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<s>[INST] I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? [/INST] It is totally normal - you have a lot riding on this and you're invested! Think about why you feel so shaky - is it something about the therapist or their style? If so, it would be a good idea to talk with them about it so you feel more at ease. In any case bringing up your feelings about therapy in therapy is totally appropriate and even necessary. Good luck! </s>

<s>[INST] I love him so much, and I don't know what to do. [/INST] Hi Savannah, This is a pretty common issue; one person feels that they are doing a great job of being loving, yet their partner doesn't feel loved. There's a great book "The Five Love Languages" by Gary Chapman. He explains that there are five main ways to give and receive love, but we don't necessarily all speak the same "love language" as our partner. You might feel that by going out to work and earn money, you're being loving, but if your partner's main love language is quality time, you're not hitting that bulls eye because you're not home! The five languages are words, quality time, acts of service, gifts and touch. I recommend couples grab this book, sit down and figure out what their love languages are, and then...slowly...you start to ask for the kind of love you want, and you start to speak your partner's language a bit better. You may never be fluent, but you can get better. The most important part is to understand each other better and to know that there's nothing wrong with either of you, you're just speaking different languages. You can help your boyfriend to get really specific about how he wants to be loved. I bet he just needs you to "speak his language".  :) </s>

<s>[INST] About 5 months ago my ex left without fully explaining why. For me it seemed out of the blue. I don't miss her as much as I used to but I just don't trust people anymore, not even my friends who I have known since my childhood not even my family. I'm so terrified of being judged or dismissed. Instead of acting like someone else or putting on a mask of a personality, I've just shut down. I haven't felt that sense of comfort and happiness with myself since everything fell apart. I'm scared to because I don't want it to be taken away from me again. I feel like ever lesson I learn only last a day. I just don't know what to do. I'm working at a place I know I should enjoy. I'm keeping up with my creative passions: working out, eating healthy, etc. I'm doing everything the books say I should do, but I don't feel any different. I just don't know what to do. [/INST] Sounds like you need closure. I'm sure your doing your best to overcome this feeling but seem to be struggling with your own happiness. Trust God no one else. Give this some time and don't close yourself off to the world or the people who love you. Be open hearted and minded. And know that no matter what reason your ex walked out of your life, she missed out on how great of a person you truly are and may have had personal issues of her own. </s>

<s>[INST] I was the one who ended it, and I'm so glad I did. It was the best decision I made in my life. But how do I stop the nightmares and flashbacks? It is creating a wall in my current relationship. [/INST] One thing you could try to do on your own is to focus on the partner who is in front of you now. If you are able to connect with them via touch or focusing on their tone of voice, that may help to center you. Tried to stay grounded and/or mindful. That is being aware of your position in the room, your feet on the floor, your hands in your lap, or your hips in the chair. Being mindful of the environment you are currently (for example, noticing what is around you) may be helpful. Try to use all your senses. For example, you could focus on hearing your husband's voice, feeling his hand in yours, being wrapped in your favorite blanket, seeing a comforting photo, using a comforting sense or candle, or tasting an apple that reminds you of times when you have enjoyed yourself in the kitchen.It also sounds like you are having a very specific reaction that could very well be related to trauma. I would recommend that you talk with a local mental health professional.Remember, just because it was the best decision of your life, that doesn't mean that what happened to you or in your presence automatically leaves you when you leave the relationship. Our brain is actually hardwired to remember things that have caused us pain or great emotional distress as a way of protecting us from them happening again. This is a very natural response and the reactions you have as far as nightmares and flashbacks are the past coming forward and your brain trying to make sense of it all. </s>

<s>[INST] 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. [/INST] 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! </s>

<s>[INST] I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments. [/INST] Thank you for sharing! It can be very disorienting not to know what you want and where you are headed. Sometimes we are so focused on something we haven't achieved yet or on comparing ourselves to others that we lose touch with what we actually want and need. At times like this, it's important to go back to basics. Try out this simple exercise, take a few minutes to write down all your present responsibilities. For example: make meals, complete homework...etc.  Then in the column next to it, write down the things that you do for yourself to recharge yourself and to enjoy your time. Is your list of responsibilities way longer than your list of stuff you do for yourself? It is easy to get lost in the sea of responsibilities and disconnect from what you want and need. To fix that, write another list of things that you enjoyed doing in the past for yourself and start incorporating them into your schedule on a regular basis. This will help you re-connect with yourself, and bring focus and clarity to your life. </s>

<s>[INST] My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child? [/INST] You can "move on and not live in the past" in the context of your ex-relationship, but that does not mean moving on from your child. "Moving on" then would involve accepting the end of the relationship and developing a civil relationship with your ex-partner as far as is possible for the sake of your child's development.Generally, it's good for a functional (non-abusive) parent to spend time with his/her child, but only insofar as that doesn't cause your child unnecessary stress. That requires the two adults to act like adults with each other for the sake of their child.What's confusing for children is seeing their parents act uncivilly or manipulatively. Children also do well with routines so regular dependable visitation is preferable to random visitation or, worse, not following through on commitments.But if one person is exploiting their child to harm their ex-partner, then visiting your child in that context may be stressful to him/her (depending on what you mean by using your child as a pawn). When dealing with a hostile ex-partner, your first challenge is to negotiate rules and boundaries with your ex-partner about appropriate behavior for the good of your child. If you cannot come to an agreement, a counselor can help mediate a conversation. If that's not an option, then it may be possible to turn to family court to stipulate visitation rules (for which you'd have to consult with an attorney). </s>

<s>[INST] I have a mother who is still running my life even though I'm almost 30 years old. I want to move out and live my own life, but it feels like as long as I do what my mom wants our relationship is okay. It's never okay if I don't do what she wants. I don't know how to start making my own decisions and not worry about whether it's right in her eyes. Would it help for me to talk to someone about this? [/INST] If the only way the relationship you have with your mother feels "okay" is when she is the only one who makes decisions concerning your life, then this only seems ok.In fact it is not okay for one person to be the authority for another person unless the one for whom this is being done, does not have their own ability to think for themselves.Separating your own wishes and way of handling life matters, from your mother's point of view, may be difficult.First, realize you need to get familiar with feeling at ease with the idea of deciding matters for yourself.You'll need practice until you feel comfortable.Unless, if you've been thinking through decisions you'd like to make and the idea of your mother's anger is the only point which stopped you, then you may almost instantly start living in a liberated way of running your own life.Basically, it is right and fair for you to have the chance to live your life the way you feel is best.   Be prepared that your mother may disagree with you and that her disagreement is not a reason itself to not do what you believe is in your best interest. </s>

<s>[INST] My partner and I have had an amazing relationship and connection for over two years. We're very committed to each other and are planning a very long life together. However, he recently was very open and honest that he isn't interested in having sex with me anymore. He says this has happened in every past relationships and has ended it as a result. He knows it's because it's the "same person" feeling, but how can he get over this? [/INST] I wonder how long "anymore" will be for your boyfriend.Since you both are planning a long life together, instead of his custom of ending relationships when he feels bored with the sex, he will be facing the situation of being in a relationship and not having sex with his partner to whom he is committed.What are your own views on the meaning of sex in a relationship?Knowing this will help you be better able to collaborate with your boyfriend on finding ways of balancing what you each would like. </s>

<s>[INST] I have been in a relationship with my boyfriend for about six years now. In the past, our relationship was difficult and frustrating. We argued a lot, and due to that, there was a lot of tension between us. We stayed together because we love each other and wanted to make it work. I used to party a lot, and several times I got into situations where I would end up kissing someone else. These situations were never more than just kissing. I have come clean about these situations with my boyfriend, and he decided to forgive and move forward with me. I love him so much and want to work things out too, but I'm having a difficult time understanding how he can forgive me. I can't seem to forgive myself. I'm overwhelmed with feelings of guilt and unworthiness. [/INST] So wonderful to have a boyfriend who is able to understand and forgive you. What do you think that he sees in you that allows him to do that? Does he see someone who like other humans makes mistakes? Does he see someone who despite hurtful choices is a good person committed to being a loving respectful partner? The compassion and understanding that we can often extend to others can be difficult to extend to ourselves. We often hold very unrealistic and perfectionist expectations for ourselves which may even lead to our poor choices in the first place - as a ways of letting off steam or rebelling against our high standards. Regardless of the reasons, we all make mistakes and imperfection does not make someone less loveable - it just makes them human. If your boyfriend is able to start clean with you, there must be a reason. What you do from here on out will define the kind of partner you are to him. Can you treat him with the kind of respect that you would want? Can you help him to feel loved and safe in the relationship? Can you allow yourself to be imperfect and afraid and still worthy of love and acceptance. When you are feeling ashamed of your behaviours - try to imagine extending that scared part of you the same love and acceptance that you might extend to other people who have made mistakes. It is not easy to forgive ourselves but it is important in order to allow ourselves to be loved and to truly love others. </s>

<s>[INST] My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying "whatever" and "leave me alone." But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore. [/INST] Hi Rockford, While no relationship is "perfect", and it's natural for the passionate beginnings of a relationship to lessen with time, because we have established the trust and love needed as a foundation and we don't have to smother each other with attention anymore, your situation sounds like something different. "He has no time for me"... yet you don't fight. Hmmm...Is it that you don't fight because you don't bring up what's bothering you? Are you avoiding conflict? Many people do. What do you fear would happen if you let him know how you feel about his recent pulling away? As an engaged couple, now is a really good time to see what happens when you bring a concern to your fiance. Better to find out now what happens when you rock the boat by being real. Or maybe you have spoken to him about it. If so, what happens? Does he listen and help you understand him better? Or does he avoid and reassure you...or maybe dismiss you? This is really important data to gather about how your fiance handles conflict and how you work together. He says "leave me alone". That's a pretty bold statement about what he wants. He doesn't seem to have the same idea that you do about what marriage is, and how close you want to be. Plus, I have to say, those words sound more like what a closed-off fourteen year old would say to a parent than a loving fiance to his bride to be! Giving him the benefit of the doubt, it could be that your fiance is scared about getting married and this is a temporary reaction that will change. But if this is true, he needs to tell you that so you can understand. So, I suggest that the fact that when you're together you're "okay" is perhaps not the best barometer for how you're doing as a couple. Listen to your gut. I encourage you to be really open with your fiance about what your feelings and fears are. This may get rockier before it gets better, but until you face what's not working, you won't know who you truly are as a couple.  When you're engaged, it's a really cool time to see a therapist too...to get some conflict resolution skills down before you're a married couple. </s>

<s>[INST] I blame my past relationship for it. I know it is bad to be this way. I want to get past it. [/INST] How did you come to the conclusion that you are acting needy?Is this what your partner told you or are you feeling this way about yourself?The difference is that what you'd like from a relationship may be very reasonable, only that your partner is not someone who wants to meet your needs.One way of evaluating whether you're actually needy is whether you feel that you give yourself love, take good care of yourself when you're in situations that are not connected to being part of a couple.If being by yourself feels uneasy most of the time, then probably practicing self-love, consciously treating yourself with consideration and thoughtfulness, may help you feel less needy of others.This way, when you're with a partner, the time together will be in enjoying the partner, not getting love because of not figuring out a way of giving love to yourself. </s>

<s>[INST] I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I’m unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do? [/INST] Do you have any other form of identification? The first place to stop would be the Visitor’s Center or whichever department issues passes. They are located outside of the gate so you do not need a military ID to enter. If you have another form of identification it’s possible that they can give you a pass in order to go and obtain a new military ID. If you do not, you could always ask someone else to sponsor you on (a friend, coworker, etc.) that have military access. Depending on the threat level, they may not need your ID as long as you are with someone that has access. Keep in mind that currently (6/11/15) all military bases are on Bravo which unfortunately means you will need your own ID.Finally, if all else fails, call your doctor and explain your situation. I’m sure they would be more than willing to discuss your options.Also, it’s important to make sure that you report your wallet being stolen if you haven’t already. Security Forces on base can help you with this and to ensure your ID doesn’t get into the wrong hands. Good luck! </s>

<s>[INST] There is just no communication at all between us. She sleeps constantly all day (not at night). She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat. She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health. I don't know how to communicate with her. She is not open to any suggestions. How do I get through to her? [/INST] I'm sorry for what sounds like a frustrating situation.For how long has your daughter lived the way you describe and did it start all of a sudden or more gradually come on?What you write sounds like a major depressive disorder and this can start for a variety of reasons and improve in just as many different ways.Start with how you are feeling about the situation.  Ask yourself for how long you will be able to tolerate the way your daughter lives and if you feel any satisfaction in your mother daughter relationship.If she is of legal age, and you don't want her to live with you,  you've tried convincing her to get medical care for its own sake and to more clearly see her emotional and psychological health, and she is unwilling to take care of herself, you can discuss your options with the adult protective services agency in your state.The first step is to know what exactly is her problem so you can decide if its own you are willing to take care of or not. </s>

<s>[INST] I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments. [/INST] It sounds as if you would benefit from talking with a local mental health professionals so you can discuss some details.Having said that, I wonder if you could consider how you would define yourself to someone who doesn't know you. For example, honest, adaptable, fun-loving, dependable, compassionate, open-minded, dedicated, etc. If you're looking for a list of adjectives, try these: https://www.englishclub.com/vocabulary/adjectives-personality-positive.htm . There is a list of negative ones here too. If you're going to use those, try to use three positive ones for each of the negative ones. You could also try asking yourself what you love about yourself and/or what others love about you. Sometimes it's easier to consider what others see as our positive points and if this is difficult for you, try asking someone who you trust to help you with the list.The idea here is to look at your relationship with yourself. I don't mean this in a way that you would be talking to yourself and receiving answers, but rather looking at yourself in a way that you deserve the same kind of loving and compassion that you give to others or want others to have.I'm also curious as to whether you are eating and sleeping okay, as these things can really affect your focus and many other changes, such as differences in your emotions. Also, you saying that you are struggling to put things into perspective leads me to believe that you are going through some things right now that are not typical for you, if so, consider from whom you have support and the ability to talk about what you are going through.Consider Metta meditation here to help give yourself loving kindness: http://www.mettainstitute.org/mettameditation.html </s>

<s>[INST] I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do? [/INST] This answer could be very different depending on the fear, the degree of it, and what it connects to.I wonder the following:On a scale of 1 to 10, how upset, anxious, or scared to you get when you think about overcoming this? If it's more than a 5/10, I would definitely recommend talking with a therapist in your area.A lot of fears that we have come from something that at one time was self-protective and important. Do you know where your fear started? If you think it is still protecting you or helping you in some way, talk with someone (like a therapist) about it.If it is something that you know is irrational (for example, fear of being hurt by static cling from winter clothing), is there some part of that that you are not afraid of?I really encourage you to consider whether your fear has a lot of emotions connected to it or if it ties from something in your past that was very emotional for you at the time. If it does, consider working with a therapist to establish emotional safety before taking away the fear or anxiety that may actually be helpful to you.Also, the fact that you notice that you are afraid of something and you don't want to be afraid of it anymore is a big step in the forward direction. </s>

<s>[INST] I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk. In the past, I have even cheated on my boyfriend while I was under the influence of alcohol. But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem? [/INST] Speaking with a licensed therapist will help you figure out if indeed you have a problem or not.  I would say the first question you should ask yourself is why you are drinking? The second would be why you feel the need to drink in excess? It may be due to a life event or the crowd you are running with.  Either way a therapist will be able to help you through this as you already made the first step in admitting you are having a difficult time. </s>

<s>[INST] Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward? [/INST] Let's just start with acknowledging that trust is huge and betrayal hurts. You're entitled to your feelings; all of them and you need to know that your husband understands you. That said some ways are more effective at rebuilding and repairing relationships that others. I am a big fan of The Gottman Method for couples therapy, especially following infedienity. You can read about this approach in Gottman's books: "The Science of Trust" and "Making Love Last" and/or you can seek a Gottman Certified couples therapist here: https://www.gottman.com/private-therapy/ </s>

<s>[INST] How does a person start the counseling process? [/INST] Phone or email a counselor whose profile you've read and which feels right for you.Ask to get a feel as to the way the person would handle your problem and work with you.In my practice I offer a phone consult which generally continues for twenty minutes.I feel it is only fair that a prospective patient has a feel for the service they are about to purchase before they can be expected to pay money for a service which may not be to their liking at all. </s>

<s>[INST] such as not enough sleep [/INST] 0 </s>

<s>[INST] I have family issues, and my dad was both violent and a cheater. [/INST] In general, our past is always somewhat alive and does inform our present experiences.  All past experiences, both positive and negative are what have brought you where you are today, physically and emotionally.   That being said, your father's behavior does not have to define you or your future.  You have power over your life and your future.  By learning more about yourself, you can learn to incorporate your past into your present life, without being defined by past traumas.  The best way to grow and learn how to do this is to talk with someone about your experiences.  By talking about your past and present struggles with a trusted confidante or helping professional you will hopefully learn how to be at peace with your past. </s>

<s>[INST] What makes a healthy marriage last? [/INST] This answer varies based on you relationship. However, I do believe their are some basic fundamental areas that are beneficial for a healthy marriage:1.) Effective Communication2.) Trust3.) Love/Passion4.) Loyalty. 5.) Unconditional Positive Regard. Everyone has their favorite qualities they feel best fit a marriage. However, these are what I think are great starting points. </s>

<s>[INST] Is it normal for people to cry during therapy, or is it just me? [/INST] Crying in therapy is definitely normal. A lot of people, if not most, cry in therapy. Why does it happen? During therapy you'll explore your thoughts and emotions. Some of them will be pleasant: joy, hope, excitement, etc., so you will smile and laugh. Others may be more unpleasant, such as grief, sadness or anger, so you may feel like shouting or crying. It's healthy to accept and feel all your emotions and to express them in appropriate ways. Crying is a good way of expressing sadness, disappointment and helplessness. If you try to cut off some of the "negative" feelings, you are likely to also cut off your positive ones and feel numb as a result. Crying in therapy speaks to your ability to relax and let go in the presence of another human being (essential for healthy relationships!) and it also speaks to your therapist's skills at making you feel safe and comfortable. Good for you! It's your therapy and you can cry if you want to! </s>

<s>[INST] Whether it's to a guy or girl, I always feel insecure talking, and I am afraid of embarrassing myself and not being good enough. Even when I am walking, I worry about my appearance and facial expression and such. [/INST] I want to add that one way therapy can help with social anxiety is to give you a corrective experience.  Each week, you sit across from someone who genuinely cares about you, who doesn't judge you, and who you can voice your concerns to.  Over time, you show them more and more of yourself, and as they get to know you, they still care about you, they still don't judge you, and they still think you are amazing.  Find a therapist you connect with. </s>

<s>[INST] My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore. [/INST] Buy the book "Boundaries: Where You End and I Begin." Read it. Apply it.Seriously, I'm not joking. You're not wrong to "not want to hear it anymore" but if you don't maintain healthy boundaries, you will allow your family to make you feel guilty for "not wanting to hear it anymore". That's not fair to you.Give a copy to your mom, too. No, I didn't write the book nor do I have any affiliation with it - I simply recommend it because it's a wonderful book and it helped me out a lot. I recommend it to a lot of people. It should be required reading! </s>

<s>[INST] I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18? [/INST] No, that's perfectly normal. You're under 18, too. You're only a year older than she is. This is absolutely normal. What would be wrong is if you did anything to her against her will. Always remember that NO means NO, respect her, respect yourself, and be a normal teenager! Have a healthy relationship. Holding hands, kissing, and more should only be done when both are comfortable with it and agree to it. Although it is frowned upon by a lot of people, it's no secret that teenagers do have sex (even if their parents and perhaps religion would definitely not want them to do it). Only you can make the choice that is right for you. Just be responsible in the choices you make. Some states have laws on what age is old enough for consensual sex. You'd be surprised how young those ages are. A 14 year old having sex with a 20 year old would be against the law, but someone the same age as her, or just one year older is not. "Wrong" can be defined in a lot of different ways, though. Is it against the law? No. Is it against your religion? I can't answer that for you. You can, however, have a relationship that is not physical in any way. It's okay to just be with her and enjoy her company. You can hang out, watch movies together, go on dates, do whatever it is that both of you enjoy doing. Your relationship can be anything you want it to be. </s>

<s>[INST] I feel that I am struggling with undiagnosed bipolar disorder, and it is making my day-to-day life extremely difficult. [/INST] 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. </s>

<s>[INST] How do you know you have the right therapist for you? How would I know how to "train" my therapist to be able to give me what I need from treatment? [/INST] The "right" therapist is a combination of expertise in the areas where you require, and fit as far as how comfortable you feel in speaking and sharing with that person.  People generally are quite good at determining whether or not someone fits well with their personality and style; and another key to know whether therapy is working is to ask yourself:  "Do I see that changes have come about since working with this therapist?"  Do I feel better? Am I reaching goals that I set at the onset of therapy?  Are difficult situations becoming easier by how I handle them? Training a therapist really isn't necessary, as all it requires is open and honest communication in order to give effective feedback that will in turn be helpful to you and your goals. </s>

<s>[INST] What makes a healthy marriage last? [/INST] This answer varies based on you relationship. However, I do believe their are some basic fundamental areas that are beneficial for a healthy marriage:1.) Effective Communication2.) Trust3.) Love/Passion4.) Loyalty. 5.) Unconditional Positive Regard. Everyone has their favorite qualities they feel best fit a marriage. However, these are what I think are great starting points. </s>

<s>[INST] How does a person start the counseling process? [/INST] Phone or email a counselor whose profile you've read and which feels right for you.Ask to get a feel as to the way the person would handle your problem and work with you.In my practice I offer a phone consult which generally continues for twenty minutes.I feel it is only fair that a prospective patient has a feel for the service they are about to purchase before they can be expected to pay money for a service which may not be to their liking at all. </s>

<s>[INST] I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends. I spent the weekend with him and it upset my boyfriend. Was i wrong? [/INST] Hello. There are a number of factors playing into this situation. A former romantic partner coming back onto the scene during a current relationship; you spending alone time (and spending the night) with that former partner; and the uneasy feelings experienced by your current partner (boyfriend). Now those are the ones you have openly expressed. There are very likely other issues that prompted this behavior on your part. You ask if you were wrong. It is not a question I will be able to answer, because it is not one I am meant to answer. It is up to you to find that truth. Now, if you are feeling guilty, was it because of some sexual engagement occurred when you spent the night? If so, you might want to look at why that happened. Do you feel secure in your current relationship? Is this the relationship you want, or do you want to be with the former boyfriend?Important questions, but ones you need to ask and answer. Odds are, there is something that triggered this event to occur and it becomes a focal point in discovering any unexplored discomfort or other issues with your current boyfriend. Seeking relationship counseling can be effective in sorting this out, so be open to that possibility to help you clarify your thoughts and feelings.Best of luck to you. </s>

<s>[INST] I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this? [/INST] I'm so sorry you've been hurt.  It's very normal to stop feeling emotions as a way to protect yourself after experiencing a traumatic event.  You can think of it as emotional shock-- you experienced something that was so awful that you have numbed yourself (mind and body) as a way to stop the emotional and physical pain of the event.  It's actually pretty amazing that our selves know how to do this automatically.  And, I hear you saying that you'd like to get some feeling back now.So here are some ideas for how you can change this:I think it would be a great idea to find an experienced therapist you like and trust and/or a good support group so that you can have some allies as you go through this process.  You also could try journaling.  If you're not sure what to write then check out this list of prompts to get you started (it's for teachers, but I really like it).  There's also art journaling.  Pinterest has lots of suggestions.Meditation could be useful.  There are lots of apps available that offer guided meditations.Yoga, tai chi, or chi gong might also help.I have lots of other ideas, but without knowing more about you I'm reluctant to make suggestions that could accidentally make you feel worse.  IThis protective mechanism of numbing yourself kicked in for a good reason and as you get your feelings back, you may find some pretty challenging reactions coming up.  I guess my final piece of advice to is encourage you to trust yourself and gently go at your own pace in your healing.  I hope this was helpful. </s>

<s>[INST] Over a year ago I had a female friend. She turned out to be kind of crazy so I decided to stop talking to her. When she would call me I wouldn't answer the phone. This made my girlfriend really suspicious. She would ask me why I wouldn't ever answer that phone number. I told my girlfriend that I don't want to be friends with that other woman, but I don't think she believes me. How can I get my girlfriend to understand? [/INST] Do you know why your girlfriend doesn't believe you?It is strange that your girlfriend prefers you to take the phone call of another woman.Have you blocked the unwelcome phone calls?Has your girlfriend said she doesn't believe you or is this your interpretation?Find out the answer and then ask your girlfriend to tell you her reasons behind her thoughts.It is much easier to help someone understand a situation if the person is engaged in a conversation.Whether or not she understands is up to her.All you can be responsible to do is to offer your explanation, which sounds like you've already substantially offered.Keep or reintroduce the topic for the two of you to talk about again. </s>

<s>[INST] I have PTSD. The side effects are really bad and have impacts on sex, anger and my relationships. I even lost my job month ago. How can I get my life back? [/INST] It is brave of you to speak out, PTSD is not a joke and it can quickly take a toll on all aspect of life. Please, know that you are not alone and with the right help you can overcome these challenges. Living with PTSD can be very emotionally exhausting, but you can learn ways to cope with its challenges and find fulfillment in your life again. This means being proactively involved with the process, learning about the problem and positive ways to manage it can be a good start. This can also mean seeking professional help. It is important to address the problem both at the physiological and psychological level, this can mean using medication that is prescribed by a MD to reduce the intensity symptoms and also working with an experienced licensed professional. Having healthy life habits such as good sleep hygiene, healthy diet, staying away from self-medicating with drugs and alcohol, and exercising can help reduce the intensity of the symptoms as well. Please, consult with a licensed professional close to you to get more information on resources you can possibly find helpful to you. </s>

<s>[INST] My husband and I have been married for seven years, and in that time, we have only had sex four or five times. Others have told me that most men would have left me by now. Honestly, I think I have a low sex drive or neither one of us actually knows what we are doing. I want to be better connected with my husband. [/INST] In order to develop a better intimate connection with your husband, it's important to first cultivate a strong connection with yourself.  I would take some time to explore your own body, notice what feels pleasurable, and play with different ways to achieve orgasm on your own.  Explore your own willingness to be open emotionally, sexually, and to play and have fun.Once you've engaged in a process of self exploration, I would check in with yourself and be honest about why you're not enjoying sex.  Are there specific reasons you're not enjoying sex with your husband?  Sometimes the reasons might be of a sexual nature and other times there could be emotional blocks (or anxiety) or other reasons that prevent you from wanting to be fully open and let go with your partner.  From a sexual perspective, I would explore what you can do to increase your own pleasure, learn ways to communicate your needs in a loving way, and focus on pleasure and play (rather than outcome and orgasm).   Begin by taking the pressure off orgasm and enjoy a naked massage together-- focusing on exploring what feels pleasurable.  Lastly, if you're wanting to learn new skills, check out a local sex workshop. </s>

<s>[INST] How does a counselor decide when to end counseling sessions or to terminate working with a client? [/INST] In my therapy practice the decision to end therapy is mutually made together with the patient.Otherwise, the person can end up with a sense of tremendous rejection and abandonment.The way you'll both know therapy is coming to a close is that the discussion will feel lighter and move easily.The person's mood will be better, they will smile more, sit in their seat in a more relaxed way, look more at ease, take better care of their appearance.One of the ways to end therapy is to gradually decrease the frequency of the sessions.Sometimes people who are in my practice start to come each three weeks, then monthly, then every three months.This gives a sense of security, friendliness, and casualness to the therapy, and de-medicalizes it as though the person was treated for a medical symptom and the symptom stops completely one day.Talk therapy is about life and life problems usually end gradually.I end my therapy in a way which mirrors the life process in which many interaction and situation problems show their effects gradually and show different effects over time. </s>

<s>[INST] I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job. [/INST] There's a quote I love that says, "Wherever you go, there you are" and the book by the same name by Jon Kabat-Zinn may be very helpful for you. The thing about changing things up when they get tough is that they often aren't the things that need changing. The awesome (and challenging) thing about it is that when you work on the internal aspects that may need attention, you can learn to find a sense of centeredness that comes with practicing mindfulness and asking yourself who you really are and want to be. Through this deeper work, you can actually be in the midst of chaos and still feel that calm and peace within yourself. If you look for support in this journey from a counselor or therapist, I'd recommend looking for someone offering Acceptance and Commitment Therapy (ACT) or Mindfulness-Based Cognitive Behavioral Therapy (MCBT). Also helpful may be the online program of Mindfulness Based Stress Reduction (MSBR) found here. There are in-person programs across the country, but this online self-guided version is free and a great resource! </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] Absolutely not.  I strongly recommending working on one issue/need at a time.  In therapy you will set smart goals and objectives that will help you reach your goals.  I see you as a survivor and not a victim.  Best wishes to you. </s>

<s>[INST] I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since it makes me happy. What should I do? [/INST] While this might not be the first thing you want to discuss when you meet someone, it is important for you to be yourself.  It's better to weed out 10 people who can't accept you to find that one who can. </s>

<s>[INST] Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward? [/INST] Let's just start with acknowledging that trust is huge and betrayal hurts. You're entitled to your feelings; all of them and you need to know that your husband understands you. That said some ways are more effective at rebuilding and repairing relationships that others. I am a big fan of The Gottman Method for couples therapy, especially following infedienity. You can read about this approach in Gottman's books: "The Science of Trust" and "Making Love Last" and/or you can seek a Gottman Certified couples therapist here: https://www.gottman.com/private-therapy/ </s>

<s>[INST] I feel like I'm trying to convince myself that I'm okay when I'm not. I'm always blocking out the bad things and forgetting. I also feel like nobody cares for me and they never will. I feel truly alone. [/INST] I'm glad you're aware of how you honestly feel.  Knowing one's personal truth is always the first step in finding what is necessary to be and develop.Reflect a little more on the type of care you'd like in your life."Care" means anything from checking in on someone to deep, intimate connection between two people.Knowing your own definition of "care" is the first step to know what is necessary for you to recognize what you'd like attracting.It is much easier to attract what we'd like if we are clear on what this is. </s>

<s>[INST] I keep having these random thoughts that I don't want. Things like "you aren't worth anything." I know they're my own thoughts but it feels like someone else is saying it. What is wrong with me, and how can I stop having these thoughts? [/INST] Many people have thoughts like those you describe, and often it feels like someone else is saying it because they are things that may have been said to you when you were very young.  When young children hear negative things about themselves they tend to internalize these negative ideas and to form negative core beliefs.  The good news is we can learn to stop these thoughts and to replace them with healthier thoughts.  The first step is to catch yourself when you are thinking these thoughts, and to stay "stop!"; then replace it with another thought.  So for instance, maybe you fail a test or get rejected by a romantic interest.  You catch yourself saying "you aren't worth anything". Stop this thought, and replace it with "You didn't do as well on that test as you would have liked.  Let's figure out how you can do better next time."  Or "she may not want to go out with you, but someone else will". So the idea is to develop a voice of a "friend", who can tell you the kind of things you would say to your own best friend.  You might also pick up the book, Feeling Good, by David Burns. He gives many tips for how to change Negative Self Talk. </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] Firstly, I would like to say how amazing that you have been able to live through breast cancer, sexual abuse as well as your depression and anxiety. You are stronger than you may believe at this moment for being able to continue to grow and live through these experiences. Take a moment to acknowledge your strength and know that this strength will be an asset during the therapeutic process that you will be able to tap into to find increased self esteem and more strength to address the concerns you are having. There are never too many concerns to address in therapy sessions. I hope you can find a great therapist who you can trust to listen and work with you to identify and address the most concerning issues first. Once you begin to do this you may find an alleviation of symptoms and feelings which could allow you to grow your capacity to manage difficult feelings and situations and address additional concerns. Before you even realize it the issues you are having will begin to feel more manageable. </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] Thank you for sharing your question.  I imagine it feels overwhelming and discouraging at times if you feel like there are too many issues to address in a counseling session.  I would encourage you to share these concerns with a counselor because a counselor can help you organize the concerns into a list of specific goals.  For example, a list of goals may look similar to this:1.  "I will learn about the effects of medication on the symptoms of depression and anxiety."2.  "I will learn about the factors that affect insomnia."3.  "I will learn about resources and support groups in my local area to help me cope with my traumatic experiences."4.  "I will practice self-care exercises each day and write about my thoughts and feelings in a journal so I can measure whether or not I"m making progress."This is an example of some of the possible goals a counselor can help you work toward each week.  Working toward a specific goal can lead to a feeling of accomplishment once you've completed it, and this may have a positive impact on your self-esteem.  I hope this information helps, and I wish you all the best! </s>

<s>[INST] My boyfriend and I have a terrible sex life after three years of dating, and I don't know what to do. I have this lingering fear of pain during sex after having two partners previously who weren't careful. How can I stop projecting this onto my current boyfriend? [/INST] Without knowing much about your situation, I would encourage you to seek out either a sex therapist who is trauma-informed or a trauma therapist who has knowledge about sexual concerns.  Even consensual sex can be experienced as an intrusion if a partner was not careful or insensitive to your pain.  It would be normal to have some difficulties with sex after such an incident. </s>

<s>[INST] I'm not the same anymore, I don't know how to get back to who I am. I'm sad and confused and angry and tired. I don't sleep well. [/INST] Being tired can really affect almost everyone's ability to work through things that make them sad, confused, or angry, among other emotions. If you're having difficulty sleeping, try to get into a habit of going to bed and waking up close to the same time every day. Also consider only using the bed for sleeping so your brain knows that it's time to sleep when you are in bed. If you are not sleeping while you are in bed, consider getting up and reading a book or doing something to make you tired before going back to bed. Hopefully you'll be able to establish a pattern.Sometimes sadness and other emotions make sleeping very difficult as well. Try keeping track of your moods to see what is leading up to the changes.If you're still struggling, consider talking with a therapist about the specifics and/or maybe talking with your primary care physician. There are natural sleep remedies that he or she may recommend for you. </s>

<s>[INST] I am a peaceful person, but I often find myself having thoughts about killing people. Eventhough I like the thoughts at the time, they make me cry. Why do I feel like this? [/INST] Hello, and thank you for your question. Clearly this is something that has you very concerned. Sometimes thoughts are just thoughts, and they are pretty harmless. Many people have thoughts of killing someone, but they would never actually do it. They really don't even want to do it, they are just having a thought. Other times, thoughts are a sign of something more serious, and we should receive help when they start to worry us. I would recommend meeting with a counselor to discuss these thoughts. It is usually a safe environment where you can get advice with little judgement. Now, If you begin to start thinking about killing someone specific and making a plan to do it in reality- you should call for help immediately. By help, I mean 9-11, or a family member or friend. You would want to get help before doing something to harm yourself and others. Again, none of this is to judge, but rather to encourage you to get the help you're seeking. Either way, when we become concerned about some aspect of our behavior, seeking counseling is usually a good choice. Be well, Robin J. Landwehr, DBH, LPCC, NCC </s>

<s>[INST] I have bipolar disorder, paranoid personality disorder, posttraumatic stress disorder, anxiety and obsessive-compulsive disorder. I last self-harmed a week ago. When I am stressed, overwhelmed, hurt, or angry, the urge to self-harm is all I can think of. I am trying to seek help. [/INST] Seeking professional help does not mean that you will necessarily be admitted into an inpatient setting - though  to be honest, that can become an option if you feel unsafe or if you are unable to plan for safety. However, many clients who struggle with self-harm can find help in outpatient settings - particularly those which offer a treatment called Dialectical Behavioral Therapy (DBT). Looking for a DBT professional or group therapy setting may be particularly helpful, but a skilled professional can help you to figure out how to identify other options even when you are experiencing overwhelming emotions. Without knowing your location, I also recommend searching to find your local helpline or suicide prevention hotline. The volunteers on the other end of the line can be very helpful even if your intention is not suicide and they are likely also to be able to connect you with resources in your area. Calling into the helpline may also be a first step alternative to self-harming when you're feeling overwhelmed. </s>

<s>[INST] I have a friend that who I used to be in a relationship with. It was brief and turned into us being just good friends. I spent the weekend with him and it upset my boyfriend. Was i wrong? [/INST] The most important thing to ask yourself here is, "how did this action affect my relationship, and is it worth the consequences?" Regardless of your intentions in this action, your boyfriend is uncomfortable with this type of behavior. From here, we can objectively decide if spending time with your previous partner (because that is likely what your boyfriend sees them as) is worth harming the relationship you currently have. It is very rare that a person would be comfortable with their partner spending more than a very little amount of time with their exes. Many times, it just gives the wrong impressions. It is very possible that your partner may believe that since you spend so much time with them, that they are still a contender for the most intimate relationship you have to offer, and truth be told, they kind of are. The best intimate relationships, are friendships first and foremost. It is also a good thing to consider what you are getting out of the relationship with your ex that you are not getting out of the relationship with your current boyfriend. If you go to this person for emotional support before your boyfriend, then it is very likely you're involved in some "emotional infidelity". When we turn to others instead of our partner, it is as if we "ran into another person's arms" instead of theirs. No matter who you are, that hurts. </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] A person never has "too many" issues to address in counseling. Participating in counseling with a licensed professional offers a safe place and therapeutic relationship where healing can occur. A trained therapist can help a person unpack and process past and/or current wounds (or events) which may  negatively impact day to day living. They can also help make sense of thoughts and emotions that sometimes feel overwhelming and confusing.  If you want to experience more emotional freedom and gain some tools to help understand and cope with depression and anxiety, I'd encourage you to schedule an appointment with a therapist in your area. </s>

<s>[INST] I'm dating a guy I really love. We have our problems, but I could see myself with him long term. But there's this other guy who I've had feelings for for awhile now. He gives me butterflies when we talk, and my heart beats fast when I see he's texted me, which i never felt with my current boyfriend. [/INST] There are different types of attraction.  You said that you've never felt this sort of feeling of your heart beating faster with your current boyfriend. Depending on how long you've been together and if you're looking at different ways of making a life together and getting to know each other on a deeper level, that's a different stage in a relationship and sometimes it feels different. Some people look at it as a difference between levels of passion and compassion, but there are many different terms to try to talk about it.Perhaps with this guy that you really love, you could talk about ways to keep things new and different in the relationship. Maybe you can leave notes for each other during the day or have a small surprise at random intervals (maybe an invitation to a picnic, for example).As for the other guy who makes your heart beat faster, what do you see in him? You said you really love the other guy, which is why I'm asking.What do you look for in the person who you want to be with long-term (whoever that is)? </s>

<s>[INST] We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?. [/INST] If you'd like to ask a question, then go ahead and ask!Boyfriend/girlfriend is a close relationship and it is usually understood as an exclusive relationship.  You're definitely entitled to know if your wishes to not have him texting another woman, are being respected.Often people are afraid to ask because they fear the truth will hurt them.In the short term this is definitely true.In the long term, knowing you are getting what you want and at the very least stating your expectations to your boyfriend, will clarify for him, what is meaningful in your relationship. </s>

<s>[INST] I'm transgender, I know I am, but I've only told a few friends. I know I can't tell my family because of previous conversations we've had. They just wouldn't accept it. My gender dysphoria is getting really difficult to deal with on my own. I need some strategies for dealing with it. What should I do? [/INST] This is a difficult situation to be in, as it sounds like you are feeling very isolated from both your family and your friends.   I don't know your age or gender so please excuse any incorrect assumptions about you being under 18 and use what is useful from the ideas if you are older.  One idea is to research online to find a therapist or a local clinic that has a therapist who is a "Gender Therapist" or a "Gender Specialist."  Most therapists who are transgender affirmative also have other specialties and do general therapy.  Though I don't think lying to your parents is a good idea, if you feel you truly can't talk to them about your gender, then perhaps you can find a therapist with a specialization in gender identity who can help you cope with your gender dysphoria.  You can let your parents know that you would like to see that particular therapist for other reasons, such as anxiety/worry, and that you researched them and liked their website.  Work to find a therapist who takes your parents insurance if you can.  You can also talk to the therapist on the phone first, before you talk to your parents about scheduling the first therapy visit. Therapists can help you learn some ways to manage feelings of worry, shame, and fear related to gender dysphoria. Depending on your family situation, many therapists will work to help you learn skills to safely communicate with your parents about what is troubling you.  Your parents may actually surprise you and be more accepting than you think.  Usually when parents learn that you are suffering, they want to be open to learning how they can help you, even if awkwardly at first.Reframing is a tool that helps you think about your situation from other perspectives.  It's kind of how you can look at the same picture with a different picture frame and it makes the same picture look a little different.   Keep in mind your situation is probably temporary and think about in the context of your whole long life (can you tolerate another 2 to 4 years living like you are if you have another X number of years to live?).  If you are living at home, you will eventually be more independent and be able to make more of your decisions about your gender expression. Keep the idea in mind the concept that is popular in mindfulness classes I teach, that "This too shall pass" or "This is only for now" when you start to feel hopeless. If you start to over focus on your gender or body issues, try to distract yourself with things that make you feel happy (your pet, music, art, sports etc) or stay busy.  If you can, find any GSA or LGBTIQQ youth group that you can attend confidentially, further away from home, to get some support.  Work to find an ally, one person, that you can talk to about what you are feeling. Making new friends online through social media can sometimes be a start in breaking down the isolation you feel. Another idea, if you are under 24 years old, there is a phone line (866-488-7386)  to call in case you are ever feeling you are in crisis.  You can also text chat! Trevor Project: http://www.thetrevorproject.org/There is also a trans teen online chat group if you are 12-19 http://www.glbthotline.org/transteens.htmlIf you are an adult you can get numbers to call in your state if you start to feel suicidal:http://www.suicidepreventionlifeline.org/Day to day, can you creatively work on your gender dysphoria?  Yes!  Are there ways you can focus on parts of your body you love?  Can you focus on that when you look in the mirror?  Are you a writer?  Can you write stories or poetry about the life you imagine for yourself in the future?  Can you do small things that help you get more in touch with your gender day to day like making small choices about your clothing, like wearing clothes that are more unisex,  that only you know are gender related but others won't notice?  You cannot force others to accept you but you can work on your self-acceptance and self-compassion. That work is something that is best done in the company of others like you as well as with at least another person who gets you and whom you can trust.  Good luck to you! </s>

<s>[INST] Sometimes, I'm fine and can go out or meet people, but other days, my heart races and words physically cannot come out of my mouth. I've always thought it was normal and I was just nervous, but the other day, it took me almost 30 minutes of sitting in my car to find the courage to enter Target by myself. [/INST] I would suggest keeping a log of those days when you are having a hard time. Items to write would be what were you doing before you felt this way, did you eat and what, what time of day is it, how much sleep did you get that night, etc... This can help you identify any triggers. Further assessment can be made by a health care professional. It does sound like you are experiencing some symptoms of anxiety. </s>

<s>[INST] I'm very depressed. How do I find someone to talk to? [/INST] The first step, which you've taken, is actually wanting to talk to someone. It's a great sign that you are seeking to reach out for help. And there are therapists everywhere (there are even therapists online, so you don't have to be that close to them or their office.)There are several sites that I refer people to to begin the process of looking for a therapist. I usually have them start with psychologytoday.com. Once there (there is a therapist directory), you can narrow choices down by ages that they work with, insurance they accept, depression as an issue they focus in, etc. You can also narrow down by therapist's modality, but that can get complicated if you aren't too familiar with the various theoretical approaches. It's important that you find someone that you feel understands your situation. That might mean that they identify an issue you are having in their profile, or on their professional website. But, you should try to meet a couple of different therapists if you aren't quite sure. It can be challenging that first session, but your best (note, not "THE best") therapist will help you feel comfortable (or as comfortable as possible, given therapy can be uncomfortable especially at first) and understood from the get-go.I have found that asking friends or family for names and recommendations Is also a common way to find a therapist, because it can come from a trusted referral source. But remember that we are all different, so what works for one might not always be a good fit. And again, it could take a couple of first sessions with different therapists to know if someone is a good fit (sometimes, it can take a few sessions.) And if there is no one around that can give a name or two, then searching online is quite common and can yield positive results.And try not to give up! Finding a therapist is not easy, but finding a good one for you is extremely rewarding. </s>

<s>[INST] he just walks in the house whenever he wants to see his kids. My fiancé tells me it makes her angry and doesn't like it, but she seems afraid to say anything to him about it for some reason. Is it okay for him to do this? [/INST] The obvious answer is no, it's not okay.  There are other you should be asking though.  You said your fiance "seems afraid" of her ex.  Did you ask her about that?  Is there a reason he still has a key to the  home?  Has there been any discussion of appropriate boundaries?  I work with a lot of people parenting from different households and the stickiest spots are the ones that have not been discussed.  There is obviously conflict there or they wouldn't have split, but your fiance and her ex do need to stay aligned for the kids and that can't happen if she feels fearful or resentful.  If she doesn't have a problem with his barging in, clearly you do (and who wouldn't?  He's not YOUR ex!), so you and she need to have some agreements around his access to the home.  If she is afraid to bring up the discussion then I strongly recommend that she and the ex get some help with a good therapist.  The kids health, your health and hers, and the health of your relationships in the family depend on it! </s>

<s>[INST] I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? [/INST] If you have only been to a couple of sessions, it makes sense that you might still feel apprehensive at first. Therapy is hard work! You may be talking about some things that you never talked to anyone about before. Opening up to stranger can be scary. After you feel comfortable with your counselor, and trust has built up and you feel understood in session, you should feel more relaxed. I would encourage you to talk to your counselor about feeling a little shaky. Sharing what the process is like for you is important in your work. If you still feel unsure about sharing after several sessions, it is important to take a look at that and try to understand where that may be coming from. For example, are you and the therapist not a good fit? But, again if you are just starting out in working together, feeling a little bit nervous makes perfect sense, and I encourage you to give it a bit more time and to talk to your therapist about how you are feeling. </s>

<s>[INST] I started dating my fiancé two years ago. My first cousin is married to my fiancé’s sister. There has always been a communication issue between my uncle and aunt and my cousin and his wife. My uncle goes to my mom instead of talking to my cousin, and it upsets my mom. [/INST] Based on the information provided, this is an issue with boundaries.   Sounds like your uncle goes to your mom and possibly your mother takes the issues to you.  I do not like to assume so I will direct you to information regarding families dealing with enmeshment and triangulation.  Enmeshment is the concept of diffused boundaries in families and other personal relationships.  Triangulation is two individuals relaying information to a third party what cannot be said directly to each other.  From someone who has dealt with both these issues on a personal level, being informed about family dynamics is beneficial and can help you develop healthy boundaries for yourself within your family structure.  You may need assistance with developing healthy boundaries.  Although it is possible, it is not easy to change the way you have been operating for any extended amount of time.  Hope this help! </s>

<s>[INST] I've have lived for sometime with depression but things have gotten a lot better, but why is it so hard to get over anxiety and social isolation? [/INST] The best way to handle depression and anxiety is with a combination of appropriate medication given to you by a medical doctor, and therapy to help you understand the thoughts, feelings, and behaviors that are causing the depression and anxiety in the first place and then to replace these with more positive thoughts and behaviors. This is not something that anyone should just “white knuckle” and try to get through on their own with no help. Cognitive Behavioral Therapy is a technique that has been proven helpful for depression and anxiety. This takes a therapist trained in CBT. There are some things in life that you cannot change and must learn to accept. A lot of people spend time trying to change things that they have no control over. This may be the behavior of someone else in your life or it could be a situation that you cannot change, such as the recent death of a loved one, a lost relationship, or an accident or illness which has left you handicapped. In cases like this, what can change is your attitude and thoughts about the situation that you now find yourself in. One thing that is inevitable about life is that stuff happens and it is not always pleasant. Some people take these unpleasant occurrences very hard and it throws them into a deep depression. Other people seem to be able to handle life’s ups and downs and bounce back. They do this with having positive coping skills in their life. Learning new coping skills is something your therapist can help you with.A lot of people are so focused on trying to change the things in their life that they cannot change and are ignoring the things that they can change. There are things that you can do. Here is a quote for you to consider. “You are getting almost everything that you are getting based on the choices that you have made. You will continue to get the same thing out of life until you make some changes.” Another quote I like is “You will find a way or you will find an excuse.” Don’t ever say that you have no choice. Everyone has a choice. You might not particularly like any of the choices that you are facing, but you do have choices. Not happy in a relationship? You can leave it. Hate your job? Get a new one. If it matters to you, you will find a way. Don’t sit there complaining about everything but not doing anything different or better.Take care of yourself. Exercise is very important not only for your physical health, but for your mental health as well. Eating right and exercising will help you feel better about yourself. Also, find a meditation that works for you. There are progressive muscle relaxation exercises, visual and mental meditations, and many many more. Start making some positive changes in your life today! You can do it! </s>

<s>[INST] I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together? [/INST] I love that you are so thoughtful and proactive about this!  If only every client came in as solution focused as you, my job would be so much easier. I would second Robin's suggestion of reading ANYTHING by Gottmann. He's fantastic. Other favorites of mine are:“Getting Together and Staying Together: Solving the Mystery of Marriage” by Dr. William & Carleen Glasser“Eight Lessons for a Happier Marriage” by Dr. William & Carleen Glasser“Hold Me Tight” by Dr. Sue Johnson“Divorce Busting: A Step-By-Step Approach to Making Your Marriage Loving Again” by Michele Weiner-Davis, M.S.W.“The Five Love Languages” by Gary Chapman“The Flight from Intimacy: Healing Your Relationship of Counter-Dependency – the Other Side of Co-Dependency” by Drs. Janae & Barry WeinholdI'll also add to Miriam's assertion that your partner is the expert on her. You can help things along by becoming a better expert on you as well. What is it that you are craving and likely trying to get your need met in potentially unhelpful ways from your girlfriend or in ways she doesn't understand or vibe with?  If you can better explain your own needs while trying to understand hers, you all have a recipe for great success! When both partners seek to serve one another and stay curious about each other in the process, intimacy abounds!Best of luck my friend! And if you get stuck, of course seeking help from a professional is always a great idea too. ;) </s>

<s>[INST] I get angry and act out. It scares my wife and child. [/INST] Anger is a normal emotion, no different than joy, elation, or sadness. It's not anger that gets us in trouble it's the overtness of the emotion or how we allow it to manifest that gets us in trouble. Being able to control your temper depends on several variables: how you saw anger acted out as a child in terms of your primary caregivers and what you internalized as being normal in terms of managing conflict, and your communication style regarding how you confront problematic situations. There are some whose anger takes on a volcano effect whereby they don't readily address problematic situations but rather they continue to stuff their emotion until the right trigger causes them them to explode, and then there are those who are very impulsive in terms of how they react to stressful situations, they don't take time to think out situations or to make sense of them, they just impulsively respond. I would encourage you to seek anger management from a therapist who utilizes a Cognitive Behavioral approach in order that you may explore how your irrational thinking related to certain situations may be influencing your problematic behavior. In addition, I would encourage you to engage in activities that promote stress reduction if your blowups are indeed related to being overly stressed. The first step is recognizing that you have a problem that you need help in understanding and addressing, which you have, now take the next step in finding a therapist in order that you may learn to control your temper and undo some faulty wiring that may be related to how you process emotion, and communicate that you're angry. Remember, anger is the overt expression of some other emotion (i.e., disappointment, hurt, frustration, etc..) Hope this helps... </s>

<s>[INST] Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward? [/INST] First of all, my heart goes out to you. Infidelity is an extremely challenging obstacle to overcome. There are some things that you should consider. First of all, did he seem truly remorseful? If you felt in his heart that he was truly sorry for what he had done, it will give you a piece of mind that it was a  mistake. Secondly, was he forthcoming with this information? How about with answering your questions after the truth was uncovered? If you found that he was still lying or not forthcoming, the sting is even more painful. He should be able to answer any question you have honestly and without hesitation.Thirdly, has he shown a positive difference after this experience? At this time, he should still be proving his faithfulness to the marriage, you and the children.Keep in mind that experiencing infidelity is a form of grief. It is not a quick process that can easily be overcome. What you are experiencing is 100% normal. My best suggestion would be to see a marriage therapist. Find out what drove your husband to cheat in the first place and decide if this aspect in his life has been resolved. I know its important for you to keep your family together but children can sense anger and frustration, this is not a healthy environment either. If you decide that you can no longer remain in the relationship, a therapist will also be able to help you cope with the separation along with addressing your children's needs.Please know that you are not alone and that unfortunately, many relationships have endured this very thing. It may also be helpful to reach out to people who have experienced similar obstacles. The web is a great resource to find groups whether online or in person to use as a support or sounding board.Best of luck to you and your family! </s>

<s>[INST] 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. [/INST] 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! </s>

<s>[INST] I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? [/INST] First of all, I am very sorry for your loss, and I can understand the urge to drink and smoke to try and cope. As I'm sure you understand, alcohol and marijuana may take the edge off of the pain in the short run, but in the long run they may prevent you from being able to work through the thoughts and feelings that you have about the loss of your friend. Grieving is a process that is unique to each individual and each relationship that may involve difficult, confusing, and even contradictory seeming thoughts and feelings and a competent therapist can help you work through this process. It also may be useful for you to add other ways of coping, such as taking care of yourself through exercise, doing healthy activities that you love, and spending time with people that you love. Self care is often most difficult when we need it the most. Thank you for reaching out. </s>

<s>[INST] After 40 years of being straight, how could I now find myself interested in people of the same sex? I have had a few same sex encounters of my own doing. [/INST] During these encounters did you feel safe? accepted? Where you able to experience something new in your life? It is natural to feel attraction to all people. As young children we love everyone. It was as we got older that the social constructs had us make a "choice". It could have been that you were always attracted to the same sex, but now are allowing yourself to feel and explore. But also know that life is interesting as we grow and mature we find that we like things we never liked before, things we said we would never do now seem appealing. What is the story you are telling yourself about having these interests? Try to not overthink your attractions. See where they take you. You are on a journey to discover yourself. </s>

<s>[INST] My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather. I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility. Do I have the rights to be able to sign my brother into mentalhealth facility? [/INST] Thanks for asking this question. I know it can be really difficult to deal with issues like this.To answer your question, you might be able to get you brother some mental health help, even if he doesn't recognize that he needs it. In most states, an individual can request a mental health evaluation of a family member if that family member poses a danger to themselves or someone else, or if they are unable to take care of their own basic needs.You can always call 911 if you are concerned about his immediate safety (for example if you find him sleeping outside in below freezing weather.  As an alternative to calling 911, you might also be able to request an evaluation from an authorized mental health provider.  The deatsils of who you would contact vary from state to state. Here's a link with some additional resources:http://www.treatmentadvocacycenter.org/someone-i-know-is-in-crisisHe's lucky to have a brother who cares for his wellbeing as much as you do. </s>

<s>[INST] I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face. It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do. [/INST] This is so very common in this crazy looks-obsessed world! I meet so many beautiful people who can't see their beauty. Is there something getting in the way for you? Was there a time in your life when people teased you or told you something hurtful, or did something to you that made you feel ugly? If so, this can be addressed first. Sometimes stories are told about us when we're young and the best thing we can do is see the author's evil or careless intent and not take that on. A therapist can help you with this part.Once you've addressed any past barriers to feeling confident, you can focus on a few simple things. First, your thoughts. If you keep telling yourself that you don't like what you see, then you will never feel okay about your looks. Experiment with telling yourself something different. Look in the mirror and I dare you to find something that's lovely about your face. Focus on that. Describe what you see? If you were your own best friend, what would you say about your face? Eliminating those negative scripts and building new positive ones will help you feel more accepting of how you look. You can't change your face, but you can change your attitude towards your face. Confidence is the things that will make you beautiful!Accepting how you look is important. Without going to plastic surgery (the popularity of which is a testimony to how nuts this whole thing has become), you were born with that nose, those eyes, those lips. Accepting yourself and knowing it won't change is a good idea, because wishing it were different won't make it so!Looking good is also about minimizing flaws and building on your assets. Are you in a rut about hairstyle or makeup? Ask a good friend to give you a make-over. Play with your features and wardrobe. There are plenty of average looking people who know how to make themselves shine because they are creative! </s>

<s>[INST] I think I'm annoying and bothersome, but my girlfriend says I'm just fine. I don't think so, I think I'm stressing everyone else out [/INST] I think you have identified something important here. It's not unusual to experience feelings that don't seem to match up with what your rational mind recognizes. In this case, it sounds like a part of you recognizes that the people around you do not find you "annoying and bothersome." Despite knowing that people like you, it seems that there's still a part of you that feels like you're a bother.Finding a local counselor who can work with you to process those feelings might be just the help you need. </s>

<s>[INST] What makes a healthy marriage last? [/INST] In my mind, a healthy marriage has two participants, meaning both people participate equally in the intimate connection of marriage. An unequal participation comes in many forms, such as one person checking out of conversations when it becomes emotional, or speaking over and for each other in these conversations. Couple’s should strive for engagement and support, but doing it in a way that works for each person individually. I hope this helps. </s>

<s>[INST] I am in my early 20s and I still live with my parents because I can't afford to live alone. My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do? [/INST] Unfortunately you seem to have yourself in a double bind. By living with your mom she is not going to stop her attempts at what you perceive as "controlling". There is no use in trying to debate or get her to "see your point". As long as your there and you personalize her attempts at control, then you will find yourself frustrated and resentful. Try to find an extra job or a roommate so that you can do the natural process of moving on out.www.lifecounselingorlando.com </s>

<s>[INST] I have not had a friend since I was 19. I don't go anywhere, and I have no job, all because I'm afraid of people. [/INST] Individual and/or group therapy can be a powerful antidote for social anxiety. Often in therapy, the things that tend to get in the way of our securing satisfying and lasting personal relationships will appear in some way in the therapy relationship and a competent therapist will be able to help you work through this anxiety, in a sensitive way, and eventually encourage you to seek out the personal relationships that you want. In group therapy, you have an opportunity to have a relationship not only with the therapist, but several other people who are all in the group in order to give and receive mutual support to one another. </s>

<s>[INST] I've become so jaded that I can't control my thoughts. I cannot focus on anything and been having anxiety attacks. [/INST] Maybe your thoughts require your attention and the best course would be to pay attention and follow them!If you're in an especially stressful or uncertain time in your life, then the best way through is to understand the tension you feel.It keeps trying to get you to know whats going on deep within you.Anxiety is a sign of stress and weariness.  Your thoughts are a chance to simply rest and know what they would like you to know.Then, when that process is finished your anxiety will no longer be necessary and will most likely leave you alone. </s>

<s>[INST] It's not entirely true to say I enjoy being sad, but I always find a way to feel that way. I listen to sad music, read tragic stories, and, in a twisted way, like how bad it makes me feel. I focus on negative aspects of my life even if they aren't legitimate or I just make it seem negative. [/INST] It sounds like you are noticing that you are drawn towards sad and negative content and it's hard to understand why. This may sound counter-intuitive, but sometimes we do things that on the surface may look problematic (or even cause us some real problems) because it serves us in some unseen way. A simple example would be somebody who is addicted to a substance; their addiction may be causing serious problems in their life, and they may even know it, but the addiction serves them by helping them to avoid painful feelings that they anticipate having if they quit using. Now I am not saying that what you describe is an addiction, it is just a really illustrative example of the unseen benefit.One thing I would be wondering about is what is the unseen benefit of seeking out sad and negative content? I'd also be wondering what your relationship is to other feelings. These are things you may benefit from exploring with a competent therapist. </s>

<s>[INST] My grandson's step-mother sends him to school with a pink Barbie backpack as a form of punishment. [/INST] Absolutely not! It is never in a child's best interest to use humiliation as punishment. This can lead to issues in the relationship between parent and child as well as the child's social relationships. Kids have a hard enough time. To then go and cause them embarrassment is unconscionable. The entire job of a parent is to prepare their child to become a successful, healthy adult. You do this by using healthy ways to teach a child when they make a mistake. Discipline shouldn't be seen as punishment. It should be seen as a way to teach a lesson. What lesson could this possibility be teaching him? Absolutely nothing. Meanwhile, she is most likely damaging her relationship with him and causing great distress in his school day and peer interactions. She should be one of the people he can come to when he's hurting; not someone who causes him pain. </s>

<s>[INST] I am a female, and I am afraid of having sex. I am afraid of disappointing my partner by being inexperienced. I think he thinks I'm not a virgin. I am also scared that he will be disappointed with my naked body. I don't want my partner to think differently of me because I am afraid of having sex. [/INST] These fears are completely normal. Almost everyone has the same fears you do, to some degree, especially if they lack experience. Men also feel far more of these fears than you realize. That can help...to remember that we're all a little scared and looking for safety and approval.You mention a partner, but I'm not sure if you currently have one. Having a partner you can trust with your fears and who you feel safe with is so important. When you're really confident someone cares deeply for you, this can help the fears to go away or diminish. How well do you know your own body? Getting to know how you like to be touched and how different touches feel...getting acquainted with your body yourself first...this can help build sexual confidence. In general, our partners care less about our fat and wrinkles than they care about how we make them feel in bed. Being a generous lover who is confident enough to put fear aside...ironically this is what makes you "good in bed". But be patient with yourself. Your confidence will grow with experience, and that doesn't have to happen until you are ready. There's not rush. :) </s>

<s>[INST] I know I need to deal with my depression. But I don't know how and I don't want to tell anyone. How can I deal with depression without telling anyone? [/INST] Hello,It is completely understandable that you would not want people to know about your depression. I would first like commend you for realizing that you need to help with your depression by reaching out here. That is a great start, and you've taken the very first courageous step. Depression can feel debilitating and overwhelming. Depression is also a very personal thing and no one has know but you and the therapist. The best way to begin learningand dealing is to pick up the phone and call a therapist or email a therapist and schedule a session. The great news is that with professional help you can feel better and you will learn how deal with and manage the depression. There are many ways to help with depression that a therapist can teach you and help guide. You do not have do this alone. Asking for help and going to therapy is a strength! This can be done in a private and confidential setting.Depression should be treated by a therapist, in a safe, confidential office setting. The therapist can then discuss your depression with you in more detail to figure out the underlying cause, how long you've been feeling this way and identify what brings on these feelings. There is hope and depression can be treated with great success, you CAN feel good again. Depression can be managed appropriately by seeing a licensed therapist. Often times therapy will offer relief because you would have someone there simply to listen to you, validate your feelings and listen to your story. The therapist will be able to offer professional insight and perspective on the situation and help you think outside the box. The therapist can do many things with you, provide insight and offer many ideas to help you learn new coping skills and ideas of things you enjoy, encouraging you to re engage in hobbies you once enjoyed or even discover new things you may enjoy. There are creative ways to learn to cope too!Your therapist will also be there to support you, without judgement, at your pace, through the entire process. But the first step is finding a therapist and beginning to identify the cause your depression. Healing is possible and getting your happiness back is also possible.Feel free contact me for additional help or informationLaura Cassity, LMSW, LMAC </s>

<s>[INST] I was in a relationship for almost five years. We were friends for a few years before we got into a relationship. He was a caring, friendly, and charming guy up until three and a half years in. He started controlling me: who I hung out with, where I was at all times, and he had a huge hissy fit if I tried to ask him the same questions. All that time, he just liked me as a friend and was cheating on me with my so-called friends. At the end, he was a nasty and narcissistic person. Now it’s hard to be social. [/INST] It sounds like you had a very confusing and painful experience in this relationship, and now you feel hesitant to let yourself get close to people. It is understandable that when we are hurt in relationships, we may have trouble trusting and allowing ourselves to be vulnerable with others.Therapy is a great place to explore the roots of present difficulties in relationships, to unpack what happened in prior relationships, and to find new ways to show up in relationships so that we can have the relaxed intimacy that we want. Often, relationship difficulties represent patterns of relating that we learn early in life which we may feel compelled to act on outside of our awareness and therapy provides an opportunity to become more aware of these patterns so that we can change them, enabling us to feel secure and to seek out satisfying companionship. </s>

<s>[INST] I don't know how to notice or express my feelings besides anger. That's really the only one i feel. [/INST] Well, then give yourself some credit for noticing that you recognize at least one feeling that you have!What is your own theory as to what is difficult to know your feelings?  Your answer will give you clues as to unearthing your willingness to be aware of the way you feel.Sometimes the family in which someone grew up, did all they could to stop the kids from knowing who they were.In some families there were very severe consequences if a child spoke up with an independent mind.  By knowing where your difficulties started, you may very well be able to release the situation in which you learned to suppress your feelings.Also, spend some time with yourself just enjoying who you are.  Often, people who have difficulty in expressing themselves, suffered shame and humiliation as a child.  They have a chronic sense of worthlessness, and feeling worthless certainly works against self-expression.  By having a good time being with yourself, you may increase your self-appreciation and this will go a long way to believing that your feelings are worth knowing and stating. </s>

<s>[INST] I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected? [/INST] I can think of several things that may help you to reconnect. I don't know how much time you actually spend together, but one thing you could try is to spend 15 minutes a week together talking about common interests or other things that make you feel connected.Have you considered a date night or anything (doesn't have to cost a lot of money, but could make each of you feel special)?Something else you could try is to consider talking to each other in a way where you summarize what you are hearing and reflect back to make sure that you got it right rather than just assuming so. Communicating this way can feel awkward at times, but it could reconnect how you are listening and deeply connecting with your partner. Also, you may discover that you are on two different pages about things on which you thought you understood what each other felt, wanted, or desired.Consider what makes your partner feel loved, valued, appreciated, or special. Can you name a few things and get them right according to your partner when you check in? Can he do the same for you?You could also try doing two things every day that would be appreciated by your partner without either of you having to ask for it. There is some more information here, although what you do for one another does not necessarily need to be on this list: http://www.couplesinstitute.com/tracking-success-by-doing-the-daily-double/Reconnecting is a bit of a process. Try to praise yourself and your partner for attempts that you make and recognize that you're not going to get it right 100% of the time. You may also find this book to be helpful (or there are other similar ones by the same author): https://smile.amazon.com/Love-Languages-Secret-that-Lasts/dp/080241270X/ref=sr_1_1?ie=UTF8&qid=1471479801&sr=8-1&keywords=Love+languagesIf this still seems difficult, consider seeing a local mental health professional. As one more thought, recall that this relationship involves both of you. If you are both committing to change your level of connection, change will likely not be a steady uphill climb (there could be plateaus or even some dips back in a negative direction) and each of you may change at a different rate.Best wishes in your quest for connection! </s>

<s>[INST] My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people. How can I feel more comfortable around other people? [/INST] I would look at  getting engaged with a support network of individuals who may also have autistic children.  They will understand some of the things that you are experiencing at home and you may also find someone who feels that same way as you. If you have not sought professional counseling for the abusive relationship I would seek out a therapist who can help you process through it so you do not repeat similar choices in your next relationship. </s>

<s>[INST] I have attention-deficit/hyperactivity disorder, posttraumatic stress disorder, anxiety, anger, and memory problems. I can't work. I have no income. I'm on medicine, but I feel worthless. I want to be normal. [/INST] I am so sorry to hear that you are struggling.  It sounds like you've had a traumatic experience that has impacted your life in many ways.  Without knowing much about your history, I wonder if the trauma you suffered has lead to the anxiety, anger, and memory problems you are dealing with, in addition to PTSD.  I would encourage you to look for a trauma therapist who offers a sliding scale or pro bono services.  There may also be community mental health services in your area that offer free therapy if you are eligible for grant. </s>

<s>[INST] I am a survivor of multiple sexual abuse/rape experiences. Triggers are having an effect on my daily life and my sexual relationship with my partner. I'm trying to learn to cope with them. [/INST] I'm glad you're willing to keep optimistic about life improving and offering better relationships than some of the ones in which you greatly suffered.One suggestion is to develop patience with yourself and the process of regaining your willingness to trust other people.Sexual intimacy engages all of who we truly are.   Being cautious as to who and how much you allow someone into your life, is natural for anyone recovering from trauma.Allow yourself to withdraw when situations feel dangerous.   Your sense of danger is most likely on higher alert than had you not been victimized.Be attentive and cooperate with your own sense of readiness to engage in conversation, discussions and sex with your partner.Explain all this to your partner so the person can develop their own patience with your recuperation process. </s>

<s>[INST] I feel like I am internally screaming all the time. Externally, I am calm, but I have this intense, unidentifiable emotion constantly. I don't feel sad. I don't cry a lot. I feel rather emotionally distant other than the internal screaming. It kind of feels like I'm a caged animal. [/INST] It sounds like you are trying to find a label to help you to understand why you are feeling the way you are feeling.  Sometimes there are no labels for how we feel.  Sometimes there is no name for the emotions that we are experiencing. Regardless, you do not have to continue to feel this way, no matter what you call it.  If you are seeking to experience an internal calmness such as your external calmness, you may want to try some mindfulness practices or meditation.  However, being able to get at the root cause of what you are feeling may be what you need to help you release this feeling for the long term.  I recommend seeking support for this to allow this internal screaming to get some air and begin to breathe. </s>

<s>[INST] When I'm sad and alone, I want to cut myself. [/INST] Try doing something physical. If you haven't exercised before, it is a good idea to get your doctor's approval first, but this can be helpful.The more you can find out about when you want to cut, the easier it will be to figure out what else you can do. If you are feeling sad or angry or nervous, look at what is leading up to those feelings and talk to someone about that.You said you are alone. I would see if you can find someone that you can trust to talk with about what you are going through. This could be a parent, a friend, someone at school, a coworker, or any number of other people. </s>

<s>[INST] When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal. [/INST] As parents, it's hard not to have "freak out" moments when our children are being bullied, stressed, or exhibit other symptoms of teenage angst. We walk a delicate balance of letting go and giving autonomy to our teens get older. Adolescents are learning how to be functional adults and it's important to allow them to try (and sometimes fail) in managing their emotions. Grades are a pretty good indicator of how a student is doing, overall. If your daughter has a 4.0 and there's no pattern of "crying and freaking out" I'd offer gentle support and encourage her to find ways to relax when she's stressed. If her grades start to decline and her crying spells become more frequent, a call to a counselor who specializes in teens might be in order. Good luck! </s>

<s>[INST] How does a counselor decide when to end counseling sessions or to terminate working with a client? [/INST] 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. </s>

<s>[INST] I don't know what to say. I have never really known who I am. [/INST] The older I get, the more I believe that our real task isn't to 'find' ourselves. We're already 100% "there." What we do have to do is become more mindful of the times when we feel the most alive, most happy, most creative, and most fully engaged with life. It is in those moments that we find ourselves.For example, I couldn't help loving the people or things I loved, no matter who tried to talk me out of them. All I needed to do was notice when my heart opened and I felt the most alive--not because I was afraid or addicted, but because in those moments, I was in contact with my highest self. On the flip side, I needed to recognize the people and activities that consistently brought out the worst in me--the ones that made me feel controlled, constricted, dishonest, resentful, or afraid--and be honest about them. Mindfulness of "what already is" is the key to finding yourself. Align yourself with the people and activities that matter most to you. Don't let old habits, crappy jobs, or mean-spirited people define you. Just stumble your way forward as best you can, with greater self-awareness followed by affirmative action.. </s>

<s>[INST] Sometimes, I'm fine and can go out or meet people, but other days, my heart races and words physically cannot come out of my mouth. I've always thought it was normal and I was just nervous, but the other day, it took me almost 30 minutes of sitting in my car to find the courage to enter Target by myself. [/INST] These types of symptoms can be very disruptive to life!  Anxiety often presents in two key ways:  1) physical symptoms such as: racing heart rate, sweaty palms, dry mouth, shaking or trembling or nausea - often these physical sypmtoms are categorized as a Panic Attack.  2) mentally anxiety presents itself as worry.  Worry that spirals out of control, worry that dirsupts your life and concentration.  Worry that keeps from being present in your life.  Anxiety when it begins to spiral out of control either with disruptive mental or physical symptoms, needs to be addressed formally.  I urge you to see a counselor and/or a psychiatrist soon to begin to address these issues.  Good Luck, Sitka Stueve, LSCSW </s>

<s>[INST] I have these dreams of men, and they always seem to try to hurt me. It's gotten so bad that I first wake at 4:30, then 4:45, and finally stay awake by 6:00. I'm always the last one to fall asleep and the first to wake. I hate falling asleep. The longest I've went without sleep is three days. [/INST] The good news about your dreams is that your fears are right at the surface of your mind so you can study them and release some of the harm from the terrifying experiences you had which created these bad memories in the first place.The bad news is the feelings themselves are sickening.Probably a therapist would be very helpful for guiding you to unfold these uneasy feelings and their source.This type of deep work is easier with emotional support from someone.  A therapist can give you this plus is knowledgeable about dynamics of someone having been emotionally harmed by another.Or, read a lot online and find out which articles resonate with your emotions.Luckily people are willing to express personal stories of recuperating a sense of peace and safety after being violated by someone. </s>

<s>[INST] I have been married for 11 years. Within the past 2 years we have drifted far apart. We coexist together but there is very little personal interest in each other. I often feel that my husband has "friends" at work that he is more emotional invested in than me. I feel very alone and just uncared for. Is there anything I can do to feel reconnected? [/INST] Feeling alone in your marriage is one of the most painful feelings. Wanting connection with your spouse yet feeling the all too familiar distance that's keeping you apart can be so hurtful. But, change is possible. You might be able to move closer toward each other on your own but since there has been two years of distance, I would suggest looking into couples therapy with a trained couples therapist. They are trained in helping couples begin to examine what's been happening that has caused a drift in your marriage. I'm also curious if there was a significant event that occurred around the time you started feeling distant. If there was something that occurred during this time that is hard for you both to talk about, couples therapy can help with this also. It can provide a safe and supportive space for you both. </s>

<s>[INST] What should I do when we see each other? [/INST] I am so sorry that this happened.  Nobody deserves to be outed without their permission.  I would encourage you to get in touch with someone who is supportive and accepting and plan to touch base with them after you see your wife's sister.  You can also plan to take some time for self care after you see her.  For example, if you enjoy bike rides, plan on taking a bike ride afterward.  Plan to do something that feels nurturing and caring.  Best of luck! </s>

<s>[INST] My wife and I have a great relationship except for our sex lives. We are pretty transparent and honest, and basically, she feels bad because she never wants to have sex. She doesn't have the desire. She's also never orgasmed. She feels like a terrible wife and fears I'll cheat on her. She doesn't know why. Last time we had sex, she cried and felt bad and didn't know why she cried. However, she also told me that the last time we had sex, she felt me in her, but it just felt "ehh" and wanted to stop. That makes me feel really awful. We rarely have foreplay. Everything I try tickles her, so she makes me stop. We are both frustrated but very much in love. She and I are in our early 20s. We’re married and we have a baby on the way. [/INST] Have you guys ruled out medical disorders. There is new data that post part depression starts in the pregnancy before baby is delivered. There maybe those factors .Please check out those arenas, firstly. Then consider marital therapy services. Relationship changes with the time passing and with the time and care deposits of investment onto the relationship bank account.  Thanks for this opportunity to answer some of ya.alls. relationship intimacy concerns. </s>

<s>[INST] I want a secure relationship with someone that wants to be with me and who will actually put effort into it. I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call. I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process? [/INST] Here are some things I'm wondering:Do you have close friends that you can talk to, trust, and who can be around sometimes when you're in between relationships?What do you like about yourself? What are your strongest points?Do you think you have been in relationships with controlling than in the past because it makes you feel as though you are worth something to them?What kind of relationship you want to be in?What are the top three or four attributes of the type of partner you want?What can you do to make yourself emotionally safe during your typical daily activities?Can you notice a list of things that you can control throughout a typical day? For example, you probably choose what to wear, what to eat, how to talk to others, how committed you are to school or work, etc.It also sounds as if it may be helpful to discover more about yourself in addition to what you look for in a partner.As far as emotional abuse, it may be useful to develop communication skills that you could use prior to their relationship progressing to the point that it is emotional abuse.Thank you for reaching out to ask questions. If the questions that I've asked here are difficult for you to answer or are overwhelming, talking with a local therapist would probably be something I would suggest. </s>

<s>[INST] I have no sex drive due to medical issues. I’ve shut down completely and closed everyone out. I’ve even told my husband that I wanted a divorce since that’s what I thought he wanted to hear. However, it devastated me when I learned he's seeing someone else. I’ve since told him that I wanted to work things out but he’s not sure I actually mean it. He thinks the only reason I want him back is because I’m jealous. How do I show him I’m serious? [/INST] I’m sorry to hear about your current situation. My heart goes out to you during this time.First of all, it is of vital importance that you discuss your symptoms with your doctor. Regardless of whether you are able to mend your relationship with your husband, you need to address the physical issues you are experiencing. More than likely he/she will be able to help you relieve some of these symptoms.Secondly, you must be upfront and honest with your husband. Intimacy is a large part of a relationship and it is unfair to your husband that you did not disclose how you were feeling. I think he would appreciate knowing that it was your medical problems causing the lack of sexual desire as opposed to the reason being him.If you explain to him that you are addressing your sexual issues with your doctor in order to enhance your relationship, he may be more willing to see that you are serious in wanting to mend the relationship. The conversation will be hard to explain to your doctor and your husband since it is of such a personal nature but it will be extremely beneficial. And please note that the reason for the feelings you were experiencing (or lack thereof), was not your fault.Best of luck to you and your husband! </s>

<s>[INST] My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I leave home to see family, he'll text me saying "whatever" and "leave me alone." But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore. [/INST] Your situation sounds a little painful.Have you brought up any of these topics for discussion with your fiancé?Now is a good time for finding out if and how your future husband is interested and addresses the way you are feeling.Until the two of you open up what bothers you, all you or anyone who talks to you about the situation, can do is take guesses as to what is driving your finance's behaviors.Also, in the moment of when your fiancé texts you words you find surprising or startling, you can tell him this.   Maybe by being clear and truthful about how what he writes affects you, then next time he will change what he tells you.And if he doesn't, then you know that you explained yourself, he had this information about you and that , he isn't that willing to consider what you told him. Really, the best first step is to open up all the topics you wrote about here, with him.  This way you'll give each of you to discuss how to care about one another in a meaningful way. </s>

<s>[INST] I was raped repeatedly when I was younger. I told my parents and action was taken, but now that I’m an adult, I suffer from extreme anxiety. [/INST] Hi. Even though (thankfully) your parents responded well to you telling them, and you received treatment, it's possible, and very normal for sexual abuse trauma to affect you in different ways as you age and develop. Please see a therapist, who can help you find the root of the anxiety. </s>

<s>[INST] I'm always listening to my husband, but it feels like he never listens to me. How do I get my husband to listen to me instead of me listening to him all the time? [/INST] Thanks for reaching out. This is a great question. Communication is definitely a 2-way street. One person cannot participate in a discussion. It takes a talker and a listener. Furthermore, communication will breakdown if each party is only focusing on his or her agenda and is not open to what the other person is saying.  since I can't ask you questions about what is going on, I am going to make a guess at one situation that comes up a lot when I work with couples. One person focuses more on solving the issue, than listening to their partner.  This can be frustrating for the partner who wants to just be "heard."I understand that you are working really hard to listen to him and he might not be putting as much effort into listening to you. That can be really frustrating and difficult and I want to acknowledge you for wanting to improve your relationship.One of the best strategies to gettting heard, is actually to BE A GOOD LISTENER to someone else. I know you are probably already a good listener and for you to work on listening skills may seem counterintuitive, right? You want to get heard and now you are the one doing the listening. But this can really create more effective communication if you invest time working on doing some active listening in your relationship because then you get to model those skills for your husband and allow him to see what it feels like to be listened to and then you can even teach him some of those skills. In other words, you practice specific techniques that you can use and then teach later on. Here are some skills for you to use consciously and then you can teach:Pay attention and use your body language to convey that you are in the conversation. No texting or distractions. Lean in. Focus.Listen for content and for emotion. Clarify what you don't understand. Try to understand the person's underlying emotions. Don't rush to judgement or to changing what is going on with the person. Sit in a place where you are really curious and want to understand what is going on. Encourage the other person to continue speaking, Nod and vocalize that you hear what they are saying.Ask questions to get to understand the other person's point of view.I believe when we can model these kinds of listening skills, and the other person feels heard, they will be more likely to listen to us. If you don't find that this doesn't spill over in that way, then have a discussion about what you are practicing and that you are learning these skills to be a better listener so you can understand him better. Then explain how it might be helpful if you both tried it. If there is push back from him, set up a trial period to just try the skill, perhaps for 2 weeks and see if it helps. If communication is really breaking down, then it might be time to work with a counselor who can help with these skills.Best of luck to you! </s>

<s>[INST] I am currently suffering from erectile dysfunction and have tried Viagra, Cialis, etc. Nothing seemed to work. My girlfriend of 3 years is very sexually frustrated. I told her that it is okay for her to have sex with other men. Is that really okay? [/INST] Hello, and thank you for your question. I completely agree with Dr. Zehner. Many couples are in open-type or polyamorous relationships where one or both partners engage in sexual relationships with others. The key thing about this is that it really does have to be something that both people are okay with. Now, as Dr. Zehner indicated, what may be okay today may not feel okay tomorrow, so good communication is essential. The truth is, even in polyamorous relationships where partners are in agreement, jealousy does sometimes happen. Here is a good article about polyamorous relationships and the issue of jealousy: http://everydayfeminism.com/2016/02/polyamorous-dealing-jealousy/This site has many other articles about polyamory. If you type in "polyamory" in their search box, you will find some good information. I wish you well,Robin J. Landwehr, DBH, LPC, NCC </s>

<s>[INST] I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? [/INST] Hello there.  You ask about being nervous and shaky walking in to your therapy session and want to know if its normal? ...  I realize there a few ways to look at this.  I presume you weren't anticipating feeling this way; and probably hoped to feel the opposite..  Well, my initial response is yes, sure, it can be within reason to feel this way.  Have you been in therapy before? Is this somewhat new? That could be part of the reason. But either way; new or not, I think when are entering into a meeting that holds potential evaluation of deep things about you and your heart and soul, it can cause anyone to tremble. The soul can be anticipating some things could be shaken up here, and it can feel scary to look at these things and then change.  Looking deep at our life can feel daunting and scary; so your response just might be regards to potential growth trying to happen.   OR, is there something about the therapist you don't feel confident about?  This too might be in play as a reason for your feelings...  Maybe you lack confidence in that therapist ?  Have you let your therapist know how you feel?  That would be good to explore...I would like to encourage you to look at these ideas.  Hope it helps.   Let me knowKindly,keithkeithcounseling.com </s>

<s>[INST] I keep having these random thoughts that I don't want. Things like "you aren't worth anything." I know they're my own thoughts but it feels like someone else is saying it. What is wrong with me, and how can I stop having these thoughts? [/INST] Those  critical thoughts most likely came into your mind as the way you understood what one of your parents or some other adult who was very meaningful to you, at a very young age.When we are too young to distinguish whether what a grown person tells us, feels accurate, we absorb their opinions as our own.Your question shows you've reached the point of emotional maturity to know that your opinion about yourself is not the same as what is inside your emotional brain and stored there since you were too young to know that someone else's opinions are not necessarily your opinions.Nothing is wrong with you, everything is right with you to wonder how to more firmly establish your own point of view.Start the habit to revise any viewpoints about yourself which don't feel true.Then replace these thoughts with better ones which you decide on your own.After a while of doing this you'll either automatically think the more positive thoughts about yourself or at least be in the habit to know that negative viewpoints about you are not necessarily true. </s>