviate those feelings or have a better understanding of why they are showing up when it is time for therapy. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," Thank you for your question. It's completely normal and natural to feel nervous before a therapy session. Many people report having felt this way. I can't say enough regarding the amount of courage it takes to reach out and attend a therapy session. For many people, it can take weeks, months, or even years of contemplating whether to see a therapist or not before actually contacting one and attending the first session. It takes courage to want to work through any struggles you may be having or personal growth you aspire toward. In your question, you mentioned that you've ""gone several times and are still feeling nervous and shaky."" If you feel comfortable with your therapist and it's a good fit for you, I would suggest talking about this with your therapist. You don't have to struggle each time you have your appointment. Together, you and your therapist can work toward helping you have a different experience. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," Everyone has different experiences going to therapy. Being nervous can be a typical emotion one might feel. Emotions are our body's way of telling us important information about ourselves. I would suggest talking openly in your sessions about this. That way you can process your thoughts and feelings with the guidance of your counselor. There are probably underlining emotions (fears or insecurities) that are being stirred up during your therapy sessions. Your counselor might suggest individual counseling depending on what you learn about your anxiety. In individual therapy you would have time to deal with your own stressors. As you address your issues, then you will have tools and skills that will be useful in addressing the couple relationship. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," 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. "
"My husband and I have been married for seven years, and in that time, we have only had intercourse four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low intercourse drive or neither one of us actually knows what we are doing. I want to be better connected with my husband."," Hi there, Thank you for your openness about the challenge you are experiencing in your relationship. intercourseual 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 intercourseual intimacy and how much intimacy each one of you wants. For example, asking your husband how often does he want to have intercourse/ 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 intercourse because both partners are not interested in it. If you are both on the same page - lack of intercourse might not be a problem. If there is a difference in your intercourse drive and frequency of desire, I would recommend seeing a professional relationship & intercourse therapist as a couple to help you explore your current intercourseual dynamic, what's creating it, what's getting in a way of connecting intercourseually and to assist you and your husband in finding creative solutions. "
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?," 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. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," ""Normal"" can be an insidious word to use because it can undermine your sense of worth. It implies there's one particular way you should be behaving and can leave you feeling crappy and ""abnormal"" if you're not behaving according to that prescribed standard. Instead, what I'd recommend is to pay attention to your emotional experiences when you're attending therapy. Explore your feelings and thoughts without judgement and try to reflect and understand what's going on that's causing you anxiety. Once you figure out the underlying meaning of the anxiety, you can figure out a way to handle it and action steps to take to diminish it. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," Hello there. You ask about being nervous and shaky walking in to your therapy session and want to know if its normal? ... I realize there a few ways to look at this. I presume you weren't anticipating feeling this way; and probably hoped to feel the opposite.. Well, my initial response is yes, sure, it can be within reason to feel this way. Have you been in therapy before? Is this somewhat new? That could be part of the reason. But either way; new or not, I think when are entering into a meeting that holds potential evaluation of deep things about you and your heart and soul, it can cause anyone to tremble. The soul can be anticipating some things could be shaken up here, and it can feel scary to look at these things and then change. Looking deep at our life can feel daunting and scary; so your response just might be regards to potential growth trying to happen. OR, is there something about the therapist you don't feel confident about? This too might be in play as a reason for your feelings... Maybe you lack confidence in that therapist ? Have you let your therapist know how you feel? That would be good to explore... I would like to encourage you to look at these ideas. Hope it helps. Let me know Kindly, keith keithcounseling.com "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," It's normal to feel a little anxiety--after all it's an important encounter for you. My suggestion is to discuss this with your therapist, let him/her know how you're feeling, especially if you feel as though your level of anxiety is impacting the quality and benefit of your sessions. You might try some relaxation techniques prior to starting the session, deep breathing, progressive relaxation, core muscle dis-engagement--If you're not familiar with these techniques ask your therapist or write back. "
I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.," As far as I can tell, you received unwanted attention, but you didn't do anything wrong. What did your instructor say? Anything? If the outfit was not appropriate then the instructor should tell you--If he/she didn't then assume the swimsuit was okay, but the gentleman in the class wanted your attention and took it upon himself to comment, in order to get that attention. If you don't want his attention then you have a couple of choices--wear a shirt over the swim top, find an inexpensive swim top to replace the one you have, or wear what you have as long as the instructor doesn't say anything, and if you get unwanted attention say in as confident, slightly loud, voice as you can muster. ""I don't appreciate your critique of what I'm wearing, we're here to take a class, let's just focus on that. Then, Turn on your heel and walk away. "
"My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?"," If you have a good relationship with your child then you have already accepted and been accepted as this child's parent and you have a commitment and an obligation to play that role. If you suddenly absent yourself from this child's life then you may be doing real damage. Working out an arrangement with the child's mother for regular visits the child can count on and committed to by both parents will serve the best interest of the child, which I assume is what both parents are truly concerned with. The visits don't have to be every day, once a week, even once a month, is better than hit and miss with long absences in between. Best of luck to you, and the fact that you asked the question says volumes about your parenting potential. Feel free to follow up with me, on line or in person. "
"I'm always listening to my husband, but it feels like he never listens to me.
How do I get my husband to listen to me instead of me listening to him all the time?"," Have the two of you ever discussed how you feel? I know given the nature of your question that's probably not likely, but I'm going to suggest it any way. He needs to understand that how you feel about this issue equates to not being as happy in the relationship as you could be or he thinks you are. So start there, that may be more of an attention getter than ""you never listen to me"" yes I do etc. Direct opener: I'm not as happy in this relationship as I think we both deserve. Pause, and if you won't let me talk about it then it's only going to get worse. Then explain you don't feel listened to, you try to be a good listener but you don't feel you are getting the same in return. If he interrupts put your hand up in the sign of a stop, then say please just let me finish. You are right to raise this subject with him because a good marriage can't exist in a communication vacuum. In fairness to him, he needs to understand the seriousness of your concern and have a chance to do better. If he refuses, tell him you want to seek couples counseling then do it, with him or without him. "
"I've been suppressing it for quite some time, but there are days when I can't make eye contact with her. I think she knows, and we both admitted there was some type of vibe, but the overall discussion was vague. I think she could possibly be dating someone that works with us. It's driving me crazy. As an act of expression, I have purchased a gift for her that's personalized. I haven't given it to her yet.", There are many possible ways dating your boss could go awry and jeopardize your occupational well-being so my recommendation is to hold off on presenting your boss with a personalized gift and instead focus on building attraction and romantic interest with someone who is not at the workplace. Sometimes the element of power and unavailability can heighten our intercourseual interest but that doesn't mean it's a healthy idea to pursue someone who is in a position of power over you at your workplace.
"I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn't believe me, then my mom goes along with my dad and acts like she doesn't believe me either. I'm a panintercourseual, but I can't trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust."," I'm sorry you feel so alone and isolated, those feelings in and of themselves can lead to depression, stress and anxiety. So job one is finding someone you can talk to. A good friend or an open parent can be as helpful as a professional counselor, but if you don't have those, then by all means call your local Mental Health Association, suicide prevention, or go see your school counseling department. There are many of us now who do on-line, FaceTime, phone counseling so that is an option to consider in your situation. On the other hand, If you want to script a conversation with your parents (I'm a great believer in scripting) not that you're going to read it to them, but if you write down exactly what you want to say, read it over a few times before you're ready to have the conversation. Why? You'll be much more likely to do it if you're prepared, and you'll have a better chance of saying everything you want to say in a calm but forceful way. The same with your friends--you are probably a great listener and therefore attract people who want to talk--so you need to let these friends know you need something in return. If you practice asking for equal talk time, then perhaps these friends will respond and surprise you, or if you make those demands you'll start attracting people who are looking for equality in friendships. Now back to that script--first decide do you want to talk to both parents at once, or one at a time. Then begin to write down the points you want to make such as: I love you, and I know you love me but I don't feel as though I can trust your love to be unconditional enough to tell you who I really am, and how I really feel. Find your own words to describe your own feelings. If I can help, get in touch. You are right to reach out starting here, there are no prizes for suffering in silence and, as you already know, little joy in going it alone. "
"My boyfriend and I have been dating for almost 2 years. I've been really sad lately and for the past few months I've realized I'm just way too dependent on him. It makes me really upset to be so dependent on someone else, but I can't help it. I don't even know who I am without him.
How can I be less dependent on my him?"," Recognizing that you're too dependent on your boyfriend can be a wakeup call and an excellent opportunity to work on your own personal growth and independence. It sounds like it's time to explore and develop your own interests and engage in some activities that excite and challenge you. If you have time, it could be useful to begin a new activity or class, cultivate friendships outside of your relationship with your boyfriend, and begin to reflect and meditate on ways to enhance your own personal fulfillment. "
"My husband and I have been married for seven years, and in that time, we have only had intercourse four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low intercourse drive or neither one of us actually knows what we are doing. I want to be better connected with my husband."," In order to develop a better intimate connection with your husband, it's important to first cultivate a strong connection with yourself. I would take some time to explore your own body, notice what feels pleasurable, and play with different ways to achieve orgasm on your own. Explore your own willingness to be open emotionally, intercourseually, and to play and have fun. Once you've engaged in a process of self exploration, I would check in with yourself and be honest about why you're not enjoying intercourse. Are there specific reasons you're not enjoying intercourse with your husband? Sometimes the reasons might be of a intercourseual nature and other times there could be emotional blocks (or anxiety) or other reasons that prevent you from wanting to be fully open and let go with your partner. From a intercourseual perspective, I would explore what you can do to increase your own pleasure, learn ways to communicate your needs in a loving way, and focus on pleasure and play (rather than outcome and orgasm). Begin by taking the pressure off orgasm and enjoy a naked massage together-- focusing on exploring what feels pleasurable. Lastly, if you're wanting to learn new skills, check out a local intercourse workshop. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?, 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've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," of I would love to know a little bit more about what's going on in your life but I will attempt an answer.Yes, you could still be shaky and nervous going to therapy. This therapy thing your doing is sometimes scary. First, because your opening up things that you might have never wanted to. Second, your still building a relationship with this therapist person. You may never get over that. The therapist really can't be your ""friend"". They are there to push the buttons that you might not want pushed and help you heal. That in itself is scary and can make you anxious. Third, you really never know where this therapy thing will go. Yes, there are goals. But sometimes side roads need to be taken and sometimes that is scary. Know this you are in the right place. You are taking steps to change. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that you are not giving up, that you are working to figure this out, and make this work, it sounds like you are engaged and motivated to receive support from a professional, your continued dedication and motivation will take you far. I would first start by asking if you have discussed this with your therapist, if you feel comfortable enough telling your therapist what is going on, maybe inform the therapist that that you feel nervous and shaky. I am a firm believer in open communication between the client and therapist as this builds a healthy therapeutic relationship that yields positive outcomes, if this can be obtained and well received. This is YOUR time for healing and therapy should be a safe, supportive environment to not only process but to seek support and guidance from a professional who can help you move past the barriers. If you feel you are comfortable and able to speak to your therapist, that would be my first suggestion, is to tell he or she how you are feeling. If they know then they can help determine the potential cause and allow you to process and move forward. If this is left un resolved it will be hard for you to move forward. If you are not comfortable discussing this with your therapist, this may be something to take into consideration and worthy of thinking about: why you are not comfortable speaking to the therapist. I understand this is difficult. If I may offer one more suggestion, breathing exercises are very beneficial. Remind yourself what you are working to achieve, close your eyes in a safe moment and breathe in and out slowly, in slowly through your nose and out through your mouth with pursed lips. Breathe in for approximately 5-10 seconds, then let it out slowly. Be sure and do this when you are in private, and feel safe environment. When you begin, I suggest putting your hand on your stomach, over your belly button to feel yourself actually taking in those deep breaths. I know it may sound kind of silly but they really work and are incredibly helpful. We often forget to breathe, especially when we are feeling anxious. You are supported here and try taking yourself through the above thought process and breathing and practice the breathing several times a day. I hope this shaky and uneasy feeling eases. Wishing you the very best! Laura Cassity, LMSW, LMAC "
"I have family issues, and my dad was both violent and a cheater."," In general, our past is always somewhat alive and does inform our present experiences. All past experiences, both positive and negative are what have brought you where you are today, physically and emotionally. That being said, your father's behavior does not have to define you or your future. You have power over your life and your future. By learning more about yourself, you can learn to incorporate your past into your present life, without being defined by past traumas. The best way to grow and learn how to do this is to talk with someone about your experiences. By talking about your past and present struggles with a trusted confidante or helping professional you will hopefully learn how to be at peace with your past. "
I'm very depressed. How do I find someone to talk to?," If there is no one in your life with whom you feel comfortable, I would recommend identifying someone on this site, psychology today or goodtherapy.org who is in your area, then give that therapist a call to see if you would be a good match. "
"My boyfriend is in Ireland for 11 days, and I am an emotional wreck."," It sounds like you and your boyfriend are very close. Do you typically spend most of your time together? If so, it may be important to reflect on how you feel when you are apart. If any separation is difficult, you may need to examine why. Think about what it is that you miss and what you are anxious, upset or worried about. If you examine the causes of your distress you likely will experience some relief. It is important to learn how to be happy when you are alone, it will only improve the way you feel when you are with your boyfriend. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?, Certainly.
My boyfriend called me a particular profanity and I broke up with him. This is the third time he's called me this and I'm just completely done with giving him chances. He knows how much it bothers me. I just want to know if I'm over reacting.," It sounds like you are reacting to an issue in communication patterns, rather than a particular word. The ability to listen considerately to your partner and to have your partner listen to you is one of the keystones of a successful relationship. If your partner is not listening to, acknowledging and remembering your wishes, that is likely an indicator of some fissures in the foundation of the relationship. "
"My fiancé and I come from a strong Christian background but both went off the ""straight and narrow"" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others.
His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present?"," One of the sometimes difficult things about being in a relationship is the fact that you can make goals for yourself, but you can't make goals for your partner. If your fiancé wants to learn to live more in the present and learn to let go of the past or move in a different direction, you can certainly assist him, but you can't independently make it happen. I wonder if both of you would be willing to have a discussion where he is able to explain to you what he is experiencing and you are able to listen for five, 10, 15 minutes in a way that is not blaming or pointing fingers or asking him to change, but just listening (kind of like an investigative reporter) so you can have more details and ask questions that you may have about what certain things mean, when it feels like to to him when this is discussed, etc. At that point, maybe he would willing to listen to your thoughts on the subject as well. Also, if he wants to make a change, it may be helpful to see a therapist who specializes in working with couples. Sometimes changes such as these require a great deal of personal awareness and there can be quite a bit of emotions attached, so it is often helpful to have someone there to assist. It may also be nice to have a discussion where you consider what makes you feel valued, appreciated, special, or loved, and also consider what makes your fiancé feel that way. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," Well, it's generally okay to feel anxious or nervous about going into therapy, particularly in the beginning because the process of being open about what you are going through, much less to someone who you don't know well, can be anxiety-producing. It's also common to feel anxious when you are discussing something that is important, difficult to discuss, or you are making changes that are very difficult for you. The most important thing I can tell you, though, is to discuss with your therapist this idea that you feel nervous and shaky. Some anxiety can actually help to motivate or lead you toward change. There are also level of anxiety that can be counterproductive, so it's a good thing to discuss. Personally, I can tell you that I would want my clients to tell me about anxiety they feel 100% of the time. That opens the dialog to discuss whether it is the level of anxiety that they want to sit with and learn about in discovering more about themselves and their experiences and/or whether they would like to do something to lessen the feeling of anxiety. Thanks for writing here. If it caused anxiety for you to do so, I hope that feeling is diminishing for you, at least related to writing here. "
"I'm always listening to my husband, but it feels like he never listens to me.
How do I get my husband to listen to me instead of me listening to him all the time?"," Thanks for writing. There are many different house of things that may be helpful here. I can give you some general ideas, but if some of these things don't get you to where you would like to go, consider seeing a therapist who specializes in couples:
- Remember that you can only guarantee change in yourself. You can ask him to make changes, but you can't control whether he does or not. You can control your reactions and what you do about your own thoughts, feelings, and actions in the relationship.
- If you're going to talk about something important or you really want him to listen, first ask whether this is a good time.
- Try to talk to him without blaming, finger-pointing, or asking him to change (this can be difficult, but it also opens a lot of doors for effective discussions).
- Be mindful of your packaging. By that, I mean that you may have a very important message that you're trying to get across. If you able to say it in a way that is clear and wrapped in such a way that he can hear what you're actually saying, that is helpful. If you are talking in ways that are angry, or as I sometimes say, wrapped in spikes, that can be difficult to hear and receive. Rather than hearing what you're actually trying to get across, he may just hear the fact that you are angry.
- If your husband is able to listen to you and/or restate what you are saying and get it right or close to right, let him know what that feels like to you and how important it is.
- If you're asking questions, try to avoid ""why"" question and use ""what makes, how, when, where, who"" instead. Questions starting with ""why"" can not only be difficult to answer, but can also trigger a lot of emotions that some people are not ready to deal with right away.
- Also, keep in mind that listening and being able to reflect what you are saying does not imply agreement. This may be something that would be good to discuss with your husband – just because he is hearing what you're saying doesn't mean that he's agreeing with you.
- Lastly, but importantly, some people really don't know how to listen effectively. There are people who just are not taught to do that until much later in their lives. Sometimes listening to someone can actually be very vulnerability-producing. It may be helpful to ask your husband if he knows what makes him struggle with being able to listen if you notice that he's really struggling.
"
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?, For some people it's absolutely normal to feel nervous about coming to therapy. It's sometimes hard to share our emotions and feelings with someone --- no matter how warm and caring the therapist is. Are you comfortable with your therapist? Is it a good relational fit? Maybe this is a good thing to discuss with your specific therapist at the beginning of your next session --- maybe they can help you find some strategies or tools to make it easier?
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?," Breaking up can be a very difficult thing. I'm sorry you're feeling badly. The first thing is to be really sure you are taking care of yourself --- that means eating well, exercising, getting good sleep, spending time with friends/family and making sure you are taking care of important things like work, rent, bills etc. Secondly, it's important to do things that make you feel better and not worse. If looking up your ex on social media makes you feel worse stop doing it! It's important to concentrate on you and not them. Thirdly, it's super important to make sure you're really looking at the situation accurately and look for the good things that still exist in your life --- what is still good? Even though your emotions are hurting and you are feeling badly, can you see the light at the end of the tunnel? Do you feel hope? If you do try to concentrate on that hope feeling. If the obsessing continues and really gets in the way of living your life? Maybe contact a therapist or counsellor that can help you through this difficult time? "
I'm very depressed. How do I find someone to talk to?, Sorry to hear you are feeling that way. Is there a 24-hour helpline where you are that you can call? Here is a website with some numbers to call: https://psychcentral.com/lib/common-hotline-phone-numbers/ You could talk to your family doctor and they could help you find a therapist? You could also use this website to find a therapist. https://therapists.psychologytoday.com. I sincerely hope you find someone to talk to.
Every winter I find myself getting sad because of the weather. How can I fight this?," Change your total daily routine, different route, different lunch, different afternoon. Sit outside for 10 minutes three times every day, use a therapy light during the day, aroma-therapy oils for stimulation, but....keep your routine bedtimes and wake up times......and exercise at least 3 times per week, if after several weeks you are not feeling better....talk with your doctor. "
"I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments."," 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. "
"I'm always listening to my husband, but it feels like he never listens to me.
How do I get my husband to listen to me instead of me listening to him all the time?"," Unfortunately you can't directly change another person's behavior. However, you can give him feedback on how his not listening impacts you. The best way to provide feedback is in 3 parts. The first part is telling him the emotion you are experiencing when he doesn't listen, such as hurt, sad, and unloved. I would stay away from feelings such as frustrated, angry and irritated and use a more vulnerable emotion. The second part is what he does specifically to make you feel that way, be specific! Example: when I get home and tell you about my day and you don't look away from the tv. Be objective as possible when you describe his behavior. And the last part is the most important, tell him what you want him to do, and again be specific! Example: I would rather you turn off the tv, give me eye contact and reassure me about my day. Here is an example with all 3 parts together: I feel hurt when you don't say anything to me when I tell you about my fight with my friend, I want you to hug me and tell me you understand how I feel. Hope that helps!! "
"If I tell him I don't like certain things, he does when it pertains to me. He tells me it's not like that. He never has anything to say about me until I tell him something about himself."," It sounds like there are issues with communication between you and your husband. Your perceptions of interactions that you are having don't sound like they match up. It would probably be helpful for you both to work on communicating using ""I"" statements (I feel----when you---). This is a more effective way of communicating your needs than directly criticizing the other person. If you work on communicating in new, less critical ways you both may learn more about your spouse's feelings and perspective. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," 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. "
"I'm in my mid 20s with a husband and children. I love my family, but I feel like I've lost my identity, and I don't know who I am other than a mom and wife. At times, all I can think is what I gave up and how I feel unhappy and trapped, but I know I'd feel like worse without them. I loathe myself at times. I have an amazing life, so why can't I just enjoy it?"," 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! "
"My fiancé and I come from a strong Christian background but both went off the ""straight and narrow"" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others.
His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present?"," 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've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," Yes, it is completely normal to feel anxious about therapy. Therapy often explores topics and feelings that are uncomfortable. The ultimate goal of therapy is to feel better but the process itself can be uncomfortable. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," It is absolutely normal to be nervous about therapy. Many people take years to make the decision to start counseling and although it is a safe place to explore feelings, it may be the first time you are facing certain issues. It takes courage to face issues head on. Being nervous is part of the process. The fact that you are continuing to go to therapy sessions despite feeling nervous demonstrates your strength. Keep it up! "
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?," Relationships can be extremely enjoyable and satisfying. When relationships end, however, it can be devastating. It is normal to go through a grieving process after a breakup. Denial, bargaining, sadness, anger and eventually acceptance are all normal stages of grief. You may experience these feelings all at once or one at a time. Allow yourself time to grieve by expressing your emotions - talk to a friend or write in a journal. Take care of yourself during this time by exercising, eating and sleeping well and spending time with friends. After some time you should start feeling better. If you feel like you're not feeling better and you don't know what to do, you can see a therapist to help you get through this difficult time. "
"My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough intercourseual attention from me.
I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?"," 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. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," Yes, feeling nervous for the first few or several sessions of therapy, is completely normal. Therapy is an unusual way to have a conversation with someone. The person is an expert in recognizing and understanding dynamics of human interactions. For some people the fear is that the therapist knows more about you than you do yourself. In general terms hopefully your therapist has worked with many other people who've faced problems similar to yours. In this sense the therapist has a general idea of the basic dynamics you most likely are handling. No therapist could possibly know your particular details and your particular areas of upset or in what ways you feel unsure of yourself. Once you start to trust both your own right to tell your particular story and start to also feel that your therapist is listening attentively and cares what you tell the person, your nervousness will start to disappear all on its own. Good luck in getting the most from your therapy sessions! "
My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.," If your daughter is the same age as most of the other students in her class, and the other students easily complete the tasks you list here, then there is a problem in the performance of these tasks for your daughter. Without knowing more about the context of your daughter's life, for example, is she a new student to the school and class, are there major stressors in the home environment, does your daughter have friends, does your daughter have the same problems she has in school, when she is in other environments? Also, who is telling you she has these problems? Are you the one who notices what you describe here or is your daughter or is her teacher telling you these facts? Depending on your answers to the questions, start to get clarity with the classroom teacher and the school guidance counselor as to the source of your daughter's problem. Good luck! "
"My fiancé and I come from a strong Christian background but both went off the ""straight and narrow"" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others.
His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present?"," Your patience with his pace of accepting your past, is the factor most in your control in this situation. Everyone accepts a new understanding at their own particular rate. Yours may be faster than his pace. Since it is possible he may accelerate his pace of accepting your past if he knows that this is a priority for you, tell him about your own discomfort . Even if knowing how you feel does not motivate him to a quicker pace of accepting your past, you will have the peace of mind to know you gave him all the information you possibly had to give. "
"I'm always listening to my husband, but it feels like he never listens to me.
How do I get my husband to listen to me instead of me listening to him all the time?"," Does your husband want to listen to you? Find this out by asking him the question! This way you know whether the goal you'd like to reach is even possible. Some partners prefer that one person is the rule maker or the only one who is entitled to talk about themselves. If your husband tells you he wants to listen to you, or even that he does listen to you, then you can explain in detail the way you define ""listening"", which may be very different than his definition. Basically, no one can directly change someone into being more openminded. What is possible is to tell him your wishes, your willingness to be patient while he develops the habit of listening to you and point out that a relationship is more fulfilling when both partners feel they are receiving from the other one. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," Therapy does not work overnight, oftentimes it is a lifelong struggle, the therapists job is not to ""cure"" you or to remove something but rather to make you strong enough to live your life with your own peculiarities and struggles, remember we are human and constantly fallible. Another important thing to note is that although you go to therapy, that is just a room, most of the magic and work takes place in your real life outside of that room. "
"My fiancé and I come from a strong Christian background but both went off the ""straight and narrow"" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others.
His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present?","This suffering and clinging to the past, especially a troubled past or a past that we dont like, may be amplified due to the Christian framework that may be built into your life. I am not averse to religion, i just think that many times it puts unreasonable expectations on us and helps us to form a guilt complex or perhaps even insecurities, we are humans and humans make mistakes. you mention the straight and narrow, this is a notion that you must give up on and let go, humans can never travel the straight and narrow for their whole lives there are bounds to be mistakes, we are the most fallible species on the planet and please tell your fiance to have some mercy on himself, he is not perfect. Here is a story about clinging on to things you may find useful to mediate on:
Once
there lived a village of creatures along the bottom of a great crystal
river. The current of the river swept silently over them all -- young and
old, rich and poor, good and evil -- the current going its own way, knowing
only its own crystal self.
Each creature in its own
manner clung tightly to the twigs and rocks of the river bottom, for clinging
was their way of life, and resisting the current was what each had learned
from birth.
But one creature said
at last, ""I am tired of clinging. Though I cannot see it with my eyes,
I trust that the current knows where it is going. I shall let go, and let
it take me where it will. Clinging, I shall die of boredom.""
The other creatures laughed
and said, ""Fool! Let go, and that current you worship will throw you tumbled
and smashed against the rocks, and you will die quicker than boredom!""
But the one heeded them
not, and taking a breath did let go, and at once was tumbled and smashed
by the current across the rocks.
Yet in time, as the creature
refused to cling again, the current lifted him free from the bottom, and
he was bruised and hurt no more.
And the creatures downstream,
to whom he was a stranger, cried, ""See a miracle! A creature like ourselves,
yet he flies! See the messiah, come to save us all!""
And the one carried in
the current said, ""I am no more messiah than you. The river delights to
lift us free, if only we dare let go. Our true work is this voyage, this
adventure.""
But they cried the more,
""Savior!"" all the while clinging to the rocks, and when they looked again
he was gone, and they were left alone making legends of a savior.
"
"I'm always listening to my husband, but it feels like he never listens to me.
How do I get my husband to listen to me instead of me listening to him all the time?"," It's hard when you feel as if you're the only one that's taking the time to listen to your spouse. But, I would look at this as an opportunity to see if you can become aware of what exactly is happening between you, when you try and talk with your husband. Sometimes, it can be in the way dialogue is approached. I would suggest paying attention to the way you begin dialogue with your husband. See if blame and criticism are present. When blame and criticism are included, bids for connection, can quickly go off track. This can sometimes start off with something like: ""why don't you..."" ""you aren't..."" ""you don't..."" Partners can quickly go into defensive mode if they feel they are being attacked and sometimes starting off like this can feel like an attack. Also, become aware of the time of day or evening when you approach your husband. Sometimes, this can make a big difference for couples as far as when they can truly be present for one another. If you find this pattern continues, you might consider seeking professional help through couples therapy. A trained couples therapist can help you both understand more about what's happening between you. "
"I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has ""friends"" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected?"," Feeling alone in your marriage is one of the most painful feelings. Wanting connection with your spouse yet feeling the all too familiar distance that's keeping you apart can be so hurtful. But, change is possible. You might be able to move closer toward each other on your own but since there has been two years of distance, I would suggest looking into couples therapy with a trained couples therapist. They are trained in helping couples begin to examine what's been happening that has caused a drift in your marriage. I'm also curious if there was a significant event that occurred around the time you started feeling distant. If there was something that occurred during this time that is hard for you both to talk about, couples therapy can help with this also. It can provide a safe and supportive space for you both. "
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?," 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! "
"Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me.
Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me?"," I understand the feeling of not being liked due to not having any responses on the sites you list. More than likely the non-response has less to do with liking you than w liking the way you write your messages. Have you tried asking a question in your posts? This would be one way to invite people to answer your post. When you write, imagine yourself as the reader of the post. If you think about the wording of a question which would motivate you to respond, then this formula will very likely be the same for many others who read your post. Good luck! "
"My dad doesn't like the fact that I'm a boy. He yells at me daily because of it and he tells me I'm extreme and over dramatic.
I get so depressed because of my dad's yelling. He keeps asking me why I can't just be happy the way I am and yells at me on a daily basis. Is this considered emotional abuse?"," Maybe this is emotional abuse. It certainly is irritating and annoying to be yelled at for being yourself. Maybe at a time when he's not yelling you can bring up the topic of your own willingness, if this is true, to discuss questions he has about your gender. There's no guarantee he won't start yelling midway through a dialogue like this. Only then you will be on firm ground to excuse yourself from the conversation since you already explained that you're willing to talk with him and not to be yelled at by him. "
I'm very depressed. How do I find someone to talk to?," Great that you realize talking with a professional counselor about how you feel, would be helpful! If you'd like a very fast response by phone, then google ""depression hotline"" for where you live. And, if you have a specific topic which upsets you then google around with this topic to see if there are services specific to your interest. If you've got time to invest in looking for the best fit therapist for yourself, then google ""therapy' or ""therapist"". There will be many, many names which come up. I know I sound like I work for google only it is the easiest way to find lots of information. I send you good luck! "
What makes a healthy marriage last?," I appreciate your question. The answer of what makes a ""good marriage"" are as varied as there are marriages. Basically, similarity, like mindedness in beliefs and values, makes a good marriage. The best chance of getting along with someone on a longterm basis is when two people see life and the world in similar ways. Even though ""opposites attract"" this is a short lived dynamic which breaks apart when there aren't enough similarities in common between the partners. "
I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?," I'm glad to read about your willingness to develop new ways to invest yourself with your partner. The easier way to fix a relationship is when both people are helped to recognize the ways the couple dynamic falls short of what each person would like. Couples therapy is exactly this. Still, relationships can change if one person changes since changing one part of a system will change the system itself. Besides starting to work with a therapist on what you can do differently, reflect within yourself on the situations when problems arise between the two of you. See if you can figure out what you wanted and what you partner wanted in that particular moment. Was one of you trying to help the other and the person felt insulted by the suggestion of needing help? This is only an example of how intentions are misread or not welcome by one partner from the other. Also keep in mind there is a limit to everyone's flexibility. Reflecting and self-awareness are the first step. The second step is to know when you've reached the end of possibilities to change yourself and not be accepted for who you are. This raises the question of whether the two of you are far apart in similarities in order to be happy together. Good luck in enjoying the changes you will try to make! "
"My wife and I got separated because I asked about her contact with a male friend of hers. The next day, she kicked me out. She let me move back two days later. Yesterday, she said she wanted a divorce then quickly changed her mind. I asked if the other guy was a factor, but she says it's not my business."," When ""threats"" of leaving, such as what you described in your question (""kicking you out, wanting divorce"") are continuous in your marriage, it can start to erode at the foundation of your relationship, impacting both partners. And, if you're concerned about the influence of another male in the relationship, and are unable to express your concerns or fears to your wife, it's extremely difficult to build a secure functioning relationship. From the information provided in your question, it seems as if there is some avoidance evident in your relationship. Avoidance of being able to express yourself and have honest communication about your relationship. If your wife is willing, I would recommend seeing a marriage counselor to help you both during this time. Or, for you to talk with an individual therapist, if marriage counseling isn't an option. "
"I've only been married three months. Every week, we argue about something, and it seems to be getting worse."," One key factor to consider is, are you able to repair after your arguments? It seems from your question that repair is lacking after any disagreement or argument. When couples are able to repair after an argument, they have an opportunity to learn more about each other's needs moving forward. I'm also curious if you're having the same type of arguments over and over? If you're stuck in a particular pattern, and can start recognizing what happens between you when this pattern happens, then you can start to name it. Once you name it, then you can take a break to cool off and come back to each after your nervous system has had a chance to calm down (about 30 minutes). The key here though is to make sure you have a plan in place -
when things are good between you - an agreement between you that when you both start to get escalated, you'll name it or have an agreed upon code word to signal you don't want to continue this cycle, and then agree to cool off and come back together at a later time. That way, when this is enacted during an argument, nobody feels abandoned during the cool off time. Rather, both partners know they will return at a time when they can truly hear each other and hear their needs. "
"My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?"," 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! "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," It takes a lot of courage to go to therapy. I have gone myself as a Counselor and know what that feeling is like. This is normal but hopefully you have become more comfortable with your therapist. This might be something to bring up to your Therapist and openly discuss (scary to do but its ok) this may even relieve some of your anxiety. If it continues, you may want to consider trying another therapist as this one may not be the best fit for you. "
"I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?"," First and foremost, be gentle and patient with yourself. It is normal to feel a range of emotions after a severe trauma including no emotions at all. Try not to push yourself to feel, just notice the lack of emotion you are experiencing right now. Maybe write about your emotions and the lack of them or talk about it with a safe person. Unfortunately recovering from trauma can take time and it's best done at your own pace. If you aren't feeling there may be a reason you aren't feeling. For severe trauma I always recommend working with a trained trauma professional who has the training to guide you on your path to healing fully. "
"I'm always listening to my husband, but it feels like he never listens to me.
How do I get my husband to listen to me instead of me listening to him all the time?"," 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! "
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," It's completely understandable that you would have male friends and that you would want to spend time with them. When you cross over from friends to a relationship, it does change things. Some people are very easy going and wouldn't feel threatened by what you did Others would be upset. If your boyfriend is upset by you spending time with this male friend, then you need to talk about it. Each of you needs to express your feelings about the situation and listen to the other with patience and respect. Then you can make a decision on what is best for you and your relationship. Maybe he wouldn't be upset if you saw this friend while you were with your boyfriend. Or maybe your boyfriend would feel better if he got to know this person better and could trust him. Most likely you can come up with a situation that will make both of you comfortable going forward. You didn't do anything ""wrong"" because it doesn't sound like you intended to hurt your boyfriend. But if you really care about your boyfriend, then you probably care about making him upset. Instead of looking at this issue as a problem, try to look at it as an opportunity to connect. If you can both listen to each other and understand each other, your relationship can become even closer. "
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," Thank you for submitting this question. I think this type of situation can be common for many couples struggling with how to keep friendships with past relationships while being in a new relationship. For me, more information is needed here...but given the information provided, the way I interpret the question is...I'm assuming your boyfriend didn't know you were going to spend the weekend with your good friend? Working off of this assumption, I would suggest beginning an open and honest dialogue with your boyfriend about what specifically upset him? And to talk about your point of view regarding spending the weekend with him. I would also suggest talking about how you both envision your relationship when it comes to spending time with others. If you feel like you can't have this conversation without it going off track, please consider seeing a couples therapist. They can help you begin these important conversations that can help shape and develop the relationship you and your boyfriend long for. "
"I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out.
How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do?"," Keep doing the crossdressing since you like it. Your problem sounds more a matter of timing and reason to tell the girl about it. Not keeping a secret is a good attitude regarding meaningful parts of your life. Usually our relationship partner is someone whom we trust as a safe person to know all about us. Once you feel at ease with your potential partner then bring up your crossdressing. Based on their handling of this intimate part of your life, you will know more as to whether or not you feel more or less drawn to them. Secrets held within a relationship usually get worse with time. The person who feels unsafe in truly being and stating themselves eventually will end up feeling ashamed of parts of them which prior to the relationship, felt good or at least not worrisome. "
"I don't know how else to explain it. All I can say is that I feel empty, I feel nothing. How do I stop feeling this way?"," Your question is very broad because feeling empty can develop for many different reasons. You're certainly not alone in feeling this way! Try to follow the logic of your feelings by asking yourself questions about the empty feeling. Doing this may open up a discovery about the reason for the emptiness feeling. When do you feel empty, are there certain situations it happens more often than another, what helps the feeling go away, what or who is helpful in relieving the empty feeling. Sometimes people need a little help to get started in understanding how to recognize their feelings. Consider a therapist, any disciplined practice which encourages self-knowledge, such as some yoga practices, and a creative discipline like photography or music. As long as you concentrate on increasing your self-understanding, eventually you'll find the answer to your question! "
"People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore."," Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective of those with whom you have shared your concerns, it might be assumed that based on where you are in life and who you are now, that you have already worked through any issues from your younger years. Some of our deepest scars in life are indeed invisible and suppressed. We have to get to the place where we can take care of the inner child that is still hurting, by recognizing that those who hurt us - however they did, might have had their own challenges which prevented them from functioning and behaving in ways we might have deeply needed. Those who have directly hurt you, may not be capable of acknowledging and understanding how you were affected by their actions - even in the worst of cases. They themselves may be doing what they can, either out of shame or heartbreak for their own actions, to work on forgetting how they behaved toward you all those years before. How are they behaving toward you now? Can you find it in your heart to forgive those who have hurt you? Forgiveness is the gift we give ourselves, and isn't dependent on an apology from an offender. By forgiving (even in the absence of any apology), we are releasing the weight of the burden we are carrying that reflects the offense we feel was committed against us. Sometimes therapy can be helpful in this process. Talking with someone who can be non-judgmental and reflects an empathetic position toward you might be what you need right now. Seeking out a therapist to help you work through these negatives feelings and thoughts is much easier, than trying to go it alone. I would encourage you to reach out and find someone who resonates with you on that journey, so that you can begin a path toward healing. Warm regards, Shawn Berthel, M.S., LMHC "
"I've been going through a rough time lately. I been into nothing but women. I've never thought about men until a week ago. I'm very upset and depressed about this. It's not normal to me. I looked at gay porn more than once to prove that I'm not gay. I get the same results each time, and I feel disgust. This is tough on me. I'm scared that I looked too many times. I keep thinking about it and shake all the time."," Hello. Coming to terms with the idea that you might be of a intercourseuality other than the one in which you were socially raised to be, can be emotionally disturbing, and quite unsettling. It creates anxiety, maybe even panic, and leaves us feeling confused and uncertain about our own sense of identity. It becomes important to first ask yourself how you feel when you are thinking of being intimate with guys, or if you desire them to be intimate with you. It is important to know what impact this has on you, because it can determine your level of follow through and desire in pursuing intercourseual activity with someone of the same intercourse. I am not going to pass judgment on you either way - even for having the thoughts. I have worked with the lesbian, gay, biintercourseual, transgender, queer (LGBTQ) community in various ways over the years. Many I speak to, say they had to struggle to come to terms with this awareness about how they see themselves intercourseually. Maybe you are biintercourseual, and don't have an exclusive attraction to the same intercourse. You might consider doing some searches online for community support groups in your area, to explore the feelings and issues around this topic. Talking to someone who you trust can be helpful too. Running from your feelings is not a good idea, and others in a support group for intercourseuality issues, might be able to relate to you and what you're going through right now. This will offer you perspective, as you think on how this plays out in your life. Counselors are typically well trained to provide clinical services to clients who are experiencing feelings and thoughts much like the ones you are having now. I encourage you to consider reaching out for help. You are not crazy or insane for thinking of working with a counselor, nor of having feelings of same intercourse attraction. If you decide you are indeed gay, then know that you are not alone and never will be alone in that feeling. There is a huge community of support for you. Additionally, we all need help sometimes dealing with all sort of issues. A counselor can work more in depth with you to examine the motivations behind the feelings, and help you come to terms with them more directly. I hope that you come to a place where you feel less alone and more secure with yourself as you examine this area of your life. No matter what, do not fear being yourself. Again...you are not alone, I promise. Warm regards, Shawn Berthel, M.S., LMHC "
Every winter I find myself getting sad because of the weather. How can I fight this?," Sometimes its quite literally the lack of sunshine that can affect our mood - in these cases it can be worth experimenting with a sun lamp, to boost your dose of vitamin D, when the sun isn't naturally out. Also consider, what is it that the change in weather, changes in your life? If for example, when its sunny you are an outdoorsy, active person and when the weather changes, you're whole activity level changes along with it, you could explore how to get some of that activity replicated indoors in the winter months. "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?,"Therapy can feel very weird to begin with - think about it, how often do we go and tell a relative stranger our deepest, darkest thoughts in the rest of our life? So I think its reasonable to expect a certain level of nerves as you get used to your therapist and to the whole process of talking about yourself and vulnerable topics. That said, its definitely worth bringing to the attention of your therapist (if you haven't already) to see if there is anything that they can do, or that the two of you can explore together, that might make the process feel less intimidating to you."
I need help knowing how to deal with stress. What can I do?, Learn how to meditate. I recommend a Mindful Based Stress Reduction MBSR program.
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," That is a difficult situation and there is no right or wrong. You both need to discuss it and come up with a solution that works for the both of you. You want to spend time with your friend but your boyfriend may feel betrayed by you spending quality time with another man you have been intimate with. There may be a way for you both to get your needs met. Maybe you only spend short periods of time with your friend, not a whole weekend. Or you check in with your boyfriend periodically when you see your friend. It really depends on the two of you. If it becomes too difficult, you may need a neutral party to help you establish appropriate boundaries around this issue. Good luck! "
I'm very depressed. How do I find someone to talk to?," Hang in there! Feeling depressed sucks but talking with someone can really help - so its awesome that you're already trying to figure out how to find that person. Tons of good suggestions already but to add my two cents - you can find therapists in your area and read a little bit about them to find someone you like the sound of via this website, and also via www.psychologytoday.com; if you have health insurance your insurer might be able to make recommendations as to therapists covered by your plan, or if you happen to be in school, the school itself should be able to connect you with either their own counselor or a center that they recommend nearby. Finding someone can take a few calls or a bit of research so if you need some immediate support, or find yourself having thoughts of hurting yourself, you can also call the great folks who run the Suicide crisis line https://suicidepreventionlifeline.org - they are great in moments of crisis. "
"I'm dealing with an illness that will never go away and I feel like my life will never change for the better. I feel alone and that i have no one.
How can I overcome this pain and learn to be happy alone?"," I'm so sorry you're feeling like things will never get better. Try to remember that whatever illness you are dealing with, you are not the only person to have dealt with it and you are not alone! Out there, just waiting for you, is a group of people that will totally understand what you're going through and will be able to share how they coped. Try searching for a support group for your illness - google and www.psychologytoday.com are both good places to start for those groups. "
I need help knowing how to deal with stress. What can I do?,"Our body reacts to stress typically by breathing more shallowly, increasing our heart rate and tensing our muscles - so one thing that I find really effective is to try to do the opposite of that, which sends the signal to our mind that we are relaxed. So that means, taking slower, fuller breaths and trying to relax any areas where we might be gripping our muscles. Check out meditation apps such as 'Breathe', which can talk you through a relaxing breath exercise. I recommend using the app daily, whether you feel stressed or not, and then also using it when you re feeling particular moments of stress - that way you are practicing the skill when you feel calm(wish) and it'll be ready and able to help you when stress hits hard."
"I am in my early 20s and I still live with my parents because I can't afford to live alone.
My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?"," You're among many millennials who live with their parents due to financial reasons. Does your mother mean rules pertaining to the way your family household organizes its daily or does she mean something else? Every household needs rules as responsibilities to keep the house clean, who does the grocery shopping, the way costs are distributed for this and all the other carrying charges and tasks of maintaining the house in decent order, as well as respecting the privacy and noise level requests of others who live in the home. This set of responsibilities applies whenever more than one person lives with another person. Have you tried simply telling your mom that you're willing to be a responsible household member and that you prefer to keep the details of the way you live the rest of your life, to yourself? This would show respect to your mom and start the discussion as to the areas of your life you feel deserve privacy and how you would like to handle when your right to run your own life overlaps with any household duties. "
"My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?","What are the ways your ex-wife uses your child as a pawn? This answer determines the best ways to handle particular situations. Basically, distinguish that your father relationship to your child lasts has great meaning for your child and as the adult, the responsibility for managing this relationship falls on you. Your relationship to your ex wife took place between two adults and therefore you are only responsible for your own actions to repair the damage done to you. From what you write, you already have a plan in progress to do this by separating yourself as much as possible from contact with the ex. In a way the challenge of keeping active as a parent while also distancing and clearing your emotions of the hurt and betrayal done to you, will establish both a solid relationship with your child and grow more acceptance and self-forgiveness of having been taken advantage of and tricked. "
"I'm concerned about My 12 year old daughter.
About a month or two ago she started walking on her toes, as well as coloring and writing very messy. This all happened very suddenly. She has never walked on her tiptoes and has always colored and written very neatly.
Is this something I should be concerned abou? Any advice will help."," Have you asked your daughter why she's doing the behaviors you describe? Often the best way to find out why someone does something is to simply ask them their reason. Her answer will give you some guidance as to next possible steps. If she's pretending to be a fantasy figure or trying to find out how being taller feels, or walking on high heels or some other image then knowing this rules out that she has some unbearable pain in her arch which may require more practical answers such as new shoes or even indicate a medical problem. Ask if she's noticed any change in the way she walks. Maybe she doesn't know she's doing this and maybe she feels embarrassed to tell you she's doing something a bit odd. Since usually 12 year olds don't color, is it new that she started coloring? Maybe given the fact of messy handwriting, she's in a phase of pretending or reflecting on good times as a young child. Then this becomes the topic of examination. Does she feel insecure about being on the cusp of adolescence? Some of these questions can be asked directly and some are for you to first decide based on what you know of your daughter, which questions and what direction to take in understanding your daughter's motivation. "
"A few years ago I was making love to my wife when for no known reason I lost my erection,
Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage.
I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to.
What could be causing this, and what can I do about it?"," First step always is to do a medical rule out so that you're sure the problem is psychological and emotion based, not a medical condition which requires care and attention. If you are medically clear in the reasons for losing your erection, then reflect on what may be creating a loss in confidence in either who you are and what you're doing with your life, or whether your wife has these sort of problems within herself. Often a problem transfers ownership of who shows it. If you are a sensitive person its possible your erection problem reflects your wife's insecurities and self-doubt. If she is someone who is reluctant to talk about feeling unsure then in a certain way by you showing a problem, she can avoid looking at herself. There may not be a direct cause such as usually exists in a medical problem. Medicine looks for symptoms to treat. Our emotional lives are much more indirect. If you feel stress at work or are unhappy in the place you live, for example, then your frustration may show up in your intercourse life. Basically, do a broad inward search of your life and what it holds and maybe ask your wife to do the same. You may clear the air within yourselves and between each other so the problem goes away. "
I need help dealing with stress. How can I handle it all and feel less stressed out?," In case you feel some relief to know you're feeling the tone of our times. We live with crumbling of our values which then gives rise to insecurity everywhere. If someone doesn't know what their values are then its difficult to do anything, and right now everyday we hear uncertainty in what used to be our basic assumptions. You're more normal for noticing and feeling stressed than if you imagine life felt fine the way it is! One road to take is to accept that there are no clear roads forward. This means to change long term goals into shorter ones. Also, in general the more focused you can be as to your particular wishes, motivations, interests, and people about whom you care, the greater will be your sense of confidence that your personal world is as secure as it can be for right now. And, it helps too to know that nothing lasts forever, eventually all of what is up in the air will start to land in a much more clear way. "
"I know I need to deal with my depression. But I don't know how and I don't want to tell anyone.
How can I deal with depression without telling anyone?"," It can be really tough to tell someone - anyone - that you're feeling depressed. But finding that supportive person that you can share with is a big part of the battle with depression. Depression thrives on being secret, it seems to grow the more we isolate ourselves and hide it away so I'm with Laura Cassidy, when she suggests finding that professional support person so you can start fighting back against your depression. If that feels like too big a step right now, maybe check out a book or two... I'm a big fan of a book called 'Feeling Good' by Dr. David Burns if you want some practical thoughts on tackling depression and on 'Radical Acceptance' by Tara Brach if you prefer something a little more spiritual. "
"I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years.
How can I deal with being bullied at school when the teachers won't help?"," That's a very difficult situation that you are in. But you are not alone. I have several school-aged clients who find little to no assistance from their teachers at their schools regarding bullying. There are a few options that are available to you to help deal with being bullied at school. One option that I would suggest is for you to talk to your support network. Friends and family can sometimes be good sources of support. Another option would be to speak with us about your counselor, if you have one. And third, there are some excellent online sources of support regarding the bullying at school (www.stopbullying.org). "
"A few years ago I was making love to my wife when for no known reason I lost my erection,
Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage.
I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to.
What could be causing this, and what can I do about it?","When I'm working with men with this type of situation, I always suggest a medical examination to rule out any type of organic reason for a difficulty in maintaining interaction. In cases where there is no medical reason for the loss of erection, I find that many men have a similar situation in experiencing negative intrusive thinking during lovemaking. My counseling approach for this situation is to incorporate the use of mindful intercourse."
I need help dealing with stress. How can I handle it all and feel less stressed out?," Part of handling stress is making sure that your perception of the stress is accurate. Sometimes stress can seem more than it really is. One thing that I encourage my clients to do is to ask themselves, ""What is this stressor really about?"" Simplifying stress is a key to minimizing stress and leads to feeling less stressed out. "
"I don't know how else to explain it. All I can say is that I feel empty, I feel nothing. How do I stop feeling this way?"," A feeling of emptiness can be from a lack of awareness and acknowledgment for the things, the people, the places that you have in your life. The use of affirmation and gratitudes helps to remind ourselves of all of the aspects of our lives. "
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," This can be a very complicated situation. The boundaries of relationship include the rules to follow in the relationship. It is important to follow the rules of your relationship in regards to each person being able to spend time with exes. If you and your boyfriend agree upon a rule about spending time with exes, then there should be no problem. "
"A few years ago I was making love to my wife when for no known reason I lost my erection,
Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage.
I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to.
What could be causing this, and what can I do about it?"," For starters, know that this is a normal experience for many men at some point in their lives. While this can certainly cause some embarrassment, a diminished intercourseual esteem or relationship problems, it is important to know you are not alone. I am going to move forward assuming that you have already checked with a medical professional to rule out any medical problems that may be related to this. Assuming that is the case, for most this happens for two primary reasons. It is either a short term biological shortage of blood flow to the penis. This can be caused my diet, lack of exercise, even stress. Another primary reason for loss of erections are anxiety. Have their been recent relationship issues? Are you feeling as though you aren't satisfied in the bedroom? These are just a few aspects that can cause subconscious anxiety and loss of erection. My suggestion to you would be to seek out a counselor that specializes in intercourseuality that can assist you in moving forward with this. Best of Luck! "
"My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough intercourseual attention from me.
I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?"," As a relationship therapist I work with couples all the time that are in the repair phase of their relationship after infidelity. The short answer to this, is not only is it possible to have a satisfying and fullfilling relationship after infidelity, it happens more often that we may know. The current rate of infidelity is high, while it's not important to go into many reasons, it mau be important to know you aren't alone in this! My biggest suggestion for you would be to seek out a professional counselor that specializes in working with couples healing from infidelity. Best of luck! "
Does counseling really do anything that can help people?," Hello. Yes, counseling can be beneficial to many people. One of the effective components to effective therapy, is when the client becomes willing to participate in the counseling. I don't mean just show up and listen to the counselor for 45-50 minutes, but also that the client themselves opens up and shares with the counselor the issues that brought them to counseling in the first place. This requires you to be vulnerable, capable of moving past your protective measures of showing the best of yourself, and allowing the counselor to see the sides of you that likely are not as favorable. Therapy works when you and the counselor engage openly, honestly, and with mutual trust that both of you will work for common goals - your improvement of self. It does take time, and there are no quick fixes (usually), so be prepared to invest in yourself and explore the dark places. You'll thank yourself later, knowing that you are more connected to yourself and might even feel more whole after the process. Be well. "
Does counseling really do anything that can help people?,"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! "
"I'm dealing with imposter syndrome in graduate school. I know that by all accounts I am a phenomenal graduate student, and that I am well-published. I am well liked by students and faculty alike. And yet I cannot shake the feeling that I'm going to be found out as a fraud.
How can I get over this feeling?"," It would be very helpful to identify with you eventual pattern where the
imposter syndrome is more or less present. Are there specific situations where you've noticed the feelings of ""I'm going to be found out as a fraud"" becoming more strong? It seems that shaking this feeling is very important to you. In my opinion, before shaking that feeling, we need to get closer to it and understand its roots. If you would like to get closer to the feeling, you might consider asking yourself questions such: ""What is the trigger for this feeling? How does it feel in the body? What is the thought process I engage with after noticing this feeling? All the best. Rossana Mag. "
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," It is not the case of being right or wrong, in my view. If you are asking, I believe you truly care for your boyfriend. It seems like he is having difficulties in establishing trust in this relationship. The ideal would be to come closer to his upsetness and to show him that you are there for him. I hope all goes well. Rossana Mag. "
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," Ideally you and your boyfriend will reach a balance point where you and your boyfriend are each happy with the level of involvement you have with your former boyfriend. Start w a discussion with your current boyfriend as to what specifically he doesn't like about your friendship with your former boyfriend. It is possible that you can answer his concerns as well he can find out from you more as to what the friendship is all about. As a therapist, I've never seen a former romantic relationship become only a friendship. As sincere as you may be in your intention to only keep the friendship with the former relationship partner, if your former boyfriend secretly has romantic feelings for you, then at best, you've got an unclear friendship with this person. The obvious possibility is to socialize together with your current boyfriend and your former one. If neither guy would go for this, then this would show there is an undercurrent of competition for your romantic attention. Basically make your romantic partner's feelings and your own, the major considerations and discuss from this perspective. "
"I'm dealing with imposter syndrome in graduate school. I know that by all accounts I am a phenomenal graduate student, and that I am well-published. I am well liked by students and faculty alike. And yet I cannot shake the feeling that I'm going to be found out as a fraud.
How can I get over this feeling?"," First step is to remove the label of your behavior as a syndrome and instead understand the reasons for it. ""Imposter syndrome"" sounds like a name someone made up to write a book and have lots of people buy it bc it gives the feeling they know themselves by calling themselves this name. Instead, consider your own unique qualities including your fears of being recognized as adding value to people's lives. If you were told growing up that you're worthless, or if your chosen career goes against family advice and expectations, or if you simply are a shy person, then these would be the starting points to understand your reluctance to believe in yourself. The more you understand yourself and trust the truths you find as to who you are, the less you will feel fraudulent. Good luck in your career work! "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," From the very beginning of counseling sessions I emphasize that the work will and must end at some point. In counseling there is an arc to the process. A beginning, middle and end. I am always digging, searching and exploring. There comes a point where things come to there natural ending. I always leave an opening for continuing counseling in the future. At least as a check in. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," There are different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with. A person may have come to the counselor talking about a particular issue but either when they first met or as counseling progressed, it may become clear that the issue is in fact something different or that there is an additional related issue. If that issue is outside the competence of the counselor, the counselor should look for alternatives, the most common of which would be to terminate and refer. Beyond clinical issues, this could also come up around particular other related facts, such as the culture of the client or linguistic issues. This could also be the choice of the counselor if they know someone that they feel would be a better match for the client's issues. Another reason for discharge (and possible referral) would be if the relationship does not seem to be a good fit. No counselor is the right person to work with everyone. If the right level of connection is not happening, the counselor will often look first at what they are doing, might talk about it with the client and ultimately will admit that things don't seem to be working to allow the desired therapeutic process to work. A similar process would be followed if the counselor determined that the client might not yet be ready for counseling as evidenced by lack of engagement such as frequent cancellations, not doing any agreed on work between sessions, showing up late or being really guarded in session. The easiest situation to decide on is when a person has met their counseling goals and have nothing new that they are working on. While this is the easiest one to determine, it is also probably the hardest one for the counselor as they may be like the client in not wanting the relationship to come to an end. However, counselors know that this is part of the process. They will also determine this by regularly reviewing the treatment plan or by sending in the sessions that the work has come to an end. This type of termination maybe final or may be with the intent that the client will return later to address other things that have been identified but for which they are not ready to move into. All of these (and other) situations involves the counselor being open to the relationship ending, to monitoring how things are going, then engaging in self reflection, possibly talking with the client and then coming to a conclusion on which the counselor follows through. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," This is a question that is very specific to each person. There are definitely some variables, but I can give you some general ideas for when counseling might end:
- When a client has met all of their goals, at least to a degree when they feel that they no longer need to work on them with the assistance of a counselor
- Sometimes a decision is made that a client is no longer benefiting from counseling at a certain time
- Sometimes clients have to remain in counseling in order to receive medication. This depends on agency policy, but sometimes it is a requirement. If the medication is necessary and cannot be prescribed by a primary care physician, frequency of sessions is usually decreased greatly
I'm not sure why you are asking this question, but it is also something that is often discussed at the beginning of treatment. Oftentimes ""discharge goals"" change as treatment progresses because more is known about clients, their goals, changes in their goals, and many other things. Changes are normal, but your counselor probably has discharge goals in mind, at least generally, from the beginning. I strongly encourage you to ask about it! "
How does a person start the counseling process?," Usually people call me by phone, they introduce themselves, we chat for a bit, then we schedule a time for their appointment "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," Hi there, There are a number of reasons why a therapeutic relationship might end including, but not limited to the client reaching their goals, the client reaching a place of acceptance where they wish to remain or even a breach within the relationship. The last aspect should likely be taken to supervision in order to be fully processed. All of these things could happen, and usually happen organically (again, except for the last example). Your question, however, was about the counselor ending treatment. This is a bit more difficult and can be very nerve-wracking. It may be beneficial to take this with you to supervision, as well. It's important to understand why you feel the need to end or terminate with the client, as well. Do you feel that they would be better suited for another therapist, have they achieved their goals or is it something else? In regular, open-ended sessions, I try to make a point of checking in with the clients fairly frequently. In these check-ins, I use the time to ask the client how they feel about the sessions and if there is anything they wish to focus on more astutely. I also ask if they have any immediate goals that they would like to prioritize. In goal-oriented sessions, I check in more frequently to ensure that both the client and I remain focused and, should they wish to shift their focus, that they recognize it is part of my responsibilities to make sure we move back to the desired goal. Often, especially in longer term therapeutic relationships, we as clinicians can see that the client has reached their goal, however they are apprehensive about ending therapy. This is actually a great place to go with them; why would they feel unable to handle issues in their external or internal environment without you? Often, having this open discussion can increase empowerment and mastery. That said, it could also highlight other issues which the client may have been apprehensive about going into within therapy and now, as the relationship seems to be ending, feels more confident in bringing these up. In the case where the relationship is a toxic one, terminating with a client may be the best option for both of you. It's a difficult conversation, but recall that part of the role of the therapist is to model that these discomforts can be managed. I hope that this brief response can assist you going forward! "
How does a person start the counseling process?," Hello, There are many ways to approach a counselor and starting the process, however they all start with picking up the phone. It's most definitely an uncomfortable feeling, but once that first step is taken it is often met with a wave of relief. My recommendation is always to call and speak with a therapist over the phone before scheduling an appointment. Listening to how they converse, use their tone and inflection, may give you a brief insight to how they will respond to you and increase your comfort right away. You may also discover, rather quickly, that this therapist is not the right match for you. Regardless of how you go about it, I like to remind all people who call, email, text or walk-in, therapists are a bit like pizzas - if you don't like the toppings, send it back! There are hundreds of therapists offering all kinds of styles of therapy - take the time to pick one that suits you. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," There are typically three reasons why therapy is terminated: 1) Client has met therapy goals 2) Client is not progressing 3) Therapist is not a good fit for client In order to properly assess whether therapy is helping and what progress is being made, the therapist needs to have ways of consistently checking in with clients sessions-by-session to determine what is helping, what isn't, and where the client is at in relation to their original therapy goals. When a client has met their goals, that is a good time to end counselling sessions unless the client has new goals or simply wants to check-in periodically to make sure that they are still on track (sometimes referred to as relapse prevention). When a client is not progressing, and feedback has been taken and attempts have been made to make the therapy more helpful for the client but to no avail, than it is considered unethical to continue to work with the client. In these circumstances, referring out to another therapist who may be a better fit is a good idea. "
"I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.
Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
Are they right, am I depressed?"," I'm alway wary of assigning a term to a feeling, as often that term becomes more important than the feeling itself. From the very little that you have written, it is clear that you are going through something that has made you extremely low, affected your self-esteem and motivation, limits your enjoyment of formerly pleasurable activities and affects your feelings of self-worth. All of these are aspects of being depressed, though you can be depressed and still not have ""depression"". Counseling is definitely a place where you can go and sort out why you have had such a sudden a drastic change to your mood. Sometimes our mood can be effected by changes in our routine, losses or significant disappointments. Talking with someone will not only help you to better understand why you are feeling this way, but they will also help you to ground yourself and learn strategies and tools to help you to manage your mood and strategize for the future. I do hope that you will reach out. Feeling alone can be harmful over long periods of time, as it can stop us from seeking out the support we need. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," Hello. The end of the counselor/client relationship is one of mutual respect and engagement. Counseling sessions can end for any number of reasons. Among them are the client's inability to make forward progress in therapy; the clinician's inability to help the client (for a variety of reasons); a mutually agreed upon time frame for a number of sessions to be provided; or the financial challenges of the client who decides that they need to put their resources elsewhere. In this last case, a counselor should never cancel sessions with a client simply on the basis of the client's inability to pay. That is traditionally seen as an unethical practice. Other arrangements can be made to provide care to the client, which in itself should be paramount. When the client and therapist decide that services are done, it is best if there is at least one or two more sessions to allow a case file review to occur, and to bring an appropriate psychological sense of closure to the client (and vicariously to the clinician as well, those this is perhaps not as important). This transition gives both a sense of having reached the end of a journey...rather than some abrupt departure from it. (An abrupt ending in therapy can have a varying level of impact both emotionally and psychologically on the client and therapist). Sometimes the closure of therapy is the result of a program of therapy being formally completed, in which there is a mutually known (albeit perhaps approximate) date of when that program will be finished. In this case, the client is likely feeling that impending closure and has time to prepare mentally and emotionally from a place of being the client in therapy, to a place of healing, growth and situational resolution. I have always worked in therapy with the following slogan (if you will), that I learned years ago during graduate school: ""Not every therapist is good for every client, and not every client is good for every therapist."" It is perhaps one of the most important guiding views I hold in working with clients. The therapeutic relationship is driven by mutuality - the desire of the client to get better at living life, and the therapist's desire to truly see the client heal and grow. When there is a block in this process from either side that prevents that synergy from occurring, the relationship that should be established may not be able to form. Or, if already formed, may at some point be unable to move forward. In these instances, referring the client to another type of service or clinician is appropriate. Usually, this can be seen pretty quickly by either party, though sometimes it is not always clear. Ultimately, the client and counselor need to work together to discover if the needs of the client (which is paramount) are being met in the therapeutic engagement with their current counselor, or if other arrangements need to be made to go elsewhere. If both are observant in this process, they can work together to maintain that sacred space and continue to reach the goals that have been set. Eventually, therapy will end, but hopefully based on the client's successful journey to the place where they wanted to go, and thus opening the next chapters of their life to a space that is more whole and brighter. "
How does a person start the counseling process?," Hello. Counseling often begins way before the client ever actually calls the local therapist. There is often a tipping point in the internal struggle that the client experiences, where they can no longer deal with the issues on their own and thus giving the motivation to seek external help. That said, clients usually go seeking therapists based on what their insurance will cover, or what is likely to be more and more the case in the near future...what they are able to pay for out of pocket. That first phone call to a prospective counselor can often feel like torture, but it doesn't have to stay that way. Counselors are well trained to acknowledge the inherent goodness of all clients, and should be able to see and hear the sense of fear in the client of being judged or put down in some way. The counselor you select should be compassionate, caring, able to join with you on your journey to resolving your issues or concerns, and to do so without negative judgment of you as a person of worth. Once you have found a counselor you want to work with, you would then schedule an appointment to meet. That first session is often very low key. There might be some forms for you to complete, which will help the counselor address your concerns and learn a bit more about you. The counselor will typically provide you with what we generally call in the profession a professional disclosure or practice statement. This document (which may be several pages long) usually outlines the counselor's credentials; practice rules; forms of payment; office hours; emergency contact details; and confidentiality guidelines under state and federal law, among other details. All of this benefits you as the client, so that you are well informed and can focus your attention on why you are meeting with the counselor. In the first session, it is absolutely okay to be nervous. Here's a really big secret (which is important to keep in mind as counseling begins): Counselors are often as nervous (if not more) to meet a new client, as the client is to meet their new counselor. It's true. We as professionals are trying to put our best foot forward to impress you with our awesome counseling skills. While simultaneously hiding all the troubling unwanted issues that we ourselves have in our life too, and being worried that we might not know if we can help the client sitting in front of us. What makes it even more challenging, is that counselors are often put on a giant pedestal of perfection by clients (all while we as counselors tend to look at it like we're standing on a three legged stool). This is normal for us when seen from the eyes of the client. Counselors and clients are both human, and we both make mistakes. Coming from that place of understanding, might bring a sense of ease to both the client and the therapist as they seek to work together. Part of this perception of perfection held by clients toward counselors, is that the skills of the counselor might look like they have all the answers. We honestly do not, plain and simple. Counselors come from life experiences (where they might be farther down on life's road than you); they hold completion of various forms of training; and have advanced education. Yet we are in the end, imperfect beings struggling to help imperfect people. This makes it easier to be compassionate to new clients walking through our door with the hope that we will receive that same compassion in return. Very often, we can find ourselves reflected in our clients' lives with their struggles and can become more effective at helping if we have resolved similar issues in our own life. So as you begin to seek out a therapist, try looking for one who is aware of their own life issues and is actively working on them too. Someone who can meet you where you are at emotionally and can understand your sense of your struggle that you are facing at the present moment. That counselor may be a good example for you as you enter into therapy and build your own strength, and thus begin dealing with the issues more effectively you bring up in therapy. "
"I'm dating this guy, Peter. My friend Jennifer used to date him a while ago, and she's fine with us dating. My ex-boyfriend, Paul, broke up with Jennifer, and she's devastated about it. Peter and I are going through a rough patch in our relationship. All of a sudden, Paul is in ""love"" with me, and he wants me back. I don't know what to do because I can't hurt my friend or my boyfriend, but I think I might Paul again."," Hello. The dynamics of having a romantic relationship with someone is not always clear. Sometimes we jump from one relationship to another without giving ourselves a chance to adjust and grieve for the one we had to leave behind. When you find yourself in a situation where a previous partner is coming back into your life and desires to be with you again, it is important to ask yourself what the motivations are prompting that return. Is the person afraid of being alone? Are they jealous of your current relationship? Do you feel the same way about this returning relationship as you did before it was ended? How long and/or how committed is the current relationship you are in now with your current partner? Does your former partner not like being ""dumped"" and maybe they just want to get back together with you so that they can ""dump"" you instead? Some of these questions you may not be able to answer, and some of them might require your own internal reflection. You likely want to make a good decision, and you also might want to consider who it will impact, and how that will happen. Other friends might be upset at this sudden change, and it could create a strain on your friendship. You will want to carefully consider the value of that friendship before you take any actions that could damage it. Also perhaps think about what led you to end the relationship with your previous partner in the first place. Has there been a change in events or behavior that would cause you to think of a valid reason to give that person a second chance? How it will it impact your current relationship? Going into relationships should be done with reflection, patience, and full awareness. Ultimately you choose who is in your life, so you want to make those choices based on appropriate decision making, and with the ability to protect yourself from harm. No one else can make this choice for you. However, gaining the insight of friends or family can be helpful, as can seeking out the counsel of a therapist. In your heart, you will likely find the right answer. Learn to trust that more, as that is where the core of emotion tends to be when you need it. Use your mind to analyze things, but allow yourself to also feel your way through the situation too. The answer will arrive if you let it. "
"I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
What can I do to manage my stress?"," Hello. Workplace stress is one of those areas of living that troubles many people who need an income to survive. The interactions between you and coworkers is a mixed bag, and sorting that out can be difficult. Also, if you are feeling under appreciated and not well paid, this can add bitterness to your lot of emotions. A few questions can be kept in mind as you work through your situation. Do you have the option of talking to your employer about your experiences and feelings with regard to your current work? Do you have local resources that you can use to find different jobs in your field? Do you have connections with employment counselors or agencies that can support you with strategies in dealing with workplace stress? These questions might cause others to bubble up, and could begin a new journey into a new field. While still at your job, what can you do to take care of yourself? Are you taking breaks? Do you eat lunch at the office, or do you go somewhere away from the office to eat? What do you do when you have a few moments to breathe? Understanding that you can indeed find even the smallest strategies useful for self-care, can help bolster your energy and give you some support as you move through the day. Seeking the support of family and friends can be helpful as well. Knowing your personal limits and when to pull back and take a break will give you a chance to recharge your mental and physical energy, thus helping you face the demands of your job. "
How does a person start the counseling process?," 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! "
"I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out.
How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do?"," Thanks for asking this question. I think the most important part of what you mentioned was that you do it because it makes you happy. For that reason, I would encourage you to keep doing what makes you happy. As far as telling girls or keeping it a secret, I don't really think that it's necessarily one or the other, at least not the first time that you meet. In other words, one part of your decision-making could be whether it is something that you always want to address in the first date, or perhaps something that you address after you've known each other for a couple of meetings. The answer to that question may also change depending on who you are dating. I would imagine that each person that you are with mainly due to a different decision this was when to disclose this. It sounds like this is an important part of you, so I would think that if you were going to date someone long-term, you would want them to know about the most important parts of you, including that. I also encourage you to remember that if you meet someone who is not comfortable with this, that does not mean that there is anything wrong with what you are doing, but rather something that the other person is in some way deciding not to continue learning about or choosing to have someone they are dating like to cross-dress. I'd also ask you to consider this: Are the people who you say this to expecting it? My guess is that the answer is probably not. Along with that, Are they going to have questions? I would imagine so. Are you comfortable answering questions? I wonder if you could figure out yourself or with friends (or perhaps even with a therapist) how you would answer these sorts of questions:
- What exactly is cross-dressing?
- Does that change the gender that you're attracted to?
- What does it mean to you?
- Why is it important to you?
- And what you want your listening person to know about you related to cross-dressing.
There could even be ways that you can start the conversation by asking them to be open to listen to you and ask questions about what they are thinking before they make any quick decisions about you or the relationship. I certainly hope that you find the right person for you. I imagine that having this conversation could be stressful, especially considering the idea that you have had some negative reactions in the past. Remember that talking this through with a therapist could be very helpful. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," Hopefully both the client and counselor would together decide when to terminate counseling sessions. It's really helpful for the client to leave counseling with a solid sense of what he or she has accomplished in counseling, so it can be a good idea to spend some time acknowledging that in the last session or sessions. Sometimes, however, a client has needs beyond the scope of the counselor's expertise. That's a good time for a conversation about those needs and ideas of how best to meet them, whether by adding in care with an additional mental health professional or transferring care entirely to a new mental health provider. "
"My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.
Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?"," Good for you to know your daughter's friendship circles and to notice when these have changed. While friendships are key relationships, they are not the only indicator of someone not developing normally. Is your observation and opinion that your daughter isn't normal based on other factors or just this one? If this is the only factor then start with reflecting on what circumstances may be influencing your daughter to socialize with younger kids. Has she ben ostracized or bullied by her peers and may be retreating to avoid further emotional hurt? Is she keeping up with her school work? Sometimes kids who feel overwhelmed by schoolwork will regress into conditions in which they feel more success and control. Are there family circumstances such as the death of someone with whom your daughter felt close? Or, is there a new younger sibling in the family or a younger sibling who due to their own circumstance receives more attention than your daughter may wish for herself. Once you've reflected on which areas may be affecting your daughter, gently ask her some questions about her comfort with what you theorize may be the source of the problem. Its also possible that offering her your extra time and interest may increase her sense of self so that she feels secure enough to increase her social time with her age group. "
"After first meeting the client, what is the process that a counselor facilitates?", Great question which I imagine many other people have as well. The therapist will want to know your main source of life discomfort. In what areas are the problem interactions which you hope will disappear? The therapist is trained to listen for your emotions to your story. And to open these up to you in a kind and safe way so that you'll start to see your circumstance in a new light in which you feel more of your own authority to handle the troubling conditions. The therapist and you will refine your thinking and theories. The therapist will ask questions to help you prepare for any stumbling blocks along your way of creating your own new answers to the problem you brought to counseling. I hope you'll enjoy learning and creating new thinking and interacting patterns!
"I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
What can I do to manage my stress?"," Recognize your reason for continuing to work for this place. Sometimes ""overworked and underpaid"" is tolerable bc of the valuable learning which the person will take with them when they've decided the time has come for these lessons to end. Or, are you in this place bc it is an easy commute to your home or fits well with other parts of your life such as education or some health related program? As long as you have a good reason to be there, you will feel there is good purpose. If there is no good purpose and every day you wake up to work for a place you can't stand, then its time to look for a new position. "
"My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.
How can I feel more comfortable around other people?"," Probably a good portion of living like a recluse was necessary so you had time to rest and recuperate from so much major adjustment in your life. Have you told some of the people in your life about the many changes you've been through? It is possible people sense something different about you and aren't sure whether to ask or not ask questions. Also, understand what type of qualities you'd like to offer and receive in a friendship. Given that raising a kid who has autism takes a lot of energy and time, the way you socialize will change. Start with one person whom you're pretty sure would welcome you and whom you would gain by bringing them into your life. As a result of how this interaction goes, how you decide to spend your time together, what you'll discuss, you will know more about yourself and what you require to feel good around other people. Then, you can consider if you're ready to add others into your world. "
What are the basic skills a good counselor needs to have?," To be non-judgemental, know who they themselves are, be able to step forward and ask questions with ease and grace into painful emotional areas. Also to respect human difference in accomplishing basic life tasks and everyday living. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," In my therapy practice the decision to end therapy is mutually made together with the patient. Otherwise, the person can end up with a sense of tremendous rejection and abandonment. The way you'll both know therapy is coming to a close is that the discussion will feel lighter and move easily. The person's mood will be better, they will smile more, sit in their seat in a more relaxed way, look more at ease, take better care of their appearance. One of the ways to end therapy is to gradually decrease the frequency of the sessions. Sometimes people who are in my practice start to come each three weeks, then monthly, then every three months. This gives a sense of security, friendliness, and casualness to the therapy, and de-medicalizes it as though the person was treated for a medical symptom and the symptom stops completely one day. Talk therapy is about life and life problems usually end gradually. I end my therapy in a way which mirrors the life process in which many interaction and situation problems show their effects gradually and show different effects over time. "
How does a person start the counseling process?, Phone or email a counselor whose profile you've read and which feels right for you. Ask to get a feel as to the way the person would handle your problem and work with you. In my practice I offer a phone consult which generally continues for twenty minutes. I feel it is only fair that a prospective patient has a feel for the service they are about to purchase before they can be expected to pay money for a service which may not be to their liking at all.
I don't understand why this is happening. Why do I feel this way?," The first step to answer your question is to reflect on what is going on in your life overall. If you're in the midst of severe stress, whether within your relationship or effort to establish a relationship, upheaval in family dynamics, some type of significant loss like a job or someone with whom you feel closely attached, then you may simply be creating the solitude which is necessary to better understand and absorb the meaning of these changes. I assume you mean you are by yourself when you are indoors. What you write sounds like you're not happy with this recent urge rather than that you and someone or others are having great and fun times together. One way to encourage yourself to go back outdoors is to connect w a friend or search for an interest within you to develop. This way with either of these, you'd feel a little bit of motivation to join and get more involved with either of these. "
"I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.
Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
Are they right, am I depressed?"," The answer to the question of whether or not you're depressed, is less meaningful than what you are doing to feel strong and secure in your life. Otherwise, people shortcut themselves to go deeper in understanding who they are and what they'd like to do with their lives, and accept ""depression"" as though it is their new name. What you write sounds like classic depression. What to do about this feeling is to get closer to yourself in an accepting way. Assume that what you do in daily living is somehow necessary. Unless you are doing immoral or illegal actions to other people, to accept your own wishes as truth will open you to appreciate why you do what you do. Make believe you're interesting and find out more about who you are, if you have trouble to start with thinking of yourself as worth understanding. The more you appreciate who you are and your unique strengths, vulnerabilities and fears, the more these will dissolve by what seems on their own. In fact they will disappear bc you are believing in yourself and your ways. Good luck! "
"I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.
Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
Are they right, am I depressed?"," Hello. Being a teenager in our society today can cause depression quite easily. We look at the world in which we live, and the doubts we have about being able to make a contribution, or to have value and worth with the people around us, and we begin to internalize those messages of self-worth. If that alone were not enough, you are trying to figure out where you want to go in life, and who you are supposed to be in the world. Teens are faced with pressures of being judged by your peers for how you present yourself; following current fashions; possessing the trendy things; and hanging out with the ""in crowd."" Here's a ""secret"" that might help with most of those issues: Not much of those problems I've just described will really matter as they might seem to right now, in the real world. If you are feeling depression because you feel you lack some of those things that are seen as important by others (like your peers), I can assure you that being someone who is kind; compassionate; understanding of another person's suffering; and the effort you make to be the best person you can become in the world, will far outweigh anything you experienced in your teen years. When we are young, we judge everything based on what our peers have, what they say, the way they dress, who's popular, who's not popular, and for the most of it, all of that is external. So the question becomes, are you trying to fix the feelings on the inside (the internal stuff), with the trappings of all the stuff on the outside (the internal)? That is to say, do you feel that if you had what your friends have, you would be happy and less depressed? Depression is usually a symptom of something much bigger, it is not typically a problem by itself (just as a person who experiences a high temperature may likely have a cold). So fixing the symptom requires looking at the possible causes. In your post, you mentioned that you live with your dad. Are your parents divorced or separated, or has your mom passed away? Either of these circumstances could certainly cause depression. Finding out when you started feeling depressed, might be able to pinpoint the trigger that caused it, which requires looking at when you last felt really happy. It is also important to keep in mind, that as a teenager, your emotions are often being experienced very randomly, and sometimes without cause. It is part of your emotional development, but as you grow older can learn how to manage those emotions better and practice doing things that help you feel better (without causing harm to yourself). Have you tried talking to your dad about your feelings, or maybe another relative if you feel safer doing so? Do you have a friend who is your best friend...someone who is there for you no matter what? If not, there is a service you can use that is a national number for teens to talk with teen peer counselors. They are teens like yourself, but they have some insights that might be helpful. Its called Teen Line (https://teenlineonline.org/). It helped me when I was in my teens, and has helped lots of other teens as well. You might find a place to get some referrals to other local services in your area. If you want are in Washington state and would like to connect with me directly, you call link to me via my profile page. Or perhaps finding a counselor in your local area might be useful. Most towns and cities have some form of low cost counseling. You might also check with your school for assistance. Don't be afraid of not always knowing how you are supposed to feel. Adults don't always have a handle on it either. Being a teenager carries a lot stress, fear, and uncertainty. But you are not alone, and there is help if you reach out for it. I wish for you the very best, and bright future. "
"I have a relative who is in his twenties. He was in a drug rehabilitation program and got kicked out for using drugs again. No one informed family that he was using drugs again. He subsequently overdosed and was found dead.
Is their accountability of counselors, therapists or the halfway house for not reporting that he had relapsed? Is there a legal case for failing to report?", I am so sorry for your loss. Generally therapists only have a duty to report self harm to ones self or others if it is expressed to them. Often times they will not report relapses due to the fact that proper releases were not signed or patient has specifically asked them not to for fear of shaming or failure again. I understand this may not be the answer you were hoping for. I would encourage the family to seek therapy themselves for help coping with such a loss.
"My husband has had issues with alcohol addiction in the past (he'd never admit to this). A while back (3 years ago), I asked him to stop drinking so much, and he agreed. I caught him one night drinking behind my back. I confronted him and he lied, but I told him I knew he was lying because I counted the beers in the fridge and four of them were missing. He admitted and apologized and promised he wouldn't do it again. Lately, my husband has been drinking on and off, but I noticed it was every single night. I didn't like this. For our New Year's resolution, we decided we were going to limit our alcohol consumption. He was on board—no more drinking every night.
The other night, I counted the beers in the fridge just to see if some were missing. It took a couple of days, but tonight, I discovered a few were missing along with a shot of vodka. He was passed out on the couch when I decided to wake him up and confront him (poor timing, but I couldn't wait). I asked him if he'd come to bed with me (when he drinks, he snores and I cannot sleep—it's a dead giveaway he's been drinking). He slurred a bit and said no. I asked if he had been drinking, but he snapped and said no. I went into our room to sleep, leaving him on the couch.
I'm not sure if I'm overreacting or not. I just feel like I'm so honest with him about everything, and I expect the same honesty. He is a good husband in every other regard."," It can be very frustrating being lied to. The one thing that struck me was the sentence he had a alcohol addiction ""in the past."" Addiction is not something that comes and goes. Once you have addict tendencies they are here to stay. You may be able to fight them off for awhile but the will enviably rear their ugly head again. Some of the things that we would suggest is taking the access away. If the alcohol is not conveniently in the house he would have to go seek it out elsewhere. You can think about it in other terms. If chocolate cake was your favorite food and you were a diabetic, you would not have chocolate cake lying around all the time because you know you would eventually eat it. Remember there are no temporary addicts. "
"I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others."," You are not hopeless, as you can see there are many people who care about your well being and believe you can overcome this. I would suggest that you first get evaluated for your alcohol consumption. Alcohol is one of the addictions that you may need to seek inpatient treatment for. If not inpatient then be monitored by a doctor. Once you are evaluated and or complete inpatient treatment I would suggest you participate in a form of outpatient therapy on a consistent basis. "
I need to speak to someone about intercourseual addiction and binge eating immediately., There are plenty of online providers within the mental health field that would me more than happy to speak with you immediately. Many of them provide treatment on a sliding scale fee. I would google online mental health treatment providers and that should lead you to a list of providers that can help you.
"Or how to send him somewhere that can help him, something like The Baker Act.", Your dad needs to be aware that he has a problem and be willing to make some changes in order for him to be motivated to stop. Often times individuals will be forced to stop when they were not ready. Remember we can not ever make someone do something they do not want to do. There needs to be at least a little willingness on the other party to make some changes. I would encourage you to reach out to your family or other loved ones and have a conversation with your dad regarding your concerns.
"I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.
I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?"," It can be challenging to quite anything once we set our mind to it. We often crave the things more that we know we can not or should not have. With that being said I would encourage you to become aware of the chemical dependency part that cigarettes have on your brain and your body. Then make yourself aware of the mental part the habit part. Often times people will engage in smoking again just from the mere social aspect of it. Make yourself aware of these and devise a plan of the things you will do instead of going out on smoke breaks, or the ritual of smoking in the car on on the back porch. There are plenty of support groups out there to help with this as well. Smoking cessation is a good resource. "
"My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.
How can I feel more comfortable around other people?", I would look at getting engaged with a support network of individuals who may also have autistic children. They will understand some of the things that you are experiencing at home and you may also find someone who feels that same way as you. If you have not sought professional counseling for the abusive relationship I would seek out a therapist who can help you process through it so you do not repeat similar choices in your next relationship.
"After first meeting the client, what is the process that a counselor facilitates?", A good therapist will discuss what brought you to therapy in the first place and devise a therapy plan with you on some of the things that you may want to work on. The plan is not set in stone as things may arise during your therapy sessions. You also agree on how often and when you would like to meet.
How does a counselor decide when to end counseling sessions or to terminate working with a client?," In the best case scenario, it's a mutual discussion and decision. If not, I've had the discussion initiated both ways, by me, when I sense the client has gone has far as they want, by lack of interest in accepting or completing homework assignments, missing or cancelling appointments, usually at the last minute, lack of participation during sessions. Client initiates by asking me pointed questions about why the need for homework assignments,, by forgetting their calendar, or their checkbook :) , by suggesting that we make appointments over longer intervals (once a week to once a month, for example). I rarely have had to terminate a working relationship--that's why I don't charge for the first visit, so we know if we are a good fit before we start working together. Then I periodically ask whether the client feels we are making progress, moving in the right direction, talking about the most relevant issues etc. "
"My ex-fiancé (whom I am still seeing) left me because of the pressure from all three of his teenage daughters. They wanted him to try to work it out with their mom (his ex-girlfriend of 20 years). He and I split three months ago, but I have been seeing him pretty regularly despite the fact that he is living back with his ex-girlfriend and kids. He is ""co-existing"" for the kids and fighting all the time with his ex-girlfriend. His daughters don't want their dad with me because my two boys (grown adults and on their own now) had bad reputations and issues with drugs. His daughters say it is embarrassing for him to be with me. He and I had an absolutely amazing relationship and connect on so many levels. He is getting a lot of pressure from his family and his longtime friends to ""do the right thing"" and stay with his ex-girlfriend for the kids. He says he wants me to wait. We were going get married last year. He bought me a $1000 dress, we had invitations made, and everything set up, but then his girls told him they'd never speak to him again if he married me. He says he's trying to mend his relationship with them."," Hello. It seems you are in a set of circumstances that are highly uncomfortable for you. Do you feel those circumstances are healthy? Do you find pleasure being in such a place of uncertainty? Why do you continue to be in this situation? Without meaning to appear that I might be lacking in compassion, you do have the option to leave the connection completely if the harm it is doing is more that the pleasure it brings you. Is there a benefit to being in this relationship? Do you consider this situation to be for your highest good? Is it healthy to be involved in something that is not likely healthy or perhaps could even be seen as dysfunctional? In truth, only you can decide the answers to these very important questions. I would encourage you to think of who benefits by being in this situation, and how you might be able to find happiness in other relationships that are healthier and more positive. In my clinical view based on what I read, this particular relationship does not carry the joy I am sure you want, nor the healthy interactions you would expect in a functional romantic engagement with another person. Beating yourself up about potentially wasting all this time waiting for the other person to come around will not serve a positive purpose. It likely will only lower your self-esteem. There is a time to wait to see how things develop, and a time to move on to other experiences. You are the one to make that choice, but I would encourage you to connect with your inner higher self, for the most clear answer. Chances are, you already know the answer, you just need to embrace it. Getting in touch with a counselor in your area can also help ferret out some of the deeper issues that you might not have felt comfortable expressing here. "
"I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this?"," You are describing a very legitimate reaction to trauma. Rape is an aweful experience and I am very sorry that happened to you. When horrible things happen, people often react in a way that interferes with the ability to live a normal life and function the way they did in the past. This is very common and the goal is to help you manage the stress caused by dealing with negative events and with help you can regain emotional well-being. This is especially important if you have had more than one negative thing happen. Oftentimes, the unconscious reaction is to become numb and avoid all feelings, especially if more than one negative event occurred. A big part of what causes people trouble are feelings of guilt. We often blame ourselves when bad things happen. It is actually difficult to comprehend the concept that we don't always have control of what happens in life. In addition, when you mentioned feeling like a sociopath, it sounded like you feel like your reaction is wrong. The first thing you can do is realize that your feelings and reactions are o.k., you aren't doing anything wrong, and nothing is wrong with you. The next step is to start dealing with the impact of these traumatic experiences. Identifying your feelings, and knowing the thoughts and beliefs that are behind those emotions can help you regain your sense of happiness. Research shows that understanding and expressing those thoughts and feelings can help. If doesn't sound like you need to do anything to change yourself, but talking to a counselor can be helpful in managing your reaction to a incredibly traumatic experience. I hope this helps you understand your feelings and can get to a place where you enjoy life.
"
"I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.
I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?"," Quitting smoking can be difficult. It's also true that there is part that is sometimes a physical need and a part that is often connected to emotions in some way. From the way that you wrote this, it sounds like you may have been able to stop smoking physically, but still have cravings. One thing you can do is talk with your primary care physician or OB/GYN about whether there is anything that you can take to help with the cravings. Sometimes that can very helpful. As far as the more emotional or mental piece, these things come to mind:
- Sometimes a crucial part is looking at the habit of smoking and seeing what else you can do to keep your mind and hands busy. There are sometimes toys, like those available at Office Playground, that may help to keep you physically occupied.
- There can also be changes or additions to your routine because I imagine that smoking took up a great deal of your time. Maybe when you have the temptation to get up and go to have a cigarette, you could have several other things that you can get up and do instead. The list is endless, but a few examples could be doing some physical exercise (with the permission of your doctor) just for a couple minutes because that could help with the craving as well, completing a puzzle, learning a new activity that requires using your hands (painting or knitting, perhaps).
- Another piece of quitting smoking is often linked to anxiety or other emotional changes, perhaps irritability. Depending on what it is that you may be feeling, learning other strategies to use can be helpful as well.
- This can all be quite overwhelming and a very big life change. I would recommend that if things do not become easier for you, consider talking with a therapist. Then you could not only have some more strategies or ideas directly related to you, but you could have very direct support for what you are trying to do.
I give you a lot of credit! "
"I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.
I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?"," It is very good news that you realize the risks of smoking cigarettes while pregnant and are willing to stop. Thinking about smoking is a typical and frequent reaction to being without the substance. Be creative with what you know about yourself to distract you when this psychological urge comes up. My suggestions are to imagine smoking if you find this would relieve the sense of wanting to smoke. Or, do the opposite and remind yourself of all the good reasons to not smoke. Also, since you're planning pregnancy then ask your partner for ideas on how to make the psychological feeling to want to smoke, feel less intense. Another suggestion is that your partner is your texting buddy to stop smoking. With AA groups, a sponsor is always available for the alcoholic who feels distress about the urge to drink. Having a trusted and caring person to tell about your problem helps in many situations. Maybe it will help you to stop smoking. Good luck! "
I'm a teenager and I've been sneaking out of my house at night for a year now. I've been caught several times. I want to stop doing this but I don't know where to start. How do I stop?," Where do you go and what is your reason to go wherever this is? Try to understand these reasons because the answers may give you good guidance as to other ways to get what it is your trying to reach by sneaking from your home at night. If for example, you're sneaking out because your parents are arguing and you feel hurt by this and want to escape hearing their arguments, then you can come up with other ways to hear less of their arguments. If you sneak out bc your parents restrict your friends or time to socialize with your friends, and your friends are doing legal and safe behaviors, then maybe you could do some socializing online w them. Also, I wonder the reason why either of your parents isn't aware that you leave the house. Do you feel your parent would offer and would you ask your parent to give their suggestions so you feel more motivated to stay home? "
"I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
What is wrong with me, and how can I stop having these thoughts?"," Those critical thoughts most likely came into your mind as the way you understood what one of your parents or some other adult who was very meaningful to you, at a very young age. When we are too young to distinguish whether what a grown person tells us, feels accurate, we absorb their opinions as our own. Your question shows you've reached the point of emotional maturity to know that your opinion about yourself is not the same as what is inside your emotional brain and stored there since you were too young to know that someone else's opinions are not necessarily your opinions. Nothing is wrong with you, everything is right with you to wonder how to more firmly establish your own point of view. Start the habit to revise any viewpoints about yourself which don't feel true. Then replace these thoughts with better ones which you decide on your own. After a while of doing this you'll either automatically think the more positive thoughts about yourself or at least be in the habit to know that negative viewpoints about you are not necessarily true. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," Counseling ends when the client has received the maximum benefit from the therapist. Even if the therapist believes the client is not making progress, the client may feel they are improving and receiving a benefit. And the therapist may see a benefit and the client does not. It is best to have ongoing dialogue with the client to determine when termination is appropriate. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," There are several reasons for a counselor to decide to end counseling. A major reason to end counseling is if the counselor feels that he or she does not have the skills or experience to work with the client. This may happen during the intake process or after working with the client for some time. If the clinician feels that the client is not benefitting from the therapy, it is ethical to suggest that the client terminate the therapy. The process of termination must not injure the client and, if necessary, the clinician may need to refer the client to other treatment modalities. Another reason to terminate working with a client is if the client needs a higher level of care. If the client has a crisis or is at risk of hurting himself or someone else, he or she may need a higher level of care. In this circumstance, the clinician may need to involve outside services such as a crisis unit. A third reason to terminate with a client is if the clinician feels that he or she cannot remain professional with the client relationship. For example, if the issues that the client is working on bring up something significant for the clinician and the clinician feels that he is unable to separate that from the professional relationship. In this instance, the clinician should refer the client to another therapist. Finally, if the client has reached her goals for therapy and no longer needs treatment, the clinician and client should terminate treatment. "
What are some difficulties that a counselor can encounter when dealing with a client?," Each counselor will have their own list of ""difficulties"" in doing therapy work with a client. Even if clinically trained similarly, since counselors are human then their response to your question will reflect their unique differences as humans. On my list is when the emotional pain I feel for someone describing some type of injustice or unfair treatment by another, feels very deep. Sometimes I feel like avoiding the pain I feel by asking questions which will steer the conversation away from the painful areas the client talks about. What in fact is necessary to clear out their pain, is to step further into so as to realize their emotional pain isn't greater than who they are. "
Does counseling really do anything that can help people?," Yes, counseling can help people. How this happens is bc the counselor can guide the person or couple into deeper areas of their thoughts and emotions than the person or partners would typically avoid or not even realize they are avoiding. Also, a counseling session offers emotional safety because the therapist will intervene with thoughtful questions if someone's strong emotions overwhelm them. This is different than in everyday circumstances. When someone feels overwhelmed by their own or someone else's feelings, there is no one who asks reflective questions. Last, people get better in therapy because often therapy is the first time the person has a chance to trust someone with their confidential information and know this information will always be protected. "
"I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.
I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?"," Hopefully you feel you have the time to follow this procedure. 1. For a week - log when you smoke - time, place and activity 2. Plan on cutting back 10% for a week.Cut out the easiest times. 3.Next change the times and and activities for 3 days - consider water or candy or gum if it is very tough. 4. Cut another 10% each week until you are done. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?," I will work with clients and continually review progress with them and determine if counseling is helping. If a client appears to have less to talk about in sessions, appears more stable for a period of time and has reached therapeutic goals I will talk about termination. Some clients however I may continue with on a monthly or bi monthly process to allow for check-ins to see how they are doing and if they need more help at that time. "
"I am in my early 20s and I still live with my parents because I can't afford to live alone.
My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?"," Hello. It sounds like you and your parents are not balanced in your communication and awareness of expectations. Your growth is not only reflected in your ability to understand and apply new knowledge and skills, it is also reflective of your parents acceptance of your understanding and application. Have you tried talking with your parents to let them know your concerns? This talking is best when face to face and during non active conflict ( can't begin stating rules during an argument, etc). Sometimes it is even helpful to write down ways you feel you can be supported by them and supportive to them. Maybe share this list or reflective piece with them to review, or use when communicating the expectations. Unfortunately, until there are clear expectations stated and expressed, the scale will be uneven and frustrations will increase. Dr. T "
"After first meeting the client, what is the process that a counselor facilitates?"," After meeting a client, many Counselors will ask you lots of questions in order to complete a thorough assessment of what you came to counseling for. This assessment is required by most insurances and allows the Counselor to give a diagnosis, which is also required by most insurances in order for them to pay the Counselor. If you are paying out of pocket, this diagnosis is not really required for payment, but many Counselors will still perform a comprehensive assessment because we really want to know what the issues are that brought you to us. The better we understand what it is that bothers you, what you would like to get out of the counseling, and all the various things that tend to affect people such as family upbringing and medical issues, the easier it is for us to help you reach those goals. How the counseling actually plays out from there depends a lot on the theory that the Counselor uses to direct their approach to counseling, and that information is too much for this little post. "
"I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?", Many people cry during their therapy sessions. Actually most people cry in their therapist's office. I tell my clients that it's safe to cry in my office and crying isn't a sign of weakness. It's a normal human response to pain. People actually do more harm to themselves by trying not to cry than by crying. Crying is very cleansing and an important part of the healing process for many people.
How does a counselor decide when to end counseling sessions or to terminate working with a client?," In general, I usually let the client decide when this should occur, sometimes with some clients it will be a joint agreement, but even in that case it should weigh mostly on what the client feels. In short, therapy ends when you feel your done. C "
"I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years.
How can I deal with being bullied at school when the teachers won't help?"," To be bullied is very painful. I'm glad you know the bullies are doing the wrong thing and whatever they are telling you is pure meanness. Depending on how independent you feel, why not tell either your classroom teacher or schedule an appointment with the vice principal? Bullying other students is taken very seriously in some states and schools are expected to address the bullying until the victimized student feels safe. If you hesitate to do this on your own, then would you ask either of your parents or even a friend of yours who is also in the school, to report the problem? In case you are afraid the bullies will retaliate for reporting them, then tell this to whatever school authority you decide to ask for help. You're entitled to be protected by your school. "
I need help knowing how to deal with stress. What can I do?," Something different works for each of us. There are the outward answers of self-pampering and making your home and work environment as pleasant as possible. A deeper level way to decrease stress is through exercise or alternative practices like yoga or tai chi. If the stress is more deeply rooted than temporarily feeling irritated for a few days, then give yourself some time to reflect and clarify what the meaning of the stress is to you. Self-understanding and appreciating your efforts to know yourself may decrease stress because you'll be more focused and attentive to who you are. This will influence you overall to make good decisions for yourself and these will naturally be ones which decrease stress as much as possible. "
"I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why,
I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it.
How can I help myself to change my behavior?"," Hello. I have to wonder from a behavioral perspective if what you are doing is useful for you. In other words, does it serve a purpose in some way when you find yourself doing it. Yes, this could well be an expression of anxiety, or maybe some type of coping skill you have developed over the years to deal with stressful situations. Yet it sounds like you have developed a sort of knee-jerk behavioral conditioning that causes you to do this behavior during specific (or perhaps even non-specific) circumstances. Do you think it is a self-soothing behavior? Do you feel good after you have done it? The behavior itself is likely causing some form of slow physical damage, so I would recommend you have yourself checked by a doctor, to rule out any injury. If none exists, this obviously doesn't excuse the behavior, it just says that for the moment luck is on your side. When we do any behavior of any kind, it is good to ask if what we are doing has merit or value. Is the behavior helping us to solve our problem, or is it merely creating yet another problem by doing the behavior in the first place. In the same way that a person might drink excessively because they are stressed and need to cope with some unresolved issue, when they are done drinking the original problem will still likely be there, but now they are intoxicated. No closer to solving the issue. When we deal with things like anxiety or depression, we need to do things that work on dealing with the symptoms, but also get to the root issue that created those feelings and find effective solutions. So the things we do to cope with life events need to not be ones that cause us harm, but rather support us as we move forward and work to deal with what life throws at us. Sometimes seeking support from a friend or a counselor is a good idea. Being given the opportunity to express your feelings about what is going on around you and getting feedback and insight from others is much more effective than actions of self-harm, wouldn't you agree? So I would encourage you to find a counselor or a trusted friend who can help you find positive behaviors you can take to deal with your feelings, as you also work to find the answers to the day to day issues of living a life filled with promise and opportunity. Reach out if you need help...there will likely be a hand there waiting for you. "
Every winter I find myself getting sad because of the weather. How can I fight this?," One theory is that instead of ""fighting"" your feelings, accept your sad feelings and work with them. Feeling sad may open many doors to reflect and make peace with the source of your sadness. Also, I believe fighting against the natural cycle of rest and hibernation may not even be possible to succeed. Winter for most creatures is a time of withdrawal and slowdown. Our bodies and moods are part of nature as well. Fighting what is part of nature seems like a tiring fight which the person will lose. Last point, there are the winter holidays to break up the dark and cold of winter. Maybe you can invent some of your own winter celebrations so you'll have a few gatherings to look forward to hosting. "
"I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn't believe me, then my mom goes along with my dad and acts like she doesn't believe me either. I'm a panintercourseual, but I can't trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust."," Life sounds extremely frustrating for you right now. As long as you've reached your conclusion that your parents do not take you seriously when you would like to speak with them on a serious topic, and that you feel unable to trust either of them, then work with your own information. Many people don't know how to listen and aren't trustworthy. As painful and aggravating as having parents who fit this description, you're better off to honor what you realize than to continue fighting what is not in your hands to change. Since you write about having a similar problem with friends, then maybe this comes about because you pick friends who are similarly unsatisfying to be with as are your parents. The first step out of this dilemma would be to accept how crummy you feel about the way your parents are toward you. If you're able to live with the sadness and resentment of having parents who don't want to know how to understand you, then you'll start to develop a new and more satisfying definition of what you expect from the behaviors of your friends. Trust yourself that what you feel and see is accurate, then it becomes easier to trust and welcome new people who are formatted differently than either your parents or your friends who sound very similar to your parents' ways. "
"My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.
I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.
Do I have the rights to be able to sign my brother into mentalhealth facility?"," The answer depends on what State you live. Since the description you write here is that your brother may be a serious risk to himself and others, it is worth contacting a mental health hotline or one of your local area hospitals and talk to a social worker or other professional level person in their psychiatry department. Ask the same question you posted here. Your question is a good one and merits serious follow through. "
"I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal."," It sounds like you are trying to find a label to help you to understand why you are feeling the way you are feeling. Sometimes there are no labels for how we feel. Sometimes there is no name for the emotions that we are experiencing. Regardless, you do not have to continue to feel this way, no matter what you call it. If you are seeking to experience an internal calmness such as your external calmness, you may want to try some mindfulness practices or meditation. However, being able to get at the root cause of what you are feeling may be what you need to help you release this feeling for the long term. I recommend seeking support for this to allow this internal screaming to get some air and begin to breathe. "
How does a person start the counseling process?, The first thing to do is to reflect on what you want to seek counseling. Search online and then set up a phone consultation. A person can find out a lot about a counselor and the services that they offer over the phone. After a consultation then set up an intake questions. The overall goal is to make sure that you are comfortable with the counselor and the services they can offer.
"I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
What is wrong with me, and how can I stop having these thoughts?"," First off, there is nothing wrong with you. In fact, having random thoughts we feel we cannot control is actually quite common and normal. Sometimes our thoughts think they are protecting us (if we think we aren't worth anything, it won't hurt when we get rejected) but they are actually doing quite the opposite. They are keeping us ""stuck"" and creating a self-prophization. (If I think I am not worth anything, I don't have to try, and I will keep proving to myself that I am not worth anything). There are many techniques to work through and start to change our negative self-talk. There are actually many self-help workbooks that can help with this as well. A technique I like to use is meditation or mindfulness. This can teach us to accept our thoughts (not fight them) and then learn to let them go. Release the power they have on us. If we can learn to release these and not ruminate on them, this will give us the space to allow more positive and supportive thoughts to come in. Mantras can help with this as well (I AM worth a lot, I AM important, I have value). Saying these to yourself everyday over and over (even if at first you don't believe) can retrain our brains to believe it (and allow us to believe it). I have even wrote positive mantras to myself in my bathroom mirror so I am forced to look at these throughout the day. Please remember to not be hard on yourself as you begin to attempt to change the automatic thought patterns. It took a while for you to get where you are and it will take a while for this change to kick in and feel normal. So allow the process to happen slowly and allow yourself to accept you as the amazing and brave person you are. "
"I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk.
In the past, I have even cheated on my boyfriend while I was under the influence of alcohol.
But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem?", Speaking with a licensed therapist will help you figure out if indeed you have a problem or not. I would say the first question you should ask yourself is why you are drinking? The second would be why you feel the need to drink in excess? It may be due to a life event or the crowd you are running with. Either way a therapist will be able to help you through this as you already made the first step in admitting you are having a difficult time.
My boyfriend is in recovery from drug addiction. We recently got into a fight and he has become very distant. I don't know what to do to fix the relationship.," I would first suggest you sitting down with him and voicing your concerns about how distant he has been, or more importantly you have felt that he is. This will give clarification to the situation as we need to remember that everyone's perception can be different. Remember that relationships take work and take communication. "
How does a person start the counseling process?, I think it is important that you are able to convey what you are looking for in a therapist even if that changes over time. You need to look at it like you are interviewing the counselor and that they will be able to provide you with the therapy you need. To many times we do not know and it ends up not being a good fit and then people are left with a bad experience and do not want to re-engage. Remembering you are basically hiring someone to help you so I would treat it as such. Do some research and be clear as to why you are coming to therapy and ask questions as how they will be able to help you.
"My brother has been a heroin addict for years, and he's now in his mid-30s. He has taken from me my mom and my grandparents. He's sick in the head. Now he moved his girlfriend into the house because they both manipulated us. Today, my mom and my brother went toe-to-toe over his girlfriend not helping around the house and always being high. I ended up hitting my brother for getting so close to my mom's face. I feel terrible, but he's always picking his girlfriend over us. Mind you, he tells other girls that he hates his girlfriend, he's single, and she's only living here because he feels bad. We tried kicking them out and everything, but nothing is working. They do nothing to try and help.", I think the best thing for you is to speak with someone on how you can best cope with the situation. It can be challenging living in a household with someone who is currently addicted. It is also important that you realize that you can only work on yourself. Other individuals need to take the same accountability. Enabling often happens in households with addiction. It can be a challenging environment to live in.
"I am in my early 20s and I still live with my parents because I can't afford to live alone.
My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?"," Unfortunately I think most of us have heard this, so you are not alone. If you are still under her roof she has leverage as to what her expectations are while you are living there. I would consider therapy for the both of you to see if there could be a middle ground that could be agreed upon. Often times a 3rd party can help with conflict. If there is no resolution then I would look to get creative in finding a place of your own. "
"I have three children: a biological daughter, a stepdaughter, and a stepson. I found out my stepdaughter overdosed today. My daughter blames me. I told her to stay out of it. I'm scared of all three kids now. They all blame me for their choices they made. All three have drug addictions. I had a stroke in 2013 so I need to depend on people from now on."," Blaming others is one of our greatest coping mechanisms. It is not just for addiction, and often we blame the ones closest to us. You can not stop them from blaming you, you can stop yourself for taking on the burden. We are all in charge of the choices we make. No one makes us do something other than our self. We choose how we internalize and react to situations. I would find a good therapist who understands family dynamics and addiction to help you cope with your current environment and help you move forward. "
She's my stepmom. I'm pretty sure she's illegally buying the drugs and hiding them from my dad., I would suggest having a conversation with your dad and then having a conversation as a family with your stepmom. Usually there are other signs of use that can often be missed. Be aware of behavior changes and mood swings. Be supportive and ready to listen often times individuals suffering from addiction will deny use until they are ready for help.
I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better?, First I am so sorry for your loss. Most people go through the grieving process. I would get a better understanding of what that process is. Everyone has their own way of handling loss. You are taking the first step in realizing that you are having a difficult time coping with it. I would reach out to a therapist that has experience treatment patients with loss. I would also recognize that drinking and smoking are both substances that will not make depression or depressive thoughts any better.
"My friend is abusing her prescription medicine. Even though she told me she didn't have any more pills, I found she has prescriptions for anxiety medications.", Your friend needs to admit they have a problem. If not no matter how many pills you take they will find a way to get more. It is also a federal offense to take someone else's medication so if you did take it she could have you arrested. In other instances it can be more dangerous to take medication away than slowly tapering off of them. Like anything we put into our system our tolerance builds up and can effect us in different ways. I would listen to her and discuss why she feels that she needs to be on the medications rather than playing bad cop in this situation. Encourage her to get help and let her know you re there for her.
"My boyfriend and I recently broke up. One week, we were fine, and the next, he told me he needed space. He completely deleted me out of his life. He does have an opiate addiction. He claimed he was sober, but since we've split, I've heard many lies from him. Could he be using again, and does this addiction affect the mind?"," Studies have proven that addiction affects the brain, there are many coping skills that addicts use to enable their addiction as well. I would recommend that you speak with someone abut your relationship and your concerns. Not only so you can have more clarity in the situation but we often tend to gravitate around or toward the same types of individuals. Being more aware of your relationship will help you in the future when re-engaging in personal relationships. "
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," The most important thing to ask yourself here is, ""how did this action affect my relationship, and is it worth the consequences?"" Regardless of your intentions in this action, your boyfriend is uncomfortable with this type of behavior. From here, we can objectively decide if spending time with your previous partner (because that is likely what your boyfriend sees them as) is worth harming the relationship you currently have. It is very rare that a person would be comfortable with their partner spending more than a very little amount of time with their exes. Many times, it just gives the wrong impressions. It is very possible that your partner may believe that since you spend so much time with them, that they are still a contender for the most intimate relationship you have to offer, and truth be told, they kind of are. The best intimate relationships, are friendships first and foremost. It is also a good thing to consider what you are getting out of the relationship with your ex that you are not getting out of the relationship with your current boyfriend. If you go to this person for emotional support before your boyfriend, then it is very likely you're involved in some ""emotional infidelity"". When we turn to others instead of our partner, it is as if we ""ran into another person's arms"" instead of theirs. No matter who you are, that hurts. "
"I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.
Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
Are they right, am I depressed?"," Although some people managing depression feel sad or ""down"", it is a possible to have depression without an obvious sad mood. Many people indicate that they feel numb or flat. People managing depression often have low motivation. They may stay in bed for long periods of time and only get up for absolutely necessary activities. People with depression may also feel inappropriate guilt or shame. If you have been experiencing the symptoms you described for more than two weeks, I recommend that you see a counselor to get a more in-depth evaluation. The symptoms you are experiencing are typical of depression, and with a bit of support, you could regain energy and improved self-esteem. The stigma surrounding mental health can make a diagnosis or a label of depression seem scary. The important thing to remember is that mental health disorders are as important as and as treatable physical health disorders. Hang in there. Healing is possible! "
How does a person start the counseling process?," Approaching a counselor can seem intimidating at first, but most mental health professionals want to help you feel safe and heard. You can often find counselors using search engines like CounselChat or Psychology Today. These websites allow you to get to know therapists before you take the next step. These days, counselors have websites where you can learn even more. These websites usually have clear instructions for contact. Typically, you can reach out via phone or email to request a consultation. During a consultation call, you can ask the therapist questions about their credentials and areas of expertise. If you feel like you connect, you can schedule a first session where you will tell them more about yourself and why you are seeking therapy. The thing to remember is that therapists want you to reach out to them, and they are happy to be approached for support. Good luck! "
"I just took a job that requires me to travel far away from home. My family and I really need this job.
People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?"," First of all, congratulations on your new role! Transitions can be challenging, and it sounds like you are experiencing a lot of change. This would be difficult for many people, and it seems that you have an added layer of challenge. I recommend visiting a therapist to determine the root cause of your anxiety and working to unravel those causes piece by piece. I know seeing a therapist can be challenging when traveling, and online counseling could be a good solution. In the meantime, here are a few of my favorite anxiety stopping strategies. 1. Grounding Exercises: When you feel your anxiety increasing, take a deep breath and begin things in your room (or where ever you are) that have things in common. For example, name all of the blue things that you can see. You can also do non-visual grounding exercises like naming all of the hte sports teams you can think of or all of the state capitals. This will get your mind off of your anxiety and connect you to space. 2. The pretzel: This is a seated pose that will stop any anxiety attack in its tracks. Start in a seated position and cross your dominate leg over your nondominant leg. Then, stretch your arms out in front of you with the back of your hands facing one another. Cross your arms in front of each other so that your palms are touching. Flip your arms into your body. You will end with your elbows by your side and your hands crossed under your chin. Close your eyes and take long breaths in through your nose and out through your mouth. This calming pose will help you get through even the toughest of panic episodes. 3. Bilateral stimulation and visualization: Start in a seated position with your hands placed on your knees. Tap each knee in an alternating pattern. Close your eyes and begin visualizing a peaceful setting. The combination of bilateral stimulation and visualization will help calm your body and mind. I could go on and on, but these techniques should get you started. These techniques should help you manage anxiety in a pinch. Best of luck! "
I just wanted to get to know one so I can hear about their college experience and the courses they took. I also wanted to know if they enjoy their job and how long they were in school.," Mental Health is an exciting and rewarding field. I hear you saying that you want to be a psychologist, and that is one path to working in mental health. You could study psychology, social work or counseling to become a practicing therapist. I am a Licensed Professional Counselor Associate and a Licensed Clinical Addiction Specialist. I currently provide assessments and supervise several counselors in a large clinic in Asheville. I also have a private practice online. I studied Sociology and Interpersonal Communication as an undergraduate, and then I received a counseling masters degree. My master's degree was comprised of several supervised practice courses and theory courses. I really enjoyed my education, and I find my career equally rewarding and enjoyable. If you are considering working in the field, I recommend emailing several counselors, social workers, and psychologists in your area and setting up an informational interview. Not everyone you contact will be willing to give you their time, but many may. This will help you determine which path to therapy may be right for you. Licensing restrictions and abilities vary state to state and a local practitioner may be able to provide you with a specific list of challenges/triumphs about their particular license and education. Psychologists are usually PhD level practitioners and require more education to begin. LCSWs , LPCs and LMFTS can practice with a master's degree. Best of luck! This is an exciting time. "
"How do I make myself happy without the people who made me happy? Now that they're gone, I feel sad. It's been two months now but I seem to be unable to stay okay and independent."," Hello. So, someone made you happy but is no longer around? I am sure that feels devastating. As a counselor I usually have to ponder this kind of thought because it lends itself to suggesting that happiness comes from the external, rather than the internal side of a person's life. Happiness is formed within ourselves. All the external trappings of happiness are usually quite fleeting, and temporary. Even relationships fo not last forever. If we get to a place where we are reliant and dependent on those around us to create happiness in our lives, then we lose the opportunities for us to do it ourselves. We are entirely capable of finding ways to be happy. Sometimes this entails working out issues that are holding us back from reaching a place of peace, or resolution to a specific problem. What I would offer to you, is to find ways in which you can develop happiness for yourself. What do you like about your life as it is right now? What can you do to create change in your life to increase your happiness? These kinds of questions can be valuable to you as you seek out ways to make happiness an internal rather than an external event. Mourning the loss of a social connection (in whatever way that occurred), is part of the grieving process, but it is not permanent. It is a path to healing and moving forward. From this, you can seek out new sources of happiness. I encourage you to remember that happiness is independent of the external experience you have in the world. Happiness is an expression of the internal feelings, so that will be the source or the font of positive emotion from which you really draw. If you are lacking in happiness, then it becomes important to examine why that is, and what you can do about it to promote self-care. Seeking out a professional counselor can also be a good option as you move through the grief/loss process and examine the reasons happiness is not in greater supply. I wish you happiness for every day of your life. Best wishes. "
"What am I doing wrong? My wife and I are fighting all the time. What can I do? We don't agree on anything and she usually jumps to conclusions, which are usually wrong on how I feel. She is very family-oriented while all of my family left me on my butt, abused, ignored and messed up with me mentally. I'm not a family-oriented person. I only have two people in my life - my best friend and my wife.
My mother forced my father out of my life so I do not know who he really is. We've gotten in contact but he just makes comments on how much I look like her when in fact I look more like him. This makes me mad because I don't want to look like my mother. I hate her. All that she did was bring me down and make me homeless, which she was successful at. I need guidance in my life. I don't want to lose my wife but we need to have a space because we usually hit each other and it's not healthy. I'm dying to make our relationship healthy. I've never wanted anything more than this. Please help me. I need your advice."," Hello. It sounds to me like you are carrying an enormous amount of emotional weight, and maybe even an equally enormous amount of guilt and feelings of failure about your marriage. I cannot imagine how challenging this is for you right now. Marriages take lots of work, and often the only examples we tend to have are of those we saw when we were young - good, bad, or indifferent. There are no easy answers to your questions, and I won't presume that my response to you will be the linch-pin that heals all your pain. But I can maybe give some thoughts and reflections. First and foremost, cut yourself some slack. No one is perfect. We fail more often than we succeed, but in the end we learn, and that learning helps us grow. Yes, you're right, the abusive aspects of your marriage are not good, and need to stop. You probably are doing more harm than good in that regard, and this will quickly destroy anything you have in your marriage that is even remotely in your favor. Seeing a therapist for yourself, and then seeing a therapist as a couple is a good approach. You have issues that you need to resolve, that, while they impact your marriage because they are part of the history of your life, they are separate from your marriage in many respects. Joining a marriage support group can also be helpful. You can find these through local counseling resources. Sometimes your local crisis numbers can provide services in your area that can be helpful. If you belong to a religious or spiritual community, then you might see if there is any type of counseling offered for free or at a reduced rate. Sometimes pastoral support is focused on the spiritual side of any issues addressed, so if you feel this is important it might be a viable option for you. Lastly, parents are imperfect. Yep...its true. They had no more of a guaranteed parenting success manual than you do at having chances for a perfect marriage. We limp along and do our best. Having said that, we can still take the best from our past and apply to our future, no matter how small or insignificant it might be for us. The bad stuff serves as lessons of what to avoid, and we are each responsible and accountable for our actions in this life. Both with ourselves, and toward other people. So this becomes a guiding principle in our actions. It may be that you discover that the marriage you are in is not a good fit. I am sure that remains to be seen, but either way you both must be involved in saving it. If only one of you cares, then 100% of the energy to salvage the marriage rests on the shoulders of one person. That's not fair. So be sure you have a clear understanding from your wife about what she wants, and work to create an amicable solution. All of this said, seek out supportive friends, and actively work to do your part to make the changes you want to see in your life. One way or the other, you will benefit from it. Be well. "
"I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
What can I do to manage my stress?","It sounds like you are experiencing burnout and have very little, if no job satisfaction. There are some aspects of this that are in your control and others that are not. What type of work do you typically enjoy? Do you enjoy high stress work? What keeps you in this job? Is there a reason you have stayed? Is your boss reasonable to have a conversation with? I recommend a few things. For one, you may want to have a discussion with your boss about your job duties and see if there is a way to either eliminate some responsibilities or get higher pay. Another option, if you are unable to have an open conversation, you can start to look at an ideal work situation, what would you like/ be OK with/ absolutely hate about a job. Then possibly try to look for a new job that fits these qualifications. If you are unable to leave your job, you may want to attempt to balance your work life with more activities that create joy outside of work. Sometimes that balance can help you tolerate work more. I recommend that you find a supportive person to talk with and process these frustrations as burnout can lead us to do things we may regret. "
How does a person start the counseling process?," The easiest way to start the counseling process is to do a little research online. A quick search for the type of counseling you are looking for can be helpful. There are lots of Counselors out there to choose from, so many times you will have to take it a few steps further than that. Check out their website, social media, and any reviews (but remember, people are not always very nice). If you plan on using insurance to pay for at least part of the services, look for one that is in your network. You can find out if someone is in your network by looking for providers on your insurance's website. If your coverage isn't that great and you know you're going to be paying for it all anyway (because you're an all-star and verified your coverage already with the insurance company), then you can really pick any Counselor you want, but working with one that is at least out of network will give you the benefit of having it applied to your deductible. If you have any questions about that process or just want some help in getting your benefits from the insurance company once you've started counseling,
Better is a good option. Once you've found a Counselor you think is a good fit for you, normally the best step to take here is to call and schedule your very first appointment. With many Counselors you can now send an email, but a phone call can normally tell you quite a bit about someone and their clinic. Once you're all scheduled, they will either get you to do some paperwork before you come in, or many times they just let you fill it out once you get there. From there, all you have to do is show up! "
I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?," It can be uncomfortable talking to someone about your life in the great detail that is normally necessary for counseling to be beneficial. Since you're already going to counseling, congratulations on taking that big, first, stress-inducing step. Hopefully by now you are starting to feel a little more comfortable with your therapist. It can be helpful to address this big ""elephant in the room"" and talk to your therapist about this. I do my best to help people feel comfortable when they come to counseling, but regardless of how hard we try, sometimes it is just a little hard to get accustomed to. The good news is, the more you keep at it, the more ""normal"" it will become. "
"I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.
Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
Are they right, am I depressed?"," 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. "
"I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
What is wrong with me, and how can I stop having these thoughts?"," 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. "
"I don't remember when the voices in my head started, but I remember Hearing them when I was little.
I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?"," 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. "
"I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why,
I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it.
How can I help myself to change my behavior?"," Give yourself a lot of empathy and care for having had a rough childhood and realizing that life can be better than how you were treated when growing up. Be patient with yourself too bc lasting change takes time. Alternatives to hitting your head require constant gentle reminders to do these new behaviors, or if you've discovered a satisfying alternative in one moment, time is required for you to repeat this alternative until it feels natural. Anxiety usually means someone did not feel well understood growing up and was rushed to comply with the wishes of others who were a regular part of their lives. Anxiety lessens as the person starts to know and accept their wishes and needs as valid. Allow yourself to learn who you truly are in the spirit of accepting whatever you discover about yourself. The behaviors will naturally change with your new understanding and self acceptance. Good luck and enjoy this self discovery project! "
"I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before.
I feel like I don't want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered ""wrong"" by a lot of people.
How can I get myself to just move on?"," Love is a deep and nuanced feeling so start to accept that a simple cutting of emotional connection isn't possible. Honor the love you felt for this person. Acknowledgement of your love feelings will most likely help you find a dignified way to accept them while at the same time slowly developing new ways to live your life in a way which does not include the actual person. Your feelings will always belong to you. The newly discovered sense of how love feels will be with you and positively influence all your relationships. There is a benefit to feeling loved even if it is not forever in this lifetime. Also, your partner opened your feelings, the feelings which showed in fact already were within you. He opened the door and this door belongs to you. I hope you will find ways to appreciate having been loved and to be open that your feelings of being loved are a positive influence in all your relationships. "
How does a counselor decide when to end counseling sessions or to terminate working with a client?,"For a therapist, deciding to end counseling sessions or terminate working with a client is a thoughtful and intentional decision. One that is not entered into lightly. While there are many considerations counselors take into account, to help answer this question, I'll offer an example of two areas that counselor's take into consideration when ending counseling sessions:
- Does the client need different or more specialized care than the current counselor can provide? This requires the counselor to determine whether referring the client to another therapist or health care provider is needed.
- And, has the therapeutic relationship reached treatment goal(s)?
While this question is specific to the counselor, I'd like to also add that
a client, at any time, can end counseling. "
How does a person start the counseling process?," Starting the counseling process can be daunting but here are some ways that hopefully help make the process a little less overwhelming. First,
- I'd start with finding a therapist through a therapist directory and searching for a therapist specifically in your area and with the expertise you're looking for. There are many reputable therapist directories online that offer specific information and links to therapist websites to learn more about how they can help.
Next,
- I'd pick two or three of interest to contact directly. Have a list of questions that are important to you that you can ask to determine whether a particular therapist is a good fit. Many therapists offer a free phone consultation to allow you both to determine whether it is a good fit.
- Then, after you schedule, the next step is to see what it's like being in session to determine if the fit is still a match.
"
"My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.
How can I feel more comfortable around other people?"," It sounds like you have taken on a caretaker role for a while as well as experienced some pretty severe interpersonal trauma. It makes sense that you would feel nervous around people. Working through the trauma of an abusive relationship in itself can be a difficult process. And then to add on the caretaker part can make things even more difficult. First off, you may want to seek support to work through what you have experienced. Many cities offer support with survivors of domestic violence and there is a hotline to help with this 888-724-7240 as well as online resources. Processing the isolation of this relationship as well as working with your son can help to overcome the anxiety related to others. Accessing autism support networks may be of support as well. Other parents that will understand your experiences are a good and tend to be safer place to start in attempting to connect to others. Very importantly, go slow and be kind to yourself as you begin to adapt to a new life of allowing others to care for you as you so clearly have for others. "
"I don't remember when the voices in my head started, but I remember Hearing them when I was little.
I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?"," How is your life going overall? Since you hear voices since you were young I wonder whether you mean the thoughts each of us has about what to do, our opinions, including self-criticism and praise. I try to understand how severe a problem these voices are if you've managed to get to a point in life of awareness about the voices. Usually when mental health people hear about voices the immediate thought is you need drugs bc you are psychotic. Since this is going on for a number of years, I wonder if the problem is something different. "
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," Hello. There are a number of factors playing into this situation. A former romantic partner coming back onto the scene during a current relationship; you spending alone time (and spending the night) with that former partner; and the uneasy feelings experienced by your current partner (boyfriend). Now those are the ones you have openly expressed. There are very likely other issues that prompted this behavior on your part. You ask if you were wrong. It is not a question I will be able to answer, because it is not one I am meant to answer. It is up to you to find that truth. Now, if you are feeling guilty, was it because of some intercourseual engagement occurred when you spent the night? If so, you might want to look at why that happened. Do you feel secure in your current relationship? Is this the relationship you want, or do you want to be with the former boyfriend? Important questions, but ones you need to ask and answer. Odds are, there is something that triggered this event to occur and it becomes a focal point in discovering any unexplored discomfort or other issues with your current boyfriend. Seeking relationship counseling can be effective in sorting this out, so be open to that possibility to help you clarify your thoughts and feelings. Best of luck to you. "
"There is just no communication at all between us. She sleeps constantly all day (not at night). She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat.
She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health.
I don't know how to communicate with her. She is not open to any suggestions. How do I get through to her?"," I'm sorry for what sounds like a frustrating situation. For how long has your daughter lived the way you describe and did it start all of a sudden or more gradually come on? What you write sounds like a major depressive disorder and this can start for a variety of reasons and improve in just as many different ways. Start with how you are feeling about the situation. Ask yourself for how long you will be able to tolerate the way your daughter lives and if you feel any satisfaction in your mother daughter relationship. If she is of legal age, and you don't want her to live with you, you've tried convincing her to get medical care for its own sake and to more clearly see her emotional and psychological health, and she is unwilling to take care of herself, you can discuss your options with the adult protective services agency in your state. The first step is to know what exactly is her problem so you can decide if its own you are willing to take care of or not. "
I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?," You wrote that each of you is under the age of 18. A 15 year old cannot be a pedophile because you're not an adult. Also, if you mean ""girlfriend"" in a romantic way then this makes sense bc romantic relationships include physical attraction to the other person. "
How does a person start the counseling process?," I always suggest that you find the right fit. You have every right to interview the therapist and ask as many questions as you need. It is our job as a therapist to explain our approach and philosophy. This gives you a good overview of the therapist. Just call and say that you would like to talk to the therapist. Say your interested in the services but unclear about how the process works. From there a seasoned therapist should be proficient in helping to guide you through the process with ease and comfort.
www.lifecounselingorlando.com "
"I am in my early 20s and I still live with my parents because I can't afford to live alone.
My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?"," Unfortunately you seem to have yourself in a double bind. By living with your mom she is not going to stop her attempts at what you perceive as ""controlling"". There is no use in trying to debate or get her to ""see your point"". As long as your there and you personalize her attempts at control, then you will find yourself frustrated and resentful. Try to find an extra job or a roommate so that you can do the natural process of moving on out.
www.lifecounselingorlando.com "
"I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone?"," We feel alone because we are not comfortable with being our self. When you find that nobody is around do you feel alone? Your never alone. Once you take the journey to really understand who you are and unconditionally loving all that is you, there will never be an alone moment. We seek outside of self to fill inside. This is the big lie of the planet. All you need and have ever needed you supply yourself.
www.lifecounselingorlando.com "
"My boyfriend and I have been dating for almost 2 years. I've been really sad lately and for the past few months I've realized I'm just way too dependent on him. It makes me really upset to be so dependent on someone else, but I can't help it. I don't even know who I am without him.
How can I be less dependent on my him?"," From what you write you've got good motivation to change and awareness as to what you'd like to change. These are very good predictors that you'll be successful in what you'd like to change. Try, the next time you realize you're depending on your bf instead of friends, yourself, to interrupt whatever typical action you'd take. Do something different instead! If when you'd like advice and usually ask your bf, ask a different trusted someone. Or, when you feel lonely, contact a friend or introspect on your own if usually you'd contact your bf. Also, being dependent on a bf is part of a trusting intimate relationship. Dependency in the sense that you each are reliably available to each other, is a good quality. Only if it seems excessive, such as you're isolating yourself from other close friendships, is dependency on a partner, a problem. "
"My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough intercourseual attention from me.
I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?"," Definitely yes, it is possible for a couple to trust each other again and become close with each other. Since your trust was broken, your fiancé would need to earn back your belief that he is faithful to you. Do you feel he empathizes with how you felt to find out about his cheating? Before you have this question answered, based on what you write there is a sense of your own doubt as to whether you are with the right partner. Before you and he address regaining your trust, first decide if you'd like to work on this. Ask yourself if the intercourseual attention he felt he wasn't getting from you was bc you're not as interested in him as you imagine or once felt in the past. If each of you sincerely wants to be together, it is possible to talk about your respective needs and help the other person feel safe again with the other. "
"I'm dealing with an illness that will never go away and I feel like my life will never change for the better. I feel alone and that i have no one.
How can I overcome this pain and learn to be happy alone?"," Is it possible that even though your illness is chronic, that it goes through phases in which you are more comfortable and that it requires less focus from you than at other times? I think the idea of having a lifelong illness is frustrating and can be depressing to think about. Thoughts are not necessarily the truth of what will actually happen though. Illness makes negative situations look worse so be sure you are concentrating on specific areas of your life and not just assuming they will work out badly because you are ill. One way to be happy alone is to love and appreciate, nurture and be kind to yourself. This frame of mind may generate new answers to find ways of being among other people too. "
"After first meeting the client, what is the process that a counselor facilitates?"," Each counselor may have a different process, so I'm not the end all authority here. For myself, I review policies and confidentiality concerns with people first and answer any questions they have. Then I'll let them know I'll be writing a lot in this session and I have an assessment form that I like to get completed, but I want to have a conversation and I'll ask questions as we go. My first question is usually, ""How do you feel I can best help you today?"" Some people are very at ease and tell me many details. Others are a bit more reserved and I have to demonstrate more curiosity. Even people who have been very apprehensive are usually feeling very relaxed by the time the session is over. Usually, when we get close to end of session time, I'll summarize what I think are the biggest concerns from what I've heard and confirm whether or not the person wants to work on those things. I also try to give an exercise targetting my biggest concern for them to work on in between sessions. For instance, a relaxation method if they are very anxious. Counselors are just humans as well, so it does take a bit of time to really get to know another person. I always tell people that are apprehensive to give the counselor 3 or 4 sessions to determine if they really connect with them. I hope that helps, Allison "
"I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?"," Your fear may have deeper roots within your sense of who you are, than you realize. Fears are sometimes irrational so that logic doesn't get rid of them. Think about whether you felt secure and confident as a child. Also, did any major bad events happen to you with other people or situations when you were growing up? Often these overwhelming situations of childhood stay with us as fears of situations in our adult lives. If the root of the problem w the fear is from long ago, then probably a therapist who can ask you questions which help you remember upsetting childhood circumstances, may help you to dissolve the current fear. Another possibility is CBT, cognitive behavior therapy which teaches people short term mantras to do something which is safe, say being a passenger in a commercial airplane, which feels frightening to a person. CBT is short term and results are limited to specific fears. It is a much quicker approach than self-understanding. "
"I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends.
I spent the weekend with him and it upset my boyfriend. Was i wrong?"," While you can't be responsible for your boyfriend's feelings, relationships do come with expectations. Both people in a relationship bring their own expectations into it. These expectations are usually unspoken, but result in conflict as you are experiencing here! Your boyfriend expects you not to spend the weekend with this guy. He may expect you not to spend the weekend with any guy at all. He may expect you to spend every single weekend with him! You'll have to decide if his expectations are ones you can live with. Relationships do require some compromise out of concern for our partner, but you get to choose how much you compromise. We get upset about things that make us feel insecure. You spending the weekend with an ex makes your boyfriend feel insecure. That doesn't mean you did anything wrong. It just means that you have to decide if it's more important for you to maintain your freedom to spend weekends with whomever you wish, or to help your boyfriend feel secure in your relationship. Good luck! Hope that helps, Allison "
"I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?"," Lots of people do cry in session, but your therapist won't be uneasy with this. Crying is a natural response and it also releases toxins, so some might say it's necessary! Remember that you can be in charge of what you talk about in your session and if there's something that feels too uncomfortable, just say, ""I'm not ready to talk about that."" Your counselor wants you to feel at ease and will probably not push you right away to a very uncomfortable place. As you get to know your therapist, you will feel more relaxed and even not worry so much about how you appear to them. It's normal to be anxious going into a new situation especially when you might not feel in control of uncomfortable emotions. Don't give up, go and put your best effort in! Hope that helps, Allison "
"I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out.
How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do?"," While this might not be the first thing you want to discuss when you meet someone, it is important for you to be yourself. It's better to weed out 10 people who can't accept you to find that one who can. "
"My fiancé and I come from a strong Christian background but both went off the ""straight and narrow"" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others.
His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present?"," You are right that his insecurities are at the root of the issue. You cannot change that for him. He will have to do the work to handle those emotions on his own. What you can do is reassure him in whatever ways possible, but always recognizing that you can't ""fix"" this for him. When I work with people who struggle with their partner's past experiences, I always frame it like this: Everything that you've experienced has resulted in you being the person you are today. The person they claim to love. If you had not gone through some of those experiences, you would not be in the position you're in now, ready to commit to him and know that you're satisfied with that. Just as when bad things happen to us, we have to find a way to appreciate the lessons learned your fiance has to accept that you're the person you are today because of what you have gone through. Celebrate that you have moved through that and have landed in this perfect position with him! Hope that helps, Allison "
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?,"Initially, everything is a reminder because there is a trace of that other person present in everything in your life. When we lose someone, we're saying goodbye to what we thought our future was going to be. Accepting that's changed and allowing ourselves to envision a new future is necessary to ""move on"". Start learning something new or try a new activity that you've always wanted to do. Find whatever is ""good"" about being out of the relationship and focus on those things. This can be an exciting time of transformation for you. As time goes by, you'll add new things in your life that aren't entwined with this relationship and those things will begin to crowd out those things associated with the relationship. Give yourself a little empathy, no one goes through a breakup without being sad. It's ok to be sad. It's even ok to feel devastated. Loss of a relationship touches a primal need we have to belong. It makes us feel insecure, unanchored. In truth, we are ok, safe even. This experience will open different perspectives for you. There are lessons you'll take from it that will add another facet to you as a person. Maybe in time, you'll even appreciate this experience. I'm sorry you're hurting right now. Best wishes to you, Allison "
"I have PTSD. The side effects are really bad and have impacts on intercourse, anger and my relationships. I even lost my job month ago.
How can I get my life back?"," It is brave of you to speak out, PTSD is not a joke and it can quickly take a toll on all aspect of life. Please, know that you are not alone and with the right help you can overcome these challenges. Living with PTSD can be very emotionally exhausting, but you can learn ways to cope with its challenges and find fulfillment in your life again. This means being proactively involved with the process, learning about the problem and positive ways to manage it can be a good start. This can also mean seeking professional help. It is important to address the problem both at the physiological and psychological level, this can mean using medication that is prescribed by a MD to reduce the intensity symptoms and also working with an experienced licensed professional. Having healthy life habits such as good sleep hygiene, healthy diet, staying away from self-medicating with drugs and alcohol, and exercising can help reduce the intensity of the symptoms as well. Please, consult with a licensed professional close to you to get more information on resources you can possibly find helpful to you. "
"My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.
Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?","This is certainly an important issue to look into, It is always helpful to speak with the child's pediatrician since they are most familiar with the child's developmental history. Also, children tend to regress behaviorally when facing events and interactions they feel to have no control over, this can be as simple as a loss of a pet, a recent move, death in the family, and/or as serious as intercourseual abuse, and other things. If you have not spoken to the school that can be a good starting point. "
"I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
What is wrong with me, and how can I stop having these thoughts?","Talking to a licensed profession who can discuss this in greater depth can be best. As a general information, in short, I can say that our thoughts are greatly influenced by our early life experiences. Our thoughts are processed through schemes, these are mental images or templates by which we make meaning of the world around us. While our upbringing has a great influence on the way we see and interact with the world around us as adults, However, we are not condemned to abide by them for life, in psychotherapy, you learn to change negative schemas with positive ones. Yeah, if you had less than optimal childhood you would have some sort of negative schemas that unconsciously lead to self-sabotage your efforts for success and happiness. The research in the field of interpersonal neurobiology suggests that without conscious awareness and reflective practices we tend to interact with the world by repeating old habits of mind. On the other hand, in psychotherapy you can learn helpful strategies to increase your conscious abilities to stay in control of your mind in the present moment and reduce intrusions of negative mind habits. Yoga, meditation, and tai chi are also found to increase self-awareness and lessen the intrusions of negative self-judgment on one's psyche. "
"I just took a job that requires me to travel far away from home. My family and I really need this job.
People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?"," Bravo, on your success in securing a job and also for being proactive with your need. Starting a new job can be scary and having to travel away from your home and family can make it even more anxiety provoking. Do allow yourself to be anxious about this new journey, we can be hard on ourselves, think if it was a friend that was turning to you for help, what solutions would you have offered them, but also continue to seek to secure right support as well. Talking to your physician is always a good place to start; your physician can tell you if there are organic influences causing your anxiety that may be out of your control. Additionally, talking to close or compassionate family and friends is always good. It is important that you turn to supportive people at the time of emotional need, talking about our challenges can help break the cycle of anxiety at least momentarily. Remember, to further your success, it requires a healthy self, if you have supportive relationships relying on and turning to people who can be there without judgment is great. Healthy lifestyle like eating right, sleeping enough, and regular exercise also never fails to help improve overall emotional health. Additional self-care measures such as repeated relaxation practices can help you become more familiar with your nervous systems reactivity and you can implement strategies to ease anxiety in various situations as it demands. The more resources the better you will be equipped to manage challenges and concerns at the time notice. You can find a lot from the internet too, use your best judgment as what may not be appropriate for you there are some wonderful apps on most smartphones that can help you learn and practice grounding strategies to ease anxiety. If you have access to a therapy you find more specific strategies that would best fit your needs. Good luck, wish you a happy journey and much success. "
How does a person start the counseling process?," First, identify the areas that you need help with. What are the issues that are most troubling you? Are these situations creating an impact on your daily routine? Second, do some research as to the type of counselling service you are looking and that would best suit your needs. Are you looking for individual sesssions, couples/family sessions, etc. And research potential therapists in your area that focus their counselling approach on your therapeutic needs. Third, contact the therapist (most don't answer the phones, so leave a message or send an email). Don't be affraid to ask questions. You want to make sure that this professional is a good ""match"" for you and will work with you at working toward your therapeutic goals (the things you want to address/work on during the sessions). Fourth, have the expectation that, depending on the issues, you will need multiple sessions/appointments with the therapist to really address the issues and work toward your therapeutic goals. It takes strength and courage to reach out for help, but I know you can reach your goals. It takes time, patience, and practice do really address your needs. Good luck! "
"I love my girlfriend so much. I get an erection even just thinking about her or seeing her. But the two times we tried to have intercourse I couldn't get an erection. We've only had intercourse once and it was a long time ago.
Why this is happening and what can I do about it?"," I'm sorry to hear of your problem. First step as always when a possible medical explanation exists, go for a urology check up to either your internist or a urologist. Once you know there is no medical reason which would prevent an erection, then we can consider the psychological and emotion based factors. Maybe you're nervous about your intercourseual performance or that your gf may be disappointed in your performance. Men often mistake their own fears of performance failure with the assumption that their partner thinks about intercourse as a performance. Talk with your gf about whatever is on your mind which may inhibit you from enjoying intercourse. The reasons are endless. What matters is to have a heartfelt dialogue with each other. The emotional support which comes through such an intimate conversation may very well be the catalyst for a more relaxed and satisfying approach to intercourse w your gf. "
"I know I need to deal with my depression. But I don't know how and I don't want to tell anyone.
How can I deal with depression without telling anyone?"," Love yourself more and treat yourself kindly, with empathy and compassion. Usually when people feel depressed they also feel lonely and isolated. Since at this time you wouldn't want to tell anyone about the way you feel, which includes the possibility that a few of the ones whom you tell would offer you emotional support, give this to yourself. Also consider to make a goal of eventually telling someone whom you are reasonably sure would understand and empathize, about your depression. This will help alleviate the sense of shame, unworthiness and pervasive guilt which often comes along with depression. Sending you good luck! "
My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.," People often have very different values and opinions when they are drinking excessively and when they stop drinking so much. Did the two of you share drinking as an activity? If yes, then did you stop drinking too? Often when partners meet each other as drinking buddies when one gets sober, the relationship ends. Once the terms of any relationship changes, one possibility is that it dissolves. The best way to go is to start the conversation of what you genuinely want. This is the only way she'll really know your thoughts. Ask her to give serious consideration and discussion over at least a few weeks or months, to moving away from you. This is a fair request since you are in a relationship. If she's changed so much by giving up drinking, which is possible, that she no longer wants to be in relationship to you, then you are better off being without a drinking gf, even if the truth she delivers is a hurtful one. "
"I am in my early 20s and I still live with my parents because I can't afford to live alone.
My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?","Hello. Even though legally you are an adult, it is a matter of courtesy to respect the homes of your parents. As long as you live there, you should be considerate of their needs. At the same time, there should be conversation about what each of you considers appropriate as it pertains to communication between a parent and an adult (even though you are still her offspring). This will require openness, honesty, and a willingness to give from both sides in a respectful way. Healthy boundaries can be established and honored when each is willing to do their part in this new relationship. Your mother knows you are an adult, but has not had as many years of treating you like one. So mentally and emotionally this will take some time for her to adapt. Share your concerns with her, and see if you can come up with a set of rules that you both can honor. It will be a great stepping stone for both of you as you move into this new chapter together as you begin relating a little differently. Reach out for help to a counselor if needed. You don't have to sort this out on your own. And lastly, take good care of yourself in the process. You are moving through some exciting times in your life. The more you can have support as you explore new events, the better you might feel less stressed. Warm regards. "
"Our relationship ended about 7 years ago, but don't know how to let go. How can I get over that person and move on?"," What you're most likely trying to get over is to be attracted to the qualities which you felt attracted to in the person. The problem isn't releasing yourself from the person, per se. Letting go of a person means separating yourself from the qualities in a partner which you value. Two possibilities exist. Either you continue to feel strongly that the qualities in the past relationship are still meaningful and you'd like to base your next relationship on these qualities. Or, the person had qualities which are no longer relevant or necessary in your life and this is the reason the relationship ended. It is possible that even if you had an adequate exposure to certain qualities in someone that you simply miss the companionship of a relationship. See if you can figure out whether you need the qualities this person gave you or whether you simply like being part of a couple. If you like the particular qualities of your previous parter and these are still relevant to your life, you'll attract a partner who has similar qualities. Basically people attract what they need. The more open you are to attracting what you need in a partner, the more likely your next partner will have these qualities. In this way, you'll get over the particular person and still have the satisfaction to be in a relationship. "
"My husband and I had our first threesome recently. Everyone was drinking and he was on her more then me.
He and I talked about it afterwards and it made me feel better, and now I'm craving more of it. But before it gets close to happening I get this empty feeling. Why am I feeling this way?", Because the acrobatics and excitement of intercourse has nothing to do with the meaning of deeper emotional attachment to another person with whom we are in a relationship. Try to distinguish between your feelings of excitement from the novel intercourseual arrangement and what you feel is necessary in order to feel emotionally close and attached to your husband.
"I have PTSD. The side effects are really bad and have impacts on intercourse, anger and my relationships. I even lost my job month ago.
How can I get my life back?"," Slowly is the rate at which you'll get back your life. Being traumatized means not feeling safe in almost all areas of life. Be patient with yourself as you try to regain trust that people will not harm you and will be sources of satisfaction in your life. It is possible that the trauma in your life requires such great attention on your part to your own inner emotional safety that you are better off with a less intensive job than the one you recently lost. Try to prioritize restoring your emotional and psychological health. With this as the top area of your attention then you may have an easier time to accept a lesser degree of involvement in your work and relationships. When you feel angry, try to examine if underlying the anger are feelings of stress, fear, insecurity regarding your position in relationship to the person toward whom you feel angry. Anger is often the surface reaction to more destabilizing emotions like fear and insecurity. Gradually by nurturing and comforting yourself, living at a pace which is uniquely comfortable to what and how much you can handle, you'll regain your trust in both yourself and relating to others. "
"After first meeting the client, what is the process that a counselor facilitates?","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'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks.
Sometimes I feel i'm not worth knowing or i'm never going to do anything right.
Are they right, am I depressed?"," 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. "
"I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before.
I feel like I don't want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered ""wrong"" by a lot of people.
How can I get myself to just move on?"," There is no wrong or right way to define a relationship. I believe each
relationship we are in is an opportunity to expand and to know self on a deeper level. We are conditioned to believe that we are not valued, or worth much without the confirmation of others and the world around us. Give yourself time and try to not go to those who are toxic and enjoy the drama of others lives as s way to avoid looking at themselves. "
"I want to live with my mom. My dad gets angry and makes me feel like everything is my fault. I still talk to my mom although My dad tells me that I'm no allowed to. I'm scared I will make the wrong decision and that my dad will hate me.
How do I tell him that I want to live with my mom?"," Yes, from what you wrote, your dad doesn't accept responsibility for the way he feels and blames you for his feelings. I'm glad you recognize he's handling himself less as a grown person and more like a young child. I also understand your hurt and frustration that your father handles himself in a way which shows for now that he is unwilling to respect your wishes. Your decision is not surprising since most people wouldn't want to live with a parent who shows little interest to respect their kids' decisions. In terms of how to tell him your choice, do this in simple and most basic information terms. ""I've decided for now to live w mom"". I suggest to not offer reasons to him bc he doesn't seem interested in hearing them. Giving him reasons would likely trigger him to rebut them. If he asks questions, answer them as simply as possible. If and when you feel he is more willing to understand and know you, then you'd feel more free to have genuine dialogue with him. Right now he doesn't seem very ready to handle this. "
"We rent from from my boyfriend's parents. His father drops by unannounced and stays for long periods of time. He lets himself into our home when we aren't there on a daily basis and takes our dogs to his house. He picks up our mail. He has NO boundaries.
He's an opinionated, rude pushy person. He expects to spend every weekend around us, gives unsolicited advice on child rearing and does not respect our privacy at all. He barges in with no warning. He has a key and lets himself into our house without asking permission. I need help. How do I address this?"," You're expecting reasonable behaviors from your boyfriend's father. Since the father is his, your boyfriend is the person in position to speak directly with his dad about the expectations you and he have of the father. If your boyfriend has a good relationship w his dad, which is not what this sounds like, then great! If your boyfriend has a stressed and tense relationship w his dad, then somehow he needs to develop or be coached and encouraged by the people in his life who truly care about and know him, a way to state the very reasonable standards you describe here. If all else fails, then a new living space is always another possibility! "
"My dad makes me feel like shit and like I'm worthless. He calls me names and makes me feel depressed. I want to move out because I swear if I stay here, I'm going to lose it. What can I do?"," If you're actually able to afford to move out and support your own life, then this is a reasonable choice. If you're not in such a position and must continue for a while to live w your dad, then emotionally protect yourself from him. Doing so is much more difficult than maybe it sounds. Do you have privacy in your house and can you spend more time in a self-created safe space than around your dad? Also, limit the amount of dialogue you have with him so you don't offer him a chance to feel invited to criticize you. Are there other people who live in the household w you and dad? If yes, then are they similarly called names or are you singled out by him? What do the other family members do when they hear your dad calling you names? Is it possible the other family members don't realize how hurt and upset you are by your dad's behavior? If yes, then make a project for yourself to tell the other family members that you suffer from your dad's name calling. It is possible the other family members will step in and tell your dad to stop. Not necessarily that he will stop. Knowing the others support you emotionally and find you credible is helpful on its own. "
"I just took a job that requires me to travel far away from home. My family and I really need this job.
People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?"," Anxiety or panic attacks can be very frightening. Here are a few ""tools"" you can use that will help in the short term: Keeping your mind occupied by listening to books on tape may help; Counting backwards from 100 in 7's; Naming cities that begin with each letter of the alphabet; Keeping some ice or an ice pack in a cooler beside you, which you may take out and hold in your hand or to your face; Soothing self-talk such as ""This is uncomfortable, but I can handle it"" or ""I've been through this before and can make it through again"". I recommend that you seek out a Therapist to help you with some long-term solutions to the anxiety. Additionally, learning to breathe into the abdomen and practicing this daily is another long-term solution. Yoga and meditation would be great! "
How does a person start the counseling process?," Most counselors are very approachable and many offer a 15 minute chat by phone to allow you to talk about your issue, and to get a feel for the counselor. If you like what you hear by phone, the next step is to set up a face-to-face meeting. Studies show that the most important element in effective therapy is that you feel a connection with your counselor. Trust your instincts and if you don't feel comfortable, let him or her know that you don't think it's a good fit. Many counselors list on websites like Psychology Today and Good Therapy. Visit these websites to learn more about therapists in your area. "
"I keep having these random thoughts that I don't want. Things like ""you aren't worth anything."" I know they're my own thoughts but it feels like someone else is saying it.
What is wrong with me, and how can I stop having these thoughts?"," Many people have thoughts like those you describe, and often it feels like someone else is saying it because they are things that may have been said to you when you were very young. When young children hear negative things about themselves they tend to internalize these negative ideas and to form negative core beliefs. The good news is we can learn to stop these thoughts and to replace them with healthier thoughts. The first step is to catch yourself when you are thinking these thoughts, and to stay ""stop!""; then replace it with another thought. So for instance, maybe you fail a test or get rejected by a romantic interest. You catch yourself saying ""you aren't worth anything"". Stop this thought, and replace it with ""You didn't do as well on that test as you would have liked. Let's figure out how you can do better next time."" Or ""she may not want to go out with you, but someone else will"". So the idea is to develop a voice of a ""friend"", who can tell you the kind of things you would say to your own best friend. You might also pick up the book, Feeling Good, by David Burns. He gives many tips for how to change Negative Self Talk. "
"I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.
I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?"," Breaking any habit is no easy feat. Cutting down or cutting out cigarettes is very challenging, and there aren't any one size fits all solutions. Fortunately, there are a lot of tricks and tools that you can use to stop smoking. 1. Many habits that we have are paired habits. If we do one thing, then we will do the other thing. Think about the activities that you do when smoking and try to pair those activities with another activity other than smoking. For instance, many people smoke while they drive. Consider planning another activity to do while driving. (It might not be driving for you, but you get the idea! :)). It might be taking a walk instead of smoking on your break at work. 2. Create distance between you and the habit you are trying to break. This approach could be used in a variety of different ways. If you smoke first thing in the morning, consider leaving your cigarettes in a different room in your home. Walking the extra couple of feet could help you decide not to smoke. Leave your credit or debit cards at home and carry less emergency cash than a pack of cigarettes. With this strategy, you are trying to create some distance between you the cigarettes so that you have to jump through extra hoops to get them. 3. Consider cutting back before cutting out. If you are smoking 10 cigarettes a day, try smoking 9. Then cut back to 8 and so on. Having a plan to reduce harm may be more sustainable than cutting things out altogether. 4. You could also talk to your doctor about the safety of nicotine patches. If you aren't already pregnant, this could be a great resource to help boost your success. 5. Focus on what you are gaining instead of what you are loosing. You may be losing cigarettes, but you are gaining money, health, taste buds, an increased sense of smell, lung capacity, a healthy baby etc. You could plan small rewards/ treats with the money you save from decreasing cigarette purchases. I recommend making these purchases small and frequent to keep up the momentum rather than waiting for a big payout a couple of months down the road. Good luck! Cutting out cigarettes will be good for you and your baby. "
"I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
What can I do to manage my stress?"," Being in this position is tough. If seeking another career opportunity isn't viable, there are a couple of things you can do to manage stress on the job. 1. Have a ritual to begin the day: Consider setting a one sentence intention and plan tasks for the day 2. Take the breaks you are offered. I know it can be difficult to step away from your desk to eat lunch or take 10-minute breaks during the day, but prioritize this if you can. Sometimes 30 minutes of downtime and fresh air can help you feel better. 3. Have a ritual to end the day: If you commute by car consider an end of the day playlist. Take a walk. Light a candle. Clear your desk and write tasks for the next day. Whatever it is, send a signal to your brain that it is time to end the day. 4. If you do work from home or are expected to be available after hours, set boundaries where you can. Set a timer for answering emails and stick to that. Have phone free meals. Try to engage in activities that are rejuvenating like spending time the friends and family. 5. Try to limit alcohol/ drugs. Move as much as you can. Get outside in natural sunlight. These are just ideas/ suggestions. Even doing one of these things could be a step in the right direction. Best of luck! "
"I'm dealing with imposter syndrome in graduate school. I know that by all accounts I am a phenomenal graduate student, and that I am well-published. I am well liked by students and faculty alike. And yet I cannot shake the feeling that I'm going to be found out as a fraud.
How can I get over this feeling?"," It sounds like you are on the right track. Recognizing these nagging thoughts of self- doubt as ""imposter syndrome"" is a huge step in the right direction. From what you have written here, it appears that you are able to challenge your own thoughts and provide yourself with evidence that counteracts the imposter syndrome. Continuing to remind yourself of what you have accomplished and looking at the facts at hand can help diminish doubt. Remember, many successful people battled imposter syndrome on the way to the top (and still manage it). It might be helpful to read some of their stories so that you don't feel alone. ""The Cut"" has a great article on ""25 Famous Women on Imposter-Syndrome and Self-Doubt"". Business Insider has a great article about men and the imposter syndrome too. Remember, if you jumped through all of the hoops to get into school and get published-- you belong. "
I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow.," Understandably the idea of someone who tries to control you, is good reason to feel sad. Your feelings sound like they are very strong and meaningful in your life. Keep in mind that your feelings about others has more to do with one's own self-view than with what the other person is actually doing. Unless the people in your family are actually interrupting and impeding your life in practical ways or by intimidation or other verbal ways to inhibit you, then there is a great chance your feelings of being controlled by other family members has more to do with your fears to be who you are than with any family members' actions. "
I don't know how to tell someone how I feel about them. How can I get better at expressing how I feel?," ""Practice makes perfect""! Simply by expressing yourself and listening to if others listen and understand you, then modifying your next try with whatever improvements you think of based on the impressions you feel others have of you, will progress your self-expression. Also, one way to lessen the tension before speaking to someone is to tell them you feel unsure on how best to express yourself. This way you've prepared them to be patient with whatever words you do state. "
"My mother is combative with me when I say I don't want to talk with her about my depression.
She hasn't been supportive of me in the past and she isn't someone that I feel comfortable opening up to. She constantly tries to instigate conversations where she asks me questions that I don't want to or can't answer. I tell her I don't want to talk and she starts arguments with me.
How can I get her to understand?"," Your situation sounds extremely frustrating. You're doing the right move to state you don't want to discuss your depression with her. I guess you could ask if she would like to know your reason to not speak w her about your depression. If you feel she can handle a reasonable conversation, and you would like to tell her your true reason, then schedule this or bring up the topic at a neutral time, not in the middle of an argument. Having an unsupportive mom is difficult enough to accept. You may feel greater success and peach of mind to meditate on accepting her lack of understanding than to engage in arguing when she starts this. "
"I am in my early 20s and I still live with my parents because I can't afford to live alone.
My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do?"," Hi! I'm sorry you are having such a tough time with this situation. I have worked with a number of young adults in their 20's who have had to move back home after college , or even stay at home through the college years. Bottom line is that either way , it is so difficult when you are trying to discover who you are and what you want your life to be , to have to live at home. I have even heard much older adults clients say that when they visit their childhood home , they suddenly feel like a ""kid"" again . The old dynamics between adults and their parents and siblings can pop right up as if they have gone back in time and are no longer adults ! I would suggest that you approach your mom and say something like ""I am hoping we can talk about the best way for us to manage me living here. I really appreciate that you are giving me a place to live until I get on my feet , and I want to be respectful of you and our home ; at the same time , though, I feel like it's important for me to have more independence than when I was younger because I am growing up and trying to learn more about myself and become more autonomous. Can we talk about what might be fair rules that we can both live with ?"" If she is receptive , maybe you can each write a separate list of what you think would be fair and reasonable and then compare lists and try to make compromises and come up with a list of ""guidleines"" that feel fair to you both . If this is too hard to do alone , perhaps you and your mom can meet with a therapist a few times who can help you to come up with some kind of ""compromise contract."" This is not an easy situation , but if you can approach your mom in a calm and ""mature"" way and suggest a planned, structured discussion that doesn't take place in the heat of the moment , your mom may be impressed by your maturity and even more receptive to working out some rules that you can both live with. Good luck !! Elissa Gross "
"My daughter seemed to be developing at a normal rate until about the age of 10. She then started to act younger than she is.
Now she only wants to play with younger kids and she doesn't act her age. I don't know why this is happening. Is this normal?"," Hello. It sounds like you are really concerned about your daughter because you have noticed a significant change in her behavior . It's really a great first step that you are reaching out to get some ideas about what might be going on . You are clearly an observant and hands on mom who wants to be sure that her daughter is ok. This is a tough question to answer without more information . With that said , I have found that ""under stress people regress."" In other words , many people , children and adults alike , often regress and behave differently - as if they were younger than their actual age - when under stress . Therefore , my first question would be : has anything been happening recently that is causing your daughter stress ? This could be anything from conflict at home , recent changes such as moving , divorce , a loss of some kind , switching schools , or losing a friend or friends . Additionally , sometimes if children are feeling bullied or left out by same age peers , they may gravitate toward younger playmates as a way to boost their social confidence . I would suggest that you think about what stressors / changes may have occurred recently. You may also want to check in with her teacher (s) to see if they have noticed any changes in your daughter's behavior at school . I also think that you can have a conversation with your daughter in order to see if you can get a sense about whether or not something has been bothering her. Something as simple as "" I have noticed that you aren't spending time with the friends you used to hang out with ; it seems like you have been playing with a lot of younger kids lately . Am I right about that ? "" and then if she says yes you might ask a few questions such as : ""did something happen with your friends that is making you not want to be with them?"" ""Has something been bothering you lately ? Are you feeling upset or worried ? "" If she denies that there is anything wrong you might even say "" I know that sometimes when I feel stressed or worried , I tend to act a little differently - sometimes I withdraw from my regular group of friends , or I get cranky and feel less like myself . I wonder if something like that is happening with you ?"" If you are really concerned and not getting any answers from her and / or her teachers , perhaps you can consult with a therapist to discuss your concerns further and decide if it might help for your daughter to talk to a therapist a few times , or at the very least you can get more specific tips from a therapist about how to approach this issue with your daughter more effectively . The more detail you can provide about what you have noticed with your daughter , including any changes or new stressors , any possible patterns to this behavior , if school has become more difficult socially and or academically , the more a therapist can guide you about how best to handle your concerns and talk with your daughter in a way that is helpful to her. Good luck! I believe that this may just be a phase and it seems to me to be well within the normal range of children's behavior. I do, though, think that you will feel more assured about this if you can get to the bottom of what's going on . "
"After first meeting the client, what is the process that a counselor facilitates?"," Hi. This is an excellent question ! I think that the answer probably varies depending upon the particular therapist . In my work with people , once we have met and I have gotten an idea of the person'a concerns and the issues they want help with , I spend the next few sessions gathering as much history and as much information about the client's current concerns in order to formulate some ideas about what may be causing distress . I would then share my thoughts with the client to see if they feel I am understanding them and on the right track. We would then discuss the best plan to address the client's concerns . Usually I will suggest strategies that I think may be helpful and ask the client for feedback about whether or not they think my suggestions feel helpful . I always encourage clients to be really honest with me about this. I tell them that I would hate for them to agree to try things that they know they won't try just to avoid ""hurting my feelings"" or ""offending me."" I want to be helpful and while I have the expertise as far as typically helpful strategies, I really like to work collaboratively and have clients tell me what they do and don't like / agree with or not agree with when I share my thoughts about a treatment plan . We the work together to come up with a plan that will be helpful , but also realistic and then revise it and try new things if necessary as we go along. If things aren't improving , I am very happy and willing to try something new ! I hope this is helpful for you ! "
"I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?"," Hi there ! As someone who has practiced as a clinical psychologist for 25 years , I would say that crying is NOTHING TO WORRY ABOUT AT ALL ! Almost every single person I have worked with has cried at one point or another. Starting therapy takes a lot of courage; when you work with a therapist ,once you feel safe , you talk about a lot of very private and potentially emotional things that you may have never discussed with anyone before. I have seen people cry with sadness , cry with relief at releasing painful things they have held onto for a long time, cry because they feel so relieved that they finally feel heard. I myself have sometimes cried with clients because some things they talk about are so profoundly moving. I can assure you that most , if not all , therapists expect clients to cry and there is nothing to be embarrassed about. Crying can be very cathartic and can allow us to release a lot of painful feelings we have been stuffing down. Crying is often a sign that you are really working things through and getting in touch with feelings that you need to get in touch with in order to heal . So , to summarize , don't worry at all about crying! It will probably feel uncomfortable at first , but I promise you , you will not be judged for crying in therapy. And it will be less embarrassing once it happens a time or two and you are assured that your therapist will be there for you and won't judge you ! Good luck !! "
"My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?"," The thing that confuses a child the most is for a parent to come and go from their life. Children have a way of making things their fault, even when they have done nothing wrong. Because of this, when parents cut off contact, the child thinks it's their fault. As hard as that already is for a child, it is even worse when a parent pops in and out of their life. This makes the belief even more strong for them. They start to think, ""why does dad keep leaving? What am I doing to keep making him go away?"" I believe a child needs both parents in their life. Whether she used you for a child or not, that child still exists and never asked for this. They didn't ask to be born into drama and two parents that can't make things work. You can move on and start over while still maintaining a relationship with your child. If you start over far away, this may mean less visits but you'll still be a part of their life. Just make sure when you make a commitment to this child to stick to it. Every child deserves that much. Good luck to you! :-) "
My grandson's step-mother sends him to school with a pink Barbie backpack as a form of punishment.," Absolutely not! It is never in a child's best interest to use humiliation as punishment. This can lead to issues in the relationship between parent and child as well as the child's social relationships. Kids have a hard enough time. To then go and cause them embarrassment is unconscionable. The entire job of a parent is to prepare their child to become a successful, healthy adult. You do this by using healthy ways to teach a child when they make a mistake. Discipline shouldn't be seen as punishment. It should be seen as a way to teach a lesson. What lesson could this possibility be teaching him? Absolutely nothing. Meanwhile, she is most likely damaging her relationship with him and causing great distress in his school day and peer interactions. She should be one of the people he can come to when he's hurting; not someone who causes him pain. "
My boyfriend is in recovery from drug addiction. We recently got into a fight and he has become very distant. I don't know what to do to fix the relationship.," I'm sorry you have tension between you and your bf. A relationship means two people who relate, right?! If only one person does all the work to change their approach, what they expect, what they offer the other, then this becomes the new problem to solve. If you've already done a significant amount of reflection and change in the way you relate to him, then the next step may be to be patient as long as possible while he decides what to change about his part in the relationship toward you. Substance abuse recovery requires profound effort and reflection. If it is successful then the result will show very different qualities in your bf than the ones you know currently. He may be so absorbed in the recovery that he can only concentrate on this. Of course if the fights persist and you have been patient for what feels too long, then there are different questions to address. "
"The birth mother attempted suicide several times while pregnant. The adopted mother was terminally ill upon adopting the baby and died when the child was just over one year old. The adopted father then remarried to a physically, psychologically, and emotionally abusive woman. The child was placed in foster care at 11 years old.
What might be the long term effects on an adult with this childhood history?"," The true answer is, ""no one can really say with certainty"". The variables are the way this child absorbs and adjusts to these significant changes in their life. All anyone can do is guess at this point and there's no good reason to guess. The only general certainty is that the adult whom this child becomes will have had a profound encounter with the biggest types of human losses a child can go through. Some people become great teachers, therapists and philosophers who have this background. Some give up on life and hide away from others. The best anyone could do who knows this child is to offer love bc this is the greatest guarantee to show there are good people on this earth. "
"I think adult life is making him depressed and we often sleep in on weekends untill 1 or 2 pm. We just eat, smoke weed, watch movies, and he'll go on his phone all day. He doesn't seem motivated to do much and he's often angry.
I have no clue how to help him take his mind off the negative, or to distract him into a different light. How do I help him?", How do you help yourself to believe you require more than what he offers to you? What do you get from this relationship which feels satisfying? To answer this question may in the longterm be the best way to help your bf.
"I just took a job that requires me to travel far away from home. My family and I really need this job.
People keep telling me I have ""anxiety"" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?", hmm this is a tough one!
What does it mean to have a mental illness?,"Mental illnesses are health conditions that disrupt a person’s thoughts, emotions, relationships, and daily functioning. They are associated with distress and diminished capacity to engage in the ordinary activities of daily life.
Mental illnesses fall along a continuum of severity: some are fairly mild and only interfere with some aspects of life, such as certain phobias. On the other end of the spectrum lie serious mental illnesses, which result in major functional impairment and interference with daily life. These include such disorders as major depression, schizophrenia, and bipolar disorder, and may require that the person receives care in a hospital.
It is important to know that mental illnesses are medical conditions that have nothing to do with a person’s character, intelligence, or willpower. Just as diabetes is a disorder of the pancreas, mental illness is a medical condition due to the brain’s biology.
Similarly to how one would treat diabetes with medication and insulin, mental illness is treatable with a combination of medication and social support. These treatments are highly effective, with 70-90 percent of individuals receiving treatment experiencing a reduction in symptoms and an improved quality of life. With the proper treatment, it is very possible for a person with mental illness to be independent and successful."
Who does mental illness affect?,"It is estimated that mental illness affects 1 in 5 adults in America, and that 1 in 24 adults have a serious mental illness. Mental illness does not discriminate; it can affect anyone, regardless of gender, age, income, social status, ethnicity, religion, intercourseual orientation, or background.
Although mental illness can affect anyone, certain conditions may be more common in different populations. For instance, eating disorders tend to occur more often in females, while disorders such as attention deficit/hyperactivity disorder is more prevalent in children.
Additionally, all ages are susceptible, but the young and the old are especially vulnerable. Mental illnesses usually strike individuals in the prime of their lives, with 75 percent of mental health conditions developing by the age of 24. This makes identification and treatment of mental disorders particularly difficult, because the normal personality and behavioral changes of adolescence may mask symptoms of a mental health condition.
Parents and caretakers should be aware of this fact, and take notice of changes in their child’s mood, personality, personal habits, and social withdrawal. When these occur in children under 18, they are referred to as serious emotional disturbances (SEDs)."
What causes mental illness?,"It is estimated that mental illness affects 1 in 5 adults in America, and that 1 in 24 adults have a serious mental illness. Mental illness does not discriminate; it can affect anyone, regardless of gender, age, income, social status, ethnicity, religion, intercourseual orientation, or background. Although mental illness can affect anyone, certain conditions may be more common in different populations. For instance, eating disorders tend to occur more often in females, while disorders such as attention deficit/hyperactivity disorder is more prevalent in children. Additionally, all ages are susceptible, but the young and the old are especially vulnerable. Mental illnesses usually strike individuals in the prime of their lives, with 75 percent of mental health conditions developing by the age of 24. This makes identification and treatment of mental disorders particularly difficult, because the normal personality and behavioral changes of adolescence may mask symptoms of a mental health condition. Parents and caretakers should be aware of this fact, and take notice of changes in their child's mood, personality, personal habits, and social withdrawal. When these occur in children under 18, they are referred to as serious emotional disturbances (SEDs)."
What are some of the warning signs of mental illness?,"Symptoms of mental health disorders vary depending on the type and severity of the condition. The following is a list of general symptoms that may suggest a mental health disorder, particularly when multiple symptoms are expressed at once.
In adults:
Confused thinking
Long-lasting sadness or irritability
Extreme highs and lows in mood
Excessive fear, worrying, or anxiety
Social withdrawal
Dramatic changes in eating or sleeping habits
Strong feelings of anger
Delusions or hallucinations (seeing or hearing things that are not really there)
Increasing inability to cope with daily problems and activities
Thoughts of suicide
Denial of obvious problems
Many unexplained physical problems
Abuse of drugs and/or alcohol
In older children and pre-teens:
Abuse of drugs and/or alcohol
Inability to cope with daily problems and activities
Changes in sleeping and/or eating habits
Excessive complaints of physical problems
Defying authority, skipping school, stealing, or damaging property
Intense fear of gaining weight
Long-lasting negative mood, often along with poor appetite and thoughts of death
Frequent outbursts of anger
In younger children:
Changes in school performance
Poor grades despite strong efforts
Excessive worrying or anxiety
Hyperactivity
Persistent nightmares
Persistent disobedience and/or aggressive behavior
Frequent temper tantrums"
Can people with mental illness recover?,"When healing from mental illness, early identification and treatment are of vital importance. Based on the nature of the illness, there are a range of effective treatments available. For any type of treatment, it is essential that the person affected is proactive and fully engaged in their own recovery process.
Many people with mental illnesses who are diagnosed and treated respond well, although some might experience a return of symptoms. Even in such cases, with careful monitoring and management of the disorder, it is still quite possible to live a fulfilled and productive life."
What should I do if I know someone who appears to have the symptoms of a mental disorder?,"Although this website cannot substitute for professional advice, we encourage those with symptoms to talk to their friends and family members and seek the counsel of a mental health professional. The sooner the mental health condition is identified and treated, the sooner they can get on the path to recovery.
If you know someone who is having problems, don't assume that the issue will resolve itself. Let them know that you care about them, and that there are treatment options available that will help them heal. Speak with a mental health professional or counselor if you think your friend or family member is experiencing the symptoms of a mental health condition. If the affected loved one knows that you support them, they will be more likely to seek out help."
How can I find a mental health professional for myself or my child?,Feeling comfortable with the professional you or your child is working with is critical to the success of the treatment. Finding the professional who best fits your needs may require research. Start by searching for providers in your area.
What treatment options are available?,"Just as there are different types of medications for physical illness, different treatment options are available for individuals with mental illness. Treatment works differently for different people. It is important to find what works best for you or your child."
"If I become involved in treatment, what do I need to know?","Since beginning treatment is a big step for individuals and families, it can be very overwhelming. It is important to be as involved and engaged in the treatment process as possible. Some questions you will need to have answered include:
What is known about the cause of this particular illness?
Are there other diagnoses where these symptoms are common?
Do you normally include a physical or neurological examination?
Are there any additional tests or exams that you would recommend at this point?
Would you advise an independent opinion from another psychiatrist at this point?
What program of treatment is the most helpful with this diagnosis?
Will this program involve services by other specialists? If so, who will be responsible for coordinating these services?
What do you see as the family’s role in this program of treatment?
How much access will the family have to the individuals who are providing the treatment?
What medications are generally used with this diagnosis?
How much experience do you have in treating individuals with this illness?
What can I do to help you in the treatment?"
What is the difference between mental health professionals?,"There are many types of mental health professionals. The variety of providers and their services may be confusing. Each have various levels of education, training, and may have different areas of expertise. Finding the professional who best fits your needs may require some research."
How can I find a mental health professional right for my child or myself?,Feeling comfortable with the professional you or your child is working with is critical to the success of your treatment. Finding the professional who best fits your needs may require some research.
If I become involved in treatment what do I need to know?,"Beginning treatment is a big step for individuals and families and can be very overwhelming. It is important to continue involvement in the treatment process as much as possible. Some questions you will need to have answered include:
What is known about the cause of this particular illness?
Are there other diagnoses where these symptoms are common?
Do you normally include a physical or neurological examination?
Are there any additional tests or exams that you would recommend at this point?
Would you advise an independent opinion from another psychiatrist at this point?
What program of treatment is the most helpful with this diagnosis?
Will this program involve services by other specialists? If so, who will be responsible for coordinating these services?
What do you see as the family’s role in this program of treatment?
How much access will the family have to the individuals who are providing the treatment?
What medications are generally used with this diagnosis? What is the biological effect of this medication, and what do you expect it to accomplish? What are the risks associated with the medication? How soon will we be able to tell if the medication is effective, and how will we know?
How much experience do you have in treating individuals with this illness?
What can I do to help you in the treatment?"
Where else can I get help?,"Where you go for help will depend on the nature of the problem and/or symptoms and what best fits you. Often, the best place to start is by talking with someone you trust about your concerns, such as a family member, friend, clergy, healthcare provider, or other professionals. Having this social support is essential in healing from mental illness, and you will be able to ask them for referrals or recommendations for trusted mental health practitioners. Search for mental health resources in your area.
Secondly, there are people and places throughout Nebraska that provide services to talk, to listen, and to help you on your journey to recovery. Thirdly, many people find peer support a helpful tool that can aid in their recovery. There are a variety of organizations that offer support groups for consumers, their family members, and friends. Some support groups are peer led while others may be led by a mental health professional."
What should I know before starting a new medication?,"The best source of information regarding medications is the physician prescribing them. He or she should be able to answer questions such as: 1. What is the medication supposed to do? 2. When should it begin to take effect, and how will I know when it is effective? 3. How is the medication taken and for how long? What food, drinks, other medicines, and activities should be avoided while taking this medication? 4. What are the side effects and what should be done if they occur? 5. What do I do if a dose is missed? 6. Is there any written information available about this medication? 7. Are there other medications that might be appropriate? 8. If so, why do you prefer the one you have chosen? 9. How do you monitor medications and what symptoms indicate that they should be raised, lowered, or changed? 10. All medications should be taken as directed. Most medications for mental illnesses do not work when taken irregularly, and extra doses can cause severe, sometimes dangerous side effects. Many psychiatric medications begin to have a beneficial effect only after they have been taken for several weeks."
"If I feel better after taking medication, does this mean I am ""cured"" and can stop taking it?","It is not uncommon for people to stop taking their medication when they feel their symptoms are under control. Others may choose to stop taking their medication because of its side effects, without realizing that most side effects can be effectively managed. While it may seem reasonable to stop taking the medication, the problem is that most often, the symptoms will return. If you or your child is taking medication, it is very important that you work together with your doctor before making decisions about any changes in your treatment.\nAnother problem with stopping medication, particularly for stopping it abruptly, is that you may develop withdrawal symptoms that can be very unpleasant. If you and your doctor feel a trial off your medicine is a good idea, it is necessary to slowly decrease the dosage of medications so that these symptoms don't occur.\nIt is important that your doctor and pharmacist work together to make sure your medications are working safely and effectively. You should talk with them about how you are doing and if there are side effects that make you unwilling to continue treatment. They will work with you to develop strategies for minimizing these side effects, or will create a plan for switching to a different treatment that will be a better fit."
How can I get help paying for my medication?,"Some pharmaceutical companies offer prescription assistance programs to individuals and families with financial needs, while others offer special drug discount cards. These programs typically require a doctor's consent and proof of your financial status. They may also require that you have either no health insurance or no prescription drug benefit through your health insurance.\nIn addition, there are prescription programs you might qualify for. Visit Healthfinder.gov to learn more."
Where can I go to find therapy,"Different kinds of therapy are more effective based on the nature of the mental health condition and/or symptoms and the person who has them (for example, children will benefit from a therapist who specializes in children's mental health). However, there are several different types of treatment and therapy that can help."
Where can I learn about types of mental health treatment?,"Mental health conditions are often treated with medication, therapy or a combination of the two. However, there are many different types of treatment available, including Complementary & Alternative Treatments, self-help plans, and peer support. Treatments are very personal and should be discussed by the person with the mental health conditions and his or her team."
What are the different types of mental health professionals?,There are many types of mental health professionals. Finding the right one for you may require some research.
Where can I go to find a support group?,"Many people find peer support a helpful tool that can aid in their recovery. There are a variety of organizations that offer support groups for consumers, their family members and friends. Some support groups are peer-led, while others may be led by a mental health professional."
Where can I go to find inpatient care?,"If you or someone you know is in crisis, inpatient care can help. Inpatient care can help people stabilize on new medications, adjust to new symptoms, or get the help they need."
Where can I go to find other local services?,"There are likely plenty of resources that can be used to help you find mental health treatment in your community. These resources can help you find the right therapist, and enable you to better understand viable treatment options and the treatment process."
Where can I learn more information about clinical trials?,"Sometimes, consumers of mental health services may consider participating in a research study when they have not experienced improvement despite having tried a variety of medications and treatments. Research studies (also known as clinical trials) may involve the use of new medications or new treatment approaches whose safety and effectiveness is being tested. While we support innovation in the field, consumers should be cautioned that there are risks associated with clinical trials – make sure you're aware of them before you enroll."
Where can I learn more information about creating a Psychiatric Advance Directive?,"Similar to a medical advance directive or a health care power of attorney, a psychiatric advance directive is a legal document completed in a time of wellness that provides instructions regarding treatment or services one wishes to have or not have during a mental health crisis, and may help influence his or her care."
What is mental health?,"We all have mental health which is made up of our beliefs, thoughts, feelings and behaviours."
What do I do if the support doesn't help?,"It can be difficult to find the things that will help you, as different things help different people. It's important to be open to a range of approaches and to be committed to finding the right help and to continue to be hopeful, even when some things don't work out."
Can you prevent mental health problems?,"We can all suffer from mental health challenges, but developing our wellbeing, resilience, and seeking help early can help prevent challenges becoming serious."
Are there cures for mental health problems?,"It is often more realistic and helpful to find out what helps with the issues you face. Talking, counselling, medication, friendships, exercise, good sleep and nutrition, and meaningful occupation can all help."
What causes mental health problems?,"Challenges or problems with your mental health can arise from psychological, biological, and social, issues, as well as life events."
What do I do if I'm worried about my mental health?,"The most important thing is to talk to someone you trust. This might be a friend, colleague, family member, or GP. In addition to talking to someone, it may be useful to find out more information about what you are experiencing. These things may help to get some perspective on what you are experiencing, and be the start of getting help."
How do I know if I'm unwell?,"If your beliefs , thoughts , feelings or behaviours have a significant impact on your ability to function in what might be considered a normal or ordinary way, it would be important to seek help."
What should I do if I'm worried about a friend or relative?,This may depend on your relationship with them. Gently encouraging someone to seek appropriate support would be helpful to start with.
How do I deal with someone telling me what to do?,"Some people may advise you on good evidence of what works with the best of intentions, but it's important to find out what works best for you."
Why do I need to keep informed?,"It may be tempting to try to block out the world altogether to avoid bad news, but it's important to keep yourself informed. We all have to step up during a pandemic because we all have a part to play in reducing the spread of the virus. It's important that you know what must be done and how you should do it. This is important for the health of your neighbours and your own mental health, and taking action can help counter difficult feelings like hopelessness and despair.
One study from people in China found that people who had reliable up-to-date information about the coronavirus and COVID-19 illness and accurate instructions on how they should act (such as instructions around hand-washing and wearing a mask) felt more resilient and felt better able to handle the virus. People who received good, accurate information reported lower levels of stress, anxiety, and depression. This research is available for free at www.mdpi.com/1660-4601/17/5/1729.
Of course, it's okay to set limits. Staying informed does not mean that you have to follow the news all day. Check in a few times a day, sticking to trusted sources and media outlets. While social media can be a great way to keep in touch with family and friends, social media can also amplify bad advice, vague or untrue stories, and other unhelpful information. Be sure to use good critical thinking skills."
How can I tell if health information is good or bad?,"Anyone can post anything online. It's up to the readers to think critically about information to decide if it seems helpful, truthful, or safe. Here are key points to keep in mind as you determine which information is worth considering and which information doesn't pass the test.
It's so easy to spread information online, and we can't assume that the source we're reading or watching is the original source. Before you can evaluate anything, you need to know where the claims come from and determine if it's a reliable source.
Reliable sources on the coronavirus and COVID-19 illness include the World Health Organization (WHO), Government of Canada ministries and agencies like Health Canada and the Public Health Agency of Canada, the Government of BC ministries and agencies like the BC Ministry of Health, and the BC Centre for Disease Control (BCCDC). Scientists and researchers at universities and other institutions and health sciences professionals are also important sources of information.
Headlines and titles need to be simple and short, so they can sometimes be misleading on their own. They may also be purposefully shocking or controversial to entice you to click to read more.
Websites that belong to governments, government-funded agencies, well-known health providers, universities, or groups of medical professionals are generally the most reliable. Be careful of sites that don't list the author or don't tell you much about themselves. Double-check the author and the credentials of any 'experts' quoted or cited to see if they are actually experts in the topic being discussed.
Can you find other evidence from other sources to support the claims? Does the author list their sources? Are the sources legitimate, like research journals?
Unhelpful sources want you to feel a certain way: scared, angry, distrustful, vulnerable. Phrases like ""Skyrocketing rates of infection"" are sensational and they're meant to make people feel afraid. On the other hand, factual statements like ""We have 50 new cases in BC"" give you important information without playing into your emotions. Helpful news or information sources want you feel informed and empowered.
Who is paying for the site? What products or services are being advertised? What links or other sites do they promote? Are you learning something from a story or experience, or are you simply being directed to buy a product or service?
Social media can be a great way to keep in touch with family and friends, especially as we practice physical distancing or self-isolation. Social media can also be an important way to learn from health experts and connect to support services and mutual aid groups in your community.
Like any other source of information, it's important to use good critical thinking skills when you use social media. Studies find that searching for health information on social media generally has very mixed results. You'll see both very poor-quality sources next to good-quality sources, and it's up to you to decide which is which. In addition, social media posts tend to be short and rarely capture everything you need to consider. They are generally useful as a way to start learning or exploring different points of view rather than a place to gather all the information.
Visit www.mediasmarts.ca to learn more about digital and media literacy
Visit www.healthnewsreview.org to learn more about thinking critically around health claims (this resource is no longer updated daily, but all toolkits and lessons are still available)
This page is adapted from the Evaluating Mental Health and Substance Use Information info sheet."
Why do I need a plan?,"There are a lot of things you can't control. You can't control what happens next, how governments respond, or how your neighbours react to the pandemic. What you can do is make a plan and decide how you'll manage the things you do control, like your ability to stay safe, follow public health measures, stay connected with loved ones, and take care of your mental and physical health.
Events like a pandemic change a lot over time, and that uncertainty can add to fear and stress. The truth is that we don't know what will happen next—but that doesn't mean we're all helpless. You can do a lot. You can:
Map out a daily schedule, including times you can connect with loved ones online or by phone
Plan out daily tasks and goals
Give yourself a schedule to look up current information
Make sure you have 14 days of healthy food and household supplies at home
Keep medications on hand and talk to your doctor for advice if you're at increased risk
Educate yourself on public health measures and figure out how you'll follow those instructions
Figure out how you'll manage increased childcare demands, working for home, or other changes to your usual routine
Determine if you'll need financial supports like the Canada Emergency Response Benefit or BC Temporary Rent Supplement if your job is affected by COVID-19. If you anticipate a need, you can find application instructions and gather any documents or other pieces of information ahead of time
Figure out how you'll manage times when you feel overwhelmed or hopeless, like calming activities, the number for a local support or crisis line, a video chat with a loved one, or a way to connect with your mental health care provider
Look for local support organizations, neighbourhood groups, or mutual aid groups if you need extra help or support or would like to help others in your community
Some planning will be straightforward, but you may also encounter situations or times when it's harder to see a solution or good plan of action. This is a great time to practice problem-solving skills. Problem-solving is a method that helps you break down a complicated situation into manageable pieces, look for realistic and unbiased information, brainstorm possible solutions, and test the solutions that you think might work well. Problem-solving is a helpful skill no matter what else is going on in the world, and it's an empowering, methodical approach when you might otherwise feel overwhelmed or lost.
Check out the following resources for more information about problem-solving:
Wellness Module 4: Problem-Solving: www.heretohelp.bc.ca/wellness-module/wellness-module-4-problem-solving
Problem-solving worksheet from Anxiety Canada: www.anxietycanada.com/sites/default/files/ProblemSolving.pdf
Effective Problem-Solving in The Antidepressant Skills Workbook: psychhealthandsafety.org/asw"
How can I maintain social connections? What if I feel lonely?,"A lot of people are alone right now, but we don't have to be lonely. We're all in this together.
While you may be physically separated from friends, family members, and other loved ones, it has never been more important to maintain those social connections. Social connections are an opportunity to seek and share support, talk through difficult feelings, share a laugh, keep up-to-date with loved ones, and help each other cope. This pandemic is a lot for one person to deal with on their own. While measures like physical distancing and self-isolation are necessary to slow the spread of the virus, the physical separation can amplify a lot of challenging emotions like loneliness and fear.
Think about the different ways to connect that are most meaningful for you. For example, you might prefer a video chat over a phone call, or you might prefer to text throughout the day rather than one set time for a video call. Then, work with your social networks to make a plan. You might video chat with your close friends in the evening and phone a family member once a week.
Remember to be mindful of people who may not be online. Check in by phone and ask how you can help.
The quality of your social connections matter. Mindlessly scrolling through social media and liking a few posts usually doesn't build strong social connections. Make sure you focus on strategies that actually make you feel included and connected. If your current strategies don't help you feel connected, problem-solve to see if you can find a solution.
Everyone feels lonely at times—maybe you recently moved to a new city, are changing your circle of friends, lost someone important in your life, or lost your job and also lost important social connections with coworkers. Other people may have physical connections to others but may feel like their emotional or social needs aren't met. Measures like social distancing or self-isolation can make loneliness feel worse no matter why you feel lonely now.
Reach out to the connections you do have. Suggest ways to keep in touch and see if you can set a regular time to connect. People may hesitate to reach out for a lot of different reasons, so don't be afraid to be the one who asks.
Look for local community support groups and mutual aid groups on social media. This pandemic is bringing everyone together, so look for opportunities to make new connections. These groups are a great way to share your skills and abilities or seek help and support.
Look for specialized support groups. Support groups are moving online, and there are a lot of different support lines to call if you need to talk to someone. To find community services in BC, call or text 211 or visit www.bc211.ca.
If you need extra support, you can talk with a psychologist or counsellor for free:
You can access a free phone call with a Registered Psychologist though the Covid-19 Psychological Support Service from the BC Psychological Association. Visit www.psychologists.bc.ca/covid-19-resources.
You can access free, phone-based, short-term support with a counsellor from a new group called the BC COVID-19 Mental Health Network. Email bccovidtherapists@gmail.com to receive an appointment time.
For youth people ages 12-24, you can talk with a counsellor for free through Foundry Virtual. Visit foundrybc.ca/get-support/virtual/.
Call the BC Mental Health Support Line at 310-6789. It's available 24/7.
Chat online with a Crisis Center volunteer at www.crisiscentrechat.ca (daily between noon and 1:00am)
For older adults: Call the Seniors Distress Line at 604-872-123
For youth and young adults: Chat online with a volunteer at www.YouthinBC.com (daily between noon and 1:00am)
For children and youth: Call the Kids Help Phone at 1-800-668-6868 or visit kidshelpphone.ca
For tips on managing loneliness, check out the following resources:
Coping with Loneliness from the Canadian Mental Health Association: cmha.bc.ca/documents/coping-with-loneliness/
Loneliness and Social Connection issue of Visions Journal at www.heretohelp.bc.ca/visions/loneliness-and-social-connection-vol14
Wellness Module 3: Social Support at www.heretohelp.bc.ca/wellness-module/wellness-module-3-social-support"
How can I take care of my physical health?,"Taking care of your physical health is also good for your mental health. It's more important than ever to keep yourself healthy.
Try to eat as well as you can. It may be easier to reach for unhealthier comfort foods and snacks while you spend more time at home, but try to keep a balanced approach. When you stock up on groceries, don't ignore fresh fruit and vegetables—we still have everything we need to prepare food. Now that we're advised to limit the amount of time we spend in public spaces like grocery stores, this is a great time to try out new fruits and vegetables that keep at home for longer periods of time.
If it's safer for you to stay home or you are in self-isolation, reach out for help. Many grocery stores and meal prep services offer safe, no-contact delivery. You can also ask family or friends to bring you groceries, or look for local COVID-19 support groups on social media. It's safest if others leave food and other supplies outside of your door to avoid spreading the virus.
Exercise is an important part of mental health and well-being, stress management, and health sleep. However, it's something that many people give up when they start to feel stressed or overwhelmed.
If it's safe for you to do so, spend time outside. You should still avoid busy areas or groups and stay at least two metres away from others, but there is no reason to avoid walks, runs, or other safe outdoor activities. (Note that some municipalities, BC Parks, and Parks Canada have restricted some outdoor spaces to reduce crowds, so check the status of your local parks or trails and respect closures—they're just keeping everyone safe.)
If you prefer to exercise indoors, you can also find many different exercises classes online. You can try yoga, follow a barre class, work on your cardio, pick up a new dumbbell routine, and keep up with Crossfit WODs from the comfort of your living room. Look for no-equipment exercise routines or classes if you don't already have equipment.
Poor sleep can make even simple problems feel a lot worse than they really are. Poor sleep can affect your mood, your outlook, and your patience. Unfortunately, stress and anxiety can really take a toll on your sleep. If you're having a hard time sleeping, be proactive and practice healthy sleep habits. For more, check out Wellness Module 6: Getting a Good Night's Sleep at www.heretohelp.bc.ca/wellness-module/wellness-module-6-getting-a-good-nights-sleep.
If you have other health problems like a chronic illness, check in with your doctor or health care team to see if you need to take any additional measures or precautions. Remember to plan ahead and do what you can to keep prescription or over-the-counter medications, medical supplies, supplements, or other health needs on hand."
How can I use distraction to manage difficult thoughts or feelings?,"Distraction is a very valid tool to help you cope when everything feels overwhelming or when you feel lonely or isolated.
If you don't have a lot of energy or focus right now, try low-effort distractions like watching TV, browsing Youtube, listening to a podcast or audiobook, playing a game on your phone, reading an easy book or magazine, or working on a simple art project.
If you have more energy and focus, give yourself a to-do list every day: you can clean and take care of projects around your home, work on hobbies, connect with family or friends, read a new book and catch up on your favourite TV shows. You can find interesting opportunities to take online courses from universities all over the world through MOOCs and other online learning platforms, you can learn a new language online or through apps, and you can learn new hobbies and activities. As more people have to practice social distancing or self-isolation, people are finding creative ways to bring the world into their homes: you can tour museums and art galleries, Skype with a scientist, watch animals at zoos and nature preserves, and more.
When normal schedules are disrupted, it's easy to fall into unhelpful habits. Look for ways to keep yourself on track with healthier habits. You could set yourself goals every day or turn activities into a fun competition with friends or family—whoever takes the most language classes wins!
Many communities are using social media platforms like Facebook to organize support and help for neighbours. If you are healthy and it's safe to do so, you can sign up to walk dogs, pick up groceries and household supplies, and help others who can't go out at the moment. This can be a great way to make new connections in your area, and helping others is good for your own mental health. Just be sure to follow good hygiene practices and physical distancing—your own health is important."
How can I reframe the situation and find more balanced perspectives?,"How you think about something impacts your feelings and your behaviours.
When we feel stressed out, angry, or fearful, it's hard to look at the situation realistically and see all of the options we have. (Remember: we all control our own actions and reactions, no matter what's going on in the world. We can call do something about this pandemic.)
People often overestimate the negative parts—their own feelings, their own abilities to manage a difficult situation, or the situation itself—and underestimate positive parts—their own abilities to care for themselves and loved ones, their support networks, and opportunities.
How does the thought ""We're never going to make it through this!"" make you feel? It likely doesn't feel good—and it isn't even true.
Challenging negative, unhelpful thoughts can improve your mood, validate your ability to get through this, and help you see new options or opportunities to stay well.
Stop and notice thoughts that come up. How do they make you feel? Do your thoughts seem realistic if you look at the situation more objectively? How can you reframe the thought to make it more productive or hopeful? Can you find any positive aspects or think of new ways to approach the situation?
Here are a few example:
""I'm so mad that my event was cancelled! This sucks!""
""I know this is the safer option for everyone. When it's rescheduled, I'll enjoy it more because I won't have to worry about getting sick or spreading the illness.""
""I hate spending so much time at home. This is so boring.""
""I'm doing my part to keep my neighbours safe. It's worth it because it keeps people healthy.""
""I'm having a hard time getting used to my new schedule. This is so frustrating.""
""I'll get used to this soon, just like I adapted the last time I had to change my schedule. Now that I'm home more, I'll have more time to finish the projects I haven't touched in months and I'm excited to see the end results.
""I'm really scared and I don't know what to do. I feel so overwhelmed right now.""
""It makes sense that I feel scared—people are getting sick and we don't know when things will go back to normal. But there are a lot of things I can do to keep healthy, and I'm going to do some research so I can do my best. When I focus on the things I can do, everything feels more manageable.""
""We're going to be stuck inside forever. I'm already sick of this.""
""I understand that it will take some time to manage COVID-19, and I trust that health care professionals and scientists are working as fast as they can. I know this will end eventually and life will go back to normal.""
The goal is not to ignore the bad or uncomfortable parts of the situation or deny that there's a problem. Instead, this exercise can help you understand the situation more realistically and see the parts that you can control right now."
How can I challenge thinking traps?,"What you tell yourself about a situation affects how you feel and what you do. Sometimes your interpretation of a situation can get distorted and you only focus on the negative aspects—this is normal and expected. However, when you interpret situations too negatively, you might feel worse. You're also more likely to respond to the situation in ways that are unhelpful in the long term.
These automatic thoughts and assumptions are sometimes called thinking traps. Everyone falls into unbalanced thinking traps from time to time. You're most likely to distort your interpretation of things when you already feel sad, angry, anxious, depressed or stressed. You're also more vulnerable to thinking traps when you're not taking good care of yourself, like when you're not eating or sleeping well.
Here are some common thinking traps:
Thinking that a negative situation is part of a constant cycle of bad things that happen. People who overgeneralize often use words like ""always"" or ""never.""
I was really looking forward to that concert, and now it's cancelled. This always happens to me! I never get to do fun things!
Seeing things as only right or wrong, good or bad, perfect or terrible. People who think in black and white terms see a small mistake as a total failure.
I wanted to eat healthier, but I ate too many snacks today. This plan is a total failure!
Saying only negative things about yourself or other people.
I made a mistake. I'm stupid! My boss told me that I made a mistake. My boss is a total jerk!
Predicting that something bad will happen without any evidence.
I've been doing what I can to stay home and reduce the risks, but I just know that I'm going to get sick.
Focusing only on the negative parts of a situation and ignoring anything good or positive.
I know there's a lot I can do at home, but I'm just so sick of this. Everything is terrible.
Believing that bad feelings or emotions reflect the situation.
I feel scared and overwhelmed right now, so that must mean everything is very bad and will never get better.
Telling yourself how you ""should"" or ""must"" act.
I should be able to handle this without getting upset and crying!
Here are helpful strategies to challenge common thinking traps. Many people find their mood and confidence improve after working through these skills. You can also find worksheets to help you go through each step at www.heretohelp.bc.ca.
Don't try to get out of a thinking trap by just telling yourself to stop thinking that way.
This doesn't let you look at the evidence and challenge the thinking trap. When you try and push upsetting thoughts away, they are more likely to keep popping back into your mind.
Ask yourself the following questions when something upsetting happens:
What is the situation? What actually happened? Only include facts that everyone would agree on.
What are your thoughts? What are you telling yourself?
What are your emotions? How do you feel?
What are your behaviours? How are you reacting? What are you doing to cope?
Take a look at the thoughts you've listed. Are you using any of the thinking traps and falling into distorted thinking patterns? It's common to fall into more than one thinking trap. Go back to the thinking trap list and identify which ones apply to you and your current situation.
The best way to break a thinking trap is to look at your thoughts like a scientist and consider the hard facts. Use the evidence you've collected to challenge your thinking traps. Here are some ways to do that:
Try to find evidence against the thought. If you make a mistake at work, you might automatically think, ""I can't do anything right! I must be a terrible employee!"" When this thought comes up, you might challenge it by asking, ""Is there any evidence to support this thought? Is there any evidence to disprove this thought?"" You might quickly realize that your boss has complimented your work recently, which doesn't support the idea that you're a bad employee.
Ask yourself, ""Would I judge other people if they did the same thing? Am I being harder on myself than I am on other people?"" This is a great method for challenging thinking traps that involve harsh self-criticism.
Find out whether other people you trust agree with your thoughts. For example, you might have trouble with one of your kids and think, ""Good parents wouldn't have this kind of problem."" To challenge this thought, you can ask other parents if they've ever had any problems with their kids.
Test your beliefs in person. For example, if you think that your friends don't care about you, call a few friends and make plans to start a regular video call. If you assumed that they will all say no, you may be pleasantly surprised to hear that they do want to see you.
Once you have worked through some challenges, try to think of a more balanced thought to replace the old thinking traps. Let's use the following example:
I feel sad and overwhelmed. I'm having a hard time figuring out what to do.
I'm the worst! I should be able to handle this!
Labeling
'Should' statements
Examine the evidence: I have a lot of challenges right now. I'm worried about my family and everything seems to change so quickly. I've successfully handled complicated situations in the past, so I know I can do this.
It's okay to feel upset right now—there's a lot going on. I'm going to think about how I got through past situations and see what worked for me. I'm trying to do a lot on my own, so I'm going to talk to my family so we can make a plan and work together.
Try the Healthy Thinking Worksheet at www.heretohelp.bc.ca
Check out Anxiety Canada's articles Helpful Thinking and Thinking Traps
This page is adapted from Wellness Module 8: Healthy Thinking at www.heretohelp.bc.ca/wellness-module/wellness-module-8-healthy-thinking."
How can I manage grief?,"While a lot of people think of grief in terms of losing a person or pet, grief can come up whenever you lose something important. This includes:
Losing security, like losing your job or wondering how long you'll be able to pay rent
Losing stability or routine, like finding yourself working from home or navigating childcare closures
Losing your sense of safety, like fearing you or someone you love might end up with COVID-19
Losing your social relationships, like missing time with family and friends now that everyone must practice physical distancing or self-isolation
Losing hope for the future, like feeling that life will never go back to normal
Losing important goals, like finding your classes, sports competitions, or performances are cancelled for the foreseeable future
Losing important milestone celebrations like graduation ceremonies and weddings
Grief bring up complicated feelings. You might feel sad, angry, frustrated, fearful, or hopeless. You may have a hard time eating or sleeping, or feel very tense. You may feel overwhelmed and tired. You may wonder if life will ever feel normal again.
Everyone grieves in their own way and their own time. Here are some strategies to try as you navigate your own journey.
Acknowledge and express your feelings in a healthy way. Give your feelings a name and find healthy ways to express them, such as by talking with a friend, writing in a journal, or making art.
Give yourself as much time as you need. Grief follows its own schedule. Give yourself permission to use this time to take care of your well-being. Let go of expectations, tasks, or other obligations that can wait.
Seek support. Grief can feel very isolating, even though a lot of people are experiencing some sort of loss right now. Reach out to friends or family and share your feelings. Look for ways to help and support each other.
Take care of yourself. Ignoring health and well-being can make difficult experiences feel worse. Eat as well as you can, try to get enough sleep, spend time outside if it's safe for you to do so, and exercise regularly. Think about self-care activities or strategies that have helped you cope with challenging situations in the past and make time for those activities.
Know that feelings of grief will pass. Grief may feel intense at times, but those feelings will become more manageable over time and will eventually pass.
Connect with a mental health professional if you're having a hard time. If you're having a hard time getting through the day, coping in unhealthy ways, or having a hard time managing difficult thoughts or feelings, it's a good idea to seek help from a professional like a psychologist or counsellor—many now offer online or phone appointments. To find help:
For everyone
BC Psychological Association: Find a Registered Psychologist at www.psychologists.bc.ca/find_psychologist
BC Association of Clinical Counsellors: Find a Registered Clinical Counsellor at bc-counsellors.org
BC Mental Health Support Line: call 310-6789 (no area code) for to learn about services in your area or just to talk with someone right now
For young people
Kids Help Phone: Talk to a counsellor at 1-800-668-6868 or chat at kidshelpphone.ca (available 24/7)
Foundry: Contact your local Foundry office at foundrybc.ca for Foundy Virtual and information about local resources (for youth ages 12-24)
Youth in BC: Chat with a crisis line responder at youthinbc.com (available every day from noon – 1:00am)
That Discomfort You're Feeling Is Grief in Harvard Business Review at hbr.org/2020/03/that-discomfort-youre-feeling-is-grief
Grieving from the Canadian Mental Health Association at cmha.ca/documents/grieving
Coping with Grief and Loss from Mind Your Mind at mindyourmind.ca/wellness/coping-grief-and-loss"
"How can I find a doctor, psychiatrist, psychologist, or counsellor?","To find a family doctor (general physician), visit the College of Physicians and Surgeons of BC to use their Find a Physician tool. You can also see a family doctor at a local walk-in clinic, though it's helpful to find a regular doctor if you have ongoing care needs. You can also find a psychiatrist through the College of Physicians and Surgeons of BC. Be aware that you almost always need a doctor's referral to see a psychiatrist.
You can find a registered psychologist through the BC Psychological Association and the College of Psychologists of BC.
To find a clinical counsellor, visit the BC Association of Clinical Counsellors.
For more on the differences between these service providers, see the article The Right Path for You: Finding your way to and through services in BC from the Finding the Right Help – Navigating the System issue of Visions Journal."
How can I see a psychiatrist?,"A psychiatrist is a specialist doctor. In BC, you need to ask your doctor for a referral. If you don't see a regular family doctor, you can ask any doctor at a walk-in clinic for a referral.
In some cases, you may be able to ""self-refer"" or make an appointment with a mental health program yourself, but that may not get you access to a psychiatrist. Contact your local mental health centre to see what's available in your area. You can search for mental health centres at www.gov.bc.ca/mentalhealth. If you need help finding your local mental health centre, call HealthlinkBC at 811 or visit www.healthlinkbc.ca and use the Find Health Service tool."
How can I see a psychologist?,"To find a Registered Psychologist, visit the BC Psychological Association. You can make an appointment on your own. You don't need a doctor's referral to see a psychologist.
Registered Psychologists are not usually covered by MSP, so you'll have to pay for the cost of the appointment yourself. Workplace extended health benefits or Employee (Family) Assistance Programs may cover some costs. Some psychologists offer a sliding scale based on your income. If you're facing financial hardship, you can ask when you make the appointment.
If you want to learn more about lower-cost options to access counselling (though not usually by Registered Psychologists), email us with your location and our information and referrals team can see what options there may be in your community.
If you see a Registered Psychologist through a public mental health centre like a mental health team or outpatient psychiatry program, it will still be covered by MSP. Talk to your care provider if you have questions or want to learn more."
How can I see a counsellor?,"You can find directories of counsellors through their professional organizations.
Registered Clinical Counsellors: visit the BC Association of Clinical Counsellors
Canadian Certified Counsellors: visit the Canadian Counselling and Psychotherapy Association
Canadian Professional Counsellors: visit the Canadian Professional Counsellors Association
For more specialized counselling professionals, such as Marriage and Family Therapists, see the Federation of Associations for Counselling Therapists in British Columbia.
You can make an appointment on your own. You don't need a doctor's referral to see a counsellor.
Counsellors are not usually covered by MSP, so you'll have to pay for the cost of the appointment yourself. Workplace extended health benefits, Employee (Family) Assistance Programs, or private health insurance plans may help cover some costs. Some counsellors may offer a sliding scale based on your income. If you're facing financial hardship, you can ask when you make the appointment.
Learn more about lower-cost options to access counselling or email us with your location and our information and referrals team can see what options there may be in your community.
If you see a counsellor through a public mental health centre like a mental health team or outpatient psychiatry program, it will still be covered by MSP. Talk to your care provider if you have questions or want to learn more.
Indigenous community members can access some counselling services locally or through the First Nations Health Authority. Contact your local Band or local Friendship Centre, or contact the First Nations Health Authority."
How can I find a support group?,"Support groups are a way for people with a common experience to help each other and learn from each other. There are support groups for people with any experience of mental illness, support groups for people with a specific diagnosis, support groups for family members and friends, and more.
Support groups are offered by community organizations, mental health service providers, schools, campuses, and support agencies. Here are some general resources to help you find a mental health or substance use related support group in BC:
Talk to your mental health care provider. They might be able to make recommendations.
The Mood Disorders Association of BC offers a network of peer support groups around the province for people who experience mental illnesses like mood disorders or post-traumatic stress disorder. They also have groups for family and friends. Groups are drop-in.
Many Canadian Mental Health Association branches offer support services, including support groups. If your local branch doesn't have their own program, they can recommend other services in your community.
The BC Schizophrenia Society maintains a directory of support groups and other regular events for family members of people with a mental illness.
For groups related to alcohol or drug use, call the Alcohol and Drug Information Referral Service at 1-800-663-1441 or 604-660-9382 in the Lower Mainland.
For groups in the Lower Mainland, search the Red Book Online.
If you are at school or on campus, talk to a school counsellor or your campus' health and wellness office.
For online support, see some suggestions at www.heretohelp.bc.ca/discuss. This can be particularly useful if you don't have a group in your community or have trouble getting to an in-person group.
In order to benefit the most from a support group, you need to feel safe enough to share your experiences and thoughts, and you need to feel comfortable supporting others. It can be helpful to contact the group facilitator or organizer ahead of time to see if a particular group might be a good fit for you. We have a checklist to help you evaluate support groups—including when it might be time to leave one.
Sometimes a group just doesn't work for you, and that's okay. If you feel comfortable, you can try talking to the facilitator to see if they can recommend another group that you can try."
Where can I find child and youth mental health services?,"To find help for a child or youth, you can:
Encourage your child to talk to a teacher or school counsellor
Talk to your family doctor or pediatrician, or go to a walk-in clinic
Contact your local Child & Youth Mental Health office on one of their walk-in days
Use Kelty Mental Health's Help Finder Tool to find specific services and providers
Contact the Institute of Families for Child and Youth Mental Health's Youth-in-Residence or Parent-in-Residence for guidance, information, and support. Youth-in-Residence and Parents-in-Residence are located around the province. If you don't have one in your community, a Parent- or Youth-in-Residence at the Kelty Mental Health Resource Centre can help you by phone or email
Visit www.familysmart.ca for information and resources on child and youth mental health
For young people ages 12-24, visit foundrybc.ca to see if there is a Foundry Centre in your area. Foundry offers easy-to-access mental health care, physical health care, social services, and support out of one office."
Where can older adults find help for mental health concerns?,"Mental health concerns are a serious concern at any age, and everyone deserves help and support. If you're concerned about your mental health, you can:
Talk to your family doctor or go to a walk-in clinic
Call the Mental Health Support Line at 310-6789 (no area code) for information about services in your area
Find your local mental health centre or program at www.gov.bc.ca/mentalhealth (you may need a doctor's referral to access some programs)
Find your local Canadian Mental Health Association branch at www.cmha.bc.ca and ask for information about local services
Contact a local senior's support organization or group and ask for advice. You can search for organizations at www.bc211.ca
For general information about senior's mental health:
Find resources from the Canadian Coalition for Seniors' Mental Health at www.ccsmh.ca
Find info sheets in the Seniors and Depression Series at www.heretohelp.bc.ca/factsheet/seniors-and-depression-series
If you are concerned about a loved one:
Be honest about your concerns, like changes you've noticed or problems that have come up
Give your loved one a chance to talk about their perspectives. They may have a different take on the problem or have different priorities in their health care
Be patient—it will probably take more than one conversation
Whenever possible, aim for cooperation. Focus on finding an action or solution that everyone can agree on
Remember that asking for help is hard for many of us, and it can be even harder as people's roles and abilities change. If your loved one isn't willing to talk about their experiences with you right away, offer alternatives like the BC Mental Health Support Line (310-6789—no area code needed), the Seniors Distress Line (604-872-1234) or a local seniors support organization (search for organizations at www.bc211.ca)
Seek support to manage your expectations and your own well-being. It can be very stressful to see a loved one experience health problems. But adults who can care for themselves and aren't at risk of harm are free to make their own choices—and that includes refusing help"
Where can I find self-help materials for depression?,"Self-help resources are not a substitute for diagnosis or treatment. If you have concerns about low mood, it's best to talk to your doctor first and rule out physical causes for your symptoms. However, once you've checked in with your doctor, self-help materials can be a great way to learn more about depression and practice different skills at your own pace or in between treatment sessions. Here are some resources to check out.
The Antidepressant Skills Workbook was created by two BC psychologists. You'll learn more about depression, learn and practice different skills to help improve your mood, and learn how healthy changes in other parts of your life can impact your mood. They also have similar workbooks for specific groups:
Dealing With Depression: Antidepressant Skills for Teens
A workbook for people who experience problems with depression at work called Antidepressant Skills at Work: Dealing with Mood Problems in the Workplace
A workbook for expecting or new moms called Managing Depression: A Self-help Skills Resource for Women Living With Depression During Pregnancy, After Delivery and Beyond
A workbook for people who experience health problems called Positive Coping with Health Conditions: A Self-Care Workbook
On the HeretoHelp site, our Managing Depression series offers three info sheets: Dealing with a Diagnosis of Depression, Working With Your Doctor for Depression, and Preventing Relapse of Depression. The series helps you be an active partner in your health care, build healthy coping skills and self-management strategies, and more.
Often depression can affect your concentration and motivation to work through self-help materials on your own. If you'd like self-help materials with a bit of extra support from a person, Bounce Back: Reclaim Your Health is a guided self-help program for British Columbians who experience mild to moderate depression, low mood, stress, or anxiety. You can get a DVD of tips to help you recognize and manage symptoms of depression, or you can learn more in-depth skills in a series of workbooks you complete at home. You also work with a trained coach from the Canadian Mental Health Association who will offer support and advice by telephone or video conference. Bounce Back is free with a doctor's referral. For more information, visit www.bouncebackbc.ca (If you want to access the Bounce Back materials without a coach or referral, you can do that online in BC at www.bouncebackonline.ca).
The Mood Disorders Association of BC has a number of videos on mental health, seeking help, and other topics
Kelty Mental Health Resource Centre also maintains a comprehensive list of websites, toolkits, books and other resources for young people and families
Heads Up Guys offer tips and strategies for healthy living strategies for men who experience depression
The BC Reproductive Mental Health Program of BC Mental Health and Substance Use Services has a self-management guide for women who experience postpartum depression called Coping with Depression in Pregnancy and Following the Birth. They also have a guide for Aboriginal women and their families called Celebrating the Circle of Life: coming back to Balance and Harmony
The follow resources are based outside of BC, but they offer a lot of good information.
MoodGYM Training Program is a web-based self-help course for people who experience depression. It is based in Australia but is available for free to anyone
Moodjuice is a UK initiative that offers self-help workbooks, including one for depression
There are many books and workbooks available to help people who experience depression. Talk to your mental health care team for recommendations. You can find many from your local bookstore or special bookstores specializing in mental health like Odin Books in Vancouver (you can also order online). Within British Columbia, you may also borrow books for free from the Family Support and Resource Centre at BC Children's and Women's Hospitals. They have many self-help and reference materials on depression for women and their partners, for parents, and for children and youth."
Where can I find self-help materials for anxiety?,"Self-help resources are not a substitute for diagnosis or treatment. If you have concerns about low mood, it's best to talk to your doctor first and rule out physical causes for your symptoms. However, once you've checked in with your doctor, self-help materials can be a great way to learn more about anxiety and practice different skills at your own pace or in between treatment sessions. Here are some resources to check out:
Anxiety Canada has self-help resources, toolkits, worksheets, and videos on anxiety and anxiety disorders for children and their parents, teens, adults, expecting and new moms at www.anxietycanada.com. Their MindShift app teaches skills to help users manage anxiety, relax, and live well. Although designed for teens and young adults, other adults can also benefit from it.
Kelty Mental Health Resource Centre has a list of recommended websites, toolkits, books, and other resources for children and for teens.
The BC Reproductive Mental Health Program of BC Mental Health and Substance Use Services has a self-management guide for women who experience anxiety during and after birth called Coping With Anxiety During Pregnancy and Following the Birth.
Moodjuice is a UK program that offers self-help and information on a number of mental health concerns, including their anxiety self-help guide. If you'd like help for a specific anxiety disorder, visit www.moodjuice.scot.nhs.uk to search for other guides.
There are many books and workbooks available to help people who experience anxiety problems. Talk to your mental health. Talk to your mental health care team for recommendations. There are bookstores that specialize in mental health and well-being materials, such as Odin Books in Vancouver. Within British Columbia, you may also borrow books for free from the Family Support and Resource Centre at BC Children's and Women's Hospitals. They have many self-help and reference materials on depression for women and their partners, for parents, and for children and youth.
If you'd like self-help materials with a bit of extra support from a person, Bounce Back: Reclaim Your Health is a guided self-help program for British Columbians who experience mild to moderate low mood or anxiety. You can get a DVD of tips to help you recognize and manage symptoms of anxiety, or you can learn more in-depth skills in a series of workbooks you complete at home. You work with a trained coach from the Canadian Mental Health Association who will offer support and advice by telephone or video conference. Bounce Back is free with a doctor's referral. For more information, visit www.bouncebackbc.ca. If you want to access the Bounce Back materials without a coach or referral, you can do that online in BC at www.bouncebackonline.ca."
I'm having a hard time coping with a physical health problem. Where can I find help?,"Physical health can have a big impact on mental health! Here are some resources to help you cope with the emotional challenges of living with a chronic health problem:
Self-Management BC offers free programs for adults of all ages who are experiencing any ongoing physical or mental health issues. Find information and strategies to help manage symptoms and take action toward the best life possible. Family members, friends, and loved ones are welcome to attend. Programs are available in languages other than English, including Chinese and Punjabi. On their website, you learn more about self-management research and find a workshop or telephone-based support program. Visit www.selfmanagementbc.ca or call toll-free 1-866-902-3767.
A group of BC psychologists and doctors have created a self-guided workbook called Positive Coping with Health Conditions for anyone who is dealing with a health problem and anyone who supports a loved one that experiences a health problem. The workbook discusses the links between physical health and mental health, and teaches you different skills to help you manage problems and difficult feelings well, get active, and work on healthy relationships.
Bounce Back: Reclaim Your Health is a guided self-help program for British Columbians who experience mild to moderate depression, low mood or anxiety. You can get a DVD of tips to help you recognize and manage symptoms of depression, or you can learn more in-depth skills in a series of workbook you complete at home. One of the workbooks, Reclaim Your Health, is focused on living with chronic health conditions. You work with a trained coach from the Canadian Mental Health Association who will offer support and advice by telephone or video conference. Bounce Back is free with a doctor's referral. For more information, visit www.bouncebackbc.ca. If you want to access the Bounce Back materials without a coach or referral, you can do that online in BC at www.bouncebackonline.ca.
Reclaim Your Life: From illness, disability, pain, or fatigue is a booklet from the Canadian Mental Health Association that offers practical tips and strategies to help you cope with a problem and get back to your usual routine. The booklet is available for purchase at www.livinglifetothefull.ca. It is part of a program called Living Life to the Full, an eight-week program that helps people make helpful changes in their lives. It's offered throughout the province, and you can find course listings on the website as well.
Many organizations support people who experience a particular illness or health problem. These organizations can often help people find appropriate support services or may even offer support groups of their own. You can also ask your health care team for recommendations. If you can't find support in person, you can see if there are any support groups online.
If you're having a hard time coping and feel that you need one-on-one support, a therapist or counsellor can be a great option. You can find more information on finding these professionals at www.heretohelp.bc.ca/ask-us/how-can-i-find-a-doctor-psychiatrist-psychologist-or-counsellor."
When is substance use a problem? Where can I go for help?,"Each person has a different relationship with substances like alcohol and other drugs, and people use substances for different reasons. What's beneficial for some may cause problems for others, or for the same person in different situations.
To learn more about substance use, check out Understanding Substance Use: A health promotion perspective. For more on supporting someone else, a useful resource is Helping People who Use Substances: A health promotion perspective.
To help you think about your relationship with substance, You and Substance Use: Stuff to think about...and ways to make changes is a great workbook. Another series, Making Healthier Choices about Substance Use: Tips for cutting back or quitting, has a lot of useful tips and resources if you want to change the way you use alcohol, marijuana, medications, methamphetamine, and tobacco.
If you or someone you care about needs more help, contact the Alcohol and Drug Information Referral Service to find support in your area. To get help anywhere in BC, call 1-800-663-1441. In Greater Vancouver, call 604-660-9382.
To learn more about substance use, visit the Centre for Addictions Research of BC."
Where can I find free or low-cost counselling?,"Mental health services like counselling or therapy may be covered by your BC Medical Services Plan (MSP) when you access the service through a hospital or mental health clinic. Find your local health authority to learn more about counselling services in your area. HealthLink BC's Find Services tool and Locator app can also help you find services. You often need a doctor's referral to access these types of programs.
Without a doctor's referral, you need to access care through the private system, which is not funded by the government. Private mental health services can be expensive. This can be a real barrier to finding good care. While there is no simple answer, there are several different places you can look:
If you have health benefits at work, ask about your coverage. Some plans will cover a certain number of private counselling or therapy sessions. In addition, a workplace Employee/Family Assistance Plan may offer some services or may refer you to community services.
Some psychologists, clinical counsellors, or other service providers may offer a sliding scale, which means that their costs are based on your income. Try contacting service providers directly to ask if they offer a sliding scale. One private clinic in Vancouver has a good list of lower-cost counselling options in the Vancouver area. For those outside of the Lower Mainland, you can still look at this list and see if any similar organizations might be in your community.
Contact a mental health organization like Anxiety Canada, the Canadian Mental Health Association, BC Schizophrenia Society, Institute of Families for Child and Youth Mental Health, Mood Disorders Association of BC, or Jessie's Legacy. They may offer services in your area, or they may have local connections that they can refer you to.
You can also email us and we'll try and give you some recommendations for your community."
Can I get help paying for prescription medications?,"BC PharmaCare covers the cost of some medications through Plan G, the Psychiatric Medications Plan, for people who need a medication to be well but cannot afford them. Your doctor or nurse practitioner must apply for your coverage on your behalf. Coverage usually lasts for one year, and then you can reapply if needed. Talk to your care team if you're interested in Plan G."
How can I pay for mental health care?,"Mental health services provided through the government-run (‘public') system, like services you receive through your local mental health centre or team, an outpatient psychiatry at a hospital are most often completely covered by MSP. As long as you are eligible for MSP, you won't have to pay to see someone.
For mental health services that aren't covered by MSP, such as psychotherapy or counselling with a private practitioner, you will have to cover the costs yourself. It's no secret that these services can be expensive, but you may be able to offset the costs through:
Extended health coverage from your own or an immediate family member's workplace benefits
Employee (Family) Assistance Program from your own or an immediate family member's workplace benefits
For students, school or campus mental health services
For Indigenous community members, services offered through your Band, Friendship Centre, Indigenous support organization, or the First Nations Health Authority
Cultural or faith communities may offer some mental health services
You may be able to claim some larger costs related to treatment of a mental health condition on your income tax return under health expenses
Some providers offer lower-cost services or a sliding scale, usually based on your income. Email us with your location and our information and referrals team can help you look for options in your area.
If costs are a barrier to health care, talk to your doctor to see if there are any services in the public health system (covered by MSP) that may be a good fit for you. You can also called the Mental Health Support Line at 310-6789 (no area code) for more information on local mental health services."
How do I apply for income assistance?,"Provincial income assistance has three income levels: basic assistance (also called welfare), Persons with Disabilities benefits (PWD), and the Persons with Persistent and Multiple Barriers to employment benefits (PPMB). All are administered by the Ministry of Social Development and Social Inclusion. Depending on the situation, mental illness may considered under PWD or PPMB. Addictions may not be included in PPMB applications.
PWD benefits are for people who have a disability that prevents them from working or going about their daily activities. Find information from the Ministry and read a fact sheet from the Disability Alliance of BC with information about the application process.
PPMB benefits are for people who experience multiple barriers to work. Find information from the Ministry and read a fact sheet from the Disability Alliance of BC with information about the application process.
The Disability Alliance of BC (formerly the BC Coalition of People with Disabilities) and help you navigate PWD and PPMB programs as well as Canada Pension Plan benefits. They have in-depth information on preparing your application, working through the application process, and handling appeals. PovNet can also connect you with an advocate to help you through the application process.
For more on provincial PWD benefits and advocacy tips, see Getting By on Social Assistance: Navigating the ‘welfare' system or read other articles in our Income issue of Visions Journal."
What is MSP?,"MSP stands for Medical Services Plan. It's a health insurance program managed by the government for people who live in British Columbia, Canada. MSP pays for things like doctor's appointments, appointments with specialist doctors like psychiatrists, and hospital stays you need to treat a medical problem.
Everyone who lives in BC must enroll in MSP. You pay a monthly fee based on your income. Some workplaces cover the costs of MSP fees for you.
Learn more about MSP here. If you have questions about applying for or managing your MSP coverage, call Health Insurance BC at 604 683-7151 in the Lower Mainland or 1-800-663-7100 in the rest of BC. They are open Monday – Friday from 8.00am – 4.30pm. You can also get help in person at your local Service BC office.
If you are new to BC, you have to wait three months before registering for MSP.
Bring your Care Card or BC Services Card with you when you go to medical appointments or use the pharmacy."
What is a referral?,"A referral means someone recommends you to another service. In health care, it usually means a request from your doctor to see a specialist like a psychiatrist.
To access any specialist in BC, you first need a referral. You may need to meet certain criteria, like a specific diagnosis or specific symptoms, to access some specialists. Your doctor can tell you what to expect.
Once your doctor has made the referral, the specialist's office will contact you with an appointment time. Make sure your doctor's office has your current contact information so the specialist can reach you.
The process is the same whether you see the same family doctor or visit a walk-in clinic.
Not all mental health programs in BC require a doctor's referral. This is good news for people who are looking for help! A ""self-referral"" means that you ask to see someone, and then you will be evaluated to see if you meet the criteria to receive services. Contact your local health authority to learn more about programs in your area:"
What's the difference between a psychiatrist and a registered psychologist?,"A psychiatrist is a medical doctor with extra training in mental health who can choose to prescribe medications. Some use psychotherapy (‘talk therapies') approaches like cognitive-behavioural therapy to treat mental health problems. Many psychiatrists work at hospitals, clinics, or health centres, and some have a private office. As they are specialist doctors, you will almost always need another doctor's referral to see a psychiatrist, and fees are covered by MSP. If you have a valid BC Services or CareCard, you do not need to pay to see a psychiatrist.
A registered psychologist focuses on different talk therapy or counselling approaches to treatments, but they don't prescribe medication. They have graduate degrees in psychology. There are two different ways to access registered psychologists: the public system and the private system. Registered psychologists in the public system work in some hospitals or schools. You may need a doctor's referral to access the program, and costs are usually covered by MSP. However, most people need to access registered psychologists through the private system. To do this, you can contact the psychologist yourself—you do not need a referral. Costs are not covered by MSP, but they may be covered by employee health plans. A registered psychologist's fees charged by hour vary, and some offer lower fees to people with lower incomes.
You've probably noticed that a lot of the differences come down to how you pay for different services and how these professionals are educated. The practical differences in how they work are not always so clear. When it comes to your treatment and care, the most important part is finding a professional who supports your own goals. Are you really focused on fine-tuning medications? Are you looking for a particular therapy approach? Does the professional's philosophy of care make sense to you? Do you like the professional you're talking to and do you feel safe sharing your experiences? Ultimately, your relationship with the professional is what matters. Instead of focusing on designation, look for a professional who meets your needs and your expectations.
Talk to your family doctor and ask for their recommendations
Ask local mental health organizations for help. You can find local branches through the provincial organizations behind HeretoHelp
Ask a community health centre, outpatient psychiatry program, or mental health team for suggestions
For a list of psychiatrists near you, search under ‘Specialist' in the College of Physicians and Surgeons of British Columbia's Find a Physician Tool but remember that you will first need a referral from a doctor (like your family doctor)
For a list of psychologists near you, search in the British Columbia Psychological Association's Find a Registered Psychologist tool and you can also learn more about finding a psychologist from the College of Psychologists of British Columbia"
What's the difference between psychotherapy and counselling?,"Psychotherapy and counselling have a lot in common and usually mean the same thing. Both are used to describe professionals who use talk-based approaches to help someone recover from a mental illness or mental health problem. Many different professionals may provide counselling or psychotherapy, including registered psychologists, registered clinical counsellors, psychiatrists, other therapists and counsellors, family doctors, psychiatric nurses, and faith leaders.
It's useful to talk to someone about any problem—a lot of people find that simply talking with friends or family can help them feel better. A professional therapist or counsellor can offer more: they have training, experience, and emotional distance (since they don't know you). They use different theories to listen to you, support you, and approach different problems or patterns. For example, a psychotherapy called cognitive-behavioural therapy is based on the theory that learning skills to change your thinking and actions can positively impact your emotions, well-being, and future thoughts and behaviours. A therapist could help you learn and practice these skills.
There are many psychotherapies with good evidence of being effective for different problems or illnesses. A few examples include cognitive-behavioural therapy, interpersonal therapy, dialectical behaviour therapy, solutions-focused brief psychotherapy, narrative therapy, and emotion-focused therapy.
In general, some aspects of therapy and counselling are the same, no matter which approach you choose: the expectations you bring to your counselling sessions, the match between your understanding of the problems and your therapist's understanding of the problem, and the trust and rapport that you have with your therapist. In fact, one research review found that 50% of the improvement seen in clients who just received active listening and support from a counsellor (called non-directive supportive therapy) was due simply to the relationship between client and therapist.1 Psychotherapy can and does work, but the professional you choose, and their match with your values, is also very important.
When you're looking for a professional, it's always a good idea to ask if they are a member of a professional organization (like those listed in the next section)."
What's the difference between CBT and DBT?,"CBT (cognitive-behavioural therapy) and DBT (dialectical behaviour therapy) are two forms of psychotherapy or “talk therapy.” In both, you work with a mental health professional to learn more about the challenges you experience and learn skills to help you manage challenges on your own.
Cognitive-behavioural therapy or CBT teaches you how your thoughts, feelings, and behaviours influence each other. For example, if you believe that people don't like you (thought), you might avoid social situations (behaviour) and feel lonely (feeling). However, CBT teaches you how to use these relationships to your advantage: a positive change in one factor (changing a thought or behaviour) can lead to positive changes in all factors. CBT is an approach that has been proven by research to work for many different mental health problems, including depression, anxiety disorders, eating disorders and substance use problems.
CBT is structured, short-term, goal-oriented and focused on the present. It starts with education around the particular mental illness or challenge and how the illness or challenge affects you. Next, you'll learn and practice skills and strategies like problem-solving or realistic thinking to help you make changes in your thoughts, feelings, and behaviours. You'll learn how you can use your new skills to deal with problems in the future.
Dialectical behaviour therapy or DBT is based on CBT, with greater focus on emotional and social aspects. DBT was developed to help people cope with extreme or unstable emotions and harmful behaviours. DBT is an evidence-based approach to help people regulate emotions. It started as a treatment for borderline personality disorder, and current research shows it may help with many different mental illnesses or concerns, particularly self-harm.
Key differences between CBT and DBT are validation and relationships. DBT teaches you that your experiences are real, and it teaches you how to accept who you are, regardless of challenges or difficult experiences. Relationships are also very important in DBT—including the relationships between you and your DBT practitioner. You may have frequent check-ins to talk about any successes or problems. Treatment may include a mix of one-on-one sessions and group sessions. In addition to CBT skills, you'll learn skills around managing your emotions, building relationships with others, coping well with problems or distress, acceptance, and mindfulness.
As with many talk therapies, it takes time and effort to enjoy the benefits of CBT and DBT skills. But once people master skills with support from your CBT or DBT therapist, they often find that their new skills and strategies become second nature—they are tools that last a lifetime."
What's the difference between antidepressants?,"There are many different types of antidepressant medications, and they each work in different ways. Antidepressants are divided into “classes” based on what they do and which chemical messengers in the brain (called neurotransmitters) they are thought to influence. Each class may contain several different medications, which each have slightly different ways of working. Below, you'll find common classes and examples of common medications. The first name is the generic name and name in brackets is the brand name.
SSRIs or selective serotonin reuptake inhibitors: fluoxetine (Prozac), paroxetine (Paxil), citalopram (Celexa), escitalopram (Cipralex), and sertraline (Zoloft)
SNRIs or serotonin and norepinephrine reuptake inhibitors: venlafaxine (Effexor) and duloxetine (Cymbalta)
NDRIs or norepinephrine-dopamine reuptake inhibitors: bupropion (Wellbutrin and Zyban)
NaSSAs or noradrenergic and specific serotonergic antidepressants: mirtazapine (Remeron), which can also be classed as a TeCa or tetracyclic antidepressant
SARIs or serotonin antagonist and reuptake inhibitors: trazodone (Desyrel)
There are other classes of antidepressants (such as MAOIs or triclycics) that are much older and have more side effects or restrictions. They are usually prescribed when newer antidepressants don't work. Other medications such as lithium, thyroid medication, or antipsychotics may also be prescribed, often in combination with an antidepressant to boost its effect. Antidepressants are not only used to treat depression—they may be prescribed to treat other illnesses like anxiety disorders.
Only medical doctors like family doctors or psychiatrists can prescribe antidepressants. If your doctor recommends that you consider antidepressants, keep in mind that most people have to try a few different options before they find the right medication. It can be a frustrating process, especially when you feel unwell, but it's important to find something that works for you! Side effects and benefits can vary significantly between different people, and it's difficult to predict how a medication might work without trying it out first. Everyone responds to them differently. It's very important to have ongoing discussions with your health care team regarding your medication so you can bring up any problems or concerns—or even ask more about how your particular antidepressant works."
I received a diagnosis but I don't think it's right. What can I do?,"If possible, bring up your concerns with the professional who provided the diagnosis. That way, the professional can answer your questions and you can better understand their decision.
If that doesn't resolve the situation or a follow-up appointment isn't possible, you can ask for a second opinion. A second opinion is an assessment from a different professional. This can give you better understanding of what's going on and what to do about it. Second opinions are common when it comes to major health decisions—you won't hurt anyone's feelings and your doctor will try to accommodate reasonable requests for a second opinion. Talk to your family doctor (or go to a walk-in clinic) to discuss your options and get a referral to a different program or health professional, if needed.
For more how to get a second opinion, see HealthLinkBC's factsheet at www.healthlinkbc.ca.
For general tips on managing a diagnosis of a mental illness and working well with health care professionals, see HeretoHelp's Managing a Mental Illness series."
I was prescribed an antidepressant or other psychiatric medication but I don't think it's working. What can I do?,"If you're concerned about your medications, it's important to talk with the doctor or psychiatrist who prescribed your medications. While it can take a few weeks to really see improvements with many antidepressants, it's still a good idea to talk to your doctor about what to expect.
Talk to the doctor that prescribed your medication if you experience symptoms or side effects that are distressing you. If you want to talk to a trusted professional about the most common side effects, call your pharmacist. You can reach a pharmacist by phone after-hours by calling 811.
It's also best not to stop taking the medication or changing the dose on your own without first talking to a health care provider. While it might be tempting to stop taking your medication when you start feel better, it's important to follow your doctor's instructions.
In some cases, people can have an allergic reaction to a medication. Some reactions are not serious, like a rash. In these cases, you can call the pharmacist or call 811 to reach help after-hours. If you have a serious reaction like difficult breathing, dizziness, or confusion, call 911 right away.
When you start a new medication, your pharmacist will give you a printout with information like side effects, signs of an allergic reaction, how long it might take to work, and other information. It's good information to keep on hand, but it isn't always easy to read. When you pick up your medication, you can ask the pharmacist to go over the information with you so you understand what you should look for.
If a particular antidepressant or psychiatric medication just isn't working for you, there are many different options! Unfortunately, finding the right medication can take some trial and error. Different people can have very different experiences with the same medication, and often you need to try something to see if it works (or doesn't work) for you. This can be a frustrating process, especially when you want to start feeling better, but it's important to keep trying and work with your doctor so you understand your options. Many people feel intimidated talking to health professionals, but it's important to share information so you both understand what's going on and can make good, informed decisions about your health care. Some people also feel embarrassed talking about symptoms or side effects like changes in intercourse drive or digestion, but its important information for your doctor (and they know that changes in intercourse drive or digestion are common concerns). You can find strategies, including a mood journal, to help you work with doctors and other health care providers in our Working With Your Doctor toolkit."
An adult in my life seems ill and won't find help. What can I do?,"It's difficult when an adult child, sibling, parent, friend, co-worker, or other important person is struggling or behaving in ways that are causing harm. This can be a tricky situation—you want to help, but most adults are responsible for their own care.
There are two important points to think about. First, diagnosing a health condition, especially when symptom-checking is so easy online, can be dangerous. Diagnosis is still always best left to professionals who can look at the whole picture. Remember, too, that the person you care about may have a very different idea of what's causing their difficulties and what the negative impacts are on their life. Second, except in rare cases, the person being treated needs to be an active player in their own recovery to continue with their treatment, just as they would for any other health problem. If the vast majority of cases, you cannot do this work entirely for them—and trying to do so may damage your relationship.
Be honest about your concerns, the impacts you are seeing that worry you, listen to their point of view and work together to find a solution that works for everyone, even if it means a compromise. You may want to offer to go with them to an appointment, encourage them to do an online screening self-test, or involve someone else close to them who may be similarly concerned and may have more influence in encouraging them to notice changes and seek help. Because you may be feeling frustrated and helpless, it's important to get care and support for yourself during this time, especially if you're very close to the person you're worried about.
In serious situations, the BC Mental Health Act allows someone to be held for a period of time for psychiatric assessment without their consent if they are at risk of harming themselves or others. While it's necessary in some situations to get someone the care they need, it can be traumatic for everyone involved. For more on the BC Mental Health Act, see the Guide to the Mental Health Act."
I'm worried about my child or teenager. Where can I find help?,"It can be hard to figure out what to do if you're concerned about a young person in your family. Many people start by talking with their family doctor. If you don't have a family doctor, you can find a doctor through the College of Physicians and Surgeons of BC. You can also visit a walk-in clinic. Depending on the situation, your family doctor may offer everything you need. If your child needs more specialized services, such as psychiatry services, your family doctor needs to make a referral for your child. Many family doctors can also recommend community services or supports in your community. Learn more about the role of family doctors in the info sheet What to Expect from Your Family or Walk-In Clinic Doctor.
If your child's difficulties affect their performance or behaviour at school, the school may be involved. If your child's school has a counsellor, talk to them about services you can access through the school. School counsellors can also suggest community services. See the info sheet What to Expect from Your Child's School.
Kelty Mental Health Resource Centre offers information, resources, peer support, and system navigation to children, youth, and families experiencing mental health or substance use challenges. Their Help Finder tool and help you navigate the mental health system. Kelty Mental Health is based at BC Children's Hospital in Vancouver, but they support young people and their families across the province.
Institute of Families for Child and Youth Mental Health advocates for healthy young people and family support. They offer resources and education events across BC.
The Canadian Mental Health Association's BC Division offers Confident Parents: Thriving Kids, a phone-based education and support program to help parents or caregivers manage mild to moderate behaviour problems for children ages 3 to 12. This program is free, but it requires a doctor's referral.
You may also want to check out these resources from HeretoHelp on child and youth mental health and substance use:"
Someone I care about has a brain injury. Where can I find more information?,"A brain injury itself isn't the same as a mental illness, though someone who experiences a brain injury may also experience mental health problems. These mental health problems may stem from the injury itself or from thoughts around the injury (like feelings of loss, anger, or frustration when quality of life changes). In some cases, mental health challenges may not be related to a brain injury at all. The good news is that mental health problems are treatable, even if you or someone you care about has experienced a brain injury. It may be helpful to find a service provider who is familiar with both brain injuries and mental health.
For more information and support, visit the BC Brain Injury Association. You can also find local and regional groups and organizations in BC through the Brain Injury Association of Canada."
Someone I love has been diagnosed with depression. How can I help?,"We naturally want to help a loved one who isn't feeling well. How we can or should help may seem fairly obvious when a loved one experiences a physical health problem, but many people say they're not sure how to best help when a loved one experiences a mental illness like depression. Here are some tips:
You don't have to understand exactly what someone else is experiencing, you just need to recognize that it's a difficult experience. You can try something like, “I can see that this experience or these symptoms are really painful for you,” or, “I'm sorry to hear that you're feeling unwell.” If you have experienced depression yourself, you might say, “I know how you feel.” Just remember that everyone experiences illnesses like depression differently, and empathy is about recognizing the impact of the illness, not comparing symptoms.
You don't have to be an expert, but learning more about depression can help you understand what's going on (and maybe dispel some of the unhelpful myths around depression). Our Depression info sheet is a great place to start, and we have a list of resources at Q&A: Where can I learn more about depression?
Sometimes talking about problems or concerns can really help—in fact, many people who experience a mood disorder say that they just want to be heard. It's important to understand that talking about something difficult like experiences of depression can be very hard for your loved one. You cannot force them to talk about it, but you can invite them to, and create safe and quiet spaces to talk. If a loved one opens up to you, listen actively—that is, without distractions like your phone or the TV. Really pay attention to what they have to say. Listen with empathy and without judgement. Even if you don't understand the problem or see the problem in a different way, your main concern is the distress or difficult feelings your loved one is experiencing. You can find in-depth tips on listening and communicating well in Module Three of the Family Toolkit. Some people are not ready to talk about everything at once, or at all. That's okay! Respect your loved one's boundaries and let them tell you what they're ready to talk about.
Even when you have the best intentions, unsolicited advice can be unhelpful. You likely can't fix the problem, and you may not know the whole story. If you'd like to share what worked for you in a similar situation, you can ask if the other person would like to talk about strategies that worked for you.
Different people need different things—don't assume you know what's best! Some people need emotional help, like someone they can talk with. Other people may have a good relationship with a counsellor or other professional, but they might need practical help, like help around the house or help sticking to their treatment plan. And others may simply want to be included in some social events. By asking what a person needs, you may also be less tempted to give advice.
When people experience an episode of depression, they can have a lot of very negative thoughts and feelings. This can take a real toll on others. It's a good idea to seek support for yourself—there are support groups just for family members and friends. The BC Schizophrenia Society has a directory of family support groups around BC for any mental illness.
If your loved one isn't happy with their treatment or would like to try a different option, you can also help them seek different resources or services. You can find general advice in the Ask Us section of HeretoHelp. To find local services, call the BC Mental Health Support Line at 310-6789 (no area code) or email us.
This is very important! You are not responsible for your loved one's treatment (unless your loved one is your child under 19)—but you can support them as they work towards recovery. In most cases, your loved one's treatment and recovery plans are their choice—you are there to offer support and encouragement.
In order for any treatment to work, your loved one needs to be actively involved. Forcing or threatening treatment generally doesn't work and will only hurt everyone involved. In most cases, anyone 19 years of age and older is free to make their own choices. And their choices may include refusing treatment or choosing a treatment you disagree with. It's important to be respectful and keep honest communication open between you. You can learn more about dealing with this situation in Ask Us: An adult in my life seems ill and won't find help. What can I do?
If your loved one says that they have thoughts of ending their life, it's important to take action. Call 1-800-SUICIDE (1-800-784-2433) at any time or message online at www.crisiscentrechat.ca between noon and 1am. If you think your loved one is in immediate danger, you can always call 911 or go to a hospital emergency room."
Someone I love has been diagnosed with schizophrenia. How can I help?,"We naturally want to help a loved one who isn't feeling well. How we can or should help may seem fairly obvious when a loved one experiences a physical health problem, but many people say they're not sure how to best help when a loved one experiences a mental illness like schizophrenia. Here are some tips:
You don't have to be an expert in schizophrenia, but learning more can help you understand what's going on. There are a lot of myths about schizophrenia, so it's a good idea to find some trustworthy resources. Our Schizophrenia info sheet is a great place to start. You can also find a lot of information from the BC Schizophrenia Society.
Sometimes talking about problems or concerns can really help. It's important to understand that talking about something difficult like experiences of schizophrenia can be very hard for your loved one—and the symptoms of schizophrenia can also make conversations difficult. If a loved one opens up to you, listen actively—that is, without distractions like your phone or the TV. Really pay attention to what they have to say. Give them time to finish their thoughts, even if it takes a bit longer than usual. Listen with empathy and without judgement. Even if you don't understand the problem or you see the problem in a different way, your main concern is the distress or difficult feelings your loved one is experiencing. You can find in-depth tips on listening and communicating well in Module Three of the Family Toolkit. Some people are not ready to talk about everything at once, or at all. That's okay! Respect your loved one's boundaries and let them tell you when they're ready to talk.
Symptoms of schizophrenia like hallucinations (sensations that aren't real, like hearing voices) or delusions (beliefs that can't be true, like believing that you are being followed by a spy) can take some time to stop even when people are receiving treatment and following their treatment plan. As a group, these very distressing symptoms are called psychosis. Many people have a hard time responding to a loved one's hallucinations or delusions. It's best to avoid arguing about these experiences. Remember that delusion are symptoms of schizophrenia—they are not thoughts that you can talk someone out of. Telling someone that their experiences aren't real or aren't true doesn't help when the experiences feel very real to that person! A better approach is to empathize with the feelings that hallucinations or delusions bring up—without confirming or denying the hallucination or delusion. For example, if a loved one is frustrated or upset when they hear voices, it isn't helpful to say something like, “You're okay! It isn't real. I don't hear anything.” Instead, you might say, “I can only image how upsetting that voice must be. I can see the voice makes you feel scared.” Know that with good treatment and support, symptoms like hallucinations and delusions become much easier for people to manage and lose importance.
Ask how you can help. When people experience a serious mental illness like schizophrenia, they may want to plan how they can take action if they start to feel unwell again, especially if they have dependent children. These plans, such as advanced directives or Ulysses Agreements, are made when a person feels well and are meant to communicate their wishes to loved ones and their care team. Ask your loved one if they have a plan in place so you know what they need if they need help. If you'd like to learn more about planning for care, see the BC Schizophrenia Society.
If a loved one is experiencing an episode of psychosis or is recovering for an episode of psychosis, they might need extra help. For example, people who are actively experiencing hallucinations or delusions might need a lot of personal space and feel uncomfortable being around a lot of people or even making eye contact. When people are recovering from an episode of psychosis, they may need a quiet space and a lot of rest. Sometimes people can get back into their usual routines fairly quickly, while other times it may take a lot of time (and effort) to get back into routines. Keep in mind that too much help can be a bit counterproductive. It may well be faster and easier for you to take care of your loved one's tasks or chores yourself, but rebuilding activity and confidence are a big part of recovery. Encourage and support your loved one as they take on daily responsibilities, and let them tell you when they need extra help.
Schizophrenia can be a difficult illness—for everyone. During episodes of psychosis, your loved one may experience frightening sensations that you can't understand. They may act in ways that you don't understand. Other symptoms of schizophrenia can make it hard for people to express emotions or feelings, communicate clearly, or seem interested in others. It's important to know that these are symptoms of an illness. They are no one's fault, but they can still be hard to cope with. Consider reaching out to a family and friends support group for your own support. The BC Schizophrenia Society has a directory of groups around BC at www.bcss.org/monthly-meetings-calendar/.
As a family member, it's important to take care of yourself. Try to maintain your regular schedule and activities, such as your exercise routine and hobbies. Ask another family member or good friend to provide help with caregiving, especially in the early days of your loved one's illness. If you need help balancing time for self-care with caregiving duties, check out the BC Schizophrenia Society's Family Respite Program.
Try to maintain your friendships or the network of people that you have in your life. These will later become important supports as your loved one recovers. Educate them and update them on your loved one's recovery. People are sometimes afraid to ask questions about schizophrenia and this will put them at ease.
This is very important! You are not responsible for your loved one's treatment (unless your loved one is your child under 19), but you can support them. Schizophrenia can make it difficult for people to make and go to appointments and follow their treatment plan. With your loved one's permission, you may choose to help by reminding them of appointments, taking them to appointments, or whatever helps in your situation. If your loved one isn't happy with their treatment or would like to try a new approach, you can encourage them to talk with their care team, like their doctor or mental health team—it can be dangerous to stop or change a treatment without a doctor's support.
Treatment can be a difficult area for loved ones. It's hard to see someone you love in pain. You might be scared of the things your loved one is experiencing. You want to help. But in order for any treatment to work, your loved one needs to be active in their care. Forcing or threatening treatment generally doesn't work (or if it does, in the case of an emergency, only for a short time) and can often hurt everyone involved. In most cases, anyone 19 years of age and older and not at risk of harm is free to make their own choices. And their choices may include refusing treatment or choosing a treatment that you disagree with. It helps everyone if you can be respectful and keep honest communication open between you. You can learn more about dealing with this situation in Q&A: An adult in my life seems ill and won't find help. What can I do?.
If you think your loved one is at risk of harming themselves or others and they refuse help, it is possible to have them evaluated by a psychiatrist under the Mental Health Act. This process may involve police and other first responders, and it can be a difficult and stressful process for everyone. But it can also be a necessary step if someone is in danger. You can learn more about the Mental Health Act in the info sheet Families Coping with a Crisis and you can find the Guide to the Mental Health Act at www.health.gov.bc.ca/library/publications/year/2005/MentalHealthGuide.pdf. For a more in-depth discussion of the Mental Health Act, see a video with lawyer and health law consultation Gerrit Clements.
If your loved one says that they have thoughts of ending their life, it's important to take action. Call 1-800-SUICIDE (1-800-784-2433) at any time or message online at www.crisiscentrechat.ca between noon and 1am. If you think your loved one is in immediate danger, you can always call 911 or go to a hospital emergency room."
I'm a young person and one of my parents has a mental illness. What can I do?,"Someone else's illness is not your fault. You also can't control how someone else feels, their illness, or the things they do or say. What you can do is take care of yourself.
Learning more about your parent's illness can make it a bit easier to understand what they experience. On this website, you can find easy-to-read booklets on mental illnesses as well as longer info sheets on many different mental illnesses. You can also find information for young people from the Centre for Addiction and Mental Health.
It's important to take care of yourself, too! A lot of people have a big mix of feelings when a parent isn't well. You might feel angry, embarrassed, scared, or many other things. These feelings and experiences can have a big impact on the way your think about yourself and other people. When you're on an airplane and the flight attendants go through the safety demonstration, they tell you to put your own oxygen mask on before your help other people. That's because it's hard to help someone else if you aren't well yourself. Here are some programs specifically for young people:
Kids in Control Support Group Program from the BC Schizophrenia Society helps children and youth ages 8-18 understand mental illnesses, cope with challenges, and take care of their own health and well-being. If Kids in Control is not currently available at your local branch, your branch can order materials so you can work through them on your own.
Super Saturday Club from CMHA Vancouver-Fraser is a free recreation group for children and youth ages 8-17 who have a parent that experiences a mental illness. To learn more, visit www.vancouver-fraser.cmha.bc.ca.
If you're having trouble coping with something going on at home, ask for some help! Here are some places you can go:
A teacher or counsellor at school
An adult you trust, like a friend's parent or another family member
Kids Help Phone: visit www.kidshelpphone.ca to learn about taking care of yourself and chat with a counsellor, or call 1-800-668-6868 to talk with a counsellor
YouthinBC: Visit www.youthinbc.com to chat with a trained volunteer (noon-1.00am Pacific Time)
BC Mental Health Support Line: If you ever need to talk to someone or you'd like to see what kind of resources are in your community, call 310-6789 (no area code) at any time"
"I have thoughts of suicide, or someone I care about is talking about suicide. What should I do?","If you need to talk to someone or you aren't sure how to help someone you care about, call 1-800-SUICIDE (1-800-784-2433) at any time. Or type your concern using live chat (like texting online) at www.crisiscentrechat.ca between noon and 1am. They can help you, and they can suggest good local resources. If you're at risk of harm or think someone else is in danger and you need help right now, call 911.
It's scary to have thoughts of suicide or hear that someone you can care about has thoughts of suicide. Thoughts of suicide don't mean that someone will end their life, but it's a sign that they need extra help or support. If you have thoughts of suicide, it's important to talk with your doctor or mental health service provider. If you're supporting someone else, encourage them to seek help.
Coping With Suicidal Thoughts is a good resource to help you understand and manage difficult feelings.
Our info sheet on suicide has information on suicide, helping someone else, and finding help. What is Suicide? is a booklet with audio in plain language for lower literacy readers.
The Centre for Suicide Prevention has many resource toolkits on suicide for different audiences, including people serving in the military, young people, teens, older adults, Aboriginal community members, and LGBT community members."
"Cannabis is legally allowed to 19+ but there are doctor groups saying it's potentially harmful to age 25. Any use or certain use? What's myth and what's fact? If I'm a parent, what should I tell my young adult?","Using cannabis has the potential for benefits and harms. Young people use cannabis, like other psychoactive drugs, to feel good, to feel better, to do better or to explore. Trying cannabis out of curiosity, as an experiment, or while socializing with friends, is related to moderate use and lower potential for harm. Using cannabis to cope with daily life, deal with unpleasant feelings, or fit in with a social group has higher potential for harm. This is because dealing with these kinds of issues is associated with frequent and heavier use, less thought about potential harms and little consideration of alternatives for coping such as talking with a parent or trusted adult or physical activity with friends.
Evidence suggests that the younger a person is when they start using cannabis and the more often they use, the greater the potential for harms. The legal age to use cannabis in BC is 19. However, our brains do not finish developing until about age 25. Delaying cannabis use until early adulthood may reduce potential harmful effects on the brain.
Some young people, especially those with many factors predisposing them to serious and persistent mental health issues, should probably not use cannabis. Cannabis has been associated with an increased risk for psychosis and schizophrenia in this small group of people. Some people with serious mental health issues have also reported that using cannabis has helped them cope with their illness by helping them feel less anxious or stressed. As in most situations, balancing potential benefits and harms of using cannabis will be key for young people who have serious mental health concerns.
Mixing drugs, such as cannabis and alcohol, can also increase the possibility of experiencing harms. Intoxication may be more intense and long lasting and the young person may not appreciate how impaired they are. We often suggest, “Not too much, not too often, and only in a safe context” as a simple way to gauge your use of any psychoactive substance.
As a parent or caring adult, an open respectful relationship with a young person is one of your best resources and ways to prevent harms from substance use. Letting the youth know they can approach you at any time to talk about cannabis, other substances, or anything else of concern to them, says they matter to you and you are ready to listen and engage in dialogue with them. This is a great place to begin addressing anything that might come the young person's way in life!
The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca."
What's the difference between mental health and mental illness?,"‘Mental health' and ‘mental illness' are increasingly being used as if they mean the same thing, but they do not. Everyone has mental health, just like everyone has health. As the World Health Organization famously says, “There is no health without mental health.” In the course of a lifetime, not all people will experience a mental illness, but everyone will struggle or have a challenge with their mental well-being (i.e., their mental health) just like we all have challenges with our physical well-being from time to time.
When we talk about mental health, we're talking about our mental well-being: our emotions, our thoughts and feelings, our ability to solve problems and overcome difficulties, our social connections, and our understanding of the world around us.
A mental illness is an illness the affects that way people think, feel, behave, or interact with others. There are many different mental illnesses, and they have different symptoms that impact peoples' lives in different ways.
Health isn't like an on/off switch. There are different degrees of health. People move on a continuum ranging from great or good health to so-so health to poor health to illness or disability. For example, some people have good health and have no problems going about their lives. Some people experience serious health problems, and their poor health has a very negative impact on their life. Some people have serious health problems that last for a long time, and others have serious health problems that resolve very quickly. Many people fall somewhere in the middle—they're generally in good health, though the occasional problem may come up. Mental health is the same way.
Just as someone who feels unwell may not have a serious illness, people may have poor mental health without a mental illness. We all have days where we feel a bit down, or stressed out, or overwhelmed by something that's happening in our lives. An important part of good mental health is the ability to look at problems or concerns realistically. Good mental health isn't about feeling happy and confident 100% of time and ignoring any problems. It's about living and coping well despite problems.
Just as it's possible to have poor mental health but no mental illness, it's entirely possible to have good mental health even with a diagnosis of a mental illness. That's because mental illnesses (like other health problems) are often episodic, meaning there are times (‘episodes') of ill health and times of better or good health.
With the right supports and tools, anyone can live well—however they define well—and find meaning, contribute to their communities, and work towards their goals."
Where can I find more information about depression?,"Our info sheets on mood disorders, bipolar disorder, and depression offer information on mood problems, treatment options, and resources in BC. We also offer What is Depression? It's a booklet with audio in plain language for lower literacy readers. You can take a screening self-test for depression (and other mental health concerns). The adult depression tool also screens for signs of bipolar disorder.
If you want to go beyond the basics, our Managing Depression series can help you deal with a diagnosis of depression, work with doctor, and prevent relapse of depression. You'll also find many experiences and perspectives around depression—reading personal stories can help you feel less alone."
What's the difference between anxiety and an anxiety disorder?,"Anxiety is a normal reaction to many different kinds of events and situations in our lives. Anxiety is one of our internal warning systems that alerts us to danger or other threats and prepares our bodies to fight back or get out of a dangerous situation. (Scientists call this the ‘fight, flight, or freeze' response.)
A manageable amount of anxiety from time to time can be helpful. For example, it can motivate you to prepare for a test a school or finish a task at work. Even happy events like moving to a new home or celebrating an important milestone can bring up anxiety—all of this is just part of being human.
Anxiety is a problem when it becomes overwhelming or unmanageable and it comes up unexpectedly. Anxiety disorders are mental illnesses that have a big impact your life. People may avoid going about their daily lives in order to avoid anxiety. They may experience a lot of uncomfortable physical sensations and physical health problems. Many people say that they know their anxiety isn't based in reality, but they feel ‘trapped' by their thought and feelings. Anxiety disorders can be treated. It's important to seek help if you're concerned about anxiety in your life.
Normal anxiety...
Is related to a specific situation or problem
Lasts only as long as the situation or problem/p>
Is proportional to the situation or problem/p>
Is a realistic response to a realistic problem or situation/p>
When someone experiences an anxiety disorder...
Anxiety may come up unexpectedly, for seemingly no reason
The anxiety response to a situation or problem may be much stronger that they would expect
They may experience a lot of unrealistic anxiety, such as fear of a situation that likely will never happen
Anxiety may last for a long time, even when the situation or problem has been resolved
Anxiety may feel impossible to control or manage
They may avoid situations or things that they believe to trigger anxiety symptoms
Here's an example of normal anxiety and an anxiety disorder. Many people are a bit nervous about flying, which is a totally normal reaction. Yet, if they have to travel for work, they can can get on a plane without any problems. Someone with an anxiety disorder, on the other hand, may not be able to travel to the airport—even if it puts their job in jeopardy.
*Formerly classified as an anxiety disorder and currently classified as Trauma- and Stressor-Related Disorders
**Formerly classified as an anxiety disorder and currently classified as Obsessive-Compulsive and Related Disorders"
What's the difference between anxiety and stress?,"Stress and anxiety are often used interchangeably, and there is overlap between stress and anxiety. Stress is related to the same ‘fight, flight, or freeze' response as anxiety, and the physical sensations of anxiety and stress may be very similar.
The cause of stress and anxiety are usually different, however. Stress focuses on mainly external pressures on us that we're finding hard to cope with. When we are stressed, we usually know what we're stressed about, and the symptoms of stress typically disappear after the stressful situation is over.
Anxiety, on the other hand, isn't always as easy to figure out. Anxiety focuses on worries or fears about things that could threaten us, as well as anxiety about the anxiety itself. Stress and anxiety are both part of being human, but both can be problems if they last for a long time or have an impact on our well-being or daily life."
What's the difference between sadness and depression?,"Sadness is a normal reaction to a loss, disappointment, problems, or other difficult situations. Feeling sad from time to time is just another part of being human. In these cases, feelings of sadness go away quickly and you can go about your daily life.
Other ways to talk about sadness might be ‘feeling low,' ‘feeling down,' or ‘feeling blue.' A person may say they are feeling ‘depressed,' but if it goes away on its own and doesn't impact life in a big way, it probably isn't the illness of depression.
Depression is a mental illness that affects your mood, the way you understand yourself, and the way you understand and relate to things around you. It can also go by different names, such as clinical depression, major depressive disorder, or major depression. Depression can come up for no reason, and it lasts for a long time. It's much more than sadness or low mood. People who experience depression may feel worthless or hopeless. They may feel unreasonable guilty. Some people may experience depression as anger or irritability. It may be hard to concentrate or make decisions. Most people lose interest in things that they used to enjoy and may isolate themselves from others. There are also physical signs of depression, such as problems with sleep, appetite and energy and unexplainable aches or pains. Some may experience difficult thoughts about death or ending their life (suicide). Depression lasts longer than two weeks, doesn't usually go away on its own, and impacts your life. It's a real illness, and it is very treatable. It's important to seek help if you're concerned about depression."
What is dysthymia or persistent depressive disorder?,"Dysthymia, now called persistent depressive disorder or PDD, is a mood disorder. It is related depression (major depressive disorder). The difference between the two is in the number of symptoms and the amount of time that they last. Someone diagnosed with PDD would experience two to four of the symptoms below for at least two years with no periods of wellness during that time, while someone diagnosed with major depressive disorder would experience five or more of the symptoms below for at least two weeks.
Symptoms of PDD include:
There is a myth that PDD is not as severe an illness as major depressive disorder, but research shows that the disability of the illness, like the ability to work productively and enjoy hobbies, may be as severe in PDD as it is in major depressive disorder. As PDD involves a smaller number of symptoms that last for a very long time, many people begin to assume PDD is just part of their personality rather than an illness that can be effectively treated. So you should most certainly talk to a doctor or mental health professional if you think you might have PDD."
What is cyclothymic disorder?,"Cyclothymic disorder is a subtype of bipolar disorder. Much like bipolar disorder, the symptoms of cyclothymia include three or more symptoms of hypomania, and five or more symptoms of depression. Like bipolar disorder, people may experience wellness between episodes of hypomania and depression.
Symptoms of hypomania include:
Symptoms of depression include:
Talk to a doctor or mental health professional if you think you might have cyclothymic disorder."
What does rapid cycling mean?,"Rapid cycling means that someone diagnosed with bipolar disorder (or depression) experiences four or more episodes of depression and/or mania in one year.
Rapid cycling can happen any time someone experiences bipolar disorder—about 10-20% of people diagnosed with bipolar disorder experience rapid cycling at some point. In many cases, rapid cycling eventually goes away on its own and people return to a pattern of longer and less frequent episodes."
Where can I find information and help for borderline personality disorder?,"Borderline personality disorder or BPD is a treatable illness. It's made up of five groups of symptoms around behaviours, emotions, relationships, sense of identity, and awareness. You can read our info sheet on borderline personality disorder. We also have an entire issue of Visions Journal on BPD, where you'll find information on treatments and support and personal stories from people who are managing BPD and living well.
The Borderline Personality Disorder Society of BC offers a support group in Victoria and a resource library, and they have a listing of services in BC.
In Vancouver, the DBT Centre of Vancouver offer dialectical behaviour therapy (DBT) ad specializes in helping people who experience BPD. The offer individual, group, and family counselling, and they have a useful blog on DBT skills.
There are several good, helpful books available now, including:"
What is schizoid personality disorder?,"A personality disorder is a pattern of thoughts, feelings, and behaviours that last for a long time and causes some sort of problem or distress.
Schizoid personality disorder or SPD affects social interactions and relationships. People with SPD may have a hard time relating to others and showing emotions. They may avoid close relationships and prefer to spend their time alone, seeming distant even to close family members. Many people don't respond to strong emotions like anger, even when others try to provoke them. On the outside, people with SPD may seem cold or aloof, showing little emotion.
While they have a similar name, schizoid personality disorder isn't the same as schizophrenia.
Schizoid personality disorder is believed to be relatively uncommon. While some people with SPD may see it as part of who they are, other people may feel a lot of distress, especially around social interactions. Some medications may help people manage symptoms and psychotherapy may help people build new skills and improve relationships.
To find help for schizoid personality disorder, talk to your family doctor, find a psychologist through the BC Psychological Association, or call 811 to talk to a HealthLink BC navigator."
What is antisocial personality disorder?,"A personality disorder is a pattern of thoughts, feelings, and behaviours that last for a long time and causes some sort of problem or distress.
Antisocial personality disorder or ASPD affects the way people think about the rights of others. Someone with ASPD may disregard laws or expectations, lack remorse when they hurt others or break the law, make reckless decisions, and believe they are superior to others. People may see someone with ASPD as overly dramatic, impulsive, manipulative, and deceitful. Some people may appear charming, at least on the surface. Like all mental illnesses, antisocial personality disorder is a spectrum. Some people may only occasionally act out, while others may break the law often and spend a lot of time in the criminal justice system.
ASPD is only diagnosed in adults, but people with ASPD start to have problems with conduct or antisocial behaviours at a young age. They may be diagnosed with conduct disorder during childhood.
Treatment for antisocial personality disorder, usually psychotherapy, can help reduce the harms of ASPD and help people build empathy towards others. ASPD is treatable and it may improve as a person approaches middle age.
All of us have hurt someone else or acted without thinking of others' needed. It's important to remember that antisocial personality disorder is an enduring pattern around lack of empathy and lack of remorse. Only a doctor or mental health professional can diagnose illnesses like ASPD.
To find help for antisocial personality disorder, talk to your family doctor, find a psychologist through the BC Psychological Association, or call 811 to talk to a HealthLink BC navigator."
What is obsessive-compulsive personality disorder?,"A personality disorder is a pattern of thoughts, feelings, and behaviours that last for a long time and causes some sort of problem or distress.
Obsessive-compulsive personality disorder or OCPD is about control. People with OCPD have very inflexible thinking and expect everything to be ordered, perfect, and done their ""correct"" way. This happens at the expense of other important things in life, including relationships with others. Work can take priority over every other part of life, too, and people with OCPD may seem excessively dedicated, but may be unable to complete tasks due to perfectionism. They may struggle to delegate and may distrust other people's contributions. People with OCPD may not tolerate uncertainty and may have a very rigid understanding of the world—something is either right or wrong. They may also have a hard time spending money on themselves or others, and they may experience hoarding, the inability to throw away items from their homes. The conflict between the desire for neatness or order and the inability to throw things out may cause a lot of anxiety.
While obsessive-compulsive personality disorder and obsessive-compulsive disorder (OCD) have a similar name, they are not the same illness. People with obsessive-compulsive disorder usually understand that their obsessions and compulsions are illogical and usually experience a lot of distress, even though they may not be able to stop obsessions or compulsions. Compulsions are an attempt to reduce anxiety, not to find pleasure. People with obsessive-compulsive personality disorder may view their thoughts as part of who they are, see their thoughts as logical, and may find pleasure or benefit in completing compulsive tasks. They may experience a lot of distress when they can't achieve control or the perfectionism they want.
Obsessive-compulsive personality disorder is one of the most common personality disorders. Treatment may include some combination of psychotherapy, medication, and self-help strategies. To find help for OCPD, talk to your family doctor, find a psychologist through the BC Psychological Association, or call 811 to talk to a HealthLink BC navigator."
What is binge-eating disorder?,"Binge-eating disorder or BED is a type of eating disorder. It involves episodes of eating a lot of food in a short amount of time, past the point of feeling full, and feelings of being out of control or unable to stop eating. People who experience binge-eating disorder may binge even when they don't feel hungry. They may feel temporarily comforted by food, and then feel depressed, upset, guilty, or ashamed of their eating. As a result, many people try to keep binge-eating symptoms a secret. You can't tell if someone experiences binge-eating disorder just from the way they look or the way they eat around others.
While a lot of people have the experience of eating too much a few times and feeling uncomfortable after, people who experience binge-eating disorder experience many binges for a long period of time.
Binge-eating disorder is treatable. Talk to your doctor or a mental health professional if you think you might have binge-eating disorder."
What's the difference between dissociative identity disorder (multiple personality disorder) and schizophrenia?,"Sometimes, people confuse dissociative identity disorder, formerly known as multiple personality disorder, and schizophrenia. Schizophrenia does mean “split mind,” but the name was meant to describe the ‘split' from reality that you experience during an episode of psychosis, as well as changes in thoughts, emotions, and other functions. Dissociative identity disorder, on the other hand, does cause a split or fragmented understanding of a person's sense of themselves.
Dissociative identity disorder is really more about fragmented identities than many different personalities that develop on their own. Most people see different parts of their being as part of the whole person. For people who experience DID, identity fragments may have very different characteristics, including their own history, identity, and mannerisms. A key part of DID is dissociation—feeling detached to the world around you. People who experience DID may have many unexplainable gaps in their memory, forget information they're already learned, or have difficulties recalling things they've said or done. Unlike portrayals of DID on TV or in movies, DID may not be obvious to others, and it can take a lot of time to come to the diagnosis.
Schizophrenia is a serious mental illness that causes hallucinations (sensations that aren't real) and delusions (beliefs that can't possibly be true, in addition to other symptoms like jumbled thoughts, jumbled speech, and difficulties expressing emotions. People who experience schizophrenia may hear or feel things that aren't real or believe things that can't be real, but these aren't separate identities."
What's the difference between psychosis and schizophrenia?,"Psychosis is a syndrome or group of symptoms. Someone experiencing an episode of psychosis is having a ‘break' with reality. Major symptoms of psychosis are hallucinations and delusions. Hallucinations are sensations that are not real, such as hearing voices or sounds that aren't real. Hearing voices is a common hallucination, but hallucinations can be experiences with any sense—hearing, sight, smell, taste, or touch. Delusions are strong beliefs that can't possibly be true. Common delusions include the belief that someone is following or monitoring you, or the belief that you have extraordinary powers or abilities. Other symptoms of psychosis include difficulties concentrating, completing tasks, or making decisions. Thoughts may feel ‘jumbled' or confused. Some people have a hard time following conversations or speaking clearly. Psychosis can even affect the way people move or express their emotions.
Schizophrenia is a mental illness that causes psychosis, but schizophrenia also has other symptoms. And it isn't the only cause of psychosis. In some cases, other mental illnesses cause psychosis, including depression, bipolar disorder, dementia and borderline personality disorder. Psychosis may come up during times of extreme stress, a major lack of sleep, or trauma. People who are using or withdrawing from certain drugs or medications may experience psychosis. Psychosis may also be caused by a brain injury, neurological problem, or other health problem. So while psychosis can be a part of schizophrenia, it can be caused by many other things too.
Psychosis and schizophrenia are treatable. It's important to seek help as soon as possible."
What are positive and negative symptoms?,"Positive and negative symptoms are medical terms for two groups of symptoms in schizophrenia.
Positive symptoms add. Positive symptoms include hallucinations (sensations that aren't real), delusions (beliefs that can't be real), and repetitive movements that are hard to control.
Negative symptoms take away. Negative symptoms include the inability to show emotions, apathy, difficulties talking, and withdrawing from social situations and relationships.
There is also a third group of symptoms, usually called cognitive symptoms. This includes anything related to thinking, such as disorganized thoughts, memory problems, and difficulties with focus and attention."
What is a prodrome?,"Prodrome is a medical term for early signs or symptoms of an illness or health problem that appear before the major signs or symptoms start.
Psychosis, a group of symptoms found in disorders like schizophrenia, is one illness with a specific prodrome. With psychosis, prodrome signs and symptoms start before full symptoms like hallucinations and delusions appear.
Common symptoms in the prodrome of psychosis include:
These symptoms are found in many other mental illnesses, so it isn't always clear at the time if this is a prodrome of psychosis or schizophrenia or something else. It's best to seek help whenever you are concerned about your mental health or a loved one's mental health. Psychosis and schizophrenia are much easier to manage and treat when treatment starts early."
I'm an adult and I think I might have ADHD. What can I do next?,"While we think of attention-deficit/hyperactivity disorder as an illness that affects children, it can last into adulthood—and some people aren't diagnosed until much later in life.
ADHD is diagnosed like any other mental illness, so your family doctor is a good place to start. Your family doctor may be able to assess your mental health and start treatment, if needed, or they may refer you to more specialized mental health services.
There are a few organizations that can help you find good resources and find some support:
The Canadian Attention Deficit Hyperactivity Disorder Resource Alliance (CADDRA) is an organization that supports health professionals who research ADHD, treat and support people diagnosed with ADHD, and trains professionals. In the ‘Public Info' section of their website, you'll find more information on adult ADHD and the assessment process. You'll also find extensive resources and recommended publications.
The Centre for ADHD Awareness, Canada provides education and advocacy for Canadians who experience ADHD. They have a section on their website for adults, including information on symptoms and assessments, treatments, ADHD in the workplace, resources, and a reading list.
CHADD Vancouver offers a monthly support group for adults in the Vancouver area."
What's the difference between substance use and addiction?,"People tend to use the word “addiction” to mean very different things. “I am addicted to shopping” might mean only that the speaker likes to shop. On the other hand, “He is addicted” might mean the speaker thinks the other person is completely unable to control his own behaviour. When people use the word about psychoactive (mind-altering) substances like alcohol, tobacco, or other drugs, they often assume these drugs are dangerous and have the power to control human behaviour.
The evidence, however, suggests a quite different picture. While substance use can clearly contribute to health and social problems, substances can be beneficial for some people in some situations. Many people celebrate a special occasion with a nice glass of wine, for example. Some people use tobacco as a powerful symbol in cultural and spiritual ceremonies. In fact, substances have been used by humans throughout history for many reasons: to feel good, to feel better, to improve performance, for cultural/spiritual reasons, and to have new experiences.
Substance use is more complicated than just “good” or “bad.” It's helpful to think of substance use along a continuum, from beneficial use to harmful use. Along the middle of the continuum, substance use may be both beneficial and harmful. You have an enjoyable night out with friends, but feel a little ill the next day. At the far end of the continuum, some people develop dependence—they need to continually use the drug in order to feel normal and will keep using even when that leads to financial difficulties, problems at home or at work, health problems, or legal problems.
In general, substance use is a problem when it causes problems for you or others—and how much use causes problems will be different for different people in different situations. The reason a person uses a substance influences the risk of developing problems. For instance, if a person uses a substance to have fun, only occasional social use may follow. But when a person uses a substance to cope with a long-term problem such as social anxiety, then more long lasting and intense use may follow. Managing our risk involves being aware of why we are using and what impacts our use is having on ourselves and those around us. The wisdom of our ancestors suggests a guiding principle—not too much, not too often, and only in safe contexts."
How can I find help for an alcohol or drug use problem?,"Seeking to make changes in the way you use substances like alcohol or other drugs? This can be an important step!
Some people are able to reduce their substance use or quit altogether on their own or with self-help materials. But most of us need support from other people—family members, friends, health professionals, or other people struggling with substance use problems. The right help for you depends on many factors. These include the type of drug you are using, how much and how often, your health and social situation and, of course, your own preferences. Getting help doesn't mean giving up control of shaping your own path. You are still the one who makes the final decisions about the type and degree of change you make.
One way to get help is to talk to a doctor you trust and feel comfortable confiding in. If you aren't comfortable talking in person, you can also get advice from a registered nurse (along with advice on programs or services in your area) by calling HealthLink BC at 8-1-1. Since some drugs are illegal, many people worry about what might happen if they talk about drug use. It's important to know that in most cases, doctors have to protect your privacy—it's the law.
In BC, the Alcohol and Drug Information Referral Service can help you find information on treatment options, support groups and other resources throughout the province. It's free, confidential, and available 24/7. Call the Alcohol and Drug Information Referral Service at 1-800-663-1441 or 604-660-9382 in the Lower Mainland."
How do I know if I'm drinking too much?,"Sorting out if you are drinking too much can be complicated. You are unique and your relationship with alcohol is unique. No one has the same combination of life experiences and influences that you do. So even though you and your friend may choose to drink, how and why you use alcohol may be different.
Those of us who drink, seek benefits from alcohol, not difficulties. But sometimes we start using more, and more often, than makes sense. As a general rule, drinking alcohol becomes a problem when it negatively affects our life or the lives of others. Many people imagine this refers to people who consume alcohol “all day every day.” But even drinking too much on a single occasion can lead to a problem, for instance making a poor decision such as driving while impaired.
What's also important to recognize is the potential for negative consequences related to drinking in various contexts (i.e., places, times and activities) and over time (e.g., coping with chronic problems). You can get personalized feedback related to your pattern of drinking as compared to Canada's Low-Risk Alcohol Drinking Guidelines via the Alcohol Reality Check screening app. This short, simple screen can be used by people of all ages.
All alcohol use involves some risk. The reasons people use alcohol can influence their risk of developing problems. For instance, if a person uses alcohol to enhance special celebrations, only occasional social use may follow. But when a person drinks to cope with a long-term problem such as social anxiety, then more long lasting and intense use may follow.
By reflecting on your pattern of drinking you can manage your risk for immediate injury or death, your chances for long-term health consequences such as cancer or heart disease, and your risk of developing habitual patterns of drinking that may lead to these harms.
Whenever you decide to drink alcohol, it is helpful to know what steps you can take to ensure that your drinking behaviour is the most rewarding and least harmful possible. The following are some useful guidelines to consider.
Not too much. Managing how much you drink on a given occasion helps decrease risky behaviours.
Tip: Drink slowly and alternate between non-alcoholic and alcoholic beverages.
Not too often. Drinking in moderation helps to reduce harms to ourselves and others over time.
Tip: Keep less alcohol at home and set limits on how much you are going to drink each week, avoiding drinking on some days.
Only in safe contexts. Making informed decisions about where you drink helps to minimize alcohol-related harm.
Tip: If going to a bar, stay with a group and choose an establishment that is well lit and near safe transportation options.
For information on treatment options and resources throughout BC, call the Alcohol and Drug Information Referral Service at 1-800-663-1441. In Greater Vancouver, call 604-660-9382.
To better understand how substances play a role in your life, visit the You and Substance Use workbook on the HeretoHelp website.
The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca."
"If cannabis is dangerous, why are we legalizing it?","Cannabis smoke, for example, contains cancer-causing toxins. However, the risk of developing some cancers (e.g., mouth, tongue and lung) is less for cannabis smokers than tobacco smokers, partly because they tend to smoke less than tobacco users. And, while all drugs have an effect on the brain, the particular properties of the drug influence the level of risk of harmful consequences. The negative effects of cannabis on the brain, for example, seem to be less than the effects of some substances such as alcohol.
Legalizing cannabis provides an opportunity to put in place regulations to minimize potential harms. The danger of buying and using any illegal drug is that we can never know for sure what exactly is in it. Cannabis is legal in Canada as of October 17, 2018. Adults (over age 19 in BC) are now permitted to possess up to 30 grams of cannabis in public. Cannabis is regulated by the Province of British Columbia and will be sold through the Liquor Distribution Branch. Cannabis will be tested for quality.
When drugs are produced and obtained inside a regulated system, it is possible for us to know about the contents and dosage of what we are taking. This helps us manage the risks. However, it is likely that cannabis will still be available outside the government system. It is important to know that the quality of cannabis obtained from a dealer or a friend is unknown and may contain contaminants like mold, mildew, or fillers that may be toxic.
The legalization of cannabis also provides us with openings to engage in honest and thoughtful discussions about drug use with our families and communities. When dealing with complex issues, like cannabis policy, no one has all the answers. But as community members, we all have thoughts, feelings and experiences around drugs and drug use to share with each other. Engaging together to explore and share ideas will help us discover how to manage use, as individuals and communities, in ways that maximize benefit and minimize harm.
The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca."
How can I convince my kids not to use drugs?,"You can't. But you can influence their capacity to make good choices in a world where alcohol and other drugs are available. It's about helping your child develop the skills to assess what might be helpful in achieving their goals in life. It's also about nourishing a supportive relationship, so they know where to go with questions or problems.
Opening up a discussion about drugs can help strengthen your relationship with your child. Inviting and allowing open, honest conversation about drugs (or any other subject) makes your child know that what they are thinking, feeling and experiencing matters to you. The goal is to get your child talking and sharing their thoughts and feelings.
When young people are asked thoughtful, open-ended questions exploring what they think, it helps them become interested in their own thoughts and behaviour. This process of self-reflection is part of developing critical thinking skills, a part of good decision-making. Critical thinking skills are actually an essential part of reducing the risks related to using drugs. Once young people have considered something carefully, they are a lot less likely to act out of impulse or in response to influence.
There is no rule about how or where a conversation about alcohol or other drugs should start. Even young children know drugs are a part of our culture. They see people drinking around them and are exposed to drugs on TV and in advertising. This makes it a subject that can be brought up naturally while getting ready for a family celebration where alcohol will be present, or if you are planning to visit a relative who uses tobacco, or while swapping stories at the dinner table about what happened at work and school that day.
Talking with teens and young adults about drugs as they make choices on the path into adulthood helps them to develop personal standards, minimize risks and critically assess popular beliefs about drug use. This can be particularly important as they transition to the legal age for using alcohol or cannabis and move out of the family home. While young adults have more independence and more legal rights, parents can continue to be an important sounding board on which to try out their thoughts and ideas.
The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca."
What is the legal status (and evidence) of CBD oil?,"Cannabidiol or CBD is a naturally occurring component of cannabis. It is extracted from the cannabis plant and often made into an oil for use. CBD is not psychoactive, and does not produce the ‘high' of THC (tetrahyrocannabinol), the primary psychoactive component of cannabis. CBD is legal in Canada and has been used in the treatment of various medical conditions.
All cannabinoids, including CBD, produce effects in the body by attaching to certain receptors in the brain or immune system. The human body also produces its own cannabinoids. It seems that CBD does not attach directly to receptors. Instead, it directs the body to use more of its own cannabinoids to produce the therapeutic effects associated with CBD.
Research suggests that CBD may provide relief for chronic pain. Sativex is a proprietary medication that combines THC and CBD and may be prescribed for the relief of pain associated with multiple sclerosis. There is also some evidence suggesting that CBD may be a promising support for people with opioid use disorders. The researchers noted that CBD reduced some symptoms associated with substance use disorders including anxiety, mood-related symptoms, pain, and insomnia.
After researching the safety and effectiveness of CBD oil for treating epilepsy, in 2018, the United States FDA approved CBD (Epidiolex) as a therapy for two rare conditions characterized by epileptic seizures. Other evidence suggests that CBD may be useful in the treatment of schizophrenia, though further research is needed before introducing CBD into medical practice.
There is some initial evidence that CBD may help people in the early stages of Alzheimer's disease keep the ability to recognize the faces of people that they know, and thus slow progression of the illness. Again, more research is needed in this area.
Because of the way cannabis and its products are metabolized, scientists believe there is a potential for interaction with other drugs, although nothing significant has yet been recorded. CBD has been found to be generally safe. Reports from patients indicate that negative drug interactions are not common. As with any other treatment, it is important to monitor your use of CBD and seek assistance if you experience any problems or have questions or concerns about its use.
The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca."
What is the evidence on vaping?,"""Vaping"" is the term for using a device where liquids, often flavoured, are turned into vapour (hence, vaping) and inhaled. A vaping device consists of a mouthpiece, tank or reservoir to hold the liquid, a heating element and a battery to power the element. The liquid is heated to become a mist, inhaled through the mouth into the lungs where the nicotine or cannabis enters the bloodstream. Any residual vapour is exhaled. Vaping devices come in several types, shapes, and sizes, referred to as e-cigarettes, vape pens, vapes, mods, tanks, or e-hookahs. Vaping liquid (e-liquid, e-juice) consists of a solvent, usually propylene glycol or glycerol, flavour, and nicotine or cannabis, though it may not contain anything. In British Columbia you must be 19 years old to buy vaping products.
The number of young people who smoke cigarettes has declined over the past few years, while vaping has increased. E-cigarettes were developed as an alternative to smoking. The first devices were available in 2003 and looked much like a traditional cigarette. Nicotine vapour contains significantly fewer toxins and other particles than smoke from cigarettes. Vaping is a less harmful alternative to cigarettes and evidence suggests, it may help some people quit smoking. Evidence suggests vaping is likely not a gateway to smoking tobacco.
Though less harmful than smoking cigarettes, vaping still carries potential harms. There is a small exposure to nicotine and possible carcinogens in the vapour. (A carcinogen is a substance that has the potential to cause cancer). Some evidence suggests that young people may be unaware the vaping liquid often contains nicotine. E-cigarettes are not controlled and the nicotine content of vaping liquids varies significantly among brands. Other chemicals, flavourings, and heavy metals present in vaping liquids, have not as yet been well studied. Long-term health risks from vaping are thus undetermined. More research is needed in these areas.
Marketing strategies for vaping products, often on social media, are designed to appeal to young people. The range of flavours available, especially those that are fruity and sweet, and the look and feel of vaping devices attract youth. Young people can see vaping as fun and a way to socialize with friends and 'smoke' in a less harmful way.
Making the time and space for discussion and exploring the issues around vaping is one important way we can support young people and indeed, each other, in making good decisions about if, when, or how much to vape. We offer, ""not too much, not too often, and in a safe context"" as one way to think about using any substance. What this means to you may be a place for talking to start!
The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca."