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How do I know if my daughter has bipolar disorder?

My daughter basically freaked out out of nowhere over me saying “calm down” when she dropped her phone. Within seconds, the situation escalated to her kicking me out on the curb, saying horrifically unspeakable things, and her calling the cops on me. She seems unable to stop herself at times.

https://counselchat.com/questions/how-do-i-know-if-my-daughter-has-bipolar-disorder

behavioral-change

Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals

https://counselchat.com/therapists/lauren-ostrowski-ma-lpc-ncc-bc-tmh-cctp-cch

Bipolar disorder has a lot of different components. If this is a one-time event, it could be that your daughter had an intense moment of anger and the phrase of asking her to "calm down" may have made her feel as though you weren't understanding what she was saying. Bipolar disorder also includes feelings of depression. When this is coupled with intense anger and acting or speaking without thinking, these can be part of bipolar disorder, but that wouldn't be the whole picture of what bipolar disorder would look like. It may be helpful to track differences that you notice in your daughter's mood and any patterns related to the times of day or what seems to lead her to be upset. Patterns are very helpful in figuring out what is happening.

How do I know if my daughter has bipolar disorder?

My daughter basically freaked out out of nowhere over me saying “calm down” when she dropped her phone. Within seconds, the situation escalated to her kicking me out on the curb, saying horrifically unspeakable things, and her calling the cops on me. She seems unable to stop herself at times.

https://counselchat.com/questions/how-do-i-know-if-my-daughter-has-bipolar-disorder

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

This is not necessarily bipolar disorder.Based on the little information you wrote here, the behavior sounds more borderline personality disorder than bipolar.Maybe she simply is angry and impulsive as to how she expresses her anger.During calmer times, are you and your daughter able to talk about incidents such as the one you describe above?And do each of you practice new ways to get along as a result of these conversations?If someone makes good use of the material discussed on relationship improvement, and there is progress in getting along, then unlikely she has a mental illness.How you know for sure if she has bipolar disorder is to read a list of the symptoms online and consider whether she behaves in a way similar to the symptom description list.Definitely it is helpful to know the underlying cause of your daughter's behavior.   This way you can best prepare yourself for what to most likely expect from her.

Why do I have dramatic mood swings?

One moment, I'm happy, and then a tiny thing happens and I feel so hurt and awful that I can't handle anything. I cry and cry, then next morning, I'm happy. I'm so confused.

https://counselchat.com/questions/why-do-i-have-dramatic-mood-swings

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Probably there are deeper, more delicate topics beneath the surface.If people don't address their pain, despair, shame, fears, and instead store them up, eventually the pile up leads to the situation you describe.Give yourself the time to reflect on who you are, your priorities, values, people who may have injured your feelings in the past.The greater your self-understanding becomes, the less likely some small, insignificant matter has the chance to topple the house of cards.

Do narcissists get healed by rationalizing?

I read that you should ignore them and they have to come to a conclusion that they were wrong on their own terms. Is that correct?

https://counselchat.com/questions/do-narcissists-get-healed-by-rationalizing

behavioral-change

Audrey ONealBi-lingual Psychotherapist and HeartMath Certified Practitioner

https://counselchat.com/therapists/audrey-oneal-3

I doubt that they believe they are wrong as individuals with Narcissistic Personality Disorder   (NPD)   have the belief that they are special and they seek admiration from others. They are also grandiose with a sense of entitlement. As they are also arrogant, it is doubtful they would feel wrong or admit to being wrong.As far as healing, I believe it could be hard won. Personality disorders are difficult to treat, However, there are some approaches that might yield better outcomes than others.I have never heard of ignoring them as a way to deal with a narcissist. Researcher and psychologist  Bessel Van der Kolk recommended  that using  a person-centered approach in which unconditional positive regard is upheld can be helpful in the treatment of NPD as far therapeutic approaches are concerned. Approaches in which the individuals feels validated by their therapist usually works best with this population,if they agreed to participate in therapy. The nature of the disorder makes it tough for them to even be in therapy as it would be hard for them to admit they have psychological problems. They might also be distrustful of the therapist questioning their intentions and interpretations about them.They tend to behave this way with most of the people in their lives.

Do narcissists get healed by rationalizing?

I read that you should ignore them and they have to come to a conclusion that they were wrong on their own terms. Is that correct?

https://counselchat.com/questions/do-narcissists-get-healed-by-rationalizing

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

It is not correct because someone who is narcissistic believes they are always right.If you ignore the person, then their thinking is that there is something wrong with you.Ignoring the person to the degree this is possible in the situation or relationship, will spare you to be misunderstood further.

How can I get over my OCD and anxiety?

I suffer from checking and cleaning OCD. Can counseling help me to get over it?

https://counselchat.com/questions/how-can-i-get-over-my-ocd-and-anxiety

behavioral-change

Kaileen McMickle, MS, LPCLicensed Professional Counselor

https://counselchat.com/therapists/kaileen-mcmickle-ms-lpc

Absolutely!  Exposure techniques in counseling have shown to be extremely effective for working through compulsions.  First thing I would say is to make sure you feel a good connection with your counselor and you feel it's a good fit.  It's hard to get through that anxiety already, but having a counselor that feels right for you will help to buffer that a bit and help guide you through the exposures.Not sure what kind of access you have in your area, but some counselors that specialize in exposure therapy will actually come to you to support you through an exposure.  It's very treatable so just take it a step at a time and hang in there!

How can I get over my OCD and anxiety?

I suffer from checking and cleaning OCD. Can counseling help me to get over it?

https://counselchat.com/questions/how-can-i-get-over-my-ocd-and-anxiety

behavioral-change

Jennifer GerlachYour Story Matters

https://counselchat.com/therapists/jennifer-gerlach

Counseling can be very effective for OCD. In particularly, a kind of therapy called Exposure Response (Ritual) Prevention Therapy is considered the 'gold standard' for the treatment of OCD. What this is, is a specific protocol that helps you build relaxation strategies and to increase the amount of time between your checking/cleaning rituals while also helping you to face any of the fears that OCD given you until those rituals and fears are no longer interfering with your life. Research has shown that this kind of therapy may even be more effective for OCD than medication, https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.162.1.151

How can I get over my OCD and anxiety?

I suffer from checking and cleaning OCD. Can counseling help me to get over it?

https://counselchat.com/questions/how-can-i-get-over-my-ocd-and-anxiety

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Possibly yes, and definitely worth a try.First read about different types of therapy for OCD so that you find a therapist who does the type of therapy which feels best when you read about it.

What is a psychopath's thought process?

I realized my boyfriend of seven years is a psychopath, and I want to understand how he thinks.

https://counselchat.com/questions/what-is-a-psychopath-s-thought-process

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Good question!I have only a guess to it.Psychopaths feel no empathy and all the emotions which are based on caring about someone else.This means they feel no guilt, no joy, no drive to connect w others.It’d be unusual if your bf is really a psychopath bc if he was then he’d be using and abusing you, trying to control you for his benefit.Unless you actually do suffer in these ways then to consider him a psychopath may be exaggerated.

How can I concentrate?

I can't understand what I pay attention to.

https://counselchat.com/questions/how-can-i-concentrate

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

One way to concentrate is that if your mind starts to wonder then remind yourself to bring your attention back.Start with short time spans of expecting yourself to concentrate.  You'll more likely succeed with concentrating with small time spans than longer ones.Once you start seeing your success, this will motivate you to try increasing the length to expect yourself to concentrate.The task of self-reminding is the same, whether for long or short time periods.Also, before starting this exercise ask your medical doctor if the problem can be related to a physical health problem.If there is, then have the possibility ruled out that your difficulty concentrating comes from the mental ability to concentrate, and not some medical reason preventing this.Before someone can engage their psychological will there must be a clean medical body and mind with which to work.

How do I stop sneaking away from home at night?

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?

https://counselchat.com/questions/how-do-i-stop-sneaking-away-from-home-at-night

behavioral-change

Joel DaughertyFaith-based Counselor in Lake Charles, LA

https://counselchat.com/therapists/joel-daugherty

I've talked to many teens who frequently sneak out. The question I always ask them is, "What are you getting from sneaking out that you aren't getting at home?" Many teens answer they are hooking up, using substances, and engaging in other risky behaviors. As uncomfortable as it might be, I encourage you to talk with your parents or guardians about the reasons why you are sneaking out. What are you getting "out there" that you aren't getting at home? A good family counselor can help sort through those issues. Good luck!

How do I stop sneaking away from home at night?

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?

https://counselchat.com/questions/how-do-i-stop-sneaking-away-from-home-at-night

behavioral-change

Pamela SuraciBuild on your strengths, grow in your challenge areas and improve your life!

https://counselchat.com/therapists/pamela-suraci

When you say you've "been caught", I am assuming that means your parents know you've been sneaking out.  If that's the case, could you ask for their help?  Sometimes just knowing someone else is holding you accountable really makes a difference.  That could be as simple as Dad checking in on you at, say, 2 am, just to make sure you are where you are supposed to be.If you are sneaking  out to hang out with friends, find another way to connect with them - if they are truly friends they will want to support you in your resolution to stay put at night.  Maybe you can ask for their support by telling them to stop including you in late night plans.There is likely a reason you were sneaking out, but there's a reason you want to stop too - so get support.  No one changes hard habits on their own!Best of luck to you - you can do this and it will help you change other things in the future.

How do I stop sneaking away from home at night?

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?

https://counselchat.com/questions/how-do-i-stop-sneaking-away-from-home-at-night

behavioral-change

Kevin MimmsBuilding Better Connections

https://counselchat.com/therapists/kevin-mimms

Hi,When we can't stop doing things that we know are wrong, it can help to take a closer look at how we make our decisions. Usually we are getting something good out of these bad behaviors, such as feeling excited or taking our minds off of bad things. It is really hard to change these things without helping us get the good effect in a more healthy way. I hope this helps.

How do I stop sneaking away from home at night?

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?

https://counselchat.com/questions/how-do-i-stop-sneaking-away-from-home-at-night

behavioral-change

Heidi Haddad

https://counselchat.com/therapists/heidi-haddad-2

Hi...let's start with what's causing you to sneak out of the house?Understanding the motivation behind your actions (in this case...your sneaking out at night) can often times help you create the change you want.  Are you arguing with your parents? Do you feel misunderstood? Alone? Scared? Stressed out? What are you doing once you leave the house? Where are you going? Are people in your home in conflict? Do you feel safer when you leave? Most importantly, reflect on what may be behind the reason for your wanting to leave the house and feeling not in control of your actions?  Talk to someone about what's going on, because maybe that person could help you create the movement you are seeking.

How do I stop sneaking away from home at night?

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?

https://counselchat.com/questions/how-do-i-stop-sneaking-away-from-home-at-night

behavioral-change

Shy PorterSpecialist in couples & individuals

https://counselchat.com/therapists/shy-porter

This is not totally unusual behavior, but the fact that you would like to stop and cannot seem to be able to points to something deeper. That cannot be unpacked online, but I'm glad that you're in this space and asking this question. Try to find a therapist who seems like a good fit and begin to get to work on this issue and what all is going on for you. You're not alone!

How do I stop sneaking away from home at night?

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?

https://counselchat.com/questions/how-do-i-stop-sneaking-away-from-home-at-night

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

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?

What's going on with these mood swings?

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?

https://counselchat.com/questions/what-s-going-on-with-these-mood-swings

behavioral-change

Jennifer GerlachYour Story Matters

https://counselchat.com/therapists/jennifer-gerlach

Mood swings and getting frustrated when things don't work out is totally normal. Sometimes, we get tied to one thing we really want to do and it can feel pretty intense when that gets interrupted or doesn't work out. This said, you're coming to CounselChat and so I'm guessing this is something that is pretty intense for you and something that you are concerned about. If this is getting in the way of your life, it may be worthwhile to reach out to a therapist or doctor to get some help with this and see if there might be something more going on. While for most people frustration/mood swings is related to typical life and stress, if very intense it can be a sign of a number of challenges ranging from anxiety to a traumatic experience to something like Bipolar Disorder where a person's mood and energy might fly so high (mania) that one feels like they can do anything but often become frustrated when interrupted (note: there is a lot more to Bipolar Disorder than this and this is certainly not a diagnosis). Wish you well!

What's going on with these mood swings?

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?

https://counselchat.com/questions/what-s-going-on-with-these-mood-swings

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Why do you blame other people who had nothing to do with your actions?If it is because after the fact you wish you had accepted their help, then the person who is responsible for this is you!Since you are aware of your tendencies and how the interfere with your life, try to become aware of when you do these habits.This way you can interrupt your own patterns a little bit at a time.

What's going on with these mood swings?

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?

https://counselchat.com/questions/what-s-going-on-with-these-mood-swings

behavioral-change

Marsha MandelMandel Counseling

https://counselchat.com/therapists/marsha-mandel

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!

How can I make the dreams and voices go away?

For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

https://counselchat.com/questions/how-can-i-make-the-dreams-and-voices-go-away

behavioral-change

Jennifer GerlachYour Story Matters

https://counselchat.com/therapists/jennifer-gerlach

Hearing voices can be a very upsetting experience to have. I want you to know that a lot of people will hear a voice at some point in their lives and that there are many things that cause voices. Oftentimes, significant stress can offset us to have symptoms like this. There also mental and physical health conditions that can do the same. I strongly encourage you to seek out help from both a doctor and a counselor to help you piece together exactly what is causing your voices. I Once you've got that down, you'll know what to work on. In the meantime, here are some strategies to cope with voices1. Lower your stress levels: Oftentimes stress makes voices worse. What can you do to lower your stress?2. Get enough Sleep: Like stress, sleep deprivation is an awful trigger for hearing voices3. Listen to Music; Music can help you focus on another sound4. Wear headphone or Earplugs5. Use Your Own Voice; If the voices are saying harsh things to you, it can be tempting to talk back and that's okay if you do. However, you cn also use your own voice through singing, whistling, or the like, which can help drown out the voices6. Remind Yourself that What the Voices Say is Not True; Sometimes it Helps to Write it Out7. Draw the Voice or Give it a Name; This can make it less scary and help get it outside of you8. Keep Track of When You Hear Voices to Identify Triggers; These are situations you can avoid while these are so distressful for you9. Be Kind to Yourself; When a Voice is Being Cruel to You it is especially important to be kind to yourself10. Remember that while hearing voices can be disturbing that it is a common experience and something that many people recover from.

How can I make the dreams and voices go away?

For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

https://counselchat.com/questions/how-can-i-make-the-dreams-and-voices-go-away

behavioral-change

Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals

https://counselchat.com/therapists/lauren-ostrowski-ma-lpc-ncc-bc-tmh-cctp-cch

I would recommend that you talk with a mental health professional near you about the details so you can have some really specific support for what you are going through.I don't know if you can understand when the voices are saying, but I wonder how you feel about what you are hearing? If the voices are just at night, is it possible that they are part of a nightmare or a dream? If you recall your nightmares, consider writing them down so that you can remember their content and work with a mental health professional to look for patterns.One thing that may help you while you are awake is to try to stay connected to the room you're in. For example, take time to notice your feet on the floor, hips in the chair, and shoulders against the back of the chair. You can also try mindfulness techniques, such as noticing what is around you or changing your breathing patterns. These ideas may help in the meantime prior to having more specific ideas from someone near you.Thanks for reaching out!

How can I make the dreams and voices go away?

For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

https://counselchat.com/questions/how-can-i-make-the-dreams-and-voices-go-away

behavioral-change

Vivian D. Echevarria Guzman, MSC, LPC-S, NCCBilingual Licensed Professional Counselor

https://counselchat.com/therapists/vivian-d-echevarria-guzman-msc-lpc-s-ncc

Voices and dreams could be suppressed feelings or thoughts that result from negative experiences.  Many times when people go to trough traumatic incidents or changes in their lives without being equipped to manage them and as a result they start having similar symptoms. It is helpful to find a therapist to talk to about those dreams and voices, once you get them out, you could analyze the concerns and fears that they reflect and normalize them, which will also be a good time to discuss their source, if any traumatic event has occurred in your life.  Also, I recommend to journal your dreams, especially if they keep you awake at night, and meditate after, so you could go back to sleep.   ¿Cómo puedo hacer que los sueños y las voces desaparezcan?Durante las últimas cuatro semanas he estado teniendo pesadillas y escuchando voces que me dicen cosas horribles.  No son voces que hablan al azar, pero voces de las personas que me importan.Las voces y los sueños pueden ser sentimientos supresos o pensamientos que resultan de experiencias negativas.  Muchas veces estos síntomas surgen cuando las personas pasan por situaciones traumáticas o cambios que no estaban preparados para enfrentar.  Es útil encontrar a un terapeuta con quien puedas hablar de esos sueños y voces, y aprender a normalizar el contenido de los mismos.  También sería un buen momento para discutir cualquier situación traumática que te haya ocurrido. Además te sugiero que escribas tus sueños, especialmente si te mantienen despierto  en la noche, y que medites luego de escribirlos para que puedas volver a dormir.

How can I make the dreams and voices go away?

For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

https://counselchat.com/questions/how-can-i-make-the-dreams-and-voices-go-away

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Are you in the middle of extreme emotional pressure right now?Or, is someone with whom you're close, under stress or somehow suffering?Dreams and nightmares are when our feelings and pressures we feel, try working themselves out without logic and language.Even though the nightmares are horrible, they are one way your psyche is trying to come to terms w extraordinary difficulty in your life or someone's life whom you feel greatly attached.

How can I make the dreams and voices go away?

For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

https://counselchat.com/questions/how-can-i-make-the-dreams-and-voices-go-away

behavioral-change

Lovener WightmanNYC Counseling

https://counselchat.com/therapists/lovener-wightman

It's important to take a look inside and find out why you are experiencing these feelings. It could anything and it will change your life to know what your particular issue or trigger is. Please contact us a call with the method that is most comfortable for you.

How can I make the dreams and voices go away?

For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

https://counselchat.com/questions/how-can-i-make-the-dreams-and-voices-go-away

behavioral-change

Darlene ViggianoLet Your Inner Light Shine!

https://counselchat.com/therapists/darlene-viggiano

Write down your nightmares and discuss them with an analyst or psychotherapist who specializes in dreams, as I do. If you are hearing voices while awake, see a doctor right away.  If the voices are strictly in your dreams, do call for therapy and talk to your caring others about what's happening.

What is a psychotic seizure?

My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1.

https://counselchat.com/questions/what-is-a-psychotic-seizure

behavioral-change

Jennifer GerlachYour Story Matters

https://counselchat.com/therapists/jennifer-gerlach

I do not think there is such a thing as a psychotic seizure, however, there is something called a pseduoseizure or psychogenic non-epileptic seizure. Basically, this is when a person shows signs of a full-on seizure (such as falling and convulsing) but they are not producing brain waves consistent with a seizure. Psedoseizures tend to be brought on by high stress, emotional challenges, and trauma history. You can learn more here, https://www.ncbi.nlm.nih.gov/books/NBK441871/ Still, the best way to now what your doctor meant would be to ask them! :)

What is a psychotic seizure?

My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1.

https://counselchat.com/questions/what-is-a-psychotic-seizure

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

The best path is to ask your doctor what s/he meant when telling you about your high risk for psychotic seizure.Your doctor knows you better than any of the therapists who write on this blog.   And, because your doctor knows your health, will likely have suggestions and advice for you regarding the seizures s/he thinks you may develop.

What is a psychotic seizure?

My doctor seems to think I am in danger of having one. I neglected to ask how this was different than an episode. I have been formally diagnosed with bipolar type 1.

https://counselchat.com/questions/what-is-a-psychotic-seizure

behavioral-change

Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals

https://counselchat.com/therapists/lauren-ostrowski-ma-lpc-ncc-bc-tmh-cctp-cch

I will admit that I'm not specifically familiar with this from my own experience.My best educated guess is that you could have a seizure during which you have some sort of symptoms similar to a hallucination (which is one of the psychotic symptoms) when you hear or see things that aren't really there.In looking briefly online, I was able to find some information here: http://www.epilepsy.com/information/professionals/about-epilepsy-seizures/psychiatric-and-behavioral-aspects/psychiatric-2It sounds like this would be a symptom in addition to an already existing seizure disorder, not a seizure disorder in addition to a mental health problem. If it is the other way around, I'm not sure how that would work. It is common with some types of seizures to have an altered state of reality during or shortly after the seizure, so that could also be related.I would suggest you talk to your physician about this directly so that if they are worried about this, you can learn more about what is making them concerned about it and what, if anything, you could do to lessen the likelihood of it or how to handle it if it does happen.

Can someone with bipolar disorder feel like they are not themselves, like an observer in their own body and not really in control?

https://counselchat.com/questions/can-someone-with-bipolar-disorder-feel-like-they-are-not-themselves-like-an-observer-in-their-own-body-and-not-really-in-control

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Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Yes.You wrote a good description of one of the ways someone who has bi polar diagnosis would describe themselves.And, this description is broad enough to describe the way many people feel when going through a painful and frightening life event or situation.Unless someone has been diagnosed with bi polar disorder, then the description you wrote above is not sufficient for a self-diagnosis of like disorder.

Can someone with bipolar disorder feel like they are not themselves, like an observer in their own body and not really in control?

https://counselchat.com/questions/can-someone-with-bipolar-disorder-feel-like-they-are-not-themselves-like-an-observer-in-their-own-body-and-not-really-in-control

behavioral-change

Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting

https://counselchat.com/therapists/robin-landwehr-dbh-lpcc-ncc

Hello, and thank you for your question. What you are describing sounds like dissociation, which can happen with folks who have bipolar disorder. To a certain extent, all people experience dissociation at some point, but it can become severe for some people. Dissociation takes different forms: 1. the feeling like you are detached from yourself, and 2. The feeling that you are detached from your environment. I would suggest looking up bipolar disorder and dissociation and see if these symptoms seem familiar. If so, you should consider discussing it with a mental health provider. Be well,Robin J. Landwehr, DBH, LPCC, NCC

Can someone with bipolar disorder feel like they are not themselves, like an observer in their own body and not really in control?

https://counselchat.com/questions/can-someone-with-bipolar-disorder-feel-like-they-are-not-themselves-like-an-observer-in-their-own-body-and-not-really-in-control

behavioral-change

Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals

https://counselchat.com/therapists/lauren-ostrowski-ma-lpc-ncc-bc-tmh-cctp-cch

Well, one of the symptoms of bipolar disorder is having times of really high-energy and kind of feeling like they rule the world, so perhaps.There are also some other things that come to mind when you mention this. For example, the person you are describing could be reacting to something that happened in their past.It would probably be helpful to speak with a local mental health professional.

I have had a compulsive swallowing tic for the past 9 months—how can I get rid of it?

https://counselchat.com/questions/i-have-had-a-compulsive-swallowing-tic-for-the-past-9-months-how-can-i-get-rid-of-it

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

The first step is to get a medical rule out that the problem is psychological and emotionally based, not a symptom of a medical condition.Ask your healthcare practitioner their opinion on this question.If there isn't a medical explanation, then you are free to explore the possibilities of tension and anxiety in your life which may contribute to the swallowing tic.If you've been under severe stress at work,  feel pressure in a relationship, have a sense of wanting change in your life overall and unsure where to start, these are each possible stimulus to a tic.The main point to keep in mind is that the tic is best addressed by clarifying  the life situation predicaments in which you may be.Aside from reminding yourself to stop the tic once you notice it, a tic which is not a medical problem will go away when the underlying tension which supports it goes away.

I have had a compulsive swallowing tic for the past 9 months—how can I get rid of it?

https://counselchat.com/questions/i-have-had-a-compulsive-swallowing-tic-for-the-past-9-months-how-can-i-get-rid-of-it

behavioral-change

Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals

https://counselchat.com/therapists/lauren-ostrowski-ma-lpc-ncc-bc-tmh-cctp-cch

I don't have experience with this type of tic, but I can still give you a few general thoughts.I would first suggest meeting with your primary care physician. They would probably be able to refer you to a specialist to see whether there is a physical cause. Sometimes there is some sort of chemical imbalance and extra communication in nerves and muscles that can be treated with medication.I'm not sure about your use of the word compulsive and what exactly you meant by it, but it led me to wonder whether you feel better after you swallow and how often it happens.It would also be helpful to see if you can recall any events or changes leading up to the time when this started for you as well as anything that makes it better or worse.I don't know whether you are saying that it ties to anxiety or whether it is just something that happens and feels like it is out of your control.Here is some basic information about certain types of tic disorders and under the resources section at the top, there is a link to a list of specialists: http://www.movementdisorders.org/MDS/About/Movement-Disorder-Overviews/Tics--Tourette-Syndrome.htmAlso, having awareness of trying not to do something can make it more difficult not to do it. For example, if I ask you not to think of pink elephants from the next five minutes, that will probably be something you think about a lot in that time frame. Working with a physician (and possibly a therapist, depending on their recommendations) about this may be helpful to you.

How can I control my anxiety when I have Obsessive-Compulsive Disorder?

https://counselchat.com/questions/how-can-i-control-my-anxiety-when-i-have-obsessive-compulsive-disorder

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Anxiety resolves most easily when the person who has it does not try to control it. Anxiety itself is a symptom of feeling insecure and imagining control of an action will somehow create a feeling of peace.Assuming your OCD symptoms are within range to affect only you and not other people directly, then sometimes the awareness of doing a repeated action not because its necessary but because it satisfies your anxiety, creates its own sense of control.Instead of directly controlling the anxiety you will be handling the OCD situation and this will indirectly calm your anxiety.If following this advice is not effective, then please don't blame or fault find yourself.  Everyone has their own unique qualities and yours may or may not naturally resonate with what I just wrote.Then you will feel ready to see if a different approach will give you some relief.  There is almost always more than one answer to a problem!

What can I do about those people that are so misunderstanding and judgmental?

People always judge others so rudely.

https://counselchat.com/questions/what-can-i-do-about-those-people-that-are-so-misunderstanding-and-judgmental

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

I agree with you and this is emotionally painful to watch or be on the receiving side.Depending on who is the person doing this and your relationship to them, it is possible to kindly point out that the person may unnecessarily hurt someone's feelings.If you express your thoughts and give your guidance, then whatever the person does afterwards, you have the peace of knowing you tried to redirect this behavior.

I think I have a fetish that might be getting out of control

I've developed a really intense and unexpected attraction to An actress after seeing her in a ballet uniform while guest starring on a television show. I try, but I can't get her out of my mind. What should I do?

https://counselchat.com/questions/i-think-i-have-a-fetish-that-might-be-getting-out-of-control

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Why not make good use of your unexpected attraction to study the features you consider attractive in someone.Attraction based on physicality is normal.  As long as you have no negative thoughts of doing harm to the person or yourself which are connected to the attraction you feel, and so long as your attraction isn't stopping you from doing your daily life responsibilities such as work, to take care of your daily needs and any responsibilities you have for other people, then eventually it will lose its power on you.

The Underlying Causes of Being Possessive

I am extremely possessive in my relationships and this is hurting my friendships. How can I fix my underlying issues?

https://counselchat.com/questions/the-underlying-causes-of-being-possessive

behavioral-change

Rebecca DuellmanMA, Applied Psychology, Specializing in Forensic Psychology issues.

https://counselchat.com/therapists/rebecca-duellman

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.

Why can't I change?

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?

https://counselchat.com/questions/why-can-t-i-change

behavioral-change

Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting

https://counselchat.com/therapists/robin-landwehr-dbh-lpcc-ncc

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

Why can't I change?

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?

https://counselchat.com/questions/why-can-t-i-change

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

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.

Why don't I feel normal?

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.

https://counselchat.com/questions/why-don-t-i-feel-normal

behavioral-change

Sarah McIntyreSarah McIntyre, M.Ed., LPC

https://counselchat.com/therapists/sarah-mcintyre

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.

I did something I can't get over

I was with my friends fishing by a pond. I found a frog and stabbed it with my friend's knife. I'm not sure why I did it. My friends saw me do it it and were shocked and got really mad at me. Now if someone brings it up I get really upset and panicked. I don't know why I feel like this. Does this mean there is something wrong with me?

https://counselchat.com/questions/i-did-something-i-can-t-get-over

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

The good news is your awareness that being violent to animals feels out of character for you.   I'm glad you have awareness and I'm glad you are not at ease with killing frogs.Fairly likely that you were acting out aggressively toward the frog, feelings of being on the receiving side of similar type of violence.Basically, you did unto the frog what someone has or to you, feels like, has been done to you.Use your surprising finding of how strong your anger and most likely inward pain.   Reflect on your closest relationships and how these people treat you.   It is possible you feel more hurt by someone who is close to you than you ever realized.Stabbing innocent frogs is wrong.  It is understandable as a way to show you how much inner pain you probably have.It is also wrong that someone close to you hurt you.The direction to go is to recognize your pain and then decide how to go about changing what is possible on your side of that or those relationship(s).

Why do I think about how easy it would be to hurt cute animals?

Sometimes, when I look at my pet cat, I think about how innocent he is and how somebody could hurt or kill him. It makes me sad because I love him, but I always think about how helpless he is. There've even been split-seconds where I felt almost tempted to kick him, followed by shame and guilt.

https://counselchat.com/questions/why-do-i-think-about-how-easy-it-would-be-to-hurt-cute-animals

behavioral-change

Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals

https://counselchat.com/therapists/lauren-ostrowski-ma-lpc-ncc-bc-tmh-cctp-cch

A lot of different things could be happening here. Do you feel angry or sad or anxious when you think about how helpless he is? If you have not actually kicked him, then I would encourage you to look at feelings other than guilt, since you did not hurt him. What else is there?It would probably be very helpful to talk with a therapist about the specifics of this so that you can see what else is happening for you. It could be that you feel safe with your cat, so strong emotions come up because you feel safe.

Why does my granddaughter instantly switch moods?

She was diagnosed a type one diabetic two years ago and had a very tough time dealing with it. She has an attachment issue also; her mother just moved to a much nicer home, and she gets angry and demands to go back to her prior home. We do not understand what is going on, and it is driving us crazy.

https://counselchat.com/questions/why-does-my-granddaughter-instantly-switch-moods

behavioral-change

Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals

https://counselchat.com/therapists/lauren-ostrowski-ma-lpc-ncc-bc-tmh-cctp-cch

There are many possible answers here. It could be that she misses friends, that she felt safe in the other house (emotionally safe and comfortable), or dozens of other things. Will she talk about it when she's not mad? You mentioned that she has an attachment issue. It could also be that she was attached to the house. It's not the same as being attached to a person, but possessions and safe places certainly mean a lot.

Do feelings of depersonalization go away?

I've felt this way for two years. I feel so much better now then I did when it started, but it is still there in the back of my mind at all times.

https://counselchat.com/questions/do-feelings-of-depersonalization-go-away

behavioral-change

Cory Ian Shafer LPCPsychotherapist, Jungian, Hypnotherapy

https://counselchat.com/therapists/cory-ian-shafer-lpc

Best answer that I can give to you is that some level of de-personalization is quite normal for everyone, it will come and go throughout life, kind of like being on a roller-coaster, "here it is, then it's gone not to return for quite some time", like many things, the more that you fixate on it, the more stress it will cause you, consider it part of life, accept it, and move on, now if your having many, many ,many of these episodes or have some auditory or visual hallucination or disturbances or emotional unbalancing that accompany it than that is definitely something to look at, but for the most part nothing to worry about. Hope this helps,C

Do I have bipolar disorder?

It's been like a couple of years that I've been feeling like this. I don't want to self-diagnose, but I get so sad and cry and then I feel better. But then I get upset with people so quickly, and I hurt their feelings. It's this constant rollercoaster, and it's hard.

https://counselchat.com/questions/do-i-have-bipolar-disorder-2

behavioral-change

Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting

https://counselchat.com/therapists/robin-landwehr-dbh-lpcc-ncc

Hello, and thank you for your question. Bipolar disorder is generally characterized by extreme changes in mood, ranging from mania (highs) to depression (lows). There are different types; however, so here is a website that gives you a list of symptoms for mania and depression in bipolar disorder: http://www.webmd.com/depression/guide/bipolar-disorder-manic-depression?page=2After reviewing these symptoms, if you believe you may have bipolar disorder, then you may want to see your primary care provider or a counselor. Bipolar disorder is treatable, but for many people it requires the right medication and sometimes counseling to help people make behavior changes that are important for bipolar management. For example, some people may not get regular sleep, but proper rest is important for bipolar management. A counselor may talk to you about this and other lifestyle changes that you may need to make. The good news is that many people live happy, healthy, and productive lives with bipolar disorder. So, if it turns out that you do have bipolar disorder, it doesn't mean that things can't get better. There is currently no "cure" for bipolar disorder, but with proper medication and lifestyle management, people can do quite well.Hope this was helpful. Be well.Robin J. Landwehr, DBH, LPC, NCC

How do I deal with OCD?

https://counselchat.com/questions/how-do-i-deal-with-ocd

behavioral-change

Vivian D. Echevarria Guzman, MSC, LPC-S, NCCBilingual Licensed Professional Counselor

https://counselchat.com/therapists/vivian-d-echevarria-guzman-msc-lpc-s-ncc

Obsessive Compulsive Disorder can be similar to anxiety disorders, assuming that you have already been diagnosed with OCD, it is important that you learn to identify the symptoms, the triggers and how to manage them. Different types of treatment have proven successful, among them Cognitive Behavioral therapy can help you to understand the source and thought patterns that cause the behavior,  Exposure therapy could help you to manage the obsession by interacting with the objects that are the source of obsession. Other creative therapy techniques may help you to manage symptoms and help you to relax when triggered. ¿Cómo manejo el OCD (Desorden Obsesivo Compulsivo)?El Desorden Obsesivo Compulsivo puede ser similar a otros desordenes de ansiedad.  Asumiendo que ya has sido diagnosticado por un profesional de la salud mental, el próximo paso es aprender sobre el desorden.  Es importante comprender los  síntomas relacionados con el desorden, y que en particular los causa, ya que identificamos los causantes de los síntomas podemos aprender a manejar o reducirlos.Se recomiendan diferentes tratamientos, entre ellos: Terapia Cognitiva Conductual te puede ayudar a comprender la causa que activa los patrones obsesivos y ayuda a corregir los patrones mentales y errores de pensamiento.  La terapia de Exposición te ayuda a procesar pensamientos y emociones según interactúas con los objetos o actividades de obsesión.  Otras técnicas de Terapia Creativa te pueden ayudar a reducir síntomas, y relajarte cuando estas expuesto a los mismos.

What are some physical signs of psychosis?

I just need to know if I'm really crazy or not.

https://counselchat.com/questions/what-are-some-physical-signs-of-psychosis

behavioral-change

Sonya WilsonLicensed Professional Counselor

https://counselchat.com/therapists/sonya-wilson

Do an internet research on psychosis symptoms and see if you have several of the symptoms.  If you do, seek a medical evaluation from your primary care physician.  There are great medications and psychotherapy that can help you live your life to the fullest.  There a many people who are diagnosed with psychosis and living a productive life.

I've been having breakdowns for no reason at all

I start to think of an issue that doesn't even matter or something bad that happened years ago. Then, I cry, pull at my hair, plug my ears, hit myself, and throw things. In loud public places, I get on edge and start being sarcastic and moody. I have an awful fear of people leaving me (which normally ends up happening) and I feel like I'm too clingy.

https://counselchat.com/questions/i-ve-been-having-breakdowns-for-no-reason-at-all

behavioral-change

Sonya WilsonLicensed Professional Counselor

https://counselchat.com/therapists/sonya-wilson

There is a reason you are having breakdowns. I can't agree that they happen for "no reason at all".   Finding out the reason is going to be your biggest challenge because that may require you to dig deep into your past, uncover hurtful experiences, or recognize something that would be extremely pain.  However, if you don't find professional help to carefully guide you through whatever you may confront, the symptoms mentioned will continue and may even get worse.  There is a light at the end of the road but you need some help to find the right road to get on so you can see it.

Is my ex-boyfriend a pathological liar?

I have an ex-boyfriend who just lies about everything. He is super lazy. He lies to everyone that he has a good job, builds trust, and then start borrowing money—and large amounts too. It has come to the point where he has gone through several group of friends. He is leaving a trail behind full of friends in debt because he would put on a sob story, borrow money, then disappear. He refuses to work, so he sits at home playing games all day and either lies to his mom for money or lies to his friends. I used to think his lying was due to his drug habit, but now I'm hearing from other ex-friends of his that this started even before the drugs got into his life. He would borrow anywhere from $5,000 to $50,000 from everyone and it would all disappear. He's in debt with bills. He doesn't gamble, but he spends his money on random stuff. Although he has this habit of lying compulsively and spending money, he seems to be a good person. He'll always give a homeless person all his change no matter what. My brother has epilepsy and is really antisocial—my ex-boyfriend makes an actual effort to socialize with my brother. He takes him out to the movies and plays video games with him. He drives me to school and work every day and picks me up—just basically the small things that add up to the fact that he's not totally a horrible human being. Is he just simple a pathological liar or is there something that could possibly be deep down in there?

https://counselchat.com/questions/is-my-ex-boyfriend-a-pathological-liar

behavioral-change

Ben BraaksmaMental Health Counselor

https://counselchat.com/therapists/ben-braaksma

It sounds like you have some ambivalent feelings towards your ex-boyfriend that are difficult to sort out. You notice that there are both desirable and undesirable things about him, and this is true of everyone to one degree or another. One question that I would have for you is, are you satisfied with your relationship with him as it currently stands? Are you happy with the boundaries between the two of you, or would you like them to be different? Negotiating through conflict and establishing different boundaries are definitely things you could work on with the help of a therapist. Another question I would have for you is, what would it mean for you to find out what motivates his behavior? Discovering the roots of such behavior is something that he would have to work on in his own therapy and not something that you and a therapist could discover without him.

Why do I think about death?

I noticed lately that I've been thinking a lot about death. I don't want to die, and I'm not suicidal. I just think about what would happen if I died or if someone I loved died. I imagine how sad everyone I know would be. I know it isn't worth it, and I definitely want to live and have a future. I just think about it. When I'm driving, I sometimes imagine what would happen if I just let go of the wheel and kept going.

https://counselchat.com/questions/why-do-i-think-about-death

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

I'll respond to your speculation that if you let go of the steering wheel while driving, you'll end up quite seriously hurt, at the very least.   It is fine to play in your mind with "what ifs".   People who write horror movie scripts most likely have some terrible sounding stories and suppositions.If you trust yourself to actually not follow through with an idea that may kill you, and you recognize the difference between thinking dangerous things and doing dangerous things, then go to the next step of understanding more about your thoughts on death.Since you wonder about being missed if you die, it is possible your thoughts about death are from feeling that you are metaphysically dead to people in your life whom you wish would show more interest in you.Play around with your idea as to why you'd consider how people will feel about you if you're not in their lives.This may offer some insight as to your expectations of current relationships with others.

How can I stop being so emotional all the time over worthless stuff?

I was never like this. Recently this year (my first year of high school), I started getting emotional for no reason.

https://counselchat.com/questions/how-can-i-stop-being-so-emotional-all-the-time-over-worthless-stuff

behavioral-change

Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT

https://counselchat.com/therapists/ms-lynda-martens-london-ontario

Hello Vancouver, It's really common for people to become very upset over small things sometimes. The small thing is a "trigger", and the emotions aren't so much about that event that's happening in the present; they are more connected to old events that evoked the same feeling. You've likely had too much of that feeling in your life and you've developed a sensitivity to it. Look at the small events that are triggers for you and ask yourself what same or similar emotion they evoke. If there's anger there, look underneath that. Is it powerlessness, worthlessness, hurt, shame...?  Then ask yourself when in your life you've experienced TOO much of that feeling. As a child, maybe, but not necessarily. That's the first step, and combined with empathy, compassion and self-esteem, you're starting to build what I call an emotional air conditioner. A good therapist can help you with the rest of this process and with learning ways of coping with emotions daily. I wish you the best.

How can I get rid of my laziness?

I am lazy. I am very aware of the problem and try to talk myself out of it all the time, but I never seem to shake the habits. I try to think of what it is doing to me and my future, but no matter what, I keep creating excuses for myself to continue the procrastination. All I'm ever left with is regrets and a low grade. I am at an all-time low in my life, and I'm not even that old. I've always been a straight-A student, but now I'm getting C's and F's, and it hurts me to know that I am way better than that. It's not even like the work is hard.

https://counselchat.com/questions/how-can-i-get-rid-of-my-laziness

behavioral-change

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Possibly laziness is not the true problem and is only what appears as the problem.Since you describe your laziness as an observable quality, I assume you've not always felt or handled yourself this way.Quite possibly and more likely, the particular conditions of your current life are not ones that are optimal for feeling good about yourself and your involvements.One suggestion is to see if there is any purpose to what you're doing in all the areas in which you see yourself acting from laziness.If you're not able to notice any good purpose, then you may be mistaking "laziness" for a significant amount of stress in your life.Stress can be opened and understood.  If stress is what underlies what appears as laziness, then you define the contributors to your stress.Not feeling enough support in your life, financial uncertainty, arguments w people who are close in your life, feeling misunderstood overall or by particular people, all are possibilities.Good luck in learning more about who you are!

How can I get rid of my laziness?

I am lazy. I am very aware of the problem and try to talk myself out of it all the time, but I never seem to shake the habits. I try to think of what it is doing to me and my future, but no matter what, I keep creating excuses for myself to continue the procrastination. All I'm ever left with is regrets and a low grade. I am at an all-time low in my life, and I'm not even that old. I've always been a straight-A student, but now I'm getting C's and F's, and it hurts me to know that I am way better than that. It's not even like the work is hard.

https://counselchat.com/questions/how-can-i-get-rid-of-my-laziness

behavioral-change

Margaret Van AckerenMA, LMFT

https://counselchat.com/therapists/margaret-van-ackeren-yorba-linda

I am sorry to hear that you are going through such a tough time. It sounds to me like you are suffering from depression to some degree. Have you seen a therapist or talked to anyone about your problems? If not, I would advise that you do so sooner than later so that you can learn what is causing you to be unmotivated and causing difficulty with breaking the cycle that you are in. It is also a good idea to get a medical evaluation from your doctor to rule out any medical causes for your current condition. Most often, difficult situations that life throws at us, along with an inability to think positively, and break bad habits are what cause depression. Some things you can do immediately are seek help from a professional, schedule in time every day to engage in pleasurable (or once pleasurable) activities, exercise daily, and practice thinking more positively. Set a few daily goals for yourself and write them down each morning or the night before. Achieving your goals every day will give you a sense of accomplishment and can lead to feeling more optimistic and capable. Additionally, keep a journal to write down how you are feeling and what ideas you have to help feel better. Sometimes having these ideas written down make it more real and tangible. Know that depression is most often curable but takes work and a desire to change (which you clearly have). Once you start feeling better about yourself and your life, your grades should naturally begin to improve, as you will have more motivation and energy to focus on that particular area. Best of luck to you!

I have a compulsion to fill in holes in my skin with ink

I never get infections or scars or anything, and it doesn't bother me if it gets filled up with blood or something, but I'm concerned.

https://counselchat.com/questions/i-have-a-compulsion-to-fill-in-holes-in-my-skin-with-ink

behavioral-change

Lynda MartensMarriage & Family Therapist, MSc, RP, RMFT

https://counselchat.com/therapists/ms-lynda-martens-london-ontario

Hi Houston, The fact that you're concerned says a lot. If I was your therapist I'd ask you questions about your worries and how this is causing a problem in your life. You're causing perhaps permanent changes (damage?) to your body, and it's likely you're trying to express something...pain maybe? A therapist can help you to explore what's going on for you and how to get your needs for self-expression met in a more healthy way. Good luck!

How do I know if I have bipolar disorder?

I feel that I am struggling with undiagnosed bipolar disorder, and it is making my day-to-day life extremely difficult.

https://counselchat.com/questions/how-do-i-know-if-i-have-bipolar-disorder

behavioral-change

Ben BraaksmaMental Health Counselor

https://counselchat.com/therapists/ben-braaksma

It sounds like you are experiencing a great deal of distress and you're wondering if it may meet a diagnosis of Bipolar disorder. There are a few different types of Bipolar diagnoses in the DSM (diagnositc and statistical manual) and the best way to find out if your experiences would meet that diagnosis would be to meet with a mental health professional. You can also look up the diagnosis online and see if what you are going through meets the criteria.One question that I would have for you is, what would it mean for you to find out that you meet the criteria for such a diagnosis? It sounds like whether or not you do, you are suffering and working with a therapist may help you get into a better place.

How do I help my husband get over his drinking addiction?

https://counselchat.com/questions/how-do-i-help-my-husband-get-over-his-drinking-addiction

addiction

Meg ElamAddiction and Wellness Specialist

https://counselchat.com/therapists/meg-elam

Does your husband WANT to get over his drinking addiction?  Motivation is a critical component of recovery....and it can't be just your motivation!   When a loved one is immersed in their addiction, we often feel as though we have lost them.  When he is ready to get help there are a lot of wonderful programs out there including: AA meetings, SMART recovery, faith based programs and online services.  It is always a good idea to have a medical evaluation prior to making major adjustments to your drinking patterns as his body may literally be dependent on alcohol.  In the meantime, what you do have 100% control over is what you accept in your life and the boundaries you set to protect your well being.  Spend some time focusing on what you want in your life?  What are some changes you can make to protect yourself?  Maybe it's time you saw a therapist, joined a support group, engaged in a new hobby!  And...try not to "rescue" your husband too much!  Natural consequences can be a great thing for our loved ones that are struggling in their addiction.

How do I help my husband get over his drinking addiction?

https://counselchat.com/questions/how-do-i-help-my-husband-get-over-his-drinking-addiction

addiction

Jason Lynch, MS, LMHC, LCAC, ADSIndividual & Couples Therapy

https://counselchat.com/therapists/jason-lynch-ms-lmhc-lcac-ads

Ultimately, your family member must make the decision for themselves that they are ready to stop using drugs and alcohol. Family members can offer support by helping to research and schedule treatment or counseling. Do not enable, set firm boundaries, and establish a united front. Take care of yourself. Attend Al-Anon or Nar-Anon meetings. While I hope that every person with a substance use disorder finds recovery, the sad truth is that not all will. However, family members still need to have their own recovery that is independent of their loved one. Family members frequently benefit from individual counseling, too.

How do I help my husband get over his drinking addiction?

https://counselchat.com/questions/how-do-i-help-my-husband-get-over-his-drinking-addiction

addiction

2nd Chance Counseling Service Online Addiction Therapy ProviderConvenient Online Addiction Therapy

https://counselchat.com/therapists/2nd-chance-counseling-service-online-addiction-therapy-provider

Acknowledgment from your husband and wiling to make changes is essential first.  We often try to force people to make changes hoping that they will see that we are right, even when they may not be ready.  Having a willingness to work together and be supportive is fundamental in recovery.  If he is not quite there yet I would snuggest individual therapy for yourself where you have an outlet and can also gain suggestions on what the next steps might be. If he is ready I would suggest you engage in therapy together and be ready to listen to him and what his needs might be.

How do I help my husband get over his drinking addiction?

https://counselchat.com/questions/how-do-i-help-my-husband-get-over-his-drinking-addiction

addiction

Karen Keys, LMHC, CASAC, NCCRecovery and Wellness Expertise

https://counselchat.com/therapists/karen-keys-lmhc-casac-ncc

It's not easy to be married to an alcoholic and I want to extend my support to you.  Without knowing the pattern of his substance use, I'll accept your description that he is an addict. The short version is that his addiction is not in your hands. Period. However, addiction is a "family disease", so you are definitely connected to it. Most people benefit from professional help, whether they are the addict or the other person. You might read some material from al-anon to improve your insight into how addiction works within relationships. It is safe to say that you are likely to have a role as a "co-dependent" or "enabler". The most common pattern is doing overt and subtle things that insulate the addict from the consequences of their behaviors. From calling out sick for the person when they're hung-over to allowing money to pay for alcohol, to simply remaining in the relationship, these are all behaviors that make the addiction more likely to continue. Change is difficult for all of us, especially when a physical dependency on a substance may be involved. But the awkward truth is that not one of us ever made a change unless we were in at least some pain. Pain in our present circumstance is a requirement to achieve change. By "enabling" your husband, you minimize that pain. Let me state again, though, that his addiction is not in your control and it's not for you to fix. You can, however, change your own behaviors in ways that might change his odds. Even if he does not get over his drinking addiction, as a general rule, you will be happier if you stop being a participant in it. Many people find that an addiction removes the addict from the relationship -- they're not really there, even if they appear to be. At the same time, there's a third person -- the substance. Some people choose not to remain in a relationship that's constructed in this odd and off-balance way.I hope that gives you some thought-starters but I would encourage you to seek in-person help from a local provider. And I wish for you and your husband recovery and well-being. Best regards,Karen Keys, LMHC, CASAC

How do I help my husband get over his drinking addiction?

https://counselchat.com/questions/how-do-i-help-my-husband-get-over-his-drinking-addiction

addiction

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

By being truthful with him about how his drinking affects you.People who are addicted to a substance, have tremendous emotional pain they are covering up.  The only action someone who would like to help, can do, is to be truthful when loving the person.Show your love and express your own wishes on what you'd like from him.   This may encourage him to try loving you back instead of drinking to feel better about himself.It also may not since addictions are the result of behavior patterns set very early in life.My best advice is to stay clear that your love is no guarantee he will want to look at his deep emotional pain, clean it out and be open to loving you and to stop harming himself with excess alcohol.Keep in mind that his problem of great emotional pain, can only be solved by him.  Try not to get lost into offering more help than he is able to utilize.

How can I stop struggling with alcohol?

My father is an alcoholic, and I see tendencies of that in myself. I am recently married, and I feel it affecting our relationship. I'm not sure why I do it, but I want to stop. How can I find the willpower?

https://counselchat.com/questions/how-can-i-stop-struggling-with-alcohol

addiction

Jason Lynch, MS, LMHC, LCAC, ADSIndividual & Couples Therapy

https://counselchat.com/therapists/jason-lynch-ms-lmhc-lcac-ads

Congratulations on taking the first step on the road towards recovery by acknowledging the problem and asking for help! The American Society of Addiction Medicine defines addiction as "a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual's life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences." Notice that nothing in the definition speaks about willpower or motivation. That's because addiction is a disease - just like diabetes or high blood pressure. Imagine I gave a huge piece of chocolate cake to a diabetic. After he eats the cake, I say to him "Use your willpower to lower your glucose to 100." Do you think he would be successful? All addictions are behaviors. Behavior can be understood in terms of function and reinforcement. All behavior is either an attempt to get something or an attempt to get away from something. If you apply this logic to addictive behaviors, the use of mood-altering substances is an attempt to create a particular feeling or emotion, or an attempt to numb one. When a behavior is reinforced, we are more likely to engage in the same behavior again in the future. Let's assume that I'm feeling very anxious. I drink some alcohol and notice that my anxiety decreases. My brain takes note of this and the next time I'm feeling anxious I am more likely to reach for a bottle. Now, imagine this happening hundreds, if not thousands, of times.  Addiction recovery is about identifying and treating the underlying reasons for the use. A qualified addiction therapist will assist you in developing a relapse prevention plan that addresses these underlying issues and helps you to identify triggers for your use. Additionally, you will learn how to avoid triggers and gain healthy coping skills to use instead of relying on alcohol. I wish you the best of luck in your endeavors. Recovery can be difficult and requires a willingness to change just about everything in your life. But the rewards are tremendous!

The organization I work for has told me I cannot go to my 12 step meetings

This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers.

https://counselchat.com/questions/the-organization-i-work-for-has-told-me-i-cannot-go-to-my-12-step-meetings

addiction

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

You definitely want to make sure not to inadvertently create an inappropriate dual relationship with a client. In fact, it is not uncommon for state regulatory boards to determine that a clinician and client being in the same 12 step group is professional misconduct. You might want to consider attending a 12 step meeting that is located in a different community than the one you work in.  Another option would be to look for one-on-one or small group recovery support.

The organization I work for has told me I cannot go to my 12 step meetings

This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers.

https://counselchat.com/questions/the-organization-i-work-for-has-told-me-i-cannot-go-to-my-12-step-meetings

addiction

Robin Landwehr, DBH, LPCC, NCCMental Health in a Primary Care Setting

https://counselchat.com/therapists/robin-landwehr-dbh-lpcc-ncc

Hello, and thank you for your question. I know that workplaces have some latitude when it comes to requiring certain behaviors from their employees. For example, they may require you to tell them if you get into some kind of legal trouble. But this situation seems completely different. For one thing, 12 step meetings are supposed to be anonymous. I am not sure how they would know that you attended unless you or someone else told them. I agree that it seems like to cross a line. Usually each state has an office that manages complaints related to employment, such as the Department of Labor or EEOC. You may want to see which entity is in your state and contact them. It would be worth asking them to see if this is a legal practice. If it is but you still want/need to stay at this job, then you may want to look for alternate sources of support for your sobriety. There are active online support groups that would allow you to do things from the privacy of your home. SMART Recovery http://www.smartrecovery.org/ is a website that many people like. There are also online groups that specifically discuss the 12 steps. No matter what, I give you a lot of credit for doing your best to keep your sobriety and continuing to see the value in having support. Robin J. Landwehr, DBH, LPCC, NCC

The organization I work for has told me I cannot go to my 12 step meetings

This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers.

https://counselchat.com/questions/the-organization-i-work-for-has-told-me-i-cannot-go-to-my-12-step-meetings

addiction

Jason Lynch, MS, LMHC, LCAC, ADSIndividual & Couples Therapy

https://counselchat.com/therapists/jason-lynch-ms-lmhc-lcac-ads

I worked for an organization that had a similar policy, although I'm not aware of it ever being enforced. Most of the employees were in recovery and active in 12-step programs. It has always been my personal practice that if I am present at a meeting and encounter a current client, I will leave. No questions asked. If I encounter a former client, I may decide to stay, depending on how involved I was in the treatment of that client, but I will not share during the meeting to avoid any inappropriate self-disclosure. I live in a relatively large city with a lot of groups, so it's possible to find meetings where I don't run into clients. This can be much more challenging in a smaller city. I understand that you don't work directly with peers in substance abuse treatment, but we know that many of our clients with chronic mental illness also have chemical dependency issues. Therefore, it is possible that you might encounter them at 12-step meetings. Perhaps you could try online meetings or consider driving to an adjacent city or town to attend meetings?

The organization I work for has told me I cannot go to my 12 step meetings

This is my recovery, and I don't feel that it is okay for them to ask this. They told me it is policy due to the fact that I may run into a peer there. I am a peer counselor in the small community that I grew up in. I am in recovery myself. I was asked to come work for this organization after I was two years sober (I was in treatment in this organization). I work with mental health peers and run life skill groups. I don't work with substance peers.

https://counselchat.com/questions/the-organization-i-work-for-has-told-me-i-cannot-go-to-my-12-step-meetings

addiction

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Seems you would benefit more from legal guidance than from therapist advice.For example, I imagine policy must be presented in writing to the prospective employee prior to signing a contract of employment.If you were not  given in writing the organization's policy of employees not being permitted to attend meetings, then I doubt the organization can hold you accountable for policy which you never were informed existed.There are workplace rules and regulations which your matter may be protected by.Since attorney fees are high, first look on your state's website for any agency your state government has which monitors employee rights in the workplace on being informed on policy.If you are in the right, as to having the right to not follow policy about which you never were told, then the next point to consider is whether or not to take any action based on your finding.Being legally in the right doesn't guarantee your workplace will be happy to accept they are wrong.The next step is to consider your own peace of mind working for an organization which essentially believes violating your civil right to free association, is ok.You may decide on a longer term plan on leaving this place.  Usually when an employer does wrong in one area, they are also doing wrong in other areas of the workplace.

How can I get away from my phone?

For some reason, I look at my phone, and in no time, five hours has passed. During those five hours, I'm playing games and trying to find out how to make my phone fun to use so I don't feel like I wasted my time trying to improve my phone's performance in my life.

https://counselchat.com/questions/how-can-i-get-away-from-my-phone

addiction

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Start by spending small amounts of time with your own thoughts and feelings.Always being focused on what a phone offers keeps people at a distance from knowing themselves.As long as you make time to spend in an activity which is not interactive the way a phone is, and instead depends only upon your actions, you will be investing time and energy into your own life.Whether by consciously considering your own interests, or doing housecleaning or chores, by devoting yourself to areas which you decide to be involved in, you will increase your knowledge of your own interests.Then, to not be so involved with your phone will be natural and easy.

Is there a lawsuit for counselors and therapists who failed to report a relapse?

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?

https://counselchat.com/questions/is-there-a-lawsuit-for-counselors-and-therapists-who-failed-to-report-a-relapse

addiction

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

I'm so sorry to hear of your loss.  This sounds like a really difficult situation for the whole family.  Since the answer to this question will depend a lot on the applicable state laws, I would suggest talking with a local attorney.  That being said, I see two competing issues here.  On the one side is the duty of confidentiality the counselors owed to your relative.  On the other side is the duty the counselors had to act reasonably to protect your relative from harm.  Generally there is not a requiremt for substance abuse treatment centers to notify family members if an adult client relapses.A local attorney will be able to provide more specific guidance on the legal obligtions and liabilities in this situation.

Is there a lawsuit for counselors and therapists who failed to report a relapse?

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?

https://counselchat.com/questions/is-there-a-lawsuit-for-counselors-and-therapists-who-failed-to-report-a-relapse

addiction

2nd Chance Counseling Service Online Addiction Therapy ProviderConvenient Online Addiction Therapy

https://counselchat.com/therapists/2nd-chance-counseling-service-online-addiction-therapy-provider

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.

Can a past therapist disclose information to a current therapist that you are seeing?

https://counselchat.com/questions/can-a-past-therapist-disclose-information-to-a-current-therapist-that-you-are-seeing

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

Generally, the laws regarding confidentiality would require a past therapist to obtain your permission before disclosing any information about you to your current therapist.Depending on state law, there could be some exceptions to this general rule. For example, most states would allow your former therapist to provide information about you to your current therapist if he/she reasonably believed it would protect you or someone else from an imminent harm.

Can a past therapist disclose information to a current therapist that you are seeing?

https://counselchat.com/questions/can-a-past-therapist-disclose-information-to-a-current-therapist-that-you-are-seeing

legal-regulatory

Erin Pritchard, MA, LPCC-S | EMDR IntensivesSea Glass Counseling and Consultation

https://counselchat.com/therapists/erin-pritchard-ma-lpcc-s-emdr-intensives

No, not without a signed release of information (ROI) from you (the client).

Is it ethical for a social worker to ignore a client’s phone calls?

I terminated my counseling relationship with a social worker several years ago. I am now realizing that I would like to begin counseling again. The social worker’s voicemail message says that he returns calls in 24 hours, but he hasn't called me back. I called him on the weekend and made it clear that I want him to call me back. Can he just ignore me?

https://counselchat.com/questions/is-it-ethical-for-a-social-worker-to-ignore-a-client-s-phone-calls

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

Mental health providers should promptly return calls from current clients as well as from potential clients.  This is even true if the social worker (or counselor) is unable to make an appointment with the caller.  In that case the social worker should call you back to let you know that he is unable to schedule an appointment with you.In addition, mental health providers have an obligation to follow through with their own communication standards.  For example, if the social worker in this case has an outgoing voicemail message that promises returned calls within 24 hours, he has an obligation to follow through on that promise.All that being said, it is also worth remembering that mental health professionals are just people too. It is possible that he had an unforeseen emergency that kept him from from returning your call promptly.In the end, I agree with Sherry's advice. If you feel this social worker is not a good fit for you, you probably should trust your gut and find someone else who is a better fit.

Is it ethical for a social worker to ignore a client’s phone calls?

I terminated my counseling relationship with a social worker several years ago. I am now realizing that I would like to begin counseling again. The social worker’s voicemail message says that he returns calls in 24 hours, but he hasn't called me back. I called him on the weekend and made it clear that I want him to call me back. Can he just ignore me?

https://counselchat.com/questions/is-it-ethical-for-a-social-worker-to-ignore-a-client-s-phone-calls

legal-regulatory

Sherry Katz, LCSWCouples and Family Therapist, LCSW

https://counselchat.com/therapists/sherry-katz-lcsw

Yes, your former social worker should return your phone call.It is the professional ethic to do so and plain human decency to do so.If he doesn't, there is nothing you can directly do about the fact of his ignoring you.There are formal complaints you can make, which you can consider doing.What matters most is receiving social work service.Stick with looking for another social worker who is willing to help you.The self-doubts you mention may be worth examining.They do not, however excuse the social worker mishandling himself.

My boyfriend is in the hospital. They won’t tell me what’s wrong and if or when he’s coming back

https://counselchat.com/questions/my-boyfriend-is-in-the-hospital-they-won-t-tell-me-what-s-wrong-and-if-or-when-he-s-coming-back

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

I know it can be really tough when a loved one is in the hospital and you aren't being told what is going on.In general, both Federal and State confidentiality laws prohibit health care providers from giving out private information about patients to non-family members.Unfortunately, you will probably just have to wait until he is released (or until you can visit him) to find out from him what is going on.

Unethical Therapy Practices

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?

https://counselchat.com/questions/unethical-therapy-practices

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

This sounds like a potentially serious situation. The most important thing is to make sure the child is safe.  If you suspect that a child is (or has been) harmed, I would strongly recommend that you report your concerns to your local law enforcement or to Child Protective Services. If you don't think that a child is in danger, you can still report your suspicion of counselor misconduct to the state regulatory board.

Unethical Therapy Practices

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?

https://counselchat.com/questions/unethical-therapy-practices

legal-regulatory

Kristi King-Morgan, LMSWSocial Worker, Psychotherapist

https://counselchat.com/therapists/kristi-king-morgan-lmsw

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.

Is it a normal practice for a team of doctors who are connected by state or profession to discontinue your treatment?

They discontinued treatment for no apparent reason after they thought to diagnose me with schizophrenia.

https://counselchat.com/questions/is-it-a-normal-practice-for-a-team-of-doctors-who-are-connected-by-state-or-profession-to-discontinue-your-treatment

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

The general rule against medical abandonment says thst whenever healthcare providers discontinue treatment with you when you still need it, they are legally required to make sure that you have access to another provider of equal or higher ability.In this case, if your treatment team decided to discontinue your treatment based on a diagnosis of schizophrenia, they still will likely be required to provide you with a referral to someone who can provide you with treatment. If you haven't already done so, I'd recommend that you explicitly ask for a referral.

Is there anything I can do about my therapist blocking my psychiatric services?

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.

https://counselchat.com/questions/is-there-anything-i-can-do-about-my-therapist-blocking-my-psychiatric-services

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

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.

Can I go see a psychiatrist without my dad finding out, even if I am on his insurance?

https://counselchat.com/questions/can-i-go-see-a-psychiatrist-without-my-dad-finding-out-even-if-i-am-on-his-insurance

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

It might be possible, but it's difficult. First,  depending on how old you are, you might be able to restrict  a  mentalhealth  provider from disclosing your confidential information to your parents. The age at which you can do this is different from state to state (the range is generally anything from age 13 to age 18)  Second, even if you are old enough to to be able to tell your provider not to give any information to your parents, they will probably find out if you use their insurance. It seems like you might have a few options. You might want to try talking to your dad about seeing a psychiatrist. He might be supportive. You could also try talking to a counselor or nurse at your school. They could also help you find some confidential options. I hope this helps.

How can I see if a therapist if my mom can't afford it?

I think I have depression, anxiety, bipolar disorder, and I have anger issues. I told my mom over and over again. She told me she would get me a therapist, but she never did. I just found out that my mom can't afford a therapist for me.

https://counselchat.com/questions/how-can-i-see-if-a-therapist-if-my-mom-can-t-afford-it

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

It can be difficult to get counseling if you don't feel supported by family members.  There might be a few options.  If you are in school, I'd recommend talking to a school counselor or school nurse.  They often will be able to help you access free or affordable counseling resources in your community.  In addition, depending on where you live, it's also often possible to call 211 for referrals to free or low cost counseling services in your area.I'd encourage you not to give up. You are on the right track.

I told my family doctor yesterday, that I am hoarding my Ativan pills. Is he legally required to tell my psychiatrist or therapist?

I have major depression, severe, PTSD, anxiety disorder, and personality disorder. I had an appointment with my doctor. I was very upset, and I shared with him about that particular drug.

https://counselchat.com/questions/i-told-my-family-doctor-yesterday-that-i-am-hoarding-my-ativan-pills-is-he-legally-required-to-tell-my-psychiatrist-or-therapist

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

Your doctor might be required to tell your psychiatrist - especially if your doctor is concerned about your safety.It was definitely a good thing that you told your primary care physician about what is going on.  I know that must have been difficult to talk about with him.  By having that conversation, you are helping your primary care physician and your psychiatrist work together to best support your health.

In the state of New York, is it legal for someone to record a counseling session without telling the counselor or the other person in the session?

https://counselchat.com/questions/in-the-state-of-new-york-is-it-legal-for-someone-to-record-a-counseling-session-without-telling-the-counselor-or-the-other-person-in-the-session

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

In New York (like most states), the law generally is what's called a "one-party consent" rule. This means that in most cases it is legal to record a conversation as long as consent has been granted by at least one person involved in the conversation.It probably would not be illegal for a client to secretly record a counseling session without the consent of the counselor. Since only one person's consent is required, it would be sufficient that the client consented.On the other hand, it would probably be illegal for a third party to record a counseling session without the consent of the counselor or the client.Similarly, it would be a violation of ethical standards (and maybe a violation of law) for a counselor to secretly record a session without the client's consent.

How do I, a LPC, start an online practice?

https://counselchat.com/questions/how-do-i-a-lpc-start-an-online-practice

legal-regulatory

Eric Ström, JD, MA, LMHCAttorney & Licensed Mental Health Counselor

https://counselchat.com/therapists/eric-str-m-jd-ma-lmhc

This is a great question - especially since technology assisted counseling is definitely the current growing edge of the field.There are a few things you'll want to look into before starting an online practice:1) Check out your state laws regarding online counseling - keep in mind there are different terms used in different states Including "technology assisted" or "distance" counseling. So it might take a little searching to find your state's rules.  Some states have extensive regulations regarding the scope of practice, informed consent, documentation, etc.  Other states do not have any specific laws or policies regarding online counseling at all.2) Next, it's a good idea to review the 2014 ACA code of ethics and the 2015 AMHCA code of ethics. Both have extensive new sections addressing the ethics of online counseling.3) Lastly, you'll need to look into the law in the state(s) where your potential clients are located.  This is really important since nearly every state considers counseling to occur in both the location of the client and the location of the counselor.  For example, New York has a law that specifically requires any counselor who is providing online counseling services to a client in the state to be licensed by New York.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Nat RomanMarriage & Family Therapist, MSc RP

https://counselchat.com/therapists/nat-roman-toronto

There are typically three reasons why therapy is terminated:1) Client has met therapy goals2) Client is not progressing 3) Therapist is not a good fit for clientIn 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.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Kevin MimmsBuilding Better Connections

https://counselchat.com/therapists/kevin-mimms

It is usually time to end counseling sessions when it is clear to both the client and the counselor that therapeutic goals have been reached and enough improvement has been made that the client can continue without that support. There are exceptions to this rule, but for the most part this is when counselors begin termination. For some clients, this is an easy process that marks the achievements they have made in working through their emotions and difficulties. For some other clients, however, this is a difficult process in which they are losing a valuable support and are understandably anxious about what life will be like without the frequent meetings. Ultimately, termination is different for everyone, and there are many ways that termination can be healthy and helpful.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Shawn Thomas Berthel, M.S., LCMHCStep into your new life path.

https://counselchat.com/therapists/shawn-thomas-berthel-m-s-lcmhc

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 counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Miriam Dyak

https://counselchat.com/therapists/miriam-dyak

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.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

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professional-ethics

Christopher SmithPresident and Clinical Director, Seeking Shalom

https://counselchat.com/therapists/christopher-smith

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 counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Frank WalkerI help couples manage the bumpy road called marriage. Whether your marriage needs a tune up, a major overhaul or just a flat tire changed. I can help.

https://counselchat.com/therapists/frank-walker

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 counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

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professional-ethics

Dr Traci KochendorferTime for you to " Claim IT" with over 15 years in health and wellness, Ph.D Psy.D D.D. F.P.L.C. recognized on TV and Magazines,

https://counselchat.com/therapists/dr-traci-kochendorfer

There can be many reasons why?Client has reached their goals they hired the coach/ counselor forClient is not progressing or taking a path forward.Client is not a good fit

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Candice Conroy, LMHCFind relief from anxiety, depression, and trauma.

https://counselchat.com/therapists/candice-conroy-lmhc

Counselors should consider ending counseling sessions or terminating therapy under several different circumstances. Here are a few of the most common:If the client has developed the coping skills for which they came to therapy, counselors should encourage clients to decrease sessions to less often to begin practicing maintaining progress on their own. Clients are often nervous about decreasing sessions when they are doing well for fear of relapsing. This is a crucial step in helping clients to build confidence in their coping skills and decrease the feeling that they must forever continue therapy in order to be well. Most clients experience some difficulties and slip ups during this step down process, but these are important to identify and address while still in therapy where clients can get help coming up with a plan. This is also the point at which counselors should be helping clients come up with a relapse prevention plan so they can safely terminate therapy and maintain the progress on their own.If the counselor determines the client's needs are outside of their scope of practice, they should refer them out. For example, if the counselor determines that the client has an eating disorder and the counselor is not knowledgable or trained in the treatment of eating disorders, they should refer them to another provider who specializes in this issue.If the client is in need of a higher level of care, counselors should refer them to the lowest level that is likely to be effective for the client. Most of what we think of as "therapy" is often on session every week or two with a therapist at a local practice. For some clients, however, the therapist may find they are unable to manage their symptoms and emotions between sessions and need to be seen more frequently. For outpatient therapy, clients with more severe symptoms are typically seen twice a week. For clients who need more than that, counselors should refer them to other programs for more intensive treatment such as intensive outpatient (groups and individual therapy several times per week), partial hospitalization (groups and individual therapy several hours per day plus medication), or inpatient (residential treatment with groups, individual therapy, and medication for 30 days).If the client is in need of substance abuse treatment before therapy can be effective with other concerns, the counselor should refer clients for a substance abuse evaluation. People commonly use substances to cope with unwanted emotional pain and mental health symptoms. Over time, this pattern often develops into substance abuse. Research has shown therapy to be ineffective in treating mental health conditions without FIRST addressing any substance abuse. For example, someone with a history of trauma who is drinking to cope with unwanted memories would need to be able to maintain sobriety for a period of time before therapy for trauma can have any significant impact.My goal as a therapist is always to start people off with the lowest frequency of sessions possible for them to actually make progress (typically once a week or once every other week). Then we work to teach them the skills they came in for and encourage them to practice outside of sessions. Next, once they've gotten the hang of the skills and are feeling better, we start encouraging them to space out sessions and "take the training wheels off". Finally, we come up with a relapse prevention plan to make sure they can keep it going on their own and identify any impending relapses long before they get bad so they can course correct on their own.For more information about the process of CBT therapy, visit: "From Start to Finish: What does cognitive behavioral therapy look like?"

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Dr. Timothy Paul'man'; Online - "Natural Health Consultant and Coach"

https://counselchat.com/therapists/dr-timothy-paul

For most:  When the money/insurance runs out.When best:  When the job is done... and you're feeling much better.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

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professional-ethics

Laura Cassity, LMSW, LMACAffiliated Family Counselors

https://counselchat.com/therapists/laura-cassity-lmsw-lmac

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Vivian D. Echevarria Guzman, MSC, LPC-S, NCCBilingual Licensed Professional Counselor

https://counselchat.com/therapists/vivian-d-echevarria-guzman-msc-lpc-s-ncc

To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basis, depending on the frequency of the appointments.  Once the therapy goals have been met, there is a closing session, the counseling relationship is ended, and the client can stop attending sessions.  In some cases, the client can also establish new goals and determine if I am a good fit for their therapy needs or if they need a new provider, in which case I provide multiple referrals.The counseling relationship could also end due to other factors like noncompliance= when a client is not committed to the agreed treatment process, or when the client’s or a counselor violates the counseling relationship.  Either the counselor or the client is able to end counseling.  Although, as mental health providers we need to provide a reason for terminating our therapeutic relationship and referral options, as a client no explanation is needed, a closing session is highly recommended.  ¿Cómo termina la terapia?¿Cómo un consejero decide cuando terminar las sesiones de consejería o terminar de trabajar con un paciente?Para poder determinar el final de la relación del consejero, debemos comprender las metas y parámetros de la terapia.  Usualmente durante la evaluación inicial se identifican metas a corto y largo plazo con el cliente, y se discute con el cliente como esas metas serán alcanzadas.  Durante el proceso de terapia el consejero revisa las metas mensual o trimestralmente dependiendo de la frecuencia de las citas.  Ya que las metas de terapia son alcanzadas, hay una sesión de cierre y el cliente puede terminar la terapia.   En algunos casos el cliente puede identificar nuevas metas para la terapia y determinar si el mismo consejero u otro consejero le pueden asistir. La relación de consejería también puede terminar por no conformar o violentar los parámetros  establecidos para la terapia.   Tanto el consejero como el cliente pueden terminar la relación de terapia.  Como proveedores de salud mental los consejeros estamos obligados a proveer un razón para la conclusión del tratamiento y proveer referidos según aplique, los clientes no necesitan proveer una explicación, aunque es recomendable discutirlo en una sesión de cierre.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

David KleinHumanistic, LGBT-Affirmative Psychotherapy for Individuals & Couples

https://counselchat.com/therapists/david-klein

As a therapist who believes in client self-determination above most other elements of the process, I want to as much as possible leave it up to the client to determine when they are finished. In the case of a termination because a client's distress has resolved, I might periodically check in with the client about how therapy has been going, and if we want to re-evaluate where we are.The more unfortunate situation would come about if I felt that I wasn't the best fit for the client. I would offer that in words, and ideas of therapists (with names) of who I thought might be a better fit and why. It still is up to the client whether to continue, however should they want to keep seeing me, a part of the work would be about that want (to see someone who professionally doesn't believe they can help as much as someone else.)I also find it perplexing when I hear a client (or on a personal level) tell me that their therapist said they "didn't need therapy." I don't know that I buy into that scenario all that much, because I do believe that yes, not everyone NEEDS therapy, but that everyone CAN benefit from therapy and I don't believe it is the therapist's job to deter someone from ever seeking out help of any kind.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Shy PorterSpecialist in couples & individuals

https://counselchat.com/therapists/shy-porter

Ideally, termination should be a mutual process. It's not that the therapist kicks the client out at some point and says, "Okay, you're done." Rather, over time the client will decrease the frequency with which he/she comes to session so that it may start off as weekly, then decrease to biweekly, then perhaps once every three weeks, then once/month and so on. Throughout this process, the therapist and client should have had regular check ins about progress toward goals. If the client feels good about where he/she is in life, he/she might decide to suspend therapy for now. That being said, the therapist should make it very clear that if the client ever decided to return for "maintenance" therapy or a check in, he/she would always be welcome. There is no hard and fast rule to ending or a particular time period in which it must end. What matters most is that the client feels good about it and knows that the therapist will always be there should he/she wish to return.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Anna McElearneyHelping Couples Build Stronger Relationships

https://counselchat.com/therapists/anna-mcelearney

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 counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

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professional-ethics

Cory Ian Shafer LPCPsychotherapist, Jungian, Hypnotherapy

https://counselchat.com/therapists/cory-ian-shafer-lpc

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

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

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professional-ethics

Chris McDonaldHolistic Counselor

https://counselchat.com/therapists/chris-mcdonald

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.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

https://counselchat.com/questions/how-does-counseling-end

professional-ethics

Jill Barnett KaufmanPsychotherapist

https://counselchat.com/therapists/jill-barnett-kaufman

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.

How does counseling end?

How does a counselor decide when to end counseling sessions or to terminate working with a client?

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professional-ethics

Catherine HodgeLicensed Mental Health Counselor

https://counselchat.com/therapists/catherine-hodge

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.